Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A71895 | CA |
NPI | 1003990078 |
---|---|
Provider Name | Michelle S. Paraiso |
First Address | Oakland, CA 94612-3429 |
Second Address | San Rafael, CA 94903-3308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 31/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A718950 | (05) | CA |