MAR FA Accepted Date 2020 - Blue Shield of California · LOS ANGELES COUNTY MEDICAL GROUPS . ALLIED...
Transcript of MAR FA Accepted Date 2020 - Blue Shield of California · LOS ANGELES COUNTY MEDICAL GROUPS . ALLIED...
H0148_20_141_PNO_LA_MAR_FA_Accepted Date 03/14/2020
2020درووخاندها و خدماتههندىن فه.رست
BlueS hield Promise Cal MediConnect Plan (Medicare-Medicaid Plan)
Los Angeles :كانتى:
، Blue Shield Promise Cal MediConnectبرنامة هاى وداروخانه دا دهـ ارائه تكميلى وليست برناهه ور م در م طلآعات كسب براى ماه براى ا د ده خدمات طلآعات روزشدة به فهرست اوى ضعيمه ين يد. ك مراجعه خو 2020 هاى داروخانه و ا د ده خدمات فهرست به لطفاًدربارة ظلاعات كسب براى است. ا د دهـ خدمات ظلاعات روزترين به اوى ضميمه ين همراه به ا د دهـ خدمات فهرست فيزيكى نسخة است.
ها وداروخانه دا دهـ خدمات www.blueshieldca.com/promise/calmediconnect با يا يد S مراجعه سرامعضاى خدمات مركز آدرس به توانيد مىBlue Shield Promise Cal MediConnecI بكيريد -يحاس زير نلغن شماره .به اءضاى اتعخد Blue Shield Promise Cal MediConnecI: 1-855-905-3825 (TTY: 711) ،ساًءت رز هذته، روزهـأى امم- هر8:00 ا3 صبح8:00شب
تاريخ نبا روز دماشه طلذء ب( ت ضعيمه ين2020 سرامهـشابىد
Promise Health Plan
ضمي.مة
مندرجات فهرست
1 ...................................................................................................................... شبکه دهندگان ارائه فهرست
ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
1 ......................................................................................................................................... اول مراقبت پزشک
4 .................................................................................................................................................. متخصصان
ALTAMED - MONTEREY PARK
6 .................................................................................................................................................. متخصصان
ALTAMED HEALTH SERVICES CORPORATION
9 ......................................................................................................................................... اول مراقبت پزشک
11 ................................................................................................................................................ متخصصان
ANGELES IPA
18 ....................................................................................................................................... اول مراقبت پزشک
18 ................................................................................................................................................ متخصصان
APPLECARE MEDICAL GROUP- DOWNEY
21 ....................................................................................................................................... اول مراقبت پزشک
APPLECARE MEDICAL GROUP- SELECT
23 ....................................................................................................................................... اول مراقبت پزشک
APPLECARE MEDICAL GROUP- WHITTIER
25 ....................................................................................................................................... اول مراقبت پزشک
APPLECARE MEDICAL GROUP-ST FRANCIS
27 ....................................................................................................................................... اول مراقبت پزشک
COMMUNITY FAMILY CARE - VALLEY PRES
28 ....................................................................................................................................... اول مراقبت پزشک
28 ................................................................................................................................................ متخصصان
FAMILY CARE SPECIALIST IPA
30 ................................................................................................................................................ متخصصان
HEALTH CARE LA IPA
33 ....................................................................................................................................... اول مراقبت پزشک
34 ................................................................................................................................................ متخصصان
HEALTHCARE PARTNERS
57 ....................................................................................................................................... اول مراقبت پزشک
57 ................................................................................................................................................ متخصصان
HEALTHCARE PARTNERS IPA - EAST WEST
61 ....................................................................................................................................... اول مراقبت پزشک
ه هرامش Blue Shield Promise Cal MediConnect Plan اب شب 8 حبص ات 8 زور هتفه زا ،افطلت فه ، یلاد سویراد گار(TTY:711) 1-855-905-3825سامتت دریگب. نیا سامت ناگیار یم دشاب. یارب تاعالطا ،رتشیب زا بو یاس
www.blueshieldca.com/promise/calmediconnectدیدزاب دینک.
I
62 ....................................................................................................................................... اول مراقبت پزشک
62 ................................................................................................................................................ متخصصان
HEALTHCARE PARTNERS IPA - GLENDALE
HEALTHCARE PARTNERS IPA - LAC
64 ....................................................................................................................................... اول مراقبت پزشک
65 ....................................................................................................................................... اول مراقبت پزشک
67 ....................................................................................................................................... اول مراقبت پزشک
67 ................................................................................................................................................ متخصصان
69 ....................................................................................................................................... اول مراقبت پزشک
70 ....................................................................................................................................... اول مراقبت پزشک
71 ....................................................................................................................................... اول مراقبت پزشک
72 ................................................................................................................................................ متخصصان
74 ....................................................................................................................................... اول مراقبت پزشک
75 ....................................................................................................................................... اول مراقبت پزشک
76 ................................................................................................................................................ متخصصان
77 ................................................................................................................................................ متخصصان
79 ................................................................................................................................................ متخصصان
80 ................................................................................................................................................ متخصصان
81 ................................................................................................................................................ متخصصان
82 ................................................................................................................................................ متخصصان
83 ................................................................................................................................................ متخصصان
HEALTHCARE PARTNERS IPA - LCM
HEALTHCARE PARTNERS IPA - LONG BEACH
HEALTHCARE PARTNERS IPA - NORTHRIDGE MEDICAL GROUP
HEALTHCARE PARTNERS IPA - SFV
HEALTHCARE PARTNERS IPA - SO BAY
HEALTHCARE PARTNERS IPA-TALBERT OC
HEALTHCARE PARTNERS MEDICAL GROUP - ARCADIA
HEALTHCARE PARTNERS MEDICAL GROUP - ATLANTIC
HEALTHCARE PARTNERS MEDICAL GROUP - BURBANK
HEALTHCARE PARTNERS MEDICAL GROUP - GLENDALE
HEALTHCARE PARTNERS MEDICAL GROUP - VAN NUYS
HEALTHCARE PARTNERS MEDICAL GROUP- BIXBY KNOLLS LONG BEACH
HEALTHCARE PARTNERS MEDICAL GROUP-MAGNOLIA
KOREAN AMERICAN MEDICAL GROUP
ه هرامش Blue Shield Promise Cal MediConnect Plan اب شب 8 حبص ات 8 زور هتفه زا ،افطلت فه ، یلاد سویراد گار(TTY:711) 1-855-905-3825سامتت دریگب. نیا سامت ناگیار یم دشاب. یارب تاعالطا ،رتشیب زا بو یاس
www.blueshieldca.com/promise/calmediconnectدیدزاب دینک.
II
LOS ANGELES MEDICAL CENTER IPA
PHYSICIANS ASSOC SAN GABRIEL VALLEY
84 ....................................................................................................................................... اول مراقبت پزشک
86 ....................................................................................................................................... اول مراقبت پزشک
PREFERRED IPA OF CALIFORNIA
PRIMARY CARE ASSOCIATES OF CALIFORNIA
PROSPECT HEALTHSOURCE MEDICAL GROUP
PROSPECT MEDICAL GROUP-LOS ANGELES
PROSPECT MEDICAL GROUP-VAN NUYS
PROSPECT NWOC MEDICAL GROUP-LA
PROSPECT PROFESSIONAL CARE MED GRP LA
PROSPECT-DAEHAN
PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
PROSPECT-SAN MIGUEL IPA
SEOUL MEDICAL GROUP
TORRANCE HEALTH IPA
88 ....................................................................................................................................... اول مراقبت پزشک
89 ................................................................................................................................................ متخصصان
91 ....................................................................................................................................... اول مراقبت پزشک
92 ................................................................................................................................................ متخصصان
94 ................................................................................................................................................ متخصصان
98 ....................................................................................................................................... اول مراقبت پزشک
98 ................................................................................................................................................ متخصصان
103 .............................................................................................................................................. متخصصان
106 .............................................................................................................................................. متخصصان
109 ..................................................................................................................................... اول مراقبت پزشک
110 .............................................................................................................................................. متخصصان
119 .............................................................................................................................................. متخصصان
120 ..................................................................................................................................... اول مراقبت پزشک
120 .............................................................................................................................................. متخصصان
125 .............................................................................................................................................. متخصصان
127 ..................................................................................................................................... اول مراقبت پزشک
127 .............................................................................................................................................. متخصصان
134 ..................................................................................................................................... اول مراقبت پزشک
136 ..............................................................................................................................................سوزنی طب
ه هرامش Blue Shield Promise Cal MediConnect Plan اب شب 8 حبص ات 8 زور هتفه زا ،افطلت فه ، یلاد سویراد گار(TTY:711) 1-855-905-3825سامتت دریگب. نیا سامت ناگیار یم دشاب. یارب تاعالطا ،رتشیب زا بو یاس
www.blueshieldca.com/promise/calmediconnectدیدزاب دینک.
III
221 .....................................................................................................................روا سلامت خدمات دهندگان ارائه
254 ..................................................................................................................................... بینش دهندگان ارائه
319 ........................................................................................................................... روانی بهداشت امکانات
320 ..................................................................................................... ای زنجیره و فروشی خرده های داروخانه
326 ............................................................................................................مدت بلند های مراقبت های داروخانه
327 ...................................................................................................................................دهنده ارائه شاخص
333 ....................................................................................................................................صخاش یزاسوراد
ه هرامش Blue Shield Promise Cal MediConnect Plan اب شب 8 حبص ات 8 زور هتفه زا ،افطلت فه ، یلاد سویراد گار(TTY:711) 1-855-905-3825سامتت دریگب. نیا سامت ناگیار یم دشاب. یارب تاعالطا ،رتشیب زا بو یاس
www.blueshieldca.com/promise/calmediconnectدیدزاب دینک.
IV
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
PRIMARY CARE PHYSICIANS
Family Practice
ALHAMBRA
91801
Aguilar, Felix MD
320 S Garfield Ave Ste 118
Alhambra, CA 91801
(213) 808-1792
Provider ID: 120629
License: A64940
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
91723
Gin, Jeffrey MD
218 W Badillo St
Covina, CA 91723
(310) 991-7718
Provider ID: 80685
License: A101609
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90001
Akhavan, Parviz DO
723 E Manchester Ave
Los Angeles, CA 90001
(323) 750-2325
Provider ID: 208229
License: 20A7522
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90037
Akhavan, Parviz DO
5113 S Vermont Ave
Los Angeles, CA 90037
(323) 305-2220
Provider ID: 208230
License: 20A7522
Credentials and/or board
certification: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 1change
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
91754
Tai, Liang Yu DO
210 N Garfield Ave Ste 203
Monterey Park, CA 91754
(626) 307-7397
Provider ID: 217200
License: 20A7444
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish,
Taiwanese, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORWALK
90650
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 209015
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
91792
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792
(626) 965-1988
Provider ID: 109805
License: A82411
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Mandarin,
Spanish, Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 2change
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
BALDWIN PARK
91706
Carrillo, Herman MD
14342 Ramona Blvd
Baldwin Park, CA 91706
(626) 338-4088
Provider ID: 210188
License: A45086
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
MONTEREY PARK
91754
Ganata, Victor MD
210 N Garfield Ave Ste 203
Monterey Park, CA 91754
(626) 307-7397
Provider ID: 85833
License: A95477
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROWLAND HEIGHTS
91748
Yung, Tin MD
1722 Desire Ave Ste 202
Rowland Heights, CA 91748
(626) 913-1288
Provider ID: 85824
License: G61730
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Chinese, Indonesian,
Japanese, Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 3change
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
must receive a referral from
your primary care physician.
Dermatology
SHERMAN OAKS
91403
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403
(818) 906-6900
Provider ID: 23833
License: A77571
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
WHITTIER
90605
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605
(562) 945-2833
Provider ID: 22457
License: A36074
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Hebrew,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
CITY OF INDUSTRY
91748
Tran, Young MD
18605 Gale Ave Ste 180
City Of Industry, CA 91748
(626) 457-6333
Provider ID: 252367
License: A66589
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 4change
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
Tran, Young MD
18605 Gale Ave Ste 180
City Of Industry, CA 91748
(626) 457-6333
Provider ID: 252367
License: A66589
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wu, Bob MD
18605 Gale Ave Ste 180
City Of Industry, CA 91748
(626) 457-6333
Provider ID: 252405
License: A101512
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin, Spanish,
Taiwanese, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 5change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED - MONTEREY PARK
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Gastroenterology
LOS ANGELES
90024
Javdan, Parviz MD
1762 Westwood Blvd Ste 110
Los Angeles, CA 90024
(310) 441-2000
License: A34960
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Farsi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
90712
Khanna, Sandeep MD
5750 Downey Ave Ste 101
Lakewood, CA 90712
(562) 211-5462
License: A48969
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
LOS ANGELES
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 6change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED - MONTEREY PARK
90057
Perez, Evelyn OD
139 S Alvarado St
Los Angeles, CA 90057
(323) 728-5500
License: OPT10155
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEBELLO
90640
Perez, Evelyn OD
2446 W Whittier Blvd
Montebello, CA 90640
(714) 558-1385
License: OPT10155
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
MONTEREY PARK
91754
Kim, Sean MD
600 N Garfield Ave Ste 210
Monterey Park, CA 91754
(626) 281-9111
License: A123580
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Dustin DO
600 N Garfield Ave Ste 210
Monterey Park, CA 91754
(626) 281-9111
License: 20A10484
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Chinese, Mandarin, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 7change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED - MONTEREY PARK
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
LOS ANGELES
90033
Najafi, Ali MD
1700 E Cesar E Chavez Ave
Ste 2200
Los Angeles, CA 90033
(323) 264-7600
License: A74093
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
MONTEREY PARK
91754
Barba, David MD
880 S Atlantic Blvd Ste 205
Monterey Park, CA 91754
(626) 289-0178
License: A135899
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
LOS ANGELES
90057
Naraghi, Robert MD
2200 W 3rd St Ste 500
Los Angeles, CA 90057
(213) 484-5551
License: G83950
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Persian
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 8change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
PRIMARY CARE PHYSICIANS
Family Practice
BALDWIN PARK
91706
Urbina, Marvin MD
14342 Ramona Blvd
Baldwin Park, CA 91706
(626) 338-4088
Provider ID: 109128
License: A71133
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Taiwanese
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90057
Gill, Matthew DO
2100 W 3rd St Ste 400
Los Angeles, CA 90057
(888) 499-9303
Provider ID: 252494
License: 20A17547
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gutierrez, Guillermina MD
2100 W 3rd St Ste 400
Los Angeles, CA 90057
(888) 499-9303
Provider ID: 253091
License: A76597
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yoo, Carlos MD
2100 W 3rd St Ste 400
Los Angeles, CA 90057
(888) 499-9303
Provider ID: 248301
License: A124289
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: NR
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 9change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 03-FEB-20
NORWALK
90650
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 240814
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
BALDWIN PARK
91706
Carrillo, Herman MD
14342 Ramona Blvd
Baldwin Park, CA 91706
(626) 338-4088
Provider ID: 109039
License: A45086
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
HUNTINGTON PARK
90255
Tran, Daniel MD
2765 E Florence Ave
Huntington Park, CA 90255
(323) 588-6888
Provider ID: 48858
License: G77436
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: French,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
Bereliani, Arash MD
6120 Seville Ave
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 10change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
Huntington Park, CA 90255
(323) 588-8855
Provider ID: 252815
License: A66268
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Persian
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 20-FEB-20
LOS ANGELES
90026
Filart, Marcel Adrian MD
1711 W Temple St Ste 1070
Los Angeles, CA 90026
(323) 499-1350
Provider ID: 128894
License: A76022
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90057
Bereliani, Arash MD
1919 W 7th St Unit 2a
Los Angeles, CA 90057
(213) 413-2222
Provider ID: 245887
License: A66268
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Persian
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Family Practice Sports
Medicine
COVINA
91723
Khan, Ahmed MD
315 N 3rd Ave Ste 302
Covina, CA 91723
(626) 332-1194
Provider ID: 248351
License: A161223
Credentials and/or board
certification: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 11change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi, Urdu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 45406
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Interventional Cardiology
LOS ANGELES
90027
Lee, Edwin MD
1300 N Vermont Ave Ste 808
Los Angeles, CA 90027
(323) 913-4303
Provider ID: 247726
License: A110733
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Chinese, Farsi, Korean,
Mandarin, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
SAN DIMAS
91773
Bhasin, Nitin MD
1335 Cypress St Ste 205
San Dimas, CA 91773
(909) 542-2770
Provider ID: 87684
License: A109234
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 12change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
LOS ANGELES
90027
Gumbs, Joslyn MD
1300 N Vermont Ave Ste 804
Los Angeles, CA 90027
(323) 257-1814
Provider ID: 252961
License: A87245
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 31-JAN-20
Ophthalmology
LAKEWOOD
90712
Khanna, Sandeep MD
5750 Downey Ave Ste 101
Lakewood, CA 90712
(562) 211-5462
Provider ID: 240494
License: A48969
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90015
Gallemore, Ron MD
1414 S Grand Ave Ste 105
Los Angeles, CA 90015
(213) 749-5555
Provider ID: 103188
License: G78240
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Italian,
Japanese, Korean,
Mandarin, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Deafness or Hard-of-Hearing,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 13change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
WHITTIER
90602
Shammas, Hanna MD
7957 Painter Ave Ste 101
Whittier, CA 90602
(562) 464-0590
Provider ID: 248044
License: A30800
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
French, Russian, Spanish,
Urdu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 28-JAN-20
Optometrist
HUNTINGTON PARK
90255
Mishima, Todd OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
Provider ID: 20179
License: OPT9700
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90057
Perez, Evelyn OD
139 S Alvarado St
Los Angeles, CA 90057
(323) 728-5500
Provider ID: 244075
License: OPT10155
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEBELLO
90640
Perez, Evelyn OD
2446 W Whittier Blvd
Montebello, CA 90640
(714) 558-1385
Provider ID: 244073
License: OPT10155
Credentials and/or board
certification: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 14change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology Diagnostic X-ray
BELLFLOWER
90706
Hakham, Salar DO
16506 Lakewood Blvd Ste 200
Bellflower, CA 90706
Provider ID: 253252
License: 20A13968
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
MONTEREY PARK
91754
Lee, Dustin DO
600 N Garfield Ave Ste 210
Monterey Park, CA 91754
(626) 281-9111
Provider ID: 245512
License: 20A10484
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Chinese, Mandarin, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91768
Wali, Autar MD
155 W Willow St
Pomona, CA 91768
(909) 868-2626
Provider ID: 3798
License: A32290
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 15change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
COVINA
91723
Patel, Ankur MD
315 N 3rd Ave Ste 302
Covina, CA 91723
(626) 332-1194
Provider ID: 248207
License: A130850
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yeranosian, Michael MD
315 N 3rd Ave Ste 302
Covina, CA 91723
(626) 332-1194
Provider ID: 248197
License: A153721
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
91741
Wong, Kee MD
412 W Carroll Ave Ste 107
Glendora, CA 91741
(626) 914-4890
Provider ID: 248187
License: G32749
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
LOS ANGELES
90017
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 245435
License: 20A6818
Credentials and/or board
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 16change
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Scott, Dana MD
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 114030
License: A100321
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90057
Naraghi, Robert MD
2200 W 3rd St Ste 500
Los Angeles, CA 90057
(213) 484-5551
Provider ID: 88275
License: G83950
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Persian
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 17change
LOS ANGELES COUNTY MEDICAL GROUPS ANGELES IPA
PRIMARY CARE PHYSICIANS
General Practice
HUNTINGTON PARK
90255
Galdamez, Luis MD
6831 Seville Ave
Huntington Park, CA 90255
(323) 581-8234
Provider ID: 22216
License: A48644
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90044
Feygin, Polina MD
10024 S Vermont Ave
Los Angeles, CA 90044
(323) 756-1412
Provider ID: 115293
License: G67378
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Russian,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Ophthalmology
CITY OF INDUSTRY
91748
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA 91748
(323) 221-8000
Provider ID: 34662
License: A69909
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Cantonese,
Chinese, Korean, Mandarin,
Serbo-Croatian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 18change
LOS ANGELES COUNTY MEDICAL GROUPS ANGELES IPA
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DOWNEY
90241
Davis, Michael MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 62265
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Suk, Kevin MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 70207
License: A114509
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Roe, Richard MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
Provider ID: 52027
License: A95880
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 19change
LOS ANGELES COUNTY MEDICAL GROUPS ANGELES IPA
Disorders panel status.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
LYNWOOD
90262
Goring, Christopher MD
3628 E Imperial Hwy Ste 300
Lynwood, CA 90262
(310) 900-4788
Provider ID: 214205
License: C55914
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 20change
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- DOWNEY
PRIMARY CARE PHYSICIANS
Family Practice
NORWALK
90650
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 129612
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PICO RIVERA
90660
Pinkerton, Ronald MD
8337 Telegraph Rd Ste 102
Pico Rivera, CA 90660
(562) 445-3181
Provider ID: 210764
License: G64676
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 105020
License: A16990
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
CARSON
90745
Aguinaldo, Estrella MD
23517 Main St Ste 104
Carson, CA 90745
(310) 233-2555
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 21change
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- DOWNEY
90605 90805Provider ID: 33332
License: A56493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Samoan,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Endocrinology
WHITTIER
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605
(562) 945-2833
Provider ID: 22457
License: A36074
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Hebrew,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LAKEWOOD
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 74393
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 22change
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- SELECT
PRIMARY CARE PHYSICIANS
Family Practice
NORWALK
90650
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 129608
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PICO RIVERA
90660
Pinkerton, Ronald MD
8337 Telegraph Rd Ste 102
Pico Rivera, CA 90660
(562) 445-3181
Provider ID: 210766
License: G64676
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 105021
License: A16990
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
CARSON
90745
Aguinaldo, Estrella MD
23517 Main St Ste 104
Carson, CA 90745
(310) 233-2555
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 23change
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- SELECT
Provider ID: 57270
License: A56493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Samoan,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 74393
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LAKEWOOD
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 24change
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- WHITTIER
PRIMARY CARE PHYSICIANS
Family Practice
NORWALK
90650
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 129610
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PICO RIVERA
90660
Pinkerton, Ronald MD
8337 Telegraph Rd Ste 102
Pico Rivera, CA 90660
(562) 445-3181
Provider ID: 210765
License: G64676
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 108737
License: A16990
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 25change
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- WHITTIER
Endocrinology
WHITTIER
90605
Hematology / Oncology
LAKEWOOD
90805
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605
(562) 945-2833
Provider ID: 22457
License: A36074
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Hebrew,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 74393
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 26change
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP-ST FRANCIS
PRIMARY CARE PHYSICIANS
General Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 105019
License: A16990
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
CARSON
90745
Aguinaldo, Estrella MD
23517 Main St Ste 104
Carson, CA 90745
(310) 233-2555
Provider ID: 28861
License: A56493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Samoan,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 27change
LOS ANGELES COUNTY MEDICAL GROUPS COMMUNITY FAMILY CARE - VALLEY PRES
PRIMARY CARE PHYSICIANS
General Practice
HUNTINGTON PARK
90255
Tran, Daniel MD
2765 E Florence Ave
Huntington Park, CA 90255
(323) 588-6888
Provider ID: 33782
License: G77436
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: French,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
must receive a referral from
your primary care physician.
Gastroenterology
90045
Ojuri, Adebambo MD
8110 Airport Blvd Fl 2
Los Angeles, CA 90045
(310) 674-0144
Provider ID: 74620
License: A46336
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Farsi, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Otolaryngology
LOS ANGELES
90004
Carella, Joseph MD
326 N Vermont Ave
Los Angeles, CA 90004
(213) 383-9955
Provider ID: 68359
License: G15628
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 28change
LOS ANGELES COUNTY MEDICAL GROUPS COMMUNITY FAMILY CARE - VALLEY PRES
VAN NUYS
91405
Eubanks, Hayward MD
15216 Vanowen St Ste 2c
Van Nuys, CA 91405
(310) 679-0676
Provider ID: 22367
License: G54388
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Eghbalieh, Sammy MD
19950 Rinaldi St # 101d
Porter Ranch, CA 91326
(818) 900-6480
Provider ID: 116476
License: A133688
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
PORTER RANCH
91326
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 29change
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiology
GLENDALE
91203
Aleman, Edgar MD
500 N Central Ave Ste 800
Glendale, CA 91203
(818) 240-9041
License: G53591
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Khachatryan, Tigran MD
500 N Central Ave Ste 800
Glendale, CA 91203
(818) 240-9041
License: A127412
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Riffel-dalinger, Hugo MD
500 N Central Ave Ste 800
Glendale, CA 91203
(818) 240-9041
License: A30878
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sadrzadeh Rafie, Amir MD
500 N Central Ave Ste 800
Glendale, CA 91203
(818) 240-9041
License: A115445
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Fataleka, Persian
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 30change
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
PASADENA
91105
Su, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105
(626) 204-1410
License: A134110
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
LOS ANGELES
90033
Nalamlieng, Matthew DPM
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
(323) 268-5000
License: DPM5316
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 29-JAN-20
Nalamlieng, Matthew DPM
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 31change
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
1828 E Cesar E Chavez Ave
Ste 4600
Los Angeles, CA 90033
(323) 307-8585
License: DPM5316
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 29-JAN-20
Surgery Orthopedic
MONTEREY PARK
91754
Barba, David MD
880 S Atlantic Blvd Ste 205
Monterey Park, CA 91754
(626) 289-0178
License: A135899
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 32change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
PRIMARY CARE PHYSICIANS
Internal Medicine
LOS ANGELES
90002
Ahmed, Rabia MD
10300 Compton Ave
Los Angeles, CA 90002
(323) 564-4331
Provider ID: 81017
License: A44227
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Aparicio, Luis MD
10300 Compton Ave
Los Angeles, CA 90002
(323) 564-4331
Provider ID: 26253
License: A45564
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90013
Lee, Edward MD
311 Winston St
Los Angeles, CA 90013
(213) 893-1960
Provider ID: 252381
License: A131695
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
90026
Al-sarraf, Lena DO
180 Union Pl
Los Angeles, CA 90026
(323) 644-3885
Provider ID: 70769
License: 20A6339
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Arabic,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 33change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiology
POMONA
91767
Discepolo, William MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767
(909) 622-3065
Provider ID: 87054
License: A85753
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Parikh, Gaurav MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767
(909) 398-1550
Provider ID: 108720
License: A142679
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiovascular Disease
TORRANCE
90505
Bharadia, Juma MD
22617 Hawthorne Blvd
Torrance, CA 90505
(310) 370-4700
Provider ID: 87343
License: A56515
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Kannada, Sindhi,
Spanish, Swahili, Urdu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 34change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Certified Nurse Practitioner
CANYON COUNTRY
91351
Turner, Beckie NP
27225 Camp Plenty Rd Ste 4
Canyon Country, CA 91351
(661) 424-1220
Provider ID: 248231
License: NP95002248
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 31-JAN-20
HUNTINGTON PARK
90255
Marrin, Bridget NP
7301 State St
Huntington Park, CA 90255
(323) 581-5120
Provider ID: 248858
License: NP20063
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90037
Poon, Lalita NP
4085 S Vermont Ave
Los Angeles, CA 90037
(323) 541-1600
Provider ID: 248302
License: NP95008213
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90047
Poon, Lalita NP
1555 W 110th St
Los Angeles, CA 90047
(323) 541-1411
Provider ID: 248303
License: NP95008213
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 35change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORWALK
90650
Bertao, Teresa NP
12360 Firestone Blvd
Norwalk, CA 90650
(562) 867-7999
Provider ID: 252583
License: NP10178
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91767
Lucasan, Danah Majorie NP
255 E Bonita Ave # 1a
Pomona, CA 91767
(909) 450-0377
Provider ID: 252647
License: NP95011876
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
91790
Bernal, Brenda NP
420 S Glendora Ave
West Covina, CA 91790
(626) 919-5724
Provider ID: 252952
License: NP6269180175
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
LONG BEACH
90803
Lazzaro, Cynthia DO
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 36change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
5865 E Naples Plz
Long Beach, CA 90803
(310) 541-7800
Provider ID: 252382
License: 20A12781
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROLLING HILLS ESTATES
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
90274
Lazzaro, Cynthia DO
550 Deep Valley Dr Ste 283
Rolling Hills Estates, CA 90274
(310) 541-7800
Provider ID: 252384
License: 20A12781
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
SHERMAN OAKS
91403
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403
(818) 906-6900
Provider ID: 241643
License: A77571
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Lazzaro, Cynthia DO
23451 Madison St Ste 190
Torrance, CA 90505
(310) 373-6952
Provider ID: 252385
License: 20A12781
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 37change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
Gastroenterology
GARDENA
90247
Shah, Anoop MD
1141 W Redondo Beach Blvd
Ste 212
Gardena, CA 90247
(562) 299-0224
Provider ID: 252655
License: A91301
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Gujarati,
Hindi, Mandarin, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-FEB-20
LANCASTER
93534
Pruthi, Jatinder MD
44215 15th St W Ste 209
Lancaster, CA 93534
(661) 522-4507
Provider ID: 245571
License: A64919
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LONG BEACH
90806
Saliminejad, Mehrdad MD
2801 Atlantic Ave
Long Beach, CA 90806
(562) 933-0971
Provider ID: 248098
License: A106054
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 29-JAN-20
POMONA
91767
Tama, Maher MD
790 E Bonita Ave # 2
Pomona, CA 91767
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 38change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
(909) 447-5893
Provider ID: 252970
License: A161762
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 74393
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hospice and Palliative
Medicine
LOS ANGELES
90024
Roozrokh, Babak MD
1700 Westwood Blvd
Los Angeles, CA 90024
(800) 941-4161
Provider ID: 74671
License: A81646
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
91203
Arcia, John MD
435 Arden Ave Ste 380
Glendale, CA 91203
(818) 244-9575
Provider ID: 17167
License: G70558
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 39change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
POMONA
91767
Popalzai, Adeel DO
2895 N Towne Ave
Pomona, CA 91767
(909) 982-2719
Provider ID: 129533
License: 20A10930
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Spanish, Urdu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
LONG BEACH
90806
Masaki, Damon MD
2801 Atlantic Ave
Long Beach, CA 90806
(562) 837-4500
Provider ID: 213977
License: G45365
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90026
Pine, Stephen MD
150 N Reno St
Los Angeles, CA 90026
(323) 635-1140
Provider ID: 248338
License: C33483
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 04-FEB-20
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 40change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
90037
Battala, Naga MD
5701 S Hoover St
Los Angeles, CA 90037
(323) 541-1411
Provider ID: 252344
License: A104785
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Telugu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEBELLO
90640
Hanna, Gina MD
101 E Beverly Blvd Ste 104
Montebello, CA 90640
(626) 337-4425
Provider ID: 248384
License: G87504
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
91405
Delshad, George MD
15211 Vanowen St Ste 310
Van Nuys, CA 91405
(818) 830-6970
Provider ID: 252830
License: G83566
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Oncology Medical
SAN PEDRO
90732
Nobile, Lucio MD
1360 W 6th St Ste G
San Pedro, CA 90732
(310) 547-2445
Provider ID: 252837
License: A81546
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 41change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Other Language: French,
German, Italian, Portuguese,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
CITY OF INDUSTRY
91748
90503
Nobile, Lucio MD
4305 Torrance Blvd Ste 109
Torrance, CA 90503
(310) 935-4525
Provider ID: 252840
License: A81546
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
German, Italian, Portuguese,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA 91748
(323) 221-8000
Provider ID: 34662
License: A69909
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Cantonese,
Chinese, Korean, Mandarin,
Serbo-Croatian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Brian MD
17833 Colima Rd
City Of Industry, CA 91748
(323) 221-8000
Provider ID: 104901
License: A127719
Credentials and/or board
certification: Yes
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Chinese,
Mandarin, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 42change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DOWNEY
90241
Davis, Michael MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 62265
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Suk, Kevin MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 70207
License: A114509
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
91202
Mahdavi, Paymohn MD
1025 N Brand Blvd Ste 200
Glendale, CA 91202
(818) 583-9933
Provider ID: 252743
License: A162708
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 43change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
91741
Mahdavi, Paymohn MD
150 S Grand Ave Ste 1
Glendora, CA 91741
(626) 335-2114
Provider ID: 252744
License: A162708
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LAKEWOOD
90712
Khanna, Sandeep MD
5750 Downey Ave Ste 101
Lakewood, CA 90712
(562) 211-5462
Provider ID: 118004
License: A48969
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LONG BEACH
90808
Renner, Morgan MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
Provider ID: 128383
License: A142841
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90015
Gallemore, Ron MD
1414 S Grand Ave Ste 105
Los Angeles, CA 90015
(213) 749-5555
Provider ID: 103188
License: G78240
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Italian,
Japanese, Korean,
Mandarin, Russian, Spanish
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 44change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Deafness or Hard-of-Hearing,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90017
Steinschriber, Steven MD
1127 Wilshire Blvd Ste 504
Los Angeles, CA 90017
(800) 898-2020
Provider ID: 126635
License: G56229
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Mandarin,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90031
Chen, Brian MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-6121
Provider ID: 87355
License: A127719
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Chinese,
Mandarin, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105
(800) 898-2020
Provider ID: 126430
License: A124192
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Su, Daniel MD
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 45change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105
(626) 204-1410
Provider ID: 249021
License: A134110
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91107
Mahdavi, Paymohn MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
Provider ID: 252741
License: A162708
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91767
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767
(800) 898-2020
Provider ID: 46846
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91768
Khan, Ayaz DO
648 N Park Ave
Pomona, CA 91768
(909) 566-2393
Provider ID: 127713
License: 20A9417
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 46change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Chu, Thomas MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
Provider ID: 9136
License: G68694
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
LOS ANGELES
90015
Yang, Nicole OD
1530 S Olive St
Los Angeles, CA 90015
(213) 747-5542
Provider ID: 248456
License: OPT13990
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 05-FEB-20
SAN PEDRO
90732
Wong, Sharon OD
1360 W 6th St Ste 165
San Pedro, CA 90732
(800) 898-2020
Provider ID: 245276
License: OPT15137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Wong, Sharon OD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 47change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
(800) 898-2020
Provider ID: 245277
License: OPT15137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physical Medicine /
Rehabilitation
VAN NUYS
91405
Niamehr, Nouriel DO
14600 Sherman Way Ste 250
Van Nuys, CA 91405
(818) 506-5197
Provider ID: 123527
License: 20A11311
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
GARDENA
90247
Yu, Kelly DPM
1045 W Redondo Beach Blvd
Ste 106
Gardena, CA 90247
(310) 323-2887
Provider ID: 70297
License: DPM4999
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Cantonese,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
HAWTHORNE
90250
Benson, Erica DPM
13624 Hawthorne Blvd Ste 206
Hawthorne, CA 90250
(310) 675-0900
Provider ID: 252585
License: DPM5462
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 48change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology
BEVERLY HILLS
90211
Mahgerefteh, Shmuel MD
145 S Doheny Dr
Beverly Hills, CA 90211
(310) 550-5858
Provider ID: 252327
License: A142017
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LONG BEACH
90808
Mahgerefteh, Shmuel MD
3320 N Los Coyotes Diagonal
Ste 112
Long Beach, CA 90808
(562) 627-0903
Provider ID: 252333
License: A142017
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90006
Mahgerefteh, Shmuel MD
2560 W Olympic Blvd Ste 100
Los Angeles, CA 90006
(323) 703-1000
Provider ID: 252332
License: A142017
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90020
Eckel, Gregory MD
500 S Virgil Ave Ste 102
Los Angeles, CA 90020
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 49change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
(323) 375-3950
Provider ID: 207778
License: A72806
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HOLLYWOOD
POMONA
91767
91602
Mahgerefteh, Shmuel MD
10767 Riverside Dr
North Hollywood, CA 91602
(818) 301-6700
Provider ID: 252326
License: A142017
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ho, Ralph MD
2475 N Garey Ave
Pomona, CA 91767
(909) 622-3166
Provider ID: 252429
License: C53547
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
91356
Mahgerefteh, Shmuel MD
18388 Clark St Ste 115
Tarzana, CA 91356
(818) 609-0911
Provider ID: 252330
License: A142017
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 50change
LOS ANGELES COUNTY MEDICAL GROUPSHEALTH CARE LA IPA
demographic, phone and/or
panel status.
Mahgerefteh, Shmuel MD
5620 Wilbur Ave Ste 330
Tarzana, CA 91356
(818) 345-3285
Provider ID: 252331
License: A142017
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
91405
Eckel, Gregory MD
15107 Vanowen St
Van Nuys, CA 91405
(818) 200-4330
Provider ID: 207767
License: A72806
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91411
Mahgerefteh, Shmuel MD
14915 Burbank Blvd
Van Nuys, CA 91411
(818) 909-7111
Provider ID: 252329
License: A142017
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
91307
Mahgerefteh, Shmuel MD
7345 Medical Center Dr Ste
130
West Hills, CA 91307
(818) 710-6011
Provider ID: 252328
License: A142017
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to
change 51
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
MARINA DEL REY
90292
Vlada, Claudiu MD
4560 Admiralty Way Ste 356
Marina Del Rey, CA 90292
(310) 306-2744
Provider ID: 240099
License: A154999
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean,
Romanian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PORTER RANCH
91326
Eghbalieh, Sammy MD
19950 Rinaldi St # 101d
Porter Ranch, CA 91326
(818) 900-6480
Provider ID: 116476
License: A133688
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
COMPTON
90222
Philip, Ancil MD
2251 W Rosecrans Ave Ste 21
Compton, CA 90222
(424) 529-6755
Provider ID: 119601
License: C147208
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL SEGUNDO
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 52change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
90245
Aliksanian, Lori MD
222 N Sepulveda Blvd Ste 2175
El Segundo, CA 90245
(310) 524-1300
Provider ID: 101449
License: A122286
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Green, Sari MD
222 N Sepulveda Blvd Ste 2175
El Segundo, CA 90245
(310) 524-1300
Provider ID: 101496
License: A107927
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LONG BEACH
90806
Brady, Matthew MD
2801 Atlantic Ave
Long Beach, CA 90806
(562) 933-1877
Provider ID: 212142
License: A148963
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
LOS ANGELES
90033
Najafi, Ali MD
1700 E Cesar E Chavez Ave
Ste 2200
Los Angeles, CA 90033
(323) 264-7600
Provider ID: 252772
License: A74093
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 53change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
90015
Eromo, Ersno MD
1513 S Grand Ave Ste 300
Los Angeles, CA 90015
(424) 262-7306
Provider ID: 240609
License: C145666
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Amharic,
Arabic, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90057
Goring, Christopher MD
2200 W 3rd St Ste 400
Los Angeles, CA 90057
(213) 484-7600
Provider ID: 214206
License: C55914
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
HOLLYWOOD
90028
Marmureanu, Alexandru MD
6253 Hollywood Blvd Apt 1108
Hollywood, CA 90028
(310) 208-4400
Provider ID: 122417
License: A72254
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Greek, Italian, Romanian,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
accessibility indicators are not
Surgery Thoracic
Urology
LOS ANGELES
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 54change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
90017
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 104634
License: 20A6818
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Scott, Dana MD
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 114030
License: A100321
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
REDONDO BEACH
90277
Ahmed, Faisal MD
510 N Prospect Ave Ste 115
Redondo Beach, CA 90277
(424) 390-4291
Provider ID: 242536
License: A123658
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Malhotra, Sameer MD
510 N Prospect Ave Ste 115
Redondo Beach, CA 90277
(424) 390-4291
Provider ID: 241293
License: A76279
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Hindi, Punjabi, Spanish
Cultural Competency: NR
Accessibility: B; Members
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 55change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 56change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
PRIMARY CARE PHYSICIANS
Family Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 214234
License: A16990
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiovascular Disease
POMONA
91767
Discepolo, William MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767
(909) 622-3065
Provider ID: 87054
License: A85753
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
LOS ANGELES
90045
Ojuri, Adebambo MD
8110 Airport Blvd Fl 2
Los Angeles, CA 90045
(310) 674-0144
Provider ID: 12706
License: A46336
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Farsi, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 57change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
demographic, phone and/or Infectious Disease 91203
panel status.
Arcia, John MD
Hospice and Palliative
Medicine
ARCADIA
91006
Lee, Jae MD
450 E Huntington Dr
Arcadia, CA 91006
(626) 462-1884
Provider ID: 75017
License: A109172
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Korean
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Santos-montemayor, Maria
MD
450 E Huntington Dr
Arcadia, CA 91006
(626) 254-2172
Provider ID: 91250
License: A79424
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
435 Arden Ave Ste 380
Glendale, CA 91203
(818) 244-9575
Provider ID: 17167
License: G70558
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
ARCADIA
91006
Slater, Kurt DO
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 58change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
450 E Huntington Dr
Arcadia, CA 91006
(626) 462-1884
Provider ID: 34477
License: 20A5469
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
LONG BEACH
90808
Grattan, Anne OD
5991 E Spring St
Long Beach, CA 90808
(562) 938-9945
Provider ID: 124948
License: OPT15086
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
ARCADIA
91006
Martin, Anthony DPM
450 E Huntington Dr
Arcadia, CA 91006
(626) 254-2172
Provider ID: 34609
License: DPM3619
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rheumatology
Soleimani, Massoud MD
450 E Huntington Dr
Arcadia, CA 91006
(626) 254-2172
Provider ID: 34589
License: A67910
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 59change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
EL SEGUNDO
90245
Cruz-schiavone, Gonzalo MD
222 N Sepulveda Blvd Ste 2175
El Segundo, CA 90245
(310) 524-1300
Provider ID: 123910
License: A134319
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Thoracic
LOS ANGELES
90033
Barr, Mark MD
1520 San Pablo St Ste 4300
Los Angeles, CA 90033
(323) 442-5849
Provider ID: 90995
License: G75945
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 60change
LOS ANGELES COUNTY MEDICAL GROUPSHEALTHCARE PARTNERS IPA - EAST WEST
PRIMARY CARE PHYSICIANS
Family Practice
WEST COVINA
91792
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792
(626) 965-1988
Provider ID: 99087
License: A82411
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Mandarin,
Spanish, Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to
change 61
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - GLENDALE
PRIMARY CARE PHYSICIANS
Family Practice
GLENDALE
91205
Airapetian, Ara MD
801 S Chevy Chase Dr Ste 250
Glendale, CA 91205
(818) 265-2259
Provider ID: 252345
License: A86421
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Korean, Russian, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90057
Burns, John MD
2252 Beverly Blvd Ste 101
Los Angeles, CA 90057
(213) 252-7281
Provider ID: 238785
License: A41985
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiovascular Disease
90033
Mckenzie, John MD
1701 E Cesar E Chavez Ave
Ste 355
Los Angeles, CA 90033
(323) 225-8025
Provider ID: 244214
License: G71752
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Farsi, French,
Korean, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 62change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - GLENDALE
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 63change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - LAC
PRIMARY CARE PHYSICIANS
Internal Medicine
LOS ANGELES
90026
Filart, Marcel Adrian MD
1711 W Temple St Ste 1070
Los Angeles, CA 90026
(323) 499-1350
Provider ID: 212050
License: A76022
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 64change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - LCM
PRIMARY CARE PHYSICIANS
Family Practice
SAN PEDRO
90731
Shah, Krupa MD
1294 W 6th St Ste 204
San Pedro, CA 90731
(310) 832-5331
Provider ID: 71609
License: A42668
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Gujarati,
Hindi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
TORRANCE
90505
Ramos, Enrique MD
22525 Maple Ave Ste 100
Torrance, CA 90505
(310) 538-9400
Provider ID: 248309
License: G30295
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 03-FEB-20
Internal Medicine
CARSON
90745
Aguinaldo, Estrella MD
23517 Main St Ste 104
Carson, CA 90745
(310) 233-2555
Provider ID: 68080
License: A56493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Samoan,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN PEDRO
90731
Genato, Sharon MD
1600 S Gaffey St
San Pedro, CA 90731
(310) 548-0201
Provider ID: 252503
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 65change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - LCM
License: A51792
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
TORRANCE
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Certified Nurse Practitioner
CARSON
90746
Marsh, Adrienne NP
1000 E Dominguez St Ste 110
Carson, CA 90746
(310) 715-7755
Provider ID: 248355
License: NP95010379
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90505
Pham, Cindy MD
3640 Lomita Blvd Ste 305
Torrance, CA 90505
(310) 373-0250
Provider ID: 248140
License: A149592
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Thai
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 66change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - LONG BEACH
PRIMARY CARE PHYSICIANS
Family Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 238497
License: A16990
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
LONG BEACH
90813
Ellis, Arnold MD
934 Atlantic Ave
Long Beach, CA 90813
(323) 732-0100
Provider ID: 240509
License: A31480
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Infectious Disease
Hean, Sindalisa MD
1043 Elm Ave Ste 301
Long Beach, CA 90813
(562) 624-4943
Provider ID: 250549
License: A137717
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Cardiovascular
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 67change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - LONG BEACH
90806
Mahtabifard, Ali MD
2810 Long Beach Blvd Fl 3
Long Beach, CA 90806
(562) 933-1877
Provider ID: 248078
License: A86440
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi, French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mahtabifard, Ali MD
2801 Atlantic Ave
Long Beach, CA 90806
(562) 933-0971
Provider ID: 248080
License: A86440
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi, French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 68change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - NORTHRIDGE MEDICAL GROUP
PRIMARY CARE PHYSICIANS
Family Practice
NORTHRIDGE
91325
Eddy-bertrand, Elizabeth MD
18350 Roscoe Blvd Ste 600
Northridge, CA 91325
(818) 727-1515
Provider ID: 49320
License: G80676
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tamil
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
91324
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Binder, Robert DPM
9017 Reseda Blvd Ste 100
Northridge, CA 91324
(818) 885-8400
Provider ID: 252288
License: DPM2485
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 69change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - SFV
PRIMARY CARE PHYSICIANS
Family Practice
NORTHRIDGE
91325
Eddy-bertrand, Elizabeth MD
18350 Roscoe Blvd Ste 600
Northridge, CA 91325
(818) 727-1515
Provider ID: 29688
License: G80676
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tamil
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 70change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - SO BAY
PRIMARY CARE PHYSICIANS
Family Practice
SAN PEDRO
90731
Shah, Krupa MD
1294 W 6th St Ste 204
San Pedro, CA 90731
(310) 832-5331
Provider ID: 71608
License: A42668
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Gujarati,
Hindi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Yu, Michael MD
3333 Skypark Dr Ste 100
Torrance, CA 90505
(310) 784-6300
Provider ID: 73124
License: A80648
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
Ramos, Enrique MD
22525 Maple Ave Ste 100
Torrance, CA 90505
(310) 538-9400
Provider ID: 248310
License: G30295
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 03-FEB-20
Internal Medicine
CARSON
90745
Aguinaldo, Estrella MD
23517 Main St Ste 104
Carson, CA 90745
(310) 233-2555
Provider ID: 68079
License: A56493
Credentials and/or board
certification: No
Accepting New Members: Yes
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 71change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - SO BAY
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Samoan,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
TORRANCE
90505
SAN PEDRO
90731
Genato, Sharon MD
1600 S Gaffey St
San Pedro, CA 90731
(310) 548-0201
Provider ID: 252502
License: A51792
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Certified Nurse Practitioner
CARSON
90746
Marsh, Adrienne NP
1000 E Dominguez St Ste 110
Carson, CA 90746
(310) 715-7755
Provider ID: 248354
License: NP95010379
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pham, Cindy MD
3640 Lomita Blvd Ste 305
Torrance, CA 90505
(310) 373-0250
Provider ID: 248139
License: A149592
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Thai
Cultural Competency: NR
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 72change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - SO BAY
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 73change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA-TALBERT OC
PRIMARY CARE PHYSICIANS
Family Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 214941
License: A16990
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LONG BEACH
90813
Ellis, Arnold MD
934 Atlantic Ave
Long Beach, CA 90813
(323) 732-0100
Provider ID: 241087
License: A31480
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Pulmonary Diseases
90806
Jiang, Thomas MD
2865 Atlantic Ave Ste 205
Long Beach, CA 90806
(562) 988-9333
Provider ID: 252555
License: A119331
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 14-FEB-20
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 74change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - ARCADIA
PRIMARY CARE PHYSICIANS
Internal Medicine
ARCADIA
91006
Ho, Samuel MD
450 E Huntington Dr
Arcadia, CA 91006
(626) 462-1884
Provider ID: 39359
License: A93329
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Santos-montemayor, Maria
MD
450 E Huntington Dr
Arcadia, CA 91006
(626) 254-2172
Provider ID: 30395
License: A79424
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Surgery General
91007
Hwee, Jonathan MD
612 W Duarte Rd Ste 804
Arcadia, CA 91007
(626) 600-2094
Provider ID: 252488
License: A160641
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 75change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - ATLANTIC
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Infectious Disease
LONG BEACH
90813
Hean, Sindalisa MD
1043 Elm Ave Ste 301
Long Beach, CA 90813
(562) 624-4943
License: A137717
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Cardiovascular
90806
Mahtabifard, Ali MD
2810 Long Beach Blvd Fl 3
Long Beach, CA 90806
(562) 933-1877
License: A86440
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi, French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mahtabifard, Ali MD
2801 Atlantic Ave
Long Beach, CA 90806
(562) 933-0971
License: A86440
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi, French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 76change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - BURBANK
Endocrinology
BURBANK
Podiatrist
NORTHRIDGE
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
91506
Sharifi, Maryam MD
2211 W Magnolia Blvd Ste 120
Burbank, CA 91506
(818) 955-5773
License: A126378
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTHRIDGE
91324
Sharifi, Maryam MD
18546 Roscoe Blvd Ste 300
Northridge, CA 91324
(818) 886-4028
License: A126378
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
91405
Sharifi, Maryam MD
14600 Sherman Way Ste 300
Van Nuys, CA 91405
(818) 781-7097
License: A126378
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91324
Binder, Robert DPM
9017 Reseda Blvd Ste 100
Northridge, CA 91324
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 77change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - BURBANK
(818) 885-8400
License: DPM2485
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 78change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - GLENDALE
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiovascular Disease
LOS ANGELES
90033
Mckenzie, John MD
1701 E Cesar E Chavez Ave
Ste 355
Los Angeles, CA 90033
(323) 225-8025
License: G71752
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Farsi, French,
Korean, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 79change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - VAN NUYS
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Podiatrist
NORTHRIDGE
91324
Binder, Robert DPM
9017 Reseda Blvd Ste 100
Northridge, CA 91324
(818) 885-8400
License: DPM2485
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 80change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP- BIXBY KNOLLS LONG BEACH
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Infectious Disease
LONG BEACH
90813
Hean, Sindalisa MD
1043 Elm Ave Ste 301
Long Beach, CA 90813
(562) 624-4943
License: A137717
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Cardiovascular
90806
Mahtabifard, Ali MD
2810 Long Beach Blvd Fl 3
Long Beach, CA 90806
(562) 933-1877
License: A86440
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi, French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mahtabifard, Ali MD
2801 Atlantic Ave
Long Beach, CA 90806
(562) 933-0971
License: A86440
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi, French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 81change
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP-MAGNOLIA
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
NORTHRIDGE
91324
Binder, Robert DPM
9017 Reseda Blvd Ste 100
Northridge, CA 91324
(818) 885-8400
License: DPM2485
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 82change
LOS ANGELES COUNTY MEDICAL GROUPS KOREAN AMERICAN MEDICAL GROUP
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Optometrist
HUNTINGTON PARK
90255
Mishima, Todd OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: OPT9700
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
LOS ANGELES
90017
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
License: 20A6818
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 83change
LOS ANGELES COUNTY MEDICAL GROUPS LOS ANGELES MEDICAL CENTER IPA
PRIMARY CARE PHYSICIANS
Family Practice
LONG BEACH
90813
Ellis, Arnold MD
934 Atlantic Ave
Long Beach, CA 90813
(323) 732-0100
Provider ID: 242457
License: A31480
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90001
Akhavan, Parviz DO
723 E Manchester Ave
Los Angeles, CA 90001
(323) 750-2325
Provider ID: 102049
License: 20A7522
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90037
Akhavan, Parviz DO
5113 S Vermont Ave
Los Angeles, CA 90037
(323) 305-2220
Provider ID: 102055
License: 20A7522
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
HUNTINGTON PARK
90255
Galdamez, Luis MD
6831 Seville Ave
Huntington Park, CA 90255
(323) 581-8234
Provider ID: 98164
License: A48644
Credentials and/or board
certification: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 84change
LOS ANGELES COUNTY MEDICAL GROUPS LOS ANGELES MEDICAL CENTER IPA
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 85change
LOS ANGELES COUNTY MEDICAL GROUPS PHYSICIANS ASSOC SAN GABRIEL VALLEY
Family Practice
BALDWIN PARK
PRIMARY CARE PHYSICIANS
91706
Urbina, Marvin MD
14342 Ramona Blvd
Baldwin Park, CA 91706
(626) 338-4088
Provider ID: 36766
License: A71133
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Taiwanese
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
91723
Gin, Jeffrey MD
218 W Badillo St
Covina, CA 91723
(310) 991-7718
Provider ID: 63467
License: A101609
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
91754
Tai, Liang Yu DO
210 N Garfield Ave Ste 203
Monterey Park, CA 91754
(626) 307-7397
Provider ID: 73194
License: 20A7444
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish,
Taiwanese, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
ROWLAND HEIGHTS
91748
Yung, Tin MD
1722 Desire Ave Ste 202
Rowland Heights, CA 91748
(626) 913-1288
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 86change
LOS ANGELES COUNTY MEDICAL GROUPS PHYSICIANS ASSOC SAN GABRIEL VALLEY
Provider ID: 53318
License: G61730
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Chinese, Indonesian,
Japanese, Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
ARCADIA
91007
Hwee, Jonathan MD
612 W Duarte Rd Ste 804
Arcadia, CA 91007
(626) 600-2094
Provider ID: 252489
License: A160641
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 87change
LOS ANGELES COUNTY MEDICAL GROUPS PREFERRED IPA OF CALIFORNIA
PRIMARY CARE PHYSICIANS
Family Practice
ARLETA
91331
Arceo, Ruth MD
9043 Woodman Ave Ste C
Arleta, CA 91331
(818) 221-3096
Provider ID: 125541
License: A53097
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORWALK
90650
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 124006
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
HUNTINGTON PARK
90255
Tran, Daniel MD
2765 E Florence Ave
Huntington Park, CA 90255
(323) 588-6888
Provider ID: 114738
License: G77436
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: French,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90044
Feygin, Polina MD
10024 S Vermont Ave
Los Angeles, CA 90044
(323) 756-1412
Provider ID: 202067
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 88change
LOS ANGELES COUNTY MEDICAL GROUPS PREFERRED IPA OF CALIFORNIA
License: G67378
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Russian,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
COMPTON
90220
Saied, Saied MD
349 W Compton Blvd
Compton, CA 90220
(424) 785-5170
Provider ID: 113390
License: A54467
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Amharic,
Arabic, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiovascular Disease
LOS ANGELES
90033
Mckenzie, John MD
1701 E Cesar E Chavez Ave
Ste 355
Los Angeles, CA 90033
(323) 225-8025
Provider ID: 86910
License: G71752
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Farsi, French,
Korean, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
TORRANCE
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 89change
LOS ANGELES COUNTY MEDICAL GROUPS PREFERRED IPA OF CALIFORNIA
90505 LOS ANGELES
Tabandeh, Homayoun MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
Provider ID: 115225
License: A89087
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Chinese, Farsi, Korean,
Mandarin, Russian, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90015
Houser, Natalie PA
1414 S Grand Ave Ste 200
Los Angeles, CA 90015
(213) 419-9600
Provider ID: 248461
License: PA51701
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 05-FEB-20
Physicians Assistant
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 90change
LOS ANGELES COUNTY MEDICAL GROUPS PRIMARY CARE ASSOCIATES OF CALIFORNIA
PRIMARY CARE PHYSICIANS
NORWALK
90650
Family Practice
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 200700
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
HUNTINGTON PARK
90255
Galdamez, Luis MD
6831 Seville Ave
Huntington Park, CA 90255
(323) 581-8234
Provider ID: 85004
License: A48644
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
CARSON
90745
Aguinaldo, Estrella MD
23517 Main St Ste 104
Carson, CA 90745
(310) 233-2555
Provider ID: 81216
License: A56493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Samoan,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 91change
LOS ANGELES COUNTY MEDICAL GROUPS PRIMARY CARE ASSOCIATES OF CALIFORNIA
services from a specialist you
must receive a referral from
91403
your primary care physician.
INGLEWOOD
90301 Lin, Michael MD
15477 Ventura Blvd Ste 100
Cardiology
DOWNEY
90241
Floro, Jerry MD
11480 Brookshire Ave Ste 300
Downey, CA 90241
(562) 977-1690
Provider ID: 73935
License: G42959
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bridges, Duane MD
575 E Hardy St Ste 306
Inglewood, CA 90301
(424) 227-6619
Provider ID: 81689
License: G63954
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Portuguese,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
SHERMAN OAKS
Sherman Oaks, CA 91403
(818) 906-6900
Provider ID: 23833
License: A77571
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
LOS ANGELES
90045
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 92change
LOS ANGELES COUNTY MEDICAL GROUPS PRIMARY CARE ASSOCIATES OF CALIFORNIA
Ojuri, Adebambo MD
8110 Airport Blvd Fl 2
Los Angeles, CA 90045
(310) 674-0144
Provider ID: 81464
License: A46336
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Farsi, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
90017
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 9706
License: 20A6818
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 93change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT HEALTHSOURCE MEDICAL GROUP
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Dermatology
SHERMAN OAKS
91403
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403
(818) 906-6900
License: A77571
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
LOS ANGELES
90045
Ojuri, Adebambo MD
8110 Airport Blvd Fl 2
Los Angeles, CA 90045
(310) 674-0144
License: A46336
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Farsi, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
TORRANCE
90505
Chu, Thomas MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
License: G68694
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 94change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT HEALTHSOURCE MEDICAL GROUP
Tabandeh, Homayoun MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
License: A89087
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Chinese, Farsi, Korean,
Mandarin, Russian, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
SAN PEDRO
90732
Wong, Sharon OD
1360 W 6th St Ste 165
San Pedro, CA 90732
(800) 898-2020
License: OPT15137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Wong, Sharon OD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
License: OPT15137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
MONTEBELLO
90640
Thropay, John MD
120 W Beverly Blvd
Montebello, CA 90640
(323) 724-8780
License: G32178
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 95change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT HEALTHSOURCE MEDICAL GROUP
Other Language: Cambodian,
Gujarati, Hindi, Korean,
Mandarin, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rheumatology
CULVER CITY
90232
Gilbert, Randall MD
9808 Venice Blvd Ste 603
Culver City, CA 90232
(310) 842-7500
License: G55905
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
MONTEREY PARK
91754
Chou, Arthur MD
605 N Garfield Ave Ste 1f
Monterey Park, CA 91754
(626) 768-7373
License: A111306
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Thoracic
HOLLYWOOD
90028
Marmureanu, Alexandru MD
6253 Hollywood Blvd Apt 1108
Hollywood, CA 90028
(310) 208-4400
License: A72254
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Greek, Italian, Romanian,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 96change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT HEALTHSOURCE MEDICAL GROUP
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
LOS ANGELES
90017
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
License: 20A6818
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Scott, Dana MD
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
License: A100321
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 97change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
PRIMARY CARE PHYSICIANS
General Practice
MONTEBELLO
90640
Gonzalez, Enrique MD
120 S Montebello Blvd
Montebello, CA 90640
(310) 991-7718
Provider ID: 119223
License: G74790
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiology
LOS ANGELES
90033
Bansal, Eric MD
1701 E Cesar E Chavez Ave
Ste 125
Los Angeles, CA 90033
(323) 441-1122
Provider ID: 253249
License: A122292
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 28-FEB-20
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 74393
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
OphthalmologySPECIALISTS
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 98change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
DOWNEY
90241
Davis, Michael MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 62265
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Suk, Kevin MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 202183
License: A114509
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LAKEWOOD
90712
Khanna, Sandeep MD
5750 Downey Ave Ste 101
Lakewood, CA 90712
(562) 211-5462
Provider ID: 246806
License: A48969
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105
(800) 898-2020
Provider ID: 126430
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 99change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
License: A124192
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91767
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767
(800) 898-2020
Provider ID: 46846
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Chu, Thomas MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
Provider ID: 9136
License: G68694
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
LAKEWOOD
90712
Duong, Henry OD
5750 Downey Ave Ste 101
Lakewood, CA 90712
(844) 211-5462
Provider ID: 248036
License: OPT15047
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 100change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 28-JAN-20
MONTEBELLO
90640
Duong, Henry OD
1717 W Beverly Blvd Ste A
Montebello, CA 90640
(844) 211-5462
Provider ID: 248035
License: OPT15047
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Kennedy, Devon OD
100 E California Blvd
Pasadena, CA 91105
(800) 898-2020
Provider ID: 252514
License: OPT34233
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
MONTEBELLO
90640
Thropay, John MD
120 W Beverly Blvd
Montebello, CA 90640
(323) 724-8780
Provider ID: 209093
License: G32178
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cambodian,
Gujarati, Hindi, Korean,
Mandarin, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 101change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
POMONA
91768
Wali, Autar MD
155 W Willow St
Pomona, CA 91768
(909) 868-2626
Provider ID: 247274
License: A32290
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
LOS ANGELES
90017
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 9706
License: 20A6818
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Scott, Dana MD
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 114030
License: A100321
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 102change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-VAN NUYS
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Dermatology
SHERMAN OAKS
91403
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403
(818) 906-6900
License: A77571
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
91203
Arcia, John MD
435 Arden Ave Ste 380
Glendale, CA 91203
(818) 244-9575
License: G70558
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
TARZANA
91356
Ahoubim, Daniel MD
18370 Burbank Blvd Ste 414
Tarzana, CA 91356
(818) 877-7715
License: A144380
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Hebrew
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 103change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-VAN NUYS
VAN NUYS
Ophthalmology
TORRANCE
91405
Delshad, George MD
15211 Vanowen St Ste 310
Van Nuys, CA 91405
(818) 830-6970
License: G83566
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90505
Liao, David MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
License: A112736
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Russian, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
PORTER RANCH
91326
Eghbalieh, Sammy MD
19950 Rinaldi St # 101d
Porter Ranch, CA 91326
(818) 900-6480
License: A133688
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
LOS ANGELES
90017
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 104change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-VAN NUYS
Los Angeles, CA 90017
(213) 670-7675
License: 20A6818
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 105change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT NWOC MEDICAL GROUP-LA
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
CITY OF INDUSTRY
91748
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA 91748
(323) 221-8000
License: A69909
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Cantonese,
Chinese, Korean, Mandarin,
Serbo-Croatian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DOWNEY
90241
Davis, Michael MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 106change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT NWOC MEDICAL GROUP-LA
demographic, phone and/or
panel status.
Suk, Kevin MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
License: A114509
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105
(800) 898-2020
License: A124192
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91767
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767
(800) 898-2020
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
MONTEBELLO
90640
Thropay, John MD
120 W Beverly Blvd
Montebello, CA 90640
(323) 724-8780
License: G32178
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 107change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT NWOC MEDICAL GROUP-LA
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cambodian,
Gujarati, Hindi, Korean,
Mandarin, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 108change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
PRIMARY CARE PHYSICIANS
Family Practice
NORWALK
90650
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 129300
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 107467
License: A16990
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEBELLO
90640
Gonzalez, Enrique MD
120 S Montebello Blvd
Montebello, CA 90640
(310) 991-7718
Provider ID: 119226
License: G74790
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 109change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
Cardiology
LOS ANGELES
90033
Bansal, Eric MD
1701 E Cesar E Chavez Ave
Ste 125
Los Angeles, CA 90033
(323) 441-1122
Provider ID: 253247
License: A122292
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 28-FEB-20
Dermatology
SHERMAN OAKS
91403
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403
(818) 906-6900
Provider ID: 23833
License: A77571
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
WHITTIER
90605
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605
(562) 945-2833
Provider ID: 22457
License: A36074
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Hebrew,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
LOS ANGELES
90045
Ojuri, Adebambo MD
8110 Airport Blvd Fl 2
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 110change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
Los Angeles, CA 90045
(310) 674-0144
Provider ID: 15391
License: A46336
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Farsi, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 45405
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
MISSION HILLS
91345
Ahoubim, Daniel MD
11550 Indian Hills Rd Ste 200
Mission Hills, CA 91345
(818) 877-7758
Provider ID: 253009
License: A144380
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Hebrew
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 25-FEB-20
TARZANA
91356
Ahoubim, Daniel MD
18370 Burbank Blvd Ste 414
Tarzana, CA 91356
(818) 877-7715
Provider ID: 242049
License: A144380
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Hebrew
Cultural Competency: NR
Accessibility: B; Members
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 111change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
VAN NUYS
91405
Delshad, George MD
15211 Vanowen St Ste 310
Van Nuys, CA 91405
(818) 830-6970
Provider ID: 252901
License: G83566
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
CITY OF INDUSTRY
91748
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA 91748
(323) 221-8000
Provider ID: 244379
License: A69909
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Cantonese,
Chinese, Korean, Mandarin,
Serbo-Croatian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DOWNEY
90241
Davis, Michael MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 62265
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 112change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Suk, Kevin MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 202181
License: A114509
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105
(800) 898-2020
Provider ID: 126430
License: A124192
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91767
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767
(800) 898-2020
Provider ID: 46846
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 113change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
90505
Chu, Thomas MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
Provider ID: 9136
License: G68694
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Liao, David MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
Provider ID: 48973
License: A112736
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Russian, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tabandeh, Homayoun MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
Provider ID: 115225
License: A89087
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Chinese, Farsi, Korean,
Mandarin, Russian, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
PASADENA
91105
Kennedy, Devon OD
100 E California Blvd
Pasadena, CA 91105
(800) 898-2020
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 114change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
Provider ID: 252515
License: OPT34233
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN PEDRO
90732
Wong, Sharon OD
1360 W 6th St Ste 165
San Pedro, CA 90732
(800) 898-2020
Provider ID: 244000
License: OPT15137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Wong, Sharon OD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
Provider ID: 244003
License: OPT15137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
LOS ANGELES
90004
Lim, Thomas DPM
3367 W 1st St Ste 201
Los Angeles, CA 90004
(213) 483-4246
Provider ID: 248437
License: DPM4612
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 115change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
demographic, phone and/or
panel status.
SHERMAN OAKS
91403
Lim, Thomas DPM
4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403
(800) 989-0225
Provider ID: 248436
License: DPM4612
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Korean,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEBELLO
90640
Thropay, John MD
120 W Beverly Blvd
Montebello, CA 90640
(323) 724-8780
Provider ID: 209091
License: G32178
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cambodian,
Gujarati, Hindi, Korean,
Mandarin, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
Surgery General Vascular
PORTER RANCH
91326
Eghbalieh, Sammy MD
19950 Rinaldi St # 101d
Porter Ranch, CA 91326
(818) 900-6480
Provider ID: 116476
License: A133688
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
POMONA
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 116change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
91768
Wali, Autar MD
155 W Willow St
Pomona, CA 91768
(909) 868-2626
Provider ID: 247273
License: A32290
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
MONTEREY PARK
91754
Chou, Arthur MD
605 N Garfield Ave Ste 1f
Monterey Park, CA 91754
(626) 768-7373
Provider ID: 248076
License: A111306
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Thoracic
HOLLYWOOD
90028
Marmureanu, Alexandru MD
6253 Hollywood Blvd Apt 1108
Hollywood, CA 90028
(310) 208-4400
Provider ID: 203277
License: A72254
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Greek, Italian, Romanian,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
LOS ANGELES
90017
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 9706
License: 20A6818
Credentials and/or board
certification: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 117change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Scott, Dana MD
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 114030
License: A100321
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 118change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-DAEHAN
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
MONTEBELLO
90640
Thropay, John MD
120 W Beverly Blvd
Montebello, CA 90640
(323) 724-8780
License: G32178
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cambodian,
Gujarati, Hindi, Korean,
Mandarin, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 119change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
PRIMARY CARE PHYSICIANS
Family Practice
DOWNEY
90240
Rubinson, William MD
8500 Florence Ave Ste 101
Downey, CA 90240
(562) 923-6060
Provider ID: 245399
License: A16990
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Gujarati, Hebrew, Hindi,
Marathi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90023
Shah, Kiritkumar MD
3444 Whittier Blvd
Los Angeles, CA 90023
(323) 268-6751
Provider ID: 240444
License: A36850
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Infectious Disease
LA PUENTE
91744
Chauhan, Bharat MD
18335 E Valley Blvd
La Puente, CA 91744
(626) 810-3330
Provider ID: 117306
License: A64947
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Gujarati,
Hindi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 120change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
Ophthalmology
CITY OF INDUSTRY
91748
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA 91748
(323) 221-8000
Provider ID: 244382
License: A69909
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Cantonese,
Chinese, Korean, Mandarin,
Serbo-Croatian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DOWNEY
90241
Davis, Michael MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 62265
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Suk, Kevin MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 202185
License: A114509
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LONG BEACH
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 121change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
90808
Renner, Morgan MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
Provider ID: 205456
License: A142841
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90031
Alasil, Tarek MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-6121
Provider ID: 207068
License: A108797
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Suk, Kevin MD
2400 N Broadway
Los Angeles, CA 90031
(800) 898-2020
Provider ID: 205419
License: A114509
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105
(800) 898-2020
Provider ID: 126430
License: A124192
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 122change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91767
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767
(800) 898-2020
Provider ID: 46846
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Liao, David MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
Provider ID: 48973
License: A112736
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Russian, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
MONTEBELLO
90640
Thropay, John MD
120 W Beverly Blvd
Montebello, CA 90640
(323) 724-8780
Provider ID: 209095
License: G32178
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cambodian,
Gujarati, Hindi, Korean,
Mandarin, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 123change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 124change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-SAN MIGUEL IPA
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiology
LOS ANGELES
90033
Bansal, Eric MD
1701 E Cesar E Chavez Ave
Ste 125
Los Angeles, CA 90033
(323) 441-1122
License: A122292
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 28-FEB-20
Ophthalmology
TORRANCE
90505
Chu, Thomas MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
License: G68694
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Liao, David MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(310) 591-1000
License: A112736
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Russian, Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Novack, Roger MD
3400 Lomita Blvd Ste 202
Torrance, CA 90505
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 125change
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-SAN MIGUEL IPA
(310) 591-1000
License: G53779
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
LOS ANGELES
90033
Najafi, Ali MD
1700 E Cesar E Chavez Ave
Ste 2200
Los Angeles, CA 90033
(323) 264-7600
License: A74093
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 126change
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
PRIMARY CARE PHYSICIANS
Internal Medicine
LOS ANGELES
90026
Filart, Marcel Adrian MD
1711 W Temple St Ste 1070
Los Angeles, CA 90026
(323) 499-1350
Provider ID: 128889
License: A76022
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 74393
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
German, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
CITY OF INDUSTRY
91748
Wainess, Reid MD
17833 Colima Rd
City Of Industry, CA 91748
(323) 221-8000
Provider ID: 205312
License: A108766
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 127change
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
DOWNEY
90241
ENCINO
91316
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Suk, Kevin MD
11525 Brookshire Ave # 201a
Downey, CA 90241
(800) 898-2020
Provider ID: 70207
License: A114509
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Reznik, Alena MD
5353 Balboa Blvd Ste 110
Encino, CA 91316
(323) 644-4445
Provider ID: 248377
License: A113775
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Russian
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 04-FEB-20
Reznik, Jacob MD
5353 Balboa Blvd Ste 110
Encino, CA 91316
(323) 644-4445
Provider ID: 248109
License: A101891
Credentials and/or board
Other Language: Russian
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 29-JAN-20
Varma, Rohit MD
5353 Balboa Blvd Ste 110
Encino, CA 91316
(323) 644-4445
Provider ID: 248449
License: A52885
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Punjabi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 128change
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90015
Gallemore, Ron MD
1414 S Grand Ave Ste 105
Los Angeles, CA 90015
(213) 749-5555
Provider ID: 103188
License: G78240
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Italian,
Japanese, Korean,
Mandarin, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Deafness or Hard-of-Hearing,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90020
Roe, Richard MD
505 S Virgil Ave Ste 300
Los Angeles, CA 90020
(213) 384-5222
Provider ID: 248243
License: A95880
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90027
Varma, Rohit MD
1300 N Vermont Ave Ste 101
Los Angeles, CA 90027
(323) 644-4445
Provider ID: 242381
License: A52885
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Punjabi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 129change
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
panel status.
90031
Alasil, Tarek MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-6121
Provider ID: 245336
License: A108797
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-6121
Provider ID: 70044
License: A108766
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105
(800) 898-2020
Provider ID: 243945
License: A124192
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Varma, Rohit MD
625 S Fair Oaks Ave
Pasadena, CA 91105
(323) 644-4445
Provider ID: 252335
License: A52885
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Punjabi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 130change
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91767
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767
(800) 898-2020
Provider ID: 245774
License: A111866
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vadrevu, Vijayalakshmi MD
160 E Artesia St Ste 120
Pomona, CA 91767
(909) 629-5965
Provider ID: 239327
License: C52114
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Telugu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
CITY OF INDUSTRY
91748
Tran, Henry OD
17833 Colima Rd
City Of Industry, CA 91748
(323) 221-8000
Provider ID: 244346
License: OPT15159
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
91316
Esfahani, Ora OD
5353 Balboa Blvd Ste 110
Encino, CA 91316
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 131change
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
(323) 644-4445
Provider ID: 248316
License: OPT33522
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
French, Persian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90027
Esfahani, Ora OD
1300 N Vermont Ave Ste 101
Los Angeles, CA 90027
(833) 270-3937
Provider ID: 248312
License: OPT33522
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
French, Persian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN PEDRO
90732
Wong, Sharon OD
1360 W 6th St Ste 165
San Pedro, CA 90732
(800) 898-2020
Provider ID: 240486
License: OPT15137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Wong, Sharon OD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
Provider ID: 240487
License: OPT15137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 132change
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
in the provider record; panel status. panel status.
demographic, phone and/or
panel status. Urology
LOS ANGELES
90017
Pediatric Cardiology
PASADENA
91105
De Oliveira, Elizabeth MD
50 Bellefontaine St Ste 405
Pasadena, CA 91105
(626) 769-9259
Provider ID: 242100
License: C50168
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Farsi, German, Portuguese,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Kowalczyk, John DO
1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017
(213) 670-7675
Provider ID: 246362
License: 20A6818
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Polish,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 133change
LOS ANGELES COUNTY MEDICAL GROUPS TORRANCE HEALTH IPA
PRIMARY CARE PHYSICIANS
Family Practice
TORRANCE
90505
Yu, Michael MD
3333 Skypark Dr Ste 100
Torrance, CA 90505
(310) 784-6300
Provider ID: 70433
License: A80648
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CARSON
90745
Aguinaldo, Estrella MD
23517 Main St Ste 104
Carson, CA 90745
(310) 233-2555
Provider ID: 43485
License: A56493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Samoan,
Spanish, Tagalog
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Khan, Sadia MD
3400 Lomita Blvd Ste 104
Torrance, CA 90505
(310) 784-8000
Provider ID: 252281
License: A113528
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Spanish, Urdu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 07-FEB-20
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Obstetrics / Gynecology Internal Medicine
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 134change
LOS ANGELES COUNTY MEDICAL GROUPS TORRANCE HEALTH IPA
Djapri, Christine MD
3440 Lomita Blvd Ste 427
Torrance, CA 90505
(310) 325-9400
Provider ID: 248204
License: A138533
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Indonesian, Mandarin,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
Striplin, Donald MD
23560 Crenshaw Blvd Ste 102
Torrance, CA 90505
(310) 784-2355
Provider ID: 253089
License: G75766
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Dutch
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 135change
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
AGOURA HILLS
91301
Vu, Hoang LAc;DOM
30200 Agoura Rd Ste 140
Agoura Hills, CA 91301
(818) 852-7159
www.doctorgu.com
License: AC16311
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8AM-6PM, SA
8AM-2PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ALHAMBRA
91801
Chang, Chung Young LAc
1000 S Garfield Ave
Alhambra, CA 91801
(626) 281-3383
www.TzuchiMedicalGroup.co
m
License: AC8360
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 8AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Jeng-shiang LAc
1000 S Garfield Ave
Alhambra, CA 91801
(626) 281-3383
www.touchiclinics.org
License: AC10577
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 8AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Fu, Michael DC
1300 E Main St Ste 110
Alhambra, CA 91801
(626) 588-2101
License: DC25694
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9:30AM-7PM, SA
9AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
136
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lai, Yi-hsien LAc
1000 S Garfield Ave
Alhambra, CA 91801
(626) 281-3383
http://www.tzuchiclinics.org/
License: AC8087
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 8AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Chi-yi LAc
1000 S Garfield Ave
Alhambra, CA 91801
(626) 281-3383
www.tzuchimedicalfoundatio
n.org
License: AC8867
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 8AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Steven LAc
1000 S Garfield Ave
Alhambra, CA 91801
(626) 281-3383
License: AC14534
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 8AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wang, Chiao-nien LAc
1000 S Garfield Ave
Alhambra, CA 91801
(626) 281-3383
www.tzuchimedicalgroup.co
m
License: AC4403
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH-SA 8AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
137
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Zhao, Ming LAc
947 E Main St Ste A
Alhambra, CA 91801
(626) 421-7502
WWW.NATURALGOJI.COM
License: AC6045
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 10AM-5:30PM, SA
9:30AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91803
Mo, Solomon LAc
2140 W Valley Blvd
Alhambra, CA 91803
(626) 284-8881
www.solomonmo.com
License: 11598
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W,F 10AM-4PM, SA
9:30AM-1PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
ALTADENA
91001
Fong, Ryan LAc
2177 Lake Ave
Altadena, CA 91001
(323) 423-3061
www.fongacu.com
License: AC13791
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5:30PM, SA
9AM-12:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ARCADIA
91006
Cheng, Ya-wen DC
51 N 5th Ave Ste 305
Arcadia, CA 91006
(626) 292-6899
drcheng.net
License: DC27401
Credentials and/or board
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
138
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
certification: No
Accepting New Members: Yes
Hours: M,TH 9AM-7PM, F,SA
8AM-2PM
PTA: No
Other Language: Spanish,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Chung Morita, Jonie DC
202 S 1st Ave
Arcadia, CA 91006
(626) 235-8818
https://betterhealthchiro.my-fr
ee.website/
License: DC28353
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 9AM-6:30PM, SA
10AM-1PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Feng, Charles DC
202 S 1st Ave
Arcadia, CA 91006
(626) 447-4888
www.allprohealthcenter.com
License: DC29776
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-1PM
PTA: No
Other Language: Chinese,
Vietnamese, Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huang, Yung Ju LAc
115 E Live Oak Ave Ste 200
Arcadia, CA 91006
(626) 674-4081
License: AC14492
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Zhang, Jackie LAc
123 E Duarte Rd
Arcadia, CA 91006
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
139
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
(626) 461-5337
License: AC14189
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-2PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91007
Wong, Thomas DC
612 W Duarte Rd Ste 306
Arcadia, CA 91007
(626) 623-6362
www.facebook.com/pages/c
ategory/Chiropractor/Dr-Th
License: DC30431
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,F 9AM-7PM, W
9AM-12PM, SA 2PM-8PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ARTESIA
90701
Lee, Yang-chau LAc
12225 South St Ste 105
Artesia, CA 90701
(562) 924-7238
www.AcucareAcupuncture.c
om
License: AC8362
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W-F 9AM-6PM, TU
2AM-6PM, SA 2AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BALDWIN PARK
91706
Chen, Yuying LAc
3946 Maine Ave
Baldwin Park, CA 91706
(626) 672-0303
License: AC14906
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish,
Chinese, Mandarin,
Indonesian
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
140
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
demographic, phone and/or
panel status.
BELL GARDENS
90201
Lee, Soo LAc
6303 Eastern Ave
Bell Gardens, CA 90201
(323) 661-0900
License: AC4700
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 10AM-5PM, SA
10AM-1PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Prieto, Enrique DC
8438 Eastern Ave
Bell Gardens, CA 90201
(562) 927-5453
Bebetterchiropractic.com
License: DC34264
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-7PM, SA
9AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
BELLFLOWER
90706
Srisathapat, Amanda LAc
10000 Flower St
Bellflower, CA 90706
(562) 804-3449
License: AC17502
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-12PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Wu, Jay LAc
10000 Flower St
Bellflower, CA 90706
(562) 804-3449
License: AC18639
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
141
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Effective_Date: 01-MAR-20
BURBANK
91504
Wood, Ron DC
1901 N Glenoaks Blvd Ste A
Burbank, CA 91504
(818) 557-1337
www.woodfamilychiropractic.
net
License: DC22897
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM, SA
9AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91505
Kim, Sang Woo LAc
191 S Buena Vista St
Burbank, CA 91505
(818) 561-4733
License: AC9487
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91506
Ho, Diep LAc
2300 W Victory Blvd Ste E
Burbank, CA 91506
(626) 576-4644
License: AC4732
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 9AM-2PM, TU,TH
9AM-7PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, In Sook LAc
2300 W Victory Blvd Ste E
Burbank, CA 91506
(818) 805-6084
License: AC7030
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 10AM-4PM, M-W,F
9AM-5PM, TH 9AM-8PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
142
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
St Juste, Carlo LAc
1220 W Olive Ave
Burbank, CA 91506
(818) 848-2225
www.csjacupuncture.com
License: AC14551
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,F 8AM-11AM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CALABASAS
91302
Long, Billy DC
24007 Ventura Blvd Ste 130
Calabasas, CA 91302
(818) 591-8847
www.longcommunitychiro.co
m
License: DC27936
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM, TU,TH
2:30PM-6:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
CANYON COUNTRY
91387
Kim, A Young LAc
18261 Soledad Canyon Rd
Canyon Country, CA 91387
(661) 251-5930
www.kiacupuncture.com
License: AC10599
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM, TU,TH
9AM-12PM, SA 9AM-1PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Sanchez, Rodrigo DC
18500 Via Princessa Ste 3
Canyon Country, CA 91387
(661) 940-7171
License: DC26487
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
143
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CERRITOS
90703
Lee-shim, Eun Seon LAc
13337 South St Ste 558
Cerritos, CA 90703
(714) 249-5553
License: AC6287
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lee, Kyounghee LAc
13209 South St
Cerritos, CA 90703
(562) 402-5252
License: 11678
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Odvina, Rheamay DC
11341 183rd St
Cerritos, CA 90703
(562) 474-1809
www.themommadoc.com
License: DC33942
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W 9AM-7PM, F
9AM-5PM
PTA: No
Other Language: Tagalog
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Park, Dae LAc
18331 Gridley Rd Ste C
Cerritos, CA 90703
(562) 787-6730
License: AC6077
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
144
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CITY OF INDUSTRY
91745
Pham, Tung LAc
15221 Gale Ave
City Of Industry, CA 91745
(626) 626-5567
License: AC15439
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 3PM-7PM, W,TH
1PM-7PM, F 10AM-2PM
PTA: No
Other Language: Spanish,
Vietnamese, Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91748
Fu, Michael DC
1661 Hanover Rd Ste 225
City Of Industry, CA 91748
(626) 810-8143
License: DC25694
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 10AM-7PM, F
2PM-7PM, SA 10AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hong, Sung Hee LAc
17595 Almahurst St Ste 100b
City Of Industry, CA 91748
(626) 363-4383
License: 15700
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 10AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hong, Sung Hee DC
17595 Almahurst St Ste 100b
City Of Industry, CA 91748
(626) 363-4383
License: DC32324
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 10AM-6PM, SA
10AM-2PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
145
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yin, Li DC
18575 Gale Ave Ste 265
City Of Industry, CA 91748
(626) 623-8684
License: DC34115
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W,F 9AM-7PM, TH,SA
9AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
CLAREMONT
91711
Lee, Li Hung LAc
226 1/2 W Foothill Blvd
Claremont, CA 91711
(818) 928-5338
www.lighthouse68acu.com
License: AC16179
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9:30AM-5PM, SA
9:30AM-1PM
PTA: No
Other Language: Spanish,
Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
COVINA
91723
Joukar, Mehrdad LAc;DOM
275 W San Bernardino Rd
Covina, CA 91723
(626) 967-3553
www.MehrdadJoukar.com
License: AC15905
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Miller, Soo LAc;DOM
275 W San Bernardino Rd
Covina, CA 91723
(626) 967-3553
License: AC9146
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
146
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: M 2PM-5:30PM, F
9AM-1PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DIAMOND BAR
91765
Chung Morita, Jonie DC
1130 S Diamond Bar Blvd
Diamond Bar, CA 91765
(909) 860-1661
http://betterhealthchiro.my-fr
ee.website/
License: DC28353
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6:30PM,
TU,SA 10AM-1PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Siegel, Gregory DC
566 N Diamond Bar Blvd
Diamond Bar, CA 91765
(562) 945-1310
License: DC15681
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 2PM-6:30PM, TH
1:30PM-6:30PM, SA 11AM-3PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DOWNEY
90240
Huynh, Tran LAc
8358 Florence Ave
Downey, CA 90240
(562) 622-4444
www.moralesholistic.com
License: 18362
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-7PM, TU,TH
10AM-7PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lee, Jason LAc
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
147
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
8358 Florence Ave
Downey, CA 90240
(562) 622-4444
www.moralesholistic.com
License: AC18030
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-7PM, TU,TH
10AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Jason DC
8358 Florence Ave
Downey, CA 90240
(562) 622-4444
www.moralesholistic.com
License: DC33980
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-7PM, TU,TH
10AM-7PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90241
Lee, Jin LAc
11422 Old River School Rd
Downey, CA 90241
(562) 928-8969
License: 17961
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-5PM, SA
9AM-12PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Zarrabi, Cathrine DC
11820 Downey Ave
Downey, CA 90241
(562) 927-1116
www.zarrabichiro.com
License: DC23415
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-7PM, TU,TH
2PM-7PM, F 9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
148
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
90242
Bao, Tien DC
12115 Paramount Blvd
Downey, CA 90242
(562) 250-2002
License: DC27009
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DUARTE
91010
Mchaney, John DC
924 Buena Vista St Ste 103
Duarte, CA 91010
(626) 359-3956
www.duartechiropractic.com
License: DC29560
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 10AM-7PM,
TU,TH-SA 10AM-2PM
PTA: No
Other Language: Spanish,
Persian, Classical Armenian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
EAGLE ROCK
90041
Tajyar, Amber LAc
2501 Colorado Blvd Ste E
Eagle Rock, CA 90041
(323) 687-3222
License: AC4905
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: F 1AM-7PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL MONTE
91731
Cade, Charlene LAc
10119 Valley Blvd
El Monte, CA 91731
(323) 226-0188
www.bencaotang.org
License: AC7326
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
149
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Kwon, Sang Hyeuk LAc
10933 Main St Unit D7
El Monte, CA 91731
(626) 442-1321
License: AC18392
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 10AM-6:30PM, W-F
10AM-7PM, SA 10AM-5PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Soo LAc
10958 Ramona Blvd
El Monte, CA 91731
(323) 661-0900
License: AC4700
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 10AM-5PM, SA
10AM-1PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91733
Chen, Yuying LAc
10349 Garvey Ave
El Monte, CA 91733
(626) 672-0303
License: AC14906
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish,
Chinese, Mandarin,
Indonesian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
91316
Bui, Tan DC
5435 Balboa Blvd Ste 207
Encino, CA 91316
(818) 650-8081
License: DC32021
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8AM-6PM, SA
8AM-12PM
PTA: No
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
150
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91436
Kim, Young LAc
16250 Ventura Blvd Ste 450
Encino, CA 91436
(818) 809-1009
www.abcherb.com
License: AC17165
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-7PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GARDENA
90247
Choi, Ki LAc;DOM
2015 W Redondo Beach Blvd
Ste F
Gardena, CA 90247
(424) 340-9357
License: AC17012
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Jung, Ji Hwan LAc
1251 W Redondo Beach Blvd
Fl 3
Gardena, CA 90247
(310) 965-0500
License: AC14041
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Kim, Daniel LAc
2015 W Redondo Beach Blvd
Ste F
Gardena, CA 90247
(424) 340-9357
License: AC13813
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
151
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Kim, William June-ki LAc
2015 W Redondo Beach Blvd
Ste F
Gardena, CA 90247
(424) 340-9357
License: AC5763
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W-F 9:30AM-6:30PM,
TU 9:30AM-6PM, SA
9:30AM-3:30PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Oh, Meesuk LAc
2015 W Redondo Beach Blvd
Ste F
Gardena, CA 90247
(424) 340-9357
License: AC17055
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W-F 9:30AM-6:30PM,
TU 9AM-6:30PM, SA
9:30AM-3:30PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Oh, Se Yeong LAc
2015 W Redondo Beach Blvd
Ste F
Gardena, CA 90247
(424) 340-9357
danielacu.com
License: AC10176
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9:30AM-6:30PM, SA
9:30AM-3:30PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
91201
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
152
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Frame, Katherine LAc
1620 Victory Blvd
Glendale, CA 91201
(818) 244-7600
glendalechirocare.com
License: 13647
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5:30PM, SA
8AM-1PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91202
Choe, Dong DC
1111 N Brand Blvd Ste 402
Glendale, CA 91202
(818) 243-6206
www.gkchiro.com
License: DC30548
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH 9AM-6PM, W,SA
9AM-2PM, F 9AM-1PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91203
Joukar, Mehrdad LAc;DOM
411 N Central Ave Ste 610
Glendale, CA 91203
(818) 244-6792
www.MehrdadJoukar.com
License: AC15905
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Miller, Soo LAc;DOM
411 N Central Ave Ste 610
Glendale, CA 91203
(818) 244-6792
License: AC9146
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-1PM, F
1:30PM-5:30PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
153
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
91204
Canabal, Manuel LAc
1220 S Central Ave Ste 104
Glendale, CA 91204
(818) 240-7511
License: AC12605
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 8AM-1:30PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yaghjian, Ara DC
706 W Broadway Ste 100
Glendale, CA 91204
(818) 247-9097
License: DC14289
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 4PM-6PM, TU,TH
10AM-12PM
PTA: No
Other Language: Arabic,
Classical Armenian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91205
Mesrkhani, Razmik DC
520 E Broadway Ste 302
Glendale, CA 91205
(818) 247-3118
www.oxfordhealth4u.com
License: DC23910
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Persian,
Classical Armenian
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91208
Jacobs, Bruce DC
3510 1/2 Ocean View Blvd
Glendale, CA 91208
(818) 248-0887
License: DC22375
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lee, In Sook LAc
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
154
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
1808 Verdugo Blvd Ste 319
Glendale, CA 91208
(818) 805-6084
License: AC7030
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 10AM-4PM, M-F
9AM-5PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
91740
Doty, Brian LAc
1135 E Route 66 Ste 106
Glendora, CA 91740
(626) 382-9715
GlendoraAcupuncture.com
License: AC9049
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-12PM, TU,TH
12:15PM-8PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Doty, Brian LAc
2060 E Route 66 Ste 201
Glendora, CA 91740
(626) 382-9715
GlendoraAcupuncture.com
License: AC9049
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 12:15PM-7PM, TU,TH
9AM-12PM, W 12:15PM-8PM, F
12:15PM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Garay, Jose DC
2220 E Route 66 Ste 225
Glendora, CA 91740
(626) 914-5881
License: DC34320
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
155
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Effective_Date: 01-MAR-20
91741
Choi, Jungsook LAc
640 W Foothill Blvd Ste 101
Glendora, CA 91741
(323) 877-6420
License: 11712
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Garay, Jose DC
230 N Glendora Ave
Glendora, CA 91741
(626) 914-5881
License: DC34320
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 9AM-6PM, F
9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Seok, Puchun LAc
242 S Glendora Ave
Glendora, CA 91741
(626) 335-1918
License: AC11582
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-3PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GRANADA HILLS
91344
Liptawat, Jennifer LAc
10515 Balboa Blvd Ste 355
Granada Hills, CA 91344
(818) 360-0025
License: 18409
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
156
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
HACIENDA HEIGHTS
91745
Fu, Rongpin LAc
2373 S Hacienda Blvd
Hacienda Heights, CA 91745
(626) 977-9188
License: 18012
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5:30PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Hong, Zhen-li LAc
2020 S Hacienda Blvd Ste D
Hacienda Heights, CA 91745
(626) 855-1158
License: AC5692
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-7PM, SA
8:30AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huang, Yung Ju LAc
3150 Colima Rd Ste C
Hacienda Heights, CA 91745
(626) 674-4081
License: AC14492
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 1PM-6PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Huo, Wayne LAc
2020 S Hacienda Blvd Ste D
Hacienda Heights, CA 91745
(626) 855-1158
License: AC16081
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-7PM, SA
8:30AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
157
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Liaw, Yih-jenn LAc
1617 S Azusa Ave
Hacienda Heights, CA 91745
(323) 616-8555
License: AC4599
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lin, Charles DC
2020 S Hacienda Blvd Ste D
Hacienda Heights, CA 91745
(626) 855-1158
License: DC26220
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-7PM, SA
8:30AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lu, Yang LAc
2020 S Hacienda Blvd Ste D
Hacienda Heights, CA 91745
(626) 855-1558
License: AC18057
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-7PM, SA
8:30AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yang, Jor Hwa Lin LAc
16404 Colima Rd 1st Fl
Hacienda Heights, CA 91745
(626) 617-6341
License: AC08282
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
HAWTHORNE
90250
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
158
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hogan, James DC
5400 W Rosecrans Ave
Hawthorne, CA 90250
(310) 699-9299
License: DC30436
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
HERMOSA BEACH
90254
Son, Jong Soo LAc
555 Pier Ave Ste 1
Hermosa Beach, CA 90254
(800) 385-1130
www.elimacu.com
License: 13324
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
HUNTINGTON PARK
90255
Kim, Don LAc
7128 Pacific Blvd Ste H
Huntington Park, CA 90255
(615) 573-0277
License: AC08476
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
IRWINDALE
91706
Oh, Ruth LAc
5345 Irwindale Ave
Irwindale, CA 91706
(626) 960-5361
www.healthpointe.net
License: 07498
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SU 8AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
LA CANADA FLINTRIDGE
91011
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
159
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Kim, Seog DC
1039 Foothill Blvd
La Canada Flintridge, CA
91011
(818) 790-4011
License: DC27463
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
LAKEWOOD
90712
Feng, Charles DC
5220 Clark Ave Ste 445
Lakewood, CA 90712
(562) 867-6183
www.allprohealthcenter.com
License: DC29776
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-1PM
PTA: No
Other Language: Chinese,
Vietnamese, Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LANCASTER
93534
Bracamontes, Raymond DC
42283 10th St W Ste 107
Lancaster, CA 93534
(661) 949-9655
www.fryechiropractic.com
License: DC25551
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 8AM-7PM, TU,TH
3PM-7PM, F 8AM-12PM, SA
8AM-9AM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Mooney, Andrew DC
412 W Avenue J Ste F
Lancaster, CA 93534
(818) 830-0027
License: DC29078
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH 9AM-5PM, W
9AM-2PM, F 9AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
160
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sanchez, Rodrigo DC
42544 10th St W Ste G
Lancaster, CA 93534
(661) 940-7171
License: DC26487
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 8AM-6PM, TU,TH
9AM-5PM, F 8AM-3PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LAWNDALE
90260
Zarrabi, Cathrine DC
15725 Hawthorne Blvd Ste 106
Lawndale, CA 90260
(310) 650-9068
www.zarrabichiro.com
License: DC23415
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-7PM, TU,TH
2PM-7PM, F 9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOMITA
90717
Shin, Youn Jung LAc
2040 Pacific Coast Hwy Ste R
Lomita, CA 90717
(310) 257-9080
License: AC12368
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,SA 9AM-1PM, TU,W,F
9AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
LONG BEACH
90802
Park, Jea Young LAc
57 Long Beach Blvd
Long Beach, CA 90802
(562) 436-8881
purewaveacupuncture.com
License: AC10228
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH,F 2PM-7PM, W
10AM-2PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
161
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90803
Lin, Steven LAc
5855 E Naples Plz Ste 111
Long Beach, CA 90803
(562) 888-3399
License: AC14534
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 10AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90806
Uong, Rene DC
2760 E Spring St Ste 150
Long Beach, CA 90806
(562) 424-1200
License: DC28752
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90807
Butts, Myron LAc
4028 Long Beach Blvd Ste 202
Long Beach, CA 90807
(562) 981-0555
License: AC12860
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F,SA 8AM-6PM,
TU,TH 10AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Butts, Myron DC
4028 Long Beach Blvd Ste 202
Long Beach, CA 90807
(562) 981-0555
License: DC30680
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F,SA 8AM-6PM,
TU,TH 10AM-6PM
PTA: No
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
162
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Johnson, Brock DC
3505 Long Beach Blvd Ste 1d
Long Beach, CA 90807
(562) 912-4225
License: DC30300
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F,SA 9AM-5PM,
TU,TH 12PM-8PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Long, Mary LAc
4301 Atlantic Ave Ste 5
Long Beach, CA 90807
(562) 888-9933
drmarylong.wixsite.com/acup
uncture
License: AC18298
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,W 9AM-6PM, TH
10AM-6:30PM, F 9AM-12PM, SA
9AM-11:30AM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Nomura, Yoko LAc
3490 Linden Ave Ste 3
Long Beach, CA 90807
(310) 920-8761
License: AC16988
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH,F 9:30AM-6PM
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Wang, Yang LAc
3505 Long Beach Blvd Ste 2d
Long Beach, CA 90807
(562) 424-5505
www.simplehealthlb.com
License: 18654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
163
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90808
Eskilson, Emma DC
3816 Woodruff Ave Ste 202
Long Beach, CA 90808
(562) 420-5433
License: DC34631
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90813
Yeganeh Hajahmadi,
Mahmoud LAc
980 Atlantic Ave Fl 3
Long Beach, CA 90813
(562) 624-0776
License: AC15561
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90815
Blakely, David DC
2220 Clark Ave
Long Beach, CA 90815
(562) 597-4181
License: DC13938
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: EB, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dawson, Jonathan DC
5512 E Britton Dr Ste 100
Long Beach, CA 90815
(949) 600-7988
www.lifechoicewellnesscenter
.com
License: DC32839
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
164
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Steven LAc
2700 N Bellflower Blvd Ste 116
Long Beach, CA 90815
(562) 888-3399
License: AC14534
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TH 10AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lorenzo, Keola DC
2221 Palo Verde Ave Ste 1j
Long Beach, CA 90815
(562) 795-7007
healthatlastusa.com/longbea
ch
License: DC34469
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 8AM-5PM, TU,TH
8AM-6PM, F 7AM-4PM, SA
8AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
LOS ANGELES
90005
Kim, Chul Un LAc
711 S Vermont Ave Ste 113
Los Angeles, CA 90005
(213) 718-2115
License: 12738
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SU 8AM-8PM
PTA: No
Other Language: Japanese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lee, Jay LAc
680 Wilshire Pl Ste 312
Los Angeles, CA 90005
(213) 268-7838
www.happymind4you.com
License: AC13859
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-6PM, W
2PM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
165
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90006
Chuang, Gina Hua Qin LAc
2140 W Olympic Blvd Ste 200
Los Angeles, CA 90006
(213) 804-1684
License: AC7175
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 8AM-2PM,
TU,TH,SA 8AM-6PM
PTA: No
Other Language: Chinese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, William June-ki LAc
1940 W Olympic Blvd
Los Angeles, CA 90006
(213) 389-3929
License: AC5763
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-4PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Miran LAc
3030 W Olympic Blvd Ste 201
Los Angeles, CA 90006
(213) 399-8575
License: AC10233
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Oh, Se Yeong LAc
1940 W Olympic Blvd
Los Angeles, CA 90006
(213) 389-3929
License: AC10176
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-3PM
PTA: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
166
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ryu, Hu Ki LAc
2655 W Olympic Blvd Ste 205
Los Angeles, CA 90006
(213) 820-6040
hillsacupuncture.com
License: AC10645
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 10AM-6PM, W,F
9AM-6PM
PTA: No
Other Language: Chinese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Son, Jong Soo LAc
2897 W Olympic Blvd Ste 202
Los Angeles, CA 90006
(800) 385-1130
www.elimacu.com
License: 13324
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,SA 9AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Woo, Young Uk LAc
1940 W Olympic Blvd
Los Angeles, CA 90006
(213) 389-3929
License: 10267
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 9AM-6PM, SA
9AM-1PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90007
Lee, Miran LAc
2716 S Vermont Ave Ste 1
Los Angeles, CA 90007
(213) 399-8575
License: AC10233
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,SA 9AM-12PM,
W,TH 9AM-5PM
PTA: No
Other Language: Spanish,
Korean
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
167
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90010
Cho, Eun LAc
3020 Wilshire Blvd Ste 222
Los Angeles, CA 90010
(213) 389-3003
www.okbalance.com
License: AC12268
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-6PM, SA
10AM-3PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Jung, Inho LAc
3545 Wilshire Blvd Ste 210
Los Angeles, CA 90010
(213) 605-1133
www.jungacupuncturegroup.
com
License: AC16791
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 9:30AM-6:30PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Park, Jae LAc
3020 Wilshire Blvd Ste 222
Los Angeles, CA 90010
(213) 389-3003
License: AC11917
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-6PM, SA
10AM-3PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90019
Choi, Soyoung LAc
1550 4th Ave
Los Angeles, CA 90019
(562) 373-6650
www.choyacu.com
License: AC17409
Credentials and/or board
certification: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
168
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accepting New Members: Yes Effective_Date: 01-MAR-20 Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA Hours: M-SA 9AM-6PM
9AM-2PM PTA: No
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Chung, Wanmi LAc
1723 S Bronson Ave
Los Angeles, CA 90019
(323) 854-8814
License: 18445
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Kim, Jae LAc
3400 W Olympic Blvd
Los Angeles, CA 90019
(213) 365-2277
License: AC4989
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-3PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lee, Yun Soo LAc
903 Crenshaw Blvd Ste 206b
Los Angeles, CA 90019
(888) 600-2545
License: AC11273
Credentials and/or board
certification: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Sin, Sun LAc
4077 W Pico Blvd
Los Angeles, CA 90019
(323) 733-0471
villagehealthfdn.org
License: AC9079
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 9AM-5PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
169
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90020
Hea, Jean DC
505 Shatto Pl Ste 200a
Los Angeles, CA 90020
(213) 800-3992
License: DC29584
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 10AM-6PM, F
10AM-1PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Joung, Junkyoung LAc
505 Shatto Pl Ste 200a
Los Angeles, CA 90020
(213) 277-1830
License: AC4907
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Kim, Chel LAc
520 S Virgil Ave Ste 503
Los Angeles, CA 90020
(323) 677-4900
www.jasengusa.com
License: AC11202
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-6PM,
W,SA 9AM-1PM
PTA: No
Other Language: Chinese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Yang, Min Ho LAc
4220 W 3rd St Ste 205
Los Angeles, CA 90020
(213) 718-2259
www.acussinsa.com
License: AC13742
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
170
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
accessibility indicators are not www.activebodychirocare.co
present. m
UPDATE: NEW Provider Added. License: DC30436
90024
Goel, Nadia DC
Effective_Date: 01-MAR-20
90023
Garcia, Jennifer LAc
810 S Indiana St
Los Angeles, CA 90023
(323) 835-7404
www.jennygarciaacupunctur
e.com
License: AC17088
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH,F 10AM-7PM
PTA: No
Other Language: Spanish,
Portuguese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
1722 Westwood Blvd Ste 201
Los Angeles, CA 90024
(310) 441-4000
www.drnadiagoel.com
License: DC26550
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-5PM, TU,TH
2PM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hogan, James DC
10960 Wilshire Blvd
Los Angeles, CA 90024
(310) 699-9299
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Kim, William June-ki LAc
1008 Broxton Ave
Los Angeles, CA 90024
(424) 248-3115
License: AC5763
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 10AM-7PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
171
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Oh, Meesuk LAc
1008 Broxton Ave
Los Angeles, CA 90024
(424) 248-3115
License: AC17055
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 10AM-7PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Oh, Se Yeong LAc
1008 Broxton Ave
Los Angeles, CA 90024
(424) 248-3115
danielacu.com
License: AC10176
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W,F 10AM-7PM, SA
10AM-3PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tabibian, Roya DC
1762 Westwood Blvd Ste 110
Los Angeles, CA 90024
(310) 202-2100
doctabibian.com
License: DC25185
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8AM-7PM, SA
8AM-1PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90025
Chung, Anthony LAc
1840 Westwood Blvd
Los Angeles, CA 90025
(310) 473-5533
License: AC8960
Credentials and/or board
certification: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
172
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accepting New Members: Yes
Hours: M-SU 10AM-10PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Evans, Sanae LAc
2001 S Barrington Ave Ste 118
Los Angeles, CA 90025
(657) 206-7262
SanaLAcWellness.com
License: 17631
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TH,SU 9AM-5PM
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Ide, Nobuko LAc
1976 S Sepulveda Blvd
Los Angeles, CA 90025
(310) 421-8405
www.nobukoacu.com
License: 14934
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TH 1PM-6PM, TU
3PM-6PM, W,F 8AM-6PM, SA
12PM-6PM
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Kimia, Roy LAc
11540 Santa Monica Blvd Ste
203
Los Angeles, CA 90025
(424) 274-2632
www.kimiawellness.com
License: AC17546
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 3PM-7PM, M-TH
8AM-7PM, F 8AM-3PM
PTA: No
Other Language: Persian,
Hebrew
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lin, Yu-chen LAc
2130 Sawtelle Blvd Ste 306
Los Angeles, CA 90025
(310) 477-5899
License: AC4836
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
173
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: TU,TH 10:30AM-8PM, SA
10AM-6PM
PTA: No
Other Language: Chinese,
Mandarin, Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Li, Jack DC
12340 Santa Monica Blvd Ste
130
Los Angeles, CA 90025
(310) 207-1007
http://www.drjacklidc.com
License: DC31142
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 10AM-7PM, TH
10:30AM-7PM, SA 9AM-3PM
PTA: No
Other Language: Spanish,
Chinese, Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90026
Reinherz, Ira DC
120 N Alvarado St
Los Angeles, CA 90026
(213) 353-0200
License: DC18605
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8:30AM-5PM, SA
8:30AM-1PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90027
Quach, Sarika LAc
4443 Ambrose Ave
Los Angeles, CA 90027
(213) 600-8288
www.somaacuwellness.com
License: 18440
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90028
Seo, Jung Eun LAc
1601 N Gower St Ste 103
Los Angeles, CA 90028
(323) 247-9232
License: 16087
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
174
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: M-F 8AM-5PM, SA UPDATE: NEW Provider Added. www.drwhaitedc.com
8AM-1PM Effective_Date: 01-MAR-20 License: DC32539
PTA: No
Other Language: Korean
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90029
Lee, Soo LAc
1233 N Vermont Ave Ste 4
Los Angeles, CA 90029
(323) 661-0900
License: AC4700
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-6PM, SA
10AM-3PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
90035
Das, Tara LAc
1155 S Beverly Dr
Los Angeles, CA 90035
(323) 538-0024
www.robertyoungsacupunctu
re.com
License: AC18304
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Whaite, Sommer DC
822 S Robertson Blvd Ste 300
Los Angeles, CA 90035
(323) 989-3551
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90036
Cheung, John LAc
5486 Wilshire Blvd
Los Angeles, CA 90036
(323) 954-8800
generateshen.com
License: 14318
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 8AM-4:30PM, W
2PM-7PM, TH 10AM-10:30PM, F
10AM-4PM, SA
11:30AM-3:30PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
175
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
PTA: No
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Jolly, Cara LAc
5486 Wilshire Blvd
Los Angeles, CA 90036
(323) 954-8800
License: 15026
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 8AM-8PM
PTA: No
Cultural Competency: NR
Accessibility: R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Zarrabi, Cathrine DC
5757 Wilshire Blvd Ste Pr4
Los Angeles, CA 90036
(323) 930-0240
www.zarrabichiro.com
License: DC23415
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-7PM, TU,TH
3PM-7PM, F 9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90037
Lee, Sanghyun LAc
3809 1/2 Flower Dr
Los Angeles, CA 90037
(323) 375-0950
www.insightchoices.com
License: AC16795
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 4PM-9PM, M
8AM-11PM
PTA: No
Other Language: Chinese,
Korean
Cultural Competency: NR
Accessibility: P, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90038
Antoun, Cindy LAc
5600 Santa Monica Blvd Ste
304
Los Angeles, CA 90038
(323) 848-4580
License: AC15991
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 9AM-6PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
176
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
PTA: No
Other Language: Arabic
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90039
Wright, Don DC
3171 Los Feliz Blvd Ste 217
Los Angeles, CA 90039
(818) 281-6990
License: DC29387
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90041
Campins, Monica LAc
1551 Colorado Blvd Ste 206
Los Angeles, CA 90041
(323) 257-1901
www.acupuncturebymeridian
.com
License: AC4679
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 9AM-5PM, SA
9AM-2PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Kim, Hye LAc
2501 Colorado Blvd Ste E
Los Angeles, CA 90041
(310) 292-3754
www.acupuncturemore.com
License: AC16790
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 10AM-7PM, SA
10AM-5PM
PTA: No
Other Language: Japanese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Santoro, Michelle DC
2501 Colorado Blvd Ste E
Los Angeles, CA 90041
(323) 687-3222
www.optimumhealthchiro.org
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
177
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
License: DC28508
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-7PM
PTA: No
Other Language: Spanish,
Hebrew
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90044
Jung, Inho LAc
6104 S Vermont Ave
Los Angeles, CA 90044
(213) 605-1133
www.jungacupuncturegroup.
com
License: AC16791
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9:30AM-6PM, SA
9:30AM-3PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90045
Cho, Eun LAc
8727 La Tijera Blvd
Los Angeles, CA 90045
(213) 389-3003
www.okbalance.com
License: AC12268
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 10AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nikroo, Alireza DC
8610 S Sepulveda Blvd Ste 204
Los Angeles, CA 90045
(310) 641-0222
License: DC33033
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W-F 8AM-5PM
PTA: No
Other Language: Spanish,
Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
178
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Park, Jae LAc
8727 La Tijera Blvd
Los Angeles, CA 90045
(213) 389-3003
License: AC11917
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 10AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90048
Khoubian, Anjel LAc
8300 W 3rd St
Los Angeles, CA 90048
(323) 653-3344
painreliefcenterla.com
License: AC18513
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 9AM-1PM, M-F
9AM-6PM, SA 9AM-2PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Kravchenko, Mayya DC
6221 Wilshire Blvd Ste 604
Los Angeles, CA 90048
(323) 933-2444
License: DC27793
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-2PM
PTA: No
Other Language: Spanish,
Russian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Marinaro, Thomas DC
8300 W 3rd St
Los Angeles, CA 90048
(323) 653-3344
painreliefcenterla.com
License: DC18522
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-8PM, TU,TH,F
9AM-7PM, SA 9AM-4PM
PTA: No
Other Language: Italian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90049
Yoser, Adam DC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
179
206
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
13050 San Vicente Blvd Ste
Los Angeles, CA 90049
(310) 260-7611
www.brentwoodsportschiropr
actic.com
License: DC20047
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-7PM, SA
9AM-2PM
PTA: No
Other Language: French
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90057
Armani, Robert DC
2010 Wilshire Blvd Ste 506
Los Angeles, CA 90057
(213) 738-1051
www.ArmaniChiropractic.com
License: DC24963
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8:30AM-6:30PM, SA
9AM-2PM
PTA: No
Other Language: Hebrew
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nourian, Kambiz DC
2520 W 8th St Ste 106
Los Angeles, CA 90057
(213) 389-2526
License: DC21764
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rhee, Sophia LAc
1930 Wilshire Blvd Ste 206
Los Angeles, CA 90057
(213) 483-1223
www.sophiaacuclinic.com
License: AC12353
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM, SA
9AM-2PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
180
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Effective_Date: 01-MAR-20
90063
Bao, Tien DC
3800 E Cesar E Chavez Ave
Los Angeles, CA 90063
(323) 264-6296
License: DC27009
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 7AM-5PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90064
Garcia, Jennifer LAc
10801 National Blvd Ste 254
Los Angeles, CA 90064
(323) 835-7404
www.jennygarciaacupunctur
e.com
License: AC17088
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-9PM, F
8AM-12PM
PTA: No
Other Language: Spanish,
Portuguese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Hye LAc
11340 W Olympic Blvd Ste 268
Los Angeles, CA 90064
(310) 292-3754
www.hyewellness.com
License: AC16790
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-6PM
PTA: No
Other Language: Japanese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90066
Angelone, Elisa LAc
12114 Venice Blvd
Los Angeles, CA 90066
(415) 601-9605
www.pinboxacupuncture.co
m
License: 13438
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,TH 3PM-8PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
181
120
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Christie, Connie LAc
12030 W Washington Blvd Ste
Los Angeles, CA 90066
(310) 390-7500
www.acupuncture-rolfing.co
m
License: AC12746
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 9AM-2PM, W
10AM-7PM, TH,F 10AM-5PM, SA
10AM-1PM
PTA: No
Other Language: Spanish,
German
Cultural Competency: NR
Accessibility: R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Das, Tara LAc
12030 W Washington Blvd
Los Angeles, CA 90066
(310) 390-7500
www.acupuncturemarvista.co
m
License: AC18304
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,SA,SU 9AM-2PM, TU
9AM-7PM, W,F 10AM-7PM, TH
9AM-8PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Fox-rabinovich, Lola LAc
3030 Sawtelle Blvd
Los Angeles, CA 90066
(310) 390-9018
www.healthatlastusa.com/wla
License: 18302
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W,F 9AM-7PM, SA
9AM-1PM
PTA: No
Other Language: Russian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gutierrez, Andrew DC
12568 W Washington Blvd Ste
202
Los Angeles, CA 90066
(310) 482-3252
www.brigitterozenbergdc.co
m
License: DC31575
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 8AM-8PM, F
9AM-5PM, SA 9AM-2PM
PTA: No
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
182
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Jiny LAc
3030 Sawtelle Blvd
Los Angeles, CA 90066
(310) 453-8393
healthatlastusa.com
License: 15052
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,W 9AM-7PM, SA
9AM-1PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Orselli, Rachel LAc
3807 Grand View Blvd
Los Angeles, CA 90066
(323) 872-2339
www.acupunctureinla.org
License: AC9366
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-5PM, TU,TH
8AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ramirez, Jessica DC
11321 W Washington Blvd
Los Angeles, CA 90066
(310) 398-0636
pacificwesthealthcenter.com
License: DC23572
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90069
Khoubian, Anjel LAc
8730 W Sunset Blvd
Los Angeles, CA 90069
(323) 302-8221
License: AC18513
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
183
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
LYNWOOD
90262
Higashi, Randy DC
3621 Martin Luther King Jr Blvd
Ste 14
Lynwood, CA 90262
(323) 546-3500
www.rshigashichiropractic.co
m
License: DC26404
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
MONROVIA
91016
Chung Morita, Jonie DC
120 W Olive Ave
Monrovia, CA 91016
(626) 235-8818
https://betterhealthchiro.my-fr
ee.website/
License: DC28353
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 9:30AM-6:30PM, F
2:30AM-6:30PM, SA 9AM-12PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lai, Wes LAc
686 W Foothill Blvd
Monrovia, CA 91016
(626) 281-1588
License: 14105
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 10AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
MONTEREY PARK
91754
Fan, Ting Wen LAc
223 N Garfield Ave Ste 301
Monterey Park, CA 91754
(310) 359-3911
License: 09793
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 2PM-5PM, F 3PM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
184
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lee, Yang-chau LAc
925 S Atlantic Blvd Ste 106
Monterey Park, CA 91754
(626) 679-3636
www.AcucareAcupuncture.c
om
License: AC8362
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,SA 9AM-12PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTROSE
91020
Haas, Bryan DC
2255 Honolulu Ave Ste 2a
Montrose, CA 91020
(818) 957-1217
www.advancedhealthsolution
sla.com
License: DC24395
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 8AM-6PM, TU-TH
9:30AM-6PM, SA 8AM-11AM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Ho, Diep LAc
4142 Ocean View Blvd
Montrose, CA 91020
(626) 576-4644
License: AC4732
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-7PM, F
9AM-1PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NEWHALL
91321
Getting, Michael DC
25078 Peachland Ave Ste E
Newhall, CA 91321
(805) 206-1551
License: DC31713
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
185
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: M,W,F 8AM-5PM, TU,TH
10AM-6PM, SA 9AM-1PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
NORTH HOLLYWOOD
91607
Lee, Hyo LAc
5953 Laurel Canyon Blvd Ste A
North Hollywood, CA 91607
(408) 529-4947
License: AC18006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 9AM-5PM, SA
9AM-2PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTHRIDGE
91324
Ryu, Hu Ki LAc
9535 Reseda Blvd Ste 101
Northridge, CA 91324
(818) 700-0901
License: AC10645
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 10AM-6PM, TU,TH,F
10AM-5PM, W 10AM-12PM, SA
11AM-1PM
PTA: No
Other Language: Chinese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shaw, Ronald DC
19350 Business Center Dr Ste
103
Northridge, CA 91324
(818) 993-3668
License: DC31188
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
PALMDALE
93550
Panoussi, Frank DC
38344 30th St E
Palmdale, CA 93550
(661) 273-1101
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
186
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
www.chiropractorinpalmdale.
com
License: DC23943
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Yeganeh Hajahmadi,
Mahmoud LAc
1850 E Palmdale Blvd
Palmdale, CA 93550
(661) 224-1114
License: AC15561
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PANORAMA CITY
91402
Dasilva, Antonio LAc
13550 Roscoe Blvd Ste 6
Panorama City, CA 91402
(818) 894-4437
advantagehealth.us
License: 12089
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Spanish,
Portuguese, American Sign
Language
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Sako, Manhal DC
8780 Van Nuys Blvd Ste B
Panorama City, CA 91402
(818) 894-3111
License: DC23585
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 8AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
PARAMOUNT
90723
Durrani, Asif DC
16444 Paramount Blvd Ste 103
Paramount, CA 90723
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
187
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
(562) 531-2290
www.drasifsdurranidc.com
License: DC24711
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 1PM-2PM
PTA: No
Other Language: Urdu, Hindi
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Durrani, Asif DC
16209 Paramount Blvd Ste 205
Paramount, CA 90723
(562) 531-2290
License: DC24711
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Urdu, Hindi
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Han, Dong Gwon LAc
16444 Paramount Blvd Ste 208
Paramount, CA 90723
(310) 933-7052
License: 12935
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 10AM-7PM, SA
10AM-5PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
PASADENA
91101
Laveck, Londa LAc
133 S Hudson Ave Ste 4
Pasadena, CA 91101
(562) 760-2338
www.healthybodyandsoul.info
License: AC17034
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Markle, Susan DC
709 E Colorado Blvd Ste 140
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
188
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Pasadena, CA 91101
(626) 310-7700
License: DC16609
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 9AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ren, Jian-ching LAc
80 N Lake Ave Ste 103
Pasadena, CA 91101
(626) 466-5364
License: AC15363
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Chinese
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91104
Laveck, Londa LAc
1452 E Washington Blvd
Pasadena, CA 91104
(562) 760-2338
www.healthybodyandsoul.info
License: AC17034
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 10AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91106
Fong, Ryan LAc
1060 E Green St Ste 106
Pasadena, CA 91106
(323) 423-3061
fongacu.com
License: AC13791
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-12:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Jason LAc
935 E Green St
Pasadena, CA 91106
(626) 796-4141
www.moralesholistic.com
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
189
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
License: AC18030
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-6PM, TU,TH
9AM-7PM, SA 9AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Jason DC
935 E Green St
Pasadena, CA 91106
(626) 796-4141
www.moralesholistic.com
License: DC33980
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-6PM, TU,TH
9AM-7PM, SA 9AM-2PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Morales, Carolina DC
935 E Green St
Pasadena, CA 91106
(626) 796-4141
www.moralesholistic.com
License: DC31297
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-6PM, TU,TH
9AM-7PM, SA 9AM-2PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91107
Lu, Mei LAc
213 N Sierra Madre Blvd
Pasadena, CA 91107
(626) 584-9788
License: AC5891
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W-F 10AM-7PM, SA
10AM-4PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Miller, Pamela LAc
2750 E Washington Blvd Ste
140
Pasadena, CA 91107
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
190
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
(626) 755-9864
www.healmedicalarts.com
License: 03644
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 7AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Smaliy, Yuliya LAc
2595 E Washington Blvd Ste
103
Pasadena, CA 91107
(626) 399-2435
License: AC14343
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH,F 3PM-6PM, SA
8:30AM-1PM
PTA: No
Other Language: Russian,
Ukrainian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yaghjian, Ara DC
2595 E Washington Blvd Ste
103
Pasadena, CA 91107
(626) 798-8951
License: DC14289
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-1PM, TU,TH
2PM-6PM, SA 10AM-12PM
PTA: No
Other Language: Arabic,
Classical Armenian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PLAYA VISTA
90094
Kwon, Yeung LAc
5450 Lincoln Blvd
Playa Vista, CA 90094
(800) 385-1130
www.elimacu.com
License: AC4960
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
191
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
POMONA
91767
Hou, Poyuan LAc
175 W La Verne Ave Ste A
Pomona, CA 91767
(909) 741-7690
www.aeonacupuncture.com
License: AC17667
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91768
Butts, Myron LAc
131 W Willow St
Pomona, CA 91768
(909) 461-6313
License: AC12860
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Butts, Myron DC
131 W Willow St
Pomona, CA 91768
(909) 461-6313
License: DC30680
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Rodriguez, Oscar DC
675 N Park Ave
Pomona, CA 91768
(909) 620-0808
License: DC25613
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
192
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
REDONDO BEACH
90278
Chanthakaew, Umawan LAc
2925 182nd St
Redondo Beach, CA 90278
(310) 283-0618
www.acubodyworks.com
License: AC17867
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 10AM-3PM, M,TH,SA
10AM-8PM
PTA: No
Other Language: Thai
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Orend, Liesel LAc
2009 Artesia Blvd Ste B
Redondo Beach, CA 90278
(310) 372-8020
www.orendhealingarts.com
License: 17254
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-TH 8AM-7PM, F
8AM-12PM, SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
RESEDA
91335
Antoun, Cindy LAc
19231 Victory Blvd Ste 150
Reseda, CA 91335
(818) 492-9383
License: AC15991
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 10:30AM-6PM, TU,TH,F
9AM-6PM
PTA: No
Other Language: Arabic
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Brody, Bruce DC
19231 Victory Blvd Ste 352
Reseda, CA 91335
(818) 887-2225
brucebrodydc.com
License: DC20925
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SU 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
193
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
demographic, phone and/or
panel status.
Chen, Quincy LAc;DOM
7620 Lindley Ave
Reseda, CA 91335
(818) 705-2633
www.ch-acupuncture.com
License: AC2859
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TH 11AM-7PM, TU,F
10AM-7PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Edery, Gabriel DC
7439 Reseda Blvd
Reseda, CA 91335
(818) 345-4924
www.drgabyedery.com
License: DC32583
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 8:30AM-6PM, TU,F
8:30AM-12PM
PTA: No
Other Language: Hebrew
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lu, Yong Jun LAc
19231 Victory Blvd Ste 450
Reseda, CA 91335
(818) 886-8883
northridgeacupuncture.com
License: AC12968
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-5PM, TU-F
7AM-7PM, SA 7AM-2PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Nourian, Kambiz DC
7012 Reseda Blvd Ste D
Reseda, CA 91335
(818) 776-1205
License: DC21764
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
194
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Santoro, Michelle DC
19231 Victory Blvd Ste 255
Reseda, CA 91335
(818) 345-3900
License: DC28508
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-7PM
PTA: No
Other Language: Spanish,
Hebrew
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tajyar, Amber LAc
19231 Victory Blvd Ste 255
Reseda, CA 91335
(818) 345-3900
License: AC4905
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-1PM, TU
1PM-6PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROSEMEAD
91770
Chen, Quincy LAc;DOM
3235 San Gabriel Blvd
Rosemead, CA 91770
(626) 288-1233
www.ch-acupuncture.com
License: AC2859
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: W,SA 11AM-6PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Jing, Ran LAc
7940 Garvey Ave Ste 205
Rosemead, CA 91770
(626) 703-4818
License: 14966
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, W; Members
should call the provider’s
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
195
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Pham, Tung LAc
8966 Garvey Ave Ste I
Rosemead, CA 91770
(626) 626-5567
License: AC15439
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: W,TH,SA,SU 9AM-5PM, M
9AM-1PM, F 2AM-5PM
PTA: No
Other Language: Spanish,
Vietnamese, Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROWLAND HEIGHTS
91748
Fong, Richard LAc
1818 Sierra Leone Ave Ste A
Rowland Heights, CA 91748
(626) 854-3451
License: AC3297
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-2PM, W,F
2PM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Fong, Richard DC
1818 Sierra Leone Ave Ste A
Rowland Heights, CA 91748
(626) 854-3451
License: DC17488
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-1PM, W,F
2PM-6PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hung, Alex LAc;DOM
18369 Colima Rd
Rowland Heights, CA 91748
(909) 973-4819
License: AC15637
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W-SA 10AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
196
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hung, Alex LAc;DOM
1788 Sierra Leone Ave Ste 102
Rowland Heights, CA 91748
(909) 973-4819
License: AC15637
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W-SA 10AM-6PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Jeong, Hoi Jun LAc
1725 Nogales St Ste 105
Rowland Heights, CA 91748
(626) 602-6083
License: 14176
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-2PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tiu, Kai Fong LAc
18938 Labin Ct Ste A205-2
Rowland Heights, CA 91748
(626) 913-9868
License: 04495
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Wang, Ping-long DC
1722 Desire Ave Ste 205
Rowland Heights, CA 91748
(626) 581-3578
License: DC32042
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6:30PM, SA
9AM-1PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
197
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
SAN DIMAS
91773
Movsessian, Claude DC
1305 W Arrow Hwy Ste 106
San Dimas, CA 91773
(626) 331-3988
www.anatomyofhealth.com
License: DC23922
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: German,
Persian, Classical Armenian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN GABRIEL
91775
Yu, Yoshimi LAc
9116 E Fairview Ave
San Gabriel, CA 91775
(626) 215-1577
www.acuhealth2s.com
License: AC9171
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-12PM
PTA: No
Other Language: Chinese,
Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91776
Yang, Alan LAc
919 E Las Tunas Dr
San Gabriel, CA 91776
(626) 675-6299
License: AC10978
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-5PM
PTA: No
Other Language: Chinese,
Japanese
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yao, Chien-kuo LAc
919 E Las Tunas Dr
San Gabriel, CA 91776
(626) 285-0588
License: AC2174
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
198
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: M-F 9AM-6PM, SA
9AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
SAN MARINO
91108
Hsu, Richard LAc
2343 Huntington Dr
San Marino, CA 91108
(626) 793-5700
www.alternativemedicalclinic.
com
License: AC6530
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 9AM-12PM, M,F,SA
9AM-7PM, W 9AM-1PM
PTA: No
Other Language: Spanish,
Chinese
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN PEDRO
90731
Hoinsky, Michelle DC
660 W 7th St
San Pedro, CA 90731
(310) 832-4476
License: DC34090
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,F 10AM-6PM, TU,TH
9:30AM-6PM, W 9:30AM-3PM,
SA 9:30AM-1PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90732
Baez, Maria LAc
1428 W 7th St Ste 4b
San Pedro, CA 90732
(310) 547-2197
sanpedrohealingarts.com
License: AC10137
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-TH 9AM-6PM, F
9AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
SANTA CLARITA
91321
Herta, Kelly DC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
199
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
23043 Lyons Ave
Santa Clarita, CA 91321
(661) 288-0022
www.unruhspinecenter.com
License: DC30274
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TH 9AM-11:30AM, SA
9AM-12PM
PTA: No
Cultural Competency: NR
Accessibility: EB, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, A Young LAc
23043 Lyons Ave
Santa Clarita, CA 91321
(661) 288-0022
www.unruhspinecenter.com
License: AC10599
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 2PM-6PM, TH
1:30AM-5PM, SA 8:30AM-11AM
PTA: No
Other Language: Korean
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
SANTA MONICA
90401
Hogan, James DC
201 Santa Monica Blvd
Santa Monica, CA 90401
(310) 699-9299
www.activebodychirocare.co
m
License: DC30436
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90404
Fox-rabinovich, Lola LAc
2428 Santa Monica Blvd Ste
308
Santa Monica, CA 90404
(310) 390-9018
www.healthatlastusa.com/wla
License: 18302
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W,F 9AM-7PM, SA
9AM-1PM
PTA: No
Other Language: Russian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
200
105
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hsu, Richard LAc
2222 Santa Monica Blvd Ste
Santa Monica, CA 90404
(626) 793-5700
www.alternativemedicalclinic.
com
License: AC6530
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-7PM
PTA: No
Other Language: Spanish,
Chinese
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Seok, Puchun LAc
1228 15th St Ste E
Santa Monica, CA 90404
(310) 393-3868
License: AC11582
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-1PM
PTA: No
Other Language: Spanish,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAUGUS
91350
Wright-dohopolski, Brandi LAc
26893 Bouquet Canyon Rd Ste
F
Saugus, CA 91350
(661) 609-5998
www.soulstrongwellness.com
License: 18096
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-8PM, TU,TH
9AM-6PM, F 9AM-5PM, SA
12:30PM-3:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
SHERMAN OAKS
91403
Byun, Hayeon LAc
4849 Van Nuys Blvd Ste 202
Sherman Oaks, CA 91403
(818) 784-5300
License: 12075
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
201
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Chuang, Gina Hua Qin LAc
4849 Van Nuys Blvd Ste 206
Sherman Oaks, CA 91403
(818) 386-0629
License: AC7175
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 8AM-2PM, TU,TH
8AM-6PM, SA 8AM-3PM
PTA: No
Other Language: Chinese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Hyo LAc
4940 Van Nuys Blvd Ste 304
Sherman Oaks, CA 91403
(747) 998-5330
zeroneclinic.com
License: AC18006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-2PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91423
Hsu, Richard LAc;DOM
13425 Ventura Blvd Ste 100
Sherman Oaks, CA 91423
(818) 990-9345
alternativemedicalclinic.com
License: AC6530
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 3PM-7PM
PTA: No
Other Language: Spanish,
Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Logan, Zena LAc
14242 Ventura Blvd Ste 200
Sherman Oaks, CA 91423
(323) 213-9220
thelivingpoint.com
License: AC17122
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
202
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Plotkin, Natalia LAc;DOM
14460 Ventura Blvd
Sherman Oaks, CA 91423
(818) 355-8088
www.nataliaplotkin.com
License: AC16211
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: German,
Russian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
SIERRA MADRE
91024
Talevich, John DC
31 S Baldwin Ave
Sierra Madre, CA 91024
(626) 224-3476
www.johnmtalevich.com
License: DC12836
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,TH 10AM-5PM,
TU,SA 9AM-3PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
SOUTH EL MONTE
91733
Chang, Chung Young LAc
10414 Vacco St
South El Monte, CA 91733
(626) 636-8706
www.TzuchiMedicalGroup.co
m
License: AC8360
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 9AM-6PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Jeng-shiang LAc
10414 Vacco St
South El Monte, CA 91733
(626) 636-8706
License: AC10577
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
203
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: TU,TH,SA 9AM-6PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lai, Yi-hsien LAc
10414 Vacco St
South El Monte, CA 91733
(626) 636-8706
License: AC8087
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 9AM-6PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Chi-yi LAc
10414 Vacco St
South El Monte, CA 91733
(626) 636-8706
License: AC8867
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Steven LAc
10414 Vacco St
South El Monte, CA 91733
(626) 636-8706
License: AC14534
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wang, Chiao-nien LAc
10414 Vacco St
South El Monte, CA 91733
(626) 636-8706
License: AC4403
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH-SA 9AM-6PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
204
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SOUTH GATE
90280
Blakely, David DC
4476 Tweedy Blvd
South Gate, CA 90280
(323) 563-9499
License: DC13938
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,F 8AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: EB, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SOUTH PASADENA
91030
Fong, Richard LAc
1949 Huntington Dr
South Pasadena, CA 91030
(626) 799-8855
License: AC3297
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 12:30PM-6PM, SA
9:30AM-1:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Fong, Richard DC
1949 Huntington Dr
South Pasadena, CA 91030
(626) 854-3451
License: DC17488
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-1PM, W,F
2PM-6PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
St Juste, Carlo LAc
1017 Fremont Ave Ste A
South Pasadena, CA 91030
(626) 441-4888
http://www.csjacupuncture.c
om
License: AC14551
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 10AM-4PM, TH
10AM-6PM
PTA: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
205
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
STUDIO CITY
91604
Cheung, John LAc
11988 Ventura Blvd Ste 6
Studio City, CA 91604
(818) 940-1168
License: 14318
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
SYLMAR
91342
Yang, Alan LAc
13519 Hubbard St
Sylmar, CA 91342
(818) 833-5977
License: AC10978
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-6PM
PTA: No
Other Language: Chinese,
Japanese
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
91356
Goel, Nadia DC
18345 Ventura Blvd Ste 104
Tarzana, CA 91356
(818) 343-8800
www.drnadiagoel.com
License: DC26550
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH-SA 9AM-5PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Goleh, Shadi DC
19100 Ventura Blvd Ste 10
Tarzana, CA 91356
(818) 343-0303
www.doctorshadi.com
License: DC29124
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
206
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: M,W 9AM-5PM, F
9AM-8PM
PTA: No
Other Language: Spanish,
Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lee, Judy LAc
5567 Reseda Blvd Ste 101
Tarzana, CA 91356
(213) 387-4710
License: AC2914
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Lee, Judy DC
5567 Reseda Blvd Ste 101
Tarzana, CA 91356
(213) 387-4710
License: DC15287
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Logan, Conor LAc
18663 Ventura Blvd Ste 202
Tarzana, CA 91356
(323) 213-9220
thelivingpoint.com
License: AC16258
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TH 6AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Logan, Zena LAc
18663 Ventura Blvd Ste 202
Tarzana, CA 91356
(323) 213-9220
thelivingpoint.com
License: AC17122
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TH 9AM-3PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
207
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TEMPLE CITY
91780
Chen, Yuying LAc
9722 Las Tunas Dr
Temple City, CA 91780
(626) 672-0303
www.amplusacupuncture.co
m
License: AC14906
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 10AM-6:30PM
PTA: No
Other Language: Spanish,
Chinese, Mandarin,
Indonesian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Fan, Ting Wen LAc
5644 Rosemead Blvd
Temple City, CA 91780
(310) 359-3911
License: 09793
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-5PM, TU
9AM-1PM, W 9AM-2PM, TH-SA
10AM-6PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Hong, Zhen-li LAc
10405 Lower Azusa Rd
Temple City, CA 91780
(626) 444-8588
License: AC5692
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W,F 9AM-7PM, TH
9AM-1PM, SA 8:30AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huo, Wayne LAc
10405 Lower Azusa Rd
Temple City, CA 91780
(626) 444-8588
License: AC16081
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
208
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: M-W,F 9AM-7PM, TH
9AM-1PM, SA 8:30AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Charles DC
10405 Lower Azusa Rd
Temple City, CA 91780
(626) 444-8588
License: DC26220
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W,F 9AM-7PM, TH
9AM-1PM, SA 8:30AM-1PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lu, Yang LAc
10405 Lower Azusa Rd
Temple City, CA 91780
(626) 444-8588
License: AC18057
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W,F 9AM-7PM, TH
9AM-1PM, SA 8:30AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wang, Yang LAc
9670 Las Tunas Dr
Temple City, CA 91780
(626) 716-5778
License: 18654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,F 10AM-6PM, W
10AM-2PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
TORRANCE
90501
Wong, Thomas DC
2204 Torrance Blvd Ste 101b
Torrance, CA 90501
(310) 773-9868
License: DC30431
Credentials and/or board
certification: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
209
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accepting New Members: Yes
Hours: TU,TH 9AM-7PM, W
1:30PM-7PM, SA 9AM-12PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90504
Lee, Young LAc
17223 Crenshaw Blvd
Torrance, CA 90504
(310) 532-3070
License: 07757
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Zwickel, Joseph DC
2326 Redondo Beach Blvd
Torrance, CA 90504
(310) 523-4494
License: DC22907
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALENCIA
91355
Griffin, Daniel DC
28039 Smyth Dr Ste 102
Valencia, CA 91355
(661) 505-6303
griffinfamilywellness.com
License: DC31901
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Herta, Kelly DC
23838 Valencia Blvd Ste 105
Valencia, CA 91355
(661) 288-0022
www.unruhspinecenter.com
License: DC30274
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
210
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-5:45PM, F
8:30AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALLEY VILLAGE
91607
Kravchenko, Mayya DC
12626 Riverside Dr Ste 510
Valley Village, CA 91607
(818) 623-9633
License: DC27793
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM
PTA: No
Other Language: Spanish,
Russian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
91401
Armani, Robert DC
6525 Van Nuys Blvd
Van Nuys, CA 91401
(818) 988-2123
www.armanichiropractic.com
License: DC24963
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-7PM
PTA: No
Other Language: Hebrew
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tabibian, Roya DC
13760 Victory Blvd
Van Nuys, CA 91401
(310) 202-2100
License: DC25185
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 10AM-6PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91405
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
211
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Canabal, Manuel LAc
6640 Van Nuys Blvd Ste 201
Van Nuys, CA 91405
(818) 904-6700
License: AC12605
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Hope LAc
15216 Vanowen St Ste 2c
Van Nuys, CA 91405
(818) 439-7769
License: AC7493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 9AM-6PM, W
9AM-12PM, TH 9:30AM-3PM,
SA 9:30AM-12PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Reinherz, Ira DC
7621 Van Nuys Blvd
Van Nuys, CA 91405
(818) 855-1627
License: DC18605
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8:30AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
91406
Gutierrez, Andrew DC
15710 1/2 Vanowen St
Van Nuys, CA 91406
(818) 901-1505
www.brigitterozenbergdc.co
m
License: DC31575
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 10AM-7PM, SA
10AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
212
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Kim, Chul Un LAc
7120 Hayvenhurst Ave Ste
206a
Van Nuys, CA 91406
(213) 718-2115
License: 12738
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SU 8AM-8PM
PTA: No
Other Language: Japanese,
Korean
Cultural Competency: NR
Accessibility: P, EB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
VENICE
90291
Garcia, Rachael LAc
604 Rose Ave
Venice, CA 90291
(310) 664-7749
venicefamilyclinic.org
License: AC18039
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Orselli, Rachel LAc
1106 Garfield Ave
Venice, CA 90291
(323) 872-2339
www.acupunctureinla.org
License: AC9366
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH 9AM-5PM, F
2AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Papenhagen, Ted DC
604 Rose Ave
Venice, CA 90291
(310) 664-7819
venicefamilyclinic.org
License: DC30480
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W-F 8AM-5PM, TU
8AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
WALNUT
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
213
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
91789
Chang, Guang Di LAc
20272 Carrey Rd
Walnut, CA 91789
(626) 765-5678
License: 12747
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH,F 11AM-7PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Cohen, Jordan DC
100 Pierre Rd Ste A
Walnut, CA 91789
(909) 773-2510
www.TheInjuryChiro.com
License: DC33294
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
91790
Chan, Cheuk Man LAc
1433 W Merced Ave Ste 309
West Covina, CA 91790
(626) 513-8029
License: 18396
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-4PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Rodriguez, Oscar DC
741 S Orange Ave Ste 175
West Covina, CA 91790
(626) 854-1144
License: DC25613
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-TH 9AM-5PM, F
9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
214
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
panel status.
Yang, Alan LAc
1415 W Garvey Ave N Ste 110
West Covina, CA 91790
(626) 675-6299
License: AC10978
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-6PM
PTA: No
Other Language: Chinese,
Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
91304
91791
Caropino, Blake DC
2649 E Charlinda St
West Covina, CA 91791
(626) 675-2406
License: DC33880
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Chen, Ta Fang LAc
23723 Roscoe Blvd
West Hills, CA 91304
(818) 710-1566
License: AC2193
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,F 11AM-5PM, TU,TH,SA
10AM-12PM, W 10AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Hope LAc
22110 Roscoe Blvd Ste 304
West Hills, CA 91304
(818) 439-7769
License: AC7493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 9AM-12:30PM, W
1:30PM-5:30PM, F 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HOLLYWOOD
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
215
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
90046
Lee, Sanghyun LAc
8265 W Sunset Blvd Ste 207
West Hollywood, CA 90046
(323) 375-0950
www.insightchoices.com
License: AC16795
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 7AM-11PM, SA
9AM-7PM
PTA: No
Other Language: Chinese,
Korean
Cultural Competency: NR
Accessibility: P, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90069
Hogan, James DC
8590 W Sunset Blvd
West Hollywood, CA 90069
(310) 699-9299
www.activebodychirocare.co
m
License: DC30436
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH,SA 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
WEST LOS ANGELES
90025
Li, Jack DC
12340 Santa Monica Blvd Ste
129
West Los Angeles, CA 90025
(310) 207-1007
www.drjacklidc.com
License: DC31142
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 10AM-6PM, TU
10AM-7PM, TH 10:30AM-7PM,
SA 9AM-3PM
PTA: No
Other Language: Spanish,
Chinese, Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
WHITTIER
90603
Chen, Tzu-jung LAc
16153 Whittier Blvd
Whittier, CA 90603
(909) 991-6291
gimhealing.com
License: AC18056
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
216
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
90605
Siegel, Gregory DC
13710 Whittier Blvd Ste 105
Whittier, CA 90605
(562) 945-1310
www.whittierchiropracticacup
uncture.com
License: DC15681
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM, TU,TH
9AM-6:30PM, SA 8:30AM-11AM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WILMINGTON
90744
Chang, Chung Young LAc
1355 Broad Ave
Wilmington, CA 90744
(310) 684-4466
www.TzuchiMedicalGroup.co
m
License: AC8360
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 9AM-6PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Jeng-shiang LAc
1355 Broad Ave
Wilmington, CA 90744
(310) 684-4466
License: AC10577
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,W,F,SA 9AM-6PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lai, Yi-hsien LAc
1355 Broad Ave
Wilmington, CA 90744
(310) 684-4466
License: AC8087
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
217
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
Hours: TU-SA 9AM-6PM
PTA: No
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Chi-yi LAc
1355 Broad Ave
Wilmington, CA 90744
(310) 684-4466
www.tzuchimedicalfoundatio
n.org
License: AC8867
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-SA 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Steven LAc
1355 Broad Ave
Wilmington, CA 90744
(310) 684-4466
License: AC14534
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,F 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wang, Chiao-nien LAc
1355 Broad Ave
Wilmington, CA 90744
(310) 684-4466
License: AC4403
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Zwickel, Joseph DC
1314 N Avalon Blvd Ste A
Wilmington, CA 90744
(310) 523-4494
License: DC22907
Credentials and/or board
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
218
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
certification: No
Accepting New Members: Yes
Hours: TU,TH 9AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WINNETKA
91306
Lee, Sang Wook DC
20061 Saticoy St Ste 101
Winnetka, CA 91306
(747) 206-5288
License: DC34384
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6:30PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WOODLAND HILLS
91364
Edery, Gabriel DC
22311 Ventura Blvd Ste 116
Woodland Hills, CA 91364
(818) 651-3252
www.drgabyedery.com
License: DC32583
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 9AM-4PM, TU
12:30PM-6PM, TH 8:30AM-6PM,
F 1PM-5:30PM
PTA: No
Other Language: Hebrew
Cultural Competency: NR
Accessibility: P, EB, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gravelle, Roxana LAc
22600 Ventura Blvd Ste 201
Woodland Hills, CA 91364
(424) 888-0339
http://gentletouchtcm.com
License: AC15150
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vigo, Himeno LAc
20300 Ventura Blvd Ste 245
Woodland Hills, CA 91364
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
219
LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS
(818) 233-0214
kokoroacupuncture.com
License: 18508
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Vu, Hoang LAc;DOM
20121 Ventura Blvd Ste 205
Woodland Hills, CA 91364
(818) 592-0355
www.doctorgu.com
License: AC16311
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 8AM-6PM, SA
8AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91367
Brody, Bruce DC
6325 Topanga Canyon Blvd
Ste 225
Woodland Hills, CA 91367
(818) 887-2225
www.brucebrodydc.com
License: DC20925
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 8:30AM-6PM, TU
8:30AM-5PM, F 8AM-6PM, SA
8AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nikroo, Alireza DC
6200 Canoga Ave Ste 105
Woodland Hills, CA 91367
(818) 222-1120
License: DC33033
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TH,F 8AM-5PM, W
8AM-8PM
PTA: No
Other Language: Spanish,
Persian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
220
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
AGOURA HILLS
91301
Barrus, Kim PSY
30423 Canwood St Ste 130
Agoura Hills, CA 91301
(818) 707-7366
License: 6155
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-SA 8AM-6PM
PTA: No
Other Language: French
Cultural Competency: NR
Accessibility: EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ARCADIA
91006
Dalton, Emily PSY
41 E Foothill Blvd Ste 102
Arcadia, CA 91006
(626) 701-4249
License: 30976
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 20-AUG-19
Perez, Alicia MFT
41 E Foothill Blvd Ste 102
Arcadia, CA 91006
(626) 701-4249
License: 85602
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 09-AUG-19
BEVERLY HILLS
90212
Daneshvar, Elenor PSY
9401 Wilshire Blvd Ste 730
Beverly Hills, CA 90212
(310) 707-1526
License: 26586
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: TU,TH 9AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
221
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
UPDATE: TERMED Provider.
Effective Date: 31-JAN-20
BURBANK
91502
Gomez Falcon, Mariah PSY
217 W Alameda Ave Ste 101
Burbank, CA 91502
(818) 848-5653
License: 14147
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH 9AM-9PM, W
4:30PM-9PM, F 8:30AM-3PM,
SA 7:30AM-2PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
Miller, Jaymie MFT
245 E Olive Ave Ste 400
Burbank, CA 91502
(818) 823-6677
License: 112506
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 9AM-5PM, M-SA
9AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-AUG-19
Reyes, Adriana MFT
245 E Olive Ave Ste 400
Burbank, CA 91502
(818) 823-6677
License: 112968
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 9AM-5PM, M-SA
9AM-9PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Homelessness
UPDATE: NEW Provider Added.
Effective_Date: 31-DEC-19
91505
Corvino, Neva MFT
3808 W Riverside Dr Ste 500
Burbank, CA 91505
(747) 221-9921
License: LMFT100299
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,SU 9AM-2PM, TU
3PM-8PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
222
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
UPDATE: NEW Provider Added.
Effective_Date: 30-JUL-19
CERRITOS
90703
Avitabile, John MFT
17326 Edwards Rd Ste A135
Cerritos, CA 90703
(562) 222-5258
License: 100281
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 31-DEC-19
St. Mary, Gordon PSY
17215 Studebaker Rd Ste 180
Cerritos, CA 90703
(818) 326-3816
License: 17475
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TH 5:30PM-9:30PM,
TU,W 5PM-9:30PM, F
5:30PM-9PM, SA 8AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Physical
Disabilities, Serious Mental
Illness, Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
CLAREMONT
91711
Abdullatif, Qutayba PSY
201 W 4th St Ste 200
Claremont, CA 91711
(626) 460-1260
License: PSY28804
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Arabic
Cultural Competency: NR
Accessibility: P, EB, IB, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Physical
Disabilities, Chronic Illness,
HIV/AIDS, Serious Mental
Illness, Homelessness, Deafness
or Hard-of-Hearing, Blindness
or Visual Impairment,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Heitz, Andrea CSW
219 N Indian Hill Blvd Ste 101
Claremont, CA 91711
(909) 438-4554
License: 22697
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
223
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Hours: SU 11AM-7PM, W,TH
10AM-9PM, F 10AM-4PM, SA
10AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 01-JAN-17
Reed, Kris PSY
219 N Indian Hill Blvd Ste 205
Claremont, CA 91711
(909) 568-4790
License: 16355
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M 2PM-9PM, TU-TH
5PM-9PM, F 5PM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 14-JAN-20
Thompson, Judy MFT
540 W Baseline Rd Ste 3
Claremont, CA 91711
(909) 941-4870
License: 86907
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 8AM-5PM, SA
8AM-2PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-JUL-18
COVINA
91723
Williams, Carol MFT
540 S Eremland Dr Ste C
Covina, CA 91723
(626) 966-1577
License: 89261
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-TH 9AM-7PM, F
9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Chronic
Illness, Serious Mental Illness
UPDATE: TERMED Provider.
Effective Date: 29-JAN-20
91724
Liang, Kristin PSY
969 S Village Oaks Dr Ste 102
Covina, CA 91724
(626) 722-8118
License: 22902
Credentials and/or board
certification: Not Applicable
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
224
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Mandarin,
Yue Chinese, Chinese
Cultural Competency: NR
Accessibility: P, EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 20-JAN-20
CULVER CITY
90230
Arkosy, Thomas MFT
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 46769
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Other Language: Hungarian
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 17-OCT-18
Berndes Carlson, Teresita MFT
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 23575
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
Blueskyes, Roman MFT
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 43822
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-15
Carroll, Joshua MFT
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 91232
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
225
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 17-DEC-19
Claros, John CSW
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 80393
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Serious Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 03-APR-18
Fass, Tara MFT
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: LMFT35078
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-15
Fatato, Antoinette CSW
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: LCSW28450
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-JAN-18
Goldsmith, Steven MD
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 19571
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
226
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Chronic
Illness, Serious Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 15-SEP-17
Hatami, Nazila MFT
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: LMFT104818
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 28-AUG-18
Huang, Lillian MFT
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 45064
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-15
Klamann, Kalina MFT
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: LMFT47292
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Other Language: Polish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-MAY-16
Morgan, Michael CSW
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 26177
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
227
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 15-APR-17
Saucedo, Ruth PSY
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 30908
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 31-DEC-19
Sheiniuk, Robyn CSW
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 18990
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Chronic
Illness, HIV/AIDS, Serious
Mental Illness, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 01-OCT-15
Suaya, Viviana MD
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: A52516
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 15-JUL-15
Yocum, Jacqueline CSW
5731 W Slauson Ave Ste 220
Culver City, CA 90230
(888) 851-5595
License: 27389
Credentials and/or board
certification: Not Applicable
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
228
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Accepting New Members: Yes
Hours: SA,SU 8AM-6PM, M
7AM-9:30PM, TU-F 7AM-9PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 17-OCT-18
DOWNEY
90242
Atanasio, Joseph PSY
12023 Lakewood Blvd
Downey, CA 90242
(562) 904-3999
License: 28201
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: TERMED Provider.
Effective Date: 04-FEB-20
ENCINO
91316
Attento, Adriana MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 107387
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Brody, Dora MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: LCSW84925
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Serious Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Deak, Gabi CSW
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: LCSW23059
Credentials and/or board
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
229
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Arabic
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Frank, Jennifer PSY
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: PSY30175
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Fruchtbaum, Irene PSY
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 18821
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Russian
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gershelis, Anna CSW
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 28777
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Russian
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
230
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Grazer, Sage CSW
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: LCSW76690
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Jingozian, Vardui MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: LMFT97722
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Armenian
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Johnson Boykin, Kim PSY
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 16047
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Chronic
Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kaiser, William PSY
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 13221
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
231
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kaplansky, Galina MFT
17514 Ventura Blvd Ste
100-101
Encino, CA 91316
(310) 877-0600
License: 77151
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M 9AM-8:30PM, TU,TH
9AM-10PM, W 9AM-10:30PM, F
9AM-9:30PM, SA 11AM-6PM
PTA: No
Other Language: Russian
Cultural Competency: NR
Accessibility: EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-JAN-20
Khachatryan, Shushanik MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: LMFT101316
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Armenian
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kooklan, Fariba MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 45702
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Persian
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Krinsky Atkins, Leah MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 81396
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
232
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Leonard, Elisa CSW
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: LCSW23997
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Martin, Silvana MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: MFC47088
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Parodi, Jacqueline CSW
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 22172
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Perlman, Jonathan CSW
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 77031
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
233
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Quinones, Meisha MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: LMFT106290
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rubish, Donald PSY
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: PSY4157
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sandino, Lisa MFT
5535 Balboa Blvd Ste 100
Encino, CA 91316
(818) 934-0050
License: 95072
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
Sandler, Anita MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 38555
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
234
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Schwartz, Sarah PSY
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 23574
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Stevens, Cynthia PSY
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: PAY8926
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Stevens, Megan MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: LMFT106159
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Serious Mental Illness,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ufano Leon, Jeremee CSW
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 24624
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
235
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yulzari, Lee MFT
17777 Ventura Blvd Ste 105
Encino, CA 91316
(213) 908-1234
License: 112653
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
91202
Oh, Agnes PSY
1010 N Central Ave # 315
Glendale, CA 91202
(818) 441-1096
License: 23845
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
91741
Avci, Dilek MD
210 S Grand Ave Ste 320
Glendora, CA 91741
(626) 335-1919
License: A141978
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Turkish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: TERMED Provider.
Effective Date: 29-JAN-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
236
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
LANCASTER
93534
Lewis, Page PSY
1817 W Avenue K Ste 207
Lancaster, CA 93534
(661) 400-2342
License: 11786
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 14-JAN-20
Torres, Judith MFT
1652 W Avenue J
Lancaster, CA 93534
(661) 249-6720
License: 86924
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-TH 9AM-6PM, F,SA
8AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 26-DEC-19
LONG BEACH
90804
Abjelina, Kenneth MD
5199 E Pacific Coast Hwy Ste
330n
Long Beach, CA 90804
(562) 365-2020
License: A64789
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TH,F 9AM-7PM,
TU,W,SA 9AM-6PM
PTA: No
Other Language: Tagalog
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Abjelina, Kenneth MD
5199 E Pacific Coast Hwy Ste
330n
Long Beach, CA 90804
(562) 365-2020
License: A64789
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-7PM, W
9AM-9PM, SA 9AM-6PM
PTA: No
Other Language: Tagalog
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
237
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Iskandar, Lucy MFT
5199 E Pacific Coast Hwy Ste
330n
Long Beach, CA 90804
(562) 365-2020
License: 50579
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-7PM, W
9AM-9PM, SA 9AM-6PM
PTA: No
Other Language: Arabic
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Paramo, Melissa MFT
5199 E Pacific Coast Hwy Ste
330n
Long Beach, CA 90804
(562) 365-2020
License: 51549
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-7PM, W
9AM-9PM, SA 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Paul, Mariam MFT
5199 E Pacific Coast Hwy Ste
330n
Long Beach, CA 90804
(562) 365-2020
License: 15544
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-7PM, W
9AM-9PM, SA 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wells, Trevor MD
5199 E Pacific Coast Hwy Ste
330n
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
238
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Long Beach, CA 90804
(562) 365-2020
License: A119988
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TH,F 9AM-7PM,
TU,W,SA 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90807
Dugan, Jennifer PSY
4401 Atlantic Ave Ste 220
Long Beach, CA 90807
(310) 621-0335
License: PSY13736
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Serious Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 25-SEP-18
Keo, Samuel PSY
3711 Long Beach Blvd Ste
1016d
Long Beach, CA 90807
(562) 661-3656
License: 23572
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 9AM-12PM
PTA: No
Other Language: Khmer
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 01-JAN-14
Monroe, Trevor PSY
4401 Atlantic Ave # 2
Long Beach, CA 90807
(562) 728-4565
License: 16406
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
239
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
demographic, phone and/or
panel status.
90813
Dushenko, Terrance PSY
1045 Atlantic Ave Ste 806
Long Beach, CA 90813
(562) 590-5594
License: 8397
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-TH 9AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-JAN-14
90814
Brittain, Debra CSW
350 Redondo Ave Fl 2
Long Beach, CA 90814
(562) 599-9233
License: 22301
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90815
Griffin, Dominique NPA
4525 E Atherton St # 2
Long Beach, CA 90815
(562) 961-0155
License: 95009310
Credentials and/or board
certification: Not Available
Accepting New Members: Yes
Hours: M-F 8AM-5:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 26-DEC-19
LOS ANGELES
90010
Nesovic, Slobodan PSY
4929 Wilshire Blvd Ste 510
Los Angeles, CA 90010
(760) 300-3664
License: 28761
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-SU 7AM-7PM
PTA: No
Other Language: Bosnian,
Serbo-Croatian
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Chronic
Illness
UPDATE: NEW Provider Added.
Effective_Date: 14-JAN-20
Sandberg, Joan PSY
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
240
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
4929 Wilshire Blvd Ste 510
Los Angeles, CA 90010
(760) 300-3664
License: 12425
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-SU 7AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Chronic
Illness
UPDATE: NEW Provider Added.
Effective_Date: 14-JAN-20
90041
Barnett, Chalon CSW
2373 Colorado Blvd
Los Angeles, CA 90041
(562) 904-3999
License: 87431
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 18-SEP-19
Mendonsa, Andrew PSY
2373 Colorado Blvd
Los Angeles, CA 90041
(562) 904-3999
License: 23208
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 18-SEP-19
90044
Eipl, Kristina MD
10024 S Vermont Ave
Los Angeles, CA 90044
(323) 756-1412
License: A158218
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 8AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Afrikaans,
French, Spanish, Vietnamese
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Homelessness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90047
Hefley, Priscilla MFT
1704 W Manchester Ave Ste
202a
Los Angeles, CA 90047
(424) 312-2311
License: ACSW79866
Credentials and/or board
certification: Not Available
Accepting New Members: Yes
Hours: SU 8AM-4PM, M-F
8AM-8PM, SA 8AM-4:30PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
241
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ifekwunigwe, Christopher CSW
1704 W Manchester Ave Ste
202a
Los Angeles, CA 90047
(424) 312-2311
License: 19633
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 8AM-4PM, M-F
8AM-8PM, SA 8AM-4:30PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mclafferty, Joel MFT
1704 W Manchester Ave Ste
202a
Los Angeles, CA 90047
(424) 312-2311
License: 43113
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 8AM-4PM, M-F
8AM-8PM, SA 8AM-4:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patterson, Kala CSW
1704 W Manchester Ave Ste
202a
Los Angeles, CA 90047
(424) 312-2311
License: ACSW87251
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 8AM-4PM, M-F
8AM-8PM, SA 8AM-4:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Serious Mental Illness,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
242
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Ramos Montelongo, Flor CSW
1704 W Manchester Ave Ste
202a
Los Angeles, CA 90047
(424) 312-2311
License: 84224
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 8AM-4PM, M-F
8AM-8PM, SA 8AM-4:30PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sardin, Divinity MFT
1704 W Manchester Ave Ste
202a
Los Angeles, CA 90047
(424) 312-2311
License: 70351
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 8AM-4PM, M-F
8AM-8PM, SA 8AM-4:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90064
Chuman, Brandon PSY
11835 W Olympic Blvd Ste
1265e
Los Angeles, CA 90064
(310) 273-4843
License: 28338
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-SU 8AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Physical
Disabilities, Serious Mental
Illness, Deafness or
Hard-of-Hearing
UPDATE: TERMED Provider.
Effective Date: 24-FEB-20
Chuman, Brandon PSY
10801 National Blvd
Los Angeles, CA 90064
(310) 273-4843
License: 28338
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 8AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Physical
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
243
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Disabilities, Serious Mental
Illness, Deafness or
Hard-of-Hearing
UPDATE: TERMED Provider.
Effective Date: 24-FEB-20
MARINA DEL REY
90292
Seiden, Rita CSW
4519 Admiralty Way Ste 200
Marina Del Rey, CA 90292
(718) 415-8213
License: 28925
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M 12PM-8PM, TU,TH
9AM-8PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
MONROVIA
91016
Ammen, Magena MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: 102661
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-19
Avila, Adriana MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: 116562
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-JAN-20
Dalton, Emily PSY
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: 30976
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
244
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-19
Gaeta, Yadira MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: 111547
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-19
Greener, Michael CSW
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: LCSW83054
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-19
Hacopians, Sareen MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: LMFT110067
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Other Language: Armenian
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Serious Mental Illness,
Co-occuring Disorders
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-19
Perez, Alicia MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: 85602
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
245
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-19
Ruiz, Jessica MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: 111115
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-19
Santana, Leslie MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016
(626) 701-4249
License: 111270
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-19
MONTEBELLO
90640
Rivera, Ernest PSY
1623 Paramount Blvd
Montebello, CA 90640
(323) 722-8744
License: 1046
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
PALMDALE
93550
Burnett, Melissa CSW
38345 30th St E Ste E5
Palmdale, CA 93550
(661) 267-9950
License: 89084
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,W-F 9AM-4PM, TU
8AM-4PM, SA 10AM-3PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 31-DEC-19
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
246
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
PASADENA
91105
Mathews, Jane NPA
200 E Del Mar Blvd Ste 122
Pasadena, CA 91105
(626) 578-7111
License: 306620
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,F 8AM-7PM, W
9AM-7PM, TH 9AM-8PM, SA
7AM-6:30PM
PTA: No
Other Language: Finnish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 17-DEC-19
Piccirillo, Vincenzo PSY
200 E Del Mar Blvd Ste 122
Pasadena, CA 91105
(626) 578-7111
License: 28240
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,F 8AM-7PM, W
9AM-7PM, TH 9AM-8PM, SA
7AM-6:30PM
PTA: No
Other Language: French,
Italian, Portuguese, Spanish
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Homelessness,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91106
Abdullatif, Qutayba PSY
1000 E Walnut St Ste 206
Pasadena, CA 91106
(626) 460-1260
License: PSY28804
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Arabic
Cultural Competency: NR
Accessibility: P, EB, IB, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Physical
Disabilities, Chronic Illness,
HIV/AIDS, Serious Mental
Illness, Homelessness, Deafness
or Hard-of-Hearing, Blindness
or Visual Impairment,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Grattan, Gil PSY
1000 E Walnut St Ste 205
Pasadena, CA 91106
(818) 317-8866
License: 25878
Credentials and/or board
certification: Not Applicable
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
247
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Accepting New Members: Yes
Hours: SA 9AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91107
Terschluse, Lauren MFT
482 N Rosemead Blvd Ste 103
Pasadena, CA 91107
(626) 372-1999
License: 105861
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-9PM, SA
9AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 14-JAN-20
POMONA
91766
Hallbrooks, Landon CSW
435 W Mission Blvd Ste 301
Pomona, CA 91766
(951) 850-1574
License: 88676
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: TU,W 9AM-7PM, F
12PM-7PM, SA 11AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 14-JAN-20
91767
Brennecke, Bernadette CSW
2055 N Garey Ave Ste 10
Pomona, CA 91767
(909) 263-0851
License: 10677
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-TH 9AM-7PM, F
9AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
Petropoulos, Greg MFT
2055 N Garey Ave Ste 10
Pomona, CA 91767
(909) 263-0851
License: 37681
Credentials and/or board
certification: Not Applicable
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
248
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Accepting New Members: Yes
Hours: M-TH 9AM-7PM, F
9AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
SANTA MONICA
90405
Barthol, Sara CSW
2665 30th St Ste 204
Santa Monica, CA 90405
(310) 422-6338
License: 18733
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M 7AM-2PM, TU,TH
7:30AM-4:30PM, W
7:30AM-12PM, F
7:30AM-5:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SOUTH PASADENA
91030
Poon, Pak MFT
1015 Fremont Ave 2nd Fl
South Pasadena, CA 91030
(626) 693-7823
License: LMFT105218
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-SU 8AM-8PM
PTA: No
Other Language: Yue Chinese
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
Special Expertise: Physical
Disabilities, HIV/AIDS, Serious
Mental Illness, Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wong, Justin MFT
1015 Fremont Ave 2nd Fl
South Pasadena, CA 91030
(626) 693-7823
License: 89992
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-SU 8AM-8PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
Special Expertise: Serious
Mental Illness
UPDATE: NEW Provider Added.
Effective_Date: 23-JAN-20
TARZANA
91356
Hemans, Nichole CSW
18663 Ventura Blvd Ste 232
Tarzana, CA 91356
(323) 371-6242
License: 60950
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
249
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 01-JAN-17
TORRANCE
90505
Cearfoss, Christine CSW
23717 Hawthorne Blvd Ste 103
Torrance, CA 90505
(310) 302-7006
License: 25819
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: SU 2PM-5PM, M-TH
11AM-9:30PM, F 11AM-9PM, SA
10AM-3:30PM
PTA: No
Cultural Competency: NR
Accessibility: EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Serious Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ntung, Helen NPA
23700 Camino Del Sol
Torrance, CA 90505
(310) 530-1151
License: 95008000
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
91406
Hopkins, Adrian MFT
16461 Sherman Way Ste 155
Van Nuys, CA 91406
(888) 795-4337
License: 108998
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-SA 7AM-10PM
PTA: No
Other Language: Yue Chinese
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
250
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
91411
Goldstein, Estelle MD
14541 Delano St
Van Nuys, CA 91411
(310) 515-8113
License: C50226
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
7AM-2PM
PTA: No
Other Language: French,
Spanish, Yiddish
Cultural Competency: NR
Accessibility: P, EB, IB, E;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS,
Serious Mental Illness,
Co-occuring Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Heidenfelder, Richard MD
14541 Delano St
Van Nuys, CA 91411
(310) 515-8113
License: A79836
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
7AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Morante, Pedro NPA
14541 Delano St
Van Nuys, CA 91411
(310) 515-8113
License: 95004061
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
7AM-2PM
PTA: No
Other Language: Tagalog
Cultural Competency: NR
Accessibility: P, EB, IB, E;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sczesny, Andrea NPA
14541 Delano St
Van Nuys, CA 91411
(310) 515-8113
License: 95004889
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
7AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
251
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yacoub, Ehab MD
14541 Delano St
Van Nuys, CA 91411
(310) 515-8113
License: A76244
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
7AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
91790
Garg, Bimlesh MD
1535 W Merced Ave Ste 300
West Covina, CA 91790
(626) 962-8451
License: 41524
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Hindi,
Panjabi, Punjabi
Cultural Competency: NR
Accessibility: P, IB, R; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Physical
Disabilities, HIV/AIDS, Serious
Mental Illness, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
WILMINGTON
90744
St. Mary, Gordon PSY
1029 W Pacific Coast Hwy
Wilmington, CA 90744
(818) 326-3816
License: 17475
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M-F 9AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Special Expertise: Physical
Disabilities, Serious Mental
Illness, Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 01-AUG-13
WOODLAND HILLS
91364
Bavarsky, Anita PSY
23123 Ventura Blvd Ste 210
Woodland Hills, CA 91364
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
252
LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS
(818) 340-4999
License: 22481
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Hebrew,
Russian
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Booth, Thomas CSW
4869 Topanga Canyon Blvd
Ste 1
Woodland Hills, CA 91364
(818) 925-5528
License: 74254
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,SA 8AM-9PM, TU-F
7PM-9PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
Special Expertise: Serious
Mental Illness
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
253
LOS ANGELES COUNTY VISION PROVIDERS
ALHAMBRA
91801
Hong, Donna OD
2 W Main St
Alhambra, CA 91801
(626) 282-3115
License: 13249
Accepting New Members: Yes
Hours: TU,F 10AM-6PM, W
10AM-6:30PM, TH 10AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 07-FEB-20
ARCADIA
91007
Chang, Tom MD
301 W Huntington Dr Ste 107
Arcadia, CA 91007
(626) 574-0188
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Melody OD
301 W Huntington Dr Ste 107
Arcadia, CA 91007
(626) 574-0188
License: 14726
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
301 W Huntington Dr Ste 107
Arcadia, CA 91007
(626) 574-0188
License: A108766
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Hebrew,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ARTESIA
90701
Chang, Michael OD
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
254
LOS ANGELES COUNTY VISION PROVIDERS
17801 Pioneer Blvd Ste F
Artesia, CA 90701
(562) 467-0813
License: 11341
Accepting New Members: Yes
Hours: M-SU 10AM-7PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Joyce OD
17801 Pioneer Blvd Ste F
Artesia, CA 90701
(562) 467-0813
License: 13953
Accepting New Members: Yes
Hours: M-SU 10AM-7PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hsu, Grace OD
17801 Pioneer Blvd Ste F
Artesia, CA 90701
(562) 467-0813
License: 15097
Accepting New Members: Yes
Hours: M-SU 10AM-7PM
PTA: No
Other Language: Portuguese,
Spanish, Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Johnson, Jeany OD
19038 Norwalk Blvd
Artesia, CA 90701
(562) 653-9500
License: 33670
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Korean
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Joseph MD
19038 Norwalk Blvd
Artesia, CA 90701
(562) 653-9500
License: A60445
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Japanese,
Korean, Spanish, Vietnamese
Cultural Competency: CC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
255
LOS ANGELES COUNTY VISION PROVIDERS
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ly, Richard OD
17801 Pioneer Blvd Ste F
Artesia, CA 90701
(562) 467-0813
License: 34078
Accepting New Members: Yes
Hours: M-SU 10AM-7PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Helen OD
17801 Pioneer Blvd Ste F
Artesia, CA 90701
(562) 467-0813
License: 33583
Accepting New Members: Yes
Hours: M-SU 10AM-7PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yim, Irene OD
19038 Norwalk Blvd
Artesia, CA 90701
(562) 653-9500
License: 9722
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BELLFLOWER
90706
Green, Eugene OD
9838 Flower St
Bellflower, CA 90706
(562) 920-1915
License: 7673
Accepting New Members: Yes
Hours: M,W 10AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
256
LOS ANGELES COUNTY VISION PROVIDERS
in the provider record;
demographic, phone and/or
panel status.
Latter, Mitchell MD
10230 Artesia Blvd Ste 204
Bellflower, CA 90706
(562) 920-8829
License: G40013
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CITY OF INDUSTRY
91748
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA 91748
(626) 965-8895
License: A69909
Accepting New Members: Yes
Hours: TU-F 9AM-5PM, SA
9AM-2PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Brian MD
17833 Colima Rd
City Of Industry, CA 91748
(626) 965-8895
License: A127719
Accepting New Members: Yes
Hours: TU-F 9AM-5PM, SA
9AM-2PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Henry OD
17833 Colima Rd
City Of Industry, CA 91748
(626) 965-8895
License: 15159
Accepting New Members: Yes
Hours: TU-F 9AM-5PM, SA
9AM-2PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
17833 Colima Rd
City Of Industry, CA 91748
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
257
LOS ANGELES COUNTY VISION PROVIDERS
(626) 965-8895
License: A108766
Accepting New Members: Yes
Hours: TU-F 9AM-5PM, SA
9AM-2PM
PTA: No
Other Language: Hebrew,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DOWNEY
90240
Okie, Theodore MD
8409 Florence Ave Ste 100
Downey, CA 90240
(562) 862-4444
License: G8937
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Peters, Joseph MD
8409 Florence Ave Ste 100
Downey, CA 90240
(562) 862-4444
License: G30203
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shammas, Hanna MD
8409 Florence Ave Ste 100
Downey, CA 90240
(562) 862-4444
License: A30800
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Other Language: Arabic,
French
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Swearingen, Michael OD
8409 Florence Ave Ste 100
Downey, CA 90240
(562) 862-4444
License: 5603
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
258
LOS ANGELES COUNTY VISION PROVIDERS
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90241
Edelstein, Arthur MD
11411 Brookshire Ave Ste 506
Downey, CA 90241
(562) 923-6256
License: G18506
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
91202
Amini, Payam MD
1025 N Brand Blvd Ste 200
Glendale, CA 91202
(818) 583-9933
License: A107595
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moore, Lori MD
1025 N Brand Blvd Ste 200
Glendale, CA 91202
(818) 583-9933
License: G57630
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Jay MD
1025 N Brand Blvd Ste 200
Glendale, CA 91202
(818) 583-9933
License: A127433
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Gujarati,
Hindi, Polish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
259
LOS ANGELES COUNTY VISION PROVIDERS
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shaw, Minh OD
1025 N Brand Blvd Ste 200
Glendale, CA 91202
(818) 583-9933
License: 13540
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shelton, Raymond MD
1025 N Brand Blvd Ste 200
Glendale, CA 91202
(818) 583-9933
License: G60028
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Villegas, Rex OD
1025 N Brand Blvd Ste 200
Glendale, CA 91202
(818) 583-9933
License: 12668
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91203
Baghoumian, Marineh OD
435 Arden Ave Ste 430
Glendale, CA 91203
(818) 539-8016
License: 14842
Accepting New Members: Yes
Hours: M-F 8AM-4:30PM
PTA: No
Other Language: Armenian
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
260
LOS ANGELES COUNTY VISION PROVIDERS
Chang, Tom MD
435 Arden Ave Ste 430
Glendale, CA 91203
(818) 539-8016
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-4:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Melody OD
435 Arden Ave Ste 430
Glendale, CA 91203
(818) 539-8016
License: 14726
Accepting New Members: Yes
Hours: M-F 8AM-4:30PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Malek, Renia OD
435 Arden Ave Ste 430
Glendale, CA 91203
(818) 539-8016
License: 33840
Accepting New Members: Yes
Hours: M-F 8AM-4:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
91741
Amini, Payam MD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: A107595
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cairnie, Mary OD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 33545
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
261
LOS ANGELES COUNTY VISION PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chu, Selena OD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 33549
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Diggory, Matthew OD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 33521
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Duan, Deborah OD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 34232
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huang, Jeffrey DO
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 20A11984
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
262
LOS ANGELES COUNTY VISION PROVIDERS
Luke, Priscilla MD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: A107548
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ochoa, Araceli OD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 33514
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ong, Olivia MD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: A66933
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Burmese,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Jay MD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: A127433
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Polish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rezaei Abbassi, Nima MD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: A131669
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
263
LOS ANGELES COUNTY VISION PROVIDERS
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shaw, Minh OD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 13540
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Jennie OD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 14276
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Villegas, Rex OD
150 S Grand Ave Ste I
Glendora, CA 91741
(626) 335-2114
License: 12668
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
HOLLYWOOD
90028
Ordonez, Xavier OD
6464 W Sunset Blvd Ste 110
Hollywood, CA 90028
(323) 469-3131
License: 11089
Accepting New Members: Yes
Hours: TU-F 10AM-6PM, SA
9AM-3PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
264
LOS ANGELES COUNTY VISION PROVIDERS
demographic, phone and/or
panel status.
HUNTINGTON PARK
90255
Arredondo, Alex OD
2675 Saturn Ave
Huntington Park, CA 90255
(323) 583-7900
License: 8658
Accepting New Members: Yes
Hours: M-F 9:30AM-6PM, SA
9AM-3PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
De La Pena, William MD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: A31272
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dominguez, Charles OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: 12292
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Garcia, Eddie MD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: G53767
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
265
LOS ANGELES COUNTY VISION PROVIDERS
Mandel, Benjamin MD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: A127151
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mayberry, Melissa MD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: A71074
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mishima, Todd OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: 9700
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moayedpardazi, Hamideh MD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: A137200
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nguyen, Meggie OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: 15342
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
266
LOS ANGELES COUNTY VISION PROVIDERS
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nguyen, Thien Thu OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: 13098
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Perez, Evelyn OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: 10155
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Salib, George MD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: A71222
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sanchez, Adriana OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: 14769
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
267
LOS ANGELES COUNTY VISION PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Uchio, Alejandra MD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: A78760
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ung, Susan OD
2715 E Florence Ave
Huntington Park, CA 90255
(323) 581-0120
License: 12206
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LAKEWOOD
90712
Gottlieb, Larry OD
322 Lakewood Center Mall
Lakewood, CA 90712
(562) 630-2020
License: 6451
Accepting New Members: Yes
Hours: SU 11AM-6PM, M-F
10AM-7PM, SA 10AM-6PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90713
Gottlieb, Larry OD
6418 Del Amo Blvd
Lakewood, CA 90713
(562) 420-2055
License: 6451
Accepting New Members: Yes
Hours: M-TH 10AM-7PM, F
10AM-6PM, SA 9AM-2PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
268
LOS ANGELES COUNTY VISION PROVIDERS
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LANCASTER
93534
Alasil, Tarek MD
44815 Fig Ave
Lancaster, CA 93534
(661) 206-9753
License: A108797
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Baghoumian, Marineh OD
44815 Fig Ave
Lancaster, CA 93534
(661) 206-9753
License: 14842
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Armenian
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
44815 Fig Ave
Lancaster, CA 93534
(661) 206-9753
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Brian MD
44815 Fig Ave
Lancaster, CA 93534
(661) 206-9753
License: A127719
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Culotta, Anthony MD
44815 Fig Ave
Lancaster, CA 93534
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
269
LOS ANGELES COUNTY VISION PROVIDERS
(661) 206-9753
License: A97142
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Malek, Renia OD
44815 Fig Ave
Lancaster, CA 93534
(661) 206-9753
License: 33840
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Henry OD
44815 Fig Ave
Lancaster, CA 93534
(661) 206-9753
License: 15159
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
44815 Fig Ave
Lancaster, CA 93534
(661) 206-9753
License: A108766
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Hebrew,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LONG BEACH
90807
Chang, Michael OD
4700 Cherry Ave
Long Beach, CA 90807
(562) 980-0325
License: 11341
Accepting New Members: Yes
Hours: M-SA 10AM-7PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
270
LOS ANGELES COUNTY VISION PROVIDERS
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Goldstone, Alan OD
2280 E Carson St
Long Beach, CA 90807
(562) 422-2020
License: 12297
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-4PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Goldstone, Harvey OD
2280 E Carson St
Long Beach, CA 90807
(562) 422-2020
License: 5273
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-4PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huang, Catherine OD
2280 E Carson St
Long Beach, CA 90807
(562) 422-2020
License: 33509
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-4PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ly, Richard OD
4700 Cherry Ave
Long Beach, CA 90807
(562) 980-0325
License: 34078
Accepting New Members: Yes
Hours: M-SA 10AM-7PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
271
LOS ANGELES COUNTY VISION PROVIDERS
PTA: No panel status.
Nguyen, Thy OD
2280 E Carson St
Long Beach, CA 90807
(562) 422-2020
License: 12746
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-4PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90808
Alasil, Tarek MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A108797
Accepting New Members: Yes
Hours: M-F 8AM-5PM
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bei, Ling MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A129618
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Boeckmann, Jessica MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A124361
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
272
LOS ANGELES COUNTY VISION PROVIDERS
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Brian MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A127719
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chew, Wesley OD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: 14901
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Culotta, Anthony MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A97142
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Grant-acquah, Kweku MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A126202
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
273
LOS ANGELES COUNTY VISION PROVIDERS
Quach, Phuc OD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: 12891
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Renner, Morgan MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A142841
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rose, Michael MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: G33914
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish,
Vietnamese, Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
3816 Woodruff Ave Ste 100
Long Beach, CA 90808
(562) 424-0931
License: A108766
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Hebrew,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90006
Green, Eugene OD
1818 S Western Ave Ste 101
Los Angeles, CA 90006
(323) 731-2474
License: 7673
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
274
LOS ANGELES COUNTY VISION PROVIDERS
Accepting New Members: Yes
Hours: TU,F 10AM-5PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90012
Tom, Wesley OD
942 N Broadway Ste 104
Los Angeles, CA 90012
(213) 680-9393
License: 9469
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish,
Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 31-JAN-20
Yu, Elaine OD
200 S San Pedro St Ste B
Los Angeles, CA 90012
(213) 617-2020
License: 34447
Accepting New Members: Yes
Hours: M,W,F,SA 9AM-5PM,
TU,TH 9AM-6PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 10-JAN-20
90015
Eng, Calvin MD
1120 W Washington Blvd
Los Angeles, CA 90015
(213) 623-2225
License: G55239
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish,
Vietnamese, Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90016
Tom, Wesley OD
2825 Crenshaw Blvd Ste A
Los Angeles, CA 90016
(323) 373-9633
License: 9469
Accepting New Members: Yes
Hours: M-SA 10AM-5:30PM
PTA: Yes
Other Language: Spanish,
Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
275
LOS ANGELES COUNTY VISION PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90017
Chang, Tom MD
1127 Wilshire Blvd Ste 504
Los Angeles, CA 90017
(213) 413-7301
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Grant-acquah, Kweku MD
1127 Wilshire Blvd Ste 504
Los Angeles, CA 90017
(213) 413-7301
License: A126202
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Melody OD
1127 Wilshire Blvd Ste 504
Los Angeles, CA 90017
(213) 413-7301
License: 14726
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
1127 Wilshire Blvd Ste 504
Los Angeles, CA 90017
(213) 413-7301
License: A108766
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Hebrew,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
276
LOS ANGELES COUNTY VISION PROVIDERS
panel status.
90020
Johnson, Jeany OD
505 S Virgil Ave Ste 300
Los Angeles, CA 90020
(213) 384-5222
License: 33670
Accepting New Members: Yes
Hours: M-W,F,SA 9AM-5PM
PTA: Yes
Other Language: Korean
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Joseph MD
505 S Virgil Ave Ste 300
Los Angeles, CA 90020
(213) 384-5222
License: A60445
Accepting New Members: Yes
Hours: M-W,F,SA 9AM-5PM
PTA: Yes
Other Language: Japanese,
Korean, Spanish, Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yim, Irene OD
505 S Virgil Ave Ste 300
Los Angeles, CA 90020
(213) 384-5222
License: 9722
Accepting New Members: Yes
Hours: M-W,F,SA 9AM-5PM
PTA: Yes
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90023
Allen, Daniel OD
3350 Whittier Blvd
Los Angeles, CA 90023
(323) 268-1131
License: 15103
Accepting New Members: Yes
Hours: M-F 10AM-5:30PM, SA
10AM-2PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Perez, Luis OD
3350 Whittier Blvd
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
277
LOS ANGELES COUNTY VISION PROVIDERS
Los Angeles, CA 90023
(323) 268-1131
License: 12750
Accepting New Members: Yes
Hours: M-F 10AM-5:30PM, SA
10AM-2PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90026
Allen, Daniel OD
1509 W Sunset Blvd
Los Angeles, CA 90026
(213) 250-5768
License: 15103
Accepting New Members: Yes
Hours: M-F 9AM-5:30PM, SA
9AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Bogard OD
1711 W Temple St Ste 7135
Los Angeles, CA 90026
(213) 413-8213
License: 11253
Accepting New Members: Yes
Hours: M-TH 9AM-6PM, F
9AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Perez, Luis OD
1509 W Sunset Blvd
Los Angeles, CA 90026
(213) 250-5768
License: 12750
Accepting New Members: Yes
Hours: M-F 9AM-5:30PM, SA
9AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90031
Chang, Tom MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-8000
License: A69909
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
278
LOS ANGELES COUNTY VISION PROVIDERS
Hours: M-F 8:30AM-5:30PM in the provider record; PTA: No
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chen, Brian MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-8000
License: A127719
Accepting New Members: Yes
Hours: M-F 8:30AM-5:30PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
demographic, phone and/or
panel status.
Davis, Michael MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-8000
License: A111866
Accepting New Members: Yes
Hours: M-F 8:30AM-5:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Du, Elizabeth MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-8000
License: C142813
Accepting New Members: Yes
Hours: M-F 8:30AM-5:30PM
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Melody OD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-8000
License: 14726
Accepting New Members: Yes
Hours: M-F 8:30AM-5:30PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
279
LOS ANGELES COUNTY VISION PROVIDERS
in the provider record;
demographic, phone and/or
panel status.
Rose, Michael MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-8000
License: G33914
Accepting New Members: Yes
Hours: M-F 8:30AM-5:30PM
PTA: No
Other Language: Spanish,
Vietnamese, Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Henry OD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-8000
License: 15159
Accepting New Members: Yes
Hours: M-F 8:30AM-5:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-8000
License: A108766
Accepting New Members: Yes
Hours: M-F 8:30AM-5:30PM
PTA: No
Other Language: Hebrew,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90045
Chang, Tom MD
8616 La Tijera Blvd Ste 102
Los Angeles, CA 90045
(310) 673-2020
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-4:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Culotta, Anthony MD
8616 La Tijera Blvd Ste 102
Los Angeles, CA 90045
(310) 673-2020
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
280
LOS ANGELES COUNTY VISION PROVIDERS
License: A97142 accessibility indicators are not License: 12891
Accepting New Members: Yes present. Accepting New Members: Yes
Hours: M-F 8AM-4:30PM UPDATE: There was a change Hours: M-F 8AM-4:30PM
PTA: No in the provider record; PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Goodwin Jr, Lawrence MD
8717 La Tijera Blvd
Los Angeles, CA 90045
(310) 674-2895
License: C40581
Accepting New Members: Yes
Hours: M,W,TH 9AM-5PM, TU,F
9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
demographic, phone and/or
panel status.
Grant-acquah, Kweku MD
8616 La Tijera Blvd Ste 102
Los Angeles, CA 90045
(310) 673-2020
License: A126202
Accepting New Members: Yes
Hours: M-F 8AM-4:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Quach, Phuc OD
8616 La Tijera Blvd Ste 102
Los Angeles, CA 90045
(310) 673-2020
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rose, Michael MD
8616 La Tijera Blvd Ste 102
Los Angeles, CA 90045
(310) 673-2020
License: G33914
Accepting New Members: Yes
Hours: M-F 8AM-4:30PM
PTA: No
Other Language: Spanish,
Vietnamese, Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
281
LOS ANGELES COUNTY VISION PROVIDERS
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
8616 La Tijera Blvd Ste 102
Los Angeles, CA 90045
(310) 673-2020
License: A108766
Accepting New Members: Yes
Hours: M-F 8AM-4:30PM
PTA: No
Other Language: Hebrew,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90057
Steinschriber, Steven MD
201 S Alvarado St Ste 500
Los Angeles, CA 90057
(213) 413-7301
License: G56229
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-09
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LYNWOOD
90262
90058
Mohebbi, Ali OD
4433 S Alameda St Ste C12
Los Angeles, CA 90058
(323) 988-1033
License: 11257
Accepting New Members: Yes
Hours: M,W-SU 10AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Edelstein, Arthur MD
3737 Mlk Jr Blvd Ste 340
Lynwood, CA 90262
(310) 638-0402
License: G18506
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
282
LOS ANGELES COUNTY VISION PROVIDERS
panel status. PTA: No in the provider record;
Mohebbi, Ali OD
3150 E Imperial Hwy Ste 202b
Lynwood, CA 90262
(310) 844-7961
License: 11257
Accepting New Members: Yes
Hours: M,TU,TH,SA,SU
10AM-6PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Okie, Theodore MD
3510 Mlk Jr Blvd
Lynwood, CA 90262
(310) 635-7550
License: G8937
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Peters, Joseph MD
3510 Mlk Jr Blvd
Lynwood, CA 90262
(310) 635-7550
License: G30203
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
demographic, phone and/or
panel status.
Shammas, Hanna MD
3510 Mlk Jr Blvd
Lynwood, CA 90262
(310) 635-7550
License: A30800
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Other Language: Arabic,
French
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MAYWOOD
90270
Arredondo, Alex OD
4349 Slauson Ave Ste A
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
283
LOS ANGELES COUNTY VISION PROVIDERS
Maywood, CA 90270
(323) 581-0117
License: 8658
Accepting New Members: Yes
Hours: M-F 9:30AM-6PM, SA
9AM-2PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONROVIA
91016
Amini, Payam MD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: A107595
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cairnie, Mary OD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: 33545
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chu, Selena OD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: 33549
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Diggory, Matthew OD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: 33521
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
284
LOS ANGELES COUNTY VISION PROVIDERS
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Duan, Deborah OD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: 34232
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huang, Jeffrey DO
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: 20A11984
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Esther OD
248 W Foothill Blvd
Monrovia, CA 91016
(626) 359-1213
License: 33975
Accepting New Members: Yes
Hours: M,SA 10AM-2PM, TU,TH
9:30AM-7PM, W,F
9:30AM-5:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 14-FEB-20
Luke, Priscilla MD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: A107548
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ochoa, Araceli OD
855 W Foothill Blvd
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
285
LOS ANGELES COUNTY VISION PROVIDERS
Monrovia, CA 91016
(626) 358-1080
License: 33514
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ong, Olivia MD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: A66933
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Burmese,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Jay MD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: A127433
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Gujarati,
Hindi, Polish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rezaei Abbassi, Nima MD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: A131669
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shaw, Minh OD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: 13540
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
286
LOS ANGELES COUNTY VISION PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shelton, Raymond MD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: G60028
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Jennie OD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: 14276
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Villegas, Rex OD
855 W Foothill Blvd
Monrovia, CA 91016
(626) 358-1080
License: 12668
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEBELLO
90640
Corona, Fabian OD
1818 W Beverly Blvd Ste 105
Montebello, CA 90640
(323) 888-2020
License: 14923
Accepting New Members: Yes
Hours: TU-TH 12PM-7PM, F
2PM-6PM, SA 8:30AM-1:30PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 05-FEB-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
287
LOS ANGELES COUNTY VISION PROVIDERS
Corona, Fabian OD
1818 W Beverly Blvd Ste 105
Montebello, CA 90640
(323) 888-2020
License: 14923
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 04-FEB-20
De La Pena, William MD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: A31272
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dominguez, Charles OD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: 12292
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Garcia, Eddie MD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: G53767
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Larcabal, John OD
1818 W Beverly Blvd Ste 105
Montebello, CA 90640
(323) 888-2020
License: 9029
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
288
LOS ANGELES COUNTY VISION PROVIDERS
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 04-FEB-20
Mandel, Benjamin MD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: A127151
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mayberry, Melissa MD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: A71074
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mishima, Todd OD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: 9700
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moayedpardazi, Hamideh MD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: A137200
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
289
LOS ANGELES COUNTY VISION PROVIDERS
Nguyen, Meggie OD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: 15342
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nguyen, Thien Thu OD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: 13098
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Perez, Evelyn OD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: 10155
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Salado, Maria OD
1818 W Beverly Blvd Ste 105
Montebello, CA 90640
(323) 888-2020
License: 33396
Accepting New Members: Yes
Hours: TU-TH 12PM-7PM, F
2PM-6PM, SA 8:30AM-1:30PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 05-FEB-20
Salib, George MD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: A71222
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
290
LOS ANGELES COUNTY VISION PROVIDERS
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sanchez, Adriana OD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: 14769
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sanchez, Martha OD
1818 W Beverly Blvd Ste 105
Montebello, CA 90640
(323) 888-2020
License: 9494
Accepting New Members: Yes
Hours: TU-TH 12PM-7PM, F
2PM-6PM, SA 8:30AM-1:30PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 05-FEB-20
Sanchez, Martha OD
1818 W Beverly Blvd Ste 105
Montebello, CA 90640
(323) 888-2020
License: 9494
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 04-FEB-20
Uchio, Alejandra MD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: A78760
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
291
LOS ANGELES COUNTY VISION PROVIDERS
Ung, Susan OD
2446 W Whittier Blvd
Montebello, CA 90640
(323) 728-5500
License: 12206
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HILLS
91343
Cheung, Karen OD
9119 Haskell Ave
North Hills, CA 91343
(818) 763-8836
License: 11865
Accepting New Members: Yes
Hours: M-F 8AM-5PM, SA
8AM-3PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sugimoto, Jean OD
9119 Haskell Ave
North Hills, CA 91343
(818) 763-8836
License: 33478
Accepting New Members: Yes
Hours: M-F 8AM-5PM, SA
8AM-3PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Zarabian, Elham OD
9119 Haskell Ave
North Hills, CA 91343
(818) 763-8836
License: 11991
Accepting New Members: Yes
Hours: M-F 8AM-5PM, SA
8AM-3PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HOLLYWOOD
91605
Cheung, Karen OD
6801 Coldwater Canyon Ave
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
292
LOS ANGELES COUNTY VISION PROVIDERS
North Hollywood, CA 91605
(818) 764-7047
License: 11865
Accepting New Members: Yes
Hours: M-F 8AM-5PM, SA
8AM-3PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sugimoto, Jean OD
6801 Coldwater Canyon Ave
North Hollywood, CA 91605
(818) 764-7047
License: 33478
Accepting New Members: Yes
Hours: M-F 8AM-5PM, SA
8AM-3PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Zarabian, Elham OD
6801 Coldwater Canyon Ave
North Hollywood, CA 91605
(818) 764-7047
License: 11991
Accepting New Members: Yes
Hours: M-F 8AM-5PM, SA
8AM-3PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTHRIDGE
91324
Winston, Mark OD
9153 Reseda Blvd
Northridge, CA 91324
(818) 701-0123
License: 7679
Accepting New Members: Yes
Hours: TU 9AM-6PM, W
9AM-5PM, TH 11AM-8PM, F
10AM-6PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91325
Chang, Andrew MD
18350 Roscoe Blvd Ste 101
Northridge, CA 91325
(818) 349-8300
License: G61183
Accepting New Members: Yes
Hours: M-F 8:30AM-5PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
293
LOS ANGELES COUNTY VISION PROVIDERS
PTA: No
Other Language: Spanish,
Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORWALK
90650
Ciampa, Christopher OD
10949 Alondra Blvd
Norwalk, CA 90650
(562) 864-8590
License: 8948
Accepting New Members: Yes
Hours: M,TU,F 9AM-5PM, W,TH
9AM-7PM, SA 9AM-4PM
PTA: No
Other Language: Bulgarian,
Russian, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Fishberg, Gary OD
12413 Norwalk Blvd
Norwalk, CA 90650
(562) 863-5807
License: 6656
Accepting New Members: Yes
Hours: M,F 9AM-6:30PM, TU,TH
9AM-5PM, W 9AM-6PM, SA
8:30AM-1:30PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Goodwin Jr, Lawrence MD
11916 Firestone Blvd
Norwalk, CA 90650
(562) 868-6826
License: C40581
Accepting New Members: Yes
Hours: M 11AM-5PM, TU,F
10:30AM-6PM, W
10:30AM-5PM, TH
10:30AM-9PM, SA
10:30AM-2PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
To, Brittany OD
13800 San Antonio Dr
Norwalk, CA 90650
(562) 864-6535
License: 10651
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
294
LOS ANGELES COUNTY VISION PROVIDERS
Hours: M-F 8:30AM-6PM, SA
8AM-2PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 07-FEB-20
PALMDALE
93550
Nghiem, Janet OD
516 E Palmdale Blvd
Palmdale, CA 93550
(661) 273-7200
License: 12843
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-1PM
PTA: Yes
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 19-FEB-20
PARAMOUNT
90723
Ciampa, Christopher OD
15717 Paramount Blvd
Paramount, CA 90723
(562) 361-5515
License: 8948
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Other Language: Bulgarian,
Russian, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Chang, Andrew MD
625 S Fair Oaks Ave Ste 235
Pasadena, CA 91105
(626) 796-7006
License: G61183
Accepting New Members: Yes
Hours: M 9AM-5PM, TU-TH
8AM-5PM, F 8AM-4PM
PTA: No
Other Language: Spanish,
Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
100 E California Blvd
Pasadena, CA 91105
(800) 432-2020
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-5PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
295
LOS ANGELES COUNTY VISION PROVIDERS
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Davis, Michael MD
100 E California Blvd
Pasadena, CA 91105
(800) 432-2020
License: A111866
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Melody OD
100 E California Blvd
Pasadena, CA 91105
(800) 432-2020
License: 14726
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Malek, Renia OD
100 E California Blvd
Pasadena, CA 91105
(800) 432-2020
License: 33840
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91107
Amini, Payam MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: A107595
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
296
LOS ANGELES COUNTY VISION PROVIDERS
demographic, phone and/or
panel status.
Cairnie, Mary OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 33545
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Camara, David OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 10484
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chu, Selena OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 33549
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Diggory, Matthew OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 33521
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Duan, Deborah OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 34232
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
297
LOS ANGELES COUNTY VISION PROVIDERS
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huang, Jeffrey DO
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 20A11984
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Luke, Priscilla MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: A107548
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moore, Lori MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: G57630
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ochoa, Araceli OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 33514
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
298
LOS ANGELES COUNTY VISION PROVIDERS
Ong, Olivia MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: A66933
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Burmese,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Jay MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: A127433
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Gujarati,
Hindi, Polish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rezaei Abbassi, Nima MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: A131669
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shaw, Minh OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 13540
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shelton, Raymond MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: G60028
Accepting New Members: Yes
Hours: M-F 8AM-5PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
299
LOS ANGELES COUNTY VISION PROVIDERS
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Jennie OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 14276
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Villegas, Rex OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4168
License: 12668
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
91767
Bedrood, Sahar MD
160 E Artesia St Ste 120
Pomona, CA 91767
(909) 629-5965
License: A124192
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Dai MD
1148 E Holt Ave
Pomona, CA 91767
(909) 622-2226
License: G83981
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
10AM-5PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
300
LOS ANGELES COUNTY VISION PROVIDERS
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROSEMEAD
91770
Eng, Calvin MD
9212 Valley Blvd
Rosemead, CA 91770
(626) 288-2308
License: G55239
Accepting New Members: Yes
Hours: M-SA 10AM-6PM
PTA: No
Other Language: Spanish,
Vietnamese, Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Dai MD
9014 Garvey Ave Ste G
Rosemead, CA 91770
(626) 572-7171
License: G83981
Accepting New Members: Yes
Hours: M-TH 9AM-1PM, F
9AM-6PM, SA 1PM-5PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROWLAND HEIGHTS
91748
Chang, Bogard OD
18337 Colima Rd
Rowland Heights, CA 91748
(626) 854-1131
License: 11253
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-4PM
PTA: Yes
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yang, Catherine OD
1015 Nogales St Ste 109
Rowland Heights, CA 91748
(626) 965-8698
License: 33582
Accepting New Members: Yes
Hours: M-SU 9AM-7PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 14-FEB-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
301
LOS ANGELES COUNTY VISION PROVIDERS
SAN DIMAS
91773
Yu, Elaine OD
120 W Bonita Ave Ste A
San Dimas, CA 91773
(909) 599-1100
License: 34447
Accepting New Members: Yes
Hours: M,W,TH 8:30AM-5:30PM,
TU 10AM-6:30PM, F 7AM-4PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 10-JAN-20
SAN GABRIEL
91776
Chen, Brian MD
207 S Santa Anita St Ste P25
San Gabriel, CA 91776
(626) 269-5355
License: A127719
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Melody OD
207 S Santa Anita St Ste P25
San Gabriel, CA 91776
(626) 269-5355
License: 14726
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lao, Jia OD
140 W Valley Blvd Ste 115
San Gabriel, CA 91776
(626) 288-8023
License: 14574
Accepting New Members: Yes
Hours: M-SU 9:30AM-8:30PM
PTA: Yes
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 24-FEB-20
Lin, Esther OD
1045 E Valley Blvd Ste 202
San Gabriel, CA 91776
(626) 280-6212
License: 33975
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
302
LOS ANGELES COUNTY VISION PROVIDERS
Hours: M,W,F 10AM-7PM, TU,SA in the provider record; PTA: Yes
9AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 14-FEB-20
Wainess, Reid MD
207 S Santa Anita St Ste P25
San Gabriel, CA 91776
(626) 269-5355
License: A108766
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Hebrew,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
demographic, phone and/or
panel status.
Yang, Catherine OD
140 W Valley Blvd Ste 115
San Gabriel, CA 91776
(626) 288-8023
License: 33582
Accepting New Members: Yes
Hours: M-SU 9:30AM-8:30PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 14-FEB-20
SAN PEDRO
90732
Alasil, Tarek MD
1360 W 6th St Ste 165
San Pedro, CA 90732
(562) 317-3892
License: A108797
Accepting New Members: Yes
Hours: M-F 8AM-5PM
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
1360 W 6th St Ste 165
San Pedro, CA 90732
(562) 317-3892
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
303
LOS ANGELES COUNTY VISION PROVIDERS
panel status.
Dang, Lisa MD
1360 W 6th St Ste 165
San Pedro, CA 90732
(562) 317-3892
License: A154089
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nguyen, Thy OD
1360 W 6th St Ste 165
San Pedro, CA 90732
(562) 317-3892
License: 12746
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pham, Vy OD
1360 W 6th St Ste 165
San Pedro, CA 90732
(562) 317-3892
License: 33671
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wong, Sharon OD
1360 W 6th St Ste 165
San Pedro, CA 90732
(562) 317-3892
License: 15137
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA MONICA
90404
Wong, King OD
1526 14th St Ste 101
Santa Monica, CA 90404
(310) 395-2106
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
304
LOS ANGELES COUNTY VISION PROVIDERS
License: 12461
Accepting New Members: Yes
Hours: M-F 9AM-7PM, SA
9AM-2PM
PTA: Yes
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
panel status.
Other Language: Spanish,
Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
provider’s office to discuss
their accessibility needs when
there is limited access or when
panel status.
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SHERMAN OAKS
91423
Gabrielian, Karine MD
13739 Riverside Dr Ste A
Hovanesian, Haroutun MD
13739 Riverside Dr Ste A
Sherman Oaks, CA 91423
(818) 386-0008
License: A67565
Accepting New Members: Yes
Hours: M-SA 9AM-6PM
PTA: Yes
Other Language: Armenian,
Russian, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
1:30PM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Sherman Oaks, CA 91423
(818) 386-0008
License: A66613
provider’s office to discuss
their accessibility needs when
there is limited access or when
panel status.
Accepting New Members: Yes
Hours: M-SA 9AM-6PM
PTA: Yes
Other Language: Armenian,
Russian
Cultural Competency: CC
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Tom, Wesley OD
1024 Mission St Ste B
South Pasadena, CA 91030
(626) 460-6022
License: 9469
Accepting New Members: Yes
SOUTH PASADENA
91030
Latter, Mitchell MD
1499 Huntington Dr Ste 508
South Pasadena, CA 91030
(626) 799-9588
License: G40013
Accepting New Members: Yes
Hours: M,W,F 9AM-5PM, TU
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
305
LOS ANGELES COUNTY VISION PROVIDERS
Hours: M,W 10AM-6PM, TU,F
9AM-5PM, TH 11AM-7PM, SA
10AM-3PM
PTA: Yes
Other Language: Spanish,
Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 17-JAN-20
STEVENSON RANCH
91381
Winston, Mark OD
25834 The Old Rd
Stevenson Ranch, CA 91381
(661) 259-3300
License: 7679
Accepting New Members: Yes
Hours: M,W 9AM-6PM, TU,F
9AM-5PM, TH 9AM-1PM, SA
9AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
91356
Amini, Payam MD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: A107595
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cairnie, Mary OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 33545
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Camara, David OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 10484
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
306
LOS ANGELES COUNTY VISION PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chu, Selena OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 33549
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Diggory, Matthew OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 33521
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Duan, Deborah OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 34232
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huang, Jeffrey DO
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 20A11984
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Luke, Priscilla MD
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
307
LOS ANGELES COUNTY VISION PROVIDERS
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: A107548
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moore, Lori MD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: G57630
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ochoa, Araceli OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 33514
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ong, Olivia MD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: A66933
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Burmese,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Jay MD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: A127433
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Polish
Cultural Competency: CC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
308
LOS ANGELES COUNTY VISION PROVIDERS
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shaw, Minh OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 13540
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shelton, Raymond MD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: G60028
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Jennie OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 14276
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Villegas, Rex OD
18370 Burbank Blvd Ste 207
Tarzana, CA 91356
(818) 996-3400
License: 12668
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
309
LOS ANGELES COUNTY VISION PROVIDERS
TORRANCE
90505
Alasil, Tarek MD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
License: A108797
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Casey, Richard MD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: G69608
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Bogard OD
23133 Hawthorne Blvd Ste 110
Torrance, CA 90505
(310) 375-8028
License: 11253
Accepting New Members: Yes
Hours: M 10AM-4PM, TU,F,SA
10AM-6PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
License: A69909
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dang, Lisa MD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
License: A154089
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
310
LOS ANGELES COUNTY VISION PROVIDERS
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Grant-acquah, Kweku MD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
License: A126202
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Grattan, Anne OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 15086
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huynh, Anthony OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 11426
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Jalalat, Parisa OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 33762
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
311
LOS ANGELES COUNTY VISION PROVIDERS
Kim, Janet Kiehong OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: A123752
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Scott OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 11911
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Le, Huong OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 33843
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Logan, Dwayne MD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: G68583
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Montana Collins, Claudia OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 12170
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
312
LOS ANGELES COUNTY VISION PROVIDERS
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nguyen, Thy OD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
License: 12746
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pazornik, Arthur OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 4978
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pham, Vy OD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
License: 33671
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sato, Ayaka OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 14212
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Japanese,
Korean
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
313
LOS ANGELES COUNTY VISION PROVIDERS
demographic, phone and/or
panel status.
Tamayo, Robert OD
3525 Pacific Coast Hwy Ste E
Torrance, CA 90505
(310) 325-7799
License: 10737
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-6PM, SA
9AM-2PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Teshima, Donald OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 5954
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Mailan OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 13984
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tu, Linh OD
3525 Pacific Coast Hwy Ste E
Torrance, CA 90505
(310) 325-7799
License: 11969
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-6PM, SA
9AM-2PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Varsani, Poonam OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 14909
Accepting New Members: Yes
Hours: M-F 8AM-5PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
314
LOS ANGELES COUNTY VISION PROVIDERS
PTA: Yes in the provider record; License: 13501
Other Language: Gujarati,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Watanabe, Dennis OD
23000 Crenshaw Blvd Ste 100
Torrance, CA 90505
(310) 803-9633
License: 7702
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
demographic, phone and/or
panel status.
Wong, Sharon OD
3440 Lomita Blvd Ste 100
Torrance, CA 90505
(800) 898-2020
License: 15137
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
91401
Gomes, Alex OD
5622 Van Nuys Blvd
Van Nuys, CA 91401
(818) 988-8744
Accepting New Members: Yes
Hours: M,TU,F 9AM-5PM, W,TH
10AM-6PM, SA 9AM-2PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
91791
Kim, Stella OD
2233 E Garvey Ave N Ste A
West Covina, CA 91791
(626) 600-9486
License: 14985
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
315
LOS ANGELES COUNTY VISION PROVIDERS
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 19-DEC-19
Maria, Aileen OD
2233 E Garvey Ave N Ste A
West Covina, CA 91791
(626) 600-9486
License: 33581
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 19-DEC-19
91792
Yee, Olave OD
3658 S Nogales St
West Covina, CA 91792
(626) 539-3543
License: 34131
Accepting New Members: Yes
Hours: M,TU,TH 10AM-7PM, W
10AM-6PM, F 9AM-6PM, SA
9AM-4PM
PTA: Yes
Other Language: French,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 14-FEB-20
WEST HILLS
91304
Gomes, Alex OD
7606 Fallbrook Ave Ste 8
West Hills, CA 91304
(818) 476-7949
License: 13501
Accepting New Members: Yes
Hours: TU,W,F 9AM-5PM, SA
9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HOLLYWOOD
90046
Gabrielian, Karine MD
7739 Santa Monica Blvd
West Hollywood, CA 90046
(323) 656-7771
License: A66613
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Armenian,
Russian
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
316
LOS ANGELES COUNTY VISION PROVIDERS
demographic, phone and/or
panel status.
Hovanesian, Haroutun MD
7739 Santa Monica Blvd
West Hollywood, CA 90046
(323) 656-7771
License: A67565
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Armenian,
Russian, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
90601
Ordonez, Xavier OD
13124 Philadelphia St
Whittier, CA 90601
(562) 945-3589
License: 11089
Accepting New Members: Yes
Hours: M,TU,TH,F 9AM-5PM, W
10AM-6PM, SA 9AM-3PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90602
Okie, Theodore MD
7957 Painter Ave Ste 203
Whittier, CA 90602
(562) 464-0590
License: G8937
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shammas, Hanna MD
7957 Painter Ave Ste 203
Whittier, CA 90602
(562) 464-0590
License: A30800
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Other Language: Arabic,
French
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
317
LOS ANGELES COUNTY VISION PROVIDERS
Swearingen, Michael OD
7957 Painter Ave Ste 203
Whittier, CA 90602
(562) 464-0590
License: 5603
Accepting New Members: Yes
Hours: M-TH 9AM-5PM, F
8AM-1PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
318
LOS ANGELES COUNTY MENTAL HEALTH FACILITIES
REDONDO BEACH
90278
South Bay Family Health Care
- Redondo Beach
2114 Artesia Blvd
Redondo Beach, CA 90278
(310) 802-6170
NPI#: 1548301229
Hours: M,W,F 7:30AM-4:30PM,
TU,TH 10AM-7:30PM
PTA: No
Cultural Competency: NR
Accessibility: EB; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-JUL-14
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
319
LOS ANGELES COUNTY PHARMACIES
RETAIL PHARMACIES
ARTESIA
90701
Mercy Ltc And Specialty
Pharmacy •
11515 Artesia Blvd
Artesia, CA 90701
(562) 402-0542
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BELL GARDENS
90201
Bell Gardens Family Pharmacy
1 •
6501 Garfield Ave
Bell Gardens, CA 90201
(562) 776-5050
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-5PM, SA 9AM-3PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BURBANK
91506
Pavilions Pharmacy 2214 •
1110 W Alameda Ave
Burbank, CA 91506
(818) 567-0086
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
91723
East Valley Pmq Covina
Pharmacy •
276 W College St
Covina, CA 91723
(000) 000-0000
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CULVER CITY
90230
Pavilions Pharmacy 2212 •
11030 Jefferson Blvd
Culver City, CA 90230
(310) 398-8044
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL MONTE
91731
Health Mart Midway •
10410 Lower Azusa Rd Ste 102
El Monte, CA 91731
(626) 448-7659
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91733
Rosa 1 Pharmacy 2547 •
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
320
LOS ANGELES COUNTY PHARMACIES
10366 Garvey Ave Ste B
El Monte, CA 91733
(626) 448-9956
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9:30AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
91436
Encino Care Pharmacy •
16025 Ventura Blvd Ste 100
Encino, CA 91436
(818) 377-6900
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 10AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GARDENA
90247
Vons Pharmacy 1625 •
1260 W Redondo Beach Blvd
Gardena, CA 90247
(310) 767-7940
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
91201
Remedy Drugs •
1700 W Glenoaks Blvd
Glendale, CA 91201
(818) 549-1010
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9AM-1PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91205
Glendale West Pharmacy •
1109 S Glendale Ave
Glendale, CA 91205
(818) 548-5157
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 10AM-3PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
I And G Pharmacy Inc •
815 E Colorado St Ste A
Glendale, CA 91205
(818) 500-0895
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9:30AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LONG BEACH
90806
Pacific Plaza Pharmacy
5624266588 •
2777 Pacific Ave Ste A
Long Beach, CA 90806
(562) 426-6588
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9:30AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
321
LOS ANGELES COUNTY PHARMACIES
LOS ANGELES
90015
Cvs Pharmacy 11028 •
1026 S Broadway Spc A
Los Angeles, CA 90015
(000) 000-0000
TTY: 711
Hours: M-SU 12AM-11:59PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90017
Good Samaritan Total Care
Pharmacy •
1245 Wilshire Blvd Ste 201
Los Angeles, CA 90017
(000) 000-0000
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90018
Qualicare Pharmacy Services •
3779 S Western Ave # 3779 1/2
Los Angeles, CA 90018
(323) 731-4004
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 1PM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90019
Cvs Pharmacy 17749 •
1302 S La Brea Ave Ste A
Los Angeles, CA 90019
(000) 000-0000
TTY: 711
Hours: M-SU 12AM-11:59PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90027
Vons Pharmacy 2665 •
4520 W Sunset Blvd
Los Angeles, CA 90027
(323) 662-2121
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90035
Rxall Pharmacy •
1125 S Beverly Dr Ste 100
Los Angeles, CA 90035
(310) 551-2861
TTY: 711
Hours: SA,SU 12AM-12AM,
M-TH 9AM-6PM, F 9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90038
Pavilions Pharmacy 2229 •
727 Vine St
Los Angeles, CA 90038
(323) 466-7158
TTY: 711
Hours: SU 10AM-6PM, M-F
9AM-9PM, SA 9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90064
Us Precision Pharmacy 10680 •
10680 W Pico Blvd Ste 250
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
322
LOS ANGELES COUNTY PHARMACIES
Los Angeles, CA 90064
(310) 844-0711
TTY: 711
Hours: M,TU,TH,F,SU
12AM-12AM, W 10AM-1PM, SA
12PM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90069
Men's Health Foundation •
9201 W Sunset Blvd Ste G2
Los Angeles, CA 90069
(310) 205-0724
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LYNWOOD
90262
Apple Rx Pharmacy Store 2 •
3625 Martin Luther King Jr Blvd
Ste 1 Unit 1
Lynwood, CA 90262
(000) 000-0000
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9AM-1PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MISSION HILLS
91345
Cvs Pharmacy 17700 •
10340 Sepulveda Blvd
Mission Hills, CA 91345
(818) 361-1709
TTY: 711
Hours: SU 11AM-5PM, M-F
9AM-7PM, SA 9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PICO RIVERA
90660
Better Life Pharmacy (new Life
Pharmacy - Farmacia •
9420 Slauson Ave
Pico Rivera, CA 90660
(562) 222-2020
TTY: 711
Hours: SU 10AM-3PM, M-F
9AM-6PM, SA 9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN PEDRO
90731
Peninsula Pharmacy 2281 •
1294 W 6th St Ste 100
San Pedro, CA 90731
(310) 833-3535
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-7PM, SA 10AM-4PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
91387
Vons Pharmacy 3138 •
16550 Soledad Canyon Rd
Santa Clarita, CA 91387
(661) 309-1983
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
8AM-8PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
323
LOS ANGELES COUNTY PHARMACIES
panel status.
SUN VALLEY
91352
Stanfred Drugs •
8031 Vineland Ave
Sun Valley, CA 91352
(818) 767-3737
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9AM-1PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TORRANCE
90505
Tormed Pharmacy •
3440 Lomita Blvd Ste 149
Torrance, CA 90505
(310) 326-7706
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6:30PM, SA 9AM-1PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TUJUNGA
91042
Tujunga Pharmacy •
7341 Foothill Blvd # 101
Tujunga, CA 91042
(818) 352-9200
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALENCIA
91381
Vons Pharmacy 2030 •
25850 The Old Rd
Valencia, CA 91381
(661) 254-5824
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
91790
Bright Care Pharmacy •
140 N Orange Ave Ste 103
West Covina, CA 91790
(213) 626-5228
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HOLLYWOOD
90069
Vons Pharmacy 2739 •
8969 Santa Monica Blvd
West Hollywood, CA 90069
(310) 273-5126
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
8AM-8PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
90603
Vons Pharmacy 2027 •
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
324
LOS ANGELES COUNTY PHARMACIES
15740 La Forge St
Whittier, CA 90603
(562) 943-4288
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
325
LOS ANGELES COUNTY PHARMACIES
LONG-TERM CARE
PHARMACIES
Residents of a long-term care
facility may access their
prescription drugs covered
under Blue Shield Promise Cal
MediConnect Plan through
the facility’s long-term care
pharmacy or another network
long-term care pharmacy.
Blue Shield Promise Cal
MediConnect Plan has a
process in place to assist you
in obtaining prescription drugs
when you are in a long-term
care (LTC) facility. If you are in
an LTC facility and are
prescribed a non-formulary
drug, we will authorize a
one-time, 30-day supply of the
medication prescribed for
transition purposes.
If you are on a complicated
medication regimen, or a
regimen where safety
concerns do not permit you to
be transitioned sooner, up to a
6-month transitional period will
be allowed. This transition
period will also be allowed for
patients with multiple
medications and with multiple
physicians providing care.
For more information, please
call Blue Shield Promise Cal
MediConnect Plan at
1-855-905-3825 (TTY: 711) 8:00
a.m. to 8:00 p.m. seven days a
week.
ARTESIA
90701
Mercy Ltc And Specialty
Pharmacy •
11515 Artesia Blvd
Artesia, CA 90701
(562) 402-0542
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
326
PROVIDER INDEX
A Abdullatif, Qutayba.... 247, 223
Abjelina, Kenneth ................237
Aguilar, Felix ..............................1
Aguinaldo, Estrella 21, 23, 27,
65, 71, 91, 134
Ahmed, Faisal.........................55
Ahmed, Rabia ........................33
Ahoubim, Daniel ......... 111, 103
Airapetian, Ara.......................62
Akhavan, Parviz................. 84, 1
Al-sarraf, Lena ........................33
Alasil, Tarek 130, 269, 272,
303, 310, 122
Aleman, Edgar .......................30
Aliksanian, Lori ........................53
Allen, Daniel................. 278, 277
Amini, Payam 261, 284, 296,
306, 259
Ammen, Magena ................244
Angelone, Elisa.....................181
Antoun, Cindy ............. 193, 176
Aparicio, Luis...........................33
Arceo, Ruth.............................88
Arcia, John.............. 39, 58, 103
Arkosy, Thomas.....................225
Armani, Robert ............ 211, 180
Arredondo, Alex.......... 283, 265
Atanasio, Joseph .................229
Attento, Adriana ..................229
Avci, Dilek .............................236
Avila, Adriana.......................244
Avitabile, John......................223
B Baez, Maria ...........................199
Baghoumian, Marineh 269, 260
Bansal, Eric ............ 125, 98, 110
Bao, Tien....................... 181, 149
Barba, David...................... 8, 32
Barnett, Chalon....................241
Barr, Mark ................................60
Barrus, Kim.............................221
Barthol, Sara .........................249
Battala, Naga.........................41
Bavarsky, Anita.....................252
Bedrood, Sahar 113, 122, 130,
300, 45, 99, 107
Bei, Ling .................................272
Bejinez-eastman, Ana 109, 2,
21, 23, 25, 88, 91, 10
Benson, Erica ..........................48
Bereliani, Arash................ 11, 10
Bernal, Brenda........................36
Berndes Carlson, Teresita ....225
Bertao, Teresa.........................36
Bharadia, Juma...................... 34
Bhasin, Nitin.............................12
Binder, Robert.... 77, 80, 82, 69
Blakely, David .............. 205, 164
Blueskyes, Roman.................225
Boeckmann, Jessica............272
Booth, Thomas......................253
Bracamontes, Raymond.....160
Brady, Matthew......................53
Brennecke, Bernadette.......248
Bridges, Duane.......................92
Brittain, Debra....................... 240
Brody, Bruce ................ 220, 193
Brody, Dora...........................229
Bui, Tan ..................................150
Burnett, Melissa.....................246
Burns, John..............................62
Butts, Myron ................. 192, 162
Byun, Hayeon .......................201
C Cade, Charlene...................149
Cairnie, Mary 284, 297, 306,
261
Camara, David ........... 306, 297
Campins, Monica ................177
Canabal, Manuel ....... 212, 154
Carella, Joseph ......................28
Caropino, Blake ...................215
Carrillo, Herman ................ 3, 10
Carroll, Joshua...................... 225
Casey, Richard.....................310
Cearfoss, Christine ...............250
Chan, Cheuk Man ...............214
Chang, Andrew .......... 295, 293
Chang, Bogard .. 301, 310, 278
Chang, Chung Young 203,
217, 136
Chang, Guang Di ................214
Chang, Michael .......... 270, 254
Chang, Tom 112, 121, 18, 254,
257, 261, 269, 272, 276, 278,
280, 295, 303, 310, 42, 106
Chanthakaew, Umawan ....193
Chauhan, Bharat .................120
Chen, Brian 269, 273, 279,
302, 42, 45, 257
Chen, David ...................... 61, 2
Chen, Jeng-shiang 203, 217,
136
Chen, Joyce .........................255
Chen, Quincy .............. 195, 194
Chen, Ta Fang......................215
Chen, Tzu-jung......................216
Chen, Yuying ...... 150, 208, 140
Cheng, Ya-wen....................138
Cheung, Eric 111, 12, 127, 22,
24, 26, 31, 39, 6, 98, 106
Cheung, John.............. 206, 175
Cheung, Karen.....................292
Chew, Wesley.......................273
Cho, Eun....................... 178, 168
Choe, Dong..........................153
Choi, Jungsook.....................156
Choi, Ki ..................................151
Choi, Soyoung......................168
Chou, Arthur .................. 96, 117
Christie, Connie ....................182
Chu, Selena 284, 297, 307, 262
Chu, Thomas 114, 125, 47, 94,
100
Chuang, Gina Hua Qin 202,
166
Chuman, Brandon ...............243
Chung Morita, Jonie 147, 184,
139
Chung, Anthony................... 172
Chung, Wanmi .....................169
Ciampa, Christopher .. 295, 294
Claros, John..........................226
Cohen, Jordan .....................214
Corona, Fabian........... 288, 287
Corvino, Neva ......................222
Cruz-schiavone, Gonzalo......60
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
327
PROVIDER INDEX Culotta, Anthony 273, 280, 269
D Dalton, Emily ................ 244, 221
Daneshvar, Elenor................221
Dang, Lisa .................... 310, 304
Das, Tara ...................... 182, 175
Dasilva, Antonio ...................187
Davis, Michael 106, 107, 112,
113, 121, 123, 131, 19, 279,
296, 43, 46, 99, 100
Dawson, Jonathan ..............164
De La Pena, William.... 288, 265
De Oliveira, Elizabeth...........133
Deak, Gabi ...........................229
Delshad, George . 112, 41, 104
Diggory, Matthew 284, 297,
307, 262
Discepolo, William........... 57, 34
Djapri, Christine ....................135
Dominguez, Charles ... 288, 265
Doty, Brian.............................155
Du, Elizabeth.........................279
Duan, Deborah 285, 297, 307,
262
Dugan, Jennifer.................... 239
Duong, Henry............... 101, 100
Durrani, Asif .................. 188, 187
Dushenko, Terrance.............240
E Eckel, Gregory................. 51, 49
Eddy-bertrand, Elizabeth 70, 69
Edelstein, Arthur........... 282, 259
Edery, Gabriel.............. 219, 194
Eghbalieh, Sammy 116, 29, 52,
104
Eipl, Kristina............................ 241
Eitan, Nathan..... 22, 26, 4, 110
Ellis, Arnold ................ 74, 84, 67
Eng, Calvin................... 301, 275
Eromo, Ersno ...........................54
Esfahani, Ora ............... 132, 131
Eskilson, Emma......................164
Eubanks, Hayward .................29
Evans, Sanae ........................173
F
Fan, Ting Wen .............. 208, 184
Fass, Tara...............................226
Fatato, Antoinette ...............226
Feng, Charles............... 160, 139
Feygin, Polina .................. 88, 18
Filart, Marcel Adrian 127, 64,
11
Fishberg, Gary ......................294
Floro, Jerry ...............................92
Fong, Richard .............. 205, 196
Fong, Ryan................... 189, 138
Fox-rabinovich, Lola.... 200, 182
Frame, Katherine.................. 153
Frank, Jennifer ......................230
Fruchtbaum, Irene ...............230
Fu, Michael .................. 145, 136
Fu, Rongpin...........................157
G Gabrielian, Karine ....... 316, 305
Gaeta, Yadira ......................245
Galdamez, Luis ......... 84, 91, 18
Gallemore, Ron ...... 13, 44, 129
Ganata, Victor .........................3
Garay, Jose ................. 156, 155
Garcia, Eddie .............. 288, 265
Garcia, Jennifer .......... 181, 171
Garcia, Rachael ..................213
Garg, Bimlesh .......................252
Genato, Sharon............... 72, 65
Gershelis, Anna ....................230
Getting, Michael ..................185
Gilbert, Randall ......................96
Gill, Matthew ............................9
Gin, Jeffrey......................... 86, 1
Goel, Nadia ................. 206, 171
Goldsmith, Steven................226
Goldstein, Estelle ..................251
Goldstone, Alan ...................271
Goldstone, Harvey...............271
Goleh, Shadi .........................206
Gomes, Alex ................ 316, 315
Gomez Falcon, Mariah .......222
Gonzalez, Enrique ......... 98, 109
Goodwin Jr, Lawrence 294, 281
Goring, Christopher ........ 54, 20
Gottlieb, Larry .......................268
Grant-acquah, Kweku 276,
281, 311, 273
Grattan, Anne ............... 59, 311
Grattan, Gil ...........................247
Gravelle, Roxana .................219
Grazer, Sage.........................231
Green, Eugene............ 274, 256
Green, Sari ..............................53
Greener, Michael.................245
Griffin, Daniel ........................210
Griffin, Dominique ................240
Gumbs, Joslyn ........................13
Gutierrez, Andrew....... 212, 182
Gutierrez, Guillermina..............9
H Haas, Bryan...........................185
Hacopians, Sareen ..............245
Hakham, Salar ........................15
Hallbrooks, Landon ..............248
Han, Dong Gwon.................188
Hanna, Gina ...........................41
Hatami, Nazila ......................227
Hea, Jean .............................170
Hean, Sindalisa ......... 76, 81, 67
Hefley, Priscilla ......................241
Heidenfelder, Richard .........251
Heitz, Andrea........................223
Hemans, Nichole..................249
Herta, Kelly ................... 210, 199
Higashi, Randy......................184
Ho, Diep ....................... 185, 142
Ho, Ralph.................................50
Ho, Samuel..............................75
Hogan, James 171, 200, 216,
159
Hoinsky, Michelle..................199
Hong, Donna ........................254
Hong, Sung Hee ...................145
Hong, Zhen-li ................ 208, 157
Hopkins, Adrian ....................250
Hou, Poyuan .........................192
Houser, Natalie .......................90
Hovanesian, Haroutun 317, 305
Hsu, Grace............................255
Hsu, Richard........ 201, 202, 199
Huang, Catherine ................271
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
328
PROVIDER INDEX Huang, Jeffrey 285, 298, 307, Kim, Daniel ............................151 Lee, Miran .................... 167, 166
262 Kim, Don................................159 Lee, Sang Wook ...................219
Huang, Lillian ........................227 Kim, Hye ....................... 181, 177 Lee, Sanghyun............. 216, 176
Huang, Yung Ju........... 157, 139 Kim, Jae................................. 169 Lee, Scott ..............................312
Hung, Alex.................... 197, 196 Kim, Janet Kiehong..............312 Lee, Soo............... 150, 175, 141
Huo, Wayne ................. 208, 157 Kim, Melody 261, 276, 279, Lee, Yang-chau .......... 185, 140
Huynh, Anthony....................311 296, 302, 254 Lee, Young............................210
Huynh, Tran ...........................147 Kim, Sang Woo .....................142 Lee, Yun Soo .........................169
Hwee, Jonathan ............. 87, 75 Kim, Sean ..................................7 Lee-shim, Eun Seon ..............144
Kim, Seog ..............................160 Leonard, Elisa........................233 I Kim, Stella ..............................315 Lewis, Page...........................237
Ide, Nobuko..........................173
Kim, William June-ki 166, 171, Li, Jack.......................... 216, 174
Ifekwunigwe, Christopher ...242
152 Liang, Kristin ..........................224
Iskandar, Lucy.......................238
Kim, Young............................151 Liao, David. 114, 123, 125, 104
J Kimia, Roy..............................173 Liaw, Yih-jenn........................158
Klamann, Kalina ...................227 Lim, Thomas ................. 116, 115
Jacobs, Bruce.......................154
Kooklan, Fariba ....................232 Lin, Charles................... 209, 158
Jalalat, Parisa .......................311
Kowalczyk, John 104, 117, Lin, Chi-yi ............. 204, 218, 137
Javdan, Parviz ..........................6
133, 16, 55, 83, 93, 97, 102 Lin, Esther...................... 302, 285
Jeong, Hoi Jun...................... 197
Kravchenko, Mayya ... 211, 179 Lin, Hope ...................... 215, 212
Jiang, Thomas.........................74
Krinsky Atkins, Leah ..............232 Lin, Michael 110, 37, 4, 92,
Jing, Ran ...............................195
Kwon, Sang Hyeuk ...............150 94, 103
Jingozian, Vardui..................231
Kwon, Yeung ........................191 Lin, Steven 162, 165, 204, 218,
Johnson Boykin, Kim.............231
137
Johnson, Brock .....................163 L Lin, Yu-chen ..........................173
Johnson, Jeany ........... 277, 255
Lai, Wes .................................184
Liptawat, Jennifer ................156
Jolly, Cara .............................176
Lai, Yi-hsien.......... 204, 217, 137
Logan, Conor .......................207
Joukar, Mehrdad ........ 153, 146
Lao, Jia ..................................302
Logan, Dwayne.................... 312
Joung, Junkyoung ...............170
Larcabal, John .....................288
Logan, Zena................. 207, 202
Jung, Inho .................... 178, 168
Latter, Mitchell ............. 305, 257
Long, Billy...............................143
Jung, Ji Hwan .......................151
Laveck, Londa............. 189, 188
Long, Mary ............................163
K Lazzaro, Cynthia.............. 37, 36
Lorenzo, Keola......................165
Le, Huong..............................312
Kaiser, William .......................231 Lu, Mei ...................................190
Lee, Dustin.......................... 7, 15
Kaplansky, Galina ................232 Lu, Yang ....................... 209, 158
Lee, Edward............................ 33
Kennedy, Devon ......... 114, 101 Lu, Yong Jun .........................194
Lee, Edwin...............................12
Keo, Samuel.......................... 239 Lucasan, Danah Majorie.......36
Lee, Hyo ....................... 202, 186
Khachatryan, Shushanik...... 232 Luke, Priscilla 285, 298, 307,
Lee, In Sook.................. 154, 142
Khachatryan, Tigran ..............30 263
Lee, Jae...................................58
Khan, Ahmed .........................11 Ly, Richard ................... 271, 256
Lee, Jason.. 148, 189, 190, 147
Khan, Ayaz..............................46
Lee, Jay .................................165
MKhan, Sadia...........................134
Lee, Jin ..................................148 Mahdavi, Paymohn . 44, 46, 43
Khanna, Sandeep 44, 6, 99,
Lee, Jiny ................................183 Mahgerefteh, Shmuel 50, 51,
13
Lee, Joseph.................. 277, 255 49
Khoubian, Anjel ........... 183, 179
Lee, Judy...............................207 Mahtabifard, Ali ....... 76, 81, 68
Kim, A Young ............... 200, 143
Lee, Kyounghee...................144 Malek, Renia....... 270, 296, 261
Kim, Chel ...............................170
Lee, Li Hung ..........................146 Malhotra, Sameer ..................55
Kim, Chul Un................. 213, 165
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
329
PROVIDER INDEX Mandel, Benjamin....... 289, 266
Maria, Aileen ........................316
Marinaro, Thomas ................179
Markle, Susan........................188
Marmureanu, Alexandru 54,
96, 117
Marrin, Bridget ........................35
Marsh, Adrienne.............. 72, 66
Martin, Anthony......................59
Martin, Silvana ......................233
Masaki, Damon ......................40
Mathews, Jane.....................247
Mayberry, Melissa ....... 289, 266
Mchaney, John ....................149
Mckenzie, John ........ 79, 89, 62
Mclafferty, Joel.....................242
Mendonsa, Andrew.............241
Mesrkhani, Razmik................154
Miller, Jaymie........................222
Miller, Pamela .......................190
Miller, Soo ..................... 153, 146
Mishima, Todd 266, 289, 83, 14
Mo, Solomon.........................138
Moayedpardazi, Hamideh 289,
266
Mohebbi, Ali ................ 283, 282
Monroe, Trevor .....................239
Montana Collins, Claudia ...312
Mooney, Andrew .................160
Moore, Lori .......... 298, 308, 259
Morales, Carolina.................190
Morante, Pedro ....................251
Morgan, Michael .................227
Movsessian, Claude.............198
N Najafi, Ali ................... 53, 8, 126
Nalamlieng, Matthew ...........31
Naraghi, Robert................. 8, 17
Nesovic, Slobodan...............240
Nghiem, Janet......................295
Nguyen, Meggie ......... 290, 266
Nguyen, Thien Thu....... 290, 267
Nguyen, Thy ........ 304, 313, 272
Niamehr, Nouriel ....................48
Nikroo, Alireza.............. 220, 178
Nobile, Lucio.................... 42, 41
Nomura, Yoko.......................163
Nourian, Kambiz .......... 194, 180
Novack, Roger .....................125
Ntung, Helen.........................250
O Ochoa, Araceli 285, 298, 308,
263
Odvina, Rheamay ...............144
Oh, Agnes .............................236
Oh, Meesuk.................. 172, 152
Oh, Ruth ................................159
Oh, Se Yeong ..... 166, 172, 152
Ojuri, Adebambo 28, 57, 93,
94, 110
Okie, Theodore... 283, 317, 258
Ong, Olivia. 286, 299, 308, 263
Ordonez, Xavier .......... 317, 264
Orend, Liesel .........................193
Orselli, Rachel .............. 213, 183
P Panoussi, Frank .....................186
Papenhagen, Ted................213
Paramo, Melissa ...................238
Parikh, Gaurav........................ 34
Park, Dae ..............................144
Park, Jae ...................... 179, 168
Park, Jea Young ...................161
Parodi, Jacqueline...............233
Patel, Ankur.............................16
Patel, Jay 263, 286, 299, 308,
259
Patterson, Kala .....................242
Paul, Mariam ........................238
Pazornik, Arthur.....................313
Perez, Alicia ................. 245, 221
Perez, Evelyn.... 267, 290, 7, 14
Perez, Luis ..................... 278, 277
Perlman, Jonathan ..............233
Peters, Joseph ............. 283, 258
Petropoulos, Greg................248
Pham, Cindy .................... 72, 66
Pham, Tung.................. 196, 145
Pham, Vy...................... 313, 304
Philip, Ancil ..............................52
Piccirillo, Vincenzo ...............247
Pine, Stephen .........................40
Pinkerton, Ronald..... 23, 25, 21
Plotkin, Natalia......................203
Poon, Lalita .............................35
Poon, Pak ..............................249
Popalzai, Adeel ......................40
Prieto, Enrique.......................141
Pruthi, Jatinder........................38
Q Quach, Phuc ............... 281, 274
Quach, Sarika.......................174
Quinones, Meisha ................234
R Ramirez, Jessica ...................183
Ramos Montelongo, Flor .....243
Ramos, Enrique................ 71, 65
Reed, Kris...............................224
Reinherz, Ira ................. 212, 174
Ren, Jian-ching ....................189
Renner, Morgan ... 274, 44, 122
Reyes, Adriana .....................222
Rezaei Abbassi, Nima 286, 299,
263
Reznik, Alena ........................128
Reznik, Jacob .......................128
Rhee, Sophia ........................180
Riffel-dalinger, Hugo ..............30
Rivera, Ernest ........................246
Rodriguez, Oscar......... 214, 192
Roe, Richard .................. 19, 129
Roozrokh, Babak ....................39
Rose, Michael ..... 280, 281, 274
Rubinson, William 120, 21, 23,
25, 27, 57, 67, 74, 109
Rubish, Donald .....................234
Ruiz, Jessica ..........................246
Ryu, Hu Ki...................... 186, 167
S Sadrzadeh Rafie, Amir...........30
Saied, Saied............................89
Sako, Manhal........................187
Salado, Maria .......................290
Salib, George............... 290, 267
Saliminejad, Mehrdad...........38
Sanchez, Adriana ....... 291, 267
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
330
PROVIDER INDEX Sanchez, Martha..................291
Sanchez, Rodrigo........ 161, 143
Sandberg, Joan ...................240
Sandino, Lisa .........................234
Sandler, Anita .......................234
Santana, Leslie .....................246
Santoro, Michelle ........ 195, 177
Santos-montemayor, Maria 75,
58
Sardin, Divinity ......................243
Sato, Ayaka ..........................313
Saucedo, Ruth......................228
Schwartz, Sarah....................235
Scott, Dana 118, 17, 55, 97,
102
Sczesny, Andrea...................251
Seiden, Rita ...........................244
Seo, Jung Eun .......................174
Seok, Puchun............... 201, 156
Shah, Anoop...........................38
Shah, Kiritkumar....................120
Shah, Krupa ..................... 71, 65
Shammas, Hanna 258, 283,
317, 14
Sharifi, Maryam.......................77
Shaw, Minh 264, 286, 299,
309, 260
Shaw, Ronald........................186
Sheiniuk, Robyn ....................228
Shelton, Raymond 287, 299,
309, 260
Shin, Youn Jung ....................161
Siegel, Gregory............ 217, 147
Sin, Sun...................................169
Slater, Kurt ...............................58
Smaliy, Yuliya ........................191
Soleimani, Massoud ...............59
Son, Jong Soo.............. 167, 159
South Bay Family Health Care -
Redondo Beach...................319
Srisathapat, Amanda ..........141
St Juste, Carlo .............. 205, 143
St. Mary, Gordon......... 252, 223
Steinschriber, Steven..... 45, 282
Stevens, Cynthia ..................235
Stevens, Megan ...................235
Striplin, Donald......................135
Su, Daniel ......................... 45, 31
Suaya, Viviana .....................228
Sugimoto, Jean ........... 293, 292
Suk, Kevin 113, 121, 122, 128,
19, 43, 99, 107
Swearingen, Michael.. 318, 258
T Tabandeh, Homayoun 90, 95,
114
Tabibian, Roya ............ 211, 172
Tai, Liang Yu....................... 86, 2
Tajyar, Amber .............. 195, 149
Talevich, John.......................203
Tama, Maher ..........................38
Tamayo, Robert....................314
Terschluse, Lauren................248
Teshima, Donald ..................314
Thompson, Judy ...................224
Thropay, John 107, 116, 119,
123, 95, 101
Tiu, Kai Fong..........................197
To, Brittany.............................294
Tom, Wesley................. 305, 275
Torres, Judith .........................237
Tran, Dai ....................... 301, 300
Tran, Daniel ............... 28, 88, 10
Tran, Helen ............................256
Tran, Henry . 257, 270, 280, 131
Tran, Jennie 287, 300, 309, 264
Tran, Mailan ..........................314
Tran, Young.......................... 5, 4
Tu, Linh...................................314
Turner, Beckie .........................35
U Uchio, Alejandra ......... 291, 268
Ufano Leon, Jeremee.......... 235
Ung, Susan ................... 292, 268
Uong, Rene...........................162
Urbina, Marvin ................... 9, 86
V Vadrevu, Vijayalakshmi.......131
Varma, Rohit....... 129, 130, 128
Varsani, Poonam..................314
Vigo, Himeno........................219
Villegas, Rex 264, 287, 300,
309, 260
Vlada, Claudiu .......................52
Vu, Hoang.................... 220, 136
W Wainess, Reid 130, 254, 257,
270, 274, 276, 280, 282, 303,
127
Wali, Autar ............ 117, 15, 102
Wang, Chiao-nien 204, 218,
137
Wang, Ping-long ..................197
Wang, Yang................. 209, 163
Watanabe, Dennis...............315
Wells, Trevor ..........................238
Whaite, Sommer...................175
Williams, Carol ......................224
Winston, Mark .............. 306, 293
Wong, Justin .........................249
Wong, Kee ..............................16
Wong, King ...........................304
Wong, Sharon 132, 304, 315,
47, 95, 115
Wong, Thomas............. 209, 140
Woo, Young Uk.....................167
Wood, Ron ............................142
Wright, Don ...........................177
Wright-dohopolski, Brandi ...201
Wu, Bob.....................................5
Wu, Jay.................................. 141
Y Yacoub, Ehab ......................252
Yaghjian, Ara............... 191, 154
Yang, Alan .......... 206, 215, 198
Yang, Catherine.......... 303, 301
Yang, Jor Hwa Lin ................158
Yang, Min Ho ........................170
Yang, Nicole ...........................47
Yao, Chien-kuo ....................198
Yee, Olave............................316
Yeganeh Hajahmadi,
Mahmoud .................... 187, 164
Yeranosian, Michael..............16
Yim, Irene ..................... 277, 256
Yin, Li ......................................146
Yocum, Jacqueline .............228
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
331
PROVIDER INDEX Yoo, Carlos................................9
Yoser, Adam .........................179
Yu, Elaine...................... 302, 275
Yu, Kelly ...................................48
Yu, Michael .................... 71, 134
Yu, Yoshimi ............................198
Yulzari, Lee ............................236
Yung, Tin ............................. 86, 3
Z Zarabian, Elham .......... 293, 292
Zarrabi, Cathrine 161, 176, 148
Zhang, Jackie .......................139
Zhao, Ming ............................138
Zwickel, Joseph ........... 218, 210
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
332
PHARMACY INDEX
A R Apple Rx Pharmacy Store 2
323
B Bell Gardens Family Pharmacy
1 ....................................... 320
Better Life Pharmacy (new Life
Pharmacy - Farmacia ... 323
Bright Care Pharmacy... 324
C Cvs Pharmacy 11028 ..... 322
Cvs Pharmacy 17700 ..... 323
Cvs Pharmacy 17749 ..... 322
E East Valley Pmq Covina
Pharmacy ....................... 320
Encino Care Pharmacy. 321
G Glendale West Pharmacy 321
Good Samaritan Total Care
Pharmacy ....................... 322
H Health Mart Midway...... 320
I I And G Pharmacy Inc... 321
M Men's Health Foundation323
Mercy Ltc And Specialty
Pharmacy ....................... 320,
326
P Pacific Plaza Pharmacy
5624266588 ..................... 321
Pavilions Pharmacy 2212 320
Pavilions Pharmacy 2214 320
Pavilions Pharmacy 2229 322
Peninsula Pharmacy 2281 323
Q Qualicare Pharmacy Services
322
Remedy Drugs ................ 321
Rosa 1 Pharmacy 2547.. 320
Rxall Pharmacy............... 322
S Stanfred Drugs................ 324
T Tormed Pharmacy ......... 324
Tujunga Pharmacy......... 324
U Us Precision Pharmacy 10680
322
V Vons Pharmacy 1625..... 321
Vons Pharmacy 2027..... 324
Vons Pharmacy 2030..... 324
Vons Pharmacy 2665..... 322
Vons Pharmacy 2739..... 324
Vons Pharmacy 3138..... 323
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
333
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DIR0148-AD-LA-FA (03/20)