Healthcare Provider Details

I. General information

NPI: 1831066604
Provider Name (Legal Business Name): MOLLY FELIX CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3637 ARLINGTON AVE STE E202
RIVERSIDE CA
92506-3923
US

IV. Provider business mailing address

3637 ARLINGTON AVE STE E202
RIVERSIDE CA
92506-3923
US

V. Phone/Fax

Practice location:
  • Phone: 951-683-4675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC001861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: