Individual
DR. PHILIP HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 WILSHIRE BLVD, STE 616, LOS ANGELES, CA 90017-4806
(310) 968-2753
(213) 483-8211
Mailing address
1245 WILSHIRE BLVD, STE 616, LOS ANGELES, CA 90017-4806
(213) 484-1199
(213) 483-8211
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G51695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G516950
—
CA
Enumeration date
10/11/2006
Last updated
03/19/2020
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