Provider Demographics
NPI:1972841872
Name:BIOLOGIC INFUSION INC
Entity Type:Organization
Organization Name:BIOLOGIC INFUSION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-827-7327
Mailing Address - Street 1:8851 WATSON ST
Mailing Address - Street 2:A
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2243
Mailing Address - Country:US
Mailing Address - Phone:855-855-3221
Mailing Address - Fax:
Practice Address - Street 1:8851 WATSON ST STE A
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-2268
Practice Address - Country:US
Practice Address - Phone:855-855-3221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1972841872OtherMEDI-CAL
CA1972841872OtherMEDI-CAL