Healthcare Provider Details

I. General information

NPI: 1720864655
Provider Name (Legal Business Name): NORCAL RESPIRATORY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2619 FOREST AVE STE 100
CHICO CA
95928-4389
US

IV. Provider business mailing address

1019 TOWN DR
HIGHLAND HEIGHTS KY
41076-9114
US

V. Phone/Fax

Practice location:
  • Phone: 530-246-1200
  • Fax:
Mailing address:
  • Phone: 859-441-8876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: GREGORY J CRAWFORD
Title or Position: PRESIDENT
Credential:
Phone: 859-441-8876