Individual
ERIC J DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-1400
Mailing address
22431 ANTONIO PKWY # B160-613, RANCHO SANTA MARGARITA, CA 92688-2804
(833) 477-2677
(833) 477-2677
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15996
CA
Other
Enumeration date
05/03/2006
Last updated
03/07/2023
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