DIMITRI SIRAKOFF D.O., INC
Physician Assistant at 17 St, Santa Ana, CA

License number
California PA19687
Category
Nursing
Type
Physician Assistant
Owner
Name: MARTY SILLASEN
Title: OFFICE MANAGER
Phone: (714) 835-3500
Address
Address
1206 E 17Th St SUITE 204, Santa Ana, CA 92701
National Provider ID: 1104076256
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIMITRI SIRAKOFF, D.O., INC

1206 E 17 St, Santa Ana, CA 92701

Industry:
Clinic of Osteopathy and Chiropractors
Doing business as:
Dimitri Sirakoff DO
Registration:
Apr 3, 1998
Phone:
(714) 835-3500 (Phone)
State ID:
C2084017
Business type:
Articles of Incorporation
President:
Dimitri Sirakoff (President)

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