MEDICARE: TAMARA OSTROVSKY RRT LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist	00018243	CA
2	2279G0305X	Geriatric Care Registered Respiratory Therapist	00018243	CA
3	171100000X	Acupuncturist	AC006879	CA

General Provider Information

NPI Number	:	1871685172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA OSTROVSKY RRT LAC

Provider Business Mailing Address
First Line	:	2007 28TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-1160
Country	:	US
Telephone Number	:	415-963-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 SUTTER ST
Second Line	:	SUITE 101
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3038
Country	:	US
Telephone Number	:	415-963-2111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	09/11/2025

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