Healthcare Provider Details

I. General information

NPI: 1144357138
Provider Name (Legal Business Name): MONICA BIEN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE # 1E21 SFGH EMERGENCY DEPARTMENT
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

910 N MADISON BLVD STE B
ROXBORO NC
27573-4573
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-8059
  • Fax: 415-206-4195
Mailing address:
  • Phone: 336-598-2223
  • Fax: 336-322-0996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA17274
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-14425
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: