Healthcare Provider Details

I. General information

NPI: 1417894122
Provider Name (Legal Business Name): MONIQUE ARCINIEGA LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30344 STAGE COACH RD
MENIFEE CA
92584-9128
US

IV. Provider business mailing address

25371 HITCH RAIL LN
MENIFEE CA
92584-2635
US

V. Phone/Fax

Practice location:
  • Phone: 951-723-3001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number738817
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: