Provider Demographics
NPI:1164549630
Name:LVOFF, NATALYA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALYA
Middle Name:
Last Name:LVOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100A DRAKES LANDING ROAD, SUITE 140
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904
Mailing Address - Country:US
Mailing Address - Phone:415-461-4282
Mailing Address - Fax:415-461-7497
Practice Address - Street 1:100A DRAKES LANDING ROAD
Practice Address - Street 2:SUITE 140
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904
Practice Address - Country:US
Practice Address - Phone:415-461-4282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA860702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A860700Medicaid
CAAV137RMedicare PIN
CAAV137XMedicare PIN
CAAV137SMedicare PIN
CAAV137YMedicare PIN
CAAV137QMedicare PIN
CAAV137WMedicare PIN
CAAV137TMedicare PIN
CAAV137UMedicare PIN
CAAV137ZMedicare PIN
CAAV137VMedicare PIN