Provider Information
Last Updated : Aug 30 2024 11:08 AM
Marcel Fomotar
City Clovis |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Nurse Prac Psych-Mental Hlth |
Last Name Fomotar |
First Name Marcel |
Address 1085 Sanders Ave |
State CA |
Zip Code 93619 |
Phone (559)499-3814 |
Hours Mon - Fri 8:00 AM - 6:00 PM |
Gender M |
Title PH.D. |
Physician ID 904569 |
Language 1 French |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1447765409 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID NP14417 |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |