Provider Information
Last Updated : Nov 22 2024 3:48 PM
Kelly Soo
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Soo |
First Name Kelly |
Address 5588 N Palm Ave |
State CA |
Zip Code 93704 |
Phone (866)206-2008 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title M.A. |
Physician ID 913892 |
Language 1 Mandarin |
Language 2 Portuguese |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1972914315 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB18791 |
Email nclinton@buildingblocksbc.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |