Provider Information
Last Updated : Nov 22 2024 3:48 PM
Malia M Wilson
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Wilson |
First Name Malia |
Middle Name M |
Address 6177 N Thesta St Ste 103 |
State CA |
Zip Code 93710 |
Phone (855)223-7123 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title M.A. |
Physician ID 915926 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1285886622 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB62966 |
Email kjimenez@acesaba.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |