Provider Information
Last Updated : Jul 26 2024 11:08 AM
Marlo P Melton
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Melton |
First Name Marlo |
Middle Name P |
Address 1782 E Bullard Ave Ste 104 |
State CA |
Zip Code 93710 |
Phone (559)515-6485 |
Hours Mon - Fri 8:00 AM - 6:00 PM |
Gender M |
Title B.S. |
Physician ID 909522 |
Section Number 4 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1053875674 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB33399 |
Email bicc.admin@bicccentralcal.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |