Provider Demographics
NPI:1609263961
Name:BAY AREA UNION HEALTH CENTER
Entity Type:Organization
Organization Name:BAY AREA UNION HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LING
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:415-398-9861
Mailing Address - Street 1:101 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-2605
Mailing Address - Country:US
Mailing Address - Phone:650-651-7175
Mailing Address - Fax:506-517-1736
Practice Address - Street 1:101 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-2605
Practice Address - Country:US
Practice Address - Phone:650-651-7175
Practice Address - Fax:506-651-7173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty