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Eitan Homa, MD
Specialist in Petaluma, California
NPI 1326120718

Eitan Homa is a Specialist based in Hercules, CA. Eitan Homa practices in Petaluma, CA and has the professional credentials of MD. The NPI Number for Eitan Homa is 1326120718 and holds a License No. (California).

The current practice location address for Eitan Homa is 165 Lynch Creek Way, Petaluma, CA and can be reached out via phone at 707-762-5531 and via fax at 707-762-5976.

Location: 165 Lynch Creek Way, Petaluma, CA, 94547-1838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326120718
Provider Name
Eitan Homa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
165 Lynch Creek Way, Petaluma, CA, 94547-1838
Phone Number
707-762-5531
Fax Number
707-762-5976
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070012651 01 CA MEDICARE RAILROAD
A64754 01 CA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
165 Lynch Creek Way
City
Petaluma
State
California
Zip
94954-2343
Phone Number
707-762-5531
Fax Number
707-762-5976
person
Provider Business Mailing Address Details
Address
165 Lynch Creek Way
City
Petaluma
State
California
Zip
94954-2343
Phone Number
707-762-5531
Fax Number
707-762-5976
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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.
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