Healthcare Provider Details
I. General information
NPI: 1912087040
Provider Name (Legal Business Name): STEVEN BRIAN HOLLSTIEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/16/2006
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5333 HOLLISTER AVE STE 150
SANTA BARBARA CA
93111-2443
US
IV. Provider business mailing address
5333 HOLLISTER AVE STE 150
SANTA BARBARA CA
93111-2443
US
V. Phone/Fax
- Phone: 805-967-9311
- Fax:
- Phone: 805-967-9311
- Fax: 805-967-4192
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | G83919 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: