MEDICARE: MR. STEVEN PIER HOEKSTRA

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
1	156F00000X	Technician/Technologist

General Provider Information

NPI Number	:	1811515505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN PIER HOEKSTRA

Provider Business Mailing Address
First Line	:	800 W 16TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1413
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W 16TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1413
Country	:	US
Telephone Number	:	310-767-1227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2020
Last Update Date	:	07/08/2020

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Directions to “ MR. STEVEN PIER HOEKSTRA ” Practice Location

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