Eitan Homa is a Specialist in Petaluma, California. Eitan Homa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eitan Homa is 1326120718. The last update date is 2015-03-05.
Eitan Homa's current location address is 165 Lynch Creek Way, Petaluma, California. You can contact this provider via phone number 7077625531 and fax number 7077625976. The mailing address for Eitan Homa is 165 Lynch Creek Way, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eitan Homa |
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Address | 165 Lynch Creek Way, Petaluma, California |
Phone Number | 7077625531 |
Fax Number | 7077625976 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1326120718 |
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Provider Enumeration Date | 2006-10-19 |
Last Updated Date | 2015-03-05 |
Provider Mailing Address Detail
Address | 165 Lynch Creek Way |
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City | Petaluma |
State | California (CA) |
Post Code | 949542343 |
Phone Number | 7077625531 |
Fax Number | 7077625976 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
70012651 | CA | MEDICARE RAILROAD | |
A64754 | CA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Eitan Homa by the Centers for Medicare & Medicaid Services?
The Eitan Homa has been issued the NPI (National Provider Identifier) 1326120718. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Eitan Homa's facilities are situated?
The facilities of Eitan Homa are physically located at the following address: 165 Lynch Creek Way, Petaluma, CA, 949542343.
What is Eitan Homa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eitan Homa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Eitan Homa receive the assignment of its 1326120718 from the Centers for Medicare & Medicaid Services?
The Eitan Homa was issued its 1326120718 by the Centers for Medicare & Medicaid Services on 2006-10-19.
When was the information regarding Eitan Homa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eitan Homa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-03-05.