Organization
JENS W. DIMMICK
Active
Other names
Mesa Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENS W DIMMICK M.D. (OWNER)
(714) 834-1555
Entity
Organization
Contact information
Practice address
2700 N MAIN ST, 400, SANTA ANA, CA 92705-6634
(714) 834-1555
(714) 834-0780
Mailing address
2700 N MAIN ST, SUITE 400, SANTA ANA, CA 92705-6634
(714) 834-1555
(714) 834-0780
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
G26557
CA
207X00000X
Orthopaedic Surgery Physician
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—
Other
Enumeration date
05/14/2007
Last updated
07/29/2008
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