Individual
MELANIE LYNN HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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