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Bailey Ivicevic

NPI 1013795137 · on the registry since 2023

Practice

Address
325 Buena Creek Rd
San Marcos, CA 92069
Phone
(760) 566-3566
Organisation at this address
Casa De Amparo
Casa De Amparo
Casa De Amparo
Casa De Amparo
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
104100000X
1041C0700X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California