MEDICARE: ANGELA REYES

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	172V00000X	Community Health Worker	172V00000X	CA

General Provider Information

NPI Number	:	1114870334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA REYES

Provider Business Mailing Address
First Line	:	555 E TACHEVAH DR STE 3W101
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-5747
Country	:	US
Telephone Number	:	760-208-4797
Fax Number	:	760-208-4797

Provider Business Practice Location Address
First Line	:	555 E TACHEVAH DR STE 3W101
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-5747
Country	:	US
Telephone Number	:	760-208-4797
Fax Number	:	760-208-4797

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

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ ANGELA REYES ” Practice Location

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