Healthcare Provider Details

I. General information

NPI: 1174432579
Provider Name (Legal Business Name): ARACELI PIZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32771 MAGDALENO CT
LAKE ELSINORE CA
92530-6938
US

IV. Provider business mailing address

32771 MAGDALENO CT
LAKE ELSINORE CA
92530-6938
US

V. Phone/Fax

Practice location:
  • Phone: 385-464-7431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: