Organization
DIAKONIAMED
Active
Organization
DIAKONIAMED
Active
Other names
Exceptional Dermatology Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SIRE MD (MEDICAL DIRECTOR)
(714) 882-5525
Entity
Organization
Contact information
Practice address
2720 N HARBOR BLVD STE 205, FULLERTON, CA 92835-2609
(718) 882-5525
(714) 882-5078
Mailing address
301 W BASTANCHURY RD STE 140, FULLERTON, CA 92835-3427
(714) 882-5525
(714) 882-5078
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A22972
MEDICAL LIC
CA
Enumeration date
05/14/2018
Last updated
07/16/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up