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Organization

DIMITRI SIRAKOFF D.O., INC

Active
Other names
Santa Ana Health Group and Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MARTY SILLASEN (OFFICE MANAGER)
(714) 835-3500
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19687
CA

Other

Enumeration date
09/25/2008
Last updated
09/25/2008
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