Individual provider · Type 1 NPI

Eric J. Dietrich, PA

Surgical Physician Assistant · Mission Viejo, CA

NPI number 1639137250 Active

Practice location

27700 Medical Center Rd
Mission Viejo, CA 92691-6426

Call (949) 364-1400 Map

Mailing address

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804

Other practice locations

  • 3801 S Harbor Blvd, Santa Ana, CA 92704-7901 · (714) 751-5555
  • 22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, CA 92688-2804 · (833) 477-2677

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA15996 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1639137250

Eric J. Dietrich, PA's National Provider Identifier is 1639137250, issued on May 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mission Viejo, CA. The record was last updated on Mar 7, 2023.