Individual provider · Type 1 NPI

Alfonso G. Medina Sr.

Addiction (Substance Use Disorder) Counselor · Anaheim, CA

NPI number 1023960804 Active

Practice location

1320 W Pearl St
Anaheim, CA 92801-5941

Call (714) 780-1174 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24708 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023960804

Alfonso G. Medina Sr.'s National Provider Identifier is 1023960804, issued on Feb 12, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anaheim, CA. The record was last updated on Feb 12, 2026.