Search › California › 171M00000X
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
- 67
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
103K00000X - Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- 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