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NPI Code Detail

MEDICARE: MARC HOKAMA

MEDICARE:   MARC  HOKAMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantAT 6023CA

General Provider Information

NPI Number : 1588994164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC HOKAMA
Provider Business Mailing Address
First Line : 1760 CHICAGO AVE STE J3
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2358
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1760 CHICAGO AVE STE J3
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2358
Country : US
Telephone Number : 951-781-2200
Fax Number : 951-781-2220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2010
Last Update Date : 01/05/2010

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Directions to “ MARC HOKAMA ” Practice Location

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