Individual
CASSANDRA KARI FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29826 HAUN RD STE 314, MENIFEE, CA 92586-6546
(951) 381-8150
Mailing address
11251 ROSARITA DR, LOMA LINDA, CA 92354-3209
(909) 583-1472
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA65329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA65329
PHYSICIAN ASSISTANT BOARD OF CALIFORNIA
CA
Enumeration date
09/17/2024
Last updated
06/10/2025
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