Dimitri Sirakoff D.o., INC
NPI #1104076256 in Santa Ana, California
Provider Information
- NPI Number
- 1104076256
- Entity Type
- Organization
- Organization Name
- Dimitri Sirakoff D.o., INC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 25, 2008
- Last Updated
- Sep 25, 2008
Practice Location
- Address
- 1206 E 17TH STREET
- Address 2
- SUITE 204
- City
- Santa Ana
- State
- California
- ZIP Code
- 92701-2341
- Phone
- (714) 835-3500
Authorized Official
- Name
- MARTY SILLASEN
- Title
- OFFICE MANAGER
- Phone
- (714) 835-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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