Healthcare Provider Details

I. General information

NPI: 1336056076
Provider Name (Legal Business Name): LAURA PASCALAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1036 KENSINGTON DR
ROSEVILLE CA
95661-5311
US

IV. Provider business mailing address

1036 KENSINGTON DR
ROSEVILLE CA
95661-5311
US

V. Phone/Fax

Practice location:
  • Phone: 916-335-3533
  • Fax: 916-302-1768
Mailing address:
  • Phone: 916-335-3533
  • Fax: 916-302-1768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number315920373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: