Blake Eugene Homan
Physician Assistant · La Jolla, CA
Practice location
10710 N Torrey Pines RdLa Jolla, CA 92037-1035
- Phone
- (858) 554-8080
NPI record
- NPI
- 1730800178
- Entity type
- Individual (Type 1)
- Enumeration date
- September 5, 2022
- Last updated
- November 8, 2022
- Certified
- November 8, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA61923 | CA |
Mailing address
10790 Rancho Bernardo RdSan Diego, CA 92127-5705
- Phone
- (858) 554-8080
About Blake Homan
Blake Eugene Homan is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035. The NPI number 1730800178 was assigned on September 5, 2022 and the record was last updated on November 8, 2022.
Blake Homan lists a license in the registry: #PA61923 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blake Eugene Homan?
The NPI number is 1730800178.
What is the phone number of Blake Homan?
The phone number listed for the practice location is (858) 554-8080.
Where is Blake Homan located?
10710 N Torrey Pines Rd, La Jolla, CA 92037-1035.
What is the taxonomy code for Blake Homan?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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