Provider Demographics
NPI:1992279400
Name:HOYT, ANDREW STEPHEN (RCP, RRT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:STEPHEN
Last Name:HOYT
Suffix:
Gender:M
Credentials:RCP, RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10326 ALTA LOMA DR
Mailing Address - Street 2:
Mailing Address - City:ALTA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-4341
Mailing Address - Country:US
Mailing Address - Phone:909-635-8775
Mailing Address - Fax:
Practice Address - Street 1:10326 ALTA LOMA DR
Practice Address - Street 2:
Practice Address - City:ALTA LOMA
Practice Address - State:CA
Practice Address - Zip Code:91737-4341
Practice Address - Country:US
Practice Address - Phone:909-635-8775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120991227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered