| Olaf Kristian Golubjatnikov, | |
|
46900 Ocean View Dr, Gualala, CA 95445-8458 | |
| (707) 884-4005 | |
| Not Available |
| Full Name | Olaf Kristian Golubjatnikov |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 46900 Ocean View Dr, Gualala, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336900968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NP95026352 (California) | Primary |
| Entity Name | Redwood Coast Medical Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962530725 PECOS PAC ID: 6901941905 Enrollment ID: O20100302000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Olaf Kristian Golubjatnikov, 65 Millard Rd, Larkspur, CA 94939-1957 Ph: (415) 306-3743 | Olaf Kristian Golubjatnikov, 46900 Ocean View Dr, Gualala, CA 95445-8458 Ph: (707) 884-4005 |
Dr. Mark Kal, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 46900 Ocean Dr, Gualala, CA 95445 Phone: 707-884-4005 Fax: 707-884-9728 | |
Dr. Stacey Peel Carroll, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 46900 Ocean View Dr, Gualala, CA 95445 Phone: 707-884-4005 | |
Joanne C. Brooks, R.N. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 46900 Ocean Dr, Gualala, CA 95445 Phone: 707-884-4005 Fax: 707-884-9728 |