Provider Demographics
NPI:1194389452
Name:BORECKY, ADAM D (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:D
Last Name:BORECKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1276 AUTO PARK WAY
Mailing Address - Street 2:STE D, PMB #420
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029
Mailing Address - Country:US
Mailing Address - Phone:909-255-1753
Mailing Address - Fax:760-227-5720
Practice Address - Street 1:333 CORPORATE DR STE 260
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2180
Practice Address - Country:US
Practice Address - Phone:949-768-2988
Practice Address - Fax:949-768-2980
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2023-11-30
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Provider Licenses
StateLicense IDTaxonomies
CAA1780502084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry