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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

NPI # 1164514881
LBN Legal business name EITAN HOMA MD AND JENNIFER KRASNOFF MD INC
Authorized official MARLENE KOLE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 05/06/2008 - About 18 years ago
Identifiers
CA Other ZZZ00647Z BLUE SHILED
CA Other C14303 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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