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1639137250
ERIC J DIETRICH
MISSION VIEJO, CA
NPI
1639137250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA15996)
Enumeration Date
2006-05-03
Last Update Date
2023-03-07
Business Address
ERIC J DIETRICH PA
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691-6426
Phone number: 949-364-1400
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Mailing Address
ERIC J DIETRICH PA
22431 ANTONIO PKWY # B160-613
RANCHO SANTA MARGARITA, CA 92688-2804
Phone number: 833-477-2677
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