Provider Information
Last Updated : Nov 21 2024 4:24 PM
Estefana Carrillo
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Carrillo |
First Name Estefana |
Address 1630 E Shaw Ave Ste 190 |
State CA |
Zip Code 93710 |
Phone (559)492-7900 |
Hours Mon - Fri 8:00 AM - 6:00 PM |
Gender F |
Title M.A. |
Physician ID 902220 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1376050039 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB52100 |
Email info@calautismcenter.org |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |