# DIMITRI SIRAKOFF D.O., INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Ana Health Group and Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104076256
- **Authorized official:** MARTY SILLASEN (OFFICE MANAGER)
- **Authorized official phone:** (714) 835-3500

## Contact information

- **Practice address:** 1206 E 17TH STREET, SUITE 204, SANTA ANA, CA 92701-2341
- **Practice address phone:** (714) 835-3500
- **Practice address fax:** (714) 835-4619
- **Mailing address:** 1206 E 17TH STREET, SUITE 204, SANTA ANA, CA 92701-2341
- **Mailing address phone:** (714) 835-3500
- **Mailing address fax:** (714) 835-4619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA19687 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2008
- **Last updated:** 09/25/2008