MEDICARE: DR. DEBRA ANN ARSENAULT 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	207V00000X	Obstetrics & Gynecology Physician	20A11742	CA

General Provider Information

NPI Number	:	1598767931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA ANN ARSENAULT D.O.

Provider Business Mailing Address
First Line	:	2800 MOUNTAIN VIEW DR
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92027-4937
Country	:	US
Telephone Number	:	760-745-7608
Fax Number	:	760-725-0469

Provider Business Practice Location Address
First Line	:	34800 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGO
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-0001
Country	:	US
Telephone Number	:	619-532-7004
Fax Number	:	619-532-6587

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	01/03/2025

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