Provider Demographics
NPI:1548144678
Name:BAILEY, TAYLOR CHEYENNE SOLANGE
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:CHEYENNE SOLANGE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S HOPE ST APT 2516
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-4728
Mailing Address - Country:US
Mailing Address - Phone:347-362-9446
Mailing Address - Fax:
Practice Address - Street 1:1201 S HOPE ST APT 2516
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-4728
Practice Address - Country:US
Practice Address - Phone:347-362-9446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program