Healthcare Provider Details

I. General information

NPI: 1437467149
Provider Name (Legal Business Name): MONICA FELIX M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 08/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 NAPA-VALLEJO HWY DEPARTMENT OF STATE HOSPITALS, NAPA
NAPA CA
94558
US

IV. Provider business mailing address

2100 NAPA-VALLEJO HWY
NAPA CA
94558-6293
US

V. Phone/Fax

Practice location:
  • Phone: 707-253-5654
  • Fax: 707-253-5067
Mailing address:
  • Phone: 707-253-5654
  • Fax: 707-253-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: