Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | G50542 | CA |
NPI | 1659305027 |
---|---|
Provider Name | David Brian Hom |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 20/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10-00019 | MEDICA PRIMARY (01) | MN |
100883 | UCARE (01) | MN |
1009140 | PREFERRED ONE (01) | MN |
10-22588 | MEDICA CHOICE (01) | MN |
2T113HO | BCBS (01) | MN |
357595100 | (05) | MN |
768158 | ARAZ (01) | MN |
E44230 | (02) | MN |
HP19879 | HEALTHPARTNERS (01) | MN |