Provider Information
Last Updated : Aug 14 2024 4:02 PM
Martin Martin
City Clovis |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Martin |
First Name Martin |
Address 2261 Villa Ave |
State CA |
Zip Code 93612 |
Phone (559)575-8172 |
Hours Mon - Thu 8:00 AM - 5:00 PM Fri 9:00 AM - 2:00 PM |
Gender M |
Title MSP |
Physician ID 909087 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1588159909 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB52077 |
Email credentialing@plutushealthinc.com |
Board Certified No |
Self Access Flag Self Reported Data |