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NPI Code Detail

MEDICARE: CHRISTINE MARIE RICCI

MEDICARE: CHRISTINE MARIE RICCI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1780517813
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE RICCI
Provider Business Mailing Address
First Line : 1702 VIA LOBO
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-7108
Country : US
Telephone Number : 619-275-0822
Fax Number :
Provider Business Practice Location Address
First Line : 490 N GRAPE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3079
Country : US
Telephone Number : 619-275-0822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ CHRISTINE MARIE RICCI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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