Healthcare Provider Details

I. General information

NPI: 1871685172
Provider Name (Legal Business Name): TAMARA OSTROVSKY RRT LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 SUTTER ST SUITE 101
SAN FRANCISCO CA
94115-3038
US

IV. Provider business mailing address

2007 28TH AVE
SAN FRANCISCO CA
94116-1160
US

V. Phone/Fax

Practice location:
  • Phone: 415-963-2111
  • Fax:
Mailing address:
  • Phone: 415-963-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number00018243
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2279G0305X
TaxonomyGeriatric Care Registered Respiratory Therapist
License Number00018243
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC006879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: