| Inessa Gofman, MD | |
|
61 Camino Alto Ste 103, Mill Valley, CA 94941-2910 | |
| (415) 383-0918 | |
| Not Available |
| Full Name | Inessa Gofman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 61 Camino Alto Ste 103, Mill Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598782468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A88685 (California) | Primary |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Entity Name | Ucsf Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922124866 PECOS PAC ID: 9436239878 Enrollment ID: O20080110000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Inessa Gofman, MD 2350 W El Camino Real Fl 2, Mountain View, CA 94040-6203 Ph: (415) 600-2403 | Inessa Gofman, MD 61 Camino Alto Ste 103, Mill Valley, CA 94941-2910 Ph: (415) 383-0918 |
Dr. Georgia L Pung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 61 Camino Alto, Ste 108, Mill Valley, CA 94941 Phone: 415-388-6303 Fax: 415-388-7136 | |
Nivedita Keshav, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 591 Redwood Hwy Rd Ste 5215, Mill Valley, CA 94941 Phone: 415-381-5400 | |
Linda Woodard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Thomas Drive, Mill Valley, CA 94941 Phone: 415-380-8448 Fax: 415-380-8673 | |
Stacia Kenet, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Thomas Dr, Mill Valley, CA 94941 Phone: 415-380-8448 Fax: 415-380-8673 | |
Eric Emery, Pediatrics Medicare: Medicare Enrolled Practice Location: 750 Redwood Hwy Frontage Rd Ste 1204, Mill Valley, CA 94941 Phone: 415-384-4778 Fax: 415-384-4779 | |
Richard J Dow, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1206 Strawberry Vlg, Mill Valley, CA 94941 Phone: 415-380-2020 Fax: 415-380-2018 | |
Dr. Rachel Florence Bauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 655 Redwood Hwy Frontage Rd Ste 216, Mill Valley, CA 94941 Phone: 415-383-3500 Fax: 415-383-6766 |