| Doctor Name: | DR. STEPHEN HOMAN |
| NPI Number: | 1104976661 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 4515 |
| Business Practice Address: | 36485 Inland Valley Dr Wildomar, CA - 925959681 |
| Business Phone Number: | 9516771111 |
| Business Fax Number: | |
| Mailing Address: | 36485 Inland Valley Dr, WILDOMAR |
| State: | CA |
| Postal Code: | 925959681 |
| Phone Number: | 9516771111 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 10/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 4515 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |