| Organization Name: | HENRY BAYLIS, M.D. PROCEDURE CENTER |
| NPI Number: | 1023300795 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY I BAYLIS (PHYSICIAN) |
| Mailing Address: | 1401 Avocado Ave 605 Newport Beach |
| State: | CA US |
| Postal Code: | 926607720 |
| Phone Number: | 9497600700 |
| Fax Number: | 9497609017 |
| NPI Enumeration Date: | 05/12/2011 |
| NPI Last Update Date: | 05/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | C25406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |