Individual
SIMON ERMAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 404-8300
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A134064
CA
Other
Enumeration date
04/22/2013
Last updated
06/02/2022
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