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NPI Code Detail

MEDICARE: SUMMER MARIE DEL REAL PMHNP

MEDICARE: SUMMER MARIE DEL REAL PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95038937CA

General Provider Information

NPI Number : 1023965480
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER MARIE DEL REAL PMHNP
Provider Business Mailing Address
First Line : PO BOX 69
Second Line :
City : YORBA LINDA
State : CA
Zip : 92885-0069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 VICTORIA ST
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-1995
Country : US
Telephone Number : 949-642-2734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2026
Last Update Date : 03/14/2026

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Directions to “ SUMMER MARIE DEL REAL PMHNP” Practice Location

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