MEDICARE: ANNA RITA FORACI D.O.

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	207Q00000X	Family Medicine Physician	20A7139	CA

General Provider Information

NPI Number	:	1477535466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA RITA FORACI D.O.

Provider Business Mailing Address
First Line	:	225 EAST SECOND AVENUE
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-4941
Country	:	US
Telephone Number	:	760-291-6700
Fax Number	:	760-737-7324

Provider Business Practice Location Address
First Line	:	306 W EL NORTE PKWY STE S
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1960
Country	:	US
Telephone Number	:	760-291-6700
Fax Number	:	760-746-5313

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	12/27/2024

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Directions to “ ANNA RITA FORACI D.O.” Practice Location

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