Provider Demographics
NPI:1750006136
Name:NORCAL ANESTHESIA PROFESSIONALS INC.
Entity type:Organization
Organization Name:NORCAL ANESTHESIA PROFESSIONALS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-823-2394
Mailing Address - Street 1:1106 DOYLE PL
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3218
Mailing Address - Country:US
Mailing Address - Phone:415-823-2394
Mailing Address - Fax:
Practice Address - Street 1:1106 DOYLE PL
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3218
Practice Address - Country:US
Practice Address - Phone:415-823-2394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty