Provider Information

Last Updated : Jul 29 2024 11:07 AM

Miguel Martinez




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Martinez
First Name
Miguel
Address
5140 N Fruit Ave
State
CA
Zip Code
93711
Phone
(877)242-2884
Hours
Mon - Fri 8:00 AM - 6:00 PM
Gender
M
Title
M.S.
Physician ID
909145
Section Number
4
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1295311157
License ID
BCB65692
Email
credentialing@bia4autism.org
Board Certified
No
Panel Status
Available by referral only

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