Individual
MISS JESSICA CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27800 MEDICAL CENTER RD STE 260, MISSION VIEJO, CA 92691-6447
(949) 364-1400
Mailing address
27800 MEDICAL CENTER RD STE 260, MISSION VIEJO, CA 92691-6447
(949) 364-1400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA22430
STATE LICENSE
CA
Enumeration date
01/24/2012
Last updated
05/01/2022
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