Healthcare Provider Details

I. General information

NPI: 1790106862
Provider Name (Legal Business Name): PARISH ANESTHESIA OF CALIFORNIA, A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 PINE ST
MOUNT SHASTA CA
96067-2143
US

IV. Provider business mailing address

3850 N CAUSEWAY BLVD STE 1565
METAIRIE LA
70002-8115
US

V. Phone/Fax

Practice location:
  • Phone: 530-926-6111
  • Fax:
Mailing address:
  • Phone: 504-408-0804
  • Fax: 504-779-5568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: CHANTEL M DAUZAT
Title or Position: CHIEF OPERATING OFFICER
Credential: MJ-LEL
Phone: 504-408-0804