Individual
MS. DIANA HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
444 S SAN VICENTE BLVD STE 600, LOS ANGELES, CA 90048-4174
(310) 423-4566
(310) 423-9470
Mailing address
444 S SAN VICENTE BLVD STE 901, LOS ANGELES, CA 90048-4174
(310) 423-9949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA54347
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/27/2017
Last updated
04/08/2024
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