Hom, Matthew Herbert

Hom, Matthew Herbert is an individual health care provider with primary practice located at 4077 Fifth Ave , San Diego CA 92103-2105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Hom, Matthew Herbert can be contacted via phone (619) 686-3935.

Contact Information

Primary practice address
4077 Fifth Ave San Diego CA 92103-2105
Phone: (619) 686-3935
Fax: (619) 686-3874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A68160 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A68160 California

Profile Details

NPI number 1881632081
LBN Legal business name Hom, Matthew Herbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 14th, 2019 - about 6 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 1881632081 NPPES
California MEDICAID 00A681601

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