Olga Lyass
Medical Specialty
Professional ID
- NPI: 1134271067
- PECOS ID: 2062515547
- Enrollment ID: I20070321000660
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1988
Hospital Service
- Hospital CCN1: 050116
- Business Name (LBN)1: Northridge Hospital Medical Center
- Hospital CCN2: 050235
- Business Name (LBN)2: Providence Saint Joseph Medical Ctr
- Hospital CCN3: 050471
- Business Name (LBN)3: Good Samaritan Hospital
- Hospital CCN4: 050063
- Business Name (LBN)4: Hollywood Presbyterian Medical Center
- Hospital CCN5: 050126
- Business Name (LBN)5: Valley Presbyterian Hospital
Medical Practices
- Organization Name: Renaissance Imaging Medical Associates Inc
- Group Practice ID assigned by PECOS: 7315841756
- Number of Group Practice member: 93
Location
- Address1: 501 Petaluma Ave
- Address2:
- City: Sebastopol
- State: California
- Zip Code: 95472
- Phone Number: (707)823-8511
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):