Provider Information
Last Updated : Aug 14 2024 4:02 PM
Gina T Chang
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Chang |
First Name Gina |
Middle Name T |
Address 6770 N West Ave Ste 105 |
State CA |
Zip Code 93711 |
Phone (855)295-3276 |
Hours Mon - Fri 8:00 AM - 5:00 PM Sat 8:00 AM - 3:00 PM |
Gender F |
Physician ID 225360 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1639442502 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID UNK73373 |
Email credentialing@pacificchild.com |
Board Certified No |
Self Access Flag Self Reported Data |
PHY CCT IND N |