Individual
MR. MICHAEL HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3868 MOWRY AVE, FREMONT, CA 94538-1430
(510) 792-2911
(510) 794-7924
Mailing address
3868 MOWRY AVE, FREMONT, CA 94538-1430
(510) 792-2911
(510) 794-7924
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
17149
CA
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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