| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DARREN ALAN FAVELA | 1265164644 | 2022-06-25 |
Darren Alan Favela is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265164644. Registration indicates Darren Alan Favela is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Mr. Darren Alan Favela PA-C |
| Practice Office Address | 1601 MONTE VISTA AVE STE 190 CLAREMONT, CA US |
| Practice Office Telephone | 9098659977 |
| Practice Office Fax | 9094692119 |
| Mailing Address | 1601 MONTE VISTA AVE STE 190 CLAREMONT, CA 917116600 US |
| Business Telephone | 9098659977 |
| Business Fax | 9094692119 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 309 E 2nd St | Pomona, CA 917661854 | 9096236166 |
| 2333 Foothill Blvd Ste C | LA Verne, CA 917503027 | 9093926511 / 9094692137 |
| 3110 Chino Ave Ste 150B | Chino Hills, CA 917091295 | 9096307868 / 9094692109 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA61578
CA |