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Jose Favela

NPI 1548384597 · on the registry since 2007

Practice

Address
891 Mountain Ranch Rd
San Andreas, CA 95249
Phone
(209) 754-6885
Clinicians at this address
66

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
103K00000X
Sex
Male
Record last updated
2022-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California