Hom, Gerald A.

Hom, Gerald A. is an individual health care provider with primary practice located at 1800 Sullivan Ave Rm 209 , Daly City CA 94015-2222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hom, Gerald A. can be contacted via phone (650) 994-2303.

Contact Information

Primary practice address
1800 Sullivan Ave Rm 209 Daly City CA 94015-2222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G42318 California

Profile Details

NPI number 1417035023
LBN Legal business name Hom, Gerald A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417035023 NPPES
California MEDICAID 00G423180

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