Provider Information

Last Updated : Nov 22 2024 3:48 PM

Ralph P Lissaur




City
Reedley
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Psychiatry
Last Name
Lissaur
First Name
Ralph
Middle Name
P
Address
1471 N Acacia Ave
State
CA
Zip Code
93654
Phone
(559)638-8155
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
M.D.
Physician ID
162805
Language 1
Dutch
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1245287960
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
MD88975
Email
admin@desaimedgroup.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only
PHY CCT IND
N

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