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Contact Information

EITAN HOMA MD AND JENNIFER KRASNOFF MD INC
500 ALFRED NOBEL DR
STE 245
HERCULES, CA94547
 Phone: 510-741-7418
 Fax: 510-741-7456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for EITAN HOMA MD AND JENNIFER KRASNOFF MD INC · (Female)

NPI Number 1164514881
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2006
Last updated 05/06/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Other ZZZ00647Z BLUE SHILED
  • CA Other C14303 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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