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Individual

SIAMAK MILANCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16300 SAND CANYON AVE STE 604, IRVINE, CA 92618-3706
(949) 429-0268
(949) 420-2180
Mailing address
PO BOX 52435, IRVINE, CA 92619-2435

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A92723
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
A92723
CA

Other

Enumeration date
05/13/2007
Last updated
10/22/2012
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