Provider Information

Last Updated : Apr 15 2025 11:04 AM

Jordan Ingersoll




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Ingersoll
First Name
Jordan
Address
4152 W Swift Ave Ste 104
State
CA
Zip Code
93722
Phone
(559)492-7900
Hours
Mon - Fri 8:00 AM - 6:00 PM
Gender
F
Title
MED
Physician ID
906688
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1437629185
License ID
BCB50506
Email
info@calautismcenter.org
Board Certified
No
Panel Status
Available by referral only

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