Individual
CAROLINA GRANADOS HOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
969 S SANTA FE AVE STE A, VISTA, CA 92083-6910
(760) 941-7050
Mailing address
969 S SANTA FE AVE STE A, VISTA, CA 92083-6910
(760) 941-7050
(760) 941-7142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61919
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/31/2022
Last updated
02/25/2026
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