Provider Demographics
NPI:1760554893
Name:FELIX, WALKER (MD)
Entity Type:Individual
Prefix:DR
First Name:WALKER
Middle Name:
Last Name:FELIX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 E COOLEY DR STE 6
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3919
Mailing Address - Country:US
Mailing Address - Phone:909-783-6597
Mailing Address - Fax:909-514-1812
Practice Address - Street 1:1280 E COOLEY DR STE 6
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3919
Practice Address - Country:US
Practice Address - Phone:909-783-6597
Practice Address - Fax:909-514-1812
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77237207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine