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Individual

ELISE MISCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11175 CAMPUS ST, LOMA LINDA, CA 92350-1700
(800) 328-1163
Mailing address
11175 CAMPUS ST, LOMA LINDA, CA 92350-1700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
66882
CA
363AS0400X
Surgical Physician Assistant
CA

Other

Enumeration date
08/06/2025
Last updated
01/08/2026
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