Organization
HOM MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW HERBERT HOM MD (PRESIDENT)
(858) 507-0909
Entity
Organization
Contact information
Practice address
737 PEARL ST, SUITE 103, LA JOLLA, CA 92037-0056
(858) 456-0008
(858) 456-2103
Mailing address
PO BOX 881835, SAN DIEGO, CA 92168-1835
(858) 456-0008
(858) 456-2103
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A68160
CA
Other
Enumeration date
03/13/2007
Last updated
10/09/2007
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