Provider Information

Last Updated : Oct 9 2024 11:05 AM

Melissa Altamirano




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Altamirano
First Name
Melissa
Address
1111 E Herndon Ave Ste 211
State
CA
Zip Code
93720
Phone
(559)575-8172
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
F
Title
M.A.
Physician ID
225234
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1285018598
Access Requirement
Limited
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
License ID
BCB30773
Email
credentialing@plutushealthinc.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only
PHY CCT IND
N

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