Provider Information

Last Updated : Aug 14 2024 4:02 PM

Miguel Martinez




City
Clovis
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Martinez
First Name
Miguel
Address
657 Scott Ave
State
CA
Zip Code
93612
Phone
(877)242-2884
Hours
Mon - Fri 8:00 AM - 6:30 PM
Gender
M
Title
M.S.
Physician ID
909145
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1295311157
License ID
BCB65692
Email
credentialing@bia4autism.org
Board Certified
No

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