Individual
JOHN D HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
751 S BASCOM AVE, PODIATRY DEPT, SAN JOSE, CA 95128-2604
(408) 885-7821
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-7821
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E4261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E42610
—
CA
Enumeration date
10/11/2006
Last updated
02/14/2013
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