Provider Information
Last Updated : Nov 21 2024 4:24 PM
Justin P Carlos
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Carlos |
First Name Justin |
Middle Name P |
Address 6760 N West Ave Ste 101 |
State CA |
Zip Code 93711 |
Phone (866)523-4268 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender M |
Title M.A. |
Physician ID 902156 |
Language 1 Tagalog |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1619479987 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB32939 |
Email referralseds@csd.me |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |