Organization
SIAMAK MILANCHI, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK MILANCHI MD (DR.)
(949) 429-0268
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVE, SUITE 604, IRVINE, CA 92618-3711
(949) 429-0268
(949) 420-2180
Mailing address
PO BOX 52435, IRVINE, CA 92619-2435
(949) 429-0268
(949) 420-2180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A92723
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
A92723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083829956
INDIVIDUAL NPI NUMBER
CA
Enumeration date
04/21/2011
Last updated
10/22/2012
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