Provider Information

Last Updated : Nov 22 2024 3:48 PM

Christian E Faulkenberry-Miranda




City
Fresno
Group
FAMILY HEALTHCARE NETWORK ACC - CHILDREN
Specialty
Pediatrics
Last Name
Faulkenberry-Miranda
First Name
Christian
Middle Name
E
Address
290 N. Wayte Ln. Ste 1300
State
CA
Zip Code
93701
Phone
(866)342-6012
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
F
Title
M.D.
Language 1
Spanish
Extender 1 Last Name
Hamel
Extender 1 First Name
Kelly
Extender 1 Middle Name
D
Extender 1 License Type
NP
Extender 2 Last Name
Walters
Extender 2 First Name
Sophia
Extender 2 Middle Name
L
Extender 2 License Type
NP
Section Number
1
County
FRESNO
Accepting New Patient
No
PPG NAME
SANTE PHYSICIANS FFS
Clinic Service Type
FQHC
PPG ID
MFRG8
NPI Number
1104028406
Access Requirement
Basic
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
EXAMROOM_IND
E
EXAMTBL_IND
T
License ID
A095426
Board Certified
No
Self Access Flag
Facility Site Database
PHY CCT IND
N

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