Individual
MS. ELENA RINA SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4765 CARMEL MOUNTAIN RD STE 102, SAN DIEGO, CA 92130-6657
(858) 259-0553
(858) 259-0518
Mailing address
28585 DAWN LN, WINCHESTER, CA 92596-9529
(951) 973-3484
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20130
CA
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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