Individual
DR. MATTHEW HERBERT HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 686-3935
(619) 686-3874
Mailing address
PO BOX 54118, LOS ANGELES, CA 90054-0118
(619) 686-3935
(619) 686-3874
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A68160
CA
208M00000X
Hospitalist Physician
Primary
A68160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A681601
—
CA
Enumeration date
06/02/2006
Last updated
03/14/2019
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