Individual
CRYSTAL JANET FAVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
12141 BROOKHURST ST, GARDEN GROVE, CA 92840-2865
(949) 631-9045
Mailing address
12141 BROOKHURST ST STE 101, GARDEN GROVE, CA 92840-2865
(714) 296-1934
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
12/17/2018
Last updated
01/23/2026
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