MEDICARE: MARIA NAOMI MEDINA ARREOLA

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

General Provider Information

NPI Number	:	1578414421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA NAOMI MEDINA ARREOLA

Provider Business Mailing Address
First Line	:	32742 ALIPAZ STREET
Second Line	:	SPC 96
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675
Country	:	US
Telephone Number	:	949-205-8867
Fax Number	:

Provider Business Practice Location Address
First Line	:	41-550 ECLECTIC
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260
Country	:	US
Telephone Number	:	760-299-5181
Fax Number	:	877-214-4220

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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