Healthcare Provider Details

I. General information

NPI: 1164099974
Provider Name (Legal Business Name): MRS. MONICA ALEJANDRA FELIX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MONICA ALEJANDRA AREVALO SAENZ

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 MYERS ST STE 2
RIVERSIDE CA
92503-5527
US

IV. Provider business mailing address

3125 MYERS ST STE 2
RIVERSIDE CA
92503-5527
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-6220
  • Fax: 951-358-4848
Mailing address:
  • Phone: 951-358-6220
  • Fax: 951-358-4848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: