Provider Demographics
NPI:1306475645
Name:NORCAL ANESTHESIA AND PAIN AFFILIATES, INC.
Entity type:Organization
Organization Name:NORCAL ANESTHESIA AND PAIN AFFILIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-266-8516
Mailing Address - Street 1:PO BOX 491509
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-1509
Mailing Address - Country:US
Mailing Address - Phone:530-768-1064
Mailing Address - Fax:530-215-1609
Practice Address - Street 1:615 W EAST AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-7201
Practice Address - Country:US
Practice Address - Phone:530-487-8114
Practice Address - Fax:530-592-3492
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORCAL ANESTHESIA AND PAIN AFFILIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-08
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical