Provider Information


Last Updated: Jun 16 2026 5:14 AM

Michelle Ponce Morales Phung

City
El Centro
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Ponce Morales Phung
First Name
Michelle
Address
1850 W.main St. Ste H
State
CA
Zip Code
92243
Phone
(657)331-4551
Hours
Mon - Fri 8:00 AM - 8:00 PM Sat 8:00 AM - 5:00 PM
Gender
M
Title
BCBA
Physician ID
327487
Language 1
English
Language 2
Spanish
Section Number
A
County
IMPERIAL
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1134997752
License ID
BCB69879
Board Certified
No
Panel Status
E

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