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

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