Provider Information
Last Updated : Aug 14 2024 4:02 PM
Kacie A Massoudi
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Massoudi |
First Name Kacie |
Middle Name A |
Address 5048 N Maple Ave |
State CA |
Zip Code 93740 |
Phone (559)278-6773 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title M.A. |
Physician ID 909198 |
Language 1 Spanish |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1215391131 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
RESTROOM_IND R |
License ID BCB22053 |
Email fbs_admin@mail.fresnostate.edu |
Board Certified No |
Self Access Flag Self Reported Data |