Provider Information

Last Updated : Nov 22 2024 3:48 PM

Miguel A Vieyra




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Vieyra
First Name
Miguel
Middle Name
A
Address
701 E Wood Duck Cir
State
CA
Zip Code
93730
Phone
(559)575-8172
Hours
Mon - Fri 8:00 AM - 6:00 PM
Gender
M
Title
M.A.
Physician ID
915342
Language 1
Sign Language
Language 2
Spanish
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1225501299
Access Requirement
Limited
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
License ID
BCB34074
Email
credentialing@plutushealthinc.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only

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