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Ray Favela, SL6809
Optician in Fullerton, California
NPI 1144852096

Ray Favela is a Optician based in Fullerton, CA and is specialized in Optician. Ray Favela practices in Fullerton, CA and has the professional credentials of SL6809. The NPI Number for Ray Favela is 1144852096 and holds a License No. SL6805 (California).

The current practice location address for Ray Favela is 2443 E Chapman Ave, Fullerton, CA and can be reached out via phone at 714-871-2020.

Location: 2443 E Chapman Ave, Fullerton, CA, 92831-3603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144852096
Provider Name
Ray Favela
Credential
SL6809
Provider Entity Type
Individual
Gender
Male
Address
2443 E Chapman Ave, Fullerton, CA, 92831-3603
Phone Number
714-871-2020
Fax Number
Provider Enumeration Date
02/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2443 E Chapman Ave
City
Fullerton
State
California
Zip
92831-3603
Phone Number
714-871-2020
Fax Number
person
Provider Business Mailing Address Details
Address
2443 E Chapman Ave
City
Fullerton
State
California
Zip
92831-3603
Phone Number
714-871-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
SL6805 (California)
Definition
Definition to come...
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