Provider Information

Last Updated : Aug 14 2024 4:02 PM

Estefana Carrillo




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Carrillo
First Name
Estefana
Address
7191 N Ingram Ave Ste 101
State
CA
Zip Code
93650
Phone
(559)492-7900
Hours
Mon - Fri 8:00 AM - 6:00 PM
Gender
F
Title
M.A.
Physician ID
902220
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1376050039
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
BCB52100
Email
info@calautismcenter.org
Board Certified
No
Self Access Flag
Self Reported Data

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