Elena Novak, PA
Physician Assistant in San Juan Capistrano, CA. Individual provider (NPI-1).
NPI number1962028985
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1962028985
- Entity type
- Individual (NPI-1)
- Name
- Elena Novak
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA58700 | CA | Yes |
Practice location
30280 Rancho Viejo RdSan Juan Capistrano, CA 92675-1561
Phone 949-248-1632
Mailing address
30280 Rancho Viejo RdSan Juan Capistrano, CA 92675-1561
Phone 949-248-1632
Other practice locations
29421 Del Plata Ln
Laguna Niguel, CA 92677-1848
Laguna Niguel, CA 92677-1848
Phone 949-300-8808
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All 18 Physician Assistant providers in San Juan Capistrano · All 1,008 providers in San Juan Capistrano
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