MEDICARE: ROSANGELICA FELIX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95037908	CA

General Provider Information

NPI Number	:	1043054463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSANGELICA FELIX

Provider Business Mailing Address
First Line	:	345 W D ST
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-2216
Country	:	US
Telephone Number	:	951-322-8062
Fax Number	:

Provider Business Practice Location Address
First Line	:	7950 CHERRY AVE STE 108
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-4023
Country	:	US
Telephone Number	:	909-829-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2024
Last Update Date	:	12/17/2025

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Directions to “ ROSANGELICA FELIX ” Practice Location

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