Provider Information

Last Updated : Nov 22 2024 3:48 PM

Jordyn Leasure




City
Madera
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Leasure
First Name
Jordyn
Address
1930 Howard Rd Ste 125
State
CA
Zip Code
93637
Phone
(559)267-8323
Hours
Mon - Fri 8:00 AM - 7:00 PM Sat 9:00 AM - 7:00 PM
Gender
F
Title
M.A.
Physician ID
908058
Section Number
A
County
MADERA
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1356728133
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
BCB26162
Email
srodriguez@inclusiveheartsadc.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only

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