Individual
MELANIE LYNN HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
491 30TH ST, SUITE #201, OAKLAND, CA 94609-3235
(510) 836-2122
(510) 836-3773
Mailing address
491 30TH ST, SUITE #201, OAKLAND, CA 94609-3235
(510) 836-2122
(510) 836-3773
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A86406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A864060
—
CA
01
—
P00435524
MEDICARE RAILROAD
—
Enumeration date
11/01/2006
Last updated
06/30/2008
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