Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alfonso G Medina Sr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1023960804

Alfonso G Medina Sr. is an Addiction (Substance Use Disorder) Counselor in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1320 W Pearl St
Anaheim, CA 92801-5941
Phone: (714) 780-1174
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 24708 (CA)

Record details

NPI number1023960804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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