Individual provider · Type 1 NPI
Elena Rina Summerlin, PA-C
Medical Physician Assistant · San Diego, CA
NPI number
1740414838
Active
Practice location
4765 Carmel Mountain Rd Ste 102
San Diego, CA 92130-6657
Fax (858) 259-0518
Mailing address
28585 Dawn Ln
Winchester, CA 92596-9529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA20130 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1740414838
Elena Rina Summerlin, PA-C's National Provider Identifier is 1740414838, issued on May 5, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on May 5, 2009.