Provider Information
Last Updated : Jul 29 2024 11:07 AM
Piyaporn Moua
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Moua |
First Name Piyaporn |
Address 1233 W Shaw Ave Ste 105 |
State CA |
Zip Code 93711 |
Phone (866)727-8274 |
Hours Mon - Fri 8:00 AM - 8:00 PM Sat 8:00 AM - 5:00 PM |
Gender F |
Title M.A. |
Physician ID 910058 |
Section Number 4 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1962937540 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID UNK24184 |
Email pgallogiron@teampbs.com |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |