MEDICARE: ANN MARIE RAFFO MD

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
1	207V00000X	Obstetrics & Gynecology Physician	G80117	CA

General Provider Information

NPI Number	:	1043278021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE RAFFO MD

Provider Business Mailing Address
First Line	:	24411 HEALTH CENTER DR
Second Line	:	SUITE 200
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3633
Country	:	US
Telephone Number	:	949-829-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	24411 HEALTH CENTER DR
Second Line	:	SUITE 200
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3633
Country	:	US
Telephone Number	:	949-829-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	08/13/2013

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