Provider Information
Last Updated : Aug 14 2024 4:02 PM
Carl M Le
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Le |
First Name Carl |
Middle Name M |
Address 6177 N Thesta St Ste 103 |
State CA |
Zip Code 93710 |
Phone (855)223-7123 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender M |
Title M.S. |
Physician ID 196379 |
Language 1 Spanish |
Language 2 Vietnamese |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1104161256 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB14045 |
Email kjimenez@acesaba.com |
Board Certified No |
Self Access Flag Self Reported Data |
PHY CCT IND N |