Individual
DAVID BRIAN HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
G50542
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-00019
MEDICA PRIMARY
MN
01
—
10-22588
MEDICA CHOICE
MN
01
—
100883
UCARE
MN
01
—
1009140
PREFERRED ONE
MN
01
—
2T113HO
BCBS
MN
05
—
357595100
—
MN
01
—
768158
ARAZ
MN
01
—
HP19879
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
09/20/2019
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