Individual
ELYSSA SUMMER MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 626-8500
Mailing address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 626-8500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA58537
CA
Other
Enumeration date
09/19/2020
Last updated
01/26/2022
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