Provider Demographics
NPI:1265866735
Name:BIAOHEALTH
Entity Type:Organization
Organization Name:BIAOHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRARCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-846-0963
Mailing Address - Street 1:PO BOX 720068
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94172-0068
Mailing Address - Country:US
Mailing Address - Phone:415-846-0963
Mailing Address - Fax:415-643-3159
Practice Address - Street 1:650 FLORIDA ST # D
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-8200
Practice Address - Country:US
Practice Address - Phone:415-846-0963
Practice Address - Fax:415-643-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-02
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11668171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty