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Additional Case Information Fermin Igelesias Metro Med Shockwave, Proex Diagnostics, Prime Orthopedics, Inc., ADDITIONAL CASE INFORMATION Prime Medical Resources, Inc., Meridian Rehab Care, Bright Rehab Solutions Case Number Injured Worker Employer Claims Administrator ADJ1801034 MELIZA GUERRERO ALLKAY ELECTRONICS INC AARIS INSURANCE ADJ9012098 GLORIA JUC ABAD FOAM INC ABAD FOAM INC ADJ9453683 ALBERTO ROMAN TRM MANUFACTURING INC ACCELERATED CLAIMS IRVINE ADJ7344112 ARMANDO CHAVEZ TRM MANUFACTURING INC ACCELERATED CLAIMS IRVINE ADJ7690413 FRANCISCO ROSAS PBC ACCELERATED CLAIMS IRVINE ADJ6636734 RAUL PENALOZA TRM MANUFACTURING INC ACCELERATED CLAIMS IRVINE ADJ8931085 ALEX COURSE APM TERMINALS ACCLAIM IRVINE ADJ8931085 ALEX COURSE LONG BEACH CONTAINER TERMINAL ACCLAIM IRVINE ADJ8931085 ALEX COURSE TOTAL TERMINALS INTERNATIONAL ACCLAIM IRVINE ADJ9142381 ELISEO SANCHEZ PARKER HANNIFIN ACCLAMATION 802108 SANTA CLARITA ADJ6933875 JAMES WILCOX PARKER HANNIFIN ACCLAMATION 802108 SANTA CLARITA ADJ7502401 JUAN ORTEGA DUENAS LAYNE CHRISTENSEN CO ACCLAMATION 802108 SANTA CLARITA ADJ877167 ROBERT GRIFFIN COUNTY OF LOS ANGELES/DWP ACCLAMATION 802108 SANTA CLARITA ADJ8617582 GRACIE SAENZ JG BOSWELL ACCLAMATION FRESNO ADJ1475111 JOSE SEPULVEDA CITY OF BAKERSFIELD ACCLAMATION FRESNO ADJ8162473 ONORIO SERRANO ESPARZA ENTERPRISES INC ACCLAMATION FRESNO ADJ3595330 RAMON RAMOS KERN RIDGE GROWERS ACCLAMATION FRESNO ADJ6683252 RUBEN GARCIA CITY OF CLOVIS ACCLAMATION FRESNO ADJ9146137 SOFIA LICEA SAN BERNARDINO SUPERIOR COURT ACCLAMATION SACRAMENTO ADJ9811501 YULIANI CAMACHO ORANGE COUNTY VECTOR CONTROL DISTRICT ACCLAMATION SACRAMENTO ADJ4544288 YU SHIH LIN COUNTY OF LOS ANGELES/DPSS ACCLAMATION SANTA CLARITA ADJ3241717 ABRAM SAUSEDO CMC FONTANA STEEL ACE ADJ3241717 ABRAM SAUSEDO RPS INC ACE ADJ2087933 ALEJANDRO HERNANDEZ SKY BLUE COLLECTION, INC. ACE ADJ1565054 ALFONSO GUIFARRO VALLEY SEAFOOD & POULTRY ACE ADJ1565054 ALFONSO GUIFARRO VALLEY SEAFOOD MARKET ACE ADJ1611037 ALICIA MORA ANDERSON BARROWS METALS CORP ACE ADJ485079 ALMA DUENAS APPLEBEES ACE ADJ4291303 ANDREA CASANOVA SELECT STAFFING ACE ADJ3847909 ARACELI RUIZ BIOSEAL MEDICAL PACKAGING CONCEPTS ACE ADJ1063829 DAVID VILLEGAS HIGHTOWER STAFFING, INC. ACE ADJ1859701 DOLORES DURAN REMEDY TEMP ACE ADJ1693368 FLORENTINO MENDOZA SUN PACIFIC SHIPPERS ACE ADJ252687 GLORIA REYES SELECT REMEDY PERSONNEL SERVICES ACE ADJ7281997 GRACIELA MORALES BIMBO BAKERIES ACE ADJ8817951 HUGO PADILLA VALLEY CREST LANDSCAPE MAINTENANCE ACE ADJ782627 ITALA GRIMALDI CLAREMONT CARE CENTER ACE ADJ3347034 JESUS NAREZ NORTHGATE GONZALEZ MARKET ACE ADJ7294880 JESUS SALES KOOSHAREM CORP ACE ADJ7294880 JESUS SALES KOOSHAREN CORPORATION DBA SELECT PERSONNEL ACE ADJ7294880 JESUS SALES SELECT STAFFING ACE ADJ7294880 JESUS SALES SUN SWEEPING SERVICE ACE ADJ4621341 JOSE ARVIZU RB SAN DIEGO ACE ADJ4358312 JOSEFINA GOMEZ GOLDEN RULE BINDERY ACE ADJ587612 JOSUE HERNANDEZ SRD ENGINEERING, INC. ACE ADJ2579724 JUAN SANDOVAL WALTCO TRUCK EQUIPMENT ACE ADJ2579724 JUAN SANDOVAL WALTCO TRUCK EQUIPMENT CO ACE ADJ153555 LIONEL SIMMS VARCO-BJ DRILLING SYSTEMS ACE ADJ3345688 MANUEL ESTRADA EXIM FABRIC ACE ADJ3367530 MARIA DIAZ AMERICAN BUILDING MAINTENANCE ACE ADJ2212654 MARIA IRENE SOLORZANO SONY PICTURES ENTERTEINMNET ACE ADJ3165324 MIGUEL CARRILLO ANDRADE TREMCO ACE ADJ2215105 REINA MORENO SELECT PERSONNEL SERVICES ACE ADJ4537801 ROSARIO SAIPHONG REMEDY TEMP ACE ADJ4537801 ROSARIO SAIPHONG SELECT STAFFING ACE ADJ1166445 SAUL JIMENEZ WATTS ANDERSON -- BARROWS ACE ADJ4135240 STEPHANIE HOANG PITNEY BOWES ACE ADJ4068165 VICKY GUZMAN SIGNET ARMORLITE ACE ADJ718384 VICTORIANO REYNA ARISE SCAFFOLDING & EQUIPMENT ACE ADJ1269610 DAVID LOPEZ MERVYN'S ACE AMERICAN ADJ2592379 OLIVIA RODRIGUEZ JACK IN THE BOX ACE AMERICAN INSURANCE COMPANY ADJ9115381 VERONICA GUTIERREZ SELCO DISTRIBUTOR INC ACE FIRE UNDERWRITERS INSURANCE CO ADJ7690413 FRANCISCO ROSAS PBC ACME ADMINISTRATORS TEMECULA ADJ8973605 JOSHUA NOWAK MOULTON NIGUEL WATER DISTRICT ACWA JPIA ROSEVILLE ADJ9163423 ALEXY RAFAEL CITY OF CARSON ADMINSURE ONTARIO ADJ2385052 CEFERINO NOYOLA CHAPARRA ADMINSURE ONTARIO ADJ7416522 EDWARD ROMAN CITY OF CARSON ADMINSURE ONTARIO ADJ7318708 FELIXBERTO BERDIN CITY OF BEVERLY HILLS ADMINSURE ONTARIO ADJ7527883 GERTIS BENEMIE POMONA VALLEY HOSPITAL ADMINSURE ONTARIO ADJ7128076 JAMES SMITH HEMET UNIFIED SCHOOL DISTRICT ADMINSURE ONTARIO ADJ8986391 JOEL HOLLEY CITY OF HOPE NATIONAL MEDICAL CENTER ADMINSURE ONTARIO ADJ8305742 MARIA HINTZ CITY OF PALM SPRINGS ADMINSURE ONTARIO ADJ3316438 MARIA JIMENEZ CITY OF HOPE NATIONAL MEDICAL CENTE ADMINSURE ONTARIO ADJ6581538 MARIA MARTINEZ CITY OF REDONDO BEACH ADMINSURE ONTARIO ADJ3391646 PATTIE GILKEY CITY OF MONTEBELLO ADMINSURE ONTARIO ADJ7384723 PERCY BOWEN HEMET UNIFIED SCHOOL DISTRICT ADMINSURE ONTARIO ADJ1730383 TED LOWE LACC DISTRICT ADMINSURE ONTARIO ADJ8895116 BENJAMIN CASTELLANOS ADVANCED MANAGEMENT ADVANCED MANAGEMENT INDUSPAC CALIFORNIA INC WESTERN FOAM PACKAGING ADJ8081723 BEATRIZ DELGADO ADVANTAGE ROCKLIN PRODUCT ADJ8068900 EDGAR CARRILLO IMPERIAL VALLEY CHEESE OF CALIFORNIA ADVANTAGE ROCKLIN ADJ7444554 JOSE CALDERON OLYMPUS ADVANTAGE ROCKLIN ADJ7331827 JULIO RODRIGUEZ CAZARES ICON HEALTH AND FITNESS ADVANTAGE ROCKLIN ADJ8700548 LUIS LOPEZ GENE BERG TRUCKS ADVANTAGE ROCKLIN ADJ8539035 MANUEL MORENO FACILITIES SUPPORT SERVICES ADVANTAGE ROCKLIN Fermin Iglesias Case Number Injured Worker Employer Claims Administrator -------------- ADJ9312731 MANUELA CORADO CLINICA SAN MIGUEL PEDIATRIA ADVANTAGE ROCKLIN ADJ6860845 LAURA LOPEZ WHITE MEMORIAL MEDICAL CENTER ADVENTIST HEALTH ROSEVILLE ADJ844259 CARLOS LARA LOS ANGELES PHILHARMONIC ASSOC AIG ADJ6642488 FILIBERTO NOCHEBUENA GIBRALTAR PARTHERSHIP LP AIG ADJ6833254 JUAN HUERTA BEAR VALLEY FABRICATORS AIG ADJ6839836 ROSA HERNANDEZ EQUINOX HOLDINGS INC AIG ADJ6937656 SIMONA PERLERA SERVICON SYSTEMS AIG ADJ2764495 DAVID FLORES GLADSTONE RESTAURANT AIG AMERICAN INTL CLAIMS SERVICES ADJ1314284 LUCIO CAMACHO US BATTERIES AIG AMERICAN INTL CLAIMS SERVICES ADJ3028447 MARIBEL ALVAREZ AMERICAN INTERNATIONAL GROUP AIG AMERICAN INTL CLAIMS SERVICES ADJ3139599 SALVADOR SANDOVAL HACOR INC AIG AMERICAN INTL CLAIMS SERVICES ADJ7343030 ANDREA MOORE SERVICE EMPLOYEES INTERNATIONAL UNION AIG CLAIM SERVICES ADJ4555448 ERNESTO VALDEZ NORTHROP GRUMMAN AIG CLAIM SERVICES ADJ2511542 SERGIO VILLANUEVA R&I INDUSTRIES INC AIG CLAIM SERVICES ADJ3200219 SILVIA MEMIJE AB/T1 INC AIG CLAIM SERVICES ADJ8203335 ALFONSO LOPEZ DE WELL LOGISTICS LLC AIG CLAIMS ADJ8527094 EDWIN RAMIREZ DOUBLE VISION GLASS & MIRRORS AIG CLAIMS ADJ7282543 ERIKA RAMIREZ SPECTRUM ATHLETIC CLUB AIG CLAIMS ADJ2526028 JOSEFINA AVELINO JAM INDUSTRIES INC AIG CLAIMS ADJ9316165 SILVIA MERCADO SAMANO MAG INSTRUMENT AIG CLAIMS ADJ7169580 JESUS IBARRA AMPAM PARKS MECHANICAL INC AIG CLAIMS ADJ1542406 ALEJANDRO MENDOZA HESPERIA TRUSS AIG CLAIMS CONCORD ADJ1542406 ALEJANDRO MENDOZA HESPERIA TRUSS INC AIG CLAIMS CONCORD ADJ6693628 AMERICA TORRES VIRGIN AMERICANS INC AIG CLAIMS CONCORD ADJ6706565 APOLINAR MURILLO JPS SURFACE SOLUTIONS INC AIG CLAIMS CONCORD ADJ1884248 BLANCA HERNANDEZ OGDEN GROUND SERVICES AIG CLAIMS CONCORD ADJ4223314 CARLOS MARAVILLA IRISH CONSTRUCTION AIG CLAIMS CONCORD ADJ353822 DERRICK WINZER TRI WEST LTD AIG CLAIMS CONCORD ADJ353822 DERRICK WINZER TRI-WEST AIG CLAIMS CONCORD ADJ7112495 FRANCISCO AVALOS DESERT COMMERCIAL CONCRETE AIG CLAIMS CONCORD ADJ3272627 ISRAEL REYES NICKY'S FASHION AIG CLAIMS CONCORD ADJ1287548 JAVIER MORENO PERSONNEL PLUS INC AIG CLAIMS CONCORD ADJ1545982 JOHN BODNAR UNITED TECHNOLOGIES CORP. AIG CLAIMS CONCORD ADJ3882758 JORGE BARAJAS DPR CONSTRUCTION AIG CLAIMS CONCORD ADJ3882758 JORGE BARAJAS DPR CONSTRUCTION, INC AIG CLAIMS CONCORD ADJ318800 JOSE AYALA SOLIDEAL USA AIG CLAIMS CONCORD ADJ3984391 JOSE MORISCO TWF CONSTRUCTION AIG CLAIMS CONCORD ADJ3984391 JOSE MORISCO TWF CONSTUCTION. MC. AIG CLAIMS CONCORD ADJ7181314 JOSE ZETINA DESERT COMERCIAL CONCRETE AIG CLAIMS CONCORD ADJ3140206 LAURA GUERRA APRIA HEALTHCARE AIG CLAIMS CONCORD ADJ249754 LEOVIGILDA SOSA STAFFMARK COMPANY AIG CLAIMS CONCORD ADJ3431787 MARIA ELIZALDE RAFCO PRODUCTS BRICKFORM AIG CLAIMS CONCORD ADJ7617830 MARIA GUTIERREZ SPOTLESS DETAIL AIG CLAIMS CONCORD ADJ2136237 MARIA LEON PREFERRED PERSONNEL AIG CLAIMS CONCORD ADJ1025357 MARIAM SANCHEZ NEXCYCLE AIG CLAIMS CONCORD ADJ1346884 MARTHA RAMOS ST JUDE'S HOSP AIG CLAIMS CONCORD ADJ8536660 MILI AVILA PRIORITY BUILDING SERVICES LLC AIG CLAIMS CONCORD ADJ3396893 OMAR GUTIERREZ COMMODITY LOGISTICS WEST, INC. AIG CLAIMS CONCORD ADJ8537133 OSCAR GAMBOA THE CHEFS WAREHOUSE AIG CLAIMS CONCORD ADJ2808553 RAMON RODRIGUEZ CROWN DISPOSAL CO. AIG CLAIMS CONCORD ADJ3666217 SILVIA GARCIA CITI STAFF SOLUTIONS, INC. AIG CLAIMS CONCORD ADJ7475373 XIAOFANG WANG MONTEREY PARK CONVALESCENT HOSPITAL INC AIG CLAIMS CONCORD ADJ7135125 ABEL BACILIO RAD BUILDING DEVELOPMENT AIG CLAIMS COSTA MESA ADJ7469714 ABRAHAM NUNEZ PERSONNEL PLUS AIG CLAIMS COSTA MESA ADJ3241717 ABRAM SAUSEDO CMC FONTANA STEEL AIG CLAIMS COSTA MESA ADJ3241717 ABRAM SAUSEDO RPS INC AIG CLAIMS COSTA MESA ADJ7121997 ADAM CERVANTES COIN STAR AIG CLAIMS COSTA MESA ADJ1933902 ADAN RODRIGUEZ HANSEN STEEL SERVICES AIG CLAIMS COSTA MESA ADJ8212563 ADRIANA LIZARRAGA LYON TECHNOLOGIES AIG CLAIMS COSTA MESA ADJ7830322 ALBA NAJERA DIAMOND CONTRACT SERVICES AIG CLAIMS COSTA MESA ADJ8258677 ALBERTA PEREZ LUNA DIAMOND CONTRACT SERVICES INC AIG CLAIMS COSTA MESA ADJ7823462 ALEJANDRA GONZALEZ HOSPITAL STAFFING SOLUTIONS AIG CLAIMS COSTA MESA ADJ1934850 ALEJANDRA LOPEZ CARLTON CUNNINGHAM AIG CLAIMS COSTA MESA ADJ8954417 ALEJANDRO MEJIA CALIFORNIA DROP FORGE INC AIG CLAIMS
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