Healthcare Provider Details

I. General information

NPI: 1962808477
Provider Name (Legal Business Name): ERIKA LEE AMTHOR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2014
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25495 MEDICAL CENTER DR STE 200
MURRIETA CA
92562-4903
US

IV. Provider business mailing address

1593 ROBIN MARIE CT
RIVERSIDE CA
92501-1783
US

V. Phone/Fax

Practice location:
  • Phone: 951-304-7546
  • Fax: 951-696-5872
Mailing address:
  • Phone: 951-905-8356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number52138
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: