(MPN ID 3097) Roster of All Participating Providers

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City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BERNARDI, MARK-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 BUSTAMANTE, GEORGINA-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 CHIANG, MICHAEL-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 DAQUINO, STEPHEN-DO CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 GUSTAFSON, ERIC-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 HAJAIG, NASSER-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 HUANG, BARRY-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 KATHURIA, INDERJOTE-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 MAGHSOUDY, FARZANEH-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 MITTAL, SHEILAJA-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 OFFERMANN, ELLEN-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 SAXENA, SHILPA-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 STUPART, SHAUNA-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 YELDERMAN, MARK-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 ZAREMBA, JOSEPH-MD CONCENTRA TELEHEALTH OCCUPATIONAL MEDICINE www.concentratelemed.com/ (855) 835-6337 HANG, TODD DO RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED KOHAN, PEDRAM MD RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED BOFILL, LORA MD RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED BABAYAN, HOVSEP DO RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED WESTHOUT, FRANKLIN MD RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED ALAZARI, NASER MD RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED LADOUCEUR, AMOS MD RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED SUCGANG, PAUL DO RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED LEBOW, MAX MD RELIANT URGENT CARE OCCUPATIONAL MEDICINE www.relianturgentcare.com/telemed/ (310) 215-6000 TELEMED TENENBAUM, MAX M RIVERSIDE MEDICAL CLINIC OCCUPATIONAL MEDICINE www.riversidemedicalclinic.com (951) 782-3786 TELEHEALTH DEVARAJ, REENA MD RIVERSIDE MEDICAL CLINIC OCCUPATIONAL MEDICINE www.riversidemedicalclinic.com (951) 782-3786 TELEHEALTH BERG, EMMETT MD HEALTHLINE MEDICAL GROUP OCCUPATIONAL MEDICINE www.healthlinemedgroup.com (818) 997-7711 TELEHEALTH ROSENBLUM, BARRY MD HEALTHLINE MEDICAL GROUP OCCUPATIONAL MEDICINE www.healthlinemedgroup.com (818) 997-7711 TELEHEALTH REYZIN, GARY MD HEALTHLINE MEDICAL GROUP OCCUPATIONAL MEDICINE www.healthlinemedgroup.com (818) 997-7711 TELEHEALTH 10TH AVENUE PHARMACY PHARMACY 2706 W MARTIN LUTHER KING, LOS (323) 298-7693 ANGELES, CA 90008 12422 CENTRAL PHARMACY PHARMACY 12422 CENTRAL AVE, CHINO, CA 91710 (562) 472-5743 1750 MEDICAL CENTER PHARMACY 1750 EL CAMINO REAL, BURLINGAME, (650) 692-1686 PHARMACY CA 94010 1ST CHOICE PHARMACY PHARMACY 13025 POMERADO RD STE A, POWAY, (858) 218-3180 CA 92064 2010 PHARMACY PHARMACY 7785 WESTMINSTER AVE, (714) 379-9800 WESTMINSTER, CA 92683 2010 PHARMACY PHARMACY 201 S ALVARADO ST STE 611, LOS (213) 483-5910 ANGELES, CA 90057 2222 PRESCRIPTION PHARMACY 2222 SANTA MONICA BLVD, SANTA (310) 453-5557 PHARMACY MONICA, CA 90404 4 FRONT PHARMACY PHARMACY 7200 PARKWAY DR STE 104, LA MESA, (619) 303-3572 CA 91942 6122 PHARMACY PHARMACY 6122 WHITTIER BLVD, LOS ANGELES, (323) 725-1250 CA 90022 90210 SURGERY MEDICAL AMBULATORY SURGERY 450 N ROXBURY DR STE 600, BEVERLY (310) 651-2050 CENTER AT LINDEN CENTER HILLS, CA 90210

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 1 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone 90210 SURGERY MEDICAL AMBULATORY SURGERY 9735 WILSHIRE BLVD STE 100, (310) 601-3900 CENTER AT LINDEN CENTER BEVERLY HILLS, CA 90212 986 PHARMACY PHARMACY 2143 FOOTHILL BLVD, LA VERNE, CA (909) 596-6168 91750 986 PHARMACY PHARMACY 9612 LAS TUNAS DR, TEMPLE CITY, CA (626) 309-5052 91780 986 PHARMACY PHARMACY 701 S ATLANTIC BLVD, MONTEREY (626) 782-7800 PARK, CA 91754 986 PHARMACY PHARMACY 8054 GARVEY AVE SUITE 101, (626) 988-0106 ROSEMEAD, CA 91770 986 PHARMACY PHARMACY 2670 E GAGE AVE STE 10A, (323) 749-6500 HUNTINGTON PARK, CA 90255 986 PHARMACY PHARMACY 6521 VAN NUYS BLVD, VAN NUYS, CA (818) 933-2010 91401 986 PHARMACY #8007 PHARMACY 1809 VERDUGO BLVD STE 110, (818) 928-1304 GLENDALE, CA 91208 986 SPECIALTY PHARMACY PHARMACY 1647 N HACIENDA BLVD, LA PUENTE, (626) 850-5318 CA 91744 A AND A PHYSICAL THERAPY PHYSICAL THERAPY 104 MARGARET LN STE B, GRASS (530) 273-7500 VALLEY, CA 95945-5261 A AND G PHARMACY PHARMACY 9138 SEPULVEDA BLVD, NORTH HILLS, (818) 830-0699 CA 91343 A AND O CLINIC PHARMACY PHARMACY 610 E ROMIE LN STE 1, SALINAS, CA (831) 758-0976 93901 A AND O PENINSULA PHARMACY 1828 EL CAMINO REAL STE 104, (650) 692-6569 PHARMACY BURLINGAME, CA 94010 A AND O SPECIALTY PHARMACY 536 ABBOTT ST, SALINAS, CA 93901 (831) 769-0458 PHARMACY A FAMILY PHARMACY PHARMACY 11919 HESPERIA RD STE C, HESPERIA, (760) 244-3777 CA 92345 A FAMILY PHARMACY APPLE PHARMACY 15863 KASOTA RD STE C, APPLE (760) 242-5452 VALLEY VALLEY, CA 92307 A PLUS PHARMACY PHARMACY 6888 LINCOLN AVE STE J, BUENA PARK, (714) 821-7788 CA 90620 A S A P PHARMACY PHARMACY 1340 E WILSON AVE, GLENDALE, CA (818) 543-1800 91206 A TO Z PHARMACY PHARMACY 12626 RIVERSIDE DR, NORTH (818) 985-8151 HOLLYWOOD, CA 91607 A V PHARMACY PHARMACY 38750 TRADE CENTER DR, PALMDALE, (661) 272-6970 CA 93551 A-1 PHARMACY PHARMACY 935 S GARFIELD AVE, ALHAMBRA, CA (626) 281-3633 91801 A1 CARE PHARMACY PHARMACY 7470 CHERRY AVE STE 111, FONTANA, (909) 281-3600 CA 92336 A1CARE PHARMACY PHARMACY 2001 E 4TH ST STE 112, SANTA ANA, CA (949) 568-7886 92705 AA PHARMACY PHARMACY 625 W COLLEGE ST, LOS ANGELES, CA (213) 680-9616 90012 AAA CARE PHARMACY PHARMACY 6729 VARIEL AVE, CANOGA PARK, CA (818) 914-4194 91303 AAA COMMUNITY PHARMACY PHARMACY 7921 WESTMINSTER BLVD, (714) 988-6888 WESTMINSTER, CA 92683 AALPHA PHARMACY PHARMACY 174 S ALVARADO ST, LOS ANGELES, CA (213) 483-8741 90057 ABA PHYSICAL THERAPY PHYSICAL THERAPY 1670 S AMPHLETT BLVD STE 123, SAN (650) 558-0247 ASSOCIATES MATEO, CA 94402 ABAD, JAN MICHELLE - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 ABALA PHARMACY PHARMACY 550 W EATON AVE STE B, TRACY, CA (209) 832-7080 95376 ABANOBI, KELECHI M - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 2 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ABATE, MARK S - MD (BCC) SANSUM CLINIC - RIDLEY-TREE HEMATOLOGY AND 540 W PUEBLO ST , SANTA BARBARA, (805) 681-7858 CANCER CENTER ONCOLOGY CA 93105 ABAZA, SAM - MD (BCC) TEHACHAPI DERMATOLOGY DERMATOLOGY 20111 W VALLEY BLVD , TEHACHAPI, (661) 947-9000 AND SKIN CANCER CA 93561 SPECIALISTS ABAZA, SAM - MD (BCC) ADVANCED DERMATOLOGY DERMATOLOGY 631 WEST AVENUE Q STE B, (661) 947-9000 AND SKIN CANCER PALMDALE, CA 93551 SPECIALISTS ABAZA, SAM - MD (BCC) LA LASER CENTER DERMATOLOGY 5600 CALIFORNIA AVE STE 101, (661) 322-2700 BAKERSFIELD, CA 93309 ABBEY, PAUL - OT JBJC INC DBA PINE STREET OCCUPATIONAL THERAPY 840 S FAIRMONT AVE STE 5, LODI, CA (209) 451-0063 PHYSICAL AND 95240 OCCUPATIONAL ABBI, GAURAV - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT OAKLAND, CA 94621 ABBI, GAURAV - MD CONCENTRA MEDICAL SPINE SURGERY 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT OAKLAND, CA 94621 ABC COMPOUNDING PHARMACY 16311 VENTURA BLVD STE 110, (818) 783-0422 PHARMACY ENCINO, CA 91436 ABC PHARMACY PHARMACY 841 W VALLEY BLVD STE 101, (626) 457-8888 ALHAMBRA, CA 91803 ABC PHARMACY PHARMACY 777 W BLAINE ST, RIVERSIDE, CA 92507 (951) 299-9922 ABC PHARMACY PHARMACY 7974 HAVEN AVE STE 120, RANCHO (909) 285-1118 CUCAMONGA, CA 91730 ABC PHARMACY PHARMACY 2920 INLAND EMPIRE BLVD, ONTARIO, (909) 291-3800 CA 91764 ABC PHARMACY PHARMACY 1600 E CITRUS AVE STE K, REDLANDS, (909) 726-3080 CA 92374 ABC PHARMACY PHARMACY 23141 MOULTON PKWY, LAGUNA HILLS, (949) 916-9990 CA 92653 ABC PHARMACY PHARMACY 5050 SAN BERNARDINO ST, (909) 264-1331 MONTCLAIR, CA 91763 ABC PHARMACY OF BEVERLY PHARMACY 9033 WILSHIRE BLVD, BEVERLY HILLS, (310) 777-0052 HILLS CA 90211 ABC RECOVERY CENTER INC ABC RECOVERY CENTER INC CHEMICAL DEPENDENCY 44359 PALM ST, INDIO, CA 92201 (760) 342-6616 (BCC) REHABILITATION HOSPITAL (INPATIENT) ABC RECOVERY CENTER INC ABC RECOVERY CENTER INC CHEMICAL DEPENDENCY 44359 PALM ST, INDIO, CA 92201 (760) 342-6616 (BCC) REHABILITATION HOSPITAL (INPATIENT) ABDALI, MASSOUD - MD KAISER PERMANENTE ON THE FAMILY MEDICINE 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH 95356 CENTER ABDALI, MASSOUD - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH 95356 CENTER ABDALI, MASSOUD - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH PHYSICIAN 95356 CENTER ABDALLA, SHERIF - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH REHABILITATION FRESNO, CA 93720 ABDELMALEK, EREINE - PT SAINT MARINA PHYSICAL PHYSICAL THERAPY 113 WATERWORKS WAY STE 230, (949) 770-1911 THERAPY IRVINE, CA 92618 ABDELMALEK, WASSIEM - PT SAINT MARINA PHYSICAL PHYSICAL THERAPY 113 WATERWORKS WAY STE 230, (949) 770-1911 THERAPY IRVINE, CA 92618 ABDI POUR, AMIR - MD (BCC) LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP ABDO, GABY J - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3851 SOTO ST , VERNON, CA 90058 (323) 585-7162 CENTER - VERNON SOTO ABDO, GABY J - DO CONCENTRA MEDICAL PRIMARY TREATING 3851 SOTO ST , VERNON, CA 90058 (323) 585-7162 CENTER - VERNON SOTO PHYSICIAN

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 3 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ABDOU, M. S - MD KAISER PERMANENTE SAN NEUROLOGICAL SURGERY 4647 ZION AVE , SAN DIEGO, CA 92120 (833) 242-8500 DIEGO MEDICAL CENTER ABDULLAH, ISHA - MD CONCENTRA MEDICAL INTERNAL MEDICINE 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 ABEDI, HAMID - AUD ADVANCED HEARING AUDIOLOGY 532 E FLORIDA AVE, HEMET, CA 92543 (800) 598-5300 PROVIDERS LLC ABELLON, CHRISTINA - PT CENTRAL CARE PHYSICAL PHYSICAL THERAPY 4541 PHILADELPHIA ST STE C103, (909) 590-7997 THERAPY CHINO, CA 91710 ABEYTA, RICHARD - DC SOUTH COUNTY HEALTH CHIROPRACTIC MEDICINE 1903 N MAIN ST STE A, SANTA ANA, CA (714) 568-0111 SERVICES 92706 ABID, MOHAMMAD A - MD HEART INSTITUTE MEDICAL CARDIOVASCULAR DISEASE 81709 DOCTOR CARREON BLVD STE (760) 863-4666 (BCC) CENTER (CARDIOLOGY) A1, INDIO , CA 92201 ABIMBOLA, OLANREWAJU - OT PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 ABITBOL, JEAN J - MD (BCC) CALIFORNIA SPINE GROUP ORTHOPEDICS - SPINE 81880 DOCTOR CARREON BLVD STE (858) 874-2306 C212, INDIO , CA 92201 ABITBOL, JEAN J - MD (BCC) CALIFORNIA SPINE GROUP SPINE SURGERY 81880 DOCTOR CARREON BLVD STE (858) 874-2306 C212, INDIO , CA 92201 ABLE PHYSICAL THERAPY PHYSICAL THERAPY 14624 SHERMAN WAY STE 201, VAN (818) 988-8410 NUYS, CA 91405-2287 ABLE PHYSICAL THERAPY PHYSICAL THERAPY 12562 GARDEN GROVE BLVD, GARDEN (714) 705-4027 CORP GROVE, CA 92843-1907 ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1535 DEERPARK DR, FULLERTON, CA (714) 993-2070 CORP 92831-2286 ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1902 ROYALTY DR SUITE 170, POMONA, (909) 620-9700 CORP CA 91767 ABLE PHYSICAL THERAPY PHYSICAL THERAPY 2101 4TH STE A140, SANTA ANA, CA (714) 855-3100 CORP 92705 ABLE PHYSICAL THERAPY PHYSICAL THERAPY 312 W CERRITOS AVE BLDG 7, (714) 947-1213 CORP ANAHEIM, CA 92805-6550 ABLE PHYSICAL THERAPY PHYSICAL THERAPY 9470 FIRESTONE BLVD, DOWNEY, CA (562) 401-4094 CORP 90241-5504 ABLE TO CHANGE RECOVERY ABLE TO CHANGE RECOVERY CHEMICAL DEPENDENCY 31501 RANCHO VIEJO RD STE 101, SAN (866) 225-3260 (BCC) REHABILITATION CENTER JUAN CAPISTRANO, CA 92675 (OUTPATIENT) ABM PHARMACY PHARMACY 1385 E COLORADO ST, GLENDALE, CA (818) 242-4216 91205 ABO, MARK - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 14624 SHERMAN WAY STE 201, VAN (818) 988-8410 NUYS, CA 91405 ABORN PHARMACY PHARMACY 2060 ABORN RD STE 150B, SAN JOSE, (408) 531-1899 CA 95121 ABOU-ZAMZAM JR, AHMED M - LOMA LINDA UNIVERSITY VASCULAR SURGERY 11234 ANDERSON ST STE 2100, LOMA (800) 679-4642 MD (BCC) HEALTH CARE - VASCULAR LINDA , CA 92354 SURGERY ABOUDI, SAMAN - MD (BCC) PRIMARY TREATING 1601 MONTE VISTA AVE STE 190, (909) 392-6511 PHYSICIAN CLAREMONT, CA 91711 ABOUDI, SAMAN - MD (BCC) PRIMARY TREATING 2333 FOOTHILL BLVD STE C, LA VERNE, (909) 865-9977 PHYSICIAN CA 91750 ABOUDI, SAMAN - MD (BCC) PRIMARY TREATING 3110 CHINO AVE STE 150B, CHINO (909) 630-7868 PHYSICIAN HILLS, CA 91709 ABOUDI, SAMAN - MD (BCC) FAMILY MEDICINE 1601 MONTE VISTA AVE STE 190, (909) 392-6511 CLAREMONT, CA 91711 ABOUDI, SAMAN - MD (BCC) FAMILY MEDICINE 2333 FOOTHILL BLVD STE C, LA VERNE, (909) 865-9977 CA 91750 ABOUDI, SAMAN - MD (BCC) FAMILY MEDICINE 3110 CHINO AVE STE 150B, CHINO (909) 630-7868 HILLS, CA 91709 ABOUZEDAN, ROMI - PT FUNCTION ACTION PHYSICAL PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 THERAPY CA 93612 ABOUZEID, JOSEPH M - MD KAISER PERMANENTE ORTHOPEDICS 8250 WOODMAN AVE NORTH 2, (818) 375-2233 PANORAMA CITY MEDICAL PANORAMA CITY, CA 91402 CENTER ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 1 DANIEL BURNHAM CT STE 365C, SAN (925) 697-9806 MANAGEMENT FRANCISCO, CA 94109

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 4 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 100 HOSPITAL DR STE 303, VALLEJO, (925) 691-9806 MANAGEMENT CA 94589 ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 1125 MISSOURI ST STE 203, FAIRFIELD, (925) 691-9806 MANAGEMENT CA 94533 ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 1144 SONOMA AVE STE 105, SANTA (925) 691-9806 MANAGEMENT ROSA, CA 95405 ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 1500 SOUTHGATE AVE STE 202, DALY (925) 691-9806 MANAGEMENT CITY, CA 94015 ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 170 SANTA CLARA AVE STE 01, (925) 691-9806 MANAGEMENT OAKLAND, CA 94610 ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 2923 WEBSTER ST STE 202, OAKLAND, (925) 691-9806 MANAGEMENT CA 94609 ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 4530 BALFOUR RD STE E, (925) 691-9806 MANAGEMENT BRENTWOOD, CA 94513 ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 5401 NORRIS CANYON RD STE 102, (925) 691-9806 MANAGEMENT SAN RAMON, CA 94583 ABOVSKY, DIANA - LAC INTEGRATED PAIN ACUPUNCTURE 999 N TUSTIN AVE STE 201, SANTA (925) 691-9806 MANAGEMENT ANA, CA 92705 ABRAMOV, DMITRY - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP KNEE 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP LOWER EXTREMITIES 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP SHOULDER 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP UPPER EXTREMITIES 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP WRIST 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - LOWER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP EXTREMITIES 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP EXTREMITIES 90007 ABRAMS, SHIRZAD A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 ABREW, KARINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 ABREW, KARINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 ABREW, KARINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 ABREW, KARINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 ABREW, KARINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 ABREW, KARINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 ABRI, DAVID - DDS AARO DENTAL INC DENTIST 23727 ROSCOE BLVD, WEST HILLS , CA (844) 346-3337 91304 ABRI, DAVID - DDS AARO DENTAL INC DENTIST 2470 S WESTERN AVE, SAN PEDRO, CA (844) 346-3337 90732

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 5 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ABRI, DAVID - DDS ABRI DENTAL CORP DENTIST 23333 CINEMA DR STE 190, VALENCIA, (800) 704-7122 CA 91355 ABRI, DAVID - DDS ABRI DENTAL CORP DENTIST 3808 W RIVERSIDE DR STE 501, (800) 704-7122 BURBANK, CA 91505 ABRI, DAVID - DDS ABRI DENTAL CORP DENTIST 50 N LA CIENEGA BLVD STE 217, (800) 704-7122 BEVERLY HILLS, CA 90211 ABSOLUTE CARE PHARMACY 541 N MACLAY AVE STE 104, SAN (818) 365-0422 FERNANDO, CA 91340 ABSOLUTE PT & REHAB PHYSICAL THERAPY 2616 CLARENDON AVE STE B, (323) 583-2634 CENTER INC HUNTINGTON PARK, CA 90255-4120 ABSOLUTE WELLNESS PHARMACY 19720 VENTURA BLVD, WOODLAND (818) 912-6800 PHARMACY HILLS, CA 91364 ABUDAYYEH, ISLAM (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE ACACIA PHARMACY PHARMACY 11033 ACACIA PKWY, GARDEN GROVE, (714) 982-6979 CA 92840 ACARE PHARMACY PHARMACY 9860 KATELLA AVE, ANAHEIM, CA 92804 (714) 534-4633 ACARIAHEALTH PHARMACY PHARMACY 3302 GARFIELD AVE, COMMERCE, CA (800) 511-5144 #13 90040 ACCESS MALIBU (BCC) ACCESS MALIBU CHEMICAL DEPENDENCY 5247 HORIZON DR, MALIBU, CA 90265 (855) 401-0208 REHABILITATION HOSPITAL (INPATIENT) ACCESS MEDICAL PHARMACY PHARMACY 1271 WESTWOOD BLVD, LOS ANGELES, (310) 873-6565 CA 90024 ACCESS MYRX PHARMACY PHARMACY 9632 EMERALD OAK DR STE G, ELK (916) 509-9834 GROVE, CA 95624 ACCESS PHARMACY PHARMACY 2693 FRUITVALE AVE, OAKLAND, CA (510) 330-4906 94601 ACCREDO HEALTH GROUP PHARMACY 1831 COMMERCE ST STE 104, CORONA, (951) 737-2355 CA 92880 ACE MEDICAL PHARMACY PHARMACY 9171 WILSHIRE BLVD STE B, BEVERLY (310) 385-9128 HILLS, CA 90210 ACE PHARMACY PHARMACY 886 W FOOTHILL BLVD STE D, UPLAND, (909) 946-9400 CA 91786 ACEVEDO, DANIEL C - MD KAISER PERMANENTE ORTHOPEDICS 13652 CANTARA ST , PANORAMA CITY, (818) 375-2233 PANORAMA CITY MEDICAL CA 91402 CENTER ACEVEDO-FREY, SYLVIA - AUD ADVANCED HEARING AUDIOLOGY 4085 ATLANTIC AVE STE D, LONG (800) 598-5300 PROVIDERS LLC BEACH, CA 90807 ACEVEDO-FREY, SYLVIA - AUD ADVANCED HEARING AUDIOLOGY 11550 INDIAN HILLS RD STE 200, (800) 598-5300 PROVIDERS LLC MISSION HILLS, CA 91345 ACEVEDO-FREY, SYLVIA - AUD ADVANCED HEARING AUDIOLOGY 65 N MADISON AVE STE 600, (800) 598-5300 PROVIDERS LLC PASADENA, CA 91101 ACEVES, GABRIEL - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 258-5987 MAIN ACCOUNT ANGELES, CA 90066 ACHARYA, JAISHREE - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 39400 PASEO PADRE PARKWAY (510) 248-3015 JOB OCCUPATIONAL HEALTH MISSION BLDG, FREMONT, CA 94538 CENTER ACHARYA, JAISHREE - MD KAISER PERMANENTE ON THE PRIMARY TREATING 39400 PASEO PADRE PARKWAY (510) 248-3015 JOB OCCUPATIONAL HEALTH PHYSICIAN MISSION BLDG, FREMONT, CA 94538 CENTER ACHEATEL, ROGER J - MD ARCH HEALTH MEDICAL CARDIOVASCULAR DISEASE 1955 CITRACADO PKWY STE 300, (760) 743-0546 (BCC) GROUP (CARDIOLOGY) ESCONDIDO, CA 92029 ACHOJA, RUKE - MD (BCC) ANESTHESIOLOGY 1000 S ANAHEIM BLVD STE 300, (714) 827-3000 ANAHEIM, CA 92805 ACHOJA, RUKE - MD (BCC) ANESTHESIOLOGY 1025 S ANAHEIM BLVD, ANAHEIM, CA (714) 833-5387 92805 ACHOJA, RUKE - MD (BCC) ANESTHESIOLOGY 1111 W LA PALMA AVE, ANAHEIM, CA (714) 774-1450 92801 ACHOJA, RUKE - MD (BCC) ANESTHESIOLOGY 1741 W ROMNEYA DR STE F, ANAHEIM, (714) 893-4541 CA 92801

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 6 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ACHOJA, RUKE - MD (BCC) ANESTHESIOLOGY 200 HOSPITAL CIRCLE, WESTMINSTER, (562) 997-2000 CA 92683 ACHOJA, RUKE - MD (BCC) ANESTHESIOLOGY 2776 PACIFIC AVE, LONG BEACH, CA (714) 670-7400 90806 ACHOJA, RUKE - MD (BCC) ANESTHESIOLOGY 3033 W ORANGE AVE, ANAHEIM, CA (714) 408-9481 92804 ACHOJA, RUKE - MD (BCC) ANESTHESIOLOGY 7901 WALKER ST, LA PALMA, CA 90623 (714) 533-6220 ACHROL, ACHAL S - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD STE 108A, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S ACKERMAN, STUART - MD ANESTHESIOLOGY 18321 CLARK ST, TARZANA, CA 91356 (818) 708-5285 (BCC) ACOSTA, LOUIS - MD (BCC) EMERGENCY MEDICINE 1711 W TEMPLE ST 2 FL, LOS ANGELES, (213) 989-6160 CA 90026 ACTION FAMILY COUNSELING ACTION FAMILY COUNSELING CHEMICAL DEPENDENCY 691 N MAIN STREET, PIRU, CA 93040 (800) 367-8336 PIRU (BCC) PIRU REHABILITATION CENTER (OUTPATIENT) ACTION FAMILY COUNSELING - ACTION FAMILY COUNSELING - CHEMICAL DEPENDENCY 4380 APRICOT RD, SIMI VALLEY, CA (800) 367-8336 SIMI VALLEY (BCC) SIMI VALLEY REHABILITATION CENTER 93063 (OUTPATIENT) ACTION FAMILY COUNSELING - ACTION FAMILY COUNSELING - CHEMICAL DEPENDENCY 30035 BOUQUET CANYON RD, SAUGUS, (800) 367-8336 THE RANCH (BCC) THE RANCH REHABILITATION CENTER CA 91350 (OUTPATIENT) ACTION FAMILY COUNSELING ACTION FAMILY COUNSELING CHEMICAL DEPENDENCY 30010 BOUQUET CANYON RD, SANTA (800) 367-8336 ADULT RESIDENTIAL (BCC) ADULT RESIDENTIAL REHABILITATION CENTER CLARITA, CA 91390 (OUTPATIENT) ACTION FAMILY COUNSELING ACTION FAMILY COUNSELING CHEMICAL DEPENDENCY 3801 BUCK OWENS BLVD STE 105-107, (800) 367-8336 INC (BCC) INC REHABILITATION CENTER BAKERSFIELD, CA 93308 (OUTPATIENT) ACTION FAMILY COUNSELING ACTION FAMILY COUNSELING CHEMICAL DEPENDENCY 22722 SOLEDAD CANYON RD, SANTA (800) 367-8336 NEWHALL (BCC) NEWHALL REHABILITATION CENTER CLARITA, CA 91350 (OUTPATIENT) ACTION FAMILY ACTION FAMILY CHEMICAL DEPENDENCY 512 STABLE AVE, BAKERSFIELD, CA (800) 367-8336 COUNSELING-BAKERSFIELD COUNSELING-BAKERSFIELD REHABILITATION CENTER 93307 RTC (BCC) RTC (OUTPATIENT) ACTION JACKSON PHYSICAL PHYSICAL THERAPY 2844 SUMMIT ST STE 106, OAKLAND, (510) 788-4535 THERAPY CA 94609-3641 ACTION PHYSICAL THERAPY PHYSICAL THERAPY 680 E ROMIE LN, SALINAS, CA (831) 758-5338 93901-4206 ACTION PHYSICAL THERAPY PHYSICAL THERAPY 3033 5TH AVE STE 410, SAN DIEGO, CA (619) 508-6253 AND REHAB 92103 ACTION THERAPY PHYSICAL THERAPY 12431 MAGNOLIA ST, GARDEN GROVE, (888) 475-5771 CA 92841-3321 ACTIVBODY PHYSICAL PHYSICAL THERAPY 1860 N TUSTIN ST, ORANGE, CA (714) 998-8403 THERAPY 92865-4605 ACTIVBODY PHYSICAL PHYSICAL THERAPY 19531 BEACH BLVD, HUNTINGTON (714) 960-7995 THERAPY BEACH, CA 92648-2902 ACTIVE CARE PHARMACY PHARMACY 17050 BUSHARD ST STE 217, FOUNTAIN (714) 733-7930 VALLEY, CA 92708 ACTIVE MOTION PHYSICAL PHYSICAL THERAPY 22600 LAMBERT ST STE 1204, LAKE (949) 633-1286 THERAPY FOREST, CA 92630-1623 ACTIVE PHYSICAL THERAPY & PHYSICAL THERAPY 101 S TRACY BLVD, TRACY, CA (209) 830-8855 ASSOCIATES 95376-4620 ACTIVE PHYSICAL THERAPY & PHYSICAL THERAPY 1423 N TRACY BLVD, TRACY, CA (209) 830-8855 ASSOCIATES 95376-3445 ACTIVE PHYSICAL THERAPY PHYSICAL THERAPY 5065 HOLLYWOOD BLVD STE 201, LOS (323) 665-7675 AND WELLNESS CENTER ANGELES, CA 90027-6122 ACTIVE SOLUTIONS PHYSICAL PHYSICAL THERAPY 1926-J VIA CENTRE DRIVE, STE B, (760) 758-4770 THERAPY VISTA, CA 92081-6025 ACTON VALE PHARMACY PHARMACY 3630 SMITH AVE STE A, ACTON, CA (661) 269-9911 93510 ADAIR, WILL - OT PHYSICAL THERAPY CARE OCCUPATIONAL THERAPY 6214 W MANCHESTER AVE FL 2, LOS (310) 348-8464 ANGELES, CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 7 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ADAMO, CHARLES PHILIP - DC LA PAZ SPINE AND REHAB CHIROPRACTIC MEDICINE 25251 PASEO DE ALICIA STE 204, (949) 770-8767 LAGUNA HILLS, CA 92653 ADAMS, BRIAN - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 285-0443 MAIN ACCOUNT ANGELES, CA 90066 ADAMS, ELIZABETH - PT PENINSULA SPORTS MEDICINE PHYSICAL THERAPY 2945 JUNIPERO SERRA BLVD, DALY (650) 784-1349 AND REHAB CENTER CITY, CA 94014 ADAMSKI, MALGORZATA - PT BURBANK THERAPY CENTER PHYSICAL THERAPY 920 W ALAMEDA AVE, BURBANK, CA (818) 842-9277 91506 ADAMSON, GREGORY J - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES ELBOW 91105 ADAMSON, GREGORY J - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES KNEE 91105 ADAMSON, GREGORY J - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES SHOULDER 91105 ADAMSON, GREGORY J - MD CONGRESS MEDICAL ORTHOPEDICS - KNEE 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES 91105 ADAMSON, GREGORY J - MD CONGRESS MEDICAL ORTHOPEDICS - SHOULDER 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES 91105 ADAMSON, GREGORY J - MD CONGRESS MEDICAL PRIMARY TREATING 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES PHYSICIAN 91105 ADAMSON, GREGORY J - MD CONGRESS MEDICAL ORTHOPEDICS - ELBOW 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES 91105 ADAMSON, GREGORY J - MD CONGRESS MEDICAL SPORTS MEDICINE 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES 91105 ADAMSON, JOHN W - MD (BCC) MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 ADCC DISPENSARY PHARMACY 28212 KELLY JOHNSON PKWY, (661) 254-3686 VALENCIA, CA 91355 ADDICTION FREE RECOVERY ADDICTION FREE RECOVERY CHEMICAL DEPENDENCY 2937 VENEMAN AVE STE A105, (209) 579-3301 SERVICES (BCC) SERVICES REHABILITATION CENTER MODESTO, CA 95356 (OUTPATIENT) ADDICTION FREE RECOVERY ADDICTION FREE RECOVERY CHEMICAL DEPENDENCY 5404 KIERNAN AVE, SALIDA, CA 95368 (209) 579-3301 SERVICES (BCC) SERVICES REHABILITATION CENTER (OUTPATIENT) ADDICTION THERAPEUTIC ADDICTION THERAPEUTIC CHEMICAL DEPENDENCY 69730 HIGHWAY 111 STE 109, RANCHO (760) 778-6120 SERVICES (BCC) SERVICES REHABILITATION CENTER MIRAGE, CA 92270 (OUTPATIENT) ADDO-YIRENKYI, LORD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 LISTOWELL - MD CENTER - AIRPORT LAX ANGELES, CA 90045 ADDO-YIRENKYI, LORD CONCENTRA MEDICAL PRIMARY TREATING 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 LISTOWELL - MD CENTER - AIRPORT LAX PHYSICIAN ANGELES, CA 90045 ADEGANI, LILIYAN A - PSYD SHORELINE MENTAL HEALTH PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (562) 493-6799 (BCC) SHERMAN OAKS , CA 91411 ADEGANI, LILIYAN A - PSYD SHORELINE MENTAL HEALTH PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (562) 493-6799 (BCC) SEAL BEACH, CA 90740 ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK CA 90242 ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 300 E ESPLANADE DR STE 900 (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 6331 GREENLEAF AVE STE G , (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK WHITTIER, CA 90601 ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK 90601

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 8 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ADEGANI, LILIYAN A - PSYD WESTERN PACIFIC PSYCHOLOGY 900 E WASHINGTON ST STE 300, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK COLTON, CA 92324 ADELANTO PHYSICAL PHYSICAL THERAPY 11336 BARTLETT AVE, ADELANTO, CA (951) 534-1959 THERAPY 92301 ADIARTE, ALEXIS - PT ORTHOPEDIC SURGERY SAN PHYSICAL THERAPY 317 N EL CAMINO REAL, ENCINITAS, CA (760) 994-2663 DIEGO 92024 ADIENT PHYSICAL THERAPY, PHYSICAL THERAPY 11260 WILBUR AVE STE 101, (818) 832-5656 INC., DBA ATI PHYSICAL TH NORTHRIDGE, CA 91326-2450 ADIENT PHYSICAL THERAPY, PHYSICAL THERAPY 3441 ALMA ST STE 200, PALO ALTO, CA (650) 323-4440 INC., DBA ATI PHYSICAL TH 94306-3508 ADJUST PHYSICAL THERAPY PHYSICAL THERAPY 5950 SANTO RDSUITE D, SAN DIEGO, (858) 715-3878 CA 92124-1197 ADLER, ERIC R - MD (BCC) UCSD CARDIOLOGY CARDIOVASCULAR DISEASE 4168 FRONT ST , SAN DIEGO , CA 92103 (619) 543-5742 (CARDIOLOGY) ADLER, NAVAH - OT VOSA HAND THERAPY OCCUPATIONAL THERAPY 14624 SHERMAN WAY STE 500, VAN (818) 902-2888 NUYS, CA 91405 ADOUMIE, RIAD - MD (BCC) ASSOCIATION OF SOUTH BAY VASCULAR SURGERY 23560 MADISON ST STE 110, (310) 373-6864 SURGEONS - TORRANCE, CA 90505 VASCULAR/ENDOVASCULAR OFFICE ADUSUMALLI, URMILA - PT NEW WAVE PHYSICAL PHYSICAL THERAPY 3851 KATELLA AVE STE 365, LOS (562) 334-5398 THERAPY DBA SYNAPSE ALAMITOS, CA 90720 ADVANCE CARE PHARMACY PHARMACY 528 N BROADWAY, ESCONDIDO, CA (760) 489-7077 92025 ADVANCE PHYSICAL THERAPY PHYSICAL THERAPY 820 CIVIC CENTER DR, VISTA, CA 92084 (760) 630-7770 ADVANCED AMBULATORY ADVANCED AMBULATORY AMBULATORY SURGERY 1901 LUGONIA AVE #100 , REDLANDS, (909) 557-1700 SURGERY CENTER SURGERY CENTER CENTER CA 92374 ADVANCED DIAGNOSTIC & AMBULATORY SURGERY 1668 S GARFIELD AVE STE 100, (626) 308-9000 SURGICAL CENTER CENTER ALHAMBRA, CA 91801 ADVANCED HEALTHCARE PHARMACY 13129 BROOKHURST ST, GARDEN (714) 530-8088 PHARMACY GROVE, CA 92843 ADVANCED PHARMACY PHARMACY 26611 CABOT RD STE B, LAGUNA HILLS, (949) 348-7900 SOLUTIONS CA 92653 ADVANCED PHYSICAL PHYSICAL THERAPY 6710 N WEST AVE STE 101, FRESNO, (559) 439-2002 THERAPY CA 93711 ADVANCED PHYSICAL PHYSICAL THERAPY 7080 N MAPLE 101, FRESNO, CA 93720 (559) 439-2002 THERAPY ADVANCED PHYSICAL PHYSICAL THERAPY 4133 MOHR AVE STE H, PLEASANTON, (925) 222-3195 THERAPY & ERGONOMICS CA 94566-4750 ADVANCED PHYSICAL PHYSICAL THERAPY 570 COLLINS DR, MERCED, CA (209) 723-0807 THERAPY AND SPORTS REHAB 95348-3121 ADVANCED PHYSICAL PHYSICAL THERAPY 26024 ACERO BLDG K, MISSION VIEJO, (949) 837-9074 THERAPY OF LAGUNA VIEJO CA 92691-2768 ADVANCED PHYSICAL PHYSICAL THERAPY 26034 ACERO, MISSION VIEJO, CA (949) 837-9074 THERAPY OF LAGUNA VIEJO 92691-2768 ADVANCED PHYSIOTHERAPY PHYSICAL THERAPY 860 JAMACHA RD STE 203, EL CAJON, (619) 573-6373 CA 92019-3224 ADVANCED PT OF LAGUNA PHYSICAL THERAPY 26034 ACERO BLDG K, MISSION VIEJO, (949) 837-9074 VIEJO CA 92691 ADVANCED THERAPY PHYSICAL THERAPY 7918 ZENITH DR, CITRUS HEIGHTS, CA (916) 726-6622 95621 ADVANCED URGENT CARE OF URGENT CARE FACILITY 243 S ROBERTSON BLVD , BEVERLY (310) 652-2300 BEVERLY HILLS HILLS, CA 90211 ADVANCES IN MENTAL HEALTH ADVANCES IN MENTAL HEALTH CHEMICAL DEPENDENCY 18672 FLORIDA ST STE 100, (714) 546-6400 AND ADDICTIONS TREATMENT AND ADDICTIONS TREATMENT REHABILITATION CENTER HUNTINGTON BEACH, CA 92648 (BCC) (OUTPATIENT) ADVANCES IN MENTAL HEALTH ADVANCES IN MENTAL HEALTH CHEMICAL DEPENDENCY 5199 E PACIFIC COAST HWY STE 330N, (562) 365-2020 AND ADDICTIONS TRMT AND ADDICTIONS TRMT REHABILITATION CENTER LONG BEACH, CA 90804 FACILITY (BCC) FACILITY (OUTPATIENT) ADVANTAGE PHYSICAL PHYSICAL THERAPY 24551 RAYMOND WAY STE 265, LAKE (949) 305-8200 THERAPY FOREST, CA 92630-4478 ADVANTAGE PHYSICAL PHYSICAL THERAPY 6512 WESTSIDE RD STE B, REDDING, (530) 244-0115 THERAPY CA 96001-4868

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 9 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ADVANTAGE PHYSICAL PHYSICAL THERAPY 4572 TELEPHONE RD STE 903, (805) 654-8127 THERAPY VENTURA, CA 93003-5663 ADVENTIST HEALTH - SONORA PHARMACY 220 W STOCKTON ST, SONORA, CA (209) 536-3800 95370 ADVENTIST HEALTH CLEAR ADVENTIST HEALTH CLEAR ACUTE CARE HOSPITAL 15630 18TH AVE, CLEARLAKE, CA 95422 (707) 994-6486 LAKE (BCC) LAKE ADVENTIST HEALTH FEATHER ADVENTIST HEALTH FEATHER ACUTE CARE HOSPITAL 5974 PENTZ RD, PARADISE, CA 95969 (530) 876-7121 RIVER (BCC) RIVER ADVENTIST HEALTH ADVENTIST HEALTH CHEMICAL DEPENDENCY 1509 WILSON TER, GLENDALE, CA (818) 409-8027 GLENDALE (BCC) GLENDALE REHABILITATION HOSPITAL 91206 (INPATIENT) ADVENTIST HEALTH HANFORD ADVENTIST HEALTH HANFORD ACUTE CARE HOSPITAL 115 MALL DR, HANFORD, CA 93230 (559) 582-9000 (BCC) ADVENTIST HEALTH LODI ADVENTIST HEALTH LODI ACUTE CARE HOSPITAL 975 S FAIRMONT AVE, LODI, CA 95240 (209) 339-7435 MEMORIAL (BCC) MEMORIAL ADVENTIST HEALTH MEDICAL ADVENTIST HEALTH MEDICAL ACUTE CARE HOSPITAL 115 W E ST, TEHACHAPI, CA 93561 (661) 823-3000 CENTER TEHACHAPI (BCC) CENTER TEHACHAPI ADVENTIST HEALTH ADVENTIST HEALTH ACUTE CARE HOSPITAL 1 MARCELA DR, WILLITS, CA 95490 (707) 459-6801 MENDOCINO COAST (BCC) MENDOCINO COAST ADVENTIST HEALTH REEDLEY ADVENTIST HEALTH REEDLEY ACUTE CARE HOSPITAL 372 W CYPRESS AVE, REEDLEY, CA (559) 391-3310 (BCC) 93654 ADVENTIST HEALTH SELMA ADVENTIST HEALTH SELMA ACUTE CARE HOSPITAL 1141 ROSE AVE, SELMA, CA 93662 (559) 856-6310 (BCC) ADVENTIST HEALTH SIMI ADVENTIST HEALTH SIMI ACUTE CARE HOSPITAL 2975 SYCAMORE DR, SIMI VALLEY, CA (805) 955-6000 VALLEY (BCC) VALLEY 93065 ADVENTIST HEALTH SONORA ADVENTIST HEALTH SONORA ACUTE CARE HOSPITAL 1000 GREENLEY RD, SONORA, CA (888) 831-2715 (BCC) 95370 ADVENTIST HEALTH ST ADVENTIST HEALTH ST CHEMICAL DEPENDENCY 10 WOODLAND RD, SAINT HELENA, CA (707) 963-3611 HELENA (BCC) HELENA REHABILITATION CENTER 94574 (OUTPATIENT) ADVENTIST HEALTH UKIAH ADVENTIST HEALTH UKIAH ACUTE CARE HOSPITAL 275 HOSPITAL DR, UKIAH, CA 95482 (707) 462-3111 VALLEY (BCC) VALLEY ADVENTIST HEALTH WHITE ADVENTIST HEALTH WHITE ACUTE CARE HOSPITAL 1720 E CESAR E CHAVEZ AVE, LOS (323) 268-5000 MEMORIAL (BCC) MEMORIAL ANGELES, CA 90033 ADVOCATE PHYSICAL PHYSICAL THERAPY 2112 EASTMAN AVE STE 101, VENTURA, (805) 658-8300 THERAPY CA 93003-5773 AEGIS MODESTO (BCC) AEGIS MODESTO CHEMICAL DEPENDENCY 1235 MCHENRY AVE STE A, MODESTO, (209) 527-4597 REHABILITATION CENTER CA 95350 (OUTPATIENT) AEGIS PHYSICAL THERAPY INC PHYSICAL THERAPY 27620 LANDAU BLVD STE 3, (760) 322-5090 CATHEDRAL CITY, CA 92234-5540 AEGIS TREAMENT CENTERS AEGIS TREAMENT CENTERS CHEMICAL DEPENDENCY 660 E LOS ANGELES AVE STE B2, SIMI (805) 522-1844 SIMI VALLEY (BCC) SIMI VALLEY REHABILITATION CENTER VALLEY, CA 93065 (OUTPATIENT) AEGIS TREATMENT CENTERS AEGIS TREATMENT CENTERS CHEMICAL DEPENDENCY 501 W COLUMBUS ST, BAKERSFIELD, (661) 328-0245 (BCC) REHABILITATION CENTER CA 93301 (OUTPATIENT) AEGIS TREATMENT CENTERS - AEGIS TREATMENT CENTERS - CHEMICAL DEPENDENCY 11776 MARIPOSA RD STE 103, (760) 956-2462 -HESPERIA (BCC) -HESPERIA REHABILITATION CENTER HESPERIA, CA 92345 (OUTPATIENT) AEGIS TREATMENT CENTERS - AEGIS TREATMENT CENTERS - CHEMICAL DEPENDENCY 6500 MORRO RD STE D, ATASCADERO, (805) 461-5212 ATASCADERO (BCC) ATASCADERO REHABILITATION CENTER CA 93422 (OUTPATIENT) AEGIS TREATMENT CENTERS - AEGIS TREATMENT CENTERS - CHEMICAL DEPENDENCY 1018 21ST ST, BAKERSFIELD, CA 93301 (661) 861-9967 BAKERSFIELD (BCC) BAKERSFIELD REHABILITATION CENTER (OUTPATIENT) AEGIS TREATMENT CENTERS - AEGIS TREATMENT CENTERS - CHEMICAL DEPENDENCY 590 RIO LINDO AVE, CHICO, CA 95926 (530) 345-3491 CHICO (BCC) CHICO REHABILITATION CENTER (OUTPATIENT) AEGIS TREATMENT CENTERS - AEGIS TREATMENT CENTERS - CHEMICAL DEPENDENCY 1019 JEFFERSON ST, DELANO, CA (661) 721-0463 DELANO (BCC) DELANO REHABILITATION CENTER 93215 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 10 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AEGIS TREATMENT CENTERS - AEGIS TREATMENT CENTERS - CHEMICAL DEPENDENCY 3707 E SHIELDS AVE, FRESNO, CA (559) 229-9040 FRESNO (BCC) FRESNO REHABILITATION CENTER 93726 (OUTPATIENT) AEGIS TREATMENT CENTERS - AEGIS TREATMENT CENTERS - CHEMICAL DEPENDENCY 2055 SAVIERS RD STE A, OXNARD, CA (805) 483-2253 OXNARD (BCC) OXNARD REHABILITATION CENTER 93033 (OUTPATIENT) AEGIS TREATMENT CENTERS - AEGIS TREATMENT CENTERS - CHEMICAL DEPENDENCY 4129 STATE ST, SANTA BARBARA, CA (805) 964-4795 SANTA BARBARA (BCC) SANTA BARBARA REHABILITATION CENTER 93110 (OUTPATIENT) AEGIS TREATMENT CENTERS AEGIS TREATMENT CENTERS CHEMICAL DEPENDENCY 201 D ST STE G, MARYSVILLE, CA 95901 (530) 742-7747 MARYSVILLE (BCC) MARYSVILLE REHABILITATION CENTER (OUTPATIENT) AEGIS TREATMENT CENTERS AEGIS TREATMENT CENTERS CHEMICAL DEPENDENCY 1343 W MAIN ST, MERCED, CA 95340 (209) 725-1060 MERCED (BCC) MERCED REHABILITATION CENTER (OUTPATIENT) AEGIS TREATMENT CENTERS AEGIS TREATMENT CENTERS CHEMICAL DEPENDENCY 125 W F ST, ONTARIO, CA 91762 (909) 986-4550 ONTARIO (BCC) ONTARIO REHABILITATION CENTER (OUTPATIENT) AEGIS TREATMENT CENTERS AEGIS TREATMENT CENTERS CHEMICAL DEPENDENCY 8626 LOWER SACRAMENTO RD STE 41, (209) 478-2487 STOCKTON (BCC) STOCKTON REHABILITATION CENTER STOCKTON, CA 95210 (OUTPATIENT) AEGIS TREATMENT CENTERS AEGIS TREATMENT CENTERS CHEMICAL DEPENDENCY 5525 TELEGRAPH RD, VENTURA, CA (805) 765-6495 VENTURA (BCC) VENTURA REHABILITATION CENTER 93003 (OUTPATIENT) AEGIS TREATMENT CETNERS - AEGIS TREATMENT CETNERS - CHEMICAL DEPENDENCY 625 E MAIN ST, SANTA PAULA, CA 93060 (805) 525-4669 SANTA PAULA (BCC) SANTA PAULA REHABILITATION CENTER (OUTPATIENT) AESTHETIC SURGERY & LASER AMBULATORY SURGERY 28212 KELLY JOHNSON PKWY STE 265, (661) 254-3686 MEDICAL CENTER CENTER VALENCIA, CA 91355 AFC URGENT CARE OF BONITA AFC URGENT CARE OF URGENT CARE FACILITY 10538 MISSION GORGE RD STE 100, (619) 456-0033 (BCC) SANTEE SANTEE, CA 92071 AFC URGENT CARE OF BONITA AFC URGENT CARE OF BONITA URGENT CARE FACILITY 760 OTAY LAKES RD, CHULA VISTA, CA (619) 821-2300 (BCC) 91910 AFFELDT, JOHN C - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 AFFELDT, JOHN C - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 AFFILIATED PHYSICAL PHYSICAL THERAPY 10225 AUSTIN DR STE 204, SPRING (619) 670-4567 THERAPY VALLEY, CA 91978-1522 AFILAKA, ABOABA A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3115 JOB OCCUPATIONAL HEALTH 95210 CENTER AFILAKA, ABOABA A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3115 JOB OCCUPATIONAL HEALTH PHYSICIAN 95210 CENTER AFLATOON, KAMRAN - DO CONCENTRA MEDICAL ORTHOPEDICS - SPINE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 AFLATOON, KAMRAN - DO CONCENTRA MEDICAL SPINE SURGERY 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 AFLATOON, KAMRAN - DO CONCENTRA MEDICAL ORTHOPEDICS - SPINE 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 AFLATOON, KAMRAN - DO CONCENTRA MEDICAL SPINE SURGERY 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 AFLATOON, KAMRAN - DO CONCENTRA MEDICAL ORTHOPEDICS - SPINE 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623 AFLATOON, KAMRAN - DO CONCENTRA MEDICAL SPINE SURGERY 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623 AFLATOON, KAMRAN - DO CONCENTRA MEDICAL ORTHOPEDICS - SPINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA AFLATOON, KAMRAN - DO CONCENTRA MEDICAL SPINE SURGERY 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 11 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE ANKLE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA ANKLE CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS ANKLE MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - ANKLE 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA ELBOW CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA KNEE CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA SHOULDER CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA WRIST CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE ELBOW CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE KNEE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE SHOULDER CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE WRIST CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS ELBOW MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS KNEE MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS SHOULDER MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS WRIST MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 12 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - ANKLE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - ANKLE 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 AFRA, ROBERT - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 AFSHAR, NADER - LAC LONG BEACH PRIME MEDICAL ACUPUNCTURE 4014 LONG BEACH BLVD STE 210, (562) 997-7100 GROUP LONG BEACH, CA 90807 AFSHARI, NEJAD NADER - LAC GLENDALE FIDELITY MEDICAL ACUPUNCTURE 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 AGAJANIAN INST ONCOL AND PHARMACY 11480 BROOKSHIRE AVE, DOWNEY, CA (562) 869-1201 HEMA 90241 AGAPE PHYSICAL THERAPY PHYSICAL THERAPY 1347 S GRAND AVE, GLENDORA, CA (626) 857-4711 91740-5046 AGAPI PHARMACY PHARMACY 6501 SAN FERNANDO RD, GLENDALE, (818) 246-4433 CA 91201 AGARWAL, CHANDRAHAS - MD CARDIOVASCULAR DISEASE 8287 WHITE OAK AVE , RANCHO (909) 476-0808 (BCC) (CARDIOLOGY) CUCAMONGA, CA 91730 AGARWAL, SOMA - MD KAISER PERMANENTE OPHTHALMOLOGY 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER AGATSTEIN, ERNEST - MD UROLOGY 5757 E HARDY ST STE 215, (310) 673-3333 INGLEWOOD, CA 90301 AGNIHOTRI, NEERAJ - MD HEMATOLOGY AND 38660 MEDICAL CENTER DR STE 380, (661) 948-5928 ONCOLOGY PALMDALE, CA 93551 AGOSTINELLI, NICOLE - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 542 BROADWAY STE G, CHULA VISTA, (619) 425-8212 CENTER - CHULA VISTA CA 91910 AGOURA HILLS PHYSICAL PHYSICAL THERAPY 5927 KANAN RD, AGOURA HILLS, CA (818) 889-0158 THERAPY 91301-1688 AGRAWAL, BELLA G - MD CONCENTRA MEDICAL PRIMARY TREATING 1675 ALHAMBRA BLVD STE B, (916) 451-4580 CENTER - SACRAMENTO - PHYSICIAN SACRAMENTO, CA 95816 DOWNTOWN AGRAWAL, BELLA G - MD CONCENTRA MEDICAL FAMILY MEDICINE 1675 ALHAMBRA BLVD STE B, (916) 451-4580 CENTER - SACRAMENTO - SACRAMENTO, CA 95816 DOWNTOWN AGREDA, CATHERINE - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 AGUINALDO, KEVIN - PT PRO SPORT PHYSICAL PHYSICAL THERAPY 23001 DEL LAGO DR STE C1, LAGUNA (949) 387-7333 THERAPY LAGUNA HILLS HILLS, CA 92653 AGUIRRE, JON - PT MAXUM PHYSICAL THERAPY PHYSICAL THERAPY 740 S PLACENTIA AVE STE 100, (714) 646-8319 INC PLACENTIA, CA 92870 AGUIRRE, KENNETH S - MD CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA AGUIRRE, KENNETH S - MD CONCENTRA MEDICAL FAMILY MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA AGYEMAN, KWAME B - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 599 INLAND CENTER DR STE 105, SAN (909) 889-2665 CENTER - SAN BERNARDINO BERNARDINO, CA 92408 AGYEMAN, KWAME B - MD CONCENTRA MEDICAL PRIMARY TREATING 599 INLAND CENTER DR STE 105, SAN (909) 889-2665 CENTER - SAN BERNARDINO PHYSICIAN BERNARDINO, CA 92408 AHCS SPECIALTY PHARMACY PHARMACY 12832 VALLEY VIEW ST, GARDEN (714) 902-1582 GROVE, CA 92845 AHDAB, SAM Y - MD CONCENTRA MEDICAL PAIN MANAGEMENT 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO AHDAB, SAM Y - MD CONCENTRA MEDICAL PAIN MANAGEMENT 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA POMONA, CA 91768 AHDAB, SAM Y - MD CONCENTRA MEDICAL PAIN MANAGEMENT 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 13 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AHDOOT, ELI - DO CONCENTRA MEDICAL ORTYHOPEDIC SURGERY - 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS KNEE NUYS, CA 91406 AHDOOT, ELI - DO CONCENTRA MEDICAL ORTHOPEDICS - KNEE 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS NUYS, CA 91406 AHEARN, ROBERT - MD (BCC) ORTHOPEDICS - SPINE 18800 DELAWARE ST STE 1100, (714) 841-5333 HUNTINGTON BEACH, CA 92648 AHEARN, ROBERT - MD (BCC) SPINE SURGERY 18800 DELAWARE ST STE 1100, (714) 841-5333 HUNTINGTON BEACH, CA 92648 AHERNS, DAVID - DC AHRENS CHIROPRACTIC CHIROPRACTIC MEDICINE 629 CAMINO DE LOS MARES STE 104, (949) 240-1334 SAN CLEMENTE, CA 92673 AHF PHARMACY - GARDENA PHARMACY 19300 S HAMILTON AVE, GARDENA, CA (310) 464-8241 ACC 90248 AHF PHARMACY - SAN DIEGO PHARMACY 3940 4TH AVE STE 150, SAN DIEGO, CA (619) 574-9700 92103 AHF PHARMACY-DOWNTOWN PHARMACY 1400 S GRAND AVE STE 801, LOS (213) 741-5271 ANGELES, CA 90015 AHF PHARMACY-HOLLYWOOD PHARMACY 1300 N VERMONT AVE, LOS ANGELES, (323) 661-0643 CA 90027 AHF PHARMACY-LONG BEACH PHARMACY 3500 E PACIFIC COAST HWY, LONG (562) 494-4900 BEACH, CA 90804 AHF PHARMACY-OAKLAND PHARMACY 400 30TH ST STE 300, OAKLAND, CA (510) 628-0954 94609 AHF PHARMACY-SAN PHARMACY 4071 18TH ST, SAN FRANCISCO, CA (415) 552-0350 FRANCISCO 94114 AHF PHARMACY-SUNSET PHARMACY 6210 W SUNSET BLVD, LOS ANGELES, (323) 860-0173 CA 90028 AHF PHARMACY-VALLEY PHARMACY 4940 VAN NUYS BLVD, SHERMAN OAKS, (818) 986-2643 CA 91403 AHF PHARMACY-WEST PHARMACY 8212 SANTA MONICA BLVD, WEST (323) 654-0907 HOLLYWOOD HOLLYWOOD, CA 90046 AHF PHARMACY-WESTSIDE PHARMACY 99 N LA CIENEGA BLVD, BEVERLY (310) 854-2330 HILLS, CA 90211 AHF PHCY- EAST LOS PHARMACY 5356 WHITIER BLVD, LOS ANGELES, CA (323) 722-1010 ANGELES 90022 AHMAD, TAHA M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 13652 CANTARA ST BLDG 2, 1ST FLR, (818) 375-2233 JOB PANORAMA CITY MEDICAL PANORAMA CITY, CA 91402 CENTER AHMAD, TAHA M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 13652 CANTARA ST BLDG 2, 1ST FLR, (818) 375-2233 JOB PANORAMA CITY MEDICAL PHYSICIAN PANORAMA CITY, CA 91402 CENTER AHMC ANAHEIM REGIONAL AHMC ANAHEIM REGIONAL ACUTE CARE HOSPITAL 1111 W LA PALMA AVE, ANAHEIM, CA (714) 774-1450 MEDICAL CENTER LP (BCC) MEDICAL CENTER LP 92801 AHMC GARFIELD HOSPITAL AHMC GARFIELD HOSPITAL ACUTE CARE HOSPITAL 525 N GARFIELD AVE, MONTEREY (626) 573-2222 MEDICAL CENTER (BCC) MEDICAL CENTER PARK, CA 91754 AHMC GREATER EL MONTE AHMC GREATER EL MONTE ACUTE CARE HOSPITAL 1701 SANTA ANITA AVE, SOUTH EL (626) 579-7777 COMMUNITY HOSPITAL LP COMMUNITY HOSPITAL LP MONTE, CA 91733 (BCC) AHMC MONTEREY PARK AHMC MONTEREY PARK ACUTE CARE HOSPITAL 900 S ATLANTIC BLVD, MONTEREY (626) 570-9000 HOSPITAL (BCC) HOSPITAL PARK, CA 91754 AHMC SAN GABRIEL VALLEY AHMC SAN GABRIEL VALLEY ACUTE CARE HOSPITAL 438 W LAS TUNAS DR, SAN GABRIEL, (626) 289-5454 MEDICAL CENTER (BCC) MEDICAL CENTER CA 91776 AHMC WHITTIER HOSPITAL AHMC WHITTIER HOSPITAL ACUTE CARE HOSPITAL 9080 COLIMA RD, WHITTIER, CA 90605 (562) 945-3561 MEDICAL CENTER (BCC) MEDICAL CENTER AHMED, MUSHTAQ - MD (BCC) SAN JOAQUIN VALLEY PULMONARY DISEASE 109 ADKISSON WAY , TAFT, CA 93268 (661) 327-3747 PULMONARY AHMED, MUSHTAQ - MD (BCC) INTERNAL MEDICINE 3801 SAN DIMAS ST , BAKERSFIELD, CA (661) 327-3747 93308 AHMED, PARVEEN - MD (BCC) INTERNAL MEDICINE 14350 WHITTIER BLVD STE 102, (562) 698-0025 WHITTIER, CA 90605 AHMED, PARVEEN - MD (BCC) INTERNAL MEDICINE 1535 SOUTH D ST STE 100, SAN (909) 824-2361 BERNARDINO, CA 92408 AHMED, PARVEEN - MD (BCC) INTERNAL MEDICINE 4511 ROSEMEAD BLVD, PICO RIVERA, (562) 695-2282 CA 90660

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 14 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AHN, CHISHIN - LAC ACUPUNCTURE FAMILY ACUPUNCTURE 615 S BROADWAY, SANTA MARIA, CA (805) 614-5070 HERBS 93454 AHN, DEOK - LAC ALTERNATIVE MEDICAL ACUPUNCTURE 2343 HUNTINGTON DR, SAN MARINO, (626) 590-5577 CLINICDEOK H AHN CA 91108 AHN, ERIC S - MD (BCC) EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 1045 W REDONDO BEACH BLVD STE (310) 329-9975 400, GARDENA, CA 90047 AHN, ERIC S - MD (BCC) EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 23441 MADISON ST STE 120, (310) 373-6708 TORRANCE, CA 90025 AHN, ERIC S - MD (BCC) EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 1950 SAWTELLE BLVD STE 240, LOS (310) 453-0489 ANGELES, CA 90025 AHWATUKEE PHYSICAL PHYSICAL THERAPY 1537 GRAND AVE, SAN MARCOS, CA (760) 591-7750 THERAPY INC 92078-2424 AIM HI THERAPY CENTER PHYSICAL THERAPY 802 BEAUMONT AVE, BEAUMONT, CA (909) 845-7812 92223 AISH, BASSIL - MD (BCC) BEACH PHYSICIANS MEDICAL FAMILY MEDICINE 17742 BEACH BLVD STE 215, (714) 848-1655 GROUP HUNTINGTON BEACH, CA 92647 AISH, BASSIL - MD (BCC) BEACH PHYSICIANS MEDICAL SPORTS MEDICINE 17742 BEACH BLVD STE 215, (714) 848-1655 GROUP HUNTINGTON BEACH, CA 92647 AISH, BASSIL - MD (BCC) BEACH PHYSICIANS MEDICAL PRIMARY TREATING 17742 BEACH BLVD STE 215, (714) 848-1655 GROUP PHYSICIAN HUNTINGTON BEACH, CA 92647 AISIMAKIPOULOS, FOTIOS A - MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 MD (BCC) US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 AJ PHYSICAL THERAPY PHYSICAL THERAPY 16573 VENTURA BLVDSUITE 8, ENCINO, (818) 986-7266 CA 91436-2024 AJIBOYE, REMI M - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY TORRANCE, CA 90501 AJIBOYE, REMI M - MD CONCENTRA MEDICAL SPINE SURGERY 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY TORRANCE, CA 90501 AJIBOYE, REMI M - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 AJIBOYE, REMI M - MD CONCENTRA MEDICAL SPINE SURGERY 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 AJIBOYE, REMI M - MD (BCC) SPORTS AND SPINE ORTHOPEDICS - SPINE 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS TORRANCE, CA 90505 AJIBOYE, REMI M - MD (BCC) SPORTS AND SPINE ORTHOPEDICS - SPINE 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS SEGUNDO , CA 90245 AJIBOYE, REMI M - MD (BCC) SPORTS AND SPINE SPINE SURGERY 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS TORRANCE, CA 90505 AJIBOYE, REMI M - MD (BCC) SPORTS AND SPINE SPINE SURGERY 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS SEGUNDO , CA 90245 AJLUNI, NADIA - DC AJLUNI NADIA DBA FAMILY CHIROPRACTIC MEDICINE 4986 CHERRY AVE, SAN JOSE, CA (408) 978-6712 HEALTH GROUP 95118 AJLUNI, NADIA - DC RONALD S AJLUNI DC CHIROPRACTIC MEDICINE 16195 MONTEREY ST STE 104, (408) 978-6712 MORGAN HILL, CA 95037 AJLUNI, RONALD - DC AJLUNI RONALD DBA FAMILY CHIROPRACTIC MEDICINE 4986 CHERRY AVE, SAN JOSE, CA (408) 978-6712 HEALTH GROUP 95118 AKA, ALLISON A - MD (BCC) LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S AKA, PAUL K - MD KAISER PERMANENTE VASCULAR SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER AKHAVAN, FARAHNAZ - LAC ACUPUNCTURE ACUPUNCTURE 1733 S ESCONDIDO BLVD, ESCONDIDO, (760) 233-5886 CHIROPRACTIC CENTER OF CA 92025 ESCONDIDO AKHAVAN, MEHRAS - MD (BCC) PAIN MANAGEMENT 4940 VAN NUYS BLVD STE 105, (818) 990-9050 SHERMAN OAKS, CA 91403 AKINYEMI, YESIDE - MD (BCC) ANESTHESIOLOGY 3700 SOUTH ST, LAKEWOOD, CA 90712 (562) 531-2550 AKPOFURE, BLESSING - MD ANESTHESIOLOGY 10921 CHERRY ST STE 100, LOS (562) 795-5600 (BCC) ALAMITOS, CA 90720 AKPOFURE, BLESSING - MD ANESTHESIOLOGY 1211 W LA PALMA AVE STE 301, (714) 284-0737 (BCC) ANAHEIM, CA 92801 AKPOFURE, BLESSING - MD ANESTHESIOLOGY 16543 CARMENITA RD, CERRITOS, CA (562) 219-7251 (BCC) 90703

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 15 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AKPOFURE, BLESSING - MD ANESTHESIOLOGY 8710 MONROE CT STE 250, RANCHO (909) 987-9100 (BCC) CUCAMONGA, CA 91730 AKRAWI, WILLIAM - MD (BCC) ANESTHESIOLOGY 27700 MEDICAL CENTER RD, MISSION (949) 364-1400 VIEJO, CA 92691 AKRY, DOREEN - PT SOUTH PACIFIC PHYSICAL PHYSICAL THERAPY 4940 VAN NUYS BLVD STE 301, VAN (818) 907-0952 THERAPY INC NUYS, CA 91403 AKUA MIND AND BODY (BCC) AKUA MIND AND BODY CHEMICAL DEPENDENCY 10087 TERRA LOMA DR, RANCHO (949) 777-2283 REHABILITATION CENTER CORDOVA, CA 95670 (OUTPATIENT) AKUA MIND AND BODY INC AKUA MIND AND BODY INC CHEMICAL DEPENDENCY 1119 SUNFLOWER AVE, COSTA MESA, (949) 777-2283 (BCC) REHABILITATION CENTER CA 92626 (OUTPATIENT) AKUA MIND AND BODY INC AKUA MIND AND BODY INC CHEMICAL DEPENDENCY 20271 SW BIRCH ST STE 202, (949) 777-2283 (BCC) REHABILITATION CENTER NEWPORT BEACH, CA 92660 (OUTPATIENT) AKUA MIND AND BODY INC AKUA MIND AND BODY INC CHEMICAL DEPENDENCY 369 RALCAM PL, COSTA MESA, CA (949) 777-2283 (BCC) REHABILITATION CENTER 92627 (OUTPATIENT) AL QAISI, YAKDAN T - MD CONCENTRA MEDICAL PRIMARY TREATING 1800 WESTWIND DR STE 301, (661) 327-9617 CENTER - BAKERSFIELD PHYSICIAN BAKERSFIELD, CA 93301 AL QAISI, YAKDAN T - MD CONCENTRA MEDICAL FAMILY MEDICINE 1800 WESTWIND DR STE 301, (661) 327-9617 CENTER - BAKERSFIELD BAKERSFIELD, CA 93301 AL'S PHARMACY AND PHARMACY 2222 MAIN ST, CAMBRIA, CA 93428 (805) 927-7283 COMPOUNDING ALAILIMA-UTU HALL, SARAH T - CONCENTRA MEDICAL PREVENTIVE MEDICINE 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 MD CENTER - SAN LEANDRO 94577 ALAITI, SAMER - MD DERMATOLOGY 1100 S LA CIENEGA BLVD, LOS (310) 854-0500 ANGELES, CA 90035 ALAMITOS PHYSICAL THERAPY PHYSICAL THERAPY 5122 KATELLA AVE STE 16, LOS (562) 795-5295 ALAMITOS, CA 90720-2838 ALAMO PHARMACY PHARMACY 3695 ALAMO ST STE 100, SIMI VALLEY, (805) 306-1636 CA 93063 ALAN DARUSH PHARMACY 8540 RESEDA BLVD, NORTHRIDGE, CA (818) 280-0700 91324 ALAN SCHWAB PHARMACY PHARMACY 435 N BEDFORD DR, BEVERLY HILLS, (310) 271-5093 CA 90210 ALANI, ANAS A - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE ALANI, ANAS A - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE ALAPAT, ROSE V - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH CUPERTINO, CA 95014 CENTER ALAPAT, ROSE V - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH PHYSICIAN CUPERTINO, CA 95014 CENTER ALASIL, TAREK - MD (BCC) RETINA INSTITUTE OF OPHTHALMOLOGY 2400 N BROADWAY , LOS ANGELES , CA (323) 221-8000 CALIFORNIA - ACCUITY EYE 90031 GROUP ALAVI, ARMIN - MD VENTURA EAR NOSE AND PLASTIC & RECONSTRUCTIVE 3555 LOMA VISTA RD STE 200, (805) 648-3081 THROAT MEDICAL GROUP SURGERY VENTURA, CA 93003 ALAVI, ARMIN - MD VENTURA EAR NOSE AND OTOLARYNGOLOGY (ENT) 3555 LOMA VISTA RD STE 200, (805) 648-3081 THROAT MEDICAL GROUP VENTURA, CA 93003 ALAVI, MATT - LAC ACTIVEMED INTEGRATIVE ACUPUNCTURE 15611 POMERADO RD STE 100S, (858) 673-4400 HEALTH CENTER POWAY, CA 92064 ALAVI, MATT - LAC ACTIVEMED INTEGRATIVE ACUPUNCTURE 317 N EL CAMINO REAL STE 306, (858) 673-4400 HEALTH CENTER ENCINITAS, CA 92024 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 DPM CENTER - CHATSWORTH 91311

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 16 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 DPM CENTER - CHINO ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 17487 E HURLEY ST, CITY OF (626) 965-0959 DPM CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 DPM CENTER - COMMERCE 90040 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 DPM CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 DPM CENTER - EL MONTE CA 91731 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 DPM CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 DPM CENTER - GARDENA 90248 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 6520 N IRWINDALE AVE STE 100, (626) 812-0366 DPM CENTER - IRWINDALE IRWINDALE, CA 91702 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 DPM CENTER - LAKE FOREST FOREST, CA 92630 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 DPM CENTER - LONG BEACH CA 90802 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 DPM CENTER - MORSE ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 DPM CENTER - OCEANSIDE CA 92056 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 DPM CENTER - LOS ANGELES - CA 90013 GRAND ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 801 CORPORATE CENTER DR STE130, (909) 623-1954 DPM CENTER - POMONA POMONA, CA 91768 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 DPM CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 434 S SAN VICENTE BLVD STE 100, (310) 360-6780 DPM CENTER - SAN VICENTE LOS ANGELES, CA 90048 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 DPM CENTER - SANTA ANA TUSTIN CA 92705 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 22840 SOLEDAD CANYON RD , (661) 799-1776 DPM CENTER - SAUGUS SAUGUS, CA 91350 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 DPM CENTER - VALENCIA 91355 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 DPM CENTER - VAN NUYS VAN NUYS, CA 91406 ALAVYNEJAD, BABAK (BOB) - CONCENTRA MEDICAL PODIATRIC SURGERY 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 DPM CENTER - VERNON CENTRAL 90058 ALAVYNEJAD, BABAK - DPM PODIATRY 741 S ORANGE AVE STE 100, WEST (626) 310-0058 COVINA, CA 91790 ALAZARI, NASER - MD PRIMARY TREATING 814 S FRANCISCO ST, LOS ANGELES, (310) 215-6020 PHYSICIAN CA 90017 ALAZARI, NASER - MD GENERAL PRACTICE 814 S FRANCISCO ST, LOS ANGELES, (310) 215-6020 CA 90017 ALBANY PHYSICAL THERAPY PHYSICAL THERAPY 948 SAN PABLO AVE, ALBANY, CA 94706 (510) 526-2353 ALBANY PHYSICAL THERAPY PHYSICAL THERAPY 948 SAN PABLO AVE, ALBANY, CA 94706 (510) 526-2353 ALBERT PHYSICAL THERAPY PHYSICAL THERAPY 39275 LIBERTY ST, FREMONT, CA 94538 (510) 742-1879 SERVICES ALBERTSON'S SAV-ON PHARMACY 6240 FOOTHILL BLVD, TUJUNGA, CA (818) 249-2056 91042 ALBERTSON'S-SAVE-ON PHARMACY 8850 FOOTHILL BLVD, RANCHO (909) 484-8251 CUCAMONGA, CA 91730 ALBIN, DAVID - MD CONCENTRA MEDICAL SURGERY 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PLACENTIA, CA 92870 ALBIN, DAVID - MD HERNIA CENTER OF GENERAL SURGERY 1568 N ORANGE GROVE AVE, POMONA, (626) 584-6116 SOUTHERN CALIFORNIA CA 91767

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 17 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ALBIN, DAVID - MD HERNIA CENTER OF GENERAL SURGERY 1700 CESAR CHAVEZ AVE 3900, LOS (626) 584-6116 SOUTHERN CALIFORNIA ANGELES, CA 90033 ALBIN, DAVID - MD HERNIA CENTER OF GENERAL SURGERY 31 W BELLEVUE DR , PASADENA, CA (626) 584-6116 SOUTHERN CALIFORNIA 91105 ALBIN, DAVID - MD HERNIA CENTER OF GENERAL SURGERY 450 NEWPORT CENTER DR 650, (626) 584-6116 SOUTHERN CALIFORNIA NEWPORT BEACH, CA 92660 ALBIN, DAVID - MD HERNIA CENTER OF GENERAL SURGERY 6553 E PACIFIC COAST HWY H9, LONG (626) 584-6116 SOUTHERN CALIFORNIA BEACH, CA 90803 ALBIN, DAVID - MD HERNIA CENTER OF GENERAL SURGERY 710 N EUCLID ST 301, ANAHEIM, CA (626) 584-6116 SOUTHERN CALIFORNIA 92801 ALBIN, DAVID - MD HERNIA CENTER OF GENERAL SURGERY 9465 WILSHIRE BLVD 300, BEVERLY (626) 584-6116 SOUTHERN CALIFORNIA HILLS , CA 90212 ALBIN, DAVID M - MD (BCC) HERNIA CENTER OF GENERAL SURGERY 11801 PIERCE ST STE 200, RIVERSIDE , (626) 584-6116 SOUTHERN CALIFORNIA CA 92505 ALBIN, MICHAEL - MD HERNIA CENTER OF GENERAL SURGERY 1568 N ORANGE GROVE AVE, POMONA, (626) 584-6116 SOUTHERN CALIFORNIA CA 91767 ALBIN, MICHAEL - MD HERNIA CENTER OF GENERAL SURGERY 1700 CESAR CHAVEZ AVE 3900, LOS (626) 584-6116 SOUTHERN CALIFORNIA ANGELES, CA 90033 ALBIN, MICHAEL - MD HERNIA CENTER OF GENERAL SURGERY 31 W BELLEVUE DR , PASADENA, CA (626) 584-6116 SOUTHERN CALIFORNIA 91105 ALBIN, MICHAEL - MD HERNIA CENTER OF GENERAL SURGERY 450 NEWPORT CENTER DR 650, (626) 584-6116 SOUTHERN CALIFORNIA NEWPORT BEACH, CA 92660 ALBIN, MICHAEL - MD HERNIA CENTER OF GENERAL SURGERY 6553 E PACIFIC COAST HWY H9, LONG (626) 584-6116 SOUTHERN CALIFORNIA BEACH, CA 90803 ALBIN, MICHAEL - MD HERNIA CENTER OF GENERAL SURGERY 710 N EUCLID ST 301, ANAHEIM, CA (626) 584-6116 SOUTHERN CALIFORNIA 92801 ALBIN, MICHAEL - MD HERNIA CENTER OF GENERAL SURGERY 9465 WILSHIRE BLVD 300, BEVERLY (626) 584-6116 SOUTHERN CALIFORNIA HILLS , CA 90212 ALBIN, MICHAEL A - MD CONCENTRA MEDICAL GENERAL SURGERY 1313 W 8TH ST STE 100, LOS ANGELES, (213) 401-1970 CENTER - LOS ANGELES - 8TH CA 90017 ST ALBIN, MICHAEL A - MD CONCENTRA MEDICAL SURGERY 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND ALBIN, MICHAEL A - MD (BCC) HERNIA CENTER OF GENERAL SURGERY 11801 PIERCE ST STE 200, RIVERSIDE , (626) 584-6116 SOUTHERN CALIFORNIA CA 92505 ALBINSKI, LAWRENCE H - MD KAISER PERMANENTE ORTHOPEDICS 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 FONTANA MEDICAL CENTER LEVEL, FONTANA, CA 92335 ALCANTARA, CELESTE - PT THE REHAB GROUP PHYSICAL THERAPY 40680 CALIFORNIA OAKS RD STE 2A, (951) 894-4800 MURRIETA, CA 92562 ALCID, MARK - MD (BCC) ANESTHESIOLOGY 23845 MCBEAN PKWY, VALENCIA, CA (661) 200-2000 91355 ALCID, MARK - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD STE 160, (661) 259-3937 VALENCIA, CA 91355 ALCID, MARK - MD (BCC) ANESTHESIOLOGY 465 N ROXBURY DR STE 1020, (310) 651-2050 BEVERLY HILLS, CA 90210 ALEMAN, ARNALDO - DC UPLAND CHIROPRACTIC CHIROPRACTIC MEDICINE 377 N 2ND AVE, UPLAND, CA 91786 (909) 985-4710 CLINIC ALESSI, DAVID M - MD (BCC) OTOLARYNGOLOGY (ENT) 9735 WILSHIRE BLVD STE 300, (310) 657-2253 BEVERLY HILLS , CA 90212 ALEX PHARMACY PHARMACY 140 W VALLEY BLVD STE 105, SAN (626) 571-1188 GABRIEL, CA 91776 ALEX, BRADFORD - DC BRADFORD ALEX CHIROPRACTIC MEDICINE 22231 MULHOLLAND HWY STE 112, (818) 225-5900 CHIROPRACTIC INC CALABASAS, CA 91302 ALEXANDER PHARMACY PHARMACY 1084 N WESTERN AVE, LOS ANGELES, (323) 467-1084 CA 90029 ALEXANDER, GERALD - MD ORTHOPEDICS - SPINE 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) IRVINE, CA 92618 ALEXANDER, GERALD - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - SPINE 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY ALEXANDER, GERALD - MD SPINE SURGERY 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) IRVINE, CA 92618

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 18 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ALEXANDER, GERALD - MD ORTHOPAEDIC SPECIALTY SPINE SURGERY 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY ALFARO, DANIEL - PT PHYS MED A PHYSICAL PHYSICAL THERAPY 201 S MADERA AVE STE 100, KERMAN, (559) 846-6336 THERAPY CORPORATION CA 93630 ALFARO, DANIEL - PT PHYS MED A PHYSICAL PHYSICAL THERAPY 7033 N FRESNO ST STE 202, FRESNO, (559) 438-4300 THERAPY CORPORATION CA 93720 ALFARO, DANIEL - PT PHYS MED A PHYSICAL PHYSICAL THERAPY 8725 MAIN STREET, FRESNO, CA 93720 (559) 210-5097 THERAPY CORPORATION ALFEROS, SARAH - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230 ALFONSO, VICTORINO - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL REHABILITATION CA 91367 CENTER ALHAMBRA HOSPITAL ALHAMBRA HOSPITAL ACUTE CARE HOSPITAL 100 S RAYMOND AVE, ALHAMBRA, CA (626) 570-1606 MEDICAL CENTER (BCC) MEDICAL CENTER 91801 ALHAMBRA PROFESSIONAL PHARMACY 330 S GARFIELD AVE STE 104, (626) 458-8909 PHARMACY ALHAMBRA, CA 91801 ALHAMBRA VALLEY PT PHYSICAL THERAPY 1923 OAK PARK BLVD, PLEASANT HILL, (925) 930-0545 CA 94523 ALHELO, FADY - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 400 N MOUNTAIN AVE STE 310, (909) 920-6457 UPLAND, CA 91786 ALI, BABER H - MD KAISER PERMANENTE OPHTHALMOLOGY 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER ALI-JONES, RASHAAN - MD ASSOCIATION OF SOUTH BAY GENERAL SURGERY 23451 MADISON ST STE 340, (310) 373-6864 (BCC) SURGEONS TORRANCE, CA 90505 ALIED PHYSICAL THERAPY PHYSICAL THERAPY 13819 FOOTHILL BLVD STE B, (909) 948-2080 DBA ALIED FIVE STAR FONTANA, CA 92335-0273 CORPORA ALIED PHYSICAL THERAPY PHYSICAL THERAPY 7365 CARNELIAN ST STE 124, RANCHO (909) 948-2080 DBA ALIED FIVE STAR CUCAMONGA, CA 91730-1156 CORPORA ALISAL LTC PHARMACY PHARMACY 323 N SANBORN RD STE A, SALINAS, (831) 759-8184 CA 93905 ALISAL PHARMACY PHARMACY 323 N SANBORN RD, SALINAS, CA 93905 (831) 424-7321 ALISO RANCH PHYSICAL PHYSICAL THERAPY 5 JOURNEY STE 100, ALISO VIEJO, CA (949) 716-4548 THERAPY 92656-5330 ALISO VIEJO PHYSICAL PHYSICAL THERAPY 27432 ALISO CREEK RD STE 100, ALISO (949) 448-0872 THERAPY & SPORTS MEDICINE VIEJO, CA 92656-5337 ALIXA RX PHARMACY 4727 W SHAW AVE, FRESNO, CA 93722 (559) 277-4100 ALL CARE PHARMACY PHARMACY 8790 CUYAMACA ST STE B, SANTEE, CA (619) 449-0908 92071 ALL MED DRUGS PHARMACY 442 N MOORPARK RD, THOUSAND (805) 495-2110 OAKS, CA 91360 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 1191 N STATE ST STE D, SAN JACINTO, (951) 654-2440 CA 92583 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 1338 MAIN ST, RAMONA, CA 92065-2127 (760) 789-1400 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 16008 KAMANA RD STE 200, APPLE (760) 810-7767 VALLEY, CA 92307-1376 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 1922 HACIENDA DR, VISTA, CA (760) 295-4175 92081-6025 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 215 S HICKORY ST STE 112, (760) 737-8460 ESCONDIDO, CA 92025-4360 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 24671 MONROE AVE STE 101, (951) 677-4105 MURRIETA, CA 92562-2527 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 25495 MEDICAL CENTER DR STE 304, (951) 696-7474 MURRIETA, CA 92562-4904 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 27699 JEFFERSON AVE STE 202, (951) 506-1405 TEMECULA, CA 92590-2697 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 27722 CLINTON KEITH RD, MURRIETA, (951) 790-0202 CA 92562

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 19 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 2815 S MAIN ST STE 205, CORONA, CA (951) 475-1307 92882-2533 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 29645 RANCHO CALIFORNIA RD STE (951) 506-3001 234, TEMECULA, CA 92591-5211 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 29798 HAUN RD STE 201, MENIFEE, CA (951) 679-8500 92586-6541 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 31515 RANCHO PUEBLO RD STE 101, (951) 303-1414 TEMECULA, CA 92592-4837 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 36243 INLAND VALLEY DR STE 110, (951) 677-7221 WILDOMAR, CA 92595-9547 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 3989 W STETSON AVE STE 105, HEMET, (951) 652-3334 CA 92545-9697 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 425 DIAMOND DR STE 101, LAKE (951) 674-9515 ELSINORE, CA 92530-4495 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 577 E ELDER ST STE I, FALLBROOK, CA (760) 723-2687 92028-3079 ALL STAR PHYSICAL THERAPY PHYSICAL THERAPY 8901 ACTIVITY RD STE D, SAN DIEGO, (619) 535-6900 CA 92126-4427 ALL TIME CARE PHYSICAL PHYSICAL THERAPY 14611 CARMENITA RD, NORWALK, CA (562) 600-0138 THERAPY 90650-5228 ALLARD, KEVIN - PT SUNRISE MULTISPECIALTY PHYSICAL THERAPY 2492 WALNUT AVE STE 110, TUSTIN, CA (714) 669-1997 MEDICAL GROUP 92780 ALLCARE PHARMACY PHARMACY 331 S MAIN ST, SALINAS, CA 93901 (831) 424-8053 ALLCARE PHARMACY PHARMACY 11028 LOWER AZUSA RD, EL MONTE, (626) 442-8135 CA 91731 ALLCARE PHARMACY PHARMACY 12998 HESPERIA RD STE 102, (760) 241-0508 VICTORVILLE, CA 92395 ALLCARE PHARMACY PHARMACY 1106 E 17TH ST STE B, SANTA ANA, CA (714) 550-9303 92701 ALLEGIANCE SPECIALTY PHARMACY 18455 BURBANK BLVD, TARZANA, CA (818) 600-2636 PHARMACY 91356 ALLEGRO PHYSICAL THERAPY PHYSICAL THERAPY 2121 W CRESCENT AVE STE G, (714) 478-5601 ANAHEIM, CA 92801-3810 ALLEN PHARMACY PHARMACY 1141 6TH AVE, SAN DIEGO, CA 92101 (619) 232-8101 ALLEN, AARON - MD (BCC) NEUROLOGY 1717 E LINCOLN AVE, ANAHEIM, CA (562) 920-8394 92805 ALLEN, AARON - MD (BCC) NEUROLOGY 5584 N PARAMOUNT BLVD STE100, (951) 699-5282 LONG BEACH, CA 90805 ALLEN, GEOFFREY ANSON - FOLSOM LIFE CHIROPRACTIC CHIROPRACTIC MEDICINE 9477 GREENBACK LANE 520, FOLSOM, (916) 985-9686 DC CA 95630 ALLEN, JENNIFER - LAC MANCINI ACUPUNCTURE DBA ACUPUNCTURE 3547 CAMINO DEL RIO S STE C, SAN (619) 287-4005 CENTER FOR INTEGRATIVE DIEGO, CA 92108 CARE ALLEN, JESSE - DC FREMONT BACK AND NECK CHIROPRACTIC MEDICINE 40000 FREMONT BLVD STE H, (510) 438-9211 CARE CENTER FREMONT, CA 94538 ALLEN, JONATHAN - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SPINE 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 ALLEN, JONATHAN - MD (BCC) ARROWHEAD ORTHOPAEDICS SPINE SURGERY 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 ALLEN, JONATHAN L - MD ARROWHEAD ORTHOPAEDICS SPINE SURGERY 2131 ELKS DR STE 200, SAN (909) 726-6100 (BCC) BERNARDINO, CA 92404 ALLEN, JONATHAN L - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SPINE 2131 ELKS DR STE 200, SAN (909) 726-6100 (BCC) BERNARDINO, CA 92404 ALLEN, JONATHAN L - MD ARROWHEAD ORTHOPAEDICS SPINE SURGERY 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 (BCC) CA 92545 ALLEN, JONATHAN L - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SPINE 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 (BCC) CA 92545 ALLEN, JONATHAN L - MD ARROWHEAD ORTHOPAEDICS SPINE SURGERY 15095 AMARGOSA RD STE 106 , (760) 245-6495 (BCC) VICTORVILLE , CA 92394 ALLEN, JONATHAN L - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SPINE 15095 AMARGOSA RD STE 106 , (760) 245-6495 (BCC) VICTORVILLE , CA 92394 ALLENDE, DIEGO G - DO (BCC) FAMILY MEDICINE 6234 1ST ST , FRESNO, CA 93720 (559) 435-5727

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 20 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ALLENDE, DIEGO G - DO (BCC) PRIMARY TREATING 6234 1ST ST , FRESNO, CA 93720 (559) 435-5727 PHYSICIAN ALLEYNE, NEVILLE - MD (BCC) ORTHOPEDICS - SPINE 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 92056 ALLEYNE, NEVILLE - MD (BCC) SPINE SURGERY 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 92056 ALLIANCE PHARMACY PHARMACY 323 N PRAIRIE AVE STE 100, (310) 419-4479 INGLEWOOD, CA 90301 ALLIANCE PHARMACY PHARMACY 1585 W BROADWAY STE B, ANAHEIM, (657) 200-8054 CA 92802 ALLIED HEALTH PHARMACY PHARMACY 14659 VICTORY BLVD, VAN NUYS, CA (818) 290-8465 91411 ALLIS, RACHELLE - PT PHYSICAL THERAPY PHYSICAL THERAPY 271 FIVE CITIES DR, PISMO BEACH, CA (805) 473-7499 SPECIALISTS PTS 93449 ALLIS, ROBERT - PT PHYSICAL THERAPY PHYSICAL THERAPY 271 FIVE CITIES DR, PISMO BEACH, CA (805) 473-7499 SPECIALISTS PTS 93449 ALLSTADT, ELIZABETH - OT SAN LUIS PHYSICAL OCCUPATIONAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 ALLUPAY, PEDRO - MD (BCC) HEALTHPOINTE MEDICAL ANESTHESIOLOGY 290 N 10TH ST, STE 300, COLTON, CA (909) 264-2500 GROUP INC 92324 ALLURE PHARMACY PHARMACY 11670 SAN VICENTE BLVD, LOS (310) 826-1111 ANGELES, CA 90049 ALOHA DRUGS PHARMACY 5055 W EL SEGUNDO BLVD, (310) 679-1166 HAWTHORNE, CA 90250 ALOHA PHARMACY PHARMACY 15611 BROOKHURST ST, (714) 839-1267 WESTMINSTER, CA 92683 ALONDRA PHARMACY PHARMACY 12519 ALONDRA BLVD, NORWALK, CA (562) 921-9470 90650 ALONSO, LAZARO - MD INTERNAL MEDICINE 15216 VANOWEN ST STE 1B, VAN NUYS (818) 208-9153 , CA 91405 ALONSO, LAZARO - MD INTERNAL MEDICINE 11349 SATICOY ST, SUN VALLEY, CA (818) 208-9153 91352 ALONZO, URITH - OT REHABCARE UNLIMITED OCCUPATIONAL THERAPY 510 N MAIN ST, SANTA ANA, CA 92701 (714) 679-7736 ALONZOAGUILUS URITH - PT REHABCARE UNLIMITED PHYSICAL THERAPY 16025 GALE AVE STE B8, CITY OF (626) 333-3172 INDUSTRY, CA 91745 ALPARCE, JACKSON S - MD CONCENTRA MEDICAL PRIMARY TREATING 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO PHYSICIAN ALPARCE, JACKSON S - MD CONCENTRA MEDICAL FAMILY MEDICINE 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO ALPHA DRUGS PHARMACY 1240 S MAGNOLIA AVE, ANAHEIM, CA (714) 220-0373 92804 ALPHA MEDICAL PHARMACY PHARMACY 703 W VALLEY BLVD, ALHAMBRA, CA (626) 289-1990 91803 ALPHA MEDICAL PHARMACY PHARMACY 1418 S SAN GABRIEL BLVD, SAN (626) 280-3131 GABRIEL, CA 91776 ALPHA MEDICAL PHARMACY PHARMACY 401 N GARFIELD AVE # 101, MONTEREY (626) 872-0505 PARK, CA 91754 ALPHA PHARMACY PHARMACY 515 S BEACH BLVD, ANAHEIM, CA 92804 (714) 821-8959 ALPHASCRIPT PHARMACY 420 INDUSTRIAL RD, SAN CARLOS, CA (650) 412-4555 94070 ALPINE PHYSICAL THERAPY PHYSICAL THERAPY 2216 MAIN STREET, JULIAN, CA 92036 (619) 445-3168 ALSTADT, ARLENE - PTA COMPREHENSIVE PHYSICAL THERAPY 22622 VANOWEN ST, WEST HILLS, CA (818) 999-3582 THERAPEUTICS INC 91307 ALSTADT, SCOTT - PT COMPREHENSIVE PHYSICAL THERAPY 22622 VANOWEN ST, WEST HILLS, CA (818) 999-3582 THERAPEUTICS INC 91307 ALTA BATES SUMMIT OUTPT PHARMACY 2001 DWIGHT WAY STE 2182, (510) 204-6550 PHCY BERKELEY, CA 94704 ALTA CARE PHARMACY PHARMACY 1113 ALTA AVE STE 100, UPLAND, CA (909) 360-8352 91786 ALTA VISTA PHARMACY PHARMACY 9625 MONTE VISTA AVE, MONTCLAIR, (909) 626-4315 CA 91763 ALTAF, ALI - MD CARDIOVASCULAR DISEASE 5365 WALNUT AVE STE H, CHINO, CA (909) 591-7395 (CARDIOLOGY) 91710

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 21 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ALTAMED PHARMACY PHARMACY 3945 WHITTIER BLVD, LOS ANGELES, (323) 307-0470 CA 90023 ALTAMED PHARMACY PHARMACY 5427 WHITTIER BLVD, LOS ANGELES, (323) 869-5491 CA 90022 ALTAMED PHARMACY PHARMACY 12751 HARBOR BLVD, GARDEN GROVE, (714) 620-8396 CA 92840 ALTAMED PHARMACY PHARMACY 1820 W LINCOLN AVE, ANAHEIM, CA (714) 678-2141 92801 ALTASHI, AHMED - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 ALTIZER, ADRIANN - PTA CENTRAL CARE PHYSICAL PHYSICAL THERAPY 4541 PHILADELPHIA ST STE C103, (909) 590-7997 THERAPY CHINO, CA 91710 ALTO PHARMACY PHARMACY 1400 TENNESSEE ST UNIT 2, SAN (800) 874-5881 FRANCISCO, CA 94107 ALTO PHARMACY PHARMACY 9213 RESEARCH DR, IRVINE, CA 92618 (800) 874-5881 ALTO PHARMACY PHARMACY 6065 BRISTOL PKWY STE 100, CULVER (800) 874-5881 CITY, CA 90230 ALUM ROCK PHARMACY PHARMACY 1855 ALUM ROCK AVE STE A, SAN (408) 254-1551 JOSE, CA 95116 ALUPAY, PEDRO - MD HEALTHPOINTE MEDICAL ANESTHESIOLOGY 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP INC ANGELES, CA 90045 ALUPAY, PEDRO - MD HEALTHPOINTE MEDICAL PAIN MANAGEMENT 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP INC ANGELES, CA 90045 ALUPAY, PEDRO S - MD (BCC) HEALTHPOINTE MEDICAL PAIN MANAGEMENT 1171 RAILROAD ST # 1, CORONA, CA (951) 272-1400 GROUP 92882 ALUPAY, PEDRO S - MD (BCC) HEALTHPOINTE MEDICAL PAIN MANAGEMENT 27455 TIERRA ALTA WAY STE A, (951) 699-5282 GROUP TEMECULA, CA 92590 ALUPAY, PEDRO S - MD (BCC) HEALTHPOINTE MEDICAL PAIN MANAGEMENT 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP GARDEN GROVE , CA 92841 ALUPAY, PEDRO S - MD (BCC) HEALTHPOINTE MEDICAL PAIN MANAGEMENT 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP 91762 ALVARADO COMMUNITY PHARMACY 6367 ALVARADO CT STE 109, SAN (619) 287-7697 PHARMACY DIEGO, CA 92120 ALVARADO DRUGS PHARMACY 819 S ALVARADO ST, LOS ANGELES, CA (213) 388-9518 90057 ALVAREZ, JANEV - PT SPIRIT WINDS THERAPY PHYSICAL THERAPY 1422 MONTEREY ST STE C102, SAN (805) 543-5100 LUIS OBISPO, CA 93401 ALVAREZ, LETICIA - LMT BLAKE PHYSICAL THERAPY MASSAGE THERAPIST 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 ALVAREZ, LYN MAE - PTA LINWOOD MEADOWS CARE PHYSICAL THERAPY 4444 W MEADOW AVE, VISALIA, CA (559) 627-1241 CENTER 93277 ALVES PHYSICAL THERA PHYSICAL THERAPY 9381 E STOCKTON BLVD STE 108, ELK (916) 686-5070 GROVE, CA 95624 ALVES, CARLOS M - MD CARDIOVASCULAR DISEASE 865 PATRIOT DR STE 201, MOORPARK, (805) 768-4198 (CARDIOLOGY) CA 93021 ALVES, JEFFREY - PT ALVES AND MARTINEZ PHYSICAL THERAPY 708 57TH ST, SACRAMENTO, CA 95819 (916) 457-7427 PHYSICAL THERAPY AND ATHLETIC PERFORMANCE ALVES, JEFFREY - PT ALVES AND MARTINEZ PHYSICAL THERAPY 9381 E STOCKTON BLVD STE 108, ELK (916) 686-5070 PHYSICAL THERAPY AND GROVE, CA 95624 ATHLETIC PERFORMANCE ALVIRA, PROVIDENCE - AUD ADVANCED HEARING AUDIOLOGY 310 3RD AVE STE C11, CHULA VISTA, (800) 598-5300 PROVIDERS LLC CA 91910 ALVIRA, PROVIDENCE - AUD ADVANCED HEARING AUDIOLOGY 1767 E MAIN ST , EL CAJON, CA 92021 (800) 598-5300 PROVIDERS LLC ALVIRA, PROVIDENCE - AUD ADVANCED HEARING AUDIOLOGY 81833 DR CARREON BLVD STE K, (800) 598-5300 PROVIDERS LLC INDIO, CA 92201 ALVIRA, PROVIDENCE - AUD ADVANCED HEARING AUDIOLOGY 5565 GROSSMONT CTR DR BLDG 3 STE (800) 598-5300 PROVIDERS LLC 463, LA MESA, CA 91942 ALVIRA, PROVIDENCE - AUD ADVANCED HEARING AUDIOLOGY 6150 EL CAJON BLVD STE D, SAN (800) 598-5300 PROVIDERS LLC DIEGO, CA 92115 ALVIRA, PROVIDENCE - AUD ADVANCED HEARING AUDIOLOGY 8915 TOWNE CENTER DRIVE STE #116, (800) 598-5300 PROVIDERS LLC SAN DIEGO, CA 92122

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 22 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ALVIRA, PROVIDENCE - AUD ADVANCED HEARING AUDIOLOGY 740 LOMAS SANTA FE DR STE 110, (800) 598-5300 PROVIDERS LLC SOLANA BEACH, CA 92075 ALWIS, MIKEL A - MD (BCC) DR MIKES WALK IN CLINIC PRIMARY TREATING 12143 NAVAJO RD, APPLE VALLEY , CA (760) 240-1144 PHYSICIAN 92308 ALWIS, MIKEL A - MD (BCC) DR MIKES WALK IN CLINIC FAMILY MEDICINE 12143 NAVAJO RD, APPLE VALLEY , CA (760) 240-1144 92308 AM PHARMACY PHARMACY 16330 WALNUT ST STE 4, HESPERIA, (760) 205-2120 CA 92345 AMADI, CHINYERE - MD CONCENTRA MEDICAL PRIMARY TREATING 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO PHYSICIAN SAN BERNARDINO, CA 92408 AMADI, CHINYERE - MD CONCENTRA MEDICAL FAMILY MEDICINE 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408 AMADOR PHYSICAL THERAPY PHYSICAL THERAPY 813 COURT ST STE 2, JACKSON, CA (209) 223-3250 INC. 95642-2169 AMADOR, ELLA C - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER AMADOR, ELLA C - MD KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER AMADOR, ELLA C - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER AMADOR, ELLA C - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER AMADOR, ELLA C - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER AMADOR, ELLA C - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER AMADOR, ROBERT - PTA PHYSICAL THERAPY SPORTS PHYSICAL THERAPY 1515 W FLORIDA AVE STE E, HEMET, (951) 658-3121 INSTITUTE CA 92543 AMANCHA, ALEXANDRA - AUD ADVANCED HEARING AUDIOLOGY 8263 GROVE AVE STE 203, RANCHO (800) 598-5300 PROVIDERS LLC CUCAMONGA, CA 91730 AMARAWANSA, RAVI - OT SAN LUIS PHYSICAL THERAPY OCCUPATIONAL THERAPY 2011 S BROADWAY STE N, SANTA (805) 440-9318 SANTA MARIA 2 MARIA, CA 93454 AMATO, ZANDRA - DC REHABONE MEDICAL GROUP CHIROPRACTIC MEDICINE 535 E ROMIE LN STE 12, SALINAS, CA (408) 445-8400 INC 93901 AMATUZZO, ISABELLA - PT MANGAN PHYSICAL THERAPY PHYSICAL THERAPY 29377 RANCHO CALIFORNIA RD STE (951) 296-0400 100, TEMECULA, CA 92591 AMAYA, JESSICA - PTA KIM PHYSICAL THERAPY PHYSICAL THERAPY 3838 SHERMAN DR STE 11, RIVERSIDE, (951) 353-2831 CA 92503 AMBEKAR, APUVRA - PT HEALTH PRO PHYSICAL PHYSICAL THERAPY 1333 WILLOW PASS RD STE 110, (925) 676-7431 THERAPY CONCORD, CA 94520 AMBER PHARMACY PHARMACY 328 E. COMMERCIAL RD SUITE 102, (888) 370-1724 SAN BERNARDINO, CA 92408 AMBROSE, MARYALICE N - MD KAISER PERMANENTE SANTA NEUROLOGY 710 LAWRENCE EXPRESSWAY , SANTA (408) 236-6160 CLARA MEDICAL CENTER CLARA, CA 95051 AMBROSE, MICHAEL - AUD ADVANCED HEARING AUDIOLOGY 1611 F S MELROSE DR, VISTA, CA (800) 598-5300 PROVIDERS LLC 92081 AMBROSIA HEALTHCARE PHARMACY 75060 GERALD FORD DR STE 2, PALM (760) 691-2000 DESERT, CA 92211 AMBROSIA, JOYCE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 AMBURGEY, CHARLES - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 AMBURGEY, CHARLES - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 AMC COMMUNITY PHARMACY PHARMACY 1381 UNIVERSITY ST STE A, (512) 596-2930 HEALDSBURG, CA 95448

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 23 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AMC PHARMACY PHARMACY 2625 W ALAMEDA AVE, BURBANK, CA (818) 841-0423 91505 AME URGENT CARE (BCC) AME URGENT CARE URGENT CARE FACILITY 401 W BEVERLY BLVD, MONTEBELLO, (562) 923-6051 CA 90640 AMELI, NADER - DO KAISER PERMANENTE SOUTH OPHTHALMOLOGY 1050 W PACIFIC COAST HWY , HARBOR (310) 527-5600 BAY MEDICAL CENTER CITY, CA 90804 AMERI MEX PHARMACY PHARMACY 196 W LEGION RD # A, BRAWLEY, CA (760) 344-2400 92227 AMERICAN HLTH SOLUTIONS PHARMACY 3463 OVERLAND AVE, LOS ANGELES, (310) 838-7422 PHCY CA 90034 AMERICAN HOME PHARMACY PHARMACY 4566 FLORENCE AVE STE 4, BELL, CA (323) 562-1578 90201 AMERICAN RIVER PHYSICAL PHYSICAL THERAPY 9915 FAIR OAKS BLVDSUITE C, FAIR (916) 966-8238 THERAPY OAKS, CA 95628-7433 AMERICAN SURGICAL PHARMACY 103 E HIGHLAND AVE, SAN (909) 882-3353 PHARMACY BERNARDINO, CA 92404 AMERICAN THERAPY PHYSICAL THERAPY 1705 COFFEE RD STE 6, MODESTO, CA (209) 492-0128 SERVICES 95355 AMERIPHARMA PHARMACY 132 S ANITA DR FL 2, ORANGE, CA (877) 778-0318 92868 AMES, JEANNE - DC JEANNE AMES DC CHIROPRACTIC MEDICINE 8787 COMPLEX DR STE 140, SAN (858) 279-7600 DIEGO, CA 92123 AMIEKHANIAN, VIVIAN - PT PATTY BROWN PHYSICAL PHYSICAL THERAPY 880 APOLLO ST STE 160, EL SEGUNDO, (310) 606-5664 THERAPY ASSOCIATES CA 90245 AMINI, MOHAMMAD R - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE AMIO, SUZETTE - PT REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 AMIRIAN, MAYRA - PT CALIFORNIA HAND PHYSICAL PHYSICAL THERAPY 2001 SOLAR DR STE 150, OXNARD, CA (805) 604-1924 THERAPY 93036 AMIRIAN, MAYRA - PT CALIFORNIA HAND PHYSICAL PHYSICAL THERAPY 375 ROLLING OAKS DR STE 110, (805) 494-4145 THERAPY THOUSAND OAKS, CA 91361 AMIRNOVIN, RAMIN - MD (BCC) NEUROLOGICAL SURGERY 255 E BONITA AVE BLDG 9, POMONA, (909) 450-0369 CA 91767 AMIT, AVI - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 AMIT, AVI - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 5901 W OLYMPIC BLVD STE 407, LOS (323) 917-5194 ANGELES, CA 90036 AMMAR, NEAL M - MD (BCC) DERMATOLOGY 6401 TRUXTON AVE STE 101, (661) 322-2206 BAKERSFIELD, CA 93309 AMOUDEH, SOPHIA - PT SUNRISE MULTISPECIALTY PHYSICAL THERAPY 2492 WALNUT AVE STE 110, TUSTIN, CA (714) 669-1997 MEDICAL GROUP 92780 AMUNDSON, THOMAS LEROY - AMUNDSON PHYSICAL PHYSICAL THERAPY 355 MAIN ST, RED BLUFF, CA 96080 (530) 528-9112 PT THERAPY AMZOYAN, MANUSHAK - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER AMZOYAN, MANUSHAK - MD KAISER PERMANENTE PLASTIC SURGERY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER AN PHARMACY PHARMACY 10963 WESTMINSTER AVE, GARDEN (714) 638-5565 GROVE, CA 92843 ANA PHARMACY PHARMACY 10191 WESTMINSTER AVE, GARDEN (714) 530-3784 GROVE, CA 92843 ANAHEIM GLOBAL MEDICAL ANAHEIM GLOBAL MEDICAL ACUTE CARE HOSPITAL 1025 S ANAHEIM BLVD, ANAHEIM, CA (714) 533-6220 CENTER (BCC) CENTER 92805 ANAHEIM GLOBAL MEDICAL ANAHEIM GLOBAL MEDICAL MENTAL HEALTH/PSYCHIATRIC 1025 S ANAHEIM BLVD, ANAHEIM, CA (714) 533-6220 CENTER (BCC) CENTER HOSPITAL (INPATIENT) 92805 ANAHEIM HILLS MEDICAL PHARMACY 500 S ANAHEIM HILLS RD STE 100, (714) 279-1111 PHARMACY ANAHEIM HILLS, CA 92807

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 24 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ANAHEIM HILLS SPEECH AND ANAHEIM HLLS SPEECH AND SPEECH THERAPY (FACILITY) 140 S CHAPARRAL CT STE 110, (714) 282-8852 LANGUAGE CENTER INC (BCC) LANGUAGE CENTER INC ANAHEIM, CA 92808 ANAHEIM PHARMACY PHARMACY 1020 S ANAHEIM BLVD. STE 106, (714) 844-2592 ANAHEIM, CA 92805 ANAHEIM URGENT CARE URGENT CARE FACILITY 2100 EUCLID ST STE 102, ANAHEIM, CA (714) 644-9100 92802 ANAHEIM URGENT CARE URGENT CARE FACILITY 831 S STATE COLLEGE BLVD, ANAHEIM, (714) 533-2273 CA 92806 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - HIP 1318 S IMPERIAL AVE , EL CENTRO , CA (760) 353-8050 MD (BCC) 92243 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - 1318 S IMPERIAL AVE , EL CENTRO , CA (760) 353-8050 MD (BCC) LOWER EXTREMITIES 92243 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - 1318 S IMPERIAL AVE , EL CENTRO , CA (760) 353-8050 MD (BCC) UPPER EXTREMITIES 92243 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - HIP 1318 S IMPERIAL AVE , EL CENTRO , CA (760) 353-8050 MD (BCC) 92243 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - LOWER 1318 S IMPERIAL AVE , EL CENTRO , CA (760) 353-8050 MD (BCC) EXTREMITIES 92243 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - SPINE 1318 S IMPERIAL AVE , EL CENTRO , CA (760) 353-8050 MD (BCC) 92243 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - UPPER 1318 S IMPERIAL AVE , EL CENTRO , CA (760) 353-8050 MD (BCC) EXTREMITIES 92243 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - HIP 733 3RD AVE , CHULA VISTA , CA 91910 (760) 352-2181 MD (BCC) ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - 733 3RD AVE , CHULA VISTA , CA 91910 (760) 352-2181 MD (BCC) LOWER EXTREMITIES ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - 733 3RD AVE , CHULA VISTA , CA 91910 (760) 352-2181 MD (BCC) UPPER EXTREMITIES ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - HIP 733 3RD AVE , CHULA VISTA , CA 91910 (760) 352-2181 MD (BCC) ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - LOWER 733 3RD AVE , CHULA VISTA , CA 91910 (760) 352-2181 MD (BCC) EXTREMITIES ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - SPINE 733 3RD AVE , CHULA VISTA , CA 91910 (760) 352-2181 MD (BCC) ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - UPPER 733 3RD AVE , CHULA VISTA , CA 91910 (760) 352-2181 MD (BCC) EXTREMITIES ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - HIP 81880 DOCTOR CARREON BLVD STE (760) 820-1390 MD (BCC) C212, INDIO , CA 92201 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - 81880 DOCTOR CARREON BLVD STE (760) 820-1390 MD (BCC) LOWER EXTREMITIES C212, INDIO , CA 92201 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDIC SURGERY - 81880 DOCTOR CARREON BLVD STE (760) 820-1390 MD (BCC) UPPER EXTREMITIES C212, INDIO , CA 92201 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - HIP 81880 DOCTOR CARREON BLVD STE (760) 820-1390 MD (BCC) C212, INDIO , CA 92201 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - LOWER 81880 DOCTOR CARREON BLVD STE (760) 820-1390 MD (BCC) EXTREMITIES C212, INDIO , CA 92201 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - SPINE 81880 DOCTOR CARREON BLVD STE (760) 820-1390 MD (BCC) C212, INDIO , CA 92201 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE ORTHOPEDICS - UPPER 81880 DOCTOR CARREON BLVD STE (760) 820-1390 MD (BCC) EXTREMITIES C212, INDIO , CA 92201 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE SPINE SURGERY 1318 S IMPERIAL AVE , EL CENTRO , CA (760) 353-8050 MD (BCC) 92243 ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE SPINE SURGERY 733 3RD AVE , CHULA VISTA , CA 91910 (760) 352-2181 MD (BCC) ANAND, VEERINDERSINGH T - VSA ORTHOPEDIC CARE SPINE SURGERY 81880 DOCTOR CARREON BLVD STE (760) 820-1390 MD (BCC) C212, INDIO , CA 92201 ANANIAN, CHARLES - DPM ST MARYS CENTER FOR PODIATRY 16077 KAMARA RD STE A, APPLE (760) 242-2111 WOUND CARE VALLEY , CA 92307 ANARDI, ALI - MD URGENTMED PASADENA EMERGENCY MEDICINE 600 S LAKE AVE, PASADENA, CA 91106 (626) 817-6479 ANBAR, TOMER - PHD CONCENTRA MEDICAL PSYCHOLOGY 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 25 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 6221 METROPOLITAN ST STE 201, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC ANBAR, TOMER - PHD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC ANCHOR DRUGS PHARMACY 161 S SPRUCE AVE, SOUTH SAN (650) 360-5300 FRANCISCO, CA 94080 ANDERS, ALPHA - MD (BCC) PULMONARY DISEASE 2828 H ST STE D, BAKERSFIELD, CA (661) 633-5474 93301 ANDERSEN PHYSICAL PHYSICAL THERAPY 1917 COFFEE RD, MODESTO, CA 95355 (209) 549-4626 THERAPY, INC. ANDERSEN PHYSICAL PHYSICAL THERAPY 706 E F ST, OAKDALE, CA 95361-4103 (209) 847-1764 THERAPY, INC. ANDERSEN, DOUGLAS - AUD ADVANCED HEARING AUDIOLOGY 1801 21ST STREET STE 4, (800) 598-5300 PROVIDERS LLC BAKERSFIELD, CA 93301 ANDERSON BROS PHARMACY PHARMACY 2374 FLORIN RD, SACRAMENTO, CA (916) 428-3794 95822 ANDERSON BROTHERS PHARMACY 2900 FULTON AVE, SACRAMENTO, CA (916) 489-3638 PHARMACY 95821 ANDERSON JR, THOMAS R - SANSUM CLINIC - PESETAS EMERGENCY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 MD (BCC) URGENT CARE (SANTA 93110 BARBARA) ANDERSON MEDICAL CENTER ANDERSON MEDICAL CENTER URGENT CARE FACILITY 1945 GARNET AVE, SAN DIEGO, CA (858) 224-7977 (BCC) 92109 ANDERSON PHYSICAL PHYSICAL THERAPY 202 PROVIDENCE MINE RD STE 206, (530) 265-8100 THERAPY NEVADA CITY, CA 95959

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 26 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ANDERSON PHYSICAL PHYSICAL THERAPY 2835 CHILDRESS DR, ANDERSON, CA (530) 378-0998 THERAPY 96007 ANDERSON SR, THOMAS G - SANSUM CLINIC - PESETAS FAMILY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 MD (BCC) URGENT CARE (SANTA 93110 BARBARA) ANDERSON SR, THOMAS G - SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 MD (BCC) URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) ANDERSON, DAVID V - MD KAISER PERMANENTE LOMA ORTHOPEDICS 25828 REDLANDS BLVD , REDLANDS, (909) 427-3917 LINDA MEDICAL OFFICES CA 91764 ANDERSON, HEATHER - PT SONORA PHYSICAL THERAPY PHYSICAL THERAPY 181 FAIRVIEW LN, SONORA, CA 95370 (209) 532-6463 ANDERSON, NANCY J - MD LOMA LINDA UNIVERSITY DERMATOLOGY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 (BCC) HEALTH CARE - LINDA, CA 92354 DERMATOLOGY DEPT - FMG ANDERSON, NICHOLAS - PT BARROWS TRAINING PHYSICAL THERAPY 6049 N 1ST ST STE 104, FRESNO, CA (559) 438-0355 EDUCATION PHYSICAL 93710 THERAPY ANDERSON, REBECCA - PTA SONORA PHYSICAL THERAPY PHYSICAL THERAPY 181 FAIRVIEW LN, SONORA, CA 95370 (209) 532-6463 ANDERSON, ROGER - DC ANDERSON CHIROPRACTIC CHIROPRACTIC MEDICINE 300 E 1ST ST, OXNARD, CA 93030 (805) 486-8311 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 (BCC) LOWER EXTREMITIES VICTORVILLE , CA 92394 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 (BCC) VICTORVILLE , CA 92394 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 (BCC) VICTORVILLE , CA 92394 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 (BCC) PHYSICIAN VICTORVILLE , CA 92394 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 (BCC) UPPER EXTREMITIES CA 92545 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 (BCC) LOWER EXTREMITIES CA 92545 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 (BCC) CA 92545 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 (BCC) CA 92545 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 (BCC) PHYSICIAN CA 92545 ANDERSON, SCOTT R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 (BCC) UPPER EXTREMITIES VICTORVILLE , CA 92394 ANDERSON, TODD - DC ANDERSON CHIROPRACTIC CHIROPRACTIC MEDICINE 300 E 1ST ST, OXNARD, CA 93030 (805) 486-8311 ANDRADE CHIROPRACTIC, INC PHYSICAL THERAPY 2754 N TRACY BLVD, TRACY, CA (209) 832-1996 95376-1797 ANDRADE, ROBERT - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 ANDREWSSTEELE, RAHILA - KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3501 STOCKDALE HWY , BAKERSFIELD, (661) 398-3813 MD JOB KERN COUNTY MEDICAL CA 93309 CENTER ANDREWSSTEELE, RAHILA - KAISER PERMANENTE ON THE PRIMARY TREATING 3501 STOCKDALE HWY , BAKERSFIELD, (661) 398-3813 MD JOB KERN COUNTY MEDICAL PHYSICIAN CA 93309 CENTER ANGELICA, KUO - DC ANGELICA KUO DC CHIROPRACTIC MEDICINE 330 S GARFIELD AVE STE 208, (626) 869-9468 ALHAMBRA, CA 91801 ANGELO, TIMOTHY - DC NORCAL SPINE AND SPORT CHIROPRACTIC MEDICINE 903 EMBARCADERO DR, EL DORADO (916) 933-9870 HILLS, CA 95762 ANGELOPOULOS, ATHANASIA - DESERT CITIES CHIROPRACTIC MEDICINE 12241 INDUSTRIAL BLVD STE 102, (760) 952-3300 DC CHIROPRACTIC VICTORVILLE, CA 92395 ANGELOPOULOS, DESERT CITIES CHIROPRACTIC MEDICINE 12241 INDUSTRIAL BLVD STE 102, (760) 952-3300 CHRISTOPHER - DC CHIROPRACTIC VICTORVILLE, CA 92395 ANGKOR PHARMACY PHARMACY 4555 N PERSHING AVE STE 7, (209) 473-4706 STOCKTON, CA 95207 ANH NHI PHARMACY PHARMACY 8900 BOLSA AVE STE A, (714) 894-4518 WESTMINSTER, CA 92683

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 27 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ANILE, PAUL - DO (BCC) HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC CA 90638 ANILE, PAUL - DO (BCC) HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 ANILE, PAUL - DO (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC PHYSICIAN CA 90638 ANILE, PAUL - DO (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC PHYSICIAN 92805 ANN STEINFELD PHYSICAL PHYSICAL THERAPY 1700 ADAMS AVESUITE 201, COSTA (714) 556-1600 THERAPY MESA, CA 92626-4865 ANN, LIM - LAC LIM'S ACUPUNCTURE AND ACUPUNCTURE 740 S WSTRN AVE STE 216, LOS (213) 200-6336 HERBS CLINIC ANGELES, CA 90005 ANNAVIAN, JACK - MD KAISER PERMANENTE ORTHOPEDICS 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 FONTANA MEDICAL CENTER LEVEL, FONTANA, CA 92335 ANNEX PHARMACY AND MED PHARMACY 20177 SATICOY ST, WINNETKA, CA (818) 882-5010 SUPPLY 91306 ANSTICE, CHARISSA LEE SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 CHABAN - PT THERAPY RAMON, CA 94583 ANSTICE, CHARISSA LEE SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 CHABAN - PT THERAPYMAIN 94526 ANTELOPE PHARMACY PHARMACY 4207 ELVERTA RD STE 109, ANTELOPE, (916) 729-6884 CA 95843 ANTELOPE VALLEY PHYSICAL PHYSICAL THERAPY 3167 RNCH VST BLVD STE D, (661) 266-9578 THERAPY PALMDALE, CA 93551-5517 ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 4041 LONE TREE WAY STE 106, (925) 754-6262 ANTIOCH, CA 94531-6208 ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 3901 WALNUT CREEK SUTIE #A2, (925) 516-1949 CENTER BRENTWOOD, CA 94513 ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 4041 LONE TREE WAY STE 106, (925) 754-6262 CENTER ANTIOCH, CA 94531-6208 ANTONIO, JASON MATTHEW - ALTRUISTIC PHYSICAL PHYSICAL THERAPY 875 E CANAL DR STE 1, TURLOCK, CA (209) 968-0972 PT THERAPY 95380 ANTONIO, RALPH - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 11525 BROOKSHIRE AVE STE 202, (818) 363-3066 SPECIALISTS DOWNEY, CA 90241 ANTONIO, RALPH - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 625 THE CITY DR S STE 300, ORANGE, (818) 363-3066 SPECIALISTS CA 92868 ANTONIO, REYNALDO - PTA SAN DIEGO POSTACUTE PHYSICAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 ANTOUNIAN, FRANCOIS S - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 ANTOVICH, TODD - DC TODD ANTOVICH DC DBA CHIROPRACTIC MEDICINE 9156 ELK GROVE BLVD, ELK GROVE, (916) 684-4100 CREEKSIDE CHIROPRACTIC CA 95624 PHYSICAL THERAPY ANUSAUSKAITE, EVELINA - ADVANCED HEARING AUDIOLOGY 1746 S VICTORIA AVE STE D, (800) 598-5300 AUD PROVIDERS LLC VENTURA, CA 93003 ANUSAUSKAITE, EVELINA - ADVANCED HEARING AUDIOLOGY 5655 LINDERO CANYON RD STE 202, (800) 598-5300 AUD PROVIDERS LLC WESTLAKE VILLAGE, CA 91362 ANVIRX PHARMACY PHARMACY 13925 YALE AVE STE 145, IRVINE, CA (949) 308-7511 92620 ANWAR, ASMA - MD (BCC) SANSUM CLINIC - RIDLEY-TREE HEMATOLOGY AND 540 W PUEBLO ST , SANTA BARBARA, (805) 681-7858 CANCER CENTER ONCOLOGY CA 93105 ANWAR, IQBAL A - MD KAISER PERMANENTE WEST ORTHOPEDICS 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER ANWARUDDIN, RAANA - MD ANESTHESIOLOGY 23845 MCBEAN PKWY, VALENCIA, CA (661) 200-2000 (BCC) 91355 ANWARUDDIN, RAANA - MD ANESTHESIOLOGY 27420 TOURNEY RD STE 160, (661) 259-3937 (BCC) VALENCIA, CA 91355 ANWARUDDIN, RAANA - MD ANESTHESIOLOGY 465 N ROXBURY DR STE 1020, (310) 651-2050 (BCC) BEVERLY HILLS, CA 90210 ANZA VALLEY PHARMACY PHARMACY 56555 US HIGHWAY 371, ANZA, CA (951) 763-7670 92539

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 28 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AP 6 PHARMACY PHARMACY 6336 PASSONS BLVD, PICO RIVERA, CA (562) 949-0748 90660 AP 7 PHARMACY PHARMACY 1300 S SUNSET AVE, WEST COVINA, CA (626) 214-7420 91790 AP, MELISSA - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 6850 BROCKTON AVE STE 212, (951) 534-0600 RIVERSIDE, CA 92506 AP8 PHARMACY PHARMACY 2720 S BRISTOL ST STE 102, SANTA (714) 426-5468 ANA, CA 92704 AP9 PHARMACY PHARMACY 1900 E SLAUSON AVE, HUNTINGTON (323) 487-4111 PARK, CA 90255 APARICIO, ALFREDO C - MD KAISER PERMANENTE WEST UROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER APATIRA, LATIFAT T - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH BRUNO, CA 94066 CENTER APATIRA, LATIFAT T - MD KAISER PERMANENTE ON THE PRIMARY TREATING 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH PHYSICIAN BRUNO, CA 94066 CENTER APEL, DAVID M - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 APEX INFUSION PHARMACY PHARMACY 3299 E HILL ST STE 301, SIGNAL HILL, (562) 597-6800 CA 90755 APEX PHYSICAL THERAPY PHYSICAL THERAPY 2390 E FLORIDA AVE, HEMET, CA 92544 (951) 765-1333 APEX PHYSICAL THERAPY PHYSICAL THERAPY 40675 CALIFORNIA OAKS RD STE D, (951) 677-7393 MURRIETA, CA 92562-5790 APEX PT AND SPORTS MED PHYSICAL THERAPY 1100 INDUSTRIAL RD STE 11 A, SAN (650) 593-9700 CARLOS, CA 94070 APOTHECARY PHARMACY PHARMACY 11700 NATIONAL BLVD STE L, LOS (310) 737-7277 ANGELES, CA 90064 APPA, SURI - MD KAISER PERMANENTE OPHTHALMOLOGY 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 ORANGE COUNTY MEDICAL 92704 CENTER APPA, SURI N - MD KAISER PERMANENTE YORBA GENERAL SURGERY 2521 MICHELLE DR , TUSTIN, CA 92780 (714) 830-6660 LINDA MEDICAL OFFICES APPLE PHARMACY PHARMACY 12440 BROOKHURST ST, GARDEN (714) 537-8099 GROVE, CA 92840 APPLE PHARMACY PHARMACY 3340 W. BALL RD P, ANAHEIM, CA 92804 (714) 236-5735 APPLE RX PHARMACY PHARMACY 17601 LAKEWOOD BLVD, BELLFLOWER, (562) 220-2586 CA 90706 APPLEGATE, GREGORY - MD SOUTHERN CALIFORNIA DIAGNOSTIC IMAGING 2400 BAHAMAS DR, STE 200, (800) 730-9263 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 APPLEGATE, GREGORY - MD SOUTHERN CALIFORNIA DIAGNOSTIC IMAGING 3605 ALAMO ST, STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE CA 93063 APPLEGATE, GREGORY - MD SOUTHERN CALIFORNIA DIAGNOSTIC IMAGING 39 CONGRESS ST, STE 201, PASADENA, (800) 656-7226 (BCC) ORTHOPEDIC INSTITUTE CA 91105 APPLEGATE, GREGORY - MD SOUTHERN CALIFORNIA DIAGNOSTIC IMAGING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE APPLETON, DAVID - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 3611 MOTOR AVE STE 240, LOS (800) 803-2086 GROUP INC ANGELES, CA 90034 APPLETON, DAVID - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 4900 CALIFORNIA AVE TOWER B 2ND (800) 803-2086 GROUP INC FL, BAKERSFIELD, CA 93309 APRAMIAN, GLEN - MD (BCC) PRIMARY TREATING 1750 E COLORADO BLVD, PASADENA, (626) 440-0097 PHYSICIAN CA 91106 APRAMIAN, GLEN - MD (BCC) GENERAL PRACTICE 1750 E COLORADO BLVD, PASADENA, (626) 440-0097 CA 91106 AQEEL, RUBINA - MD (BCC) ENDOCRINOLOGY, DIABETES 1183 E FOOTHILL BLVD STE 260, (909) 579-6466 AND METABOLISM UPLAND , CA 91786 AQUA PHARMACY PHARMACY 4336 MARKET ST, RIVERSIDE, CA 92501 (951) 683-2600 AQUA PHYSICAL PHYSICAL THERAPY 541 W MAIN ST, EL CENTRO, CA (760) 352-5582 THERAPY-ELITE PHYSICAL 92243-2906 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 29 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AQUATIC & PHYSICAL PHYSICAL THERAPY 12812 VICTORY BLVD, NORTH (818) 623-8100 THERAPY REHABILITATION HOLLYWOOD, CA 91606-3013 CENTER AQUATIC & PHYSICAL PHYSICAL THERAPY 4418 VINELAND AVE STE 220, TOLUCA (818) 623-8100 THERAPY REHABILITATION LAKE, CA 91602-2159 CENTER AQUINO, JAMES - PT FELIX R CANOUT REHAB PHYSICAL THERAPY 1200 WILSHIRE BLVD STE 401, LOS (213) 481-1515 SERVICES ANGELES, CA 90017 AQUINO, LYUDMILA - LMT ACCIDENT INJURY RELIEF MASSAGE THERAPIST 11226 GOLD EXPRESS DR STE 201, (916) 861-0028 CENTER GOLD RIVER, CA 95670 ARAGON, JOSEPH R - MD SANSUM CLINIC - PUEBLO CARDIOVASCULAR DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC (CARDIOLOGY) CA 93105 ARANA, MICHELLE - PTA KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 44501 16TH ST W STE 107, LANCASTER, (661) 974-7033 THERAPY INC CA 93534 ARANDA, MARSAH - PT SACRAMENTO SPINE PHYSICAL THERAPY 700 OAK AVENUE PKWY STE B, (916) 932-1210 PHYSICAL THERAPYFOLSOM FOLSOM, CA 95630 ARARAT PHARMACY PHARMACY 1717 E WALNUT ST, PASADENA, CA (626) 798-6789 91106 ARARAT PLAZA PHARMACY PHARMACY 1248 S GLENDALE AVE STE M, (818) 637-2177 GLENDALE, CA 91205 ARC CARES PHARMACY PHARMACY 330 E LAMBERT RD STE 120, BREA, CA (714) 364-4008 92821 ARC INFUSION PHARMACY 12604 HIDDENCREEK WAY, CERRITOS, (562) 263-5600 CA 90703 ARC PHYSICAL THERAPY PHYSICAL THERAPY 1051 LAS TABLAS ROAD, TEMPLETON, (805) 434-4885 CA 93465 ARCADE LANE COMPOUNDING PHARMACY 700 E COLORADO BLVD, PASADENA, (626) 577-7979 PHY CA 91101 ARCADIA CENTER PHARMACY PHARMACY 631 W DUARTE RD, ARCADIA, CA 91007 (626) 446-3300 ARCADIA MEDICAL PHARMACY PHARMACY 612 W DUARTE RD, ARCADIA, CA 91007 (626) 446-0612 ARCADIA OUTPATIENT AMBULATORY SURGERY 614 W DUARTE RD, ARCADIA, CA 91007 (626) 445-4714 SURGERY CENTER CENTER ARCADIA PARK PHARMACY PHARMACY 301 W HUNTINGTON DR, ARCADIA, CA (626) 623-6606 91007 ARDEN MEDICAL PHARMACY PHARMACY 435 ARDEN AVE STE 110, GLENDALE, (818) 247-1842 CA 91203 ARDESHIRPOUR, FARHAD ARDESH FACIAL PLASTIC OTOLARYNGOLOGY (ENT) 145 N ROBERTSON BLVD, BEVERLY (424) 242-8608 (BCC) SURGERY HILLS, CA 90211 ARDESHIRPOUR, FARHAD ARDESH FACIAL PLASTIC PLASTIC & RECONSTRUCTIVE 145 N ROBERTSON BLVD, BEVERLY (424) 242-8608 (BCC) SURGERY SURGERY HILLS, CA 90211 ARDMORE PHARMACY PHARMACY 3545 WILSHIRE BLVD STE 200, LOS (213) 385-2135 ANGELES, CA 90010 ARELLANO, JAZMIN - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 ARENA PHARMACY PHARMACY 235 MAIN ST, POINT ARENA, CA 95468 (707) 882-3025 AREVALO, ROGELIO - PTA WHITE BLOSSOM CARE PHYSICAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 ARGUELLES, EDITH CAUSING - REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 PT 165, LAGUNA HILLS, CA 92653 ARIA COMMUNITY HEALTH PHARMACY 209 C ST, LEMOORE, CA 93245 (559) 925-8600 PHARMACY ARIANNA MEDICAL PHARMACY PHARMACY 3600 N VERDUGO RD #103, GLENDALE, (818) 957-9200 CA 91208 ARIAS, BRYAN DAVID - PT TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 400 CAMARILLO RANCH RD 108, (805) 388-3055 INC CAMARILLO, CA 93021 ARIAS, BRYAN DAVID - PT TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 550 SAINT CHARLES DR STE 100, (805) 777-1023 INC THOUSAND OAKS, CA 91360 ARLINGTON MEDICA PHARMACY 8207 ARLINGTON AVE, RIVERSIDE, CA (951) 240-5555 PHARMACY 92503 ARLINGTON PRESCRIPTION PHARMACY 8990 GARFIELD ST STE 12, RIVERSIDE, (951) 688-5232 PHARMAC CA 92503 ARMANYOUS, ANNE - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 12562 GARDEN GROVE BLVD, GARDEN (714) 705-4027 CORP GROVE, CA 92843

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 30 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ARMANYOUS, ANNE - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1535 DEERPARK DR, FULLERTON, CA (714) 993-2070 CORP 92831 ARMANYOUS, ANNE - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 2101 E 4TH ST, SANTA ANA, CA 92705 (714) 855-3100 CORP MAIN ARMANYOUS, ANNE - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 9470 FIRESTONE BLVD, DOWNEY, CA (562) 401-4094 CORP 90241 ARMELI, JOSEPH - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 ARMEN PHARMACY PHARMACY 1025 E BROADWAY, GLENDALE, CA (818) 551-0082 91205 ARMSTRONG, IAN - MD (BCC) NEUROLOGICAL SURGERY 2100 LYNN RD, THOUSAND OAKS, CA (310) 557-0741 91360 ARMSTRONG, IAN - MD (BCC) NEUROLOGICAL SURGERY 9802 STOCKDALE HWY STE 105, (310) 557-0741 BAKERSFIELD, CA 93311 ARMSTRONG, JACQUELINE - TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 PT THERAPY WELLNESS 93033 ARMSTRONG, JACQUELINE - TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 PT THERAPY WELLNESS CA 93003 ARMSTRONG, MICHELLE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 ARMSTRONG, RANDALL W - MD NORTHERN CALIFORNIA SPINE PHYSICAL MEDICINE AND 2801 K ST STE 410, SACRAMENTO , CA (916) 389-7100 (BCC) AND REHABILITATION REHABILITATION 95816 ASSOCIATES ARMSTRONG, REBEKKA - PTA CALIENTE SPRINGS PHYSICAL PHYSICAL THERAPY 17350 VAILETTI DR, SONOMA, CA 95476 (707) 935-3230 THERAPY ARNEJA, SARABJEET K - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH 95356 CENTER ARNEJA, SARABJEET K - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH PHYSICIAN 95356 CENTER ARNELL, RICHARD E - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 ARNSDORF, COLETTE - DC CHIROPRACTIC MEDICINE 1675 HAMNER AVE #2, NORCO, CA (951) 444-6393 (BCC) 92860 ARNUSH, MARC E - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ARNUSH, MARC E - MD CONCENTRA MEDICAL PRIMARY TREATING 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO PHYSICIAN CA 90220 DOMINGUEZ AROM, ARI - LAC ARI AROM LLC ACUPUNCTURE 9171 WILSHIRE BLVD STE 600, (310) 989-9864 BEVERLY HILLS, CA 90210 ARORA, RIPU - MD PAIN MANAGEMENT 22910 CRENSHAW BLVD STE A, (310) 530-3595 TORRANCE, CA 90505 AROYAN, SUZIE - PT KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 25176 RYE CANYON RD, VALENCIA, CA (661) 288-0300 THERAPY INC 91355 AROYAN, SUZIE - PT KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 44501 16TH ST W STE 107, LANCASTER, (661) 974-7033 THERAPY INC CA 93534 ARRHAID, WALEED - DC EASTSIDE HEALTH CLINIC CHIROPRACTIC MEDICINE 1535 W MERCED AVE STE 202, WEST (626) 337-6974 COVINA, CA 91790 ARROW PHARMACY PHARMACY 8330 RED OAK ST STE 102, RANCHO (909) 476-9690 CUCAMONGA, CA 91730 ARROWCARE PHARMACY PHARMACY 1535 E HIGHLAND AVE STE A, SAN (909) 881-0088 BERNARDINO, CA 92404 ARROYO, MANUEL - MD PRIMARY TREATING 43839 N. 15TH ST. W., LANCASTER, CA (661) 945-5984 PHYSICIAN 93534 ARROYO, MANUEL - MD FAMILY MEDICINE 43839 N. 15TH ST. W., LANCASTER, CA (661) 945-5984 93534 ARROYO, STEPHANIE - AUD ADVANCED HEARING AUDIOLOGY 879 W 190TH ST 4TH FLR, GARDENA, (800) 598-5300 PROVIDERS LLC CA 90248 ART OF REHAB PHYSICAL PHYSICAL THERAPY 460 OLD NEWPORT BLVD, NEWPORT (949) 689-9004 THERAPY BEACH, CA 92663-4211

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 31 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ARTESIA MEDICAL PHARMACY PHARMACY 160 E ARTESIA ST STE 135, POMONA, (909) 623-0551 CA 91767 ARTURO, ANGELINA - PT IRVINE PHYSICAL MEDICINE PHYSICAL THERAPY 18124 CULVER DR STE F, IRVINE, CA (949) 552-9393 AND REHAB 92612 ARTZ, JONATHAN E - MD KAISER PERMANENTE SAN NEUROLOGY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 ARUMBULA, ALMA - DC ANDERSON CHIROPRACTIC CHIROPRACTIC MEDICINE 300 E 1ST ST, OXNARD, CA 93030 (805) 486-8311 ARVIN PHARMACY PHARMACY 1241 BEAR MOUNTAIN BLVD, ARVIN, CA (661) 390-4466 93203 ASASTASATOS, JOHN M - MD PLASTIC & RECONSTRUCTIVE 436 N BEDFORD DR STE 215, BEVERLY (310) 888-4048 (BCC) SURGERY HILLS, CA 90210 ASENCIO, ADRIAN - OT CARNAHAN THERAPY OCCUPATIONAL THERAPY 805 E WALNUT AVE, LOMPOC, CA 93436 (805) 735-3714 REHABILITATION ASHABI, ELLA - LAC A+ WELLNESS CLINIC ACUPUNCTURE 1215 E 17TH ST, SANTA ANA, CA 92701 (949) 955-9499 ASHABI, ELLA - LAC A+ WELLNESS CLINIC ACUPUNCTURE 22772 CENTRE DR STE 100, LAKE (949) 955-9499 FOREST, CA 92630 ASHER, CANAN - PT FITNESS PHILOSOPHY PHYSICAL THERAPY 23067 VENTURA BLVD STE A, (818) 223-9985 WOODLAND HILLS, CA 91364 ASHIKYAN, ZARA - PHD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (562) 493-6799 SHERMAN OAKS , CA 91411 ASHIKYAN, ZARA - PHD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (562) 493-6799 SEAL BEACH, CA 90740 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 PSYCHOLOGICAL NETWORK CA 90242 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 300 E ESPLANADE DR STE 900 (818) 501-4700 PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 6331 GREENLEAF AVE STE G , (818) 501-4700 PSYCHOLOGICAL NETWORK WHITTIER, CA 90601 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 PSYCHOLOGICAL NETWORK 90601 ASHIKYAN, ZARA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 900 E WASHINGTON ST STE 300, (818) 501-4700 PSYCHOLOGICAL NETWORK COLTON, CA 92324 ASHLEY, EDWIN - MD ORTHOPEDICS - HAND 1127 WILSHIRE BLVD STE 508, LOS (213) 742-9704 ANGELES, CA 90017 ASHLEY, EDWIN - MD HAND SURGERY 1127 WILSHIRE BLVD STE 508, LOS (213) 742-9704 ANGELES, CA 90017 ASHLEY, EDWIN - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HAND 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 ASHLEY, EDWIN - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HAND 5584 PARAMOUNT BLVD STE 100, LONG (562) 677-8650 GROUP INC BEACH, CA 90805 ASHLEY, EDWIN - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HAND 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP INC ANGELES, CA 90045 ASHLEY, EDWIN - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HAND 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 ASHLEY, EDWIN - MD (BCC) HEALTHPOINTE MEDICAL HAND SURGERY 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 ASHLEY, EDWIN - MD (BCC) HEALTHPOINTE MEDICAL HAND SURGERY 5584 PARAMOUNT BLVD STE 100, LONG (562) 677-8650 GROUP INC BEACH, CA 90805 ASHLEY, EDWIN - MD (BCC) HEALTHPOINTE MEDICAL HAND SURGERY 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP INC ANGELES, CA 90045 ASHLEY, EDWIN - MD (BCC) HEALTHPOINTE MEDICAL HAND SURGERY 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 ASHLEY, EDWIN M - MD CONCENTRA MEDICAL HAND SURGERY 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 32 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ASHLEY, EDWIN M - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 ASHLEY, EDWIN M - MD CONCENTRA MEDICAL HAND SURGERY 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE ASHLEY, EDWIN M - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP ELBOW LONG BEACH, CA 90805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP ELBOW 91762 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP ELBOW ANGELES, CA 90045 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 625-2642 GROUP ELBOW 92805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP SHOULDER LONG BEACH, CA 90805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP SHOULDER 91762 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP SHOULDER ANGELES, CA 90045 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 625-2642 GROUP SHOULDER 92805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP UPPER EXTREMITIES LONG BEACH, CA 90805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP UPPER EXTREMITIES 91762 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP UPPER EXTREMITIES ANGELES, CA 90045 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 625-2642 GROUP UPPER EXTREMITIES 92805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - ELBOW 1717 E LINCOLN AVE , ANAHEIM, CA (714) 625-2642 GROUP 92805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - ELBOW 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - ELBOW 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP ANGELES, CA 90045 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - ELBOW 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP 91762 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SHOULDER 1717 E LINCOLN AVE , ANAHEIM, CA (714) 625-2642 GROUP 92805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SHOULDER 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SHOULDER 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP 91762 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SHOULDER 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP ANGELES, CA 90045 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 1717 E LINCOLN AVE , ANAHEIM, CA (714) 625-2642 GROUP EXTREMITIES 92805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP EXTREMITIES LONG BEACH, CA 90805 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP EXTREMITIES 91762 ASHLEY, EDWIN M - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP EXTREMITIES ANGELES, CA 90045 ASHLEY, RAMONA - AUD ADVANCED HEARING AUDIOLOGY 8953 N CHESTNUT AVE STE 145, (800) 598-5300 PROVIDERS LLC FRESNO, CA 93720 ASHLOCK, BENTON T - MD SANSUM CLINIC - PUEBLO PULMONARY DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC CA 93105 ASHOUR, SYLVIA - MD (BCC) ANESTHESIOLOGY 5700 SAN FERNANDO RD, GLENDALE, (818) 637-7766 CA 91202 ASHWOOD PHYSICAL PHYSICAL THERAPY 4080 LOMA VISTA RD STE H, VENTURA, (805) 642-4678 THERAPY CA 93003

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 33 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ASINERO, CHRISTIAN - PT JARRETT ORTHOPAEDIC PHYSICAL THERAPY 2651 IRVINE AVE STE 128, COSTA (949) 722-8811 REHABILITATION MESA, CA 92627 ASKAR, INAAM - OTA VILLA LAS PALMAS OCCUPATIONAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 ASKAY, BETHANY - PT NORTH COUNTY PHYSICAL PHYSICAL THERAPY 1545 HIGUERA ST, SAN LUIS OBISPO, (805) 543-5633 THERAPY DBA CREEKSIDE CA 93401 PHYSICAL THERAPY ASPIRE PHYSICAL THERAPY PHYSICAL THERAPY 894 MEINECKE AVE STE B, SAN LUIS (805) 546-8040 OBISPO, CA 93405-1791 ASSIL, KAMYAR - MD (BCC) VENTURA ORTHOPEDICS PAIN MANAGEMENT 2221 WANKEL WAY , OXNARD, CA 93030 (805) 988-9366 ASSIL, KAMYAR - MD (BCC) VENTURA ORTHOPEDICS PAIN MANAGEMENT 2230 LYONS RD STE 220 , THOUSAND (805) 586-3803 OAKS, CA 91360 ASSIL, KAMYAR - MD (BCC) VENTURA ORTHOPEDICS PAIN MANAGEMENT 2525 ERRINGER RD , SIMI VALLEY, CA (805) 527-1404 93065 ASSOCIATED PHYSICAL PHYSICAL THERAPY 5690 LAKE MURRAY BLVD APT 11, LA (619) 464-0105 THERAPY, INC. MESA, CA 91942-1916 ASSOCIATED SPORTS PHYSICAL THERAPY 880 S ATLANTIC BLVD STE 203, (626) 282-3577 THERAPY MONTEREY PARK, CA 91754-4788 ASSOCIATED THERAPY PHYSICAL THERAPY 1240 S WESTLAKE BLVDSUITE 237, (805) 279-1778 GROUPS WESTLAKE VILLAGE, CA 91361-6203 ASSOCIATED THERAPY PHYSICAL THERAPY 2650 JONES WAYSUITE 7, SIMI VALLEY, (805) 581-9390 GROUPS CA 93065-1216 ASSOURI, MICHAEL - DC CHIROPRACTIC MEDICINE 19231 VICTORY BLVD STE 150, (818) 342-6200 RESEDA, CA 91335 ASSOURI, MICHAEL - DC MICHAEL ASSOURI DC CHIROPRACTIC MEDICINE 17106 1/2 DEVONSHIRE ST, (818) 832-3100 NORTHRIDGE, CA 91325 ASTONE, ERIC - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2960 E NEES AVE STE 108, FRESNO, CA (559) 322-4103 93720 ASUMEN, MARTE - PT CHAPARRAL PHYSICAL PHYSICAL THERAPY 15555 MAIN ST STE A15, HESPERIA, CA (760) 244-4288 THERAPY 92345 ASUMEN, MARTE - PT CHAPARRAL PHYSICAL PHYSICAL THERAPY 525 MELISSA AVE STE B, BARSTOW, CA (760) 256-1888 THERAPY 92311 ATALA PHYSICAL THERAPY PHYSICAL THERAPY 3210 GREY HAWK CT, CARLSBAD, CA (760) 727-9100 INC 92010-6651 ATALA PHYSICAL THERAPY PHYSICAL THERAPY 3222 GREY HAWK CT, CARLSBAD, CA (760) 727-9100 INC 92010-6651 ATASCADERO SPORTS PHYSICAL THERAPY 1306 JOHNSON AVE, SAN LUIS OBISPO, (805) 543-7771 THERAPY CA 93401 ATCHINSON, MARY - OT CALIFORNIA PHYSICAL OCCUPATIONAL THERAPY 10630 SEPULVEDA BLVD, MISSION (818) 361-3369 THERAPY CENTERS HILLS, CA 91345 ATCHINSON, MARY - OT CALIFORNIA PHYSICAL OCCUPATIONAL THERAPY 4100 TRUXTUN AVE STE 200, (661) 632-1540 THERAPY CENTERS BAKERSFIELD, CA 93309 ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 12424 WILSHIRE BLVD STE 101, LOS (310) 826-2977 ANGELES, CA 90025-1064 ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 1464 MADERA RD STE G, SIMI VALLEY, (805) 306-1622 CA 93065-3061 ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 30877 E THOUSAND OAKS BLVD, (818) 879-2091 WESTLAKE VILLAGE, CA 91362-4039 ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 5353 BALBOA BLVD STE 202, ENCINO, (818) 986-4100 CA 91316-2889 ATIENZA, CESAR A - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 ATIENZA, CESAR A - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 ATIENZA, CESAR A - MD KAISER PERMANENTE SANTA PRIMARY TREATING 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER PHYSICIAN 148 1ST FLR, SANTA CLARA, CA 95051 ATIENZA, CESAR A - MD KAISER PERMANENTE SANTA SPORTS MEDICINE 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 ATKINSON, DAVID - DC ATKINSON DAVID L DC CHIROPRACTIC MEDICINE 2881 GEER RD STE B, TURLOCK, CA (209) 668-1051 95382 ATLANTIC DRUGS PHARMACY 4233 ATLANTIC AVE, LONG BEACH, CA (562) 912-7940 90807 ATLANTIC PHARMACY PHARMACY 5119 E BEVERLY BLVD, LOS ANGELES, (323) 264-5060 CA 90022

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 34 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ATLANTIC PROFESSIONAL PHARMACY 1045 ATLANTIC AVE STE 102, LONG (562) 491-9799 PHARMACY BEACH, CA 90813 ATMORE, AMY TRAN - PT REPAIR NB PHYSICAL PHYSICAL THERAPY 2013 NEWPORT BLVD, COSTA MESA, (714) 377-4314 THERAPY CORP CA 92627 AUBURN ORTHOPEDIC AND PHYSICAL THERAPY 11879 KEMPER RD STE 4, AUBURN, CA (530) 885-3940 SPORTS PHYSICAL THERAPY 95603-9021 AUBURN ORTHOPEDIC AND PHYSICAL THERAPY 11879 KEMPER RD STE 4, AUBURN, CA (530) 885-3940 SPORTS PHYSICAL THERAPY 95603-9021 AUBURN PHARMACY AND PHARMACY 5645 AUBURN ST STE B, BAKERSFIELD, (661) 871-8881 COMPOUNDIN CA 93306 AUDREY PHARMACY PHARMACY 9741 BOLSA AVE STE 116, (714) 531-1983 WESTMINSTER, CA 92683 AUDREY PHARMACY PHARMACY 9822 BOLSA AVE STE G, (714) 531-1244 WESTMINSTER, CA 92683 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE ELBOW THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE SHOULDER THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE UPPER EXTREMITIES THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE WRIST THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE EXTREMITIES THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE ELBOW AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE SHOULDER AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE UPPER EXTREMITIES AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE WRIST AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE EXTREMITIES AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA HAND SURGERY 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 AUERBACH, DAVID M - MD SOUTHERN CALIFORNIA HAND SURGERY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE AUL, KIMBERLY - PT CALIENTE SPRINGS PHYSICAL PHYSICAL THERAPY 17350 VAILETTI DR, SONOMA, CA 95476 (707) 935-3230 THERAPY AUM PHARMACY PHARMACY 710 N EUCLID ST STE 103, ANAHEIM, CA (714) 495-2779 92801 AUNG, ANDREW - MD (BCC) ANESTHESIOLOGY 23845 MCBEAN PKWY, VALENCIA, CA (661) 200-2000 91355 AUNG, ANDREW - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD STE 160, (661) 259-3937 VALENCIA, CA 91355

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 35 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AUNG, ANDREW - MD (BCC) ANESTHESIOLOGY 465 N ROXBURY DR STE 1020, (310) 651-2050 BEVERLY HILLS, CA 90210 AUNG, AYE MIN-THAN - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 AUNG, AYE MIN-THAN - MD CONCENTRA MEDICAL PRIMARY TREATING 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE PHYSICIAN 94085 AURANG, KAMRAN - MD KAISER PERMANENTE ORTHOPEDICS 200 N LEWIS AVE , ORANGE, CA 92868 (714) 644-6450 LAKEVIEW MEDICAL OFFICES AURANG, KAMRAN - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 AUSTIN DRUGS PHARMACY 6970 ARAGON CIR STE 3, BUENA PARK, (714) 736-5130 CA 90620 AUSTIN, MICHELLE - PT SUPERIOR REHABILITATION PHYSICAL THERAPY 1441 SUPERIOR AVE STE D, NEWPORT (949) 646-0653 CENTER INC BEACH, CA 92663 AUSTINS PHARMACY PHARMACY 1345 W HOBSONWAY, BLYTHE, CA (760) 921-2017 92225 AVALON PHARMACY PHARMACY 58471 29 PALMS HWY STE 301, YUCCA (760) 365-7621 VALLEY, CA 92284 AVALOS, ASHLEY - PT BODY DYNAMIX INTEGRATED PHYSICAL THERAPY 18344 OXNARD ST STE 104, TARZANA, (818) 783-4085 SPORTS MEDICINE CA 91356 AVANESIAN, HAMLET S - DDS DENTIST 316 E BROADWAY STE A , GLENDALE, (818) 548-7700 CA 91205 AVAZ, FARZIN M - MD KAISER PERMANENTE GENERAL SURGERY 13730 ROSCOE BLVD , PANORAMA (818) 375-2233 PANORAMA CITY MEDICAL CITY, CA 91402 CENTER AVELLA OF SACRAMENTO PHARMACY 2288 AUBURN BLVD STE 102, (888) 792-3888 SACRAMENTO, CA 95821 AVENA, RICARDO - MD CONCENTRA MEDICAL GENERAL SURGERY 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH FRESNO, CA 93720 AVERILLA, JASON - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY AVERILLA, JASON - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY AVERILLA, JASON - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY AVERILLA, JASON - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY AVERNA, JOSEPH A - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 AVERNA, JOSEPH A - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 5333 MISSION CENTER RD , SAN (619) 295-3355 CENTER - MISSION VALLEY DIEGO, CA 92108 AVERNA, JOSEPH A - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY CITY, CA 91950 AVID PHYSICAL THERAPY PHYSICAL THERAPY 328 COMMERCIAL RD STE 108, SAN (909) 494-6645 BERNARDINO, CA 92408-3766 AVID PHYSICAL THERAPY PHYSICAL THERAPY 35325 DATE PALM DR STE 131, (760) 202-0368 CATHEDRAL CITY, CA 92234-7031 AVID PHYSICAL THERAPY PHYSICAL THERAPY 82013 DR CARREON BLVD I, INDIO, CA (760) 347-6195 92201 AVILES, JOHNNY - DC BODY ZONE CHIROPRACTIC CHIROPRACTIC MEDICINE 6333 WILSHIRE BLVD STE 712, LOS (323) 382-2046 ANGELES, CA 90048 AVIVA PHARMACY PHARMACY 2633 ATLANTIC AVE, LONG BEACH, CA (562) 888-1277 90806 AVNAIM, ANTHONY P - MD SANTA CLARITA URGENT FAMILY MEDICINE 24035 NEWHALL RANCH RD , SANTA (661) 291-3444 (BCC) CARE AND FAMILY MEDICINE - CLARITA, CA 91355 PROVIDENCE MEDICAL INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 36 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone AVNAIM, ANTHONY P - MD SANTA CLARITA URGENT PRIMARY TREATING 24035 NEWHALL RANCH RD , SANTA (661) 291-3444 (BCC) CARE AND FAMILY MEDICINE - PHYSICIAN CLARITA, CA 91355 PROVIDENCE MEDICAL INSTITUTE AVS PHARMACY PHARMACY 511 1/2 E BROADWAY, GLENDALE, CA (818) 484-8680 91205 AWAD, PETER (BCC) CRISMALI FOOT & ANKLE PODIATRY 18151 BEAR VALLEY RD, HESPERIA, CA (760) 948-7400 92345 AWADALLA, FARAH C - MD ADVANCED DERMATOLOGY DERMATOLOGY 631 WEST AVENUE Q STE B, (661) 947-9000 (BCC) AND SKIN CANCER PALMDALE, CA 93551 SPECIALISTS AWADALLA, FARAH C - MD TEHACHAPI DERMATOLOGY DERMATOLOGY 20111 W VALLEY BLVD , TEHACHAPI, (661) 947-9000 (BCC) AND SKIN CANCER CA 93561 SPECIALISTS AWALE, SAPNA - PT CALAVERAS PHYSICAL PHYSICAL THERAPY 500 E CALAVERAS BLVD STE 112, (408) 934-4700 THERAPY MILPITAS, CA 95035 AWDISHU, SUSAN - PT BODY DYNAMIX INTEGRATED PHYSICAL THERAPY 18344 OXNARD ST STE 104, TARZANA, (818) 783-4085 SPORTS MEDICINE CA 91356 AWENDER, RITA - DC AWENDER CHIROPRACTIC CHIROPRACTIC MEDICINE 1746 ORANGE TREE LN, REDLANDS, CA (714) 738-1888 92374 AWODELE, OLUSEYI A - MD CONCENTRA MEDICAL PRIMARY TREATING 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY PHYSICIAN CITY, CA 91950 AWODELE, OLUSEYI A - MD CONCENTRA MEDICAL GENERAL PRACTICE 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY CITY, CA 91950 AXIS PHYSICAL THERAPY PHYSICAL THERAPY 708 W 1ST ST, LOS ANGELES, CA 90012 (213) 617-2947 AXIS PHYSICAL THERAPY PHYSICAL THERAPY 610 FOREST AVE, PACIFIC GROVE, CA (831) 757-3055 93950 AYCOCK, JON - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 AYCOCK, JON - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 AYCOCK, JON - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 2603 PATTERSON RD STE 8, (209) 896-1870 INJURY CTR RIVERBANK, CA 95367 AYCOCK, JON - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 855 S TRACY BLVD, TRACY, CA 95376 (209) 627-1383 INJURY CENTER AYNECHI, MORIS - DMD (BCC) BEVERLY HILLS ORAL AND ORAL AND MAXILLOFACIAL 8920 WILSHIRE BLVD STE 325, (310) 275-2200 MAXILLOFACIAL SURGERY SURGERY BEVERLY HILLS, CA 90211 INSTITUTE AZADEH, BEHNAZ - LAC BEHNAZ AZADEH LAC ACUPUNCTURE 2130 N TUSTIN AVE, SANTA ANA, CA (949) 278-2631 92705 AZADEH, BEHNAZ - LAC BEHNAZ AZADEH LAC ACUPUNCTURE 22672 LAMBERT ST STE 613, LAKE (949) 278-2631 FOREST, CA 92630 AZADIAN, NASSRIN HOLISTIC HEALING CARE ACUPUNCTURE 9033 BASELINE RD STE Q, RANCHO (909) 945-8721 NOORAHANI - LAC CUCAMONGA, CA 91730 AZER, SHERIF - MD (BCC) ANESTHESIOLOGY 11234 ANDERSON ST MEDICAL CENTER (800) 679-4642 RM 2532, LOMA LINDA, CA 92354 AZEVEDO, MICHAEL P - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH FRESNO, CA 93720 CENTER AZEVEDO, MICHAEL P - MD KAISER PERMANENTE ON THE PRIMARY TREATING 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH PHYSICIAN FRESNO, CA 93720 CENTER AZHAR, KAHLID - PT PERFORMANCE PHYSICAL PHYSICAL THERAPY 394 COMMERCIAL RD, SAN (909) 796-7700 THERAPY BERNARDINO, CA 92408 AZIZZADEH, ALI - MD CEDARS SINAI MEDICAL VASCULAR SURGERY 127 SAN VICENTE BLVD STE A-3600, (310) 423-5400 CENTER LOS ANGELES, CA 90048 AZUSA DIALYSIS CENTER PHYSICAL THERAPY 310 N AZUSA AVE, AZUSA, CA 91702 (626) 633-6500 AZUSA PHYSICAL THERAPY PHYSICAL THERAPY 680 E ALOSTA AVESUITE 212, AZUSA, (714) 750-4097 ASSOCIATES INC CA 91702-2717 B B PHARMACY PHARMACY 10244 ROSECRANS AVE, BELLFLOWER, (562) 866-8363 CA 90706 B AND A PHARMACY PHARMACY 230 E VALLEY BLVD STE 103, SAN (626) 927-9970 GABRIEL, CA 91776

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 37 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone B AND B PHARMACY PHARMACY 18525 YORBA LINDA BLVD, YORBA (714) 777-2737 LINDA, CA 92886 B ANDG PHARMACY PHARMACY 5101 HOLLYWOOD BLVD, LOS (323) 668-0523 ANGELES, CA 90027 B E S T PT PHYSICAL THERAPY 1194 S DE ANZA BLVD, SAN JOSE, CA (408) 257-2225 95129-3632 B E S T PT PHYSICAL THERAPY 6155 ALMADEN EXPY STE 150, SAN (408) 268-2225 JOSE, CA 95120-2781 BAABALI, HOSSEIN - MD (BCC) PULMONARY DISEASE 3130 W OLYMPIC BLVD STE 360 , LOS (323) 733-1004 ANGELES , CA 90006 BAAR, BRIAN - DC BAAR CHIROPRACTIC CHIROPRACTIC MEDICINE 955 LANE AVE STE 101, CHULA VISTA, (619) 500-4615 CA 91914 BAAS PHYSICAL THERAPY PHYSICAL THERAPY 126 IRONWOOD LN, REDDING, CA 96003 (530) 378-0998 BABAALI, HOSSEIN - MD (BCC) PULMONARY DISEASE 2428 SANTA MONICA BLVD STE 402, (310) 829-3385 SANTA MONICA , CA 90404 BABAEE, IRAJ - AUD ADVANCED HEARING AUDIOLOGY 1090 LAPLAGA , HAYWARD, CA 94545 (800) 598-5300 PROVIDERS LLC BABAEE, IRAJ - AUD ADVANCED HEARING AUDIOLOGY 94 MORAGA RD , LAFAYETTE, CA 94549 (800) 598-5300 PROVIDERS LLC BABCOCK, ANN - CHT WEST COAST SPINE HAND THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 BABCOCK, ANN - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 BABCOCK, ANN - PT WEST COAST SPINE PHYSICAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 BABCOCK, JESSICA M - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S BABEE, IRAJ - AUD ADVANCED HEARING AUDIOLOGY 4125 MOHR AVE , PLEASANTON, CA (800) 598-5300 PROVIDERS LLC 94566 BABUSIS, LISA - PT HEALTHFIRST MEDICAL PHYSICAL THERAPY 11817 TELEGRAPH RD, SANTA FE (562) 949-9328 GROUP SPRINGS, CA 90670 BACCI & GLINN PT, INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA (559) 582-1027 93230-4511 BACCI & GLINN PT, INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291-5138 BACCI, ROBERT - PT BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 BACCI, ROBERT - PT BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 BACK 2 HEALTH PHYSICAL PHYSICAL THERAPY 1335 NORTH LA BREA AVE, LOS (310) 246-1050 THERAPY & AQUATIC ANGELES, CA 90028 BACK 2 HEALTH PHYSICAL PHYSICAL THERAPY 16550 VENTURA BLVD STE 120, (818) 990-9930 THERAPY & AQUATIC ENCINO, CA 91436-2014 BACK 2 HEALTH PHYSICAL PHYSICAL THERAPY 9201 W SUNSET BLVDSTE M120, WEST (310) 246-1050 THERAPY & AQUATIC HOLLYWOOD, CA 90069 BACK 2 HEALTH PHYSICAL PHYSICAL THERAPY 930 W ALAMEDA AVE, BURBANK, CA (818) 588-3880 THERAPY & AQUATIC 91506-2802 BACK ON TRACK PHYSICAL PHYSICAL THERAPY 301 LENNON LN STE 202, WALNUT (925) 934-6373 THERAPY CREEK, CA 94598-2433 BACK, NICHOLAS - MD (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 256-2100 MISSION HILLS, CA 91345 BACK, NICHOLAS - MD (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 91345 BACK, NICHOLAS - MD (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 563-6757 BURBANK, CA 91505 BACK, NICHOLAS - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (661) 222-3100 91355 BACK, NICHOLAS - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 91505 BACK, NICHOLAS - MD (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 500-0523 91206 BACON EAST PHARMACY PHARMACY 2425 EAST ST STE 5, CONCORD, CA (925) 687-0565 94520

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 38 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BADANGUIO, GEMMA - DC CATER CHIROPRACTIC CHIROPRACTIC MEDICINE 1211 NORTH MAIN STREET, SALINAS, (831) 449-2225 CA 93906 BADIYANI, KASMIRA - PT IMOTION PHYSICAL THERAPY PHYSICAL THERAPY 555 MOWRY AVE STE E, FREMONT, CA (510) 745-7700 INC 94536 BADO, AUDRA - PT SELECT ORTHOPEDIC PHYSICAL THERAPY 1245 WILSHIRE BLVD STE 717, LOS (213) 935-8566 SPECIALIST ANGELES, CA 90017 BADO, AUDRA PONCI - CHT SELECT ORTHOPEDIC HAND THERAPY 1245 WILSHIRE BLVD STE 717, LOS (213) 935-8566 SPECIALIST ANGELES, CA 90017 BAE, JIMMY - DC DR JIMMY BAE DC INC CHIROPRACTIC MEDICINE 4345 E LOWELL ST STE A, ONTARIO, CA (213) 700-8725 91761 BAE, JIMMY - DC DR JIMMY BAE DC INC CHIROPRACTIC MEDICINE 5471 LA PALMA AVE STE 202, LA (213) 700-8725 PALMA, CA 90623 BAGWAT, BAL - MD CONCENTRA MEDICAL PLASTIC SURGERY 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO BAGWAT, BAL - MD CONCENTRA MEDICAL PLASTIC SURGERY 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS CARLOS, CA 94070 BAGWAT, BAL - MD CONCENTRA MEDICAL PLASTIC SURGERY 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA 95050 BAGWAT, BAL - MD CONCENTRA MEDICAL PLASTIC SURGERY 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 BAHADINI, BAHAREH - MD CITY OF HOPE MEDICAL ONCOLOGY 425 HAALAND DR STE 101, THOUSAND (805) 496-2949 (BCC) FOUNDATION OAKS, CA 91361 BAHADINI, BAHAREH - MD CITY OF HOPE MEDICAL ONCOLOGY 1157 SWALLOW LANE , SIMI VALLEY, CA (805) 527-2770 (BCC) FOUNDATION 93065 BAHAMAS SURGERY CENTER BAHAMAS SURGERY CENTER AMBULATORY SURGERY 2400 BAHAMAS DR STE 100, (818) 901-6690 (BCC) CENTER BAKERSFIELD, CA 93309 BAHK, DENNIS - LAC HEALTHPOINTE MEDICAL ACUPUNCTURE 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 BAHK, DENNIS - LAC HEALTHPOINTE MEDICAL ACUPUNCTURE 754 N MOUNTAIN AVE, ONTARIO, CA (909) 460-4155 GROUP INC 91762 BAHK, DENNIS - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 BAHK, DENNIS - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC BAHK, KEY EUGENE - LAC KEY'S ACUPUNCTURE HERBS ACUPUNCTURE 7025 VILLAGE PKWY, DUBLIN, CA 94568 (925) 577-0288 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 ORTHOPEDIC INSTITUTE ELBOW CA 93065 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 ORTHOPEDIC INSTITUTE CA 93065 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 ORTHOPEDIC INSTITUTE SHOULDER CA 93065 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 ORTHOPEDIC INSTITUTE CA 93065 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 ORTHOPEDIC INSTITUTE CA 93065 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE ELBOW THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE KNEE THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE SHOULDER THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE ELBOW

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 39 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE KNEE BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SHOULDER BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 ORTHOPEDIC INSTITUTE PHYSICIAN CA 93065 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE PHYSICIAN THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE PHYSICIAN BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 ORTHOPEDIC INSTITUTE CA 93065 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 BAHK, MICHAEL S - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE BAIGALI, BADRAL - LAC CONTEMPORARY ACUPUNCTURE 8610 W 3RD ST, LOS ANGELES, CA (310) 657-8600 ALTERNATIVE MEDICINE INC 90048 BAIK, GASESON - LAC GB EASTERN MEDICINE CLINIC ACUPUNCTURE 1352 IRVINE BLVD STE 105, TUSTIN, CA (657) 245-3357 INC 92780 BAILEY, BRADLEY B - MD (BCC) RESTORATIVE WOUND EMERGENCY MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED POWAY, CA 92064 GRP BAILEY, BRADLEY B - MD (BCC) RESTORATIVE WOUND UNDERSEA AND HPYERBARIC 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED MEDICINE POWAY, CA 92064 GRP BAILEY, JOHN - MD (BCC) ANESTHESIOLOGY 15825 LAGUNA CANYON RD STE 200, (949) 341-3499 IRVINE, CA 92618 BAILEY, JOSELYN - MD (BCC) INTERNAL MEDICINE 4305 TORRANCE BLVD STE 506, (310) 542-7341 TORRANCE, CA 90503 BAILEY, TRACEY - LAC OCEAN SIDE ACUPUNCTURE ACUPUNCTURE 510 N PROSPECT AVE STE 208, (310) 318-2225 REDONDO BEACH, CA 90277 BAILY, PHILIP E - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 BAILY, PHILIP E - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 BAILY, PHILIP E - MD CONCENTRA MEDICAL PRIMARY TREATING 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX PHYSICIAN LOS ANGELES, CA 90045 BAIN-DIXON, JENNIFER - AUD ADVANCED HEARING AUDIOLOGY 74941 US HIGHWAY 111, INDIAN WELLS, (800) 598-5300 PROVIDERS LLC CA 92210 BAINER, JAMES - MD KAISER PERMANENTE OPHTHALMOLOGY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL OFFICES 92505 BAIOCCHI, VICKIE - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 BAJADA, DANIEL - PT PACER PHYSICAL THERAPY PHYSICAL THERAPY 2255 YGNACIO VALLEY RD STE E, (925) 930-6680 WALNUT CREEK, CA 94598 BAJARO, GEMMA - PT MANUAL ORTHOPEDIC PHYSICAL THERAPY 885 CANARIOS CT STE 110, CHULA (619) 656-5102 PHYSICAL THERAPY INC VISTA, CA 91910 BAKER, CRAIG J - MD (BCC) KECK MEDICINE OF USC - THORACIC AND CARDIAC 1520 SAN PABLO ST STE 4300, LOS (323) 442-5849 CARDIOVASCULAR THORACIC SURGERY ANGELES , CA 90033 INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 40 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BAKER, ELLEN - AUD ADVANCED HEARING AUDIOLOGY 2655 1ST ST STE 102, SIMI VALLEY, CA (800) 598-5300 PROVIDERS LLC 93065 BAKER, ELLEN - AUD ADVANCED HEARING AUDIOLOGY 100 THOUSAND OAKS BLVD STE 814, (800) 598-5300 PROVIDERS LLC THOUSAND OAKS, CA 91360 BAKER, NANCY A - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S BAKER, REGINA Y - MD (BCC) KECK MEDICINE OF USC PLASTIC & RECONSTRUCTIVE 1510 SAN PABLO ST STE 6200, LOS (323) 442-7920 SURGERY ANGELES, CA 90033 BAKERSFIELD SPORTS PHYSICAL THERAPY 3500 COFFEE RD STE A, BAKERSFIELD, (661) 589-6700 MEDICINE & REHABILITATIVE CA 93308-5001 PT BAKERSFIELD SPORTS PHYSICAL THERAPY 4300 STINE RD STE 108, BAKERSFIELD, (661) 834-2300 MEDICINE & REHABILITATIVE CA 93313-2352 PT BAKSHIAN, SAM - MD (BCC) ORTHOPEDIC SURGERY - HIP 6330 S SAN VICENTE BLVD STE 310, (310) 855-0751 LOS ANGELES, CA 90048 BAKSHIAN, SAM - MD (BCC) TOWER ORTHOPAEDICS ORTHOPEDIC SURGERY - 42544 10TH ST W STE G, LANCASTER, (310) 855-0751 UPPER EXTREMITIES CA 93534 BAKSHIAN, SAM - MD (BCC) TOWER ORTHOPAEDICS ORTHOPEDIC SURGERY - 42544 10TH ST W STE G, LANCASTER, (310) 855-0751 LOWER EXTREMITIES CA 93534 BAKSHIAN, SAM - MD (BCC) TOWER ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 42544 10TH ST W STE G, LANCASTER, (310) 855-0751 CA 93534 BAKSHIAN, SAM - MD (BCC) TOWER ORTHOPAEDICS SPINE SURGERY 42544 10TH ST W STE G, LANCASTER, (310) 855-0751 CA 93534 BAKSHIAN, SAM - MD (BCC) TOWER ORTHOPAEDICS ORTHOPEDICS - UPPER 42544 10TH ST W STE G, LANCASTER, (310) 855-0751 EXTREMITIES CA 93534 BAKSHIAN, SAM - MD (BCC) TOWER ORTHOPAEDICS ORTHOPEDICS - LOWER 42544 10TH ST W STE G, LANCASTER, (310) 855-0751 EXTREMITIES CA 93534 BAKSHIAN, SAM - MD (BCC) TOWER ORTHOPAEDICS ORTHOPEDICS - HIP 42544 10TH ST W STE G, LANCASTER, (310) 855-0751 CA 93534 BAKSHIAN, SAM - MD (BCC) TOWER ORTHOPAEDICS ORTHOPEDICS - SPINE 42544 10TH ST W STE G, LANCASTER, (310) 855-0751 CA 93534 BAKSHIAN, SAM - MD (BCC) ORTHOPEDIC SURGERY - 6330 S SAN VICENTE BLVD STE 310, (310) 855-0751 LOWER EXTREMITIES LOS ANGELES, CA 90048 BAKSHIAN, SAM - MD (BCC) ORTHOPEDIC SURGERY - 6330 S SAN VICENTE BLVD STE 310, (310) 855-0751 UPPER EXTREMITIES LOS ANGELES, CA 90048 BAKSHIAN, SAM - MD (BCC) ORTHOPEDICS - HIP 6330 S SAN VICENTE BLVD STE 310, (310) 855-0751 LOS ANGELES, CA 90048 BAKSHIAN, SAM - MD (BCC) ORTHOPEDICS - LOWER 6330 S SAN VICENTE BLVD STE 310, (310) 855-0751 EXTREMITIES LOS ANGELES, CA 90048 BAKSHIAN, SAM - MD (BCC) ORTHOPEDICS - SPINE 6330 S SAN VICENTE BLVD STE 310, (310) 855-0751 LOS ANGELES, CA 90048 BAKSHIAN, SAM - MD (BCC) ORTHOPEDICS - UPPER 6330 S SAN VICENTE BLVD STE 310, (310) 855-0751 EXTREMITIES LOS ANGELES, CA 90048 BAKSHIAN, SAM - MD (BCC) SPINE SURGERY 6330 S SAN VICENTE BLVD STE 310, (310) 855-0751 LOS ANGELES, CA 90048 BALAGTAS, PRUDENCIO S - DO NORTHERN CALIFORNIA SPINE PAIN MANAGEMENT 2801 K ST STE 410, SACRAMENTO , CA (916) 389-7100 (BCC) AND REHABILITATION 95816 ASSOCIATES BALANCE PHYSICAL THERAPY PHYSICAL THERAPY 1110 W KETTLEMAN LN STE 13, LODI, (209) 333-1696 CA 95240-6032 BALANCE PHYSICAL THERAPY PHYSICAL THERAPY 120 GUTHRIE LN, BRENTWOOD, CA (925) 513-2252 94513-4037 BALBAYS PHYSICAL THERAPY PHYSICAL THERAPY 1830 HACIENDA DRSUITE 2, VISTA, CA (760) 941-8600 92081-4544 BALBOA PHARMACY PHARMACY 716 E BALBOA BLVD, NEWPORT (949) 673-5370 BEACH, CA 92661 BALBOA PHARMACY PHARMACY 6465 BALBOA AVE STE 101, SAN DIEGO, (858) 278-0111 CA 92111 BALBOA PHARMACY PHARMACY 10700 BALBOA BLVD STE 101, (818) 831-2090 GRANADA HILLS, CA 91344

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 41 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BALBON, BRIAN - DC BRIAN BALBON DC QME CHIROPRACTIC MEDICINE 2460 MISSION ST STE 218, SAN (415) 648-6054 FRANCISCO, CA 94110 BALCH, DENNIS - DC BALCH CHIROPRACTIC CHIROPRACTIC MEDICINE 199 CALIFORNIA DR STE 100, (650) 692-2273 MILLBRAE, CA 94030 BALCH, KARL R - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE KNEE BAKERSFIELD, CA 93309 BALCH, KARL R - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 BALDERAS, CHRISTINE - PT SAN DIEGO UPTOWN PHYSICAL THERAPY 4060 4TH AVE STE 206, SAN DIEGO, CA (619) 299-5246 PHYSICAL THERAPY 92103 BALDWIN, DALTON D - MD LOMA LINDA UNIVERSITY UROLOGY 11370 ANDERSON ST FMO 1100, LOMA (909) 558-2830 (BCC) HEALTHCARE - UROLOGY LINDA , CA 92354 DEPT FP&S BALDWIN, MARI K - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90039 CENTER BALFOUR, GEORGE W - MD - ORTHOPEDIC SURGERY - 10640 RIVERSIDE DR , NORTH (818) 955-9898 (BCC) WRIST HOLLYWOOD, CA 91602 BALFOUR, GEORGE W - MD - ORTHOPEDICS - HAND 10640 RIVERSIDE DR , NORTH (818) 955-9898 (BCC) HOLLYWOOD, CA 91602 BALFOUR, GEORGE W - MD - ORTHOPEDICS - WRIST 10640 RIVERSIDE DR , NORTH (818) 955-9898 (BCC) HOLLYWOOD, CA 91602 BALFOUR, GEORGE W - MD - ORTHOPEDIC SURGERY - 2486 PONDEROSA DR N STE D114, (805) 383-0271 (BCC) WRIST CAMARILLO , CA 93010 BALFOUR, GEORGE W - MD - ORTHOPEDICS - HAND 2486 PONDEROSA DR N STE D114, (805) 383-0271 (BCC) CAMARILLO , CA 93010 BALFOUR, GEORGE W - MD - ORTHOPEDICS - WRIST 2486 PONDEROSA DR N STE D114, (805) 383-0271 (BCC) CAMARILLO , CA 93010 BALFOUR, GEORGE W - MD - ORTHOPEDIC SURGERY - 43807 10TH ST WEST STE C , (661) 948-0385 (BCC) WRIST LANCASTER, CA 93534 BALFOUR, GEORGE W - MD - ORTHOPEDICS - HAND 43807 10TH ST WEST STE C , (661) 948-0385 (BCC) LANCASTER, CA 93534 BALFOUR, GEORGE W - MD - ORTHOPEDICS - WRIST 43807 10TH ST WEST STE C , (661) 948-0385 (BCC) LANCASTER, CA 93534 BALFOUR, GEORGE W - MD - LESIN BALFOUR AND ZIV A ORTHOPEDICS - HAND 4849 VAN NUYS BLVD STE 217, (661) 254-8163 (BCC) PROF MED CORP SHERMAN OAKS , CA 91403 BALFOUR, GEORGE W - MD - LESIN BALFOUR AND ZIV A ORTHOPEDICS - WRIST 4849 VAN NUYS BLVD STE 217, (661) 254-8163 (BCC) PROF MED CORP SHERMAN OAKS , CA 91403 BALFOUR, GEORGE W - MD - LESIN BALFOUR AND ZIV A HAND SURGERY 4849 VAN NUYS BLVD STE 217, (661) 254-8163 (BCC) PROF MED CORP SHERMAN OAKS , CA 91403 BALFOUR, GEORGE W - MD - LESIN BALFOUR AND ZIV A ORTHOPEDIC SURGERY - 4849 VAN NUYS BLVD STE 217, (661) 254-8163 (BCC) PROF MED CORP WRIST SHERMAN OAKS , CA 91403 BALFOUR, GEORGE W - MD - HAND SURGERY 10640 RIVERSIDE DR , NORTH (818) 955-9898 (BCC) HOLLYWOOD, CA 91602 BALFOUR, GEORGE W - MD - HAND SURGERY 2486 PONDEROSA DR N STE D114, (805) 383-0271 (BCC) CAMARILLO , CA 93010 BALFOUR, GEORGE W - MD - HAND SURGERY 43807 10TH ST WEST STE C , (661) 948-0385 (BCC) LANCASTER, CA 93534 BALIKIAN, PHILIP - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE UPPER EXTREMITIES CA 92071 BALIKIAN, PHILIP - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE EXTREMITIES CA 92071 BALINGIT, PASTORALF - PTA REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 BALL, JULIE - AUD ADVANCED HEARING AUDIOLOGY 200 N HARBOR BLVD STE 295, (800) 598-5300 PROVIDERS LLC ANAHEIM, CA 92805 BALL, JULIE - AUD ADVANCED HEARING AUDIOLOGY 400 W CENTRAL AVE , BREA, CA 92821 (800) 598-5300 PROVIDERS LLC BALL, NINA - AUD ADVANCED HEARING AUDIOLOGY 3655 E FOOTHILL BLVD, PASADENA, (800) 598-5300 PROVIDERS LLC CA 91107 BALLARD, BROOKE L - MD CONCENTRA MEDICAL HAND SURGERY 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 42 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BALLARD, BROOKE L - MD CONCENTRA MEDICAL HAND SURGERY 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA SAN DIEGO, CA 92121 BALLARD, CHARLES H - DO RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 12742 LIMONITE AVE , EASTVALE, CA (951) 739-2746 (BCC) EASTVALE 92880 BALLARD, CHARLES H - DO RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 12742 LIMONITE AVE , EASTVALE, CA (951) 739-2746 (BCC) EASTVALE PHYSICIAN 92880 BALLESTEROS, JULIAN P - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 BALTAZAR, MICHELLE - PT VIBRANTCARE PHYSICAL THERAPY 1850 GATEWAY BLVD STE 160, (925) 265-7550 CONCORD, CA 94520 BALYTSKY, NATALIA - MD CONCENTRA MEDICAL PAIN MEDICINE 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 BALYTSKY, NATALIA - MD CONCENTRA MEDICAL PAIN MEDICINE 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO 94577 BAN, NAM, HYUN - LAC GOODMORNING ACUPUNCTURE 1875 W REDONDO BEACH BLVD STE (323) 998-7234 ACUPUNCTURE CLINIC 201, GARDENA, CA 90247 BANDY'S PHARMACY PHARMACY 707 W HOBSONWAY, BLYTHE, CA 92225 (760) 922-5165 BANDY, MATTHEW - PTA BECK AND CALE PHYSICAL PHYSICAL THERAPY 201 N COLLEGE DR STE 203, SANTA (805) 922-1724 THERAPY OF SANTA MARIA MARIA, CA 93454 BANERJEE, AMIT - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER BANERJEE, NATASHA - MD CEDARS-SINAI CANCER - HEMATOLOGY AND 18133 VENTURA BLVD STE 300, (818) 981-3818 (BCC) TARZANA ONCOLOGY TARZANA, CA 91356 BANERJEE, SUPRATIM - MD COMPREHENSIVE CARDIOVASCULAR DISEASE 5945 TRUXTON AVE , BAKERSFIELD, CA (661) 323-4278 (BCC) CARDIOVASCULAR MEDICAL (CARDIOLOGY) 93309 GROUP BANFFY, MICHAEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ELBOW ANGELES, CA 90045 BANFFY, MICHAEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 BANFFY, MICHAEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC KNEE ANGELES, CA 90045 BANFFY, MICHAEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC SHOULDER ANGELES, CA 90045 BANFFY, MICHAEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 BANFFY, MICHAEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 BANFFY, MICHAEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 BANFFY, MICHAEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 BANFFY, MICHAEL B - MD KERLAN - JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 BANFFY, MICHAEL B - MD KERLAN - JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC PHYSICIAN ANGELES, CA 90045 BANG, EUNJU - LAC EJ BANG'S ACUPUNCTURE ACUPUNCTURE 3315 ALMADEN EXPY STE 27, SAN (408) 510-0704 JOSE, CA 95118 BANG, MICHAEL C - MD CONCENTRA MEDICAL PRIMARY TREATING 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE PHYSICIAN BANG, MICHAEL C - MD CONCENTRA MEDICAL GENERAL PRACTICE 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE BANGALAN, SHARON J - DPM KAISER PERMANENTE PODIATRY 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES 92111 BANK, ERIC M - MD (BCC) SANSUM CLINIC - RIDLEY-TREE HEMATOLOGY AND 540 W PUEBLO ST , SANTA BARBARA, (805) 681-7858 CANCER CENTER ONCOLOGY CA 93105 BANNOUT, FIRAS - MD (BCC) LOMA LINDA UNIVERSITY - NEUROLOGY 11370 ANDERSON ST STE B100, LOMA (800) 679-4642 DEPT OF NEUROLOGY LINDA , CA 92354 BANSAL, RAMESH C - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA , CA 92354 INTERNATIONAL HEART INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 43 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BANUELOS, LYDIA R - MD ATLANTIS EYECARE OPHTHALMOLOGY 5991 E SPRING ST , LONG BEACH, CA (562) 938-9945 (BCC) 90808 BANUELOS, LYDIA R - MD ATLANTIS EYECARE OPHTHALMOLOGY 947 S ANAHEIM BLVD STE 120, (714) 991-4100 (BCC) ANAHEIM, CA 92805 BANUELOS, LYDIA R - MD ATLANTIS EYECARE OPHTHALMOLOGY 7667 CENTER AVE STE 301, (714) 991-4100 (BCC) HUNTINGTON BEACH, CA 92547 BANUELOS, LYDIA R - MD ATLANTIS EYECARE OPHTHALMOLOGY 23521 PASEO DE VALENCIA STE 305, (949) 581-1770 (BCC) LAGUNA HILLS , CA 92653 BAO, TIEN - DC TIEN BAO DC CHIROPRACTIC MEDICINE 12115 PARAMOUNT BLVD, DOWNEY, CA (562) 250-2002 90242 BAO, TIEN - DC TIEN BAO DC CHIROPRACTIC MEDICINE 3806 E CESAR E CHAVEZ AVE, LOS (323) 264-6296 ANGELES, CA 90063 BAPTIE, BRUCE - LAC ADVANCED HEALTH ACUPUNCTURE 813 W HUNTINGTON DR, ARCADIA, CA (626) 399-5223 91007 BARAKAT, GEORGE H - MD ORTHOPEDIC SURGERY - HIP 555 ASH ST , SUSANVILLE , CA 96130 (530) 257-9060 (BCC) BARAKAT, GEORGE H - MD ORTHOPEDIC SURGERY - 555 ASH ST , SUSANVILLE , CA 96130 (530) 257-9060 (BCC) LOWER EXTREMITIES BARAKAT, GEORGE H - MD ORTHOPEDIC SURGERY - 555 ASH ST , SUSANVILLE , CA 96130 (530) 257-9060 (BCC) UPPER EXTREMITIES BARAKAT, GEORGE H - MD ORTHOPEDICS - HIP 555 ASH ST , SUSANVILLE , CA 96130 (530) 257-9060 (BCC) BARAKAT, GEORGE H - MD ORTHOPEDICS - LOWER 555 ASH ST , SUSANVILLE , CA 96130 (530) 257-9060 (BCC) EXTREMITIES BARAKAT, GEORGE H - MD ORTHOPEDICS - UPPER 555 ASH ST , SUSANVILLE , CA 96130 (530) 257-9060 (BCC) EXTREMITIES BARAN, JASON - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1010 W LA VETA AVE STE 615, (949) 297-4561 ORANGE, CA 92868 BARAN, JASON - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 10156 ADAMS AVE, HUNTINGTON (949) 297-4561 BEACH, CA 92646 BARAN, JASON - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1041 E YORBA LINDA BLVS STE 210, (714) 617-1775 PLACENTIA, CA 92870 BARAN, JASON - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1211 W LA PALMA AVE STE 210, (949) 297-4561 ANAHEIM, CA 92801 BARAN, JASON - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 23141 MOULTON PKWY STE 109, (949) 297-4561 LAGUNA HILLS, CA 92653 BARANSKI, JAMES ROBERT - ADVANCED SPINE SPORT CHIROPRACTIC MEDICINE 4601 TELEPHONE RD STE 110, (805) 642-4061 DC CHIROPRACTIC VENTURA, CA 93003 BARASCH, SHELDON - MD BIO-PATH MEDICAL GROUP PATHOLOGY 17150 NEWHOPE ST SUITE 117, (714) 433-1330 FOUNTAIN VALLEY, CA 92708 BARATTA, ANTHONY GEORGE - BARATTA WELLNESS CHIROPRACTIC MEDICINE 6728 FAIR OAKS BLVD STE 300, (916) 979-0716 DC CARMICHAEL, CA 95608 BARAVARIAN, BABAK - DPM UNIVERSITY FOOT & ANKLE PODIATRY 2121 WILSHIRE BLVD STE 101, SANTA (310) 828-0011 (BCC) INSTITUTE MONICA, CA 90403 BARAVARIAN, BABAK - DPM UNIVERSITY FOOT & ANKLE PODIATRY 5170 SEPULVEDA BLVD STE 100, (818) 330-5799 (BCC) INSTITUTE SHERMAN OAKS , CA 91403 BARAWID, EDWARD L - DO CONCENTRA MEDICAL PHYSICAL MEDICINE AND 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA REHABILITATION CA 90623 BARBA, DANIEL - MD (BCC) SPINE SURGERY 1955 CITRACADO PKWY STE 200, (760) 743-4789 ESCONDIDO, CA 92029 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY LOWER EXTREMITIES INDUSTRY, CA 91744 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY UPPER EXTREMITIES INDUSTRY, CA 91744 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY EXTREMITIES INDUSTRY, CA 91744 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 44 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY EXTREMITIES INDUSTRY, CA 91744 BARBA, DAVID - MD CONCENTRA MEDICAL SPINE SURGERY 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE LOWER EXTREMITIES 90040 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE UPPER EXTREMITIES 90040 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE EXTREMITIES 90040 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE EXTREMITIES 90040 BARBA, DAVID - MD CONCENTRA MEDICAL SPINE SURGERY 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL LOWER EXTREMITIES 90058 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL UPPER EXTREMITIES 90058 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL EXTREMITIES 90058 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 BARBA, DAVID - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL EXTREMITIES 90058 BARBA, DAVID - MD CONCENTRA MEDICAL SPINE SURGERY 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 BARBA, SANDRA - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 BARBER, JOHN, R - LAC JOHN R BARBER LAC ACUPUNCTURE 12655 W WASHINGTON BLVD STE 201, (310) 963-1052 LOS ANGELES, CA 90066 BARBER, MELISSA - AUD ADVANCED HEARING AUDIOLOGY 5800 SANTA ROSA RD #123, (800) 598-5300 PROVIDERS LLC CAMARILLO, CA 93012 BARBIERI, DEBORAH - PTA BISHOP CARE CENTER PHYSICAL THERAPY 151 PIONEER LN, BISHOP, CA 93514 (760) 872-1000 BARCOHANA, BABAK - MD SOUTHERN CALIFORNIA SPINE SURGERY 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 BARCOHANA, BABAK - MD SOUTHERN CALIFORNIA SPINE SURGERY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE BARCZI, LEAH - PT GEORGE ERB PHYSICAL PHYSICAL THERAPY 231 CAMARILLO RANCH RD, (805) 484-2026 THERAPY CAMARILLO, CA 93012 BARGAIN OAKHURST PHARMACY 8700 W PICO BLVD, LOS ANGELES, CA (310) 289-6590 PHARMACY 90035 BARGHANI, ZAHRA - PT NORTH ORANGE PHYSICAL PHYSICAL THERAPY 33 CREEK RD SUITE 260 B, IRVINE, CA (949) 552-5572 THERAPY 92604 BARIL, DONALD - MD (BCC) VASCULAR SURGERY 1304 15TH ST STE 102, SANTA MONICA, (310) 319-4080 CA 90404 BARIL, DONALD - MD (BCC) UCLA MEDICAL CENTER VASCULAR SURGERY 200 UCLA MEDICAL PLAZA STE 526, (310) 206-6294 LOS ANGELES, CA 90095 BARIL, DONALD T - MD (BCC) SMIDT HEART INSTUTUTE - VASCULAR SURGERY 127 S SAN VICENTE BLVD #A3600, LOS (310) 423-5400 CEDARS SINAI ANGELES , CA 90048 BARIL, NICOLE - MD KAISER PERMANENTE GENERAL SURGERY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 BARK, EUNJIN - LAC BARK'S ACUPUNCTURE CLINIC ACUPUNCTURE 8237 SIERRA AVE, FONTANA, CA 92335 (909) 428-5816 BARLAY, BRIAN ANDREW - LAC TEMESCAL ACUPUNCTURE ACUPUNCTURE 330 41ST ST, OAKLAND, CA 94609 (510) 654-7050

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 45 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BARLEVAV, ERIC - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 BARLOW, JARED - PT DANA POINT PHYSICAL PHYSICAL THERAPY 34241 PACIFIC COAST HWY STE 102, (949) 496-3896 THERAPY DANA POINT, CA 92629 BARNARD, DENISE - MD (BCC) CARDIOVASCULAR DISEASE 4168 FRONT ST, SAN DIEGO, CA 92103 (619) 543-5743 (CARDIOLOGY) BARNARD, MEGAN - OT MANUAL ORTHOPEDIC OCCUPATIONAL THERAPY 955 LANE AVE STE 201, CHULA VISTA, (619) 421-9521 PHYSICAL THERAPY INC CA 91914 BARNES ARCATA FAMILY PHARMACY 1080 G ST, ARCATA, CA 95521 (707) 822-1717 DRUG BARNES, RYAN M - DO (BCC) SAN DIEGO SURGICAL GENERAL SURGERY 7910 FROST ST STE 250 , SAN DIEGO , (858) 565-0104 SPECIALISTS CA 92123 BARNETT, CHARLES - AUD ADVANCED HEARING AUDIOLOGY 3244 BROOKSIDE RD , STOCKTON, CA (800) 598-5300 PROVIDERS LLC 95219 BARNETT, LAWRENCE S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - HIP 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY BARNETT, LAWRENCE S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - LOWER 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP EXTREMITIES IRVINE, CA 92618 OF ORANGE COUNTY BARNETT, LAWRENCE S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - UPPER 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP EXTREMITIES IRVINE, CA 92618 OF ORANGE COUNTY BARNETT, LAWRENCE S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - HIP 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY BARNETT, LAWRENCE S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - LOWER 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP EXTREMITIES 92868 OF ORANGE COUNTY BARNETT, LAWRENCE S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - UPPER 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP EXTREMITIES 92868 OF ORANGE COUNTY BARNETT, STEVEN L - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - HIP 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY BARNETT, STEVEN L - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP KNEE IRVINE, CA 92618 OF ORANGE COUNTY BARNHART, LARRY C - MD CONCENTRA MEDICAL PRIMARY TREATING 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA PHYSICIAN 91355 BARNHART, LARRY C - MD CONCENTRA MEDICAL FAMILY MEDICINE 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 BARON, DICRAN - MD (BCC) CARDIOVASCULAR DISEASE 705 W LA VETA AVE STE 112, ORANGE, (714) 744-1529 (CARDIOLOGY) CA 92868 BARON, PEDRO W - MD (BCC) LOMA LINDA UNIVERSITY TRANSPLANT SURGERY 69844 HIGHWAY 111 STE A, RANCHO (800) 679-4642 HEALTH CARE - TRANSPLANT MIRAGE, CA 92270 INSTITUTE - RANCHO MIRAGE CLINIC BARON, SCOTT - MD (BCC) CARDIOVASCULAR DISEASE 6347 COYLE AVE, CARMICHAEL, CA (916) 967-4278 (CARDIOLOGY) 95608 BARONE, JOHN A - DO CONCENTRA MEDICAL PREVENTIVE MEDICINE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 BARONE, JOHN A - DO CONCENTRA MEDICAL PREVENTIVE MEDICINE 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 BARONE, JOHN A - DO CONCENTRA MEDICAL PREVENTIVE MEDICINE 434 S SAN VICENTE BLVD STE 100, (310) 360-6780 CENTER - SAN VICENTE LOS ANGELES, CA 90048 BARONI, KATIE - PT GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 BARR PHARMACY PHARMACY 1825 ACADEMY AVE, SANGER, CA (559) 875-2517 93657 BARRACK, JEANNETTE - PT REHABILITATION STRATEGIES PHYSICAL THERAPY 5360 JACKSON DR STE 110, LA MESA, (619) 667-7000 INC CA 91942

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 46 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BARRERA, KRYSTLE D - PHD LLUHS DEPARTMENT OF NEUROPSYCHOLOGY 11406 LOMA LINDA DR STE 300, LOMA (800) 679-4642 (BCC) NEUROPSYCHOLOGY LINDA, CA 92354 BARRERA, MARIA - LAC ATHENA ACUPUNCTURE ACUPUNCTURE 9209 COLIMA RD, WHITTIER, CA 90605 (626) 415-8938 WELLNESS CENTER BARRERA, MARIA - LAC MORALES ROBERTO P DC ACUPUNCTURE 935 E GREEN ST, PASADENA, CA 91106 (626) 796-4141 BARRERA, SANDRA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 BARRETT, BRANDON W - DPM KAISER PERMANENTE PODIATRY 1600 EUREKA RD , ROSEVILLE, CA (916) 784-4100 ROSEVILLE MEDICAL CENTER 95661 BARRETT, BRIAN - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 BARRETT, JEANETTE - OT PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 BARRICKMAN, DIANE - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 BARRILI, CHRISTIANE - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 10630 SEPULVEDA BLVD, MISSION (818) 361-3369 THERAPY CENTERS HILLS, CA 91345 BARRILI, CRISTIANE - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 1427 S LEXINGTON ST 3, DELANO, CA (661) 725-1094 THERAPY CENTERS 93215 BARRILI, CRISTIANE - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 222 W EULALIA ST STE 120, GLENDALE, (213) 202-4308 THERAPY CENTERS CA 91204 BARRILI, CRISTIANE - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 4100 TRUXTUN AVE STE 200, (661) 632-1540 THERAPY CENTERS BAKERSFIELD, CA 93309 BARRINGTON WILSHIRE PHARMACY 11701 WILSHIRE BLVD STE 3, LOS (310) 473-3323 PHARMACY ANGELES, CA 90025 BARROGA, VERONICA - OT TRIVALLEY ORTHOPEDIC OCCUPATIONAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 BARROS, SOL - AUD ADVANCED HEARING AUDIOLOGY 101 MARGARET LN STE 105, GRASS (800) 598-5300 PROVIDERS LLC VALLEY, CA 95945 BARROWS, JESSICA - PT BARROWS TRAINING PHYSICAL THERAPY 500 E ALMOND AVE STE 5B, MADERA, (559) 674-7201 EDUCATION PHYSICAL CA 93637 THERAPY BARROWS, JESSICA - PT BARROWS TRAINING PHYSICAL THERAPY 6049 N 1ST ST STE 104, FRESNO, CA (559) 438-0355 EDUCATION PHYSICAL 93710 THERAPY BARRUGA, LOUGEL - PT DYNAMIX REHABILITATION PHYSICAL THERAPY 17042 BELLFLOWER BLVD, (562) 991-1324 BELLFLOWER, CA 90706 BARRUGA, LOUGEL - PTA DYNAMIX REHABILITATION PHYSICAL THERAPY 7320 FIRESTONE BLVD STE 105, (562) 927-5820 DOWNEY, CA 90241 BARRY, ALISON - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 815 TUCKER RD STE C, TEHACHAPI, CA (661) 822-2001 93561 BARRY, MARY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 BARRYGOFBERG, LISA - OT MERIDIAN HAND THERAPY INC OCCUPATIONAL THERAPY 550 SAINT CHARLES DR STE 100, (805) 449-1125 THOUSAND OAKS, CA 91360 BARSANA, JENNIFE - PTA REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 BARSANA, WILBUR - PTA VILLA LAS PALMAS PHYSICAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 BARSTOW COMMUNITY BARSTOW COMMUNITY ACUTE CARE HOSPITAL 820 E MOUNTAIN VIEW ST, BARSTOW, (760) 256-1761 HOSPITAL (BCC) HOSPITAL CA 92311 BARSTOW, CHARLES - PT PHYSICAL THERAPY PHYSICAL THERAPY 271 FIVE CITIES DR, PISMO BEACH, CA (805) 473-7499 SPECIALISTS PTS 93449 BARTELS, LYNNE M - DPM KAISER PERMANENTE SO SAN PODIATRY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 BARTELT, EMILY - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 31720 TEMECULA PKWY STE 101, (951) 303-3566 TEMECULA, CA 92592 BARTLETT, JOSEPH - AUD ADVANCED HEARING AUDIOLOGY 2201 PILLSBURY RD STE 194, CHICO, (800) 598-5300 PROVIDERS LLC CA 95926 BARTLETT, JOSEPH - AUD ADVANCED HEARING AUDIOLOGY 2450 ORO DAM BLVD STE C, OROVILLE, (800) 598-5300 PROVIDERS LLC CA 95966 BARTLETT, JOSEPH - AUD ADVANCED HEARING AUDIOLOGY 6573 CLARK RD STE B, PARADISE, CA (800) 598-5300 PROVIDERS LLC 95969 BARTLETT, JOSEPH - AUD ADVANCED HEARING AUDIOLOGY 2329 HILLTOP DR , REDDING, CA 96002 (800) 598-5300 PROVIDERS LLC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 47 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BARTOLI, ADRIAN G - MD CONCENTRA MEDICAL ANESTHESIOLOGY 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 BARTOLO, ERIC - PT ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 30837 E THOUSAND OAKS BLVD, (818) 879-2091 MAIN ACCOUNT WESTLAKE VILLAGE, CA 91362 BARTOLOME, JASMINE - PT DESERT REHABILITATION PHYSICAL THERAPY 180 W LEGION RD, BRAWLEY, CA 92227 (760) 351-7125 INSTITUTE BARTON MEMORIAL HOSPITAL BARTON MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 2170 SOUTH AVE, SOUTH LAKE TAHOE, (530) 541-3420 (BCC) CA 96150 BARTON, EDWARD - MD (BCC) NEUROLOGY 630 S RAYMOND AVE UNIT 310, (626) 598-3770 PASADENA, CA 91105 BASCOM PHARMACY PHARMACY 105 N BASCOM AVE STE 101, SAN (408) 995-6020 JOSE, CA 95128 BASCOM PHYSICALTHERAPY & PHYSICAL THERAPY 165 N K ST, DINUBA, CA 93618-1925 (559) 591-2520 HAND REHABILITATION BASCONCILLO, RAMOS RAMOS HATCH CHIROPRACTIC MEDICINE 3700 DELTA FAIR BLVD STE L, (925) 778-3288 BRENDA ROSE - DC CHIROPRACTIC ANTIOCH, CA 94509 BASELEY, TRACI - PTA MAXIM PHYSICAL THERAPY PHYSICAL THERAPY 2321 COURT ST, REDDING, CA 96001 (530) 242-8480 BASELEY, TRACI - PTA MAXIM REHAB INC PHYSICAL THERAPY 9461 DESCHUTES RD STE 8, PALO (530) 547-5478 CEDRO, CA 96073 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 110 JENSEN CT STE A , THOUSAND (805) 374-2000 OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDIC SURGERY - 110 JENSEN CT STE A , THOUSAND (805) 374-2000 KNEE OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDIC SURGERY - 110 JENSEN CT STE A , THOUSAND (805) 374-2000 SHOULDER OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDIC SURGERY - 110 JENSEN CT STE A , THOUSAND (805) 374-2000 WRIST OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDICS - HIP 110 JENSEN CT STE A , THOUSAND (805) 374-2000 OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDICS - KNEE 110 JENSEN CT STE A , THOUSAND (805) 374-2000 OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDICS - SHOULDER 110 JENSEN CT STE A , THOUSAND (805) 374-2000 OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDICS - WRIST 110 JENSEN CT STE A , THOUSAND (805) 374-2000 OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS PRIMARY TREATING 110 JENSEN CT STE A , THOUSAND (805) 374-2000 PHYSICIAN OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDIC SURGERY - 110 JENSEN CT STE A , THOUSAND (805) 374-2000 ANKLE OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS ORTHOPEDICS - ANKLE 110 JENSEN CT STE A , THOUSAND (805) 374-2000 OAKS , CA 91360 BASHNER, BRIAN - MD WESTLAKE ORTHOPEDICS SPORTS MEDICINE 110 JENSEN CT STE A , THOUSAND (805) 374-2000 OAKS , CA 91360 BASI, JASPREET - OT SAN DIEGO POSTACUTE OCCUPATIONAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 BASIL, SHERWIN - AUD ADVANCED HEARING AUDIOLOGY 2100 EUCLID ST STE 325, ANAHEIM, (800) 598-5300 PROVIDERS LLC CA 92802 BASIL, SHERWIN - AUD ADVANCED HEARING AUDIOLOGY 5220 CLARK AVE STE 325, (800) 598-5300 PROVIDERS LLC LAKEWOOD, CA 90712 BASTIN, MICHELLE - AUD ADVANCED HEARING AUDIOLOGY 1835 NEWPORT BLVD STE A111, COSTA (800) 598-5300 PROVIDERS LLC MESA, CA 92627 BATCH, LOUIS S - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE BATCH, LOUIS S - MD CONCENTRA MEDICAL PRIMARY TREATING 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE PHYSICIAN BATES, AMY - PT WEST STAR PHYSICAL PHYSICAL THERAPY 1400 E COOLEY DR STE 108, COLTON, (909) 232-8828 THERAPY CA 92324 BATES, AMY - PT WEST STAR PHYSICAL PHYSICAL THERAPY 9635 MONTE VISTA AVE STE 206, (909) 399-3100 THERAPY MONTCLAIR, CA 91763 BATES, ANNIE - PT SWANSON MCARTHUR PHYSICAL THERAPY 6601 MADISON AVE 200, CARMICHAEL, (916) 965-8900 PHYSICAL THERAPY CA 95608 BATES, MARTIN - DC BATES CHIROPRACTIC CHIROPRACTIC MEDICINE 38012 MARTHA AVE, FREMONT, CA (510) 739-6393 CENTER INC 94536

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 48 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BATHAUER, DEANNA - OTA HORIZON THERAPY SERVICES OCCUPATIONAL THERAPY 8265 WHITE OAK AVE, RANCHO (909) 373-1641 CUCAMONGA, CA 91730 BATIZ, VANNESA - LMT BEACH CITIES ORTHOPEDIC MASSAGE THERAPIST 400 S SEPULVEDA BLVD STE 247, (310) 546-3461 SPORTS MEDICINEMAIN MANHATTAN BEACH, CA 90266 BATTEN, CASEY G - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 696 HAMPSHIRE RD STE 170, (310) 665-7200 CLINIC WESTLAKE VILLAGE, CA 91361 BATTEN, CASEY G - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 696 HAMPSHIRE RD STE 170, (310) 665-7200 CLINIC WESTLAKE VILLAGE, CA 91361 BATTEN, CASEY G - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 696 HAMPSHIRE RD STE 170, (310) 665-7200 CLINIC WESTLAKE VILLAGE, CA 91361 BATTEN, CASEY G - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 696 HAMPSHIRE RD STE 170, (310) 665-7200 CLINIC WESTLAKE VILLAGE, CA 91361 BATTEN, CASEY G - MD (BCC) KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 696 HAMPSHIRE RD STE 170, (310) 665-7200 CLINIC WESTLAKE VILLAGE, CA 91361 BATTEN, CASEY G - MD (BCC) KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 696 HAMPSHIRE RD STE 170, (310) 665-7200 CLINIC PHYSICIAN WESTLAKE VILLAGE, CA 91361 BATTEN, MELISSA - LAC B WELL ACUPUNCTURE ACUPUNCTURE 4428 INGRAHAM ST, SAN DIEGO, CA (619) 204-9966 92109 BAUDENDISTEL PHYSICAL PHYSICAL THERAPY 3609 MISSION AVE STE C, (916) 487-4681 THERAPY CARMICHAEL, CA 95608-2955 BAUDENDISTEL, ARTHUR - PT BAUDENDISTEL PHYSICAL PHYSICAL THERAPY 3609 MISSION AVE STE C, (916) 487-4681 THERAPY CARMICHAEL, CA 95608 BAUDENDITEL, MATTHEW - PT BAUDENDISTEL PHYSICAL PHYSICAL THERAPY 3609 MISSION AVE STE C, (916) 487-4681 THERAPY CARMICHAEL, CA 95608 BAUER, RANDALL - PT RPM REHAB DBA BAUER PHYSICAL THERAPY 27071 CABOT RD STE 101, LAGUNA (949) 588-7278 PHYSICAL THERAPY HILLS, CA 92653 BAUGH, WILLIAM - MD DERMATOLOGY 333 W BASTANCHURY RD #110, (714) 879-4312 FULLERTON, CA 92835 BAUM, JACK - MD (BCC) ANESTHESIOLOGY 20750 VENTURA BLVD STE 210, (818) 888-7815 WOODLAND HILLS, CA 91364 BAUM, JOANNA - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 BAUMGARTNER, STEPHEN - PT B B PHYSICAL THERAPY PHYSICAL THERAPY 24355 LYONS AVE STE 100, NEWHALL, (661) 290-2884 CA 91321 BAUTISTA, FERDINAND - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 31720 TEMECULA PKWY STE 101, (951) 691-4029 TEMECULA, CA 92592 BAUTISTA, NORMAN C - (BCC) ADVANCED SURGEONS GENERAL SURGERY 328 S FIRST ST STE F-G, ALHAMBRA, (626) 457-5333 MEDICAL GROUP INC DBA CA 91801 HERNIA NETWORK BAUTISTA, ROBERT M - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 200 N LEWIS AVE , ORANGE, CA 92868 (714) 644-6450 ORANGE HEALTH PAVILLION REHABILITATION BAUTISTA, ROBERT M - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 4201 W CHAPMAN AVE , ORANGE, CA (714) 644-6450 CHAPMAN MEDICAL OFFICES REHABILITATION 92668 BAUTISTA, ROBERT M - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 441 N LAKEVIEW AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL CENTER REHABILITATION 92807 BAUTISTA, STEPHANIE - DC STEPHANIE BAUTISTA DC CHIROPRACTIC MEDICINE 42 RACE ST, SAN JOSE, CA 95126 (408) 294-8020 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE CA 93065 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE KNEE CA 93065 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE CA 93065 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE CA 93065 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS, CA 91361 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE KNEE THOUSAND OAKS , CA 91361 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS, CA 91361 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 49 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 19950 RINALDI ST STE 100, PORTER (818) 363-2273 (BCC) ORTHOPEDIC INSTITUTE RANCH, CA 91326 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 363-2273 (BCC) ORTHOPEDIC INSTITUTE KNEE RANCH, CA 91326 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 19950 RINALDI ST STE 100, PORTER (818) 363-2273 (BCC) ORTHOPEDIC INSTITUTE RANCH, CA 91326 BAWA, HARPREET S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 19950 RINALDI ST STE 100, PORTER (818) 363-2273 (BCC) ORTHOPEDIC INSTITUTE RANCH, CA 91326 BAY AREA PHYSICAL THERAPY PHYSICAL THERAPY 911 MORAGA RD STE 103, LAFAYETTE, (925) 284-3840 INC CA 94549-4591 BAY AREA PHYSICAL THERAPY PHYSICAL THERAPY 911 MORAGA RD STE 103, LAFAYETTE, (925) 284-3840 INC CA 94549-4591 BAY AREA PSYCHOTHERAPY PHYSICAL THERAPY 911 MORAGA RD # 100, LAFAYETTE, CA (925) 284-3840 SERVICES 94549 BAY, MAILE - PT EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 28631 S WESTERN AVE STE 104A, (310) 548-5444 ASSOCIATES INC RANCHO PALOS VERDES, CA 90275 BAYAT, HAMED - MD (BCC) CARDIOVASCULAR DISEASE 15611 POMERADO RD STE 400, POWAY, (760) 743-0546 (CARDIOLOGY) CA 92064 BAYAT, HAMED - MD (BCC) CARDIOVASCULAR DISEASE 1955 CITRACADO PKWY STE 300, (858) 592-2696 (CARDIOLOGY) ESCONDIDO, CA 92029 BAYSIDE MARIN INC (BCC) BAYSIDE MARIN INC CHEMICAL DEPENDENCY 718 4TH ST, SAN RAFAEL, CA 94901 (415) 721-2000 REHABILITATION CENTER (OUTPATIENT) BAYSIDE MEDICAL CENTER BAYSIDE MEDICAL CENTER URGENT CARE FACILITY 2301 W EL SEGUNDO BLVD, (323) 757-2118 (BCC) HAWTHORNE, CA 90250 BAZHENOVA, LYUDMILA A - MD MOORES CANCER CENTER - ONCOLOGY 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 (BCC) US SAN DIEGO HEALTH LA JOLLA , CA 92093 BAZZAZ, SHEILA - MD KAISER PERMANENTE YORBA OPHTHALMOLOGY 2521 MICHELLE DR , TUSTIN, CA 92780 (714) 830-6660 LINDA MEDICAL OFFICES BEACH CITIES ORTHOPEDICS AMBULATORY SURGERY 400 S SEPULVEDA BLVD STE 110, (310) 798-6488 SURGERY CENTER LLC (BCC) CENTER MANHATTAN BEACH, CA 90266 BEACH COMMUNITIES PHYSICAL THERAPY 2920 WESTMINSTER AVE, SEAL BEACH, (562) 594-8600 PHYSICAL THERAPY CA 90740 BEACH DISTRICT SURGERY AMBULATORY SURGERY 514 N PROSPECT AVE STE 100 , (310) 376-2707 CENTER LLC CENTER REDONDO BEACH , CA 90277 BEACH MEDICAL PHARMACY PHARMACY 5230 BEACH BLVD, BUENA PARK, CA (714) 739-8811 90621 BEACH PHYSICAL THERAPY PHYSICAL THERAPY 2920 WESTMINSTER AVE, SEAL BEACH, (562) 594-8600 CA 90740 BEACH PROFESSIONAL PHARMACY 17742 BEACH BLVD STE 100, (714) 848-4447 PHARMACY HUNTINGTON BEACH, CA 92647 BEACON HOUSE (BCC) BEACON HOUSE CHEMICAL DEPENDENCY 468 PINE AVE, PACIFIC GROVE, CA (831) 372-2334 REHABILITATION CENTER 93950 (OUTPATIENT) BEADLES, LYNETTE - OT AUBURN OAKS CARE CENTER OCCUPATIONAL THERAPY 3400 BELL RD, AUBURN, CA 95603 (530) 888-6257 BEAN, DELOIS J - MD KAISER PERMANENTE EL HAND SURGERY 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 CAJON MEDICAL OFFICES 92020 BEAN, DELOIS J - MD KAISER PERMANENTE EL ORTHOPEDICS 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 CAJON MEDICAL OFFICES 92020 BEAN, TARYN - PT ELITE REHABILITATION PHYSICAL THERAPY 5152 HOLLISTR AV, SANTA BARBARA, (805) 681-9108 CENTER INC CA 93111 BEAR CREEK PHARMACY PHARMACY 36243 INLAND VALLEY DR, WILDOMAR, (951) 677-4880 CA 92595 BEAR VALLEY COMMUNITY BEAR VALLEY COMMUNITY ACUTE CARE HOSPITAL 41870 GARSTIN DR, BIG BEAR LAKE, CA (909) 866-6501 HOSPITAL (BCC) HOSPITAL 92315 BEAR VALLEY URGENT CARE BEAR VALLEY URGENT CARE URGENT CARE FACILITY 12186 HESPERIA RD, VICTORVILLE, CA (760) 381-8848 INC (BCC) INC 92395 BEATIE, CHRISTOPHER - MD ANESTHESIOLOGY 26371 CROWN VALLEY PKWY, MISSION (949) 900-3480 (BCC) VIEJO, CA 92691 BEATIE, CHRISTOPHER - MD ANESTHESIOLOGY 26730 CROWN VALLEY PKWY, MISSION (949) 348-0544 (BCC) VIEJO, CA 92691 BEATIE, CHRISTOPHER - MD ANESTHESIOLOGY 26921 CROWN VALLEY PKWY STE 201, (949) 364-1400 (BCC) MISSION VIEJO, CA 92691

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 50 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BEATIE, CHRISTOPHER - MD ANESTHESIOLOGY 27700 MEDICAL CENTER RD, MISSION (949) 364-2201 (BCC) VIEJO, CA 92691 BEATIE, CHRISTOPHER - MD ANESTHESIOLOGY 31872 COAST HWY, LAGUNA BEACH, (949) 334-8160 (BCC) CA 92651 BEATON ORTHOPEDIC PHYSICAL THERAPY 24955 PACIFIC COAST HWYSUITE C102, (310) 456-9332 PHYSICAL THERAPY MALIBU, CA 90265-4749 BEAUCHAMP, CHAD - PT REPAIR NB PHYSICAL PHYSICAL THERAPY 2013 NEWPORT BLVD, COSTA MESA, (714) 377-4314 THERAPY CORP CA 92627 BECERRA, ANTHONY - DC PURE CHIROPRACTIC CHIROPRACTIC MEDICINE 25136 HANCOCK AVE STE C, (951) 461-4617 MURRIETA, CA 92562 BECERRA, MONICA - PTA DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 BECERRA, MONICA - PTA DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 5901 W OLYMPIC BLVD STE 407, LOS (323) 917-5194 ANGELES, CA 90036 BECHERER, KELLEY - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 295 G ST, SAN DIEGO, CA 92101 (619) 238-4318 BECK AND CALE PHYSICAL PHYSICAL THERAPY 150 MARY AVE STE 1, NIPOMO, CA (805) 929-3230 THERAPY 93444-7821 BECK AND CALE PHYSICAL PHYSICAL THERAPY 201 N COLLEGE DR STE 203, SANTA (805) 922-1724 THERAPY OF SANTA MARIA MARIA, CA 93454-4614 BECK, ALAN - DC GOLDEN STATE CHIROPRACTIC MEDICINE 8303 SRRA COLG BLVD STE 108, (916) 791-4600 CHIROPRACTIC ROSEVILLE, CA 95661 BECK, ALAN - DC GOLDEN STATE CHIROPRACTIC MEDICINE 1895 E ROSEVILLE PKWY STE 130, (916) 791-4600 CHIROPRACTIC DR ALAN BECK ROSEVILLE, CA 95661 DC BECK, ANDREA, H - LAC SORRENTO VALLEY ACUPUNCTURE 5440 MOREHOUSE DR STE 1700, SAN (858) 455-7654 CHIROPRACTIC DIEGO, CA 92121 BECK, TINA - PT REDWOOD ORTHOPAEDIC PHYSICAL THERAPY 20211 PATIO DR STE 205, CASTRO (510) 537-3991 PHYSICAL THERAPY VALLEY, CA 94546 BECKERS, DENISE - PTA BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 BECKETT, MICHAEL P - MD KAISER PERMANENTE WEST ORTHOPEDICS 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER BECKMAN, HEATHER KAY - BEACH CITIES ORTHOPEDIC HAND THERAPY 2990 LOMITA BLVD STE B, TORRANCE, 3105463461x24 CHT SPORTS MEDICINE CA 90505 0 BECKMAN, HEATHER KAY - OT BEACH CITIES ORTHOPEDIC OCCUPATIONAL THERAPY 2990 LOMITA BLVD STE B, TORRANCE, 3105463461x24 SPORTS MEDICINE CA 90505 0 BEDERMAN, SAMUEL - MD RESTORE ORTHOPEDICS AND SPINE SURGERY 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ORANGE, CA 92868 CENTER BEDIKIAN, ARAM - DC ARAM BEDIKIAN DC CHIROPRACTIC MEDICINE 552 SPENCER ST, GLENDALE, CA 91202 (818) 636-5307 BEDIKIAN, ARAM - DC ARAM BEDIKIAN DC CHIROPRACTIC MEDICINE 815 E COLORADO ST STE 110, (818) 636-5307 GLENDALE, CA 91205 BEDNARZ, BARRETT - PTA CAMARILLO PHYSICAL PHYSICAL THERAPY 4000 CALLE TECATE STE 117, (805) 383-0470 THERAPY CAMARILLO, CA 93012 BEDROSSIAN, JAMES - PT DESERT REHABILITATION PHYSICAL THERAPY 180 W LEGION RD, BRAWLEY, CA 92227 (760) 351-7125 INSTITUTE BEEMAN'S REDLANDS PHARMACY 255 TERRACINA BLVD STE 103, (909) 792-2300 PHARMACY REDLANDS, CA 92373 BEEMANS HIGHLAND PHARMACY 399 E HIGHLAND AVE STE 103, SAN (909) 886-6851 PHARMACY BERNARDINO, CA 92404 BEEMANS LAKE ARROWHEAD PHARMACY 29099 HOSPITAL RD STE 101, LAKE (909) 337-0747 PHCY ARROWHEAD, CA 92352 BEERYS PHYSICAL THERAPY PHYSICAL THERAPY 5008 HWY 140SUITE B, MARIPOSA, CA (209) 966-2251 INC 95338-0000 BEHRMAN, MICHAEL M - MD ASSOCIATED HAND ORTHOPEDIC SURGERY - 2028 VILLAGE LN STE 102 , SOLVANG, (805) 682-2267 (BCC) SURGEONS UPPER EXTREMITIES CA 93463 BEHRMAN, MICHAEL M - MD ASSOCIATED HAND ORTHOPEDICS - UPPER 2028 VILLAGE LN STE 102 , SOLVANG, (805) 682-2267 (BCC) SURGEONS EXTREMITIES CA 93463 BEHRMAN, MICHAEL M - MD ASSOCIATED HAND ORTHOPEDIC SURGERY - 2323 DE LA VINA ST STE 201 , SANTA (805) 682-2267 (BCC) SURGEONS UPPER EXTREMITIES BARBARA , CA 93105 BEHRMAN, MICHAEL M - MD ASSOCIATED HAND ORTHOPEDICS - UPPER 2323 DE LA VINA ST STE 201 , SANTA (805) 682-2267 (BCC) SURGEONS EXTREMITIES BARBARA , CA 93105

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 51 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BEHROUZI, PEJMAN - DC ACTIVEMED INTEGRATIVE CHIROPRACTIC MEDICINE 15611 POMERADO RD STE 100S, (858) 673-4400 HEALTH CENTER POWAY, CA 92064 BEHROUZI, PEJMAN - DC ACTIVEMED INTEGRATIVE CHIROPRACTIC MEDICINE 317 N EL CAMINO REAL STE 306, (858) 673-4400 HEALTH CENTER ENCINITAS, CA 92024 BEHSERESHT, DARIAN J - MD KAISER PERMANENTE VASCULAR SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER BEIT T SHUVAH (BCC) BEIT T SHUVAH CHEMICAL DEPENDENCY 8831 VENICE BLVD, LOS ANGELES, CA (310) 204-5200 REHABILITATION CENTER 90034 (OUTPATIENT) BEL AIR PHARMACY PHARMACY 1286 STABLER LN, YUBA CITY, CA (530) 755-9917 95993 BEL AIR PHARMACY PHARMACY 8425 ELK GROVE FLORIN RD, ELK (916) 681-5790 GROVE, CA 95624 BEL AIR PHARMACY PHARMACY 2155 GOLDEN CENTRE LN, GOLD (916) 858-0481 RIVER, CA 95670 BEL AIR PHARMACY PHARMACY 7901 WALERGA RD, ANTELOPE, CA (916) 725-6940 95843 BEL AIR PHARMACY PHARMACY 1039 SUNRISE AVE, ROSEVILLE, CA (916) 786-6104 95661 BEL AIR PHARMACY PHARMACY 1540 W EL CAMINO AVE, SACRAMENTO, (916) 920-3558 CA 95833 BEL AIR PHARMACY PHARMACY 4005 MANZANITA AVE, CARMICHAEL, (916) 483-2695 CA 95608 BEL AIR PHARMACY PHARMACY 4008 FOOTHILLS BLVD, ROSEVILLE, CA (916) 783-1174 95747 BEL AIR PHARMACY PHARMACY 7465 RUSH RIVER DR, SACRAMENTO, (916) 399-9060 CA 95831 BEL AIR PHARMACY PHARMACY 3510 PALMER DR, CAMERON PARK, CA (530) 676-4833 95682 BEL AIR PHARMACY PHARMACY 4320 ARDEN WAY, SACRAMENTO, CA (916) 972-7028 95864 BEL AIR PHARMACY PHARMACY 2222 GRASS VALLEY HWY, AUBURN, CA (530) 889-8003 95603 BEL AIR PHARMACY PHARMACY 9435 ELK GROVE BLVD, ELK GROVE, (916) 714-6955 CA 95624 BEL AIR PHARMACY PHARMACY 3250 ARENA BLVD, SACRAMENTO, CA (916) 419-4442 95834 BEL AIR PHARMACY PHARMACY 5100 LAGUNA BLVD, ELK GROVE, CA (916) 684-7007 95758 BEL AIR PHARMACY PHARMACY 2341 SUNSET BLVD, ROCKLIN, CA (916) 632-0184 95765 BEL AIR TREATMENT (BCC) BEL AIR TREATMENT CHEMICAL DEPENDENCY 600 N SEPULVEDA BLVD, LOS (310) 622-1420 REHABILITATION CENTER ANGELES, CA 90049 (OUTPATIENT) BELCHER, SARAH - PT HANDS ON REHAB INC PHYSICAL THERAPY 7921 PROFESSIONAL CIR, (714) 847-8751 HUNTINGTON BEACH, CA 92648 BELFER, HOWARD - MD CONCENTRA MEDICAL NEUROLOGY 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO BELFER, HOWARD - MD CONCENTRA MEDICAL NEUROLOGY 2850 SEVENTH ST STE 100, BERKELEY, (510) 845-5170 CENTER - BERKELEY CA 94710 BELFER, HOWARD - MD CONCENTRA MEDICAL NEUROLOGY 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT OAKLAND, CA 94621 BELFER, HOWARD - MD CONCENTRA MEDICAL NEUROLOGY 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS CARLOS, CA 94070 BELFER, HOWARD - MD CONCENTRA MEDICAL NEUROLOGY 13939 E 14TH ST STE 150, SAN (510) 343-8300 CENTER - SAN LEANDRO - LEANDRO, CA 94578 EAST BELFER, HOWARD - MD CONCENTRA MEDICAL NEUROLOGY 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY CITY, CA 94587 BELITSKI, ANDREI - MD (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 365-8051 MISSION HILLS, CA 91345

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 52 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BELITSKI, ANDREI - MD (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (661) 222-3100 91345 BELITSKI, ANDREI - MD (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 843-5111 BURBANK, CA 91505 BELITSKI, ANDREI - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (818) 563-6757 91355 BELITSKI, ANDREI - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 500-0523 91505 BELITSKI, ANDREI - MD (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 256-2100 91206 BELL DRUGS PHARMACY 3809 GAGE AVE, BELL, CA 90201 (323) 562-1006 BELL GARDENS FAMILY PHARMACY 6501 GARFIELD AVE, BELL GARDENS, (562) 776-5050 PHARMACY CA 90201 BELL ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 1111 S ARROYO PKWY STE 440, (626) 441-0751 THERPY PASADENA, CA 91105 BELL, LISA - PT NORTH SANTA ROSA PHYSICAL THERAPY 1400 N DUTTON AVE STE 1, SANTA (707) 523-2848 PHYSICAL THERAPY ROSA, CA 95401 BELLA TERRA PHARMACY PHARMACY 16121 BEACH BLVD STE A, (949) 220-2554 HUNTINGTON BEACH, CA 92647 BELLA VIDA PHARMACY PHARMACY 1037 W CARSON ST, TORRANCE, CA (310) 320-3333 90502 BELLAIRE PHARMACY PHARMACY 12650 SHERMAN WAY STE 9, NORTH (818) 765-1025 HOLLYWOOD, CA 91605 BELLOMO, ANTHONY F - MD SPINE SURGERY 2805 J ST STE 210, SACRAMENTO, CA (916) 441-1973 (BCC) 95816 BELLOMO, ANTHONY F - MD ORTHOPEDICS - SPINE 2805 J ST STE 210, SACRAMENTO, CA (916) 441-1973 (BCC) 95816 BELLWOOD MEDICAL CENTER PHARMACY 10230 ARTESIA BLVD STE 101, (562) 866-8281 PHARMA BELLFLOWER, CA 90706 BELTRAN, BRIAN - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 886 MAGNOLIA AVE STE 100, CORONA, (951) 340-3402 CA 92879 BELTRAN, CHRISTOPHER - ADVANCED HEARING AUDIOLOGY 1073 ROSS AVE STE F, EL CENTRO, CA (800) 598-5300 AUD PROVIDERS LLC 92243 BEN'S VAL MESA PHARMACY PHARMACY 100 E VALENCIA MESA DR, (714) 992-1234 FULLERTON, CA 92835 BEND, AMIE - DC BEND CHIROPRACTIC CHIROPRACTIC MEDICINE 172 STATION WAY, ARROYO GRANDE, (805) 474-4747 CA 93420 BENDER, MICHAEL - PT PERFORMAX PHYSICAL THERAPY 2001 W ALAMEDA AVE, BURBANK, CA (818) 953-4444 91506 BENEDETTI, ROY - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 BENESH, PAUL - LAC PAUL C BENESH ACUPUNCTURE 42544 10TH ST W STE G, LANCASTER, (661) 217-7872 ACUPUNCTURE CA 93534 BENICIA BAY PHYISCAL PHYSICAL THERAPY 560 1ST ST STE D101, BENICIA, CA (707) 747-9977 THERAPY 94510 BENITAH, NICOLE R - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER BENITEZ, ALEXANDER - PT HAYASHIDA ASSOCIATES PHYSICAL THERAPY 5718 HOLLISTER AVE STE 105, GOLETA, (805) 685-1755 PHYSICAL THERAPY INC CA 93117 BENNETT VALLEY THERAPY PHYSICAL THERAPY 1221 FARMERS LN # 100, SANTA ROSA, (707) 578-7176 CA 95405 BENNETT, CATHERINE - OT TWO TREES PHYSICAL OCCUPATIONAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 BENNETT, GARY - MD CHAPMAN GLOBAL MEDICAL PAIN MANAGEMENT 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER 92869 BENNETT, GARY - MD (BCC) ANESTHESIOLOGY 2601 E CHAPMAN AVE, ORANGE, CA (714) 639-3780 92869 BENNETT, GARY - MD (BCC) ANESTHESIOLOGY 2617 E CHAPMAN AVE STE 110, (714) 639-3780 ORANGE, CA 92869 BENNETT, GARY - MD (BCC) ANESTHESIOLOGY 999 N TUSTIN AVE STE 114, SANTA (714) 508-1981 ANA, CA 92705

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 53 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BENNETT, JEREMY S - MD SANSUM CLINIC - PESETAS FAMILY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) BENNETT, JEREMY S - MD SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) BENSON, DARCY - AUD ADVANCED HEARING AUDIOLOGY 1008 LAUREL ST , SAN CARLOS, CA (800) 598-5300 PROVIDERS LLC 94070 BENSON, JOHN C - DPM KAISER PERMANENTE PODIATRY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER BENTLEY, KAILYN - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 840 S FAIRMONT AVE STE 5, LODI, CA (209) 451-0063 PHYSICAL AND 95240 OCCUPATIONAL BENTON, JEFFREY - DC LIGHT TOUCH HEALING CHIROPRACTIC MEDICINE 6360 WILSHIRE BLVD STE 210, LOS (323) 297-0566 CENTER ANGELES, CA 90048 BENZER PHARMACY PHARMACY 3500 E BROADWAY, LONG BEACH, CA (562) 438-7055 90803 BERARD, NICOLAS - PT FORWARD MOTION PHYSICAL PHYSICAL THERAPY 7345 MEDICAL CTR STE 200, WEST 7479006362Lin THERAPY HILLS, CA 91307 e1 BERG, CHRISTOPHER - PT CV PHYSICAL THERAPY PHYSICAL THERAPY 4343 PACIFIC AVE STE B1, STOCKTON, (209) 425-4071 INCSTOCKTON 2 CA 95207 BERG, EMMETT - MD HEALTHLINE MEDICAL GROUP OCCUPATIONAL MEDICINE 15211 VANOWEN ST STE 105, VAN (818) 997-7711 NUYS, CA 91405 BERG, EMMETT - MD HEALTHLINE MEDICAL GROUP PRIMARY TREATING 15211 VANOWEN ST STE 105, VAN (818) 997-7711 PHYSICIAN NUYS, CA 91405 BERGER, ALLA - OT THE HAND CENTER OF OCCUPATIONAL THERAPY 22110 ROSCOE BLVD STE 302, CANOGA (818) 347-7110 SOUTHERN CALIFORNIA PARK, CA 91304 BERGER, DANIEL N - MD (BCC) SANSUM CLINIC - PESETAS ENDOCRINOLOGY, DIABETES 215 PESETAS LN, SANTA BARBARA, CA (805) 681-7858 MULTI-SPECIALTY CLINIC AND METABOLISM 93110 BERGEY, DARREN - MD BERGEY ORTHOPEDICS - SPINE SURGERY 900 E WASHINGTON ST STE 300, (909) 824-2422 SPINE INSTITUTE COLTON, CA 92324 BERGMAN, KEVIN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 BERGMAN, MICA - MD (BCC) SANSUM CLINIC - FOOTHILL OPHTHALMOLOGY 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-8950 EYE CENTER - BLDG B CA 93110 BERGMOOSER, URSULA - PT ALVES AND MARTINEZ PHYSICAL THERAPY 708 57TH ST, SACRAMENTO, CA 95819 (916) 457-7427 PHYSICAL THERAPY AND ATHLETIC PERFORMANCE BERGMOOSER, URSULA - PT ALVES AND MARTINEZ PHYSICAL THERAPY 9381 E STOCKTON BLVD STE 108, ELK (916) 686-5070 PHYSICAL THERAPY AND GROVE, CA 95624 ATHLETIC PERFORMANCE BERIAU, KATHLEEN - PT PERFORMANCE PHYSICAL PHYSICAL THERAPY 25231 PASEO DE ALICIA STE 110, (949) 716-4889 THERAPY AND SPORTS LAB LAGUNA HILLS, CA 92653 BERKE, JACQUELINE LYNN - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 BERKELEY PHYSICAL PHYSICAL THERAPY 2041 BANCROFT WAY STE 301, (510) 549-2225 THERAPY BERKELEY, CA 94704 BERKELEY PHYSICAL PHYSICAL THERAPY 2041 BANCROFT WAYSUITE 301, (510) 549-2225 THERAPY BERKELEY, CA 94704-1443 BERKOWITZ, JONATHAN - MD ORTHOPEDIC MEDICAL ORTHOPEDIC SURGERY - 18039 SHERMAN WAY , RESEDA, CA (818) 708-8100 (BCC) CENTER SHOULDER 91335 BERKOWITZ, JONATHAN - MD ORTHOPEDIC MEDICAL ORTHOPEDIC SURGERY - HIP 18039 SHERMAN WAY , RESEDA, CA (818) 708-8100 (BCC) CENTER 91335 BERKOWITZ, JONATHAN - MD ORTHOPEDIC MEDICAL ORTHOPEDIC SURGERY - 18039 SHERMAN WAY , RESEDA, CA (818) 708-8100 (BCC) CENTER KNEE 91335 BERKOWITZ, JONATHAN - MD ORTHOPEDIC MEDICAL ORTHOPEDICS - SHOULDER 18039 SHERMAN WAY , RESEDA, CA (818) 708-8100 (BCC) CENTER 91335 BERKOWITZ, JONATHAN - MD ORTHOPEDIC MEDICAL ORTHOPEDICS - HIP 18039 SHERMAN WAY , RESEDA, CA (818) 708-8100 (BCC) CENTER 91335 BERKOWITZ, JONATHAN - MD ORTHOPEDIC MEDICAL ORTHOPEDICS - KNEE 18039 SHERMAN WAY , RESEDA, CA (818) 708-8100 (BCC) CENTER 91335

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 54 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BERKSHIRE PHARMACY PHARMACY 11 BERKSHIRE AVE, REDWOOD CITY, (650) 216-9800 CA 94063 BERMAN, ANDREW - MD OTOLARYNGOLOGY (ENT) 9001 WILSHIRE BLVD STE 204, (310) 278-3223 BEVERLY HILLS, CA 90211 BERMAN, BLAKE W - DO (BCC) HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 27455 TIERRA ALTA WAY STE A, (951) 699-5282 GROUP TEMECULA, CA 92590 BERMAN, BLAKE W - DO (BCC) HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP PERRIS, CA 92571 BERMAN, BLAKE W - DO (BCC) HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 1171 RAILROAD ST STE 101, CORONA, (909) 264-2500 GROUP CA 92882 BERMAN, BLAKE W - DO (BCC) HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP 91762 BERMAN, BLAKE W - DO (BCC) HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 290 N 10TH ST STE 100, COLTON, CA (951) 272-1400 GROUP 92324 BERMEJO, JUAN - AUD ADVANCED HEARING AUDIOLOGY 2201 MT VERNON AVE STE 109, (800) 598-5300 PROVIDERS LLC BAKERSFIELD, CA 93306 BERNARDI, MARK - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 BERNARDI, MARK - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN BERNARDIWRIGHT NEIL, SHAW VITALITY WELLNESS CENTER ACUPUNCTURE 15251 NATIONAL AVE STE 106, LOS (408) 402-1849 - LAC GATOS, CA 95032 BERNARDIWRIGHT, NEIL SHAW VITALITY WELLNESS CENTER ACUPUNCTURE 1011 CENTER ST, SANTA CRUZ, CA (831) 325-9691 - LAC 95060 BERNEDO, SANDRA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 BERNSTEIN, MATTHEW - DC ELITE SPORTS MEDICINE CHIROPRACTIC MEDICINE 8610 S SEPULVEDA BLVD STE 205, LOS (310) 641-0222 ANGELES, CA 90045 BERRY AND SWEENEY PHARMACY 1377 N FAIR OAKS AVE, PASADENA, CA (626) 794-1124 PHARMACY 91103 BERRY, TAMARA M - MD (BCC) SANSUM CLINIC - PUEBLO DERMATOLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 BERVEL, DEBBIE - MD (BCC) EMERGENCY MEDICINE 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 91786 BESINGA, MARI - PT RELIANT URGENT CARE PHYSICAL THERAPY 11460 TELEGRAPH RD, SANTA FE (310) 491-7060 SPRINGS, CA 90670 BESSAS, DEAN - PT NATOMAS PHYSICAL THERAPY PHYSICAL THERAPY 1948 DEL PASO RD STE 135, (916) 419-5202 SACRAMENTO, CA 95834 BEST BUY DRUGS PHARMACY 29 N BALDWIN AVE, SIERRA MADRE, CA (626) 355-3456 91024 BEST BUY PHARMACY PHARMACY 2881 W VALLEY BLVD, ALHAMBRA, CA (626) 872-0199 91803 BEST CHOICE PHARMACY PHARMACY 4229 BIRCH ST STE 100, NEWPORT (949) 724-4000 BEACH, CA 92660 BEST CHOICE PHCY AND PHARMACY 7148 FOOTHILL BLVD, TUJUNGA, CA (818) 353-5384 MEDICAL 91042 BEST PHARMACY PHARMACY 16850 BEAR VALLEY RD, VICTORVILLE, (760) 962-9220 CA 92395 BEST PHYSICAL THERAPY PHYSICAL THERAPY 6155 ALMADEN EXPY STE 150, SAN (408) 268-2225 JOSE, CA 95120 BEST, CHELSEA - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 4010 SORRENTO VALLEY BLVD STE (858) 793-7862 FAMILY HEALTH CENTER 300, SAN DIEGO, CA 92121 BESTCARE PHARMACY PHARMACY 1051 E GRAND AVE, ARROYO GRANDE, (805) 481-1961 CA 93420 BESTCARE PHARMACY PHARMACY 5317 BEACH BLVD, BUENA PARK, CA (714) 670-7979 90621 BETTER HEALTH PHARMACY PHARMACY 7802 FOOTHILL BLVD STE G, SUNLAND, (818) 353-6666 CA 91040 BETTER VALUE PHARMACY PHARMACY 2707 E VALLEY BLVD #100, WEST (626) 960-4723 COVINA, CA 91792 BETTERX PHARMACY PHARMACY 11855 SOUTH ST, CERRITOS, CA 90703 (562) 444-5545 BETTY FORD CENTER (BCC) BETTY FORD CENTER CHEMICAL DEPENDENCY 39000 BOB HOPE DR, RANCHO MIRAGE, (760) 773-4100 REHABILITATION CENTER CA 92270 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 55 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BETTY FORD CENTER AT SAN BETTY FORD CENTER AT SAN CHEMICAL DEPENDENCY 11720 EL CAMINO REAL STE 200, SAN (800) 257-7800 DIEGO (BCC) DIEGO REHABILITATION CENTER DIEGO, CA 92130 (OUTPATIENT) BETTY FORD CENTER AT BETTY FORD CENTER AT CHEMICAL DEPENDENCY 10700 SANTA MONICA BLVD STE 310, (866) 264-1369 WEST LOS ANGELES (BCC) WEST LOS ANGELES REHABILITATION CENTER LOS ANGELES, CA 90025 (OUTPATIENT) BETTY PARMENTER PHYSICAL PHYSICAL THERAPY 1582 W SAN MARCOS BLVD STE 104, (760) 203-8474 THERAPY SAN MARCOS, CA 92078-4081 BEVERLY GLEN PHARMACY PHARMACY 2946 N BEVERLY GLEN CIR, LOS (310) 475-0568 ANGELES, CA 90077 BEVERLY HILL PT SPRTS PHYSICAL THERAPY 1200 WILSHIRE BLVD STE 401, LOS (213) 481-1515 REHAB ANGELES, CA 90017 BEVERLY HILLS APOTHECARY PHARMACY 432 N BEDFORD DR, BEVERLY HILLS, (310) 741-4596 CA 90210 BEVERLY HILLS CONCIERGE PHARMACY 9669 BRIGHTON WAY, BEVERLY HILLS, (424) 335-0755 PHARMA CA 90210 BEVERLY HILLS INTEGRATED BEVERLY HILLS INTEGRATED AMBULATORY SURGERY 9231 W OLYMPIC BLVD STE 100, (310) 275-5400 SURGICAL INC (BCC) SURGICAL INC CENTER BEVERLY HILLS, CA 90212 BEVERLY HILLS MEDICAL PHARMACY 150 N ROBERTSON BLVD, BEVERLY (310) 657-5551 PLAZA PH HILLS, CA 90211 BEVERLY HILLS PT & SPORTS PHYSICAL THERAPY 8816 BURTON WAY FL 2, BEVERLY (310) 274-9307 REHAB CTR HILLS, CA 90211-1715 BEVERLY HOSPITAL (BCC) BEVERLY HOSPITAL ACUTE CARE HOSPITAL 309 W BEVERLY BLVD, MONTEBELLO, (323) 726-1222 CA 90640 BEVERLY PHARMACY PHARMACY 2105 BEVERLY BLVD STE 107, LOS (213) 413-4448 ANGELES, CA 90057 BEVERLY PHARMACY PHARMACY 7909 BEVERLY BLVD, LOS ANGELES, (323) 651-3249 CA 90048 BEVERLY PLAZA PHARMACY PHARMACY 101 E BEVERLY BLVD, MONTEBELLO, (323) 725-7155 CA 90640 BEVERLY SINAI MED PHARMACY 2514 N ONTARIO ST STE 101, (310) 657-2881 PHARMACY BURBANK, CA 91504 BEWLEY, ROBIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 BEWLEY, ROBIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 BEWLEY, ROBIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 BEWLEY, ROBIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 BEWLEY, ROBIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 BEWLEY, ROBIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 BEYOND THE PHARMACY PHARMACY 3730 W SUNSET BLVD, LOS ANGELES, (323) 660-3667 CA 90026 BHACHU, GURDEV - PT EAST BAY PHYSICAL THERAPY PHYSICAL THERAPY 3571 SAN PABLO DAM ROAD, 5102228080Ext RICHMOND, CA 94806 10 BHADIYADRA, BIJAL - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 BHALLA, AMANDEEP - MD MEMORIAL ORTHOPAEDIC SPINE SURGERY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 (BCC) SURGICAL GROUP 90806 BHALLA, ASHISH - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623 BHALLA, ASHISH - MD CONCENTRA MEDICAL PRIMARY TREATING 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA PHYSICIAN CA 90623 BHAMBI, BRIJESH - MD (BCC) CARDIOVASCULAR DISEASE 2901 SILLECT AVE STE 100, (661) 323-8384 (CARDIOLOGY) BAKERSFIELD, CA 93308 BHANOT, PRIYANKA S - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 JOB BALDWIN PARK MEDICAL STE 150, CITY OF INDUSTRY, CA 91746 OFFICES

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 56 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BHANOT, PRIYANKA S - MD KAISER PERMANENTE ON THE PRIMARY TREATING 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 JOB BALDWIN PARK MEDICAL PHYSICIAN STE 150, CITY OF INDUSTRY, CA 91746 OFFICES BHARADIA, JUMA - MD (BCC) CARDIOVASCULAR DISEASE 22617 HAWTHORNE BLVD, TORRANCE, (310) 378-3993 (CARDIOLOGY) CA 90505 BHARADWAJ, ADITYA S - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE BHARADWAJ, ADITYA S - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE BHARADWAJ, SHASHIRA S - MD LOMA LINDA UNVIVERSITY GASTROENTEROLOGY 11370 ANDERSON ST FMO #3625, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP BHARDWAJ, RAHUL - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE BHARNE, ANJALI A - MD (BCC) UC SAN DIEGO HEALTH - HEMATOLOGY AND 1200 GARDEN VIEW RD STE 200, (760) 536-7700 CANCER SERVICES ONCOLOGY ENCINITAS, CA 92024 BHATIA, NAVNIT - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 2305 SUNSET BLVD, ROCKLIN, CA (916) 632-9606 CENTER - ROCKLIN REHABILITATION 95765 BHATT, DEEPEN, MUKESH - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD BHATT, DEEPEN, MUKESH - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA BHATT, DEEPEN, MUKESH - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY BHATT, DEEPEN, MUKESH - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS BHATT, DEEPEN, MUKESH - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT BHAYANI, NEIL H - MD (BCC) ASSOCIATION OF SOUTH BAY SURGICAL ONCOLOGY 23451 MADISON ST STE 340, (310) 373-6864 SURGEONS TORRANCE, CA 90505 BHC ALHAMBRA HOSPITAL BHC ALHAMBRA HOSPITAL CHEMICAL DEPENDENCY 4619 ROSEMEAD BLVD, ROSEMEAD, CA (626) 286-1191 (BCC) REHABILITATION HOSPITAL 91770 (INPATIENT) BHODHISUNTHORNVERWEIJ, EAST BAY PHYSICAL THERAPY PHYSICAL THERAPY 3571 SAN PABLO DAM ROAD, 5102228080Ext NARUMON - PT RICHMOND, CA 94806 10 BHOGILL, ARCHANA - MD (BCC) PRIMARY TREATING 22461 ANTONIO PKWY STE A135, (949) 207-3266 PHYSICIAN RANCHO SANTA MARGARITA, CA 92688 BHOGILL, ARCHANA - MD (BCC) PRIMARY TREATING 25482 MARGUERITE PKWY STE 101, (949) 760-9222 PHYSICIAN MISSION VIEJO, CA 92692 BHOGILL, ARCHANA - MD (BCC) FAMILY MEDICINE 22461 ANTONIO PKWY STE A135, (949) 207-3266 RANCHO SANTA MARGARITA, CA 92688 BHOGILL, ARCHANA - MD (BCC) FAMILY MEDICINE 25482 MARGUERITE PKWY STE 101, (949) 760-9222 MISSION VIEJO, CA 92692 BHUNGU, SUNDEEP - PT SPORTFIT PHYSICAL THERAPY PHYSICAL THERAPY 350 BOLLINGER CANYON LN STE A, (925) 735-6414 SAN RAMON, CA 94582 BHUVANESWARAN, LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 KARTHIKEYAN - DO (BCC) HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S BI RITE QUALITY PHARMACY PHARMACY 340 N HARBOR BLVD, LA HABRA, CA (562) 691-0539 90631

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 57 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BIAMA, RICHARD A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - KNEE COLTON , CA 92324 EMPIRE ORTHOPEDICS BIAMA, RICHARD A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - HIP 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - COLTON , CA 92324 EMPIRE ORTHOPEDICS BIAMA, RICHARD A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - SHOULDER COLTON , CA 92324 EMPIRE ORTHOPEDICS BIAMA, RICHARD A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - ELBOW COLTON , CA 92324 EMPIRE ORTHOPEDICS BIBLE, MONTE L - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3900 LAKEVILLE HWY MOB 2, (707) 765-3800 JOB OCCUPATIONAL HEALTH PETALUMA, CA 94954 CENTER BIBLE, MONTE L - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3900 LAKEVILLE HWY MOB 2, (707) 765-3800 JOB OCCUPATIONAL HEALTH PHYSICIAN PETALUMA, CA 94954 CENTER BIBLE, MONTE L - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH RAFAEL, CA 94903 CENTER BIBLE, MONTE L - DO KAISER PERMANENTE ON THE PRIMARY TREATING 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH PHYSICIAN RAFAEL, CA 94903 CENTER BIDUN, IRINA - LMT ACCIDENT INJURY RELIEF MASSAGE THERAPIST 11226 GOLD EXPRESS DR STE 201, (916) 861-0028 CENTER GOLD RIVER, CA 95670 BIDWELL PHARMACY AND MED PHARMACY 1200 MANGROVE AVE STE A, CHICO, (530) 891-0388 SUP CA 95926 BIEN, RICHARD - LAC BIEN ALTERNATIVE ACUPUNCTURE 3000 W OLYMPIC BLVD STE 308, LOS (413) 380-2500 HEALTHCARE CENTER INC ANGELES, CA 90006 BIEN, RICHARD - LAC BIEN PHYSICAL THERAPY INC ACUPUNCTURE 9240 GARDEN GROVE BLVD STE 2, (714) 534-5848 GARDEN GROVE, CA 92844 BIEN, RICHARD - PT BIEN ALTERNATIVE PHYSICAL THERAPY 3000 W OLYMPIC BLVD STE 308, LOS (413) 380-2500 HEALTHCARE CENTER INC ANGELES, CA 90006 BIEN, RICHARD - PT BIEN PHYSICAL THERAPY INC PHYSICAL THERAPY 9240 GARDEN GROVE BLVD STE 2, (714) 534-5848 GARDEN GROVE, CA 92844 BIENENFELD, JOEL - DC JOEL BEINENFELD DC CHIROPRACTIC MEDICINE 2417 CASTLE HEIGHTS AVE, LOS (310) 993-6656 ANGELES, CA 90034 BIG 1 PHARMACY PHARMACY 415 W VALLEY BLVD, SAN GABRIEL, CA (626) 281-2186 91776 BIG 8 PHARMACY PHARMACY 4318 MAINE AVE STE C, BALDWIN (626) 851-8108 PARK, CA 91706 BIG ONE PHARMACY LA PHARMACY 656 N BROADWAY, LOS ANGELES, CA (213) 617-7888 90012 BIG VALLEY HEALTH CENTER BIG VALLEY HEALTH CENTER URGENT CARE FACILITY 554-850 MEDICAL CENTER DR, BIEBER, (530) 294-5241 (BCC) CA 96009 BIGELSEN, LILA - LAC LILA BIGELSEN ACUPUNCTURE 151 N SUNRISE AVE, ROSEVILLE, CA (916) 755-4930 95661 BIGELSEN, LILA RUTH - LAC PRO ACTIVE ACUPUNCTURE 151 N SUNRISE STE 1308, ROSEVILLE, (916) 755-4930 ACUPUNCTUREBRADLEY CA 95661 CIMINO BILDZUKEWICZ, NIKOLAI A - MD KECK MEDICINE OF USC - GENERAL SURGERY 1510 SAN PABLO ST HCC 1 STE 514, (323) 442-6868 (BCC) HEALTHCARE CENTER LOS ANGELES , CA 90033 BILLE, BRIAN - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 BILLHEIMER, KENNETH - AUD ADVANCED HEARING AUDIOLOGY 155 5TH ST STE 1028, SAN (800) 598-5300 PROVIDERS LLC FRANCISCO, CA 94103 BILLINGS, ANNETTE - MD HAND SURGERY 1245 WILSHIRE BLVD SUITE 400, LOS (213) 482-2992 ANGELES, CA 90017 BILLINGS, ANNETTE - MD ORTHOPEDIC SURGERY - 1245 WILSHIRE BLVD SUITE 400, LOS (213) 482-2992 UPPER EXTREMITIES ANGELES, CA 90017 BILLINGS, ANNETTE - MD ORTHOPEDICS - UPPER 1245 WILSHIRE BLVD SUITE 400, LOS (213) 482-2992 EXTREMITIES ANGELES, CA 90017

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 58 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BILLINGS, ANNETTE - MD ORTHOPEDICS - HAND 1245 WILSHIRE BLVD SUITE 400, LOS (213) 482-2992 ANGELES, CA 90017 BILLS, BENJAMIN - PTA GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 BINH DAN PHARMACY PHARMACY 14516 BROOKHURST ST, (714) 531-5502 WESTMINSTER, CA 92683 BIOLOGIC INFUSION PHARMACY 8851 WATSON ST, CYPRESS, CA 90630 (714) 827-7327 PHARMACY BIOLOGICTX PHARMACY 7959 DEERING AVE, CANOGA PARK, CA (800) 404-1963 91304 BIOLOGICTX PHARMACY 7959 DEERING AVE, CANOGA PARK, CA (800) 404-1963 91304 BIOMED PHARMACY PHARMACY 8640 W 3RD ST STE 100, LOS ANGELES, (310) 299-0808 SOLUTIONS CA 90048 BIOMOTION PHYSICAL PHYSICAL THERAPY 3160 TELEGRAPH RD STE 101, (805) 642-1581 THERAPY VENTURA, CA 93003-3224 BIOMOTION PHYSICAL PHYSICAL THERAPY 4225 TIERRA REJADA RD, MOORPARK, (805) 530-3838 THERAPY CA 93021-3779 BIONIX PHARMACY PHARMACY 6862 HAYVENHURST AVE, VAN NUYS, (866) 535-8752 CA 91406 BIOSCRIP INFUSION SERVICES PHARMACY 320 S FLOWER ST STE A, BURBANK, CA (818) 830-5335 91502 BIOSPORT PHYSICAL PHYSICAL THERAPY 1933 COFFEE RD, MODESTO, CA (209) 524-7488 THERAPY 95355-2704 BIRNBSUM, MICHAEL, J - DC SUNG KIM INC CHIROPRACTIC MEDICINE 100 OCEANGATE STE P280, LONG (562) 590-7349 BEACH, CA 90802 BISACCIA, ANTHONY - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 36 MAUCHLY STE A, IRVINE, CA 92618 (949) 727-3315 SPORTS THERAPY BISHOP, MICHAEL - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 BISHOP, MICHAEL - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 BISHOP, RONALD E - MD CONCENTRA MEDICAL ANESTHESIOLOGY 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE CA 91731 BISHOP, RONALD E - MD CONCENTRA MEDICAL ANESTHESIOLOGY 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 BISHOP, RONALD E - MD CONCENTRA MEDICAL ANESTHESIOLOGY 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 BITOFT, ADRIAN - OT MEDCESSITY INC OCCUPATIONAL THERAPY 4010 ORANGE AVE, LONG BEACH, CA (562) 428-3556 90807 BITOWFT, ADRIAN - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 22 ODYSSEY STE 165, IRVINE, CA 92618 (949) 727-2192 THERAPY BITOWFT, ADRIAN - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 2700 N MAIN ST STE 340, SANTA ANA, (714) 953-7330 THERAPY CA 92705 BITOWFT, ADRIAN - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 401 N BROOKHURST ST STE 100, (949) 727-2192 THERAPY ANAHEIM, CA 92801 BITTAR, TAREK - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS KNEE VAN NUYS, CA 91406 BITTAR, TAREK - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS SHOULDER VAN NUYS, CA 91406 BITTAR, TAREK - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 BITTAR, TAREK - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 BITTAR, TAREK - MD ORTHOPEDIC SURGERY - 25751 MCBEAN PKWY # 215, VALENCIA, (661) 253-3399 KNEE CA 91355 BITTAR, TAREK - MD ORTHOPEDIC SURGERY - 25751 MCBEAN PKWY # 215, VALENCIA, (661) 253-3399 SHOULDER CA 91355 BITTAR, TAREK - MD ORTHOPEDICS - KNEE 25751 MCBEAN PKWY # 215, VALENCIA, (661) 253-3399 CA 91355 BITTAR, TAREK - MD ORTHOPEDICS - SHOULDER 25751 MCBEAN PKWY # 215, VALENCIA, (661) 253-3399 CA 91355

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 59 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BITTING, MICHAEL - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 BITTING, MICHAEL - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 BITTLE, RON - DC PEAK PERFORMANCE CHIROPRACTIC MEDICINE 26883 SIERRA HWY, NEWHALL, CA (661) 424-0400 CHIROPRACTIC 91321 BIXBY PHARMACY PHARMACY 3816 WOODRUFF AVE STE 108, LONG (562) 627-1809 BEACH, CA 90808 BIXBY, ERRINN A - PHD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (562) 493-6799 SHERMAN OAKS , CA 91411 BIXBY, ERRINN A - PHD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (562) 493-6799 SEAL BEACH, CA 90740 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 PSYCHOLOGICAL NETWORK CA 90242 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 300 E ESPLANADE DR STE 900 (818) 501-4700 PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 6331 GREENLEAF AVE STE G , (818) 501-4700 PSYCHOLOGICAL NETWORK WHITTIER, CA 90601 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 PSYCHOLOGICAL NETWORK 90601 BIXBY, ERRINN A - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 900 E WASHINGTON ST STE 300, (818) 501-4700 PSYCHOLOGICAL NETWORK COLTON, CA 92324 BIZIK, MAYA - PT ADVENT PHYSICAL THERAPY PHYSICAL THERAPY 737 PEARL ST STE 108, LA JOLLA, CA (858) 456-2114 GROUP PC DBA ABILITY 92037 REHABILITATION SPECIALISTS BJRX PHARMACY PHARMACY 1801 E MARCH LN STE 280, STOCKTON, (209) 474-2888 CA 95210 BJRX PHARMACY LTC PHARMACY 1801 E MARCH LN # B270, STOCKTON, (209) 451-3171 CA 95210 BK PHARMACY PHARMACY 1129 W 4TH ST STE A, MADERA, CA (559) 675-1688 93637 BK PHARMACY PHARMACY 7509 N WILLOW AVE STE 105, FRESNO, (559) 325-6581 CA 93720 BLACET, ANDREW - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 BLACK, AMY W - MD KAISER PERMANENTE SO ORTHOPEDIC SURGERY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER BLACK, AMY W - MD KAISER PERMANENTE SO ORTHOPEDICS 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER BLACK, GREGORY - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 10200 TRINITY PKWY STE 205, (209) 451-3920 PHYSICAL AND STOCKTON, CA 95219 OCCUPATIONAL BLACK, PATRICK - PT REDLANDS PHYSICAL PHYSICAL THERAPY 1329 BARTON RD STE B, REDLANDS, (951) 769-0079 THERAPY CA 92373 BLACKSHEAR, CHARLES P - CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2850 SEVENTH ST STE 100, BERKELEY, (510) 845-5170 MD CENTER - BERKELEY CA 94710 BLACKSHEAR, CHARLES P - CONCENTRA MEDICAL PREVENTIVE MEDICINE 2850 SEVENTH ST STE 100, BERKELEY, (510) 845-5170 MD CENTER - BERKELEY CA 94710 BLACKSHEAR, CHARLES P - CONCENTRA MEDICAL PRIMARY TREATING 2850 SEVENTH ST STE 100, BERKELEY, (510) 845-5170 MD CENTER - BERKELEY PHYSICIAN CA 94710 BLAKE, JEFFREY - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 60 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BLAKE, SHAUN - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606 BLANCHARD, BRENDA, M - PT BODY WORKS PHYSICAL PHYSICAL THERAPY 4080 LOMA VISTA RD STE H, VENTURA, (805) 535-4400 THERAPY INC CA 93003 BLANCHARD, KEVIN - PT HELSE PHYSICAL THERAPY PHYSICAL THERAPY 1830 HACIENDA DR STE 2, VISTA, CA (760) 941-8600 DBA MJ PHYSICAL THERAPY 92081 BLANCO, BRIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 BLANCO, BRIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 BLANCO, BRIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 BLANCO, BRIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 BLANCO, BRIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 BLANCO, BRIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 BLANTON, LEE H - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY UPPER EXTREMITIES BLANTON, LEE H - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY LOWER EXTREMITIES BLANTON, LEE H - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - HIP 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY BLANTON, LEE H - MD (BCC) RIVERSIDE MEDICAL CLINIC - SPORTS MEDICINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY BLANTON, LEE H - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY PHYSICIAN BLASCZYK PHYSICAL PHYSICAL THERAPY 3323 MISSION DR, SANTA CRUZ, CA (831) 465-0107 THERAPY 95065-1827 BLAU, ROD A - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL CA 91367 CENTER BLESSED ORTHOPEDIC PHYSICAL THERAPY 3916 SEPULVEDA BLVD STE 204, (310) 945-5705 PHYSICAL THERAPY INC. CULVER CITY, CA 90230-4651 BLESSING PHARMACY PHARMACY 250 HOSPITAL CIR, WESTMINSTER, CA (714) 373-0123 92683 BLESSING, DEVIN - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230 BLESSINGER, SARAH - CHT JBJC INC DBA PINE STREET HAND THERAPY 1640 W YOSEMITE AVE STE 1, (209) 328-1738 PHYSICAL AND MANTECA, CA 95337 OCCUPATIONAL BLESSINGER, SARAH - OT JBJC INC DBA PINE STREET OCCUPATIONAL THERAPY 1640 W YOSEMITE AVE STE 1, (209) 328-1738 PHYSICAL AND MANTECA, CA 95337 OCCUPATIONAL BLEU PHYSICAL THERAPY & PHYSICAL THERAPY 1819 W VALLEY BLVD STE B, (626) 988-6211 PERFORMANCE ALHAMBRA, CA 91803-2344 BLITT, TRINITY - AUD ADVANCED HEARING AUDIOLOGY 6037 LA GRANADA STE B, RANCHO (800) 598-5300 PROVIDERS LLC SANTA FE, CA 92067 BLOCK, EMILY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 26302 LA PAZ RD STE 105, MISSION (949) 206-1700 SPORTS THERAPY VIEJO, CA 92691 BLOCK, EMILY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 36 MAUCHLY STE A, IRVINE, CA 92618 (949) 727-3315 SPORTS THERAPY BLOUNT, DEAN - AUD ADVANCED HEARING AUDIOLOGY 171 SAXONY RD STE 111, ENCINITAS, (800) 598-5300 PROVIDERS LLC CA 92024 BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA PRIMARY TREATING 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE PHYSICIAN BAKERSFIELD, CA 93309 BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA PRIMARY TREATING 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE PHYSICIAN VALENCIA, CA 91354 BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE PHYSICIAN BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA PHYSICAL MEDICINE AND 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE REHABILITATION BAKERSFIELD, CA 93309

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 61 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA PHYSICAL MEDICINE AND 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE REHABILITATION VALENCIA, CA 91354 BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA PHYSICAL MEDICINE AND 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE REHABILITATION BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA SPORTS MEDICINE 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA SPORTS MEDICINE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 BLOZE, ASTA E - MD (BCC) SOUTHERN CALFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE BLUE JAY PHYSICAL THERAPY PHYSICAL THERAPY 26571 STATE HIGHWAY 18 STE B, (909) 337-4192 RIMFOREST, CA 92378 BLUE OAKS LTC PHARMACY PHARMACY 1340 BLUE OAKS BLVD, ROSEVILLE, CA (916) 771-4778 95678 BLUNT, JAMIE - PTA MARKETPLACE PHYSICAL PHYSICAL THERAPY 1620 E 2ND ST STE I, BEAUMONT, CA (951) 684-2874 THERAPY 92223 BLVD CENTERS INC (BCC) BLVD CENTERS INC CHEMICAL DEPENDENCY 1608 SAWTELLE BLVD, LOS ANGELES, (855) 277-5363 REHABILITATION CENTER CA 90025 (OUTPATIENT) BLVD CENTERS INC (BCC) BLVD CENTERS INC CHEMICAL DEPENDENCY 1776 N HIGHLAND AVE, LOS ANGELES, (424) 281-6143 REHABILITATION CENTER CA 90028 (OUTPATIENT) BLVD CENTERS INC (BCC) BLVD CENTERS INC CHEMICAL DEPENDENCY 3785 6TH AVE, SAN DIEGO, CA 92103 (951) 323-7366 REHABILITATION CENTER (OUTPATIENT) BLYTHE MART PHARMACY PHARMACY 301 W HOBSONWAY, BLYTHE, CA 92225 (760) 922-3511 BOB NYE PHYSICAL THERAPY PHYSICAL THERAPY 1201 E OCEAN AVE STE A, LOMPOC, CA (805) 735-8365 93436 BOB'S PHARMACY PHARMACY 629 E YOSEMITE AVE, MANTECA, CA (209) 823-2174 95336 BOB, JOHN - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 2488 N CALIFORNIA ST, STOCKTON, CA (209) 981-7390 PHYSICAL AND 95204 OCCUPATIONAL BOBINSKI, RICHARD - DC PRO ACTIVE HEALTH CHIROPRACTIC MEDICINE 333 E 17TH ST STE 15, COSTA MESA, (949) 548-7000 CA 92627 BOCCI, GARY - DC FAMILY CHIROPRACTIC CHIROPRACTIC MEDICINE 2801 WATERMAN BLVD STE 260, (707) 427-1222 CENTER FAIRFIELD, CA 94534 BOCTOR, MARENA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3490 MADISON ST, RIVERSIDE, CA (951) 422-0617 SPORTS REHAB 92504 BOCTOR, MARENA - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 BOCTOR, MARENA - PT WEST COAST SPINE PHYSICAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 BODDULA, MADHAV R - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 BODY BASICS PHYSICAL PHYSICAL THERAPY 3179 HAMNER AVESUITE 7, NORCO, CA (951) 736-5646 THERAPY 92860-1983 BODY LOGIC PHYSICAL PHYSICAL THERAPY 715 MALTMAN DR, GRASS VALLEY, CA (530) 272-7306 THERAPY 95945-5184 BODY WORKS PHYSICAL PHYSICAL THERAPY 4080 LOMA VISTA RD STE H, VENTURA, (805) 535-4400 THERAPY INC. CA 93003-1811 BODYMAX PHYSICAL THERAPY PHYSICAL THERAPY 4165 BLACKHAWK PLAZA CIR STE 275, (925) 736-1305 DANVILLE, CA 94506-4653 BODYMAX PHYSICAL THERAPY PHYSICAL THERAPY 6668 OWENS DR, PLEASANTON, CA (925) 621-2200 & SPORTS TRAINING 94588-3334 BODYWORKS PHYSICAL THERAPY 333 N PALM CANYON DR STE 114, PALM (760) 327-4244 PHYSIOTHERAPY CLINIC SPRINGS, CA 92262-5697 BOEHM, WILLIAM - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 4199 CAMPUS DR STE 550, IRVINE, CA (800) 803-2086 GROUP INC 92612 BOEYE, JERRY - MD (BCC) EMERGENCY MEDICINE 275 GRASS VALLEY HWY, AUBURN, CA (530) 885-0344 95603 BOGARD, BRENDA - PT BRYANT ORTHOPEDIC PHYSICAL THERAPY 3140 APRON AVE, ATWATER, CA 95301 (209) 726-9000 SPORTS PHYSICAL THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 62 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BOGGS, AUDREY E - PSYD JAIME E MEDVENE & PSYCHOLOGY 30200 AGOURA RD , AGOURA HILLS , (818) 981-7845 (BCC) ASSOCIATES CA 91301 BOGHOSIAN, BRANDIE B - JAIME E MEDVENE & PSYCHOLOGY 30200 AGOURA RD , AGOURA HILLS , (818) 981-7845 PSYD (BCC) ASSOCIATES CA 91301 BOGHOSSIAN, GERARD - DPM PODIATRY 41210 11TH ST W UNIT K, PALMDALE, (661) 480-0738 CA 93551 BOIES MEDICAL CENTER PHARMACY 828 DELBON AVE, TURLOCK, CA 95382 (209) 634-8511 PHARMACY BOISTON, KELLIE - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 BOISTON, KELLIE - PT WEST COAST SPINE PHYSICAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 BOLDER, KEVIN - AUD ADVANCED HEARING AUDIOLOGY 23822 VALENCIA BLVD STE 103, (800) 598-5300 PROVIDERS LLC VALENCIA, CA 91355 BOLDER, KEVIN - AUD ADVANCED HEARING AUDIOLOGY 23838 VALENCIA BLVD STE 100, (800) 598-5300 PROVIDERS LLC VALENCIA, CA 91355 BOLENBAUGH, BRIAN - AUD ADVANCED HEARING AUDIOLOGY 628 CALIFORNIA BLVD STE F, SAN LUIS (800) 598-5300 PROVIDERS LLC OBISPO, CA 93401 BOLICH, JAMES - PT PHYS MED A PHYSICAL PHYSICAL THERAPY 7033 N FRESNO ST STE 202, FRESNO, (559) 438-4300 THERAPY CORPORATION CA 93720 BOLING, WILSON W - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PF STE 108A, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S BOLING, WILSON W - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - LOMA LINDA , CA 92354 NEUROSURGERY DEPT FP&S BOLLIER, MARILOU - PT ACTIVE SPORTS REHAB PHYSICAL THERAPY 6850 LINCOLN AVE STE 205, BUENA (714) 527-9240 WELLNESS DBA PARK, CA 90620 RECOVERCARE BOLLING, STEPHANIE, A - PT PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 BOLLOZOS, STEPHANIE - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 BOLOMEY, TALITA - PT SAN DIEGO SPINE SPORT PHYSICAL THERAPY 3760 CONVOY ST STE 100, SAN DIEGO, (858) 573-9368 INCMAIN SITE CA 92111 BOLSA EXPRESS PHARMACY PHARMACY 9262 BOLSA AVE STE A, (714) 891-8810 WESTMINSTER, CA 92683 BOLSA GRANDE PHARMACY PHARMACY 5015 W EDINGER AVE STE B, SANTA (714) 884-4271 ANA, CA 92704 BOLSA MEDICAL ARTS PHARMACY 15262 GOLDENWEST ST, (714) 897-2541 PHARMACY WESTMINSTER, CA 92683 BOND, DEBORAH - AUD ADVANCED HEARING AUDIOLOGY 880 W BENJAMIN HOLT DR , (800) 598-5300 PROVIDERS LLC STOCKTON, CA 95207 BONDAD, RITCHE - PTA GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 BONDADE, PRAKASH G - MD FIRST CALIFORNIA PHYSICIAN INTERNAL MEDICINE 11180 WARNER AVE STE 167, (714) 428-6711 (BCC) PARTNERS FOUNTAIN VALLEY , CA 92708 BONDADE, PRAKASH G - MD FIRST CALIFORNIA PHYSICIAN PULMONARY DISEASE 11180 WARNER AVE STE 167, (714) 428-6711 (BCC) PARTNERS FOUNTAIN VALLEY , CA 92708 BONE, JEFFERY - PHD PSYCHOLOGY 895 DOVE ST STE 300, NEWPORT (949) 375-4028 BEACH, CA 92660 BONHAM, DUSTIN - PT PRN DESERT REHABILITATION PHYSICAL THERAPY 1611 W MAIN ST, EL CENTRO, CA 92243 (760) 337-1144 INSTITUTE BONIN, KYLE - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 BONITA FAMILY PHARMACY PHARMACY 250 W BONITA AVE STE 110, POMONA, (909) 593-3400 CA 91767 BONNEY, KIMBERLY - AUD ADVANCED HEARING AUDIOLOGY 4780 GRANITE DR STE 450, ROCKLIN, (800) 598-5300 PROVIDERS LLC CA 95677 BONNEY, KIMBERLY - AUD ADVANCED HEARING AUDIOLOGY 555 UNIVERSITY AVE #9A, (800) 598-5300 PROVIDERS LLC SACRAMENTO, CA 95825 BOODY, ANTONY R - MD KAISER PERMANENTE SO ORTHOPEDIC SURGERY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 63 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BOOK, YUEHGUEI - PT ADVANCED THERAPEUTIC PHYSICAL THERAPY 4082 WHITTIER BLVD STE 105, LOS (323) 383-0816 HEALTH CENTER ANGELES, CA 90023 BOONE, GREG - AUD ADVANCED HEARING AUDIOLOGY 950 HOUGH AVE , LAFAYETTE, CA (800) 598-5300 PROVIDERS LLC 94549 BOONE, GREG - AUD ADVANCED HEARING AUDIOLOGY 410 ESTUDILLO AVE STE 302, SAN (800) 598-5300 PROVIDERS LLC LEANDRO, CA 94577 BOOTH, GORDON A - MD CONCENTRA MEDICAL PRIMARY TREATING 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS PHYSICIAN MARCOS, CA 92069 BOOTH, GORDON A - MD CONCENTRA MEDICAL FAMILY MEDICINE 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 BOOTH, KEVIN C - MD (BCC) ADVENTIST HEALTH SONARA ORTHOPEDICS - SPINE 200 W ROSEBURG AVE STE B, (209) 536-5778 NORTHERN CALIFORNIA SPINE MODESTO, CA 95350

BOPPERT, CATHY - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 1945 GARNET AVE, SAN DIEGO, CA (858) 224-7977 FAMILY HEALTH CENTER 92109 BORDEN, PETER S - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE KNEE 92805 BORDEN, PETER S - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE SHOULDER 92805 BORDEN, PETER S - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 BORDEN, PETER S - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 BORDEN, PETER S - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA KNEE PLACENTIA, CA 92870 BORDEN, PETER S - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA SHOULDER PLACENTIA, CA 92870 BORDEN, PETER S - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PLACENTIA, CA 92870 BORDEN, PETER S - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PLACENTIA, CA 92870 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE PRIMARY TREATING 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS PHYSICIAN TORRANCE, CA 90505 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE PRIMARY TREATING 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS PHYSICIAN SEGUNDO , CA 90245 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDIC SURGERY - HIP 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS TORRANCE, CA 90505 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDIC SURGERY - 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS LOWER EXTREMITIES TORRANCE, CA 90505 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDIC SURGERY - 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS UPPER EXTREMITIES TORRANCE, CA 90505 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDICS - HIP 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS TORRANCE, CA 90505 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDICS - LOWER 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS EXTREMITIES TORRANCE, CA 90505 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDICS - UPPER 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS EXTREMITIES TORRANCE, CA 90505 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDIC SURGERY - HIP 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS SEGUNDO , CA 90245 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDIC SURGERY - 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS LOWER EXTREMITIES SEGUNDO , CA 90245 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDIC SURGERY - 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS UPPER EXTREMITIES SEGUNDO , CA 90245 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDICS - HIP 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS SEGUNDO , CA 90245 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDICS - LOWER 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS EXTREMITIES SEGUNDO , CA 90245 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE ORTHOPEDICS - UPPER 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS EXTREMITIES SEGUNDO , CA 90245 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE SPORTS MEDICINE 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS TORRANCE, CA 90505 BORDEN, PETER S - MD (BCC) SPORTS AND SPINE SPORTS MEDICINE 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS SEGUNDO , CA 90245

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 64 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BORDER VILLAGE PHARMACY PHARMACY 4630 BORDER VILLAGE RD, SAN (619) 428-3772 YSIDRO, CA 92173 BORELLA, ANN - PTA BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 BORELLA, BEVERLY - PTA BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 BORELLO, RICHARD - AUD ADVANCED HEARING AUDIOLOGY 222 N MOUNTAIN AVE STE 111, (800) 598-5300 PROVIDERS LLC UPLAND, CA 91786 BORGES, SHAWN - DC PINNACLE HEALTHCARE CHIROPRACTIC MEDICINE 2 ROSSI CIR, SALINAS, CA 93907 (831) 770-0444 BORGES, SHAWN - DC PINNACLE HEALTHCARE CHIROPRACTIC MEDICINE 591 MC CRAY STREET SUITE 101, (831) 537-0220 HOLLISTER, CA 95023 BORGES, SHAWN - DC PINNACLE HEALTHCARE CHIROPRACTIC MEDICINE 99 AIRPORT BLVD, FREEDOM, CA 95019 (831) 728-1199 BORGES, SHAWN - DC WORKWELL MEDICAL GROUP CHIROPRACTIC MEDICINE 846 FREEDOM BLVD, WATSONVILLE, (831) 761-7225 CA 95076 BORGES, TOD - AUD ADVANCED HEARING AUDIOLOGY 541 S HAM LANE STE A, LODI, CA (800) 598-5300 PROVIDERS LLC 95242 BORGQUIST, SUZANNE - PT HANDS ON REHAB INC PHYSICAL THERAPY 1601 DOVE ST STE 242, NEWPORT (949) 222-6444 EASTBLUFF BEACH, CA 92660 BORGQUIST, SUZANNE - PT HANDS ON REHAB INC PHYSICAL THERAPY 7921 PROFESSIONAL CIR, (714) 847-8751 HUNTINGTON BEACH, CA 92648 BORNHEIMER, JOSEPH - MD SHEARER CARDIOLOGY CARDIOVASCULAR DISEASE 1577 E CHEVY CHASE DR STE 410, (818) 247-8331 (BCC) MEDICAL GROUP INC (CARDIOLOGY) GLENDALE, CA 91206 BORREGO CHF PHARMACY PHARMACY 590 PALM CANYON DR, BORREGO (760) 767-3047 SPRINGS, CA 92004 BORREGO PHARMACY PHARMACY 68555 RAMON RD STE D105, (760) 507-3300 CATHEDRAL CITY, CA 92234 BORREGO PHARMACY PHARMACY 750 E MAIN ST, BARSTOW, CA 92311 (442) 347-2888 BARSTOW BORREGO PHYSICAL THERAPY PHYSICAL THERAPY 587 PALM CANYON DRIVE SUITE 217, (760) 767-4047 BORREGO SPRINGS, CA 92004 BOS, MARY A - D0 (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE WRIST MANHATTAN BEACH, CA 90266 BOS, MARY A - D0 (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE ELBOW MANHATTAN BEACH, CA 90266 BOS, MARY A - D0 (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDICS - HAND 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 BOS, MARY A - D0 (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDICS - WRIST 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 BOS, MARY A - D0 (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDICS - ELBOW 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 BOS, MARY A - D0 (BCC) BEACH CITIES ORTHOPEDICS HAND SURGERY 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA 90248 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY TORRANCE, CA 90501 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST FOREST, CA 92630 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PLACENTIA, CA 92870 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 CENTER - SANTA ANA TUSTIN CA 92705 BOS, MARY A - DO CONCENTRA MEDICAL HAND SURGERY 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER BOSS, DEREK C - PT (BCC) MONTOYA PHYSICAL THERAPY PHYSICAL THERAPY 8501 BRIMHALL RD STE 201, (661) 679-6238 & WELLNESS BAKERSFIELD, CA 93312

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 65 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BOSTON, CHERYL - LAC ROSEVILLE ACUPUNCTURE ACUPUNCTURE 151 N SUNRISE AVE STE 815, (916) 223-6151 ROSEVILLE, CA 95661 BOTICA DEL PUEBLO PHARMACY 2035 W 7TH ST, LOS ANGELES, CA (213) 483-4330 90057 BOTICA DEL SOL PHARMACY PHARMACY 2331 E CESAR E CHAVEZ AVE, LOS (323) 260-7531 ANGELES, CA 90033 BOTICA SAN JOSE PHARMACY 1417 N VERMONT AVE, LOS ANGELES, (323) 668-1766 CA 90027 BOTIKA LTC PHARMACY 621 E CAMPBELL AVE STE 1, (408) 378-2363 CAMPBELL, CA 95008 BOTTORFF, ALEXANDRA - PT MONTCLAIR PHYSICAL PHYSICAL THERAPY 473 34TH ST, OAKLAND, CA 94609 (510) 339-2116 THERAPY WELLNESS BOTTS, JONATHAN D - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA ELBOW 91355 BOTTS, JONATHAN D - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 BOTTS, JONATHAN D - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA KNEE 91355 BOTTS, JONATHAN D - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA SHOULDER 91355 BOTTS, JONATHAN D - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 BOTTS, JONATHAN D - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 BOTTS, JONATHAN D - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 BOTTS, JONATHAN D - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC PRIMARY TREATING 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE PHYSICIAN PALMDALE, CA 93551 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC PRIMARY TREATING 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE PHYSICIAN SHERMAN OAKS , CA 91403 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE PALMDALE, CA 93551 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE KNEE PALMDALE, CA 93551 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE SHOULDER PALMDALE, CA 93551 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - HIP 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE PALMDALE, CA 93551 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - KNEE 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE PALMDALE, CA 93551 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - SHOULDER 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE PALMDALE, CA 93551 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE SHERMAN OAKS , CA 91403 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE KNEE SHERMAN OAKS , CA 91403 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE SHOULDER SHERMAN OAKS , CA 91403 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - HIP 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE SHERMAN OAKS , CA 91403 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - KNEE 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE SHERMAN OAKS , CA 91403 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - SHOULDER 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE SHERMAN OAKS , CA 91403 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC SPORTS MEDICINE 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE PALMDALE, CA 93551 BOTTS, JONATHAN D - MD LOS ANGELES ORTHOPAEDIC SPORTS MEDICINE 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE SHERMAN OAKS , CA 91403 BOUCHER, CHARLEEN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 66 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BOUCHER, CHARLEEN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 BOUFFARD, MANUEL - OT MEDCESSITY INC OCCUPATIONAL THERAPY 4010 ORANGE AVE, LONG BEACH, CA (562) 428-3556 90807 BOURELL, LINDA - OT THE HAND CENTER OF OCCUPATIONAL THERAPY 22110 ROSCOE BLVD STE 302, CANOGA (818) 347-7110 SOUTHERN CALIFORNIA PARK, CA 91304 BOURQUE, JASON - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 BOWDITCH, MONICA, A - LAC REVIVE ACUPUNCTURE INC ACUPUNCTURE 43353 MISSION BLVD STE B, FREMONT, (510) 438-0128 CA 94539 BOWEN, ROBERT - OT WEST POINT PHYSICIAL OCCUPATIONAL THERAPY 1115 W AVENUE M14, PALMDALE, CA (661) 265-0060 THERAPY CENTER 93551 BOWER, NICOLE - PT MK PHYSICAL THERAPY MAIN PHYSICAL THERAPY 4411 30 TH ST, SAN DIEGO, CA 92116 (877) 827-8246 BOWERMANS PHARMACY PHYSICAL THERAPY 3131 S WILLOW AVE STE 103, FRESNO, (559) 256-7988 CA 93725 BOWLIN, NICOLE - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 BOYD'S PHARMACY PHARMACY 5400 W HILLSDALE, VISALIA, CA 93291 (559) 732-8036 BOYKO, JOHN - DC ADVANCED THERAPEUTIC CHIROPRACTIC MEDICINE 4082 WHITTIER BLVD STE 105, LOS (626) 999-4376 HEALTH CENTER ANGELES, CA 90023 BOYKO, JOHN - DC JOHN J BOYKO DC CHIROPRACTIC MEDICINE 712 E LINCOLN AVE, ORANGE, CA 92865 (310) 497-5207 BOYLE HEIGHTS FAMILY BOYLE HEIGHTS FAMILY CHEMICAL DEPENDENCY 3421 E OLYMPIC BLVD, LOS ANGELES, (323) 262-1786 RECOVERY CENTER (BCC) RECOVERY CENTER REHABILITATION CENTER CA 90023 (OUTPATIENT) BOYLE HEIGHTS MEDICAL PHARMACY 1611 E CESAR E CHAVEZ AVE, LOS (323) 222-0736 PHARMACY ANGELES, CA 90033 BOYLE, SARAH - MD (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 256-2100 MISSION HILLS, CA 91345 BOYLE, SARAH - MD (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 91345 BOYLE, SARAH - MD (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 563-6757 BURBANK, CA 91505 BOYLE, SARAH - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (661) 222-3100 91355 BOYLE, SARAH - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 91505 BOYLE, SARAH - MD (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 500-0523 91206 BOYNTON, BRIAN P - MD (BCC) RIVERSIDE MEDICAL CLINIC - OTOLARYNGOLOGY (ENT) 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 BOZEMAN, SARAH - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 BPD SPORTS THERAPY PHYSICAL THERAPY 23400 PARK SORRENTO, CALABASAS, (805) 371-9116 CA 91302-1743 BRACHNA, CAROL - PT HAMILTON PHYSICAL PHYSICAL THERAPY 2817 CROW CANYON RD STE 104, SAN (925) 838-9846 THERAPY RAMON, CA 94583 BRACKETT, BESS E - MD (BCC) BANNER HEALTH CLINIC ORTHOPEDIC SURGERY - HIP 1345 BUNYAN RD UNIT A , SUSANVILLE (530) 206-9580 , CA 96130 BRACKETT, BESS E - MD (BCC) BANNER HEALTH CLINIC ORTHOPEDIC SURGERY - 1345 BUNYAN RD UNIT A , SUSANVILLE (530) 206-9580 LOWER EXTREMITIES , CA 96130 BRACKETT, BESS E - MD (BCC) BANNER HEALTH CLINIC ORTHOPEDIC SURGERY - 1345 BUNYAN RD UNIT A , SUSANVILLE (530) 206-9580 UPPER EXTREMITIES , CA 96130 BRACKETT, BESS E - MD (BCC) BANNER HEALTH CLINIC ORTHOPEDICS - HIP 1345 BUNYAN RD UNIT A , SUSANVILLE (530) 206-9580 , CA 96130 BRACKETT, BESS E - MD (BCC) BANNER HEALTH CLINIC ORTHOPEDICS - LOWER 1345 BUNYAN RD UNIT A , SUSANVILLE (530) 206-9580 EXTREMITIES , CA 96130 BRACKETT, BESS E - MD (BCC) BANNER HEALTH CLINIC ORTHOPEDICS - UPPER 1345 BUNYAN RD UNIT A , SUSANVILLE (530) 206-9580 EXTREMITIES , CA 96130 BRACKETT, JEFFREY C - MD CARDIOLOGY ASSOCIATES CARDIOVASCULAR DISEASE 1701 SOLAR DR STE 115, OXNARD, CA (805) 278-4020 (CARDIOLOGY) 93030 BRADFORD PHARMACY PHARMACY 445 8TH ST, OAKLAND, CA 94607 (510) 451-1388

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 67 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BRADFORD, DANIEL D - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 1895 ORANGE TREE LANE STE 102, (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY BRADFORD, DANIEL D - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY BRADLEY, ANTHONY - AUD ADVANCED HEARING AUDIOLOGY 1600 E FLORIDA AVE STE 312 & 314, (800) 598-5300 PROVIDERS LLC HEMET, CA 92544 BRADLEY, DAVID M - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER BRADLEY, JEFFERY, KYLE - PT PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 BRADLEY, SEAN - AUD ADVANCED HEARING AUDIOLOGY 11990 HERITAGE OAK PL STE 12, (800) 598-5300 PROVIDERS LLC AUBURN, CA 95603 BRADLEY, SEAN - AUD ADVANCED HEARING AUDIOLOGY 805 TWELVE BRIDGES DR STE 250, (800) 598-5300 PROVIDERS LLC LINCOLN, CA 95648 BRADY PHYSICAL THERAPY PHYSICAL THERAPY 2001 WINWARD WAY 101, SAN MATEO, (650) 571-6800 CA 94404-2499 BRADY PHYSICAL THERAPY PHYSICAL THERAPY 557 PILGRIM DR STE B, FOSTER CITY, (650) 571-6800 CA 94404 BRAGANZA, SUSHILA L - MD SANSUM CLINIC - PESETAS INTERNAL MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) BRAGANZA, SUSHILA L - MD SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) BRAJKOVICH, KELSEA - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230 BRAKEMAN, TRAVIS - PT PHYSIUS PHYSICAL THERAPY PHYSICAL THERAPY 716 GARNER AVE 103, HANFORD, CA (559) 772-1510 93230 BRAND NEW PHARMACY PHARMACY 1819 W REDLANDS BLVD, REDLANDS, (909) 335-5400 CA 92373 BRANDON, PHILIP - AUD ADVANCED HEARING AUDIOLOGY 554 E BASELINE ROAD, CLAREMONT, (800) 598-5300 PROVIDERS LLC CA 91711 BRANDT, JASON - AUD ADVANCED HEARING AUDIOLOGY 39615 WASHINGTON ST STE C, PALM (800) 598-5300 PROVIDERS LLC DESERT, CA 92211 BRANKS, DIANE - DPM KAISER PERMANENTE PODIATRY 2295 S VINEYARD 4TH FLOOR STE 404, (909) 427-3917 ONTARIO MEDICAL CENTER ONTARIO, CA 91761 BRANKS, DIANE - DPM KAISER PERMANENTE PODIATRY 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 FONTANA MEDICAL CENTER LEVEL, FONTANA, CA 92335 BRANSCOMB PHARMACY PHARMACY 51 BRANSCOMB RD STE 1, (707) 984-8370 LAYTONVILLE, CA 95454 BRAR, RAMNADEEP K - MD LOS ALAMITOS CARDIOVASCULAR DISEASE 5300 KATELLA AVE , LOS ALAMITOS, CA (562) 446-2831 (BCC) CARDIOVASCULAR (CARDIOLOGY) 90720 BRASE, BERNADETTE - PT SYNERGY SPECIALIST PHYSICAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 412-6080 MEDICAL GROUP MAIN DIEGO, CA 92121 BRASE, BERNADETTE - PT SYNERGY SPECIALIST PHYSICAL THERAPY 8388 PARKWAY DR, LA MESA, CA 91942 (619) 797-1190 MEDICAL GROUP BRASE, BERNADETTE - PT SYNERGY SPECIALIST PHYSICAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (858) 877-8163 MEDICAL GROUP CA 91910 BRAUN, DEIDRE - LAC DEIDRE BRAUN LICENSED ACUPUNCTURE 77804 WILDCAT DR, PALM DESERT, CA (760) 771-2332 ACUPUNCTURE 92211 BRAVO PHARMACY PHARMACY 7316 S COMPTON AVE, LOS ANGELES, (323) 586-9828 CA 90001 BRAVO, THOMAS P - MD (BCC) LOMA LINDA UNIVERSITY - NEUROLOGY 11370 ANDERSON ST STE B100, LOMA (800) 679-4642 DEPT OF NEUROLOGY LINDA , CA 92354 BREAKAWAY HEALTH BREAKAWAY HEALTH CHEMICAL DEPENDENCY 3151 AIRWAY AVE STE D1, COSTA (714) 957-8229 CORPORATION (BCC) CORPORATION REHABILITATION CENTER MESA, CA 92626 (OUTPATIENT) BREAKFIELD, LAVAUGHAN - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 2357 W MARCH LN, STOCKTON, CA (209) 477-9300 PHYSICAL AND 95207 OCCUPATIONAL THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 68 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BREAKTHROUGHS BREAKTHROUGHS CHEMICAL DEPENDENCY 2125 WYLIE DR STE 3, MODESTO, CA (209) 529-1855 OUTPATIENT TREATMENT OUTPATIENT TREATMENT REHABILITATION CENTER 95355 (BCC) (OUTPATIENT) BREATHE DIAGNOSTICS SLEEP FACILITY 23332 HAWTHORNE BLVD STE 201, (888) 538-4663 TORRANCE, CA 90505 BREATHE DIAGNOSTICS SLEEP FACILITY 4214 GREEN RIVER RD STE 100, (888) 538-4663 CORONA , CA 92880 BREATHE DIAGNOSTICS SLEEP FACILITY 4515 VAN NUYS BLVD #202, SHERMAN (888) 538-4663 OAKS , CA 91403 BREJCHA, CHARLES - AUD ADVANCED HEARING AUDIOLOGY 1268 S LA CIENEGA BLVD , LOS (800) 598-5300 PROVIDERS LLC ANGELES, CA 90035 BRELAND, GANNA L - DO CONCENTRA MEDICAL NEUROLOGICAL SURGERY 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA SAN DIEGO, CA 92121 BREMNER, LUKE - MD (BCC) ORTHOPEDIC SURGERY - 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 LOWER EXTREMITIES CA 92024 BREMNER, LUKE - MD (BCC) ORTHOPEDIC SURGERY - 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 UPPER EXTREMITIES CA 92024 BREMNER, LUKE - MD (BCC) ORTHOPEDICS - LOWER 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 EXTREMITIES CA 92024 BREMNER, LUKE - MD (BCC) ORTHOPEDICS - UPPER 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 EXTREMITIES CA 92024 BRENDER, ARNOLD J - MD BEACH PHYSICIANS MEDICAL FAMILY MEDICINE 17742 BEACH BLVD STE 215, (714) 848-1655 (BCC) GROUP HUNTINGTON BEACH, CA 92647 BRENDER, ARNOLD J - MD BEACH PHYSICIANS MEDICAL SPORTS MEDICINE 17742 BEACH BLVD STE 215, (714) 848-1655 (BCC) GROUP HUNTINGTON BEACH, CA 92647 BRENDER, ARNOLD J - MD BEACH PHYSICIANS MEDICAL PRIMARY TREATING 17742 BEACH BLVD STE 215, (714) 848-1655 (BCC) GROUP PHYSICIAN HUNTINGTON BEACH, CA 92647 BRENNER, JOANNE - AUD ADVANCED HEARING AUDIOLOGY 1485 CIVIC CT STE 1330, CONCORD, CA (800) 598-5300 PROVIDERS LLC 94520 BRENNER, JOANNE - AUD ADVANCED HEARING AUDIOLOGY 2201 BROADWAY STE M2, OAKLAND, (800) 598-5300 PROVIDERS LLC CA 94612 BRENT AIR PHARMACY PHARMACY 134 S BARRINGTON AVE, LOS (310) 476-2211 ANGELES, CA 90049 BRENTWOOD PHARMACY PHARMACY 2530B SAN VICENTE BLVD, SANTA (310) 393-0201 MONICA, CA 90402 BRENTWOOD PHYSICAL PHYSICAL THERAPY 3901 WALNUT BLVD STE A2, (925) 516-1949 THERAPY BRENTWOOD, CA 94513-2417 BRENTWOOD PLAZA PHARMACY 11980 SAN VICENTE BLVD STE 104, LOS (310) 820-1496 PHARMACY ANGELES, CA 90049 BRENTWOOD URGENT CARE URGENT CARE FACILITY 1156 26TH ST, SANTA MONICA, CA (310) 829-4505 90403 BRESNAHAN, KAREN, FAITH - SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 PT THERAPY RAMON, CA 94583 BRESNAHAN, KAREN, FAITH - SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 PT THERAPYMAIN 94526 BRETON, GARY, R - DC BRETOW CHIROPRACTIC CHIROPRACTIC MEDICINE 1274 MORENA BLVD, SAN DIEGO, CA (619) 276-7575 CENTER 92110 BRETOW, STEVEN, MARC - DC WESTSIDE FAMILY CHIROPRACTIC MEDICINE 2560 9TH ST STE 313, BERKELEY, CA (510) 843-5700 CHIROPRACTIC 94710 BREWER, YVONNE - PT ALISO VIEJO PHYSICAL PHYSICAL THERAPY 27432 ALISO CREEK RD STE 100, ALISO (949) 448-0872 THERAPY SPORTS MEDICINE VIEJO, CA 92656 BRIAN PHARMACY PHARMACY 4444 EL CAJON BLVD STE 9, SAN (619) 563-9917 DIEGO, CA 92115 BRIED, JAMES - MD (BCC) ORTHOPEDIC SURGERY - HIP 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 CA 92064 BRIED, JAMES - MD (BCC) ORTHOPEDIC SURGERY - 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 LOWER EXTREMITIES CA 92064 BRIED, JAMES - MD (BCC) ORTHOPEDIC SURGERY - 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 UPPER EXTREMITIES CA 92064 BRIED, JAMES - MD (BCC) ORTHOPEDICS - HIP 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 CA 92064 BRIED, JAMES - MD (BCC) ORTHOPEDICS - LOWER 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 EXTREMITIES CA 92064

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 69 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BRIED, JAMES - MD (BCC) ORTHOPEDICS - UPPER 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 EXTREMITIES CA 92064 BRIEN, EARL - MD CEDARS-SINAI MEDICAL ONCOLOGY 8700 BEVERLY BLVD, LOS ANGELES, (310) 423-9887 CENTER - SAMUEL OSCHIN CA 90048 CANCER CENTER BRIEN, EARL - MD CEDARS-SINAI MEDICAL ORTHOPEDIC ONCOLOGY 8700 BEVERLY BLVD, LOS ANGELES, (310) 423-9887 CENTER - SAMUEL OSCHIN CA 90048 CANCER CENTER BRIGHT HEART HEALTH INC BRIGHT HEART HEALTH INC CHEMICAL DEPENDENCY 2603 CAMINO RAMON STE 200, SAN (415) 458-2688 (BCC) REHABILITATION CENTER RAMON, CA 94583 (OUTPATIENT) BRIGHT LA MIRADA PHARMACY 12675 LA MIRADA BLVD, LA MIRADA, CA (562) 777-8175 PHARMACY 90638 BRIGHT PLAZA PHARMACY PHARMACY 15725 WHITTIER BLVD STE A, (562) 943-7500 WHITTIER, CA 90603 BRIGHT STAR PHYSICAL PHYSICAL THERAPY 20501 VENTURA BLVD STE 380, (818) 343-3900 THERAPY WOODLAND HILLS, CA 91364-6432 BRIGHT STAR PHYSICAL PHYSICAL THERAPY 5223 LAUREL CANYON BLVD, VALLEY (818) 763-7801 THERAPY VILLAGE, CA 91607-2709 BRIGHTON THERAPY PHYSICAL THERAPY 1125 S. BEVERLY DR STE 500, LOS (310) 201-1600 ANGELES, CA 90035 BRIMHALL PHARMACY PHARMACY 8305 BRIMHALL RD STE 1603, (661) 588-5555 BAKERSFIELD, CA 93312 BRINEGAR, KENNETH - DC GRAND AVENUE CHIROPRACTIC MEDICINE 910 GRAND AVE STE 109, SAN DIEGO, (858) 273-1721 CHIROPRACTIC CA 92109 BRINKMAN, MIKE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 BRIOVARX INFUSION PHARMACY 455 RESERVATION RD, MARINA, CA (831) 384-8080 SERVICES 93933 BRIOVARX INFUSION PHARMACY 4610 NORTHGATE BLVD, (916) 648-0124 SERVICES SACRAMENTO, CA 95834 BRIOVARX INFUSION PHARMACY 170 PROFESSIONAL CENTER DR, (707) 588-8894 SERVICES 403 ROHNERT PARK, CA 94928 BRIOVARX OF LOS ANGELES PHARMACY 1155 N MISSION RD, LOS ANGELES, CA (866) 792-3683 90033 BRISTOL MEDICAL PHARMACY PHARMACY 2740 S BRISTOL ST STE 102, SANTA (714) 549-3385 ANA, CA 92704 BRISTOL PHARMACY PHARMACY 250 E YALE LOOP STE C, IRVINE, CA (949) 654-7904 92604 BROADWAY LONG TERM CARE PHARMACY 3630 BUSINESS DR STE D, (916) 452-8022 PHCY SACRAMENTO, CA 95820 BROADWAY PHARMACY PHARMACY 7581 BROADWAY, LEMON GROVE, CA (619) 717-8990 91945 BROADWAY REMEDY PHARMACY 459 W BROADWAY STE 4, GLENDALE, (818) 548-6165 PHARMACY CA 91204 BROADWAY SURGICAL AMBULATORY SURGERY 1120 NEWBURY RD #150, THOUSAND (805) 557-0096 INSTITUTE CENTER OAKS, CA 91320 BROBERG PHYSICAL THERAPY PHYSICAL THERAPY 6065 MERIDIAN AVE STE 70, SAN JOSE, (408) 927-0871 CA 95120-2772 BROBERG, MARC - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 BROBERG, MARC - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 BROBERG, MARC - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 BROCKTON PHYSICAL PHYSICAL THERAPY 3908 10TH ST, RIVERSIDE, CA (951) 274-7744 THERAPY 92501-3522 BROCKTON PHYSICAL PHYSICAL THERAPY 4343 MARKET ST STE B, RIVERSIDE, CA (951) 274-7744 THERAPY 92501-3567 BRODBECK, CHRISTINA - PT TOTAL CARE PHYSICAL PHYSICAL THERAPY 12139 MOUNT VERNON AVE STE 110, (909) 370-3396 THERAPY CA GRAND TERRACE, CA 92313 BRODBECK, CHRISTINA - PT BROCKTON PHYSICAL PHYSICAL THERAPY 3908 10TH ST, RIVERSIDE, CA 92501 (951) 274-7744 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 70 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BRODBECK, STEVEN - DC BAY CITIES CHIROPRACTIC CHIROPRACTIC MEDICINE 1727 SWEETWATER RD, NATIONAL (619) 474-0900 CITY, CA 91950 BRODERICK, DAVID M - MD ORTHOPEDIC SURGERY - HIP 107 SCRIPPS DR STE 200, (916) 925-8111 (BCC) SACRAMENTO, CA 95825 BRODERICK, DAVID M - MD ORTHOPEDICS - UPPER 107 SCRIPPS DR STE 200, (916) 925-8111 (BCC) EXTREMITIES SACRAMENTO, CA 95825 BRODERICK, DAVID M - MD ORTHOPEDICS - LOWER 107 SCRIPPS DR STE 200, (916) 925-8111 (BCC) EXTREMITIES SACRAMENTO, CA 95825 BRODERICK, DAVID M - MD ORTHOPEDICS - HIP 107 SCRIPPS DR STE 200, (916) 925-8111 (BCC) SACRAMENTO, CA 95825 BRODERICK, DAVID M - MD ORTHOPEDICS - SPINE 107 SCRIPPS DR STE 200, (916) 925-8111 (BCC) SACRAMENTO, CA 95825 BRODERICK, DAVID M - MD ORTHOPEDIC SURGERY - 107 SCRIPPS DR STE 200, (916) 925-8111 (BCC) UPPER EXTREMITIES SACRAMENTO, CA 95825 BRODERICK, DAVID M - MD ORTHOPEDIC SURGERY - 107 SCRIPPS DR STE 200, (916) 925-8111 (BCC) LOWER EXTREMITIES SACRAMENTO, CA 95825 BRODY, PAUL - DPM PODIATRY 3831 HUGHES AVE STE 700, CULVER (310) 837-3668 CITY , CA 90232 BROGAN, KEVIN - PT CORNERSTONE PHYSICAL PHYSICAL THERAPY 7145 N CHESTNUT AVE STE 105, (559) 299-2244 THERAPY FRESNO, CA 93720 BRONSTEIN, YURI L - MD KAISER PERMANENTE NEUROLOGY 5601 DE SOTO AVE ENTRANCE 5 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER BROOKLIN OAKS PHARMACY PHARMACY 597 12TH ST, PASO ROBLES, CA 93446 (805) 296-3370 BROOKMAN, MYLES I - MD ATLANTIS EYECARE OPHTHALMOLOGY 947 S ANAHEIM BLVD STE 120, (714) 991-4100 (BCC) ANAHEIM, CA 92805 BROOKMAN, MYLES I - MD ATLANTIS EYECARE OPHTHALMOLOGY 7667 CENTER AVE STE 301, (714) 991-4100 (BCC) HUNTINGTON BEACH, CA 92547 BROOKMAN, MYLES I - MD ATLANTIS EYECARE OPHTHALMOLOGY 5991 E SPRING ST , LONG BEACH, CA (562) 938-9945 (BCC) 90808 BROOKMAN, MYLES I - MD ATLANTIS EYECARE OPHTHALMOLOGY 361 HOSPITAL RD STE 425, NEWPORT (949) 642-3100 (BCC) BEACH, CA 92663 BROOKS HEALTH CARE PHARMACY 5070 N 6TH ST STE 169, FRESNO, CA (559) 221-4800 93710 BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD CA 94520 BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD LOWER EXTREMITIES CA 94520 BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD UPPER EXTREMITIES CA 94520 BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD CA 94520 BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD EXTREMITIES CA 94520 BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD EXTREMITIES CA 94520 BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - SACRAMENTO, CA 95834 NORTH BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - LOWER EXTREMITIES SACRAMENTO, CA 95834 NORTH BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - UPPER EXTREMITIES SACRAMENTO, CA 95834 NORTH BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - SACRAMENTO, CA 95834 NORTH BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - EXTREMITIES SACRAMENTO, CA 95834 NORTH

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 71 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BROOKS, ADAM G - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - EXTREMITIES SACRAMENTO, CA 95834 NORTH BROOKS, CARLY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY BROOKS, CARLY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY BROOKS, CARLY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY BROOKS, DENNIS - MD CARDIOVASCULAR DISEASE 168 N BRENT ST STE 503, VENTURA, CA (805) 653-0101 (CARDIOLOGY) 93003 BROOKS, VICKI - AUD ADVANCED HEARING AUDIOLOGY 18095 CA-18 STE D, APPLE VALLEY, CA (800) 598-5300 PROVIDERS LLC 92307 BROOKVALE PHARMACY PHARMACY 2101 VALE RD, SAN PABLO, CA 94806 (510) 235-4443 BROTMAN MEDICAL PHARMACY 3831 HUGHES AVE STE 100, CULVER (310) 204-1111 PHARMACY CITY, CA 90232 BROWN AND WELIN PHARMACY 937 E GREEN ST, PASADENA, CA 91106 (626) 795-5918 PHARMACY BROWN PHYSICAL THERAPY PHYSICAL THERAPY 1930 DEL PASO RD STE 123, (916) 333-0570 SACRAMENTO, CA 95834-7717 BROWN, BRANDON, PETER - VIBRANTCARE PHYSICAL THERAPY 2410 SAN RAMON VALLEY BLVD STE (925) 789-8100 PT 214, SAN RAMON, CA 94583 BROWN, CINDY - AUD ADVANCED HEARING AUDIOLOGY 5406 THORNWOOD DR STE 450, SAN (800) 598-5300 PROVIDERS LLC JOSE, CA 95123 BROWN, DAMON - PT DAMON BROWN PHYSICAL PHYSICAL THERAPY 822 S ROBERTSON BLVD STE 310, LOS (310) 360-9069 THERAPY ANGELES, CA 90035 BROWN, IA - AUD ADVANCED HEARING AUDIOLOGY 2654 GRIFFITH PARK BLVD, LOS (800) 598-5300 PROVIDERS LLC ANGELES, CA 90039 BROWN, JAMES F - DPM CONCENTRA MEDICAL PODIATRY 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071 BROWN, JARED - PT INNOVATIVE PHYSICAL PHYSICAL THERAPY 5030 CAMINO DE LA SIESTA STE 220, (619) 260-0750 THERAPY SAN DIEGO, CA 92108 BROWN, JUSTIN - PT RANCHO SANTA MARGARITA PHYSICAL THERAPY 29803 SANTA MARGARITA PKWY, (949) 459-9010 PHYSICAL THERAPY RANCHO SANTA MARGARITA, CA 92688 BROWN, KRISTEN - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 BROWN, LINDA - PT BROWN PHYSICAL THERAPY PHYSICAL THERAPY 1930 DEL PASO RD STE 123, (916) 333-0570 SACRAMENTO, CA 95834 BROWN, PATRICK - PT VILLA LAS PALMAS PHYSICAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 BROWN, PATTY - PT PATTY BROWN PHYSICAL PHYSICAL THERAPY 880 APOLLO ST STE 160, EL SEGUNDO, (310) 606-5664 THERAPY ASSOCIATES CA 90245 BROWNING, KENNETH C - DO FERN CREEK MEDICAL PRIMARY TREATING 54910 PINECREST AVE , IDYLLWILD , CA (951) 659-9912 (BCC) CENTER PHYSICIAN 92549 BROWNING, KENNETH C - DO FERN CREEK MEDICAL FAMILY MEDICINE 54910 PINECREST AVE , IDYLLWILD , CA (951) 659-9912 (BCC) CENTER 92549 BRUCE, SHARON - DC SHARON D BRUCE DC CHIROPRACTIC MEDICINE 4425 ATLANTIC AVE STE A10, LONG (562) 961-7660 BEACH, CA 90807 BRUCKNER, JAMES - LMT AIM FOR WELLNESS MASSAGE THERAPIST 8725 LA TIJERA BLVD, WESTCHESTER, (424) 331-5661 CA 90045 BRUIN HEALTH PHARMACY PHARMACY 308 WESTWOOD PLZ, LOS ANGELES, (310) 825-4073 CA 90095 BRUMFIELD, ARON - DC BRUMFIELD SPORTS FAMILY CHIROPRACTIC MEDICINE 1855 W MANCHESTER AVE 110112, LOS (323) 208-9121 WELLNESS CENTER HIGHER ANGELES, CA 90047 POWER FITNESS USA BRUNNER, LINDSAY - PT MOTI PHYSIOTHERAPY PHYSICAL THERAPY 1965 HILLHURST AVE FL 1, LOS (323) 912-9166 ANGELES, CA 90027 BRUSHWYLER, ELIZABETH - PT CAPUCHINO THERAPY GROUP PHYSICAL THERAPY 3601 MARCONI AVE, SACRAMENTO, CA (916) 481-1300 95821 BRYANT, CHRISTIE - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 72 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BRYANT, CHRISTIE - PT BRYANT ORTHOPEDIC PHYSICAL THERAPY 3140 APRON AVE, ATWATER, CA 95301 (209) 726-9000 SPORTS PHYSICAL THERAPY BRYM, BRANDON - PT INNOVATIVE PHYSICAL PHYSICAL THERAPY 5030 CAMINO DE LA SIESTA STE 220, (619) 260-0750 THERAPY SAN DIEGO, CA 92108 BT PHARMACY PHARMACY 14262 BEACH BLVD, WESTMINSTER, CA (714) 622-5992 92683 BU, AMY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 BU, AMY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 36 MAUCHLY STE A, IRVINE, CA 92618 (949) 727-3315 SPORTS THERAPY BU, AMY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 5630 E SANTA ANA CANYON RD STE (714) 282-7701 SPORTS THERAPY 150, ANAHEIM, CA 92807 BUBNIAK, DAVID - PTA CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 8569 BOND RD STE 150, ELK GROVE, (916) 714-1177 CA 95624 BUBNIAK, JOHN - PTA CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 8569 BOND RD STE 150, ELK GROVE, (916) 714-1177 CA 95624 BUCHANAN, RODNEY - PT WEST COAST SPORTS PHYSICAL THERAPY 1137 2ND ST STE 103, SANTA MONICA, (310) 477-0018 PHYSICAL THERAPY INC CA 90403 BUCHANAN, RODNEY - PT WEST COAST SPORTS PHYSICAL THERAPY 1200 ROSECRANS AVE STE 206, (310) 416-9777 PHYSICAL THERAPY INC MAIN MANHATTAN BEACH, CA 90266 BUCHANAN, WILLIAM J - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 BUCHWALD, NICOLE - PTA EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230 BUCKLEY, JACK - MD (BCC) ANESTHESIOLOGY 757 WESTWOOD PLZ STE 3325, LOS (310) 267-8680 ANGELES, CA 90095 BUCKLEY, JILL - MD (BCC) UROLOGY 4520 EXECUTIVE DR STE 111, SAN (858) 657-8860 DIEGO, CA 92121 BUCUR, PHILIP L - MD (BCC) FIRST CALIFORNIA PHYSICIAN UROLOGY 11180 WARNER AVE STE 167, (714) 428-6711 PARTNERS FOUNTAIN VALLEY , CA 92708 BUDDE, LIHUA - MD (BCC) NEUROLOGICAL SURGERY 1500 E DUARTE RD, DUARTE, CA 91010 (626) 218-2405 BUDER, BRIAN C - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1619 E EDINGER AVE, SANTA ANA, CA (714) 542-8904 CENTER - EAST EDINGER & 92705 LYON BUDER, BRIAN C - MD CONCENTRA MEDICAL PRIMARY TREATING 1619 E EDINGER AVE, SANTA ANA, CA (714) 542-8904 CENTER - EAST EDINGER & PHYSICIAN 92705 LYON BUDINCICH, MICHAEL - DC BUDINCICH CHIROPRACTIC CHIROPRACTIC MEDICINE 140 N HILL AVE, PASADENA, CA 91106 (626) 792-3390 CLINIC BUDNIK, BERNARD, ROBERT - WEST LAKE PHYSICAL PHYSICAL THERAPY 1220 LA VENTA DR STE 102, WESTLAKE (805) 777-7370 PT THERAPY INC VILLAGE, CA 91361 BUDRIS, LANCE - MD (BCC) ANESTHESIOLOGY 436 N BEDFORD DR STE 101, BEVERLY (310) 409-2300 HILLS, CA 90210 BUDRIS, LANCE - MD (BCC) ANESTHESIOLOGY 5651 SEPULVEDA BLVD STE 101, (310) 275-2339 SHERMAN OAKS, CA 91411 BUDRIS, LANCE - MD (BCC) ANESTHESIOLOGY 5901 W OLYMPIC BLVD STE 503, LOS (323) 934-8877 ANGELES, CA 90036 BUDRIS, LANCE - MD (BCC) ANESTHESIOLOGY 9001 WILSHIRE BLVD STE 100, (848) 442-9696 BEVERLY HILLS, CA 90211 BUEHLER, BRANDON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 BUEHLER, BRANDON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 BUEHLER, BRANDON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 BUEHLER, BRANDON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 BUEHLER, BRANDON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 BUEHLER, BRANDON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 BUENA PARK PHARMACY PHARMACY 6726 BEACH BLVD, BUENA PARK, CA (714) 752-6698 90621

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 73 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BUENA, NARDO B - MD (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY 92883 BUENA, NARDO B - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY PHYSICIAN 92883 BUGAY, JOSE - PT JB PHYSICAL THERAPY PHYSICAL THERAPY 212 GREEN VALLEY RD, FREEDOM, CA (831) 536-5500 95019 BUGAY, JOSE - PT ACTION PHYSICAL THERAPY PHYSICAL THERAPY 680 E ROMIE LN, SALINAS, CA 93901 (831) 758-5338 BUGELLI, NICOLA C - MD (BCC) RESTORATIVE WOUND INTERNAL MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED POWAY, CA 92064 GRP BUGELLI, NICOLA C - MD (BCC) RESTORATIVE WOUND UNDERSEA AND HPYERBARIC 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED MEDICINE POWAY, CA 92064 GRP BUI, ALEXANDER T - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER BUI, TRUNG D - MD (BCC) CENTER FOR ADVANCED VASCULAR SURGERY 2190 LYNN RD STE 320, THOUSAND (805) 370-4325 WOUND HEALING AT LOS OAKS , CA 91360 ROBLES HOSPITAL & MEDICAL CENTER BUI, VINH - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 39400 PASEO PADRE PARKWAY , (510) 248-3015 FREMONT MEDICAL CENTER FREMONT, CA 94538 BULCZYNSKI, ANDRZEJ - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD KNEE OXNARD, CA 93030 BULCZYNSKI, ANDRZEJ - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD SHOULDER OXNARD, CA 93030 BULCZYNSKI, ANDRZEJ - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 BULCZYNSKI, ANDRZEJ - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 BULLARD DRUG PHARMACY 2026 W BULLARD AVE, FRESNO, CA (559) 438-0111 93711 BULLARD, MICHELLE - LAC MICHELLE BULLARD MS LAC ACUPUNCTURE 2421 FOURTH ST, BERKELEY, CA 94710 (510) 845-8282 BULLOCK, JEANNIE - PT CALIFORNIA EMERGENCY PHYSICAL THERAPY 554 BLOSSOM HILL RD, SAN JOSE, CA (408) 281-2772 PHYSICIANS DBA SAMARITAN 95123 MEDICAL CARE CENTER BULOW, KWI YOUNG BYUN - CONCENTRA MEDICAL INTERNAL MEDICINE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 MD CENTER - KEARNY MESA CA 92123 BUMACOD, ESTRELITA - PT ALPHA DYNAMIC PHYSICAL PHYSICAL THERAPY 1004 14TH AVE STE A, DELANO, CA (661) 474-2600 THERAPY 93215 BUNYAVIROCH, ARNOLD - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH REDWOOD CITY, CA 94063 CENTER BUNYAVIROCH, ARNOLD - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH PHYSICIAN REDWOOD CITY, CA 94063 CENTER BURBANK COMPOUNDING PHARMACY 201 S BUENA VISTA ST, BURBANK, CA (818) 563-2120 PHARMACY 91505 BURBANK MEDICAL PHARMACY 2701 W ALAMEDA BLVD, BURBANK, CA (818) 559-7401 PHARMACY 91505 BURBANK SPINE & PAIN BURBANK SPINE & PAIN AMBULATORY SURGERY 2211 W MAGNOLIA BLVD STE 270, (818) 325-2088 SURGERY CENTER SURGERY CENTER CENTER BURBANK, CA 91506 BURBANK VILLAGE PHARMACY PHARMACY 337 E MAGNOLIA BLVD, BURBANK, CA (818) 260-0062 91502 BURCH, SHANE - MD SPINE SURGERY 400 PARNASSUS AVE, SAN (415) 353-2739 FRANCISCO, CA 94143 BURCH, SHANE - MD ORTHOPEDICS - SPINE 400 PARNASSUS AVE, SAN (415) 353-2739 FRANCISCO, CA 94143 BURCIAGA, MARCELO A - DO CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 74 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BURCIAGA, MARCELO A - DO CONCENTRA MEDICAL FAMILY MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA BURGER PHYSICAL THERAPY PHYSICAL THERAPY 2019 ANDERSON RD STE C, DAVIS, CA (530) 758-2222 AND REHABILITATION AGENCY 95616

BURGER, ROBERT S - MD KAISER PERMANENTE ON THE ORTHOPEDIC SURGERY 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH MOB 2, ROSEVILLE, CA 95661 CENTER BURGERT, CARRIE - PT XCELERATE PHYSICAL PHYSICAL THERAPY 144 W LOS ANGELES AVE STE 110, (805) 552-1915 THERAPY MOORPARK, CA 93021 BURGERT, CARRIE - PT XCELERATE PHYSICAL PHYSICAL THERAPY 3262 E THOUSAND OAKS BLVD 100, (805) 374-9900 THERAPY THOUSAND OAKS, CA 91362 BURGESS, JOHN - AUD ADVANCED HEARING AUDIOLOGY 325 E BETTERAVIA RD STE B11, SANTA (800) 598-5300 PROVIDERS LLC MARIA, CA 93454 BURGOS, CHRISTINA - LMT THE CHIRO OFFICE MASSAGE THERAPIST 1055 TIERRA DEL REY STE A, CHULA 6194210444Mo VISTA, CA 91910 nique BURKE, DANIEL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 BURKE, DANIEL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 BURKE, DANIEL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 BURKE, DANIEL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 BURKE, DANIEL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 BURKE, DANIEL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 BURKE, RICHARD - DPM PODIATRY 2325 PACIFIC AVE, LONG BEACH, CA (714) 991-3333 90806 BURKE, RICHARD - DPM PODIATRY 770 MAGNOLIA AVE STE 1D, CORONA, (714) 991-3333 CA 92879 BURKE, RICHARD - DPM PODIATRY 1761 W ROMNEYA DR STE E, ANAHEIM, (714) 991-3333 CA 92801 BURKHARDT, MARK - MD (BCC) ANESTHESIOLOGY 26371 CROWN VALLEY PKWY, MISSION (949) 364-2201 VIEJO, CA 92691 BURKHARDT, MARK - MD (BCC) ANESTHESIOLOGY 26730 CROWN VALLEY PKWY, MISSION (949) 499-1311 VIEJO, CA 92691 BURKHARDT, MARK - MD (BCC) ANESTHESIOLOGY 26921 CROWN VALLEY PKWY STE 201, (949) 334-8160 MISSION VIEJO, CA 92691 BURKHARDT, MARK - MD (BCC) ANESTHESIOLOGY 27700 MEDICAL CENTER RD, MISSION (949) 364-1400 VIEJO, CA 92691 BURKHARDT, MARK - MD (BCC) ANESTHESIOLOGY 31872 COAST HWY, LAGUNA BEACH, (949) 900-3480 CA 92651 BURKS, ALISON - AUD ADVANCED HEARING AUDIOLOGY 790 HAMPSHIRE RD STE D, WESTLAKE (800) 598-5300 PROVIDERS LLC VILLAGE, CA 91361 BURLAKOVSKY, NATHAN - PT PRN AQUATIC PHYSICAL PHYSICAL THERAPY 1663 GREENFIELD DR, EL CAJON, CA (619) 440-5752 REHABILITATION 92021 BURLAKOVSKY, NATHAN - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 BURLAKOVSKY, NATHAN - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606 BURLINGAME THERAPEUTIC PHYSICAL THERAPY 1 BAYWOOD AVE STE 1, SAN MATEO, (650) 348-9400 ASSOCIATES CA 94402-1537 BURLINGAME THERAPEUTIC PHYSICAL THERAPY 1828 EL CAMINO REAL STE 609, (650) 692-4811 ASSOCIATES II BURLINGAME, CA 94010 BURLINGAME THERAPEUTIC PHYSICAL THERAPY 1828 EL CAMINO REALSUITE 609, (650) 692-4811 ASSOCIATES II BURLINGAME, CA 94010-3120 BURNELL, DESHAWN - OT PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 BURNHAM, WALTER - H - (BCC) HUNTINGTON ORTHOPEDICS SPINE SURGERY 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 CA 91105 BURNHAM, WALTER - MD CONCENTRA MEDICAL SPINE SURGERY 6520 N IRWINDALE AVE STE 100, (626) 812-0366 CENTER - IRWINDALE IRWINDALE, CA 91702

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 75 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BURNHAM, WALTER H - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SPINE 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 BURNHAM, WALTER H - MD SOUTHERN CALIFORNIA SPINE SURGERY 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 BURNS PHARMACY PHARMACY 866 W LANCASTER BLVD, LANCASTER, (661) 942-1461 CA 93534 BURNS, JOHN - MD CONCENTRA MEDICAL INTERNAL MEDICINE 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY TORRANCE, CA 90501 BURNS, MICHAEL D - DPM KAISER PERMANENTE FRESNO PODIATRY 7300 N FRESNO ST , FRESNO, CA 93720 (559) 448-4886 MEDICAL CENTER BURNWORTH, KALIEGH - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 11276 5TH ST STE 400, RANCHO (909) 481-0437 MAIN CUCAMONGA, CA 91730 BURRE, ANN - AUD ADVANCED HEARING AUDIOLOGY 5333 HOLLISTER AVE , SANTA (800) 598-5300 PROVIDERS LLC BARBARA, CA 93111 BURRE, ANN - AUD ADVANCED HEARING AUDIOLOGY 2030 VIBORG RD STE 150, SOLVANG, (800) 598-5300 PROVIDERS LLC CA 93463 BURRES, STEVEN - MD (BCC) OTOLARYNGOLOGY (ENT) 6221 WILSHIRE BLVD STE LL3, LOS (323) 937-1673 ANGELES, CA 90048 BURRUSS, SIGRID K - MD (BCC) LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S BURSTEIN, JENNIFER - AUD ADVANCED HEARING AUDIOLOGY 655 W AVE Q , PALMDALE, CA 93551 (800) 598-5300 PROVIDERS LLC BURSTEIN, JENNIFER - AUD ADVANCED HEARING AUDIOLOGY 27879 SMYTH DR , VALENCIA, CA 91355 (800) 598-5300 PROVIDERS LLC BURT'S PHARMACY PHARMACY 2333 BORCHARD RD, NEWBURY PARK, (805) 498-6675 CA 91320 BURT'S PHARMACY PHARMACY 2900 TOWNSGATE RD STE 105, (805) 371-4000 WESTLAKE VILLAGE, CA 91361 BURT'S PHARMACY PHARMACY 865 PATRIOT DR STE 103, MOORPARK, (805) 552-4500 MOORPARK CA 93021 BURTON, LAURA - AUD ADVANCED HEARING AUDIOLOGY 717 SANTA MONICA BLVD , SANTA (800) 598-5300 PROVIDERS LLC MONICA, CA 90401 BURTON, PAUL D - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 BURTON, PAUL D - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 KNEE REDLANDS, CA 92374 BURTON, PAUL D - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 2131 ELKS DR STE 200, SAN (909) 726-6100 BERNARDINO, CA 92404 BURTON, PAUL D - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 2131 ELKS DR STE 200, SAN (909) 726-6100 KNEE BERNARDINO, CA 92404 BURTON, PAUL D - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 CA 92545 BURTON, PAUL D - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 KNEE CA 92545 BURTON, PAUL D - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 15095 AMARGOSA RD STE 106 , (760) 245-6495 VICTORVILLE , CA 92394 BURTON, PAUL D - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106 , (760) 245-6495 KNEE VICTORVILLE , CA 92394 BURTON, ROY - PT JAMES ROBERT MAWHINEY PHYSICAL THERAPY 78078 COUNTRY CLUB DR STE 205, (760) 345-9934 DBA SHELLEY A COOPER BERMUDA DUNES, CA 92203 PHYSICAL THERAPY BURTON, YOUNG - LAC YOUNG VITALITY ACUPUNCTURE 22020 CLARENDON ST STE 101, (424) 744-7898 ACUPUNCTURE WOODLAND HILLS, CA 91364 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD CA 94520 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD LOWER EXTREMITIES CA 94520 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD UPPER EXTREMITIES CA 94520 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD CA 94520

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 76 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD EXTREMITIES CA 94520 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD EXTREMITIES CA 94520 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK CREEK, CA 94596 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK LOWER EXTREMITIES CREEK, CA 94596 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK UPPER EXTREMITIES CREEK, CA 94596 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK CREEK, CA 94596 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK EXTREMITIES CREEK, CA 94596 BUSFIELD, BENJAMIN T - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK EXTREMITIES CREEK, CA 94596 BUSHARDS PHARMACY PHARMACY 244 FOREST AVE, LAGUNA BEACH, CA (949) 494-1059 92651 BUSHEY, MEGAN - PTA MARKETPLACE PHYSICAL PHYSICAL THERAPY 3191 MISSION INN AVE STE B, (951) 684-2874 THERAPY MAIN RIVERSIDE, CA 92507 BUSTAMANTE, GEORGINA - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 BUSTAMANTE, GEORGINA - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN BUTLER, FREDERIC - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO ONTARIO, CA 91761 BUTLER, FREDERIC - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE BUTLER, FREDERIC - MD CONCENTRA MEDICAL PRIMARY TREATING 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO PHYSICIAN ONTARIO, CA 91761 BUTLER, FREDERIC - MD CONCENTRA MEDICAL PRIMARY TREATING 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO PHYSICIAN CA 92507 AVE BUTLER, JULIE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 BUTSCHER, MARY - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 11276 5TH ST STE 400, RANCHO (909) 481-0437 MAIN CUCAMONGA, CA 91730 BUTTE PREMIER PHYSICAL PHYSICAL THERAPY 125 RALEY BLVD, CHICO, CA 95928 (530) 891-8220 THERAPY BUTTE PREMIER PHYSICAL PHYSICAL THERAPY 14 W EATON RD STE 140, CHICO, CA (530) 891-8220 THERAPY 95973-0135 BUTTE VALLEY HEALTH BUTTE VALLEY HEALTH URGENT CARE FACILITY 610 W 3RD ST, DORRIS, CA 96023 (530) 397-8411 CENTER (BCC) CENTER BUTTS, BENJAMIN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 395-0884 MAIN ACCOUNT MARINO, CA 91108 BUTTS, BENJAMIN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 210 W COLLEGE ST, COVINA, CA 91723 (626) 967-7833 BUTTS, BENJAMIN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2701 OCEAN PARK BLVD STE 110, (310) 392-0025 SANTA MONICA, CA 90405 BUTTS, BENJAMIN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 7941 BEACH BLVD STE J, BUENA PARK, (714) 736-6855 CA 90620 BUXTON, RUBI - PT THE PHYSICAL EDGE PHYSICAL THERAPY 253 N SANTA ANITA AVE, ARCADIA, CA (626) 294-0070 PHYSICAL THERAPY INC 91006 BUY WELL DRUGS PHARMACY 375 HUNTINGTON DR STE A, SAN (626) 441-1159 MARINO, CA 91108 BUZZELLI, KATHRYN - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 BUZZELLI, KATHRYN - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 77 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK 90601 BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 900 E WASHINGTON ST STE 300, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK COLTON, CA 92324 BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK CA 90242 BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 300 E ESPLANADE DR STE 900 (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 BYHOFFER, HEATHER C - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 6331 GREENLEAF AVE STE G , (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK WHITTIER, CA 90601 BYLSMA, STEPHEN S - MD SHEPARD EYE CENTER OPHTHALMOLOGY 910 E STOWELL RD, SANTA MARIA, CA (805) 925-2637 (BCC) 93454 BYRAM HEALTHCARE PHARMACY 5302 RANCHO RD, HUNTINGTON (800) 552-2633 CENTERS BEACH, CA 92647 BYRNES, MATTHEW T - DPM KAISER PERMANENTE PODIATRY 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER BYRNES, MATTHEW T - DPM KAISER PERMANENTE PODIATRY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 C & PT REHABILITATION PHYSICAL THERAPY 3535 E 7TH ST, LONG BEACH, CA (562) 434-0062 CENTER 90804-5138 C.O.R.E PHYSICAL THERAPY PHYSICAL THERAPY 1138 N CHINOWTH ST, VISALIA, CA (559) 713-1222 93291-4113 C3 HEALTHCARERX PHARMACY 28251 MARGUERITE PKWY, MISSION (949) 276-8777 VIEJO, CA 92692 CAALAMAN, ERWIN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY CABAYAN, VATCHE - MD ORTHOPEDIC SURGERY - HIP 2970 HILLTOP MALL RD STE 200, (510) 724-4586 RICHMOND, CA 94806 CABAYAN, VATCHE - MD ORTHOPEDIC SURGERY - 2970 HILLTOP MALL RD STE 200, (510) 724-4586 LOWER EXTREMITIES RICHMOND, CA 94806 CABAYAN, VATCHE - MD ORTHOPEDIC SURGERY - 2970 HILLTOP MALL RD STE 200, (510) 724-4586 UPPER EXTREMITIES RICHMOND, CA 94806 CABAYAN, VATCHE - MD ORTHOPEDICS - BACK 2970 HILLTOP MALL RD STE 200, (510) 724-4586 RICHMOND, CA 94806 CABAYAN, VATCHE - MD ORTHOPEDICS - HIP 2970 HILLTOP MALL RD STE 200, (510) 724-4586 RICHMOND, CA 94806 CABAYAN, VATCHE - MD ORTHOPEDICS - LOWER 2970 HILLTOP MALL RD STE 200, (510) 724-4586 EXTREMITIES RICHMOND, CA 94806 CABAYAN, VATCHE - MD ORTHOPEDICS - UPPER 2970 HILLTOP MALL RD STE 200, (510) 724-4586 EXTREMITIES RICHMOND, CA 94806 CABLING, GRADY - OT REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 CABLING, MARVEN G - MD LOMA LINDA UNIVERSITY RHEUMATOLOGY 11370 ANDERSON ST FMO 3625, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP CABRAL, DAVID - PTA EL DORADO PHYSICAL PHYSICAL THERAPY 990 RILEY ST, FOLSOM, CA 95630 (916) 355-1250 THERAPY CABRILLO PHARMACY PHARMACY 146 N BRENT ST, VENTURA, CA 93003 (805) 643-9939 CABUSLAY, LORENA - PT GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 CACHO, JOSHUA - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 CACHOLA, KRISTINE A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 13652 CANTARA ST BLDG 2, 1ST FLR, (818) 375-2233 JOB PANORAMA CITY MEDICAL PANORAMA CITY, CA 91402 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 78 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CACHOLA, KRISTINE A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 13652 CANTARA ST BLDG 2, 1ST FLR, (818) 375-2233 JOB PANORAMA CITY MEDICAL PHYSICIAN PANORAMA CITY, CA 91402 CENTER CACY, BRIAN - PT EL DORADO PHYSICAL PHYSICAL THERAPY 907 EMBARCADERO DR, EL DORADO (916) 933-1221 THERAPY HILLS, CA 95762 CADILLO, ALEX - PT PHYSICAL THERAPY CARE PHYSICAL THERAPY 6214 W MANCHESTER AVE FL 2, LOS (310) 348-8464 ANGELES, CA 90045 CAHILL, JOHN - AUD ADVANCED HEARING AUDIOLOGY 16940 SLOVER AVENUE # A, FONTANA, (800) 598-5300 PROVIDERS LLC CA 92337 CAHUENGA BLVD PHARMACY PHARMACY 5503 CAHUENGA BLVD, NORTH (818) 980-1445 HOLLYWOOD, CA 91601 CAI, LAIFU - LAC KANG FU ACUPUNCTURE ACUPUNCTURE 1615 N BROADWAY, WALNUT CREEK, (925) 930-5639 HERBAL CENTER CA 94596 CAIMANQUE, RAUL - PT MISSION DISTRICT THERAPY PHYSICAL THERAPY 3490 20TH ST STE 101, SAN (415) 824-4228 REHAB FRANCISCO, CA 94110 CAJON PHARMACY PHARMACY 232 CAJON ST STE A, REDLANDS, CA (909) 792-4922 92373 CAL MED PHARMACY PHARMACY 1414 S GRAND AVE STE 101, LOS (213) 746-4677 ANGELES, CA 90015 CAL MED PHARMACY PHARMACY 24031-A MARGUERITE PKWY, MISSION (949) 586-1700 VIEJO, CA 92692 CAL OAKS PHARMACY 625 S FAIR OAKS AVE, PASADENA, CA (626) 696-1583 91105 CAL OAKS III HM PHARMACY PHARMACY 2010 HUNTINGTON DR, SAN MARINO, (626) 382-2580 CA 91108 CAL OAKS PHARMACY PHARMACY 55 E CALIFORNIA BLVD, PASADENA, CA (626) 795-5956 91105 CAL OAKS THERAPY CENTER PHYSICAL THERAPY 40976 CALIFORNIA OAKS RD, (951) 698-5556 MURRIETA, CA 92562-5747 CAL OAKS THERAPY CENTER PHYSICAL THERAPY 40976 CALIFORNIA OAKS RD, (866) 389-0211 INC MURRIETA, CA 92562-5747 CAL PHARMACY PHARMACY 9746 WESTMINSTER AVE STE D4, (714) 636-1881 GARDEN GROVE, CA 92844 CALABASAS PHCY AND PHARMACY 22277 MULHOLLAND HWY, CALABASAS, (818) 223-8656 HEALTHCARE CA 91302 CALAVERAS PHARMACY PHARMACY 114 S PARK VICTORIA DR, MILPITAS, CA (408) 262-2056 95035 CALDERON, GERDINE, AMBER, HUNTINGTON BEACH PT PHYSICAL THERAPY 19582 BEACH BLVD 130, HUNTINGTON (714) 841-6162 LINEA - PT BEACH, CA 92648 CALDWELL PHYSICAL PHYSICAL THERAPY 1075 YORBA PL STE 107, PLACENTIA, (714) 524-3500 THERAPY CA 92870-3109 CALDWELL, BRITTANY - PT YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886 CALDWELL, CRAIG - PT CALDWELL PHYSICAL PHYSICAL THERAPY 1075 YORBA PL STE 107, PLACENTIA, (714) 524-3500 THERAPY CA 92870 CALDWELL, ROGER - AUD ADVANCED HEARING AUDIOLOGY 27120 EUCALYPTUS AVENUE, MORENO (800) 598-5300 PROVIDERS LLC VALLEY, CA 92555 CALE, DONALD - PT BECK AND CALE PHYSICAL PHYSICAL THERAPY 150 MARY AVE STE 1, NIPOMO, CA (805) 929-3230 THERAPY 93444 CALE, RHONDA - PT BECK AND CALE PHYSICAL PHYSICAL THERAPY 150 MARY AVE STE 1, NIPOMO, CA (805) 929-3230 THERAPY 93444 CALEXICO PHARMACY PHARMACY 420 E 2ND ST, CALEXICO, CA 92231 (760) 357-1200 CALHOUN, KAITLYN - PTA FULL MOTION PHYSICAL PHYSICAL THERAPY 31461 RANCHO VIEJO RD, SAN JUAN (949) 542-5000 THERAPY CAPISTRANO, CA 92675 CALI CARE PHARMACY PHARMACY 10278 WESTMINSTER AVE, GARDEN (714) 537-7291 GROVE, CA 92843 CALICARE PHARMACY PHARMACY 12144 CENTRAL AVE STE B, CHINO, CA (909) 591-8444 91710 CALIENTE SPRINGS PHYSICAL PHYSICAL THERAPY 17350 VAILETTI DR, SONOMA, CA (707) 935-3230 THERAPY 95476-3356 CALIF ORTHO INST PT PHYSICAL THERAPY 7485 MISSION VALLEY RD STE 100, SAN (619) 296-9532 DIEGO, CA 92108

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 79 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CALIFORNIA HAND & PHYSICAL PHYSICAL THERAPY 2001 SOLAR DR STE 150, OXNARD, CA (805) 604-1924 THERAPY 93036-0680 CALIFORNIA HAND & PHYSICAL PHYSICAL THERAPY 375 ROLLING OAKS DR STE 110, (805) 494-4145 THERAPY THOUSAND OAKS, CA 91361-1034 CALIFORNIA HAND THERAPY PHYSICAL THERAPY 8929 WILSHIRE BLVD STE 304, (310) 854-0529 BEVERLY HILLS, CA 90211-1969 CALIFORNIA HOSPITAL CALIFORNIA HOSPITAL ACUTE CARE HOSPITAL 1401 S GRAND AVE, LOS ANGELES, CA (213) 748-2411 MEDICAL CENTER (BCC) MEDICAL CENTER 90015 CALIFORNIA MEDICAL PHARMACY 2201 W TEMPLE ST, LOS ANGELES, CA (213) 413-2343 PHARMACY 90026 CALIFORNIA OCCUPATIONAL CALIFORNIA OCCUPATIONAL URGENT CARE FACILITY 505 WALL ST, CHICO, CA 95928 (530) 809-4907 MEDICAL PROFESSIONALS INC MEDICAL PROFESSIONALS INC (BCC) CALIFORNIA OCCUPATIONAL CALIFORNIA OCCUPATIONAL URGENT CARE FACILITY 1940 FEATHER RIVER BLVD STE O, (530) 534-5135 MEDICAL PROFESSIONALS INC MEDICAL PROFESSIONALS INC OROVILLE, CA 95965 (BCC) CALIFORNIA OCCUPATIONAL CALIFORNIA OCCUPATIONAL URGENT CARE FACILITY 2112 MCHENRY AVE STE B, MODESTO, (209) 572-2114 PHYSICIANS (BCC) PHYSICIANS CA 95350 CALIFORNIA PHARMACY PHARMACY 9550 MICRON AVE STE D, (916) 362-5400 SACRAMENTO, CA 95827 CALIFORNIA PHARMACY PHARMACY 19766 COLIMA RD, ROWLAND HEIGHTS, (909) 598-9885 CA 91748 CALIFORNIA PHARMACY PHARMACY 14541 BROOKHUST ST STE C5, (714) 775-2000 WESTMINSTER, CA 92683 CALIFORNIA PHARMACY PHARMACY 4000 BIRCH ST STE 120, NEWPORT (949) 642-8057 CMPD CTR BEACH, CA 92660 CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 & SPORTS THERAPY DOWNEY, CA 90242-2771 CALIFORNIA REHABILITATION PHYSICAL THERAPY 1632 PUENTE AVE, BALDWIN PARK, CA (626) 430-3995 & SPORTS THERAPY 91706-5952 CALIFORNIA REHABILITATION PHYSICAL THERAPY 200 NEWPORT CENTER DR STE 213, (949) 644-1322 & SPORTS THERAPY NEWPORT BEACH, CA 92660-7503 CALIFORNIA REHABILITATION PHYSICAL THERAPY 2101 E 4TH ST STE 170B, SANTA ANA, (714) 558-3977 & SPORTS THERAPY CA 92705-3886 CALIFORNIA REHABILITATION PHYSICAL THERAPY 26302 LA PAZ RD STE 105, MISSION (949) 206-1700 & SPORTS THERAPY VIEJO, CA 92691-5381 CALIFORNIA REHABILITATION PHYSICAL THERAPY 2888 LONG BEACH BLVD STE 405, (562) 595-4489 & SPORTS THERAPY LONG BEACH, CA 90806-1551 CALIFORNIA REHABILITATION PHYSICAL THERAPY 31105 RANCHO VIEJO RD STE C9, SAN (949) 496-4330 & SPORTS THERAPY JUAN CAPISTRANO, CA 92675-1717 CALIFORNIA REHABILITATION PHYSICAL THERAPY 36 MAUCHLY STE A, IRVINE, CA (949) 727-3315 & SPORTS THERAPY 92618-2390 CALIFORNIA REHABILITATION PHYSICAL THERAPY 471 W LAMBERT RD STE 106, BREA, CA (714) 255-8877 & SPORTS THERAPY 92821-3921 CALIFORNIA REHABILITATION PHYSICAL THERAPY 505 N EUCLID ST STE 680, ANAHEIM, CA (714) 780-0010 & SPORTS THERAPY 92801-5509 CALIFORNIA REHABILITATION PHYSICAL THERAPY 5630 E SANTA ANA CANYON RD STE (714) 282-7701 & SPORTS THERAPY 150, ANAHEIM, CA 92807-3141 CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 & SPORTS THERAPY BEACH, CA 92647-5316 CALIFORNIA SPECIALTY PHARMACY 13027 HADLEY ST STE B, WHITTIER, CA (877) 602-7779 PHARMACY 90601 CALIFORNIA THERAPY PHYSICAL THERAPY 18682 BEACH BLVD STE 130, (714) 963-6600 SOLUTIONS HUNTINGTON BEACH, CA 92648-2094 CALIFORNIA THERAPY PHYSICAL THERAPY 22 CORPORATE PLAZA DR, STE113, (949) 722-5054 SOLUTIONS NEWPORT BEACH, CA 92660-7985 CALIFORNIA THERAPY PHYSICAL THERAPY 485 E 17TH ST STE 602, COSTA MESA, (949) 722-7374 SOLUTIONS CA 92627-4719 CALIFORNIA THERAPY PHYSICAL THERAPY 6865 ALTON PKWY STE 110, IRVINE, CA (949) 679-2933 SOLUTIONS 92618-3740 CALIFORNIA THERAPY PHYSICAL THERAPY 9394 WARNER AVE, FOUNTAIN VALLEY, (714) 964-3337 SOLUTIONS CA 92708-2861

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 80 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CALIX DRUGS PHARMACY 942-944 NORTH GRAND AVE, COVINA, (626) 859-6611 CA 91724 CALL, GREOGRY - DC SYCAMORE VALLEY CHIROPRACTIC MEDICINE 565 SYCAMORE VALLEY RD W, (925) 837-5595 CHIROPRACTIC DANVILLE, CA 94526 CALLAHAN, SEAN - PT FIVE STAR PHYSICAL PHYSICAL THERAPY 234 N CITRUS AVE, COVINA, CA 91723 (626) 331-0077 THERAPY DBA PT 360 CALMONT PHARMACY PHARMACY 2800 N CALIFORNIA ST STE 9, (209) 943-7676 STOCKTON, CA 95204 CALVO, DONALD A - MD CONCENTRA MEDICAL INTERNAL MEDICINE 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO 94577 CALWEST HEAD & NECK AMBULATORY SURGERY 18350 ROSCOE BLVD STE 318, (818) 349-0600 SURGICAL INSTITUTE CENTER NORTHRIDGE , CA 91325 CAMARENA PHARMACY PHARMACY 344 E 6TH ST STE 101, MADERA, CA (559) 479-4580 93638 CAMARGO, DA, SILVA, IVY - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 2115 MONTIEL RD STE 103, SAN (760) 839-2905 MARCOS, CA 92069 CAMARGO, PEDRO - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 CAMARILLO (BCC) CAMARILLO CHEMICAL DEPENDENCY 799 CAMARILLO SPRINGS RD, (424) 281-5000 REHABILITATION CENTER CAMARILLO, CA 93012 (OUTPATIENT) CAMARILLO PHYSICAL PHYSICAL THERAPY 4000 CALLE TECATE STE 117, (805) 383-0470 THERAPY CAMARILLO, CA 93012-5285 CAMARILLO, LOUIS - DC CAMARILLO CHIROPRACTIC CHIROPRACTIC MEDICINE 2301 BELLEVUE AVE, LOS ANGELES, (213) 413-2225 REHAB CA 90057 CAMDEN PHARMACY PHARMACY 3189 S BASCOM AVE, CAMPBELL, CA (408) 371-0111 95008 CAMDEN PHARMACY AND GIFT PHARMACY 414 N CAMDEN DR, BEVERLY HILLS, CA (310) 273-3363 90210 CAMEL, JAMES E - MD (BCC) ASSOCIATION OF SOUTH BAY GENERAL SURGERY 23451 MADISON ST STE 340, (310) 373-6864 SURGEONS TORRANCE, CA 90505 CAMENSON, STEPHEN - DC NORALAHI MEDICAL CLINICS CHIROPRACTIC MEDICINE 1720 RINGWOOD AVE, SAN JOSE, CA (408) 988-8581 INCORPORATED 95131 CAMERON PHARMACY PHARMACY 7119 SEVILLE AVE STE D, HUNTINGTON (323) 582-5171 PARK, CA 90255 CAMERON, JAMIE - OTA GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 CAMERON, MARLENA - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 CAMINO PHARMACY PHARMACY 701 E EL CAMINO REAL, MOUNTAIN (650) 934-7699 VIEW, CA 94040 CAMPAGNA, JENNIFER - DC JENNIFER CAMPAGNA CHIROPRACTIC MEDICINE 17411 BEACH BLVD, HUNTINGTON (714) 596-2260 CHIROPRACTIC CORPORATION BEACH, CA 92647

CAMPBELL PT SPORTSCARE PHYSICAL THERAPY 163 E HAMILTON AVE, CAMPBELL, CA (408) 866-5567 95008 CAMPBELL, ALLISON - AUD ADVANCED HEARING AUDIOLOGY 2020 CAMINO DEL RIO N STE 106, SAN (800) 598-5300 PROVIDERS LLC DIEGO, CA 92108 CAMPBELL, ALLISON - AUD ADVANCED HEARING AUDIOLOGY 1635 LAKE SAN MARCOS DR STE 108, (800) 598-5300 PROVIDERS LLC SAN MARCOS, CA 92078 CAMPBELL, BRADLEY - PTA MARQUE MEDICAL PHYSICAL THERAPY 2075 SAN JOAQUIN HILLS RD, (949) 760-9222 NEWPORT BEACH, CA 92660 CAMPBELL, BRADLEY - PTA MARQUE MEDICAL PHYSICAL THERAPY 26831 ALISO CREEK RD STE 200, ALISO (949) 760-9222 VIEJO, CA 92656 CAMPBELL, BRADLEY - PTA MARQUE MEDICAL PHYSICAL THERAPY 8970 KNOTT AVE, BUENA PARK, CA (949) 760-9222 90620 CAMPBELL, BRAYTON R - DPM FOOT & ANKLE CONCEPTS INC PODIATRY 3180 WILLOW LN STE 108, WESTLAKE (805) 370-3338 (BCC) VILLAGE, CA 91361 CAMPBELL, CHRISTIE E - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 401 BICENTENNIAL WAY , SANTA ROSA, (707) 566-5555 JOB OCCUPATIONAL HEALTH CA 95403 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 81 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CAMPBELL, CHRISTIE E - DO KAISER PERMANENTE ON THE PRIMARY TREATING 401 BICENTENNIAL WAY , SANTA ROSA, (707) 566-5555 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 95403 CENTER CAMPBELL, CHRISTIE E - DO KAISER PERMANENTE SANTA PHYSICAL MEDICINE & 401 BICENTENNIAL WAY , SANTA ROSA, (707) 566-5555 ROSA MEDICAL CENTER REHABILITATION CA 95403 CAMPBELL, ELLYETTE - OT CERTIFIED HAND OCCUPATIONAL THERAPY 760 SAN RAMON VALLEY BLVD STE 100, (925) 743-8905 REHABILITATION DANVILLE, CA 94526 CAMPBELL, KIM - DC ADVANCED WELLNESS CHIROPRACTIC MEDICINE 6423 E PACIFIC COAST HWY, LONG (562) 795-6680 CENTER BEACH, CA 90803 CAMPBELL, LISA - PT SCOR SAN CLEMENTE PHYSICAL THERAPY 653 CAMINO DE LOS MARES STE 110, (949) 496-0122 ORTHOPAEDIC SAN CLEMENTE, CA 92673 REHABILITATION PHYSICAL THERAPY CAMPBELL, SCOTT - PT ERIC EWIG PHYSICAL PHYSICAL THERAPY 935 TRANCAS ST STE 4C, NAPA, CA (707) 255-1212 THERAPY INC 94558 CAMPUS COMMONS P T INC PHYSICAL THERAPY 601 UNIVERSITY AVE STE 185, (916) 927-1333 SACRAMENTO, CA 95825-6739 CAMPUS PHARMACY PHARMACY 100 UCLA MEDICAL PLZ STE 150, LOS (310) 208-2340 ANGELES, CA 90024 CAMPUS PHYSICAL THERAPY PHYSICAL THERAPY 101 SO SAN MATEO DR STE 202, SAN (650) 994-7800 CENTER MATEO, CA 94401 CAMPUS PHYSICAL THERAPY PHYSICAL THERAPY 901 CAMPUS DRSUITE 213, DALY CITY, (650) 994-7800 CENTER CA 94015-4930 CANAAN BOKJEE PHARMACY 903 CRENSHAW BLVD, LOS ANGELES, (323) 932-0202 PHARMACEUTICAL CA 90019 CANABAL, MANUAL - LAC MANUAL CANABAL LAC ACUPUNCTURE 1220 S CENTRAL AVE STE 104, (818) 240-7511 GLENDALE, CA 91204 CANABAL, MANUEL - LAC MANUAL CANABAL LAC ACUPUNCTURE 8134 VAN NUYS BLVD STE 100, (818) 904-6700 PANORAMA CITY, CA 91402 CANARY PHARMACY PHARMACY 4950 SAN BERNARDINO ST, (909) 445-0805 MONTCLAIR, CA 91763 CANDELARIA, INOCENCIO D - CONCENTRA MEDICAL PRIMARY TREATING 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 MD CENTER - CONCORD PHYSICIAN CA 94520 CANDELARIA, INOCENCIO D - CONCENTRA MEDICAL FAMILY MEDICINE 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 MD CENTER - CONCORD CA 94520 CANDH PHARMACY PHARMACY 4012 KATELLA AVE STE 101, LOS (562) 431-1131 ALAMITOS, CA 90720 CANNON, KRISTIANE - PT EMERYVILLE OCCUPATIONAL PHYSICAL THERAPY 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 CANNONE, LEONARD - DC SAN LEANDRO CHIROPRACTIC CHIROPRACTIC MEDICINE 2185 E 14TH ST, SAN LEANDRO, CA (510) 352-6033 94577 CANOGA PARK PHARMACY PHARMACY 22330 SHERMAN WAY STE C3, CANOGA (818) 348-6600 PARK, CA 91303 CANOUT, FELIX - PT FELIX R CANOUT REHAB PHYSICAL THERAPY 1200 WILSHIRE BLVD STE 401, LOS (310) 274-9307 SERVICES ANGELES, CA 90017 CANOUT, SANDY - OT FELIX R CANOUT REHAB OCCUPATIONAL THERAPY 1200 WILSHIRE BLVD STE 401, LOS (213) 481-1515 SERVICES ANGELES, CA 90017 CANOUT, SANDY - PT FELIX R CANOUT REHAB PHYSICAL THERAPY 1200 WILSHIRE BLVD STE 401, LOS (310) 274-9307 SERVICES ANGELES, CA 90017 CANSLER, ASHLEY - AUD ADVANCED HEARING AUDIOLOGY 1704 SPRING ST STE 101, PASO (800) 598-5300 PROVIDERS LLC ROBLES, CA 93446 CANSLER, ASHLEY - AUD ADVANCED HEARING AUDIOLOGY 3830 BROAD ST STE 5, SAN LUIS (800) 598-5300 PROVIDERS LLC OBISPO, CA 93401 CANYON RIDGE HOSPITAL INC CANYON RIDGE HOSPITAL INC CHEMICAL DEPENDENCY 5353 G ST, CHINO, CA 91710 (909) 590-3700 (BCC) REHABILITATION CENTER (OUTPATIENT) CAO, BIN - MD KAISER PERMANENTE SOUTH PHYSICAL MEDICINE AND 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER REHABILITATION CA 90710 CAOILI, RAUL - LAC ACUPUNCTURE HEALING ACUPUNCTURE 1615 SWEETWATER RD STE J, (619) 474-8649 CENTER NATIONAL CITY, CA 91950 CAPITAL CITY PHARMACY PHARMACY 339 GEORGIA ST, VALLEJO, CA 94590 (707) 644-2272 CAPITOL DRUGS - WEST PHARMACY 8578 SANTA MONICA BLVD, WEST (310) 289-5277 HOLLYWOOD HOLLYWOOD, CA 90069

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 82 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CAPITOL DRUGS-SHERMAN PHARMACY 4454 VAN NUYS BLVD STE J, SHERMAN (818) 905-8338 OAKS OAKS, CA 91403 CAPITOL PHARMACY PHARMACY 2923 W CAPITOL AVE, WEST (916) 617-4321 SACRAMENTO, CA 95691 CAPITOL PHARMACY PHARMACY 2114 SENTER RD STE 26, SAN JOSE, CA (408) 298-1385 95112 CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 2288 AUBURN BLVD STE 107, (916) 446-1497 SACRAMENTO, CA 95821-1619 CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 2600 EUREKA RD, ROSEVILLE, CA (916) 782-2761 95661-6448 CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 8569 BOND RD STE 150, ELK GROVE, (916) 714-1177 CA 95624-9523 CAPITOL PT CENTER PHYSICAL THERAPY 1515 8TH ST, SACRAMENTO, CA (916) 442-2993 95814-5503 CAPPI, RONALD - DC RON CAPPI DC CHIROPRACTIC MEDICINE 23734 VALENCIA BLVD STE 202, (661) 259-2211 VALENCIA, CA 91355 CAPSULE PHARMACY PHARMACY 2557 MOWRY AVE STE 11, FREMONT, (510) 896-8121 CA 94538 CAPTANIS, KATERINA - DC CAPTANIS CHIROPRACTIC CHIROPRACTIC MEDICINE 2650 N LOS COYOTES DIAGONAL, (562) 420-7571 LONG BEACH, CA 90815 CAPUCHINO, LULA - OT CAPUCHINO THERAPY GROUP OCCUPATIONAL THERAPY 3601 MARCONI AVE, SACRAMENTO, CA (916) 481-1300 95821 CAPUTO, ROY - MD ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY SUITE 200, (951) 977-2500 UPPER EXTREMITIES RIVERSIDE, CA 92505 CAPUTO, ROY - MD ORTHOPEDICS - UPPER 4234 RIVERWALK PARKWAY SUITE 200, (951) 977-2500 EXTREMITIES RIVERSIDE, CA 92505 CAPUTO, ROY - MD (BCC) ORTHOPEDIC SURGERY - 8555 FLORENCE AVE, DOWNEY, CA (562) 923-9351 UPPER EXTREMITIES 90240 CAPUTO, ROY - MD (BCC) ORTHOPEDICS - UPPER 8555 FLORENCE AVE, DOWNEY, CA (562) 923-9351 EXTREMITIES 90240 CAPUTO, ROY J - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 CAPUTO, ROY J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 SHOULDER RIVERSIDE, CA 92505 CAPUTO, ROY J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 WRIST RIVERSIDE, CA 92505 CAPUTO, ROY J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 ELBOW RIVERSIDE, CA 92505 CAPUTO, ROY J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 CAPUTO, ROY J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 CAPUTO, ROY J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - WRIST 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 CAPUTO, ROY J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HAND 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 CARAGAN, SONIA - PTA COMPREHENSIVE PHYSICAL THERAPY 22622 VANOWEN ST, WEST HILLS, CA (818) 999-3582 THERAPEUTICS INC 91307 CARBONE, JOHN T - DPM KAISER PERMANENTE SO SAN PODIATRY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 CARDENO, SAMANTHA - PT EDGE PHYSICAL THERAPY INC PHYSICAL THERAPY 1599 MONTE VISTA AVE, CLAREMONT, (909) 399-3359 CA 91711 CARDINALE, JOHN - PT PHYSIOMOTION PHYSICAL PHYSICAL THERAPY 4080 N CEDAR AVE, FRESNO, CA 93726 (559) 222-7497 THERAPY INC CARDONA, AMILCAR F - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH SACRAMENTO, CA 95823 CENTER CARDONA, AMILCAR F - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH PHYSICIAN SACRAMENTO, CA 95823 CENTER CARDOZA, JORDAN - PT SOLOWAY CHIROPRACTIC INC PHYSICAL THERAPY 2013 NEWPORT BLVD, COSTA MESA, (714) 804-5108 CA 92627

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 83 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CARDOZA, JORDAN, JAMES - REPAIR NB PHYSICAL PHYSICAL THERAPY 2013 NEWPORT BLVD, COSTA MESA, (714) 377-4314 PT THERAPY CORP CA 92627 CARE CENTER PHARMACY PHARMACY 1570 E HERNDON AVE, FRESNO, CA (559) 437-7370 93720 CARE ONE PHARMACY PHARMACY 9055 GARFIELD AVE, FOUNTAIN (714) 962-4010 VALLEY, CA 92708 CARE PHARMACY PHARMACY 90 N ASHWOOD AVE STE B, VENTURA, (805) 642-4135 CA 93003 CARE PHARMACY PHARMACY 5065 EL CAJON BLVD, SAN DIEGO, CA (619) 501-8046 92115 CARE PHARMACY PHARMACY 129 N MCKINLEY ST STE 102, CORONA, (951) 268-9644 CA 92879 CARE PHARMACY PHARMACY 16137 FOOTHILL BLVD, FONTANA, CA (909) 429-4497 92335 CARE PHARMACY PHARMACY 302 E BULLARD AVE, FRESNO, CA (559) 261-9888 93710 CARE PHARMACY INC PHARMACY 1600 S HILL ST STE B, LOS ANGELES, (213) 746-3777 CA 90015 CARE PLUS PHARMACY PHARMACY 19015 VENTURA BLVD, TARZANA, CA (818) 343-5100 91356 CARE PLUS PHARMACY PHARMACY 4990 ARLINGTON AVE STE A, (951) 324-1610 RIVERSIDE, CA 92504 CARE-A-LOT PHARMACY PHARMACY 21413 DEVONSHIRE ST, CHATSWORTH, (747) 202-3222 CA 91311 CARE-MORE PHARMACY PHARMACY 720 RAMONA AVE STE 102, CORONA, (951) 863-4300 CA 92879 CARE-PRO PHARMACY PHARMACY 1307 W 6TH ST STE 107, CORONA, CA (951) 496-4408 92882 CARE4U PHARMACY PHARMACY 901 CAMPUS DR STE 206, DALY CITY, (650) 226-8002 CA 94015 CAREFIRST MEDICAL GROUP CAREFIRST MEDICAL GROUP URGENT CARE FACILITY 3550 E PHILADELPHIA ST STE 150, (909) 773-0022 INC (BCC) INC ONTARIO, CA 91761 CAREFIRSTRX PHARMACY 7325 MEDICAL CENTER DR, WEST (818) 887-8844 HILLS, CA 91307 CARELINK PHARMACY PHARMACY 1812 TICE VALLEY BLVD, WALNUT (925) 378-7650 CREEK, CA 94595 CAREMAX PHARMACY 10741 WESTMINSTER AVE, GARDEN (714) 530-2888 GROVE, CA 92843 CAREMAX PHARMACY PHARMACY 8271 COMMONWEALTH AVE, BUENA (714) 739-2201 PARK, CA 90621 CAREMAX PHARMACY PHARMACY 2426 W 8TH ST STE 102, LOS ANGELES, (213) 385-9926 CA 90057 CAREMAX PHARMACY PHARMACY 4216 BEVERLY BLVD, LOS ANGELES, (213) 382-8899 CA 90004 CAREMAX PHARMACY PHARMACY 4301 S FIGUEROA ST STE E, LOS (323) 234-4343 ANGELES, CA 90037 CAREMAX PHARMACY PHARMACY 814 S ALVARADO ST, LOS ANGELES, CA (213) 381-3200 90057 CAREMEDS PHARMACY PHARMACY 17972 SKY PARK CIR STE F, IRVINE, CA (949) 483-8363 92614 CAREMERIDIAN TEXHOMA SKILLED NURSING FACILITY 9440 TEXHOMA AVE, NORTHRIDGE, CA (818) 739-3057 91325 CAREMORE PHARMACY PHARMACY 13394 LIMONITE AVE, EASTVALE, CA (951) 444-6768 92880 CAREONSITE MEDICAL CAREONSITE MEDICAL URGENT CARE FACILITY 1250 PACIFIC AVE, LONG BEACH, CA (562) 437-0831 SERVICES (BCC) SERVICES 90813 CAREONSITE MEDICAL CAREONSITE MEDICAL URGENT CARE FACILITY 1805 ARNOLD DR, MARTINEZ, CA 94553 (925) 335-5050 SERVICES (BCC) SERVICES CAREPHARM PHARMACY PHARMACY 4700 PANAMA LN STE 116, (661) 836-7557 BAKERSFIELD, CA 93313 CAREPHARM PHARMACY PHARMACY 4700 PANAMA LN UNIT 116, (661) 836-7557 BAKERSFIELD, CA 93313

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 84 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CAREPLUS DRUGS PHARMACY 4177 W SHAW AVE STE 109, FRESNO, (559) 940-9013 CA 93722 CAREY, JOSEPH N - MD (BCC) KECK MEDICINE OF USC PLASTIC & RECONSTRUCTIVE 1510 SAN PABLO ST STE 6200, LOS (323) 442-7920 SURGERY ANGELES, CA 90033 CAREY, SHANNON, KELLEY - REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 OT 165, LAGUNA HILLS, CA 92653 CAREZONE PHARMACY PHARMACY 860 HARBOUR WAY S STE E, (844) 792-2739 RICHMOND, CA 94804 CARINGI, DARYL - DO (BCC) PAIN MANAGEMENT 984 W FOOTHILL BLVD STE E, UPLAND, (909) 373-1027 CA 91786 CARLISLE, ELLIOT R - MD KAISER PERMANENTE SAN SPINE SURGERY 275 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 CARLOS, VICTOR - PT SOUTHSIDE PHYSICAL PHYSICAL THERAPY 22311 BROOKHURST ST STE 104, (714) 965-2222 THERAPY TRAINING CENTER HUNTINGTON BEACH, CA 92646 CARLSBAD VILLAGE PHARMACY 1005 CARLSBAD VILLAGE DR, (760) 729-2405 PHARMACY CARLSBAD, CA 92008 CARLSON, GREGORY - MD RESTORE ORTHOPEDICS AND SPINE SURGERY 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ORANGE, CA 92868 CENTER CARMEL DRUG STORE PHARMACY OCEAN AVE AT SAN CARLOS, CARMEL (831) 624-3819 BY THE SEA, CA 93921 CARMEL VALLEY PHARMACY PHARMACY 12750 CARMEL COUNTRY RD, SAN (858) 481-4990 DIEGO, CA 92130 CARMICHAEL, KIRSTEN - PT FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 588 N SUNRISE AVE STE 100, (916) 782-7848 ROSEVILLE, CA 95661 CARNAHAN, JUANITA - PT CARNAHAN THERAPY PHYSICAL THERAPY 805 E WALNUT AVE, LOMPOC, CA 93436 (805) 735-3714 REHABILITATION CARNEY, PERRY - MD (BCC) ANESTHESIOLOGY 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 91786 CARPADAKIS, JASON - AUD ADVANCED HEARING AUDIOLOGY 8881 FLETCHER PKWY STE 103, LA (800) 598-5300 PROVIDERS LLC MESA, CA 91942 CARRANZA PHARMACY PHARMACY 2431 3RD ST, HUGHSON, CA 95326 (209) 883-4911 CARRIES PHARMACY PHARMACY 501 N GLENOAKS BLVD, BURBANK, CA (818) 567-1114 91502 CARRILLO, ALEXANDRIA - PT CAMPUS COMMONS P T INC PHYSICAL THERAPY 601 UNIVERSITY AVE STE 185, (916) 927-1333 SACRAMENTO, CA 95825 CARRILLO, AMANDA - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 4205 SAN FELIPE RD STE 100, SAN (408) 238-1552 PHYSICAL THERAPY JOSE, CA 95135 CARRILLO, NICOLAS - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 CARROLL, BREDA - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 110 N LA BREA 3RD FLR RM 303, (310) 202-3030 JOB WEST LOS ANGELES INGLEWOOD, CA 90301 MEDICAL CENTER CARROLL, BREDA - DO KAISER PERMANENTE ON THE PRIMARY TREATING 110 N LA BREA 3RD FLR RM 303, (310) 202-3030 JOB WEST LOS ANGELES PHYSICIAN INGLEWOOD, CA 90301 MEDICAL CENTER CARROLL, BREDA - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5300 MCCONNELL AVE 1ST FL, LOS (310) 202-3030 JOB PLAYA VISTA ANGELES, CA 90066 CARROLL, BREDA - DO KAISER PERMANENTE ON THE PRIMARY TREATING 5300 MCCONNELL AVE 1ST FL, LOS (310) 202-3030 JOB PLAYA VISTA PHYSICIAN ANGELES, CA 90066 CARROLL, BREDA - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES ANGELES, CA 90034 MEDICAL CENTER CARROLL, BREDA - DO KAISER PERMANENTE ON THE PRIMARY TREATING 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES PHYSICIAN ANGELES, CA 90034 MEDICAL CENTER CARROLL, BREDA - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 JOB WEST LOS ANGELES CA 90034 MEDICAL CENTER CARROLL, BREDA - DO KAISER PERMANENTE ON THE PRIMARY TREATING 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 JOB WEST LOS ANGELES PHYSICIAN CA 90034 MEDICAL CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 85 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CARSON DISCOUNT PHARMACY 111 E CARSON ST STE B, CARSON, CA (310) 835-1000 PHARMACY 90745 CARSON PHARMACY PHARMACY 21720 S VERMONT AVE, TORRANCE, CA (310) 328-0982 90502 CARSON, BRIAN - PT ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 30837 E THOUSAND OAKS BLVD, (818) 879-2091 MAIN ACCOUNT WESTLAKE VILLAGE, CA 91362 CARSON, KATRINA - PT PHYSIUS PHYSICAL THERAPY PHYSICAL THERAPY 716 GARNER AVE 103, HANFORD, CA (559) 772-1510 93230 CARTER, ROSEANN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 CARTER, ROXANNE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 CARUTHERS PHARMACY PHARMACY 2436 W TAHOE AVE, CARUTHERS, CA (559) 864-3177 93609 CARUTHERS, TIMOTHY - DC CARUTHERS CHIROPRACTIC CHIROPRACTIC MEDICINE 5360 JACKSON DR STE 116, LA MESA, (619) 464-2225 CA 91942 CARVAJAL, SAM J - MD (BCC) ADVENTIST HEALTH VASCULAR SURGERY 1560 E CHEVY CHASE DR STE 430, (818) 243-1135 GLENDALE, CA 91206 CARVALHO, SUSIE - PTA IN MOTION PHYSICAL PHYSICAL THERAPY 985 BROADWAY STE E, CHULA VISTA, (619) 585-0977 THERAPY CA 91911 CARY, COSTA - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1041 E YORBA LINDA BLVS STE 210, (714) 617-1775 PLACENTIA, CA 92870 CASA COLINA HOSPITAL FOR REHABILITATION HOSPITAL 255 E BONITA AVE , POMONA, CA 91767 (866) 724-4127 REHABILITATION (BCC) CASA DE LAS AMIGAS (BCC) CASA DE LAS AMIGAS CHEMICAL DEPENDENCY 160 N EL MOLINO AVE, PASADENA, CA (626) 792-2770 REHABILITATION CENTER 91101 (OUTPATIENT) CASA DE LAS AMIGAS (BCC) CASA DE LAS AMIGAS CHEMICAL DEPENDENCY 744 E WALNUT ST, PASADENA, CA (626) 792-2770 REHABILITATION CENTER 91101 (OUTPATIENT) CASA PALMERA (BCC) CASA PALMERA CHEMICAL DEPENDENCY 14750 EL CAMINO REAL, DEL MAR, CA (858) 481-4411 REHABILITATION CENTER 92014 (OUTPATIENT) CASANAVE, ALDEN B - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 CASANAVE, ALDEN B - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 CASASSSA IV, CHARLES M - LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 MD (BCC) HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S CASAZZA, LANE - DC CASAZZA CHIROPRACTIC CHIROPRACTIC MEDICINE 2716 V STREET, SACRAMENTO, CA (916) 447-2200 95818 CASEM, ANNA - PT SANTA CLARA PHYSICAL PHYSICAL THERAPY 2488 DE LA CRUZ BLVD, SANTA CLARA, (408) 247-7278 THERAPY CA 95050 CASERZA, NICHOLAS - PT SOLANO SPORTS PHYSICAL PHYSICAL THERAPY 1350 BURTON DR STE 260, VACAVILLE, (707) 449-3484 THERAPY INC CA 95687 CASEY, PAUL J - MD CONCENTRA MEDICAL HAND SURGERY 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE CASEY, PAUL J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE WRIST CASEY, PAUL J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE CASEY, PAUL J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE CASEY, PAUL J - MD CONCENTRA MEDICAL HAND SURGERY 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER CASEY, PAUL J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA WRIST CA 92704 WARNER CASEY, PAUL J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 86 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CASEY, PAUL J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER CASEY, RICHARD - MD (BCC) ATLANTIS EYECARE OPHTHALMOLOGY 1595 E 17TH ST , SANTA ANA , CA 92705 (714) 901-2007 CASEY, RICHARD - MD (BCC) ATLANTIS EYECARE OPHTHALMOLOGY 8028 3RD ST , DOWNEY, CA 90241 (562) 622-8700 CASEY, RICHARD - MD (BCC) ATLANTIS EYECARE OPHTHALMOLOGY 23000 CRENSHAW BLVD STE 100, (310) 803-9633 TORRANCE, CA 90505 CASILLAS, ROBERT A - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER CASSELL, STEWART - PT BECK AND CALE PHYSICAL PHYSICAL THERAPY 150 MARY AVE STE 1, NIPOMO, CA (805) 929-3230 THERAPY 93444 CASSIDY, DAN - PT MARIPOSA PHYSICAL PHYSICAL THERAPY 5072 BULLION STREET, MARIPOSA, CA (209) 742-7272 THERAPY 95338 CAST CENTERS LLC (BCC) CAST CENTERS LLC CHEMICAL DEPENDENCY 630 N DOHENY DR, WEST (866) 283-9885 REHABILITATION CENTER HOLLYWOOD, CA 90069 (OUTPATIENT) CASTANEDA, DEBORAH A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 CASTANEDA, DEBORAH A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE ANKLE THOUSAND OAKS , CA 91361 CASTANEDA, DEBORAH A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE FOOT THOUSAND OAKS , CA 91361 CASTANEDA, DEBORAH A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - FOOT 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 CASTANEDA, DEBORAH A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE ANKLE CA 93065 CASTANEDA, DEBORAH A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE CA 93065 CASTANEDA, DEBORAH A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE FOOT CA 93065 CASTANEDA, DEBORAH A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - FOOT 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE CA 93065 CASTANEDA, MARLENE - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 CASTELO, DORINA R - MD IRONSTONE MEDICAL CLINIC PRIMARY TREATING 4121 BROCKTON AVE STE 104, (951) 778-0032 (BCC) PHYSICIAN RIVERSIDE, CA 92501 CASTELO, DORINA R - MD IRONSTONE MEDICAL CLINIC GENERAL PRACTICE 4121 BROCKTON AVE STE 104, (951) 778-0032 (BCC) RIVERSIDE, CA 92501 CASTILAN, JAN - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2838 OSWELL ST, BAKERSFIELD, CA (661) 873-7100 93306 CASTILLO, MICHAEL B - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH FRESNO, CA 93720 CENTER CASTILLO, MICHAEL B - MD KAISER PERMANENTE ON THE PRIMARY TREATING 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH PHYSICIAN FRESNO, CA 93720 CENTER CASTLE PHARMACY PHARMACY 3605 HOSPITAL RD STE H, ATWATER, (209) 723-1888 CA 95301 CASTONGUAY, RONALD R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN 93706 CASTONGUAY, RONALD R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN LOWER EXTREMITIES 93706 CASTONGUAY, RONALD R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN UPPER EXTREMITIES 93706 CASTONGUAY, RONALD R - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN 93706 CASTONGUAY, RONALD R - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN EXTREMITIES 93706 CASTONGUAY, RONALD R - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN 93706 CASTONGUAY, RONALD R - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN EXTREMITIES 93706

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 87 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CASTONGUAY, RONALD R - MD CONCENTRA MEDICAL SPINE SURGERY 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN 93706 CASTREJON, VERONICA - PTA MARKET PLACE PHYSICAL PHYSICAL THERAPY 14682 CENTRAL AVE, CHINO, CA 91710 (951) 684-2874 THERAPY CASTRO, CALVINE - LAC CALVINE CASTRO ACUPUNCTURE 1125 LINDA VISTA DR STE 102, SAN (951) 249-6236 ACUPUNCTURE MARCOS, CA 92078 CASTRO, CALVINE - LAC CALVINE CASTRO ACUPUNCTURE 29826 HAUN RD STE 203, MENIFEE, CA (951) 249-6236 ACUPUNCTURE 92586 CASTRO, CALVINE - LAC CALVINE CASTRO ACUPUNCTURE 31537 RANCHO PUEBLO RD STE 102, (951) 249-6236 ACUPUNCTURE TEMECULA, CA 92592 CASTRO, LESLIE - OTA REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 CASTRO, RICARDO - DC HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 CASTRO, RICARDO - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC CASTRO, RICARDO - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 CASTRO, RICARDO - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 2226 MEDICAL CENTER DR, STE 102, (951) 657-1400 GROUP INC PERRIS, CA 92571 CASTRO, RICARDO - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 CASTRO, RICARDO - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 CASTRO, RICARDO - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 CASTRO, RICARDO - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 7052 ORANGEWOOD AVE, STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 CASTRO, RICARDO - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 CASTRO, STEVEN - PT ALAMEDA INDUSTRIAL PHYSICAL THERAPY 1907 E WASHINGTON BLVD, LOS (213) 747-7667 MEDICAL GROUP ANGELES, CA 90021 CATALANO, RICHARD D - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S CATALINA ISLAND MEDICAL CATALINA ISLAND MEDICAL ACUTE CARE HOSPITAL 100 FALLS CANYON RD, AVALON, CA (310) 510-0700 CENTER (BCC) CENTER 90704 CATALYST PHYSICAL PHYSICAL THERAPY 1333 CAMINO DEL RIO S STE 103, SAN (619) 501-2195 THERAPY & WELLNESS DIEGO, CA 92108-3520 CATALYST PHYSICAL PHYSICAL THERAPY 722 GENEVIEVE ST STE A, SOLANA (619) 501-2195 THERAPY AND WELLNESS BEACH, CA 92075-2061 CATER, GREGORY - DC CATER CHIROPRACTIC CHIROPRACTIC MEDICINE 1211 NORTH MAIN STREET, SALINAS, (831) 449-2225 CA 93906 CATES, SARA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY CATES, SARA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY CATES, SARA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY CATHAY MEDICAL PHARMACY PHARMACY 711 W COLLEGE ST STE 100, LOS (213) 613-1158 ANGELES, CA 90012 CATINAT PHARMACY PHARMACY 9549 BOLSA AVE STE A, (714) 531-3560 WESTMINSTER, CA 92683 CATINAT PHARMACY PHARMACY 2619 W EDINGER AVE STE D2, SANTA (714) 557-5140 ANA, CA 92704 CATO, JARED - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 CATTANO, STEPHANIE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 88 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CATTANO, STEPHANIE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 CAUDILLO, PAUL - PT PAIR MAROTTA PHYSICAL PHYSICAL THERAPY 3400 PANAMA LANE, BAKERSFIELD, CA (661) 412-4667 THERAPY 93304 CAUDILLO, PAUL - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 CAULFIELD, CARY - PT CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 2288 AUBURN BLVD STE 107, (916) 446-1497 SACRAMENTO, CA 95821 CAULFIELD, CARY - PT CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 4200 DOUGLAS BLVD STE 200, (916) 782-2761 GRANITE BAY, CA 95746 CAVALLERO, MATTHEW J - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - HIP 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) ARCADIA , CA 91007 CAVALLERO, MATTHEW J - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - HIP 2627 E WASHINGTON BLVD, (626) 797-2002 (BCC) PASADENA, CA 91107 CAVALLERO, MATTHEW J - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) LOWER EXTREMITIES ARCADIA , CA 91007 CAVALLERO, MATTHEW J - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 2627 E WASHINGTON BLVD, (626) 797-2002 (BCC) LOWER EXTREMITIES PASADENA, CA 91107 CAVALLERO, MATTHEW J - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) UPPER EXTREMITIES ARCADIA , CA 91007 CAVALLERO, MATTHEW J - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 2627 E WASHINGTON BLVD, (626) 797-2002 (BCC) UPPER EXTREMITIES PASADENA, CA 91107 CAVES, THOMAS C - MD (BCC) SANSUM CLINIC - PUEBLO GASTROENTEROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 CAYUCOS PHARMACY PHARMACY 72 S OCEAN AVE, CAYUCOS, CA 93430 (805) 995-3538 CBC COMMUNITY PHARMACY PHARMACY 1800 WESTERN AVE, SAN (909) 887-6359 BERNARDINO, CA 92411 CBC CONVALSCENT CARE PHARMACY 716 E MISSION BLVD STE B, POMONA, (909) 865-2808 PHARMACY CA 91766 CBC MISSION PHARMACY PHARMACY 716 E MISSION BLVD STE A, POMONA, (909) 865-1149 CA 91766 CBHS PHARMACY SERVICES PHARMACY 1380 HOWARD ST STE 130, SAN (415) 255-3659 FRANCISCO, CA 94103 CCARE FRESNO PHARMACY 7130 NORTH MILBROOK AVE SUITE, (559) 326-1238 FRESNO, CA 93720 CCARE SAN DIEGO PHARMACY 9850 GENESEE AVE STE 560, LA JOLLA, (858) 552-1410 CA 92037 CCCMA OCCUPATIONAL CCCMA OCCUPATIONAL URGENT CARE FACILITY 27200 CALAROGA AVE, HAYWARD, CA (510) 264-4046 CLINIC (BCC) CLINIC 94545 CCRX PHARMACY 1919 W 7TH ST UNIT M, LOS ANGELES, (213) 674-7577 CA 90057 CDM DRUGS PHARMACY 2865 E COAST HWY STE 150, CORONA (949) 644-7575 DEL MAR, CA 92625 CEDAR PARK PHARMACY PHARMACY 130 CEDAR RD, VISTA, CA 92083 (760) 630-8806 CEDAR PHARMACY AND MED PHARMACY 6767 N CEDAR AVE, FRESNO, CA 93710 (559) 437-3700 SUPPLY CEDARMAK PHARMACY PHARMACY 8737 BEVERLY BLVD STE 102, WEST (424) 303-7860 HOLLYWOOD, CA 90048 CEDARS SINAI MED CNTR PHY PHARMACY 8723 ALDEN DR S 244, LOS ANGELES, (310) 423-5775 CA 90048 CEDARS SINAI MEDICAL CEDARS SINAI MEDICAL ACUTE CARE HOSPITAL 8700 BEVERLY BLVD, LOS ANGELES, (310) 423-3277 CENTER (BCC) CENTER CA 90048 CEDARS SINAI MEDICAL CEDARS SINAI MEDICAL MENTAL HEALTH/PSYCHIATRIC 444 S SAN VICENTE BLVD STE 701, LOS (310) 423-9200 CENTER REHAB UNIT (BCC) CENTER REHAB UNIT HOSPITAL (INPATIENT) ANGELES, CA 90048 CEDRA PHARMACY PHARMACY 1417 W BEVERLY BLVD, MONTEBELLO, (323) 206-4466 CA 90640 CENAVODANOVIC, GABRIELA - ANTELOPE VALLEY PHYSICAL PHYSICAL THERAPY 3167 RNCH VST BLVD STE D, (661) 266-9578 PT THERAPY PALMDALE, CA 93551 CENTENO, JOSEPH - MD ORTHOPEDIC SURGERY - HIP 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 CA 94589 CENTENO, JOSEPH - MD ORTHOPEDIC SURGERY - 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 LOWER EXTREMITIES CA 94589

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 89 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CENTENO, JOSEPH - MD ORTHOPEDIC SURGERY - 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 UPPER EXTREMITIES CA 94589 CENTENO, JOSEPH - MD ORTHOPEDICS - BACK 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 CA 94589 CENTENO, JOSEPH - MD ORTHOPEDICS - HIP 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 CA 94589 CENTENO, JOSEPH - MD ORTHOPEDICS - LOWER 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 EXTREMITIES CA 94589 CENTENO, JOSEPH - MD ORTHOPEDICS - UPPER 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 EXTREMITIES CA 94589 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK LOWER EXTREMITIES PARK, CA 94928 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK UPPER EXTREMITIES PARK, CA 94928 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL SPINE SURGERY 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK EXTREMITIES PARK, CA 94928 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK EXTREMITIES PARK, CA 94928 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND RICHMOND, CA 94806 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND LOWER EXTREMITIES RICHMOND, CA 94806 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND UPPER EXTREMITIES RICHMOND, CA 94806 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND RICHMOND, CA 94806 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND EXTREMITIES RICHMOND, CA 94806 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND RICHMOND, CA 94806 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND EXTREMITIES RICHMOND, CA 94806 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL SPINE SURGERY 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND RICHMOND, CA 94806 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA LOWER EXTREMITIES ROSA, CA 95401 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA UPPER EXTREMITIES ROSA, CA 95401 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA EXTREMITIES ROSA, CA 95401 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA EXTREMITIES ROSA, CA 95401 CENTENO, JOSEPH M - MD CONCENTRA MEDICAL SPINE SURGERY 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 CENTER FOR DISCOVERY CENTER FOR DISCOVERY CHEMICAL DEPENDENCY 11911 WASHINGTON BLVD, WHITTIER, (818) 946-0458 (BCC) REHABILITATION CENTER CA 90606 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 90 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CENTER FOR DISCOVERY CENTER FOR DISCOVERY CHEMICAL DEPENDENCY 21650 OXNARD ST STE 2375, (818) 214-7984 (BCC) REHABILITATION CENTER WOODLAND HILLS, CA 91367 (OUTPATIENT) CENTER FOR DISCOVERY CENTER FOR DISCOVERY CHEMICAL DEPENDENCY 350 W WARDLOW RD, LONG BEACH, CA (562) 735-2056 (BCC) REHABILITATION CENTER 90806 (OUTPATIENT) CENTER FOR DISCOVERY CENTER FOR DISCOVERY CHEMICAL DEPENDENCY 425 E 31ST ST, LONG BEACH, CA 90807 (562) 242-3107 (BCC) REHABILITATION CENTER (OUTPATIENT) CENTER FOR ORTHOPEDIC CENTER FOR ORTHOPEDIC AMBULATORY SURGERY 6815 NOBLE AVE STE 400, VAN NUYS, (818) 901-6690 SURGERY LLC (BCC) SURGERY LLC CENTER CA 91405 CENTER PROFESSIONAL PHARMACY 1109 N CHINA LAKE BLVD, (760) 446-4141 PHARMACY RIDGECREST, CA 93555 CENTOLA, TIMOTHY - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 289 W HUNTINGTON DR STE 103, (626) 396-8150 ASSOCIATES DBA ELITE ARCADIA, CA 91007 MOTION CENTRAL AVE PHARMACY PHARMACY 119 W CALIFORNIA AVE, GLENDALE, CA (818) 242-8838 91203 CENTRAL AVE PHARMACY PHARMACY 133 15TH ST, PACIFIC GROVE, CA 93950 (831) 373-1225 CENTRAL BEST PHARMACY PHARMACY 4100 CENTRAL AVE STE 100, (951) 823-0273 RIVERSIDE, CA 92506 CENTRAL CARE PHARMACY PHARMACY 16260 VENTURA BLVD STE 100, (818) 386-1888 ENCINO, CA 91436 CENTRAL COAST ONCOLOGY PHARMACY 1669 DOMINICAN WAY, SANTA CRUZ, (831) 475-2220 AND CA 95065 CENTRAL COAST PT PHYSICAL THERAPY 1421 RIVERSIDE AVE, PASO ROBLES, (805) 239-1202 CA 93446-1730 CENTRAL COAST PT PHYSICAL THERAPY 7380 MORRO RD, ATASCADERO, CA (805) 462-1110 93422-4429 CENTRAL COAST PT AND PHYSICAL THERAPY 1025 N MAIN ST, SALINAS, CA 93906 (408) 422-8895 SPEECH CENTRAL COAST CENTRAL COAST URGENT CARE FACILITY 2271 S DEPOT ST, SANTA MARIA, CA (805) 922-0561 URGENTCARE MEDICAL URGENTCARE MEDICAL 93455 GROUP (BCC) GROUP CENTRAL DRUG STORE PHARMACY 4494 MISSION ST, SAN FRANCISCO, CA (415) 585-0111 94112 CENTRAL DRUGS PHARMACY 520 W LA HABRA BLVD, LA HABRA, CA (562) 691-6754 90631 CENTRAL DRUGS PHARMACY 730 S CENTRAL AVE STE 117, (818) 956-1577 GLENDALE, CA 91204 CENTRAL DRUGS PHARMACY PHARMACY 1955 SUNNYCREST DR, FULLERTON, (714) 515-1530 CA 92835 CENTRAL PHARMACY PHARMACY 2300 MACDONALD AVE, RICHMOND, CA (510) 234-4381 94804 CENTRAL PHARMACY PHARMACY 2008 WILSHIRE BLVD, SANTA MONICA, (310) 395-3294 CA 90403 CENTRAL STAR PSYCHIATRIC CENTRAL STAR PSYCHIATRIC MENTAL HEALTH/PSYCHIATRIC 4411 E KINGS CANYON RD BLDG 319, (559) 600-2382 HEALTH FACILITY (BCC) HEALTH FACILITY HOSPITAL (INPATIENT) FRESNO, CA 93702 CENTRAL URGENT MEDICAL CENTRAL URGENT MEDICAL URGENT CARE FACILITY 8891 CENTRAL AVE STE A, MONTCLAIR, (909) 297-3361 CARE RANCHO (BCC) CARE RANCHO CA 91763 CENTRAL URGENT MEDICAL CENTRAL URGENT MEDICAL URGENT CARE FACILITY 9695 BASELINE RD, RANCHO (909) 941-0920 CARE RANCHO (BCC) CARE RANCHO CUCAMONGA, CA 91730 CENTRAL VALLEY PHYSICAL PHYSICAL THERAPY 125 N LINCOLN ST STE J, DIXON, CA (707) 693-1644 THERAPY 95620-3260 CENTRAL VALLEY PHYSICAL PHYSICAL THERAPY 1067 C ST STE 110, GALT, CA (209) 745-5802 THERAPY 95632-1758 CENTRAL VALLEY PHYSICAL PHYSICAL THERAPY 2401 W TURNER RD STE 250, LODI, CA (209) 334-2224 THERAPY 95242-2192 CENTRAL VALLEY PHYSICAL PHYSICAL THERAPY 8200 STOCKDALE HWY STE B1, (661) 827-8959 THERAPY BAKERSFIELD, CA 93311-1004 CENTRAL VALLEY SPECIALTY CENTRAL VALLEY SPECIALTY ACUTE CARE HOSPITAL 730 17TH ST, MODESTO, CA 95354 (209) 248-7716 HOSPITAL INC (BCC) HOSPITAL INC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 91 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CENTRAL VALLEY THERAPY PHYSICAL THERAPY 1025 N DOUTY ST, HANFORD, CA (559) 583-2220 CENTER (M) 93230-3722 CENTURY BEVERLY HILLS PHARMACY 412 S SAN VICENTE BLVD, LOS (310) 360-1015 PHARMACY ANGELES, CA 90048 CENTURY CITY ENDOSCOPY CENTURY CENTER AMBULATORY SURGERY 2080 CENTURY PARK E STE 1200, (424) 512-9093 CENTER (BCC) ENDOSCOPY CENTER CENTER CENTURY CITY , CA 90067 CENTURY CITY MED PLAZA PHARMACY 2080 CENTURY PARK E, LOS ANGELES, (310) 553-3434 PHCY CA 90067 CENTURY PHARMACY PHARMACY 11870 SANTA MONICA BLVD, LOS (310) 473-1568 ANGELES, CA 90025 CENTURY PICO PHARMACY PHARMACY 8722 W PICO BLVD, LOS ANGELES, CA (310) 657-6999 90035 CERASUOLO, BRITTANY - PT YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886 CERCEK, BOJAN - MD (BCC) SMIDT HEART INSTUTUTE - CARDIOVASCULAR DISEASE 127 S SAN VICENTE BLVD #A3600, LOS (310) 423-2726 CEDARS SINAI (CARDIOLOGY) ANGELES, CA 90048 CERES DRUG STORE PHARMACY 2929 4TH ST, CERES, CA 95307 (209) 537-0718 CERES PHYSICAL THERAPY & PHYSICAL THERAPY 1941 MITCHELL RDSUITE K, CERES, CA (209) 538-4730 REHABILITATION 95307-2434 CERNY, NICOLE - OT PRN DESERT REHABILITATION OCCUPATIONAL THERAPY 1611 W MAIN ST, EL CENTRO, CA 92243 (760) 337-1144 INSTITUTE CERQUA, NADINE - PT MK PHYSICAL THERAPY PHYSICAL THERAPY 7924 RONSON RD STE J, SAN DIEGO, (877) 827-8246 CA 92111 CERRITOS MEDICAL PHARMACY 13325 ARTESIA BLVD, CERRITOS, CA (562) 926-5900 PHARMACY 90703 CERVANTES, RONALD - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 855 N LARK ELLEN AVE STE J, WEST (626) 331-8355 INC COVINA, CA 91791 CERVANTES, WILLIAM G - MD KAISER PERMANENTE SOUTH SURGERY - HEAD AND NECK 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 CESAR, JOSE M - MD (BCC) LOMA LINDA UNIVERSITY PAIN MANAGEMENT 11406 LOMA LINDA DR #300, LOMA (800) 679-4642 HEALTH CARE - PHYSICAL MED LINDA , CA 92354 & REHAB/PAIN MGMT FP&S CHA, JANE - PT CORE TOTAL BODY PHYSICAL PHYSICAL THERAPY 120 S CHAPARRAL CT STE 150, (714) 998-9580 THERAPY PC ANAHEIM, CA 92808 CHACON, ANDREW - MD (BCC) ANESTHESIOLOGY 1525 SUPERIOR AVE STE 114, (949) 347-2400 NEWPORT BEACH, CA 92663 CHACON, ANDREW - MD (BCC) ANESTHESIOLOGY 27882 FORBES RD STE 203, LAGUNA (949) 646-6999 NIGUEL, CA 92677 CHAE, ALLY - PT PATTY BROWN PHYSICAL PHYSICAL THERAPY 880 APOLLO ST STE 160, EL SEGUNDO, (310) 606-5664 THERAPY ASSOCIATES CA 90245 CHAE, SONGHEE - OT GOOD REHAB PHYSICAL OCCUPATIONAL THERAPY 500 S VIRGIL AVE STE 308, LOS (213) 382-0088 THERAPY CLINIC INC ANGELES, CA 90020 CHAHEEN, MERIAM - LAC SHOAR CHIROPRACTIC INC ACUPUNCTURE 1630 E GONZALEZ RD, OXNARD, CA (805) 278-9046 93031 CHAIT, HOWARD - MD (BCC) ANESTHESIOLOGY 1301 20TH ST, SANTA MONICA, CA (626) 795-6596 90404 CHAIT, HOWARD - MD (BCC) ANESTHESIOLOGY 1328 22ND ST, SANTA MONICA, CA (310) 576-7267 90404 CHAIT, HOWARD - MD (BCC) ANESTHESIOLOGY 2121 WILSHIRE BLVD STE 201, SANTA (626) 795-6596 MONICA, CA 90403 CHAK, GARRICK W - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER CHAKRABARTI, SUDESHNA - WHITE BLOSSOM CARE OCCUPATIONAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 OT CENTER 95128 CHALIAN, ARMEN - MD (BCC) ANESTHESIOLOGY 1100 W STEWART DR, ORANGE, CA (714) 633-9111 92868 CHALLENGE PHYSICAL PHYSICAL THERAPY 53 MOODY CT, THOUSAND OAKS, CA (805) 777-7172 THERAPY 91360-6002 CHAMBERLINE, JANINE J - MD FIRST CALIFORNIA PHYSICIAN FAMILY MEDICINE 380 W CENTRAL AVE STE 400 , BREA, (714) 428-6711 (BCC) PARTNERS CA 92821 CHAMBERLINE, JANINE J - MD FIRST CALIFORNIA PHYSICIAN PRIMARY TREATING 380 W CENTRAL AVE STE 400 , BREA, (714) 428-6711 (BCC) PARTNERS PHYSICIAN CA 92821

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 92 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHAMBERS, ROGER - PT SAN DIEGO POSTACUTE PHYSICAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 CHAMPION CENTER (BCC) CHAMPION CENTER CHEMICAL DEPENDENCY 303 SOUTH C ST, LOMPOC, CA 93436 (805) 875-8800 REHABILITATION CENTER (OUTPATIENT) CHAMPION RX PHARMACY 5481 COMMERCIAL DR STE C, (855) 699-2221 HUNTINGTON BEACH, CA 92649 CHAN, AURELIO - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 11627 TELEGRAPH RD STE 105, SANTA (562) 948-4004 SPORTS REHAB FE SPRINGS, CA 90670 CHAN, CECILIA - DC UPTOWN WELLNESS CENTER CHIROPRACTIC MEDICINE 7354 PAINTER AVE, WHITTIER, CA (562) 789-1999 90602 CHAN, DANIEL - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1241 E HILLSDAL BLVD STE 170, (650) 571-5185 FOSTER CITY, CA 94404 CHAN, DANNY - DC ALLEN CHAN CHIROPRACTIC CHIROPRACTIC MEDICINE 2171 JUNIPERO SERRA BLVD STE 590, (650) 756-9003 CLINIC DALY CITY, CA 94014 CHAN, DANNY P - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 2500 MERCED ST , SAN LEANDRO, CA (510) 675-4807 LEANDRO MEDICAL CENTER 94577 CHAN, ERIC H - MD (BCC) RIVERSIDE MEDICAL CLINIC - OPHTHALMOLOGY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 CHAN, JACK, WEN, DUO - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 CHAN, JACK, WEN, DUO - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 CHAN, JACLYN - PT BRIGHT STAR PHYSICAL PHYSICAL THERAPY 20501 VENTURA BLVD STE 380, (818) 343-3900 THERAPY WOODLAND HILLS, CA 91364 CHAN, JACLYN - PT BRIGHT STAR PHYSICAL PHYSICAL THERAPY 5223 LAUREL CANYON BLVD, VALLEY (818) 763-7801 THERAPY VILLAGE, CA 91607 CHAN, KAREN - LAC KAREN CHAN DBA KAREN ACUPUNCTURE 4220 H ST, SACRAMENTO, CA 95819 (916) 891-2939 CHAN ACUPUNCTURE HERBAL MEDICINE INC CHAN, KARINA - MD (BCC) ANESTHESIOLOGY 5700 SAN FERNANDO RD, GLENDALE, (818) 637-7766 CA 91202 CHAN, KWINGWAH - MD KAISER PERMANENTE NEUROLOGY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL OFFICES 92505 CHAN, NADIA - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 1895 ORANGE TREE LANE STE 102, (800) 679-4642 HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY SINUS AND ALLERGY CLINIC CHAN, VICKI - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER CHAN, VISOTH - DPM PODIATRY 26732 CROWN VALLEY PARKWAY STE (949) 364-2525 317, MISSION VIEJO, CA 92691 CHANDRAN, RAMA E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 CHANDRAN, RAMA E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX KNEE LOS ANGELES, CA 90045 CHANDRAN, RAMA E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX SHOULDER LOS ANGELES, CA 90045 CHANDRAN, RAMA E - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 CHANDRAN, RAMA E - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 CHANDRAN, RAMA E - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 CHANDRAN, SHAUN E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 CHANDRAN, SHAUN E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOWER EXTREMITIES LOS ANGELES, CA 90045 CHANDRAN, SHAUN E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX UPPER EXTREMITIES LOS ANGELES, CA 90045 CHANDRAN, SHAUN E - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 93 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHANDRAN, SHAUN E - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX EXTREMITIES LOS ANGELES, CA 90045 CHANDRAN, SHAUN E - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 CHANDRAN, SHAUN E - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX EXTREMITIES LOS ANGELES, CA 90045 CHANDRAN, SHAUN E - MD CONCENTRA MEDICAL SPINE SURGERY 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 CHANES, LUIS - MD (BCC) EYE ASSOCIATES OF ORANGE OPHTHALMOLOGY 2621 S BRISTOL ST STE 205, SANTA (714) 557-5777 COUNTY ANA, CA 92704 CHANEY, CASEY - PT FORTANASCE ASSOCIATES PHYSICAL THERAPY 671 W NAOMI AVE, ARCADIA, CA 91007 (626) 446-7027 PHYSICAL THERAPY CHANG, ANDY - PT COAST PT AND SPORTS PHYSICAL THERAPY 8950 VILLA LA JOLLA DR STE A125, LA (858) 452-3502 MEDICINE JOLLA, CA 92037 CHANG, CHRISTINE - LAC NEW LIFE ACUPUNCTURE ACUPUNCTURE 1720 SO AMPHLETT BLVD STE 168, SAN (650) 572-1628 CLINIC MATEO, CA 94402 CHANG, DAVID - MD MARINA ORTHOPEDICS - SPINE SURGERY 4640 ADMIRALTY WAY STE 600, MARINA (888) 891-3446 SPINE CENTER DEL REY, CA 90292 CHANG, DILLON - PT BEVERLY URGENT CARE INC PHYSICAL THERAPY 401 W BEVERLY BLVD, MONTEBELLO, (323) 477-2200 CA 90640 CHANG, DUNCAN - PT ALPHA REHAB CENTER PHYSICAL THERAPY 505 S VIRGIL AVE STE 203, LOS (323) 732-3232 ANGELES, CA 90020 CHANG, DWAYNE - DPM KAISER PERMANENTE SAN PODIATRY 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 DIEGO MEDICAL CENTER 92020 CHANG, ERIC - MD RESTORE ORTHOPEDICS AND PAIN MANAGEMENT 1120 LA VETA AVE STE 300, ORANGE, (714) 598-1745 SPINE CENTER CA 92868 CHANG, JAMES - MD ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 CHANG, JASON S - MD KAISER PERMANENTE SO NEUROLOGY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER CHANG, JOAN - ATC ACUPUNCTURE CLINIC OF ATHLETIC TRAINER 1416 TENNESSEE ST STE 5, VALLEJO, (707) 557-3680 VALLEJO CA 94590 CHANG, KATHERINE - DC FIRST CHOICE WELLNESS CHIROPRACTIC MEDICINE 3070 EL CAMINO REAL, SANTA CLARA, (408) 930-1786 CLINIC CA 95051 CHANG, KATHERINE - LAC FIRST CHOICE WELLNESS ACUPUNCTURE 3070 EL CAMINO REAL, SANTA CLARA, (408) 930-1786 CLINIC CA 95051 CHANG, ROBERT - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 VISTA, CA 91910 CHANG, TA, LI - LAC RANDY S HIGASHI ACUPUNCTURE 3621 MARTIN LUTHER KING JR (323) 546-3500 CHIROPRACTIC INC BOULEVARD STE 14, LYNWOOD, CA 90262 CHANG, TA, LI - LAC RANDY S HIGASHI ACUPUNCTURE 9635 MONTE VISTA AVE STE 203, (323) 546-3500 CHIROPRACTIC INC MONTCLAIR, CA 91763 CHANG, TAMI - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 CHANG, VICTOR - PT ELITE ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 8382 ARTESIA BLVD STE B, BUENA (714) 735-8950 THERAPY PARK, CA 90621 CHANG, WALTER T - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER CHANG, XUAN, (LILY) - LAC LILY'S TCM CENTER ACUPUNCTURE 10951 SORRENTO VALLEY RD STE ID, 6198716068ho SAN DIEGO, CA 92121 meoffice CHANG, YAE, J - LAC CHANG?S ACUPUNCTURE ACUPUNCTURE 2691 RICHTER AVE STE 120, IRVINE, CA (310) 991-7925 92606 CHANG, YI, WEN - LAC ONENESS ACUPUNCTURE ACUPUNCTURE 350 VINTON AVE STE 102, POMONA, CA (909) 620-0101 HEALTHY GROUP 91767 CHANGES (BCC) CHANGES CHEMICAL DEPENDENCY 403 E MONTECITO ST STE A, SANTA (805) 883-1155 REHABILITATION CENTER BARBARA, CA 93101 (OUTPATIENT) CHANGING ECHOES (BCC) CHANGING ECHOES CHEMICAL DEPENDENCY 7632 POOL STATION RD, ANGELS (209) 785-3667 REHABILITATION CENTER CAMP, CA 95222 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 94 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHANNEL ISLANDS FAMILY CHANNEL ISLANDS FAMILY URGENT CARE FACILITY 2103 PICKWICK DR, CAMARILLO, CA (805) 484-7448 PRACTICE AND URGENT CARE PRACTICE AND URGENT CARE 93010 (BCC) CHANNER, KENNETH - PT BECK AND CALE PHYSICAL PHYSICAL THERAPY 201 N COLLEGE DR STE 203, SANTA (805) 922-1724 THERAPY OF SANTA MARIA MARIA, CA 93454 CHANSON, CARRIE - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3285 CLAREMONT WAY 2ND FLR, NAPA, (707) 258-4907 JOB OCCUPATIONAL HEALTH CA 94558 CENTER CHANSON, CARRIE - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3285 CLAREMONT WAY 2ND FLR, NAPA, (707) 258-4907 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94558 CENTER CHAO, JOANNE M - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE CHAO, WANKAI - PT PAIN FREE PHYSICAL PHYSICAL THERAPY 11618 SOUTH ST STE 214, ARTESIA, CA (562) 278-1678 THERAPY 90701 CHAPA-DE INDIAN HEALTH PHARMACY 11670 ATWOOD RD, AUBURN, CA 95603 (530) 887-2836 CENTER CHAPA-DE INDIAN HEALTH PHARMACY 1350 E MAIN ST, GRASS VALLEY, CA (530) 477-5968 PROGRAM 95945 CHAPARRAL PHYSICAL PHYSICAL THERAPY 525 MELISSA AVE STE B, BARSTOW, CA (760) 256-1888 THERAPY 92311-3002 CHAPARRAL PHYSICAL PHYSICAL THERAPY 15555 MAIN ST STE A15, HESPERIA, CA (760) 244-4288 THERAPY 92345-3475 CHAPMAN GLOBAL MEDICAL CHAPMAN GLOBAL MEDICAL CHEMICAL DEPENDENCY 2601 E CHAPMAN AVE, ORANGE, CA (714) 633-0011 CENTER (BCC) CENTER REHABILITATION CENTER 92869 (OUTPATIENT) CHAPMAN GLOBAL MEDICAL CHAPMAN GLOBAL MEDICAL MENTAL HEALTH/PSYCHIATRIC 2601 E CHAPMAN AVE, ORANGE, CA (714) 633-0011 CENTER (BCC) CENTER HOSPITAL (INPATIENT) 92869 CHAPMAN, JILL - DC WPOHS A MEDICAL CHIROPRACTIC MEDICINE 2365 S MELROSE DR, VISTA, CA 92081 (760) 571-5910 CORPORATIONMAIN CHAPMAN, JOHN - DC SHERIDAN CHIROPRACTIC INC CHIROPRACTIC MEDICINE 1485 SPRUCE ST STE I, RIVERSIDE, CA (951) 462-1285 92507 CHAPMAN, JOHN - DC SHERIDAN CHIROPRACTIC INC CHIROPRACTIC MEDICINE 26900 NEWPORT RD STE 110, MENIFEE, (951) 672-8060 CA 92584 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 (BCC) GROUP 92805 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL SPINE SURGERY 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 (BCC) GROUP 92805 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 16702 VALLEY VIEW AVE, LA MIRADA, (626) 960-5361 (BCC) GROUP CA 90638 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 2226 MEDICAL CENTER DR STE 101, (562) 921-0341 (BCC) GROUP PERRIS, CA 92571 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 290 N 10TH ST STE 100, COLTON, CA (310) 218-4300 (BCC) GROUP 92324 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL NEUROLOGICAL SURGERY 6820 LA TIJERA BLVD STE 217, LOS (909) 264-2500 (BCC) GROUP ANGELES, CA 90045 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL SPINE SURGERY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 (BCC) GROUP CA 90638 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL SPINE SURGERY 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 (BCC) GROUP PERRIS, CA 92571 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL SPINE SURGERY 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 (BCC) GROUP 92324 CHAPPELL, EDWARD T - MD HEALTHPOINTE MEDICAL SPINE SURGERY 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 (BCC) GROUP ANGELES, CA 90045 CHARET, ROBERT - MD OPHTHALMOLOGY 12954 HAWTHORNE BLVD # 103, (310) 676-1373 HAWTHORNE, CA 90250 CHARLEEN TEGROEN PT INC PHYSICAL THERAPY 2080 NEWBURY RD, NEWBURY PARK, (805) 719-8245 CA 91320 CHARLIES DRUG PHARMACY 1101 FILLMORE ST, SAN FRANCISCO, (415) 567-0771 CA 94115 CHARTER WAY PHARMACY PHARMACY 201 W CHARTER WAY, STOCKTON, CA (209) 466-2223 95206

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 95 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHASE PHARMACY PHARMACY 14427 CHASE ST #A, PANORAMA CITY, (818) 810-5608 CA 91402 CHASE, WAYNE - OT RANCHO PHYSICAL THERAPY OCCUPATIONAL THERAPY 27450 YNEZ RD STE 120, TEMECULA, (951) 695-5144 CA 92591 CHATHAM, PHILIP L- MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 28323 VALENCIA BLVD STE 250, SANTA (661) 799-1999 FOUNDATION CLARITA , CA 91355 CHATTERTON, BRUCE - AUD ADVANCED HEARING AUDIOLOGY 16490 BEACH BLVD , WESTMINSTER, (800) 598-5300 PROVIDERS LLC CA 92683 CHAU, CELINA - LAC KL FAMILY ACUPUNCTURE ACUPUNCTURE 585 N MOUNTAIN AVE SUITE C1, (909) 985-4372 HERB INC UPLAND, CA 91786 CHAU, JASMINE - DC BLAKE PHYSICAL THERAPY CHIROPRACTIC MEDICINE 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 CHAU, RICHARD - DC REHABONE MEDICAL GROUP CHIROPRACTIC MEDICINE 13980 BLOSSOM HILL RD STE B, LOS (408) 445-8400 INC GATOS, CA 95032 CHAU, RICHARD - DC REHABONE MEDICAL GROUP CHIROPRACTIC MEDICINE 175 N JACKSON AVE STE 109, SAN (408) 445-8400 INC JOSE, CA 95116 CHAU, TOMMY - DC WEST COAST ORTHOPEDIC CHIROPRACTIC MEDICINE 2700 N MAIN ST STE 400, SANTA ANA, (949) 287-3231 INSTITUTE CA 92705 CHAU, TOMMY, VAN - DC TOMMY VAN CHAU CHIROPRACTIC MEDICINE 312 W CERRITOS AVE, ANAHEIM, CA (714) 781-5859 CHIROPRACTIC INC 92805 CHAU, TOMMY, VAN - DC TOMMY VAN CHAU CHIROPRACTIC MEDICINE 6285 E SPRING ST PMB 300 N, LONG (855) 847-8755 CHIROPRACTIC INC BEACH, CA 90808 CHAUDHARY, PARUL - PT PENINSULA ORTHOPEDIC PHYSICAL THERAPY 455 HICKEY BLVD STE 205, DALY CITY, (650) 746-3299 ASSOCIATES INC CA 94015 CHAUDHRY, AISHA S - MD KAISER PERMANENTE ON THE ORTHOPEDICS 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH CENTER CHAUDHRY, UMER I - MD KAISER PERMANENTE GENERAL SURGERY 3440 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 CHAVARRIA, JESSICA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY CHAVEZ, JESSICA - PTA PALM DESERT PHYSICAL PHYSICAL THERAPY 77622 COUNTRY CLUB DR STE G, PALM (760) 345-3087 THERAPY DESERT, CA 92211 CHAWALITMETHA, PORNPIT - LEGACY OUTPATIENT OCCUPATIONAL THERAPY 11618 SOUTH ST 201, ARTESIA, CA (562) 467-0777 OT THERAPY SERVICES INC 90701 CHAYA, NINA - MD (BCC) ANESTHESIOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (760) 940-3001 CHC PHARMACY PHARMACY 150 TEJAS PL, NIPOMO, CA 93444 (805) 270-1800 CHC PHARMACY PASO PHARMACY 416 SPRING ST, PASO ROBLES, CA (805) 226-1181 ROBLES 93446 CHC PHARMACY SLO PHARMACY 77 CASA ST STE 204, SAN LUIS OBISPO, (512) 596-2930 CA 93405 CHE, KENDRICK M - DO (BCC) LOMA LINDA UNIVERSITY GASTROENTEROLOGY 11370 ANDERSON ST FMO #3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA, CA 92354 MEDICINE SPECIALTIES GROUP CHEEK, GREGORY A - MD LOMA LINDA UNIVERSITY PULMONARY DISEASE 11370 ANDERSON ST FMO 3300, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP CHELFINI, LORRIE - LMT LAWLORFERGUSON MASSAGE THERAPIST 41278 MARGARITA RD STE 103, (951) 693-0503 CHIROPRACTIC WELLNESS TEMECULA, CA 92591 CHEN, (DAVID), HSUCH, HUNG - CALIFORNIA SCIENTIFIC ACUPUNCTURE 14632 WHITTIER BLVD, WHITTIER, CA (562) 698-3008 LAC ACUPUNCTURE MEDICAL 90605 CENTER INC CHEN, ANDREW - MD (BCC) CARDIOVASCULAR DISEASE 1955 CITRACADO PKWY STE 300, (760) 743-0546 (CARDIOLOGY) ESCONDIDO, CA 92029 CHEN, CHIEN-SHING - MD LOMA LINDA UNIVERSITY HEMATOLOGY AND 11234 ANDERSON ST SP RM A600, (800) 679-4642 (BCC) HEALTH CARE - ONCOLOGY LOMA LINDA, CA 92354 HEMATOLOGY/ONCOLOGY DEPT FP&S CHEN, CHRISITNE, C - LAC SEQUOIA HEALING CLINIC AND ACUPUNCTURE 1728 FRANKLIN ST, OAKLAND, CA 94612 (510) 836-3888 SPA

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 96 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHEN, CINDY - MD DERMATOLOGY 11180 WARNER AVE #455, FOUNTAIN (949) 552-7546 VALLEY, CA 92708 CHEN, CINDY - MD (BCC) DERMATOLOGY 11180 WARNER AVE STE 455, (949) 552-7546 FOUNTAIN VALLEY, CA 92708 CHEN, GEORGE - CHT UNICARE PHYSICAL THERAPY HAND THERAPY 433 ESTUDILLO AVE STE 301, SAN (510) 351-9198 ACUPUNCTURE LEANDRO, CA 94577 CHEN, GEORGE - LAC UNICARE PHYSICAL THERAPY ACUPUNCTURE 433 ESTUDILLO AVE STE 301, SAN (510) 351-9198 ACUPUNCTURE LEANDRO, CA 94577 CHEN, GEORGE - PT UNICARE PHYSICAL THERAPY PHYSICAL THERAPY 433 ESTUDILLO AVE STE 301, SAN (510) 351-9198 ACUPUNCTURE LEANDRO, CA 94577 CHEN, HEIDI - LAC ANCIENT WELLNESS ACUPUNCTURE 411 W LAMBERT RD SUITE 406, BREA, (714) 674-0779 CONSULTANT CA 92821 CHEN, HUAZHONG - LAC ACUPUNCTURE HEALTH ACUPUNCTURE 27635 FORBES RD STE C, LAGUNA (949) 582-9588 CENTER NIGUEL, CA 92677 CHEN, HUI - LAC NURTURE WELLNESS CENTER ACUPUNCTURE 6821 STOCKTON BLVD STE 145, (916) 393-2738 LLC SACRAMENTO, CA 95823 CHEN, ICHUN - PT HELSE PHYSICAL THERAPY PHYSICAL THERAPY 1830 HACIENDA DR STE 2, VISTA, CA (760) 941-8600 DBA MJ PHYSICAL THERAPY 92081 CHEN, JASON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 CHEN, JASON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 CHEN, JASON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 CHEN, JASON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 CHEN, JASON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 CHEN, JASON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 CHEN, JEREMY - LAC ROSEMEAD ACUPUNCTURE ACUPUNCTURE 5200 ROSEMEAD BLVD, SAN GABRIEL, (626) 677-0380 CLINIC CA 91776 CHEN, JINJIAN - LAC PACIFIC RIM REHAB CENTER ACUPUNCTURE 55 N 13TH ST STE A, SAN JOSE, CA (408) 436-5522 95112 CHEN, JINJIAN - PT PACIFIC RIM REHAB CENTER PHYSICAL THERAPY 55 N 13TH ST STE A, SAN JOSE, CA (408) 436-5522 95112 CHEN, JOHN L - DO KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER CHEN, JOHNNY - PT FORTANASCE ASSOCIATES PHYSICAL THERAPY 671 W NAOMI AVE, ARCADIA, CA 91007 (626) 446-7027 PHYSICAL THERAPY CHEN, KUANG - LAC ACUPUNCTURE FOR AMERICA ACUPUNCTURE 2700 N BELLFLOWER BLVD STE 116, (562) 888-3399 BEYOND LONG BEACH, CA 90815 CHEN, KUANG - LAC ACUPUNCTURE FOR AMERICA ACUPUNCTURE 3682 KATELLA AVE, LOS ALAMITOS, CA (562) 888-3399 BEYOND 90720 CHEN, KUANG - LAC ACUPUNCTURE FOR AMERICA ACUPUNCTURE 5855 E NAPLES PLZ STE 111, LONG (562) 888-3399 BEYOND BEACH, CA 90803 CHEN, LIBBIE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 CHEN, LIBBIE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 CHEN, LIBBIE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 CHEN, LIBBIE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 CHEN, LIBBIE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 CHEN, LIBBIE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 CHEN, LINDA S - MD (BCC) SANSUM CLINIC - PUEBLO NEUROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 CHEN, MEILEE L - DPM KAISER PERMANENTE SAN PODIATRY 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER CA 94115

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 97 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHEN, QIUMEI - LAC MAY ACUPUNCTURE ACUPUNCTURE 2568 NORIEGA ST STE 203, SAN (650) 620-9888 PROFESSIONAL FRANCISCO, CA 94122 CORPORATION CHEN, QIUMEI - LAC MAY ACUPUNCTURE ACUPUNCTURE 540 RALSTON AVE STE C, BELMONT, (650) 620-9888 PROFESSIONAL CA 94002 CORPORATION CHEN, RAY - LAC CHEN'S HOLISTIC ACUPUNCTURE 491A N CENTRAL AVE, UPLAND, CA (909) 946-8306 ACUPUNCTURE HERBAL 91786 CLINIC CHEN, SHIOWSHIN - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 CHEN, SISI - LAC GREEN TOUCH ACUPUNCTURE ACUPUNCTURE 240 W MISSION AVE STE C, (858) 261-9808 ESCONDIDO, CA 92025 CHEN, VINCENT W - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 CHEN, WEIZHENG - DC CHEN LIN CHIROPRACTIC CHIROPRACTIC MEDICINE 345 9TH ST STE 209, OAKLAND, CA (510) 268-8898 ACUPUNCTURE DR CHEN 94607 CHEN, WEIZHENG - LAC CHEN LIN CHIROPRACTIC ACUPUNCTURE 345 9TH ST STE 209, OAKLAND, CA (510) 268-8898 ACUPUNCTURE DR CHEN 94607 CHEN, YUE - PT FORTANASCE ASSOCIATES PHYSICAL THERAPY 671 W NAOMI AVE, ARCADIA, CA 91007 (626) 446-7027 PHYSICAL THERAPY CHEN, ZHIQIANG - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1779 W YOSEMITE AVE STE 202, (209) 825-3531 JOB OCCUPATIONAL HEALTH MANTECA, CA 95337 CENTER CHEN, ZHIQIANG - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1779 W YOSEMITE AVE STE 202, (209) 825-3531 JOB OCCUPATIONAL HEALTH PHYSICIAN MANTECA, CA 95337 CENTER CHEN, ZHIQIANG - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH 95356 CENTER CHEN, ZHIQIANG - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH PHYSICIAN 95356 CENTER CHENEY, BRIANNA, RENEE - DR BRIANNA CHENEY DC LAC CHIROPRACTIC MEDICINE 20121 VENTURA BLVD STE 212, (888) 608-6165 DC WOODLAND HILLS, CA 91364 CHENEY, BRIANNNA - LAC DR BRIANNA CHENEY DC LAC ACUPUNCTURE 20121 VENTURA BLVD STE 212, (888) 608-6165 WOODLAND HILLS, CA 91364 CHENG PHARMACY PHARMACY 600 W MAIN ST STE 106, ALHAMBRA, CA (626) 281-9222 91801 CHENG, ANNIE S - MD KAISER PERMANENTE SAN PHYSICAL MEDICINE AND 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER REHABILITATION 92078 CHENG, ERNEST Y - DO CONCENTRA MEDICAL PHYSICAL MEDICINE AND 2850 SEVENTH ST STE 100, BERKELEY, (510) 845-5170 CENTER - BERKELEY REHABILITATION CA 94710 CHENG, FAWN - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 CHENG, GEORGE - MD (BCC) ANESTHESIOLOGY 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 91786 CHENG, HENRY - MD (BCC) FIRST CALIFORNIA PHYSICIAN FAMILY MEDICINE 5500 E SANTA ANA CANYON RD STE (714) 428-6711 PARTNERS 255 , ANAHEIM HILLS , CA 92807 CHENG, HENRY - MD (BCC) FIRST CALIFORNIA PHYSICIAN PRIMARY TREATING 5500 E SANTA ANA CANYON RD STE (714) 428-6711 PARTNERS PHYSICIAN 255 , ANAHEIM HILLS , CA 92807 CHENG, JEFFREY - DO (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC PHYSICIAN CA 90638 CHENG, JEFFREY - DO (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC PHYSICIAN 92805 CHENG, JEFFREY - DO (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 7052 ORANGEWOOD AVE, STE 6, (714) 903-1100 GROUP INC PHYSICIAN GARDEN GROVE, CA 92841 CHENG, JEFFREY - DO (BCC) HEALTHPOINTE MEDICAL GENERAL PRACTICE 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC CA 90638 CHENG, JEFFREY - DO (BCC) HEALTHPOINTE MEDICAL GENERAL PRACTICE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 CHENG, JEFFREY - DO (BCC) HEALTHPOINTE MEDICAL GENERAL PRACTICE 7052 ORANGEWOOD AVE, STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 98 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHENG, MARGARET S - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY - 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER KNEE CA 95119 CHENG, MARGARET S - MD KAISER PERMANENTE SAN ORTHOPEDICS 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 CHENG, PETER - LAC JARRIM HERBS INC ACUPUNCTURE 4683 MERCURY ST STE B, SAN DIEGO, (818) 933-1330 CA 92111 CHENG, XIAOPING - MD KAISER PERMANENTE SAN PHYSICAL MEDICINE AND 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER REHABILITATION CA 94115 CHENGROBLES, DIANA - MD KAISER PERMANENTE GENERAL SURGERY 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 CHENSOLIS, ANGELA, YENJU - TOTAL WELLNESS CENTER CHIROPRACTIC MEDICINE 5911 HEIL AVE SUITE E, HUNTINGTON (714) 840-1744 DC BEACH, CA 92649 CHEON, KATHERINE - LAC HEALING TREE WELLNESS ACUPUNCTURE 3975 JACKSON ST STE 209, RIVERSIDE, (951) 351-2377 CENTER INC CA 92503 CHERMAN, KENNETH - LAC KNC PAIN AND HEALTHCARE ACUPUNCTURE 2105 BEVERLY BLVD STE 231, LOS (323) 314-3578 ANGELES, CA 90057 CHERNG, CHRISTINA - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 5434 THORNWOOD DR, SAN JOSE, CA (408) 365-8396 95123 CHERNG, KENNY - LAC UNITED UNIVERSITY CLINIC ACUPUNCTURE 480 APOLLO ST STE C, BREA, CA 92821 (909) 628-1955 CHERNG, KENNY - LAC UNITED UNIVERSITY CLINIC ACUPUNCTURE 620 ALABAMA ST, REDLANDS, CA 92373 (909) 792-4434 CHERNG, KENNY - LAC UNITED UNIVERSITY ACUPUNCTURE 12979 CENTRAL AVE, CHINO, CA 91710 (909) 628-1955 CLINICMAIN CHERRY STREET PHARMACY PHARMACY 1028 N CHERRY ST, TULARE, CA 93274 (844) 892-1050 CHERRY, BRETT W - MD (BCC) RIVERSIDE MEDICAL CLINIC - ALLERGY AND IMMUNOLOGY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 CHERRY, LORI - PT FUNCTION ACTION PHYSICAL PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 THERAPY CA 93612 CHERRY, WILLIAM - PT FUNCTION ACTION PHYSICAL PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 THERAPY CA 93612 CHESNIE, BRIAN - MD CARDIOVASCULAR DISEASE 1501 SUPERIOR AVE SUITE 212, (949) 574-4953 (CARDIOLOGY) NEWPORT BEACH, CA 92663 CHESNIE, BRIAN - MD (BCC) CARDIOVASCULAR DISEASE 1501 SUPERIOR AVE STE 212, (949) 574-4953 (CARDIOLOGY) NEWPORT BEACH, CA 92663 CHEUNG - DC, MS, PAC, JAMES CALCARE INDUSTRIAL PHYSICAL THERAPY 502 S GAREY AVE, POMONA, CA 91766 (909) 620-8887 - PT MEDICAL CHEUNG, ALPHONSUS G - MD CONCENTRA MEDICAL ANESTHESIOLOGY 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE JOSE, CA 95112 CHEUNG, ALPHONSUS G - MD CONCENTRA MEDICAL ANESTHESIOLOGY 1901 MONTEREY RD STE10, SAN JOSE, (408) 477-8080 CENTER - SAN JOSE CA 95112 STAUFFER CHEUNG, ALPHONSUS G - MD CONCENTRA MEDICAL ANESTHESIOLOGY 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA 95051 CENTRAL EXPRESSWAY CHEUNG, ALPHONSUS L - MD PAIN CARE OF SILICON PAIN MANAGEMENT 2101 FOREST AVE STE 220A, SAN JOSE (408) 295-8628 (BCC) VALLEY , CA 95128 CHEUNG, SHAUNA C - MD LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 (BCC) HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S CHEUNG, SUNNY - MD CHAPMAN GLOBAL MEDICAL ORTHOPEDIC SURGERY - HIP 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER 92869 CHEUNG, SUNNY - MD CHAPMAN GLOBAL MEDICAL ORTHOPEDIC SURGERY - 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER LOWER EXTREMITIES 92869 CHEUNG, SUNNY - MD CHAPMAN GLOBAL MEDICAL ORTHOPEDIC SURGERY - 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER UPPER EXTREMITIES 92869 CHEUNG, SUNNY - MD CHAPMAN GLOBAL MEDICAL ORTHOPEDICS - HIP 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER 92869 CHEUNG, SUNNY - MD CHAPMAN GLOBAL MEDICAL ORTHOPEDICS - LOWER 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER EXTREMITIES 92869 CHEUNG, SUNNY - MD CHAPMAN GLOBAL MEDICAL ORTHOPEDICS - UPPER 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER EXTREMITIES 92869 CHEUNG, YEUKKEI - MD KAISER PERMANENTE SAN ORTHOPEDICS 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 DIEGO MEDICAL CENTER 92020

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 99 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHEW, KEVIN - PTA GROVE PHYSICAL THERAPY 860 SOUTHAMPTON RD, BENICIA, CA (707) 745-6144 ANDERSENGHIRINGHELLI 94510 PHYSICAL THERAPY CHHUN, ANTHONY - DC CHHUN ANTHONY DC CHIROPRACTIC MEDICINE 10225 TELEPHONE RD STE B, (805) 659-1656 VENTURA, CA 93004 CHIANG, MICHAEL - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 CHIANG, MICHAEL - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN CHIANG, MICHAEL C - MD CONCENTRA MEDICAL PRIMARY TREATING 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO PHYSICIAN ONTARIO, CA 91761 CHIANG, MICHAEL C - MD CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA CHIANG, MICHAEL C - MD CONCENTRA MEDICAL FAMILY MEDICINE 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO ONTARIO, CA 91761 CHIANG, MICHAEL C - MD CONCENTRA MEDICAL FAMILY MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA CHIANG, TONY - MD ANESTHESIOLOGY 8700 BEVERLY BLVD , WEST (310) 423-3277 HOLLYWOOD, CA 90048 CHIAO, KO - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 CHIAO, KO - PT WEST COAST SPINE PHYSICAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 CHICO PHARMACY PHARMACY 251 COHASSET RD STE 100, CHICO, CA (530) 343-4440 95926 CHICO RECOVERY CENTER CHICO RECOVERY CENTER CHEMICAL DEPENDENCY 2057 FOREST AVE STE 5, CHICO, CA (530) 343-6566 (BCC) REHABILITATION CENTER 95928 (OUTPATIENT) CHIEN, DANIEL - MD ANESTHESIOLOGY 8700 BEVERLY BLVD , WEST (310) 423-3277 HOLLYWOOD, CA 90048 CHIH, CHEN - LAC CHEELEY CHIROPRACTIC ACUPUNCTURE 900 E WASHINGTON ST STE 300, (909) 888-7649 COLTON, CA 92324 CHILDREN'S CLINIC PHARMACY 747 52ND ST, OAKLAND, CA 94609 (510) 428-3166 PHARMACY CHILDREN'S HOSPITAL AND CHILDREN'S HOSPITAL AND SPECIALTY HOSPITAL - 747 52ND ST, OAKLAND, CA 94609 (510) 428-3000 RESEARCH CENTER AT RESEARCH CENTER AT CHILDREN OAKLAND (BCC) OAKLAND CHILDRENS HOSPITAL AT CHILDRENS HOSPITAL AT SPECIALTY HOSPITAL - 27700 MEDICAL CENTER RD, MISSION (714) 997-3000 MISSION (BCC) MISSION CHILDREN VIEJO, CA 92691 CHILDRENS HOSPITAL LOS PHARMACY 4650 SUNSET BLVD, LOS ANGELES, CA (323) 361-5988 ANGELES 90027 CHILDRENS HOSPITAL LOS CHILDRENS HOSPITAL LOS SPECIALTY HOSPITAL - 4650 W SUNSET BLVD, LOS ANGELES, (323) 660-2450 ANGELES (BCC) ANGELES CHILDREN CA 90027 CHILDRENS HOSPITAL OF CHILDRENS HOSPITAL OF SPECIALTY HOSPITAL - 1201 W LA VETA AVE, ORANGE, CA (714) 997-3000 ORANGE COUNTY (BCC) ORANGE COUNTY CHILDREN 92868 CHILDRENS MEDICAL CENTER PHARMACY 3030 CHILDREN'S WAY STE 108, SAN (858) 966-4060 PHCY DIEGO, CA 92123 CHILDRENS THERAPY PHYSICAL THERAPY 1234 E MAIN ST, VENTURA, CA 93001 (805) 667-8200 NETWORK CHIN, AN, NA - LAC JOONG WON ACUPUNCTURE ACUPUNCTURE 18 ENDEAVOR STE 205, IRVINE, CA (949) 788-6688 HERBAL MEDICINE INC 92618 CHIN, GYU S - MD KAISER PERMANENTE GENERAL SURGERY 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER CHIN, KATHERINE A - MD KAISER PERMANENTE SOUTH PHYSICAL MEDICINE AND 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER REHABILITATION CA 90710 CHIN, PEGGY B - DC (BCC) SOUTHERN CALIFORNIA CHIROPRACTIC MEDICINE 16200 AMBER VALLEY DR, WHITTIER, (562) 943-7125 UNIVERSITY HEALTH SYSTEM CA 90604 TACTICAL SPORTS MEDICINE CHIN, SHUNG, HO - OT GENESIS REHAB THERAPY OCCUPATIONAL THERAPY 266 S HARVARD BLVD SUITE 330, LOS (323) 939-0840 ANGELES, CA 90004

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 100 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHIN, THERESA L - MD (BCC) UC IRVINE HEALTH REGIONAL CRITICAL CARE MEDICINE 101 THE CITY DR BLDG 1 STE 150, (714) 456-6170 BURN CENTER ORANGE, CA 92868 CHIN, THERESA L - MD (BCC) UC IRVINE HEALTH REGIONAL TRAUMA SURGERY 101 THE CITY DR BLDG 1 STE 150, (714) 456-6170 BURN CENTER ORANGE, CA 92868 CHINATOWN PHARMACY PHARMACY 709 N HILL ST, LOS ANGELES, CA 90012 (213) 687-9999 CHINESE HOSPITAL PHARMACY 845 JACKSON ST RM 1102, SAN (415) 677-2430 PHARMACY FRANCISCO, CA 94133 CHINESE HOSPITAL PHARMACY 386 GELLERT BLVD STE A, DALY CITY, (650) 761-3560 PHARMACY CA 94015 CHING, GREGORY - MD (BCC) ANESTHESIOLOGY 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 91786 CHING, JEFFREY - MD ANESTHESIOLOGY 100 W CALIFORNIA BLVD, PASADENA, (626) 397-5000 CA 91105 CHING, REN, JIAN - LAC TEN YI WELLNESS ACUPUNCTURE 2204 TORRANCE BLVD STE 101B, (310) 773-9868 TORRANCE, CA 90501 CHINN, DEBORAH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 1800 WESTWIND DRIVE BUILDING 500, (661) 616-4006 BAKERSFIELD, CA 93301 CHINN, JONATHAN - PT MEDCESSITY INC PHYSICAL THERAPY 4010 ORANGE AVE, LONG BEACH, CA (562) 428-3556 90807 CHINO HILLS PROFESSIONAL PHARMACY 2140 GRAND AVE STE 130, CHINO (909) 364-9244 PHCY HILLS, CA 91709 CHINO MEDICAL PHARMACY PHARMACY 5365 WALNUT AVE STE D, CHINO, CA (909) 591-6038 91710 CHINO PLAZA PHARMACY PHARMACY 5562 PHILADELPHIA ST, CHINO, CA (714) 615-7878 91710 CHINOCARE PHARMACY PHARMACY 13085 CENTRAL AVE STE 2, CHINO, CA (909) 927-8323 91710 CHIPMAN, DAVID - DC FITNESS CHIROPRACTIC AND CHIROPRACTIC MEDICINE 100 OCEANGATE STE P280, LONG (562) 590-7349 MASSAGE THERAPY BEACH, CA 90802 CHIT, KHIN T - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3115 JOB OCCUPATIONAL HEALTH 95210 CENTER CHIT, KHIN T - MD KAISER PERMANENTE ON THE PRIMARY TREATING 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3115 JOB OCCUPATIONAL HEALTH PHYSICIAN 95210 CENTER CHIU, JOHNSON - LAC ACUPUNCTURE CHINESE ACUPUNCTURE 1590 EL CAMINO REAL STE G, SAN (650) 225-9808 HERBAL MEDICINE BRUNO, CA 94066 CHIU, JOHNSON - LAC ACUPUNCTURE CHINESE ACUPUNCTURE 3400 CALIFORNIA ST STE 100, SAN (415) 868-5365 HERBAL MEDICINE FRANCISCO, CA 94118 CHIU, KATHERINE - MD (BCC) ANESTHESIOLOGY 15107 VANOWEN ST, VAN NUYS, CA (818) 782-6600 91405 CHIU, MING - PT HANDS ON PHYSICAL PHYSICAL THERAPY 30212 TOMAS STE 120, RANCHO SANTA (949) 709-8770 THERAPY MARGARITA, CA 92688 CHIU, TIMOTHY - DC HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 CHIU, YUWEN - LAC WANG?S ACUPUNCTURE ACUPUNCTURE 928 SAN PABLO AVE, ALBANY, CA 94706 (510) 517-6341 CENTER CHIVAS, DANIEL J - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 CHKOSKI, PETER - MD (BCC) ANESTHESIOLOGY 12660 RIVERSIDE DR STE 300, STUDIO (310) 464-6256 CITY, CA 91607 CHKOSKI, PETER - MD (BCC) ANESTHESIOLOGY 2080 CENTURY PARK E STE 450, LOS (818) 623-5310 ANGELES, CA 90067 CHMBTYAN, PETROS - PTA CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 289 W HUNTINGTON DR STE 103, (626) 396-8150 ASSOCIATES DBA ELITE ARCADIA, CA 91007 MOTION CHO, BON - LAC SANG SANG DANG MEDICAL ACUPUNCTURE 12304 SANTA MONICA BLVD STE 223, (310) 268-0268 ACUPUNCTURE GROUP LOS ANGELES, CA 90025 CHO, EUN - LAC GREEN ACUPUNCTURE CLINIC ACUPUNCTURE 3020 WLSHRE BLVD STE 222, LOS (213) 389-3003 ANGELES, CA 90010 CHO, EUN - LAC GREEN ACUPUNCTURE CLINIC ACUPUNCTURE 8727 LA TIJERA BLVD, LOS ANGELES, (424) 341-3003 CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 101 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHO, HYEJIN - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 CHO, HYUN, CHANG - ATC TOLUCA ACUPUNCTURE ATHLETIC TRAINER 10659 RIVERSIDE DR, NORTH (818) 985-0006 CENTER HOLLYWOOD, CA 91602 CHO, INHO - LAC CHO?S ACUPUNCTURE ACUPUNCTURE 18102 PIONEER BLVD STE 205, (562) 809-6911 HEALTH CENTER ARTESIA, CA 90701 CHO, JAE - LAC GOOD HANDS ACUPUNCTURE ACUPUNCTURE 600 N EUCLID AVE STE 203, UPLAND, (909) 243-0867 UPLAND INC CA 91786 CHO, JAMES S - MD (BCC) PAIN MANAGEMENT 9681 BUSINESS CENTER DR STE C (909) 475-0475 BLDG 16, RANCHO CUCAMONGA, CA 91730 CHO, JAMES, KYONG - PT CJ PHYSIOTHERAPY INC PHYSICAL THERAPY 1966 E CHAPMAN AVE STE A, (714) 519-3147 FULLERTON, CA 92831 CHO, JENNY, Y - LAC CV WELLNESS CENTER ACUPUNCTURE 3636 CASTRO VALLEY BLVD STE 8, (510) 586-9683 CASTRO VALLEY, CA 94546 CHO, JOHN - MD (BCC) ANESTHESIOLOGY 3602 INLAND EMPIRE BLVD STE B120, (909) 941-3986 ONTARIO, CA 91764 CHO, KYOUNG - ATC KYOUNG EUN CHO ATHLETIC TRAINER 1042 N FAIRFAX AVE, WEST (310) 801-6250 HOLLYWOOD, CA 90046 CHO, KYU - LAC MAC ACUPUNCTURE ACUPUNCTURE 8303 CLRMT MSA BLVD STE 104, SAN (858) 866-6051 DIEGO, CA 92111 CHO, SOO, JIN - LAC LIFE NATURE ACUPUNCTURE ACUPUNCTURE 2701 E CHAPMAN AVE STE 109, (714) 443-1779 AND HERB CLINIC FULLERTON, CA 92831 CHO, SOO, JIN - LAC LIFE NATURE ACUPUNCTURE ACUPUNCTURE 410 TORRANCE BLVD, REDONDO (714) 443-1779 AND HERB CLINIC BEACH, CA 90277 CHO, SUNG, CHUL - LAC SIRACH ACUPUNCTURE INC ACUPUNCTURE 1300 W 155TH ST STE 102, GARDENA, (310) 986-2011 CA 90247 CHO, WON, HEE - LAC TRUE HEALING ACUPUNCTURE ACUPUNCTURE 3441 W BALL RD STE E, ANAHEIM, CA (714) 722-1445 92804 CHO, WONJUNG - LAC WONJUNG CHO ACUPUNCTURE 400 RAMONA AVE STE 115, CORONA, (951) 340-0440 CA 92879 CHOC CLINIC PHARMACY PHARMACY 1201 WEST LA VETA AVE, ORANGE, CA (714) 509-8856 92868 CHOE, HELENA, HYEONMI - WILLOW ACUPUNCTURE ACUPUNCTURE 1916 30TH ST, SAN DIEGO, CA 92102 (619) 808-3198 LAC CLINIC INC CHOI, CHRISTINA - ATC LOHAS HEALING CENTER ATHLETIC TRAINER 2040 P C H STE R, LOMITA, CA 90717 (310) 257-9080 CHOI, CHRISTINA - ATC LOHAS HEALING CENTER ATHLETIC TRAINER 2120 W 8TH ST STE 208, LOS ANGELES, (213) 700-4175 CA 90057 CHOI, CHRISTY, (YOONJUNG) - BIOMEDICAL CENTER INC ACUPUNCTURE 520 N BROOKHURST ST STE 117, (714) 817-0085 LAC ANAHEIM, CA 92801 CHOI, EON - LAC HEHWA CLINIC INC ACUPUNCTURE 1208 E ARQUES AVE STE 109, (408) 530-9115 SUNNYVALE, CA 94085 CHOI, EON - LAC OPTIMAL BALANCE ACUPUNCTURE 5540 ALMADEN EXPRESSWAY, SAN (408) 478-8555 CHIROPRACTIC JOSE, CA 95118 CHOI, HEARA - LAC HIS ACUPUNCTURE HERBS ACUPUNCTURE 339 S MAGNOLIA AVE, ANAHEIM, CA (909) 568-1229 92804 CHOI, IKJUNG - LAC LA URGENT CARE ACUPUNCTURE 4221 S ALAMEDA ST, VERNON, CA (323) 676-5111 90058 CHOI, JAMES - LAC YUIN UNIVERSITY ACUPUNCTURE 2007 E CMPT BLVD, COMPTON, CA (323) 947-3448 90221 CHOI, JEONG - LAC TRIPLE TOUCH CLINIC INC ACUPUNCTURE 1351 E CHAPMAN AVE STE D, (657) 253-8839 FULLERTON, CA 92831 CHOI, JEONG, WOOK - LAC ACUPIA WELLNESS ACUPUNCTURE 5730 BEACH BLVD STE 102, BUENA (714) 522-1600 ACUPUNCTURE INC PARK, CA 90621 CHOI, JOON, YONG - LAC ACUBETHEL ACUPUNCTURE ACUPUNCTURE 1210 S EUCLID ST STE A, LA HABRA, CA (213) 598-3047 HERBS 90631 CHOI, JUNG - LAC ACU HERB CENTER ACUPUNCTURE 20914 NORDHOFF ST STE 102, (323) 877-6420 CHATSWORTH, CA 91311 CHOI, JUNGSOOK - LAC ACU HERB CENTER ACUPUNCTURE 258 S OXFORD AVE STE 102, LOS (323) 877-6420 ANGELES, CA 90004 CHOI, LISA E - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 102 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHOI, PAULINE, ANNE, DEL, SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 CASTILLO - PT ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD CHOI, PAULINE, ANNE, DEL, SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 CASTILLO - PT ORTHOPEDIC CA 91354 INSTITUTEVALENCIA CHOI, PAULINE, ANNE, DEL, SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 CASTILLO - PT ORTHOPEDIC INSTITUTESIMI 93065 VALLEY CHOI, PAULINE, ANNE, DEL, SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 CASTILLO - PT ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS CHOI, PAULINE, ANNE, DEL, SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 CASTILLO - PT ORTHOPEDIC INSTITUTE MAIN ACCOUNT CHOI, ROSA S - MD (BCC) SANSUM CLINIC - PUEBLO GENERAL SURGERY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 CHOI, SEUNG - LAC SEUNG CHEOL DANIEL CHOI ACUPUNCTURE 5550 E 7TH ST, LONG BEACH, CA 90804 (562) 433-2177 CHOI, SOOHO - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 CHOI, SOYOUNG - LAC CHOY ACUPUNCTURE CLINIC ACUPUNCTURE 1550 4TH AVE, LOS ANGELES, CA 90019 (323) 733-6650 CHOI, SUN, KIL - LAC CHOY ACUPUNCTURE CLINIC ACUPUNCTURE 1550 4TH AVE, LOS ANGELES, CA 90019 (323) 733-6650 CHOI, SUNWOONG S - DMD ABRI DENTAL CORP ORAL AND MAXILLOFACIAL 23333 CINEMA DR STE 190, VALENCIA, (844) 346-3337 SURGERY CA 91355 CHOI, SUNWOONG S - DMD ABRI DENTAL CORP ORAL AND MAXILLOFACIAL 3808 W RIVERSIDE DR STE 501, (844) 346-3337 SURGERY BURBANK, CA 91505 CHOI, YOON - DC IQ JOINT HEALTH CHIROPRACTIC MEDICINE 11975 CARMEL MTN RD STE 604, SAN (858) 707-5808 DIEGO, CA 92128 CHOI, YOON - DC IQ JOINT HEALTH CHIROPRACTIC MEDICINE 5348 CARROLL CANYON RD 101, SAN (858) 752-1815 DIEGO, CA 92121 CHOI, YOON - LAC IQ JOINT HEALTH ACUPUNCTURE 11975 CARMEL MTN RD STE 604, SAN (858) 707-5808 DIEGO, CA 92128 CHOI, YOON - LAC IQ JOINT HEALTH ACUPUNCTURE 5348 CARROLL CANYON RD 101, SAN (858) 752-1815 DIEGO, CA 92121 CHOI, YOONHO, EDWARD - LAC INLAND EMPIRE ACUPUNCTURE 7177 BROCKTON AVE STE 333, (951) 444-8340 ACUPUNCTURE HERBS INC RIVERSIDE, CA 92506 CHOI, YOUNG - LAC HANSOL WELLNESS ACUPUNCTURE 22672 LAMBERT ST STE 616, LAKE (213) 342-7039 FOREST, CA 92630 CHOI, YOUONG, SOON - LAC HANSOL WELLNESS ACUPUNCTURE 15615 ALTON PKWY STE 230, IRVINE, (213) 342-7039 CA 92618 CHOICE COMPOUNDING PHARMACY 4201 TORRANCE BLVD, TORRANCE, CA (310) 543-1111 PHARMACY 90503 CHOICECARE PHARMACY PHARMACY 90 S SPRUCE AVE STE W, SOUTH SAN (650) 872-2261 FRANCISCO, CA 94080 CHOKLER, ALEXANDER - MD KAISER PERMANENTE 20TH GENERAL SURGERY 615 W AVENUE L , LANCASTER, CA (661) 726-2262 STREET MEDICAL OFFICES 93534 CHON, JAE H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SPINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 CHON, JAE H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SPINE 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 CHON, JAE H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC SPINE SURGERY 6801 PARK TERRACE DR STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 CHON, JAE H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC SPINE SURGERY 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 CHON, JAY - MD KERLAN JOBE SPINE SURGERY 6801 PARK TERRACE DR STE 400, LOS (310) 665-7200 ANGELES , CA 90045 CHOU, CHIH, LING - LAC PACIFIC ACUPUNCTURE ACUPUNCTURE 34700 PACIFIC COAST HWY STE 308, (949) 489-1911 CENTER CAPISTRANO BEACH, CA 92624 CHOU, PAULA - MD (BCC) ANESTHESIOLOGY 18300 ROSCOE BLVD, NORTHRIDGE, (844) 450-1522 CA 91325 CHOUDHURY, BAISHAKHI - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 103 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHOUNG, EDWARD W - DO KAISER PERMANENTE ORTHOPEDIC SURGERY 4601 DALE RD , MODESTO, CA 95356 (209) 735-4100 MODESTO MEDICAL CENTER CHOUNG, JUN D - DPM KAISER PERMANENTE SAN PODIATRY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 CHOW, CONROY - MD (BCC) LOMA LINDA UNIVERSITY DERMATOLOGY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 DERMATOLOGY DEPT CHOW, LORI J - MD KAISER PERMANENTE LOMA GENERAL SURGERY 25828 REDLANDS BLVD , REDLANDS, (909) 427-3917 LINDA MEDICAL OFFICES CA 92373 CHOW, SHARON - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1633 OLD BAYSHORE HWY STE 145, (650) 239-9075 BURLINGAME, CA 94010 CHOY, MARTIN - DC CHOY CHIROPRACTIC CHIROPRACTIC MEDICINE 960 E GREEN ST STE 162, PASADENA, (626) 792-2932 CA 91106 CHRIST, ALEXANDER B - MD KECK HOSPTITAL OF USC- ORTHOPEDIC SURGERY - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPAEDIC SURGERY ANGELES, CA 90033 CHRIST, ALEXANDER B - MD KECK HOSPTITAL OF USC- ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPAEDIC SURGERY LOWER EXTREMITIES ANGELES, CA 90033 CHRIST, ALEXANDER B - MD KECK HOSPTITAL OF USC- ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPAEDIC SURGERY UPPER EXTREMITIES ANGELES, CA 90033 CHRIST, ALEXANDER B - MD KECK HOSPTITAL OF USC- ONCOLOGY 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPAEDIC SURGERY ANGELES, CA 90033 CHRIST, DOUG - PT MAXIM PHYSICAL THERAPY PHYSICAL THERAPY 2321 COURT ST, REDDING, CA 96001 (530) 242-8480 CHRISTENSEN, AMARILDA A - EISENHOWER OCCUPATIONAL OCCUPATIONAL MEDICINE 67555 E PALM CANYON DR STE C113, (760) 328-5679 MD (BCC) HEALTH CENTER CATHEDRAL CITY , CA 92234 CHRISTENSEN, AMARILDA A - EISENHOWER OCCUPATIONAL PRIMARY TREATING 67555 E PALM CANYON DR STE C113, (760) 328-5679 MD (BCC) HEALTH CENTER PHYSICIAN CATHEDRAL CITY , CA 92234 CHRISTENSEN, CASEY - DC CHRISTENSEN CHIROPRACTIC CHIROPRACTIC MEDICINE 11213 1ST AVE, WHITTIER, CA 90603 (562) 947-5578 CHRISTENSEN, JOSEPH T - MD KAISER PERMANENTE FRESNO ORTHOPEDIC SURGERY 7300 N FRESNO ST , FRESNO, CA 93720 (559) 448-4886 MEDICAL CENTER CHRISTENSEN, SUSAN - MD ANESTHESIOLOGY 23500 MADISON ST, TORRANCE, CA (310) 784-2710 (BCC) 90505 CHRISTENSEN, SUSAN - MD ANESTHESIOLOGY 3720 LOMITA BLVD STE 100, (310) 376-7000 (BCC) TORRANCE, CA 90505 CHRISTENSEN, SUSAN - MD ANESTHESIOLOGY 3720 LOMITA BLVD STE 102, (310) 802-6260 (BCC) TORRANCE, CA 90505 CHRISTENSEN, SUSAN - MD ANESTHESIOLOGY 4101 TORRANCE BLVD, TORRANCE, CA (310) 540-7676 (BCC) 90503 CHRISTENSEN, WILLIAM A - MD EISENHOWER OCCUPATIONAL OCCUPATIONAL MEDICINE 67555 E PALM CANYON DR STE C113, (760) 328-5679 (BCC) HEALTH CENTER CATHEDRAL CITY , CA 92234 CHRISTENSEN, WILLIAM A - MD EISENHOWER OCCUPATIONAL PRIMARY TREATING 67555 E PALM CANYON DR STE C113, (760) 328-5679 (BCC) HEALTH CENTER PHYSICIAN CATHEDRAL CITY , CA 92234 CHRISTENSON, CAROLYN - OT HAND THERAPY CENTER OCCUPATIONAL THERAPY 1125 16TH ST STE 212, ARCATA, CA (707) 822-7525 95521 CHRISTIANO, NICOLE M - MD SANSUM CLINIC - PESETAS FAMILY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) CHRISTIANO, NICOLE M - MD SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) CHRISTOS, GOERGE - AUD ADVANCED HEARING AUDIOLOGY 5293 PROSPECT RD STE 150, SAN (800) 598-5300 PROVIDERS LLC JOSE, CA 95129 CHU, CALEB - MD (BCC) ANESTHESIOLOGY 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 91786 CHU, KEVIN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL ANGELES, CA 90027 CENTER CHU, KEVIN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL PHYSICIAN ANGELES, CA 90027 CENTER CHU, KEVIN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 JOB LOS ANGELES MEDICAL CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 104 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHU, KEVIN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 JOB LOS ANGELES MEDICAL PHYSICIAN CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 CHU, ROBERT - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1241 E HILLSDAL BLVD STE 170, (408) 362-4655 FOSTER CITY, CA 94404 CHU, THOMAS - MD (BCC) OPHTHALMOLOGY 12840 RIVERSIDE DR STE 333, NORTH (310) 891-1000 HOLLYWOOD, CA 91607 CHU, THOMAS - MD (BCC) OPHTHALMOLOGY 3400 LOMITA BLVD STE 202, (310) 854-6201 TORRANCE, CA 90505 CHU, THOMAS - MD (BCC) OPHTHALMOLOGY 9001 WILSHIRE BLVD STE 301, (818) 754-2090 BEVERLY HILLS, CA 90211 CHU, THOMAS - MD (BCC) RETINA VITREOUS ASSOC MED OPHTHALMOLOGY 1245 WILSHIRE BLVD STE 380, LOS (213) 483-8810 GROUP ANGELES, CA 90017 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP CA 90638 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP 92805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP LONG BEACH, CA 90805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP GARDEN GROVE , CA 92841 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP LOWER EXTREMITIES CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP LOWER EXTREMITIES CA 90638 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP LOWER EXTREMITIES 92805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP LOWER EXTREMITIES 92324 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP LOWER EXTREMITIES LONG BEACH, CA 90805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP LOWER EXTREMITIES GARDEN GROVE , CA 92841 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP UPPER EXTREMITIES CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP UPPER EXTREMITIES CA 90638 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP UPPER EXTREMITIES 92805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP UPPER EXTREMITIES 92324 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP UPPER EXTREMITIES LONG BEACH, CA 90805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP UPPER EXTREMITIES GARDEN GROVE , CA 92841 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP CA 90638 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP 92805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP LONG BEACH, CA 90805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP GARDEN GROVE , CA 92841 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP EXTREMITIES

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 105 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP EXTREMITIES CA 90638 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP EXTREMITIES 92805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP EXTREMITIES 92324 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP EXTREMITIES LONG BEACH, CA 90805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP EXTREMITIES GARDEN GROVE , CA 92841 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP CA 90638 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP 92805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP LONG BEACH, CA 90805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP GARDEN GROVE , CA 92841 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP EXTREMITIES CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP EXTREMITIES CA 90638 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP EXTREMITIES 92805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP EXTREMITIES 92324 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP EXTREMITIES LONG BEACH, CA 90805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP EXTREMITIES GARDEN GROVE , CA 92841 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL SPINE SURGERY 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL SPINE SURGERY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP CA 90638 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL SPINE SURGERY 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP 92805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL SPINE SURGERY 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL SPINE SURGERY 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP LONG BEACH, CA 90805 CHUANG, MICHAEL - MD HEALTHPOINTE MEDICAL SPINE SURGERY 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP GARDEN GROVE , CA 92841 CHUANG, YA, LAN, (SANDY) - SANDY CHUANG ACUPUNCTURE 4959 PALO VERDE ST STE 208C5, (909) 255-9708 LAC ACUPUNCTURE MONTCLAIR, CA 91763 CHUI, JAMES M - MD KAISER PERMANENTE GENERAL SURGERY 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER CHULA VISTA PHARMACY 1295 BROADWAY STE 201, CHULA (888) 748-7526 VISTA, CA 91911 CHULA VISTA PHARMACY PHARMACY 384 H ST, CHULA VISTA, CA 91910 (619) 781-8177 CHULA VISTA PHYSICAL PHYSICAL THERAPY 344 F ST STE 300, CHULA VISTA, CA (619) 585-4080 THERAPY 91910 CHUN, CHONG, KU - ATC CKC ACUPUNCTURE ATHLETIC TRAINER 8741 VAN NUYS BLVD STE 102, (818) 894-4785 PANORAMA CITY, CA 91402 CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY UPPER EXTREMITIES CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY LOWER EXTREMITIES

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 106 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - HIP 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY SPINE CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - UPPER 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY EXTREMITIES CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - LOWER 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY EXTREMITIES CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - HIP 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - SPINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - SPORTS MEDICINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY CHUN, KEOLANUI G - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY PHYSICIAN CHUNG, ANGELA - MD CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA CHUNG, ANGELA - MD CONCENTRA MEDICAL FAMILY MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA CHUNG, CHONG - DC BEST CHIROPRACTIC CHIROPRACTIC MEDICINE 4600 BEACH BLVD STE G, BUENA PARK, (714) 736-5456 CA 90621 CHUNG, ELENE, HAWYING - MOONGATE ACUPUNCTURE ACUPUNCTURE 6050 COMMERCE BLVD STE 104, (707) 878-0378 LAC ROHNERT PARK, CA 94928 CHUNG, EUI - LAC CHUNG ACUPUNCTURE CLINIC ACUPUNCTURE 6105 SNELL AVE SUITE 101, SAN JOSE, (408) 234-1919 CA 95123 CHUNG, GUYEON - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 266 S HARVARD BLVD STE 370, LOS (213) 908-7065 ANGELES, CA 90004 CHUNG, GUYEON - PT CHOICE PT REHAB PC PHYSICAL THERAPY 266 SHARVARD BLVD STE 370, LOS (213) 908-7065 ANGELES, CA 90004 CHUNG, GUYEON - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 520 S VIRGIL AVE UNIT 201, LOS (213) 480-0021 ANGELES, CA 90020 CHUNG, HSIANG, JU - LAC CHUNG ACUPUNCTURE ACUPUNCTURE 5330 PRIMROSE DR STE 145, FAIR (916) 250-2588 OAKS, CA 95628 CHUNG, HYUN, SOO - LAC THE H CLINIC HEALTH H2S ACUPUNCTURE 13732 NEWPORT AVE STE 6, TUSTIN, (714) 397-0709 ACUPUNCTURE INC CA 92780 CHUNG, HYUN, SOO - LAC THE H CLINIC HEALTH H2S ACUPUNCTURE 5751 PALMER WAY H2H5, CARLSBAD, (714) 397-0709 ACUPUNCTURE INC CA 92010 CHUNG, JANE, KYONG, HE - JANE ACUPUNCTURE ACUPUNCTURE 13341 GARDEN GROVE BLVD STE B, (714) 293-5544 LAC GARDEN GROVE, CA 92843 CHUNG, JOSHUA S - MD (BCC) CARDIOTHORACIC SURGERY THORACIC AND CARDIAC 11234 ANDERSON ST SP RM 1617, (800) 679-4642 LLUMC SURGERY LOMA LINDA , CA 92354 CHUNG, JUNHEE - LAC CJ ACUPUNCTURE ACUPUNCTURE 9753 FLOWER ST, BELLFLOWER, CA (562) 714-6361 90706 CHUNG, LINDA - LAC JULIAN YNIQUEZ PHYSICAL ACUPUNCTURE 1220 HEMLOCK WAY 206, SANTA ANA, (714) 754-1990 THERAPY INC CA 92707 CHUNG, LINDA - LAC LEE AND RODRIGUEZ ACUPUNCTURE 4121 10TH ST, RIVERSIDE, CA 92501 (951) 274-0421 CHIROPRACTIC INC DBA BROCKTON INTEGRATIVE REHAB CHUNG, MAX - LAC BB HEALING CENTER ACUPUNCTURE 2560 W OLYM BLVD STE 201, LOS (213) 386-7575 ANGELES, CA 90006 CHUNG, MINA - LAC JOY ACUPUNCTURE CLINIC ACUPUNCTURE 9150 S PAINTER AVE STE 105C, (562) 698-7950 WHITTIER, CA 90602 CHUNG, MOLLY - MD (BCC) ANESTHESIOLOGY 3330 LOMITA BLVD, TORRANCE, CA (310) 517-4759 90505 CHUNG, PETER - MD DOWNTOWN URGENT CARE INTERNAL MEDICINE 269 S SAN PEDRO ST, LOS ANGELES, (213) 947-3600 CA 90012 CHUNG, SAMUEL K - MD CONCENTRA MEDICAL SURGERY 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 107 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CHUNG, SAMUEL W - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 301 W HUNTINGTON DR STE 120, (626) 218-9840 FOUNDATION ARCADIA , CA 91007 CHUNG, SIU K - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER CHURCH, CHRISTOPHER A - LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 1895 ORANGE TREE LANE STE 102, (800) 679-4642 MD (BCC) HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY SINUS AND ALLERGY CLINIC CHURCH, CHRISTOPHER A - LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 MD (BCC) HEALTH CARE - HEAD & NECK CA 92563 SURGERY SINUS AND ALLERGY CLINIC CIANCIO, STEVE - MD (BCC) ANESTHESIOLOGY 23500 MADISON ST, TORRANCE, CA (310) 784-2710 90505 CIANCIO, STEVE - MD (BCC) ANESTHESIOLOGY 3720 LOMITA BLVD STE 100, (310) 376-7000 TORRANCE, CA 90505 CIANCIO, STEVE - MD (BCC) ANESTHESIOLOGY 3720 LOMITA BLVD STE 102, (310) 802-6260 TORRANCE, CA 90505 CIANCIO, STEVE - MD (BCC) ANESTHESIOLOGY 4101 TORRANCE BLVD, TORRANCE, CA (310) 540-7676 90503 CIENEGA PHARMACY PHARMACY 7360 SANTA MONICA BLVD, WEST (310) 360-9969 HOLLYWOOD, CA 90046 CIGLIANO, JEAN - DC MARINA SPORTS MEDICINE CHIROPRACTIC MEDICINE 28633 S WESTERN AVE STE 200, (310) 832-2622 RANCHO PALOS VERDES, CA 90275 CIMINO, BRADLEY, ALLEN - PRO ACTIVE ACUPUNCTURE 151 N SUNRISE STE 1308, ROSEVILLE, (916) 755-4930 LAC ACUPUNCTUREBRADLEY CA 95661 CIMINO CIMPERMAN, CARRIE - LAC TEMECULA ACUPUNCTURE ACUPUNCTURE 27450 YNEZ RD STE 110A, TEMECULA, (951) 676-8640 CA 92591 CIPES, JOEL - PT CALCARE INDUSTRIAL PHYSICAL THERAPY 502 S GAREY AVE, POMONA, CA 91766 (909) 620-8887 MEDICAL CIRAC, RYAN - PT SPORTS AND SPINE PHYSICAL THERAPY 23456 HAWTHORNE BLVD STE 205, (310) 791-4040 ORTHOPAEDICS TORRANCE, CA 90505 CISLOWSKI, DAVID D - MD CARDIOVASCULAR DISEASE 820 S AKERS ST STE 130, VISALIA , CA (559) 624-6520 (BCC) (CARDIOLOGY) 93277 CISNEROS, CINTHYA - PT GENESIS PHYSICAL THERAPY PHYSICAL THERAPY 2807 E CHOCHRAN ST, SIMI VALLEY, CA (805) 583-9575 93065 CISNEROS, TRINIDAD - DC CISNEROS CHIROPRACTIC CHIROPRACTIC MEDICINE 10841 WHITE OAK AVE STE 100, (909) 989-4002 CENTER RANCHO CUCAMONGA, CA 91730 CISNEROS, TRINIDAD - DC CISNEROS CHIROPRACTIC CHIROPRACTIC MEDICINE 1125 E 17TH ST STE W117, SANTA ANA, (714) 550-6399 CENTER CA 92701 CISNEROS, TRINIDAD - DC SUNRISE MULTISPECIALISTS CHIROPRACTIC MEDICINE 867 S TUSTIN ST, ORANGE, CA 92866 (714) 771-1420 MEDICAL CENTER INC CITI PHARMACY PHARMACY 1013 S CENTRAL AVE, GLENDALE, CA (818) 500-8660 91204 CITRUS PHARMACY PHARMACY 511 AMIGOS DR STE B, REDLANDS, CA (909) 793-8259 92373 CITRUS VALLEY PHARMACY PHARMACY 457 S CITRUS AVE, COVINA, CA 91723 (626) 261-4400 CITY CARE PHARMACY PHARMACY 3130A ALUM ROCK AVE, SAN JOSE, CA (408) 929-2210 95127 CITY CENTER PHARMACY PHARMACY 1270 E LELAND RD STE 102, (925) 432-9770 PITTSBURG, CA 94565 CITY HEIGHTS EXPRESS PHARMACY 4305 UNIVERSITY AVE STE 350, SAN (888) 748-7526 DIEGO, CA 92105 CITY OF HOPE NATIONAL CITY OF HOPE NATIONAL SPECIALTY HOSPITAL - 1500 DUARTE RD, DUARTE, CA 91010 (626) 359-8111 MEDICAL CENTER (BCC) MEDICAL CENTER SPECIAL CITY OF HOPE PHARMACY PHARMACY 1500 DUARTE RD, DUARTE, CA 91010 (626) 301-8304 CITY PHARMACY PHARMACY 7643 ATLANTIC AVE STE A, CUDAHY, (323) 537-8970 CA 90201 CJ PHYSIOTHERAPY, INC PHYSICAL THERAPY 1966 E CHAPMAN AVE STE A, (714) 519-3147 FULLERTON, CA 92831 CLAASSEN, CHELSEY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 108 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CLAIRE, CYNTHIA - OT GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 CLAPPER, MARK - MD KAISER PERMANENTE SAN ORTHOPEDICS 4650 PALM AVE 2ND FLOOR, SAN (833) 242-8500 DIEGO MEDICAL CENTER DIEGO, CA 92154 CLAREMONT PHARMACY PHARMACY 358 S INDIAN HILL BLVD, CLAREMONT, (909) 929-7228 CA 91711 CLARK, ALYCIA - PT FITZPATRICK PHYSICAL PHYSICAL THERAPY 1252 BROADWAY STE B, PLACERVILLE, (530) 622-9410 THERAPY CA 95667 CLARK, BRANDT - PT TARDGUILA CHIRO PHYSICAL THERAPY 15901 HAWTHORNE BLVD 160, (310) 921-8239 PROFESSIONAL CORP LAWNDALE, CA 90260 CLARK, CHELSEA, ELIZABETH - WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 PT THERAPY INC DIEGO, CA 92109 CLARK, CHRISTINA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD CLARK, CHRISTINA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA CLARK, CHRISTINA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY CLARK, CHRISTINA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS CLARK, CHRISTINA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT CLARK, DREW - PT DAMON BROWN PHYSICAL PHYSICAL THERAPY 822 S ROBERTSON BLVD STE 310, LOS (310) 360-9069 THERAPY ANGELES, CA 90035 CLARK, EDUARDO E - MD (BCC) SANSUM CLINIC - FAMILY MEDICINE 4806 CARPINTERIA, CARPINTERIA , CA (805) 681-7858 CARPINTERIA FAMILY 93013 MEDICINE CLARK, EDUARDO E - MD (BCC) SANSUM CLINIC - PRIMARY TREATING 4806 CARPINTERIA, CARPINTERIA , CA (805) 681-7858 CARPINTERIA FAMILY PHYSICIAN 93013 MEDICINE CLARK, EDUARDO E - MD (BCC) SANSUM CLINIC - PESETAS FAMILY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 URGENT CARE (SANTA 93110 BARBARA) CLARK, EDUARDO E - MD (BCC) SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) CLARK, LORIS - AUD ADVANCED HEARING AUDIOLOGY 3832 LA SIERRA AVE , RIVERSIDE, CA (800) 598-5300 PROVIDERS LLC 92505 CLARK, STEPHEN - PT PREMIER OCCUPATIONAL PHYSICAL THERAPY 1080 INDIAN CANYON DR STE 101, (760) 832-7961 MEDICINE CENTER PALM SPRINGS, CA 92262 CLARK, STEPHEN - PT ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 30837 E THOUSAND OAKS BLVD, (818) 879-2091 MAIN ACCOUNT WESTLAKE VILLAGE, CA 91362 CLARK, THOMAS J - DO (BCC) INSTITUTE OF CLINICAL NEUROLOGY 1180 N INDIAN CANYON DR STE W200, (714) 428-6711 ORTHOPEDICS & PALM SPRINGS , CA 92262 NEUROSCIENCES CLARK, THOMAS J - DO (BCC) YUCCA VALLEY MULTI NEUROLOGY 58457 TWENTY NINE PALMS HWY STE (714) 428-6711 SPECIALTY 200, YUCCA VALLEY , CA 92284 CLARK, TYLER, KEITH - DC SAN PEDRO CHIROPRACTIC CHIROPRACTIC MEDICINE 1534 W 25TH ST, SAN PEDRO, CA 90732 (310) 548-5656 CLINIC CLARK, YOOJIN, PARK - DC BETHESDA ACUPUNCTURE CHIROPRACTIC MEDICINE 9260 ALCOSTA BLVD STE A1, SAN (925) 999-9676 CHIROPRACTIC AND SKIN SPA RAMON, CA 94583 CLAUSS, CHRISTOPHER - PT HEALTHLINE MEDICAL GROUP PHYSICAL THERAPY 15211 VANOWEN ST STE 105, VAN (818) 997-7711 NUYS, CA 91405 CLAWSON, DAVID - PT CLAWSON PHYSICAL THERAPY PHYSICAL THERAPY 1075 FULTON AVE SUITE A, (916) 488-4000 SACRAMENTO, CA 95825 CLAWSON, DAVID - PTA CLAWSON PHYSICAL THERAPY PHYSICAL THERAPY 6915 ELK GROVE BLVD SUITE A, ELK (916) 684-3000 GROVE, CA 95758

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 109 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CLAWSON, KATHERINE - OT GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 CLAY MEDICAL PHARMACY PHARMACY 929 CLAY ST, SAN FRANCISCO, CA (415) 956-5456 94108 CLAY, ANDREW - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 CLAY, PIERRE - OT TWO TREES PHYSICAL OCCUPATIONAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 CLAY, PIERRE - OT TWO TREES PHYSICAL OCCUPATIONAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 CLAYTON, BIANCA, CRISTINA - MILKWEED AND ALCHEMY ACUPUNCTURE 1264 HIGUERA ST STE 102, SAN LUIS (805) 996-0682 LAC OBISPO, CA 93401 CLAYWORTH HEALTHCARE PHARMACY 20353 LAKE CHABOT RD, CASTRO (510) 537-9402 PHARMACY VALLEY, CA 94546 CLAYWORTH PHARMACY PHARMACY 20353 LAKE CHABOT RD, CASTRO (510) 537-9402 VALLEY, CA 94546 CLEAR CHOICE PHARMACY PHARMACY 3059 HOPYARD RD STE C, (925) 623-5511 PLEASANTON, CA 94588 CLEARVIEW TREATMENT CLEARVIEW TREATMENT CHEMICAL DEPENDENCY 1334 WESTWOOD BLVD STE 3A, LOS (310) 446-7856 PROGRAMS (BCC) PROGRAMS REHABILITATION CENTER ANGELES, CA 90024 (OUTPATIENT) CLEARY, TOM S - PHD (BCC) JAIME E MEDVENE & PSYCHOLOGY 30200 AGOURA RD , AGOURA HILLS , (818) 981-7845 ASSOCIATES CA 91301 CLEMENTS, MARISA - LMT CANYON HEALTH CENTER MASSAGE THERAPIST 164 MAPLE ST STE 4, AUBURN, CA (530) 888-0842 95603 CLEMENTS, TAYLOR - PTA DAVID VALPONI PHYSICAL PHYSICAL THERAPY 1430 ESPLANADE STE 8, CHICO, CA (530) 894-0221 THERAPY INC 95926 CLEVELAND PHARMACY PHARMACY 2311 W CLEVELAND AVE, MADERA, CA (559) 395-4127 93637 CLIFFORD, JOHN W - MD KAISER PERMANENTE OTAY ORTHOPEDICS 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 MESA MEDICAL OFFICES 92020 CLIFFORD, JOHN W - MD KAISER PERMANENTE OTAY HAND SURGERY 4650 PALM AVE 2ND FLOOR, SAN (833) 242-8500 MESA MEDICAL OFFICES DIEGO, CA 92154 CLINE, DENIS J - MD KAISER PERMANENTE OPHTHALMOLOGY 1301 CALIFORNIA STREET , REDLANDS, (909) 427-3917 VINEYARD ONTARIO SURGERY CA 92408 CENTER CLINE, JEFFREY - DC CLINE JEFF DC CHIROPRACTIC MEDICINE 800 MAGNOLIA AVE STE 102, CORONA, (951) 279-2339 CA 92879 CLINE, KURT - DC TRICITY HEALTH GROUP CHIROPRACTIC MEDICINE 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 BEACH, CA 90807 CLINIC OLE PHARMACY PHARMACY 1141 PEAR TREE LN STE 250, NAPA, CA (707) 603-1333 94558 CLINICA MSR OSCAR A PHARMACY 123 S ALVARADO ST, LOS ANGELES, CA (213) 201-2759 ROMERO 90057 CLINICA SIERRA VISTA PHARMACY 8787 HALL RD, LAMONT, CA 93241 (661) 845-3731 PHARMACY CLINICAL MASSAGE THERAPY PHYSICAL THERAPY 160 BLUE RAVINE RD STE G, FOLSOM, (916) 259-2510 CA 95630-4718 CLINICAL MASSAGE THERAPY PHYSICAL THERAPY 5714 LONETREE BLVD, ROCKLIN, CA (916) 259-2510 95765-3734 CLINICARE PHARMACY PHARMACY 9245 RESEDA BLVD, NORTHRIDGE, CA (818) 727-7234 91324 CLINICAS DEL CAMINO REAL PHARMACY 200 S WELLS RD, VENTURA, CA 93004 (805) 659-0119 CLINISHARE PHARMACY PHARMACY 23719 ROSCOE BLVD, WEST HILLS, CA (818) 835-9627 91304 CLONEY'S MCKINLEYVILLE PHARMACY 1567 CITY CENTER RD, (707) 840-9923 PHCY MCKINLEYVILLE, CA 95519 CLONEYS LONG TERM CARE PHARMACY 525 5TH ST STE B, EUREKA, CA 95501 (707) 443-8452 PHCY CLONEYS PRESCRIPTION PHARMACY 2515 HARRISON AVE, EUREKA, CA (707) 443-7086 PHARMACY 95501 CLONEYS RED CROSS PHARMACY 525 5TH ST, EUREKA, CA 95501 (707) 443-1614 PHARMACY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 110 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CLOUD, ANNE - LMT DONIA CHIROPRACTIC MASSAGE THERAPIST 1455 W PARK AVE, REDLANDS, CA (909) 793-2225 92373 CLOVERDALE PHARMACY PHARMACY 790 S CLOVERDALE BLVD, (707) 894-4414 CLOVERDALE, CA 95425 CLOVIS COMMUNITY HOSPITAL CLOVIS COMMUNITY HOSPITAL ACUTE CARE HOSPITAL 2755 HERNDON AVE, CLOVIS, CA 93611 (559) 324-4000 (BCC) CM PHYSICAL THERAPY PHYSICAL THERAPY 1310 3RD AVE STE A4, CHULA VISTA, (619) 420-0869 CA 91911-4371 CNC AURORA PHARMACY PHARMACY 11245 LOWER AZUSA RD, EL MONTE, (626) 542-3374 CA 91731 CNC ROSE PHARMACY PHARMACY 420 W ROWLAND ST, COVINA, CA 91723 (626) 966-9888 COACHELLA VALLEY PHARMACY 49111 HIGHWAY 111 UNIT 6, (888) 748-7526 COACHELLA, CA 92236 COACHELLA VALLEY LTC PHARMACY 77932 COUNTRY CLUB DR, PALM (760) 565-0629 DESERT, CA 92211 COACHELLA VALLEY PHARMACY 77932 COUNTRY CLUB DR, PALM (760) 223-7188 PHARMACY DESERT, CA 92211 COAST HILLS PHARMACY PHARMACY 2610 SAN MIGUEL DR, NEWPORT (949) 720-7044 BEACH, CA 92660 COAST PHYSICAL THERAPY & PHYSICAL THERAPY 5353 MISSION CENTER RD STE 120, (619) 294-3644 SPORTS MED. SAN DIEGO, CA 92108-1304 COAST PHYSICAL THERAPY & PHYSICAL THERAPY 1044 MANGROVE AVE, CHICO, CA (530) 892-2966 SPORTS MEDICINE 95926-3509 COAST PHYSICAL THERAPY & PHYSICAL THERAPY 8950 VILLA LA JOLLA DR STE B224, LA (858) 452-3502 SPORTS MEDICINE JOLLA, CA 92037-1709 COAST PLAZA HOSPITAL (BCC) COAST PLAZA HOSPITAL ACUTE CARE HOSPITAL 13100 STUDEBAKER RD, NORWALK, CA (562) 868-3751 90650 COAST PT AND SPORTS PHYSICAL THERAPY 5353 MISSION CENTER RD STE 120, (619) 294-3644 MEDICINE SAN DIEGO, CA 92108-1304 COAST PT AND SPORTS PHYSICAL THERAPY 8950 VILLA LA JOLLA DR STE B224, LA (858) 452-3502 MEDICINE JOLLA, CA 92037-1709 COAST SURGERY CENTER LP AMBULATORY SURGERY 3445 PACIFIC COAST HWY STE 110, (310) 325-4555 CENTER TORRANCE, CA 90505 COAST VALLEY SUBSTANCE COAST VALLEY SUBSTANCE CHEMICAL DEPENDENCY 1414 S MILLER ST STE 11, SANTA (805) 739-1512 ABUSE TREATMENT CENTER ABUSE TREATMENT CENTER REHABILITATION CENTER MARIA, CA 93454 (BCC) (OUTPATIENT) COASTAL HAND AND PHYSICAL THERAPY 150 MARY AVE STE 1, NIPOMO, CA (805) 929-3230 OCCUPATIONAL THERAPY 93444-7821 COASTAL HAND AND PHYSICAL THERAPY 201 N COLLEGE DR STE 203, SANTA (805) 922-1724 OCCUPATIONAL THERAPY MARIA, CA 93454 COASTAL HAND AND PHYSICAL THERAPY 2028 VILLAGE LN STE 206, SOLVANG, (805) 686-4642 OCCUPATIONAL THERAPY CA 93463-3222 COASTAL OCCUPATIONAL COASTAL OCCUPATIONAL URGENT CARE FACILITY 1901 OUTLET CENTER DR STE 100, (805) 988-3200 MEDICAL GROUP (BCC) MEDICAL GROUP OXNARD, CA 93036 COASTAL TURNING POINT LLC COASTAL TURNING POINT LLC CHEMICAL DEPENDENCY 129 S RIVER ST, SANTA CRUZ, CA (831) 234-2010 (BCC) REHABILITATION CENTER 95060 (OUTPATIENT) COASTHERAPY PHYSICAL THERAPY 9036 ADAMS AVE, HUNTINGTON (714) 963-7712 BEACH, CA 92646-3402 COASTLINE CARE PHARMACY PHARMACY 18120 BROOKHURST ST STE 57, (714) 962-7192 FOUNTAIN VALLEY, CA 92708 COASTLINE SURGERY CENTER AMBULATORY SURGERY 3200 S BRISTOL ST, SANTA ANA, CA (714) 641-1111 CENTER 92704 COCHOIT, JOSEPH - MD (BCC) ANESTHESIOLOGY 101 E VALENCIA MESA DR, (714) 871-3280 FULLERTON, CA 92835 COCHRAN, JAMES - DC MICHAEL YORK DC ADVANCED CHIROPRACTIC MEDICINE 5350 HOLLISTER AVE STE A3, SANTA (805) 681-7322 CHIROPRACTIC GROUP BARBARA, CA 93111 CODISPOTI, BENJAMIN - PTA CHAPARRAL PHYSICAL PHYSICAL THERAPY 15555 MAIN ST STE A15, HESPERIA, CA (760) 244-4288 THERAPY 92345 CODISPOTI, BENJAMIN - PTA CHAPARRAL PHYSICAL PHYSICAL THERAPY 525 MELISSA AVE STE B, BARSTOW, CA (760) 256-1888 THERAPY 92311 CODY, DONNA - AUD ADVANCED HEARING AUDIOLOGY 3545 E COAST HWY STE 2, CORONA (800) 598-5300 PROVIDERS LLC DEL MAR, CA 92625

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 111 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COFFEE PLAZA PHARMACY PHARMACY 2020 COFFEE RD, MODESTO, CA 95355 (209) 522-3367 COGERT, GREGORY A - MD SANSUM CLINIC - PUEBLO CARDIOVASCULAR DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC (CARDIOLOGY) CA 93105 COHEN, ALEXANDRA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 COHEN, EZRA - MD (BCC) MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 COHEN, GLEN - MD HAND SURGERY 696 HAMPSHIRE RD STE 180, WEST (805) 370-6877 LAKE VILLAGE, CA 91361 COHEN, GLEN - MD ORTHOPEDICS - ELBOW 696 HAMPSHIRE RD STE 180, WEST (805) 370-6877 LAKE VILLAGE, CA 91361 COHEN, GLEN - MD ORTHOPEDICS - WRIST 696 HAMPSHIRE RD STE 180, WEST (805) 370-6877 LAKE VILLAGE, CA 91361 COHEN, HARLENE - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 COHEN, JONATHAN I - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER COHEN, JORDAN - DC PREMIER WELLNESS CENTER CHIROPRACTIC MEDICINE 20265 VALLEY BLVD STE E, WALNUT, (909) 869-8501 CA 91789 COHEN, LEILA - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 5901 W OLYMPIC BLVD STE 407, LOS (323) 917-5194 ANGELES, CA 90036 COHEN, SETH A - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 630 S RAYMOND AVE STE 220, (626) 218-9500 FOUNDATION PASADENA, CA 91105 COHEN, STEPHEN - MD (BCC) CARDIOVASCULAR DISEASE 16300 SAND CANYON AVE STE 201, (949) 753-9150 (CARDIOLOGY) IRVINE, CA 92618 COHEN, STEPHEN - MD (BCC) CARDIOVASCULAR DISEASE 361 HOSPITAL RD STE 523, NEWPORT (949) 706-2903 (CARDIOLOGY) BEACH, CA 92663 COHEN, STEPHEN - MD (BCC) CARDIOVASCULAR DISEASE 700 N TUSTIN AVE, SANTA ANA, CA (714) 245-1444 (CARDIOLOGY) 92705 COHEN-BROWN, JESSICA A - SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 MD (BCC) SURGERY CENTER UPPER EXTREMITIES CA 93110 COHEN-BROWN, JESSICA A - SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 MD (BCC) SURGERY CENTER LOWER EXTREMITIES CA 93110 COHEN-BROWN, JESSICA A - SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - HIP 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 MD (BCC) SURGERY CENTER CA 93110 COHEN-BROWN, JESSICA A - SANSUM CLINIC - FOOTHILL ORTHOPEDICS - UPPER 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 MD (BCC) SURGERY CENTER EXTREMITIES CA 93110 COHEN-BROWN, JESSICA A - SANSUM CLINIC - FOOTHILL ORTHOPEDICS - LOWER 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 MD (BCC) SURGERY CENTER EXTREMITIES CA 93110 COHEN-BROWN, JESSICA A - SANSUM CLINIC - FOOTHILL ORTHOPEDICS - HIP 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 MD (BCC) SURGERY CENTER CA 93110 COHN, MARJORIE - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 100 OCEANGATE BLVD STE 1200, LONG (800) 803-2086 GROUP INC BEACH, CA 90802 COHN, MARJORIE - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 17777 CENTER COURT DR N STE 600, (800) 803-2086 GROUP INC CERRITOS, CA 90703 COHN, MARJORIE - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 30021 TOMAS ST STE 300, RANCHO (800) 803-2086 GROUP INC SANTA MARGARITA, CA 92688 COHN, MARJORIE - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 333 CITY BLVD FL 17 , ORANGE, CA (800) 803-2086 GROUP INC 92868 COHN, MARJORIE - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 4199 CAMPUS DR STE 550, IRVINE, CA (800) 803-2086 GROUP INC 92612 COL PHARMACY PHARMACY 305 N SOTO ST STE A, LOS ANGELES, (323) 673-9543 CA 90033 COLBERT, RAMONA - LAC AIM FOR WELLNESS ACUPUNCTURE 8725 LA TIJERA BLVD, WESTCHESTER, (424) 331-5661 CA 90045 COLE'S VILLAGE PHARMACY PHARMACY 17691 SAN BERNARDINO AVE, (909) 877-4224 FONTANA, CA 92335 COLE'S VILLAGE PHARMACY PHARMACY 223 E 3RD ST, CORONA, CA 92879 (951) 444-7057 COLEMAN, JEFFREY - DC COLEMAN CHIROPRACTIC CHIROPRACTIC MEDICINE 6592 N 1ST ST, FRESNO, CA 93710 (559) 435-3331 COLEMAN, JOHN - AUD ADVANCED HEARING AUDIOLOGY 24411 HEALTH CENTER DRIVE STE (800) 598-5300 PROVIDERS LLC 420, LAGUNA HILLS, CA 92637 COLEMAN, JOHN - AUD ADVANCED HEARING AUDIOLOGY 26726 CROWN VALLEY PKWY STE 370, (800) 598-5300 PROVIDERS LLC MISSION VIEJO, CA 92691

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 112 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COLEMAN, JOHN - AUD ADVANCED HEARING AUDIOLOGY 675 CAMINO DE LOS MARES STE 200, (800) 598-5300 PROVIDERS LLC SAN CLEMENTE, CA 92673 COLLEGE AVENUE PHARMACY 4575 COLLEGE AVE, SAN DIEGO, CA (888) 748-7526 92105 COLLEGE HOSPITAL INC (BCC) COLLEGE HOSPITAL INC MENTAL HEALTH/PSYCHIATRIC 10802 COLLEGE PL, CERRITOS, CA (562) 924-9581 HOSPITAL (INPATIENT) 90703 COLLEGE MEDICAL CENTER COLLEGE MEDICAL CENTER ACUTE CARE HOSPITAL 2776 PACIFIC AVE, LONG BEACH, CA (562) 997-2000 (BCC) 90806 COLLEGE PHARMACY PHARMACY 626 W COLLEGE ST, LOS ANGELES, CA (213) 624-1028 90012 COLLEGE PHARMACY PHARMACY 90 N ASHWOOD AVE, VENTURA, CA (805) 642-4135 93003 COLLIER, CARL - DO (BCC) ANESTHESIOLOGY 11234 ANDERSON ST MEDICAL CENTER (800) 679-4642 RM 2532, LOMA LINDA, CA 92354 COLLIER, ROBIN - LAC HEALTHFIRST MEDICAL ACUPUNCTURE 11817 TELEGRAPH RD, SANTA FE (562) 949-9328 GROUP SPRINGS, CA 90670 COLLMAN, DAVID R - DPM KAISER PERMANENTE SAN PODIATRY 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER CA 94115 COLMAN PHYSICAL THERAPY PHYSICAL THERAPY 12062 VALLEY VIEW STSUITE 137, (714) 904-2703 GARDEN GROVE, CA 92845-1741 COLMAN PHYSICAL THERAPY PHYSICAL THERAPY 4432 FIR AVE, SEAL BEACH, CA (714) 904-2703 90740-2906 COLMAN, ANDRA - PT NEWPORT CARE MEDICAL PHYSICAL THERAPY 3300 W COAST HWY STE A, NEWPORT (949) 949-9991 GROUP BEACH, CA 92663 COLMAN, MICHELLE - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 COLONIAL DRUG PHARMACY 1727 N VERMONT AVE STE 107, LOS (323) 666-4044 ANGELES, CA 90027 COLORADO MEDICAL PHARMACY 1680 COLORADO BLVD, LOS ANGELES, (323) 254-6736 PHARMACY CA 90041 COLORADO RIVER MEDICAL COLORADO RIVER MEDICAL ACUTE CARE HOSPITAL 1401 BAILEY AVE, NEEDLES, CA 92363 (760) 326-7100 CENTER (BCC) CENTER COLTON PHARMACY PHARMACY 518 W VALLEY BLVD, COLTON, CA (909) 422-0444 92324 COLUMBUS PHARMACY PHARMACY 861 N BROADWAY, LOS ANGELES, CA (213) 622-2777 90012 COMFORTCARE PHARMACY PHARMACY 478 W COLORADO ST, GLENDALE, CA (818) 247-7000 91204 COMMUNITY PHARMACY 1399 ROXBURY DR, LOS ANGELES, CA (310) 203-1007 90035 COMMUNITY PHARMACY 8490 SANTA MONICA BLVD, WEST (310) 657-4333 HOLLYWOOD, CA 90069 COMMUNITY PHARMACY 2262 MARKET ST, SAN FRANCISCO, CA (415) 255-0101 94114 COMMUNITY CARE PHARMACY PHARMACY 4440 BROCKTON AVE STE 400, (951) 682-1063 RIVERSIDE, CA 92501 COMMUNITY CARE PHARMACY PHARMACY 16070 TUSCOLA RD STE 102, APPLE (760) 242-2559 VALLEY, CA 92307 COMMUNITY HOME INFUSION PHARMACY 1630 E SHAW AVE STE 172, FRESNO, (559) 724-4242 PHCY CA 93710 COMMUNITY HOSPITAL OF COMMUNITY HOSPITAL OF ACUTE CARE HOSPITAL 2623 E SLAUSON AVE, HUNTINGTON (323) 583-1931 HUNTINGTON PARK (BCC) HUNTINGTON PARK PARK, CA 90255 COMMUNITY HOSPITAL OF COMMUNITY HOSPITAL OF MENTAL HEALTH/PSYCHIATRIC 3828 SCHAUFELE AVE STE 200, LONG (657) 241-9370 LONG BEACH PSYCH UNIT LONG BEACH PSYCH UNIT HOSPITAL (INPATIENT) BEACH, CA 90808 (BCC) COMMUNITY HOSPITAL OF COMMUNITY HOSPITAL OF ACUTE CARE HOSPITAL 1805 MEDICAL CENTER DR, SAN (909) 887-6333 SAN BERNARDINO (BCC) SAN BERNARDINO BERNARDINO, CA 92411 COMMUNITY MEDICAL CENTER COMMUNITY MEDICAL CENTER ACUTE CARE HOSPITAL 2823 FRESNO ST, FRESNO, CA 93721 (559) 459-6000 FRESNO (BCC) FRESNO COMMUNITY MEDICAL CENTER PHARMACY 610 GATEWAY CENTER WAY, SAN (619) 262-4373 PHARM DIEGO, CA 92102 COMMUNITY MEDICAL PHARMACY 315 N 3RD AVE STE 101, COVINA, CA (626) 859-2573 PHARMACY 91723

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 113 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COMMUNITY MEMORIAL COMMUNITY MEMORIAL ACUTE CARE HOSPITAL 147 N BRENT ST, VENTURA, CA 93003 (805) 652-5011 HOSPITAL SAN HOSPITAL SAN BUENAVENTURA (BCC) BUENAVENTURA COMMUNITY PHARMACY PHARMACY 117 N IMPERIAL AVE, IMPERIAL, CA (760) 355-2863 92251 COMMUNITY PHARMACY PHARMACY 10401 LAKEWOOD BLVD, DOWNEY, CA (562) 869-0965 90241 COMMUNITY PHARMACY PHARMACY 900 GREENLEY RD STE 912, SONORA, (209) 536-3700 CA 95370 COMMUNITY PHARMACY PHARMACY 1288 E LATHAM AVE, HEMET, CA 92543 (951) 658-0050 COMMUNITY PHARMACY OF PHARMACY 29115 VALLEY CENTER RD, VALLEY (760) 749-1156 VALLEY CENTER, CA 92082 COMMUNITY PHYSICAL PHYSICAL THERAPY 1954 ATLANTIC AVE, LONG BEACH, CA (562) 591-7753 THERAPY CENTER 90806-5510 COMMUNITY PHYSICAL PHYSICAL THERAPY 725 S LONG BH BLVD, COMPTON, CA (310) 631-8703 THERAPY CENTER 90221-4028 COMMUNITY PROF PHARMACY PHARMACY 4510 BROCKTON AVE STE 107, (951) 683-1200 RIVERSIDE, CA 92501 COMMUNITY RECOVERY COMMUNITY RECOVERY CHEMICAL DEPENDENCY 730 SUNRISE AVE STE 250, ROSEVILLE, (916) 787-4357 RESOURCES (BCC) RESOURCES REHABILITATION CENTER CA 95661 (OUTPATIENT) COMMUNITY RECOVERY COMMUNITY RECOVERY CHEMICAL DEPENDENCY 12125 SHALE RIDGE RD, AUBURN, CA (530) 885-1917 RESOURCES (BCC) RESOURCES REHABILITATION CENTER 95602 (OUTPATIENT) COMMUNITY RECOVERY COMMUNITY RECOVERY CHEMICAL DEPENDENCY 159 BRENTWOOD DR, GRASS VALLEY, (530) 271-1140 RESOURCES (BCC) RESOURCES REHABILITATION CENTER CA 95945 (OUTPATIENT) COMMUNITY RECOVERY COMMUNITY RECOVERY CHEMICAL DEPENDENCY 180 SIERRA COLLEGE DR, GRASS (530) 273-9541 RESOURCES (BCC) RESOURCES REHABILITATION CENTER VALLEY, CA 95945 (OUTPATIENT) COMMUNITY RECOVERY COMMUNITY RECOVERY CHEMICAL DEPENDENCY 1530 3RD ST STE 212, LINCOLN, CA (916) 434-8927 RESOURCES LINCOLN RESOURCES LINCOLN REHABILITATION CENTER 95648 SERVICE CENTER (BCC) SERVICE CENTER (OUTPATIENT) COMMUNITY WALGREENS PHARMACY 4940 VAN NUYS BLVD STE 104, (818) 990-3784 SHERMAN OAKS, CA 91403 COMPASSIONATE ONCOLOGY PHARMACY 2080 CENTURY PARK E, LOS ANGELES, (310) 229-3555 MED GRP CA 90067 COMPLETE CARE PHARMACY 315 S DIAMOND BAR BLVD SUITE D, (909) 861-6900 COMPOUNDING PHAR DIAMOND BAR, CA 91765 COMPLETE CARE PHARMACY PHARMACY 1344 E COLORADO ST STE A, (818) 839-7999 GLENDALE, CA 91205 COMPLETE CARE PHARMACY PHARMACY 1050 IRON POINT RD, FOLSOM, CA (916) 365-8484 95630 COMPLETE CARE PHYSICAL PHYSICAL THERAPY 35900 BOB HOPE DR STE 115, RANCHO (760) 832-6569 THERAPY MIRAGE, CA 92270-1765 COMPLETE CARE PHYSICAL PHYSICAL THERAPY 552 S PASEO DOROTEA STE 4, PALM (760) 325-5950 THERAPY SPRINGS, CA 92264-1437 COMPLETE INFUSION CARE PHARMACY 2310 S SEPULVEDA BLVD, LOS (310) 836-6666 INC ANGELES, CA 90064 COMPOUND CENTRAL PHARMACY 4292 KATELLA AVE, LOS ALAMITOS, CA (562) 431-2308 PHARMACY 90720 COMPREHENSIVE PHARMACY 625 S FAIR OAKS AVE STE 200, (626) 793-7790 DERMATOLOGY CENT PASADENA, CA 91105 COMPREHENSIVE PHYSICAL THERAPY 7038 OWENSMOUTH AVE, CANOGA (818) 999-3582 THERAPEUTICS PARK, CA 91303 COMPREHENSIVE PHYSICAL THERAPY 6900 OWENSMOUTH AVE STE 102, (818) 999-3582 THERAPEUTICS INC CANOGA PARK, CA 91303-2397 COMPREHENSIVE THERAPY PHYSICAL THERAPY 5677 OBERLIN DR STE 106, SAN DIEGO, (858) 457-8419 SERVICES INC CA 92121-1741 COMPTON COMMUNITY PHARMACY 555 W COMPTON BLVD STE 102, (310) 537-2337 PHARMACY COMPTON, CA 90220 COMPTON, HOLLY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 114 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COMPTON, SHANNON - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 4004 PANAMA LN STE 100, (661) 377-1700 BAKERSFIELD, CA 93313 COMRIE, MARC - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX CENTER LOS ANGELES, CA 90045 CONCENTRA MEDICAL URGENT CARE FACILITY 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 CONCENTRA MEDICAL URGENT CARE FACILITY 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE CENTER 92805 CONCENTRA MEDICAL URGENT CARE FACILITY 1800 WESTWIND DR STE 301, (661) 327-9617 CENTER - BAKERSFIELD BAKERSFIELD, CA 93301 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1800 WESTWIND DR STE 301, (661) 327-9617 CENTER - BAKERSFIELD CENTER BAKERSFIELD, CA 93301 CONCENTRA MEDICAL URGENT CARE FACILITY 2850 SEVENTH STREET STE 100, (510) 845-5170 CENTER - BERKELEY BERKELEY, CA 94710 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2850 SEVENTH STREET STE 100, (510) 845-5170 CENTER - BERKELEY CENTER BERKELEY, CA 94710 CONCENTRA MEDICAL URGENT CARE FACILITY 3140 BALFOUR RD STE C, (925) 626-3801 CENTER - BRENTWOOD BRENTWOOD, CA 94513 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3140 BALFOUR RD STE C, (925) 626-3801 CENTER - BRENTWOOD CENTER BRENTWOOD, CA 94513 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK CENTER BURBANK, CA 91505 CONCENTRA MEDICAL URGENT CARE FACILITY 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK BURBANK, CA 91505 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO CENTER 93012 CONCENTRA MEDICAL URGENT CARE FACILITY 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO 93012 CONCENTRA MEDICAL URGENT CARE FACILITY 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CENTER CARLSBAD, CA 92008 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH CENTER 91311 CONCENTRA MEDICAL URGENT CARE FACILITY 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 CONCENTRA MEDICAL URGENT CARE FACILITY 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO CONCENTRA MEDICAL OCCUPATIONAL HEALTH 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO CENTER CONCENTRA MEDICAL OCCUPATIONAL HEALTH 542 BROADWAY STE G, CHULA VISTA, (619) 425-8212 CENTER - CHULA VISTA CENTER CA 91910 CONCENTRA MEDICAL URGENT CARE FACILITY 542 BROADWAY STE G, CHULA VISTA, (619) 425-8212 CENTER - CHULA VISTA CA 91910 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY CENTER INDUSTRY, CA 91744 CONCENTRA MEDICAL URGENT CARE FACILITY 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 CONCENTRA MEDICAL URGENT CARE FACILITY 850 EAST WASHINGTON ST , COLTON, (909) 370-0572 CENTER - COLTON CA 92324 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 850 EAST WASHINGTON ST , COLTON, (909) 370-0572 CENTER - COLTON CENTER CA 92324 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE CENTER 90040 CONCENTRA MEDICAL URGENT CARE FACILITY 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 CONCENTRA MEDICAL URGENT CARE FACILITY 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 115 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CENTER CA 90220 DOMINGUEZ CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD CENTER CA 94520 CONCENTRA MEDICAL URGENT CARE FACILITY 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD CA 94520 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CENTER CA 94111 FRANCISCO CONCENTRA MEDICAL URGENT CARE FACILITY 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO CONCENTRA MEDICAL URGENT CARE FACILITY 1619 E EDINGER AVE, SANTA ANA, CA (714) 542-8904 CENTER - EAST EDINGER & 92705 LYON CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1619 E EDINGER AVE, SANTA ANA, CA (714) 542-8904 CENTER - EAST EDINGER & CENTER 92705 LYON CONCENTRA MEDICAL OCCUPATIONAL HEALTH 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE CENTER CA 91731 CONCENTRA MEDICAL URGENT CARE FACILITY 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE CA 91731 CONCENTRA MEDICAL URGENT CARE FACILITY 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO CENTER EL SEGUNDO, CA 90245 CONCENTRA MEDICAL URGENT CARE FACILITY 860 W VALLEY PKWY STE 150, (760) 740-0707 CENTER - ESCONDIDO ESCONDIDO, CA 92025 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 860 W VALLEY PKWY STE 150, (760) 740-0707 CENTER - ESCONDIDO CENTER ESCONDIDO, CA 92025 CONCENTRA MEDICAL URGENT CARE FACILITY 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT CENTER 94538 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN CENTER 93706 CONCENTRA MEDICAL URGENT CARE FACILITY 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN 93706 CONCENTRA MEDICAL URGENT CARE FACILITY 509 SOUTH I STREET STE A, MADERA, (559) 673-9020 CENTER - FRESNO MADERA CA 93637 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 509 SOUTH I STREET STE A, MADERA, (559) 673-9020 CENTER - FRESNO MADERA CENTER CA 93637 CONCENTRA MEDICAL URGENT CARE FACILITY 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH FRESNO, CA 93720 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH CENTER FRESNO, CA 93720 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA CENTER 90248 CONCENTRA MEDICAL URGENT CARE FACILITY 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA 90248 CONCENTRA MEDICAL URGENT CARE FACILITY 190 LEAVESLEY RD STE 102, GILROY, (408) 848-0444 CENTER - GILROY CA 95020 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 190 LEAVESLEY RD STE 102, GILROY, (408) 848-0444 CENTER - GILROY CENTER CA 95020 CONCENTRA MEDICAL URGENT CARE FACILITY 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY TORRANCE, CA 90501 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY CENTER TORRANCE, CA 90501 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST CENTER DIEGO, CA 92103 CONCENTRA MEDICAL URGENT CARE FACILITY 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 116 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CONCENTRA MEDICAL URGENT CARE FACILITY 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD CENTER 92618 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 15768 ARROW HWY, IRWINDALE, CA (626) 969-9800 CENTER - IRWINDALE CENTER 91706 CONCENTRA MEDICAL URGENT CARE FACILITY 15768 ARROW HWY, IRWINDALE, CA (626) 969-9800 CENTER - IRWINDALE 91706 CONCENTRA MEDICAL URGENT CARE FACILITY 6520 N IRWINDALE AVE STE 100, (626) 812-0366 CENTER - IRWINDALE IRWINDALE, CA 91702 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 6520 N IRWINDALE AVE STE 100, (626) 812-0366 CENTER - IRWINDALE CENTER IRWINDALE, CA 91702 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CENTER CA 92123 CONCENTRA MEDICAL URGENT CARE FACILITY 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 CONCENTRA MEDICAL CONCENTRA MEDICAL OCCUPATIONAL HEALTH 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - LA MESA CENTER - SORRENTO MESA CENTER 91942 CONCENTRA MEDICAL CONCENTRA MEDICAL URGENT CARE FACILITY 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - LA MESA CENTER - SORRENTO MESA 91942 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA CENTER CA 90623 CONCENTRA MEDICAL URGENT CARE FACILITY 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623 CONCENTRA MEDICAL URGENT CARE FACILITY 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST FOREST, CA 92630 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST CENTER FOREST, CA 92630 CONCENTRA MEDICAL URGENT CARE FACILITY 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CENTER CA 90802 CONCENTRA MEDICAL URGENT CARE FACILITY 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 CENTER - LOS ANGELES - 8TH ANGELES, CA 90017 ST. CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 CENTER - LOS ANGELES - 8TH CENTER ANGELES, CA 90017 ST. CONCENTRA MEDICAL OCCUPATIONAL HEALTH 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CENTER CA 90013 GRAND CONCENTRA MEDICAL URGENT CARE FACILITY 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS CENTER 95035 CONCENTRA MEDICAL URGENT CARE FACILITY 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS 95035 CONCENTRA MEDICAL URGENT CARE FACILITY 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT 95035 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT CENTER 95035 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 7590 MIRAMAR RD STE C, SAN DIEGO, (858) 549-4255 CENTER - MIRAMAR CENTER CA 92126 CONCENTRA MEDICAL URGENT CARE FACILITY 7590 MIRAMAR RD STE C, SAN DIEGO, (858) 549-4255 CENTER - MIRAMAR CA 92126 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 5333 MISSION CENTER RD , SAN (619) 295-3355 CENTER - MISSION VALLEY CENTER DIEGO, CA 92108 CONCENTRA MEDICAL URGENT CARE FACILITY 5333 MISSION CENTER RD , SAN (619) 295-3355 CENTER - MISSION VALLEY DIEGO, CA 92108 CONCENTRA MEDICAL URGENT CARE FACILITY 1524 MCHENRY AVE STE 135, (209) 575-5801 CENTER - MODESTO MODESTO, CA 95350

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 117 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1524 MCHENRY AVE STE 135, (209) 575-5801 CENTER - MODESTO CENTER MODESTO, CA 95350 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1340 MITCHELL ROAD , MODESTO, CA (209) 581-9711 CENTER - MODESTO CERES CENTER 95351 CONCENTRA MEDICAL URGENT CARE FACILITY 1340 MITCHELL ROAD , MODESTO, CA (209) 581-9711 CENTER - MODESTO CERES 95351 CONCENTRA MEDICAL URGENT CARE FACILITY 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY VALLEY, CA 92551 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY CENTER VALLEY, CA 92551 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE CENTER CONCENTRA MEDICAL URGENT CARE FACILITY 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE CONCENTRA MEDICAL OCCUPATIONAL HEALTH 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA CENTER 92562 CONCENTRA MEDICAL URGENT CARE FACILITY 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA 92562 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY CENTER CITY, CA 91950 CONCENTRA MEDICAL URGENT CARE FACILITY 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY CITY, CA 91950 CONCENTRA MEDICAL URGENT CARE FACILITY 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CENTER CA 94607 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT CENTER OAKLAND, CA 94621 CONCENTRA MEDICAL URGENT CARE FACILITY 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT OAKLAND, CA 94621 CONCENTRA MEDICAL URGENT CARE FACILITY 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CENTER CA 92056 CONCENTRA MEDICAL URGENT CARE FACILITY 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO ONTARIO, CA 91761 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO CENTER ONTARIO, CA 91761 CONCENTRA MEDICAL URGENT CARE FACILITY 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT ONTARIO, CA 91764 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT CENTER ONTARIO, CA 91764 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE CENTER ONTARIO, CA 91761 CONCENTRA MEDICAL URGENT CARE FACILITY 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE ONTARIO, CA 91761 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE CENTER 92867 CONCENTRA MEDICAL URGENT CARE FACILITY 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 CONCENTRA MEDICAL URGENT CARE FACILITY 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD CENTER OXNARD, CA 93030 CONCENTRA MEDICAL URGENT CARE FACILITY 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PLACENTIA, CA 92870 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA CENTER PLACENTIA, CA 92870 CONCENTRA MEDICAL URGENT CARE FACILITY 5635 W LAS POSITAS BLVD STE 401, (925) 520-0055 CENTER - PLEASANTON PLEASANTON, CA 94588 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 5635 W LAS POSITAS BLVD STE 401, (925) 520-0055 CENTER - PLEASANTON CENTER PLEASANTON, CA 94588

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 118 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CONCENTRA MEDICAL URGENT CARE FACILITY 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA POMONA, CA 91768 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA CENTER POMONA, CA 91768 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CENTER CA 94107 CONCENTRA MEDICAL URGENT CARE FACILITY 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 CONCENTRA MEDICAL URGENT CARE FACILITY 10670 WHITE ROCK RD STE 100, (916) 364-1733 CENTER - RANCHO CORDOVA RANCHO CORDOVA, CA 95670 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 10670 WHITE ROCK RD STE 100, (916) 364-1733 CENTER - RANCHO CORDOVA CENTER RANCHO CORDOVA, CA 95670 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CENTER CUCAMONGA, CA 91730 CUCAMONGA CONCENTRA MEDICAL URGENT CARE FACILITY 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND CENTER RICHMOND, CA 94806 CONCENTRA MEDICAL URGENT CARE FACILITY 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND RICHMOND, CA 94806 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CENTER CA 92507 AVE CONCENTRA MEDICAL URGENT CARE FACILITY 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE CONCENTRA MEDICAL URGENT CARE FACILITY 2305 SUNSET BLVD, ROCKLIN, CA (916) 632-9606 CENTER - ROCKLIN 95765 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2305 SUNSET BLVD, ROCKLIN, CA (916) 632-9606 CENTER - ROCKLIN CENTER 95765 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK CENTER PARK, CA 94928 CONCENTRA MEDICAL URGENT CARE FACILITY 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1675 ALHAMBRA BLVD STE B, (916) 451-4580 CENTER - SACRAMENTO - CENTER SACRAMENTO, CA 95816 DOWNTOWN CONCENTRA MEDICAL URGENT CARE FACILITY 1675 ALHAMBRA BLVD STE B, (916) 451-4580 CENTER - SACRAMENTO - SACRAMENTO, CA 95816 DOWNTOWN CONCENTRA MEDICAL OCCUPATIONAL HEALTH 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - CENTER SACRAMENTO, CA 95834 NORTH CONCENTRA MEDICAL URGENT CARE FACILITY 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - SACRAMENTO, CA 95834 NORTH CONCENTRA MEDICAL OCCUPATIONAL HEALTH 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO CENTER SAN BERNARDINO, CA 92408 CONCENTRA MEDICAL URGENT CARE FACILITY 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408 CONCENTRA MEDICAL URGENT CARE FACILITY 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS CARLOS, CA 94070 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS CENTER CARLOS, CA 94070 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE CENTER JOSE, CA 95112 CONCENTRA MEDICAL URGENT CARE FACILITY 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE JOSE, CA 95112 CONCENTRA MEDICAL URGENT CARE FACILITY 1901 MONTEREY RD STE10, SAN JOSE, (408) 477-8080 CENTER - SAN JOSE CA 95112 STAUFFER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 119 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1901 MONTEREY RD STE10, SAN JOSE, (408) 477-8080 CENTER - SAN JOSE CENTER CA 95112 STAUFFER CONCENTRA MEDICAL URGENT CARE FACILITY 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO 94577 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO CENTER 94577 CONCENTRA MEDICAL URGENT CARE FACILITY 13939 E 14TH ST STE 150, SAN (510) 343-8300 CENTER - SAN LEANDRO - LEANDRO, CA 94578 EAST CONCENTRA MEDICAL OCCUPATIONAL HEALTH 13939 E 14TH ST STE 150, SAN (510) 343-8300 CENTER - SAN LEANDRO - CENTER LEANDRO, CA 94578 EAST CONCENTRA MEDICAL URGENT CARE FACILITY 740 NORDAHL RD STE131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 740 NORDAHL RD STE131, SAN (760) 432-9000 CENTER - SAN MARCOS CENTER MARCOS, CA 92069 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 434 S SAN VICENTE BLVD STE 100, (310) 360-6780 CENTER - SAN VICENTE CENTER LOS ANGELES, CA 90048 CONCENTRA MEDICAL URGENT CARE FACILITY 434 S SAN VICENTE BLVD STE 100, (310) 360-6780 CENTER - SAN VICENTE LOS ANGELES, CA 90048 CONCENTRA MEDICAL URGENT CARE FACILITY 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 CENTER - SANTA ANA TUSTIN CA 92705 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 CENTER - SANTA ANA TUSTIN CENTER CA 92705 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CENTER CA 92704 WARNER CONCENTRA MEDICAL URGENT CARE FACILITY 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER CONCENTRA MEDICAL OCCUPATIONAL HEALTH 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA CENTER 95050 CONCENTRA MEDICAL URGENT CARE FACILITY 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA 95050 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA CENTER 95051 CENTRAL EXPRESSWAY CONCENTRA MEDICAL URGENT CARE FACILITY 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA 95051 CENTRAL EXPRESSWAY CONCENTRA MEDICAL URGENT CARE FACILITY 10400 NORWALK BLVE STE 100, SANTA (562) 968-1300 CENTER - SANTA FE SPRINGS FE SPRINGS, CA 90670 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 10400 NORWALK BLVE STE 100, SANTA (562) 968-1300 CENTER - SANTA FE SPRINGS CENTER FE SPRINGS, CA 90670 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA CENTER ROSA, CA 95401 CONCENTRA MEDICAL URGENT CARE FACILITY 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CENTER CA 92071 CONCENTRA MEDICAL URGENT CARE FACILITY 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS CENTER SAUGUS, CA 91350 CONCENTRA MEDICAL URGENT CARE FACILITY 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS SAUGUS, CA 91350 CONCENTRA MEDICAL URGENT CARE FACILITY 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA SAN DIEGO, CA 92121 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA CENTER SAN DIEGO, CA 92121

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 120 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CONCENTRA MEDICAL URGENT CARE FACILITY 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN CENTER FRANCISCO, CA 94080 FRANCISCO CONCENTRA MEDICAL URGENT CARE FACILITY 3663 E ARCH RD STE 400, STOCKTON, (209) 943-2202 CENTER - STOCKTON AIRPORT CA 95215 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3663 E ARCH RD STE 400, STOCKTON, (209) 943-2202 CENTER - STOCKTON AIRPORT CENTER CA 95215 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1429 WEST FREMONT ST , STOCKTON, (209) 546-7767 CENTER - STOCKTON WEST CENTER CA 95203 CONCENTRA MEDICAL URGENT CARE FACILITY 1429 WEST FREMONT ST , STOCKTON, (209) 546-7767 CENTER - STOCKTON WEST CA 95203 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE CENTER 94085 CONCENTRA MEDICAL URGENT CARE FACILITY 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 CONCENTRA MEDICAL URGENT CARE FACILITY 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE CENTER CONCENTRA MEDICAL OCCUPATIONAL HEALTH 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY CENTER CITY, CA 94587 CONCENTRA MEDICAL URGENT CARE FACILITY 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY CITY, CA 94587 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA CENTER 91355 CONCENTRA MEDICAL URGENT CARE FACILITY 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 CONCENTRA MEDICAL URGENT CARE FACILITY 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS CENTER VAN NUYS, CA 91406 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL CENTER 90058 CONCENTRA MEDICAL URGENT CARE FACILITY 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 CONCENTRA MEDICAL URGENT CARE FACILITY 3851 SOTO ST , VERNON, CA 90058 (323) 585-7162 CENTER - VERNON SOTO CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3851 SOTO ST , VERNON, CA 90058 (323) 585-7162 CENTER - VERNON SOTO CENTER CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK CENTER CREEK, CA 94596 CONCENTRA MEDICAL URGENT CARE FACILITY 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK CREEK, CA 94596 CONCENTRA MEDICAL URGENT CARE FACILITY 3680 INDUSTRIAL BLVD STE 550-H, (916) 373-7575 CENTER - WEST SACRAMENTO WEST SACRAMENTO, CA 95691 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 3680 INDUSTRIAL BLVD STE 550-H, (916) 373-7575 CENTER - WEST SACRAMENTO CENTER WEST SACRAMENTO, CA 95691 CONCENTRA MEDICAL OCCUPATIONAL HEALTH 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH CENTER 92518 CONCENTRA MEDICAL URGENT CARE FACILITY 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH 92518 CONCENTRA OCCUPATIONAL CONCENTRA MEDICAL URGENT CARE FACILITY 1375 CAMINO REAL STE 130, SAN (909) 884-1500 CENTER - SAN BERNARDINO CENTER - SAN BERNARDINO BERNARDINO , CA 92408 CONCENTRA OCCUPATIONAL CONCENTRA MEDICAL OCCUPATIONAL HEALTH 1375 CAMINO REAL STE 130, SAN (909) 884-1500 CENTER - SAN BERNARDINO CENTER - SAN BERNARDINO CENTER BERNARDINO , CA 92408 CONCIERGE PHARMACY PHARMACY 23215 HAWTHORNE BLVD, TORRANCE, (310) 299-4999 CA 90505 CONCIERGE RX PHARMACY 9528 TOPANGA CANYON BLVD, (818) 960-4664 CHATSWORTH, CA 91311

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 121 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CONCOLINO, JOANNE - LAC IRVINE FAMILY ACUPUNCTURE ACUPUNCTURE 4482 BARRANCE PKWY SUITE 248, (949) 653-1612 INC IRVINE, CA 92604 CONCORD PHYSICAL PHYSICAL THERAPY 2943 SALVIO ST, CONCORD, CA 94519 (925) 685-6551 THERAPY INC. CONCOURSE RX PHARMACY 18575 E GALE AVE STE 158, CITY OF (626) 965-5988 INDUSTRY, CA 91748 CONDON, JENNIFER - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 CONES, HEATHER - AUD ADVANCED HEARING AUDIOLOGY 1045 E VALLEY PKWY , ESCONDIDO, CA (800) 598-5300 PROVIDERS LLC 92025 CONES, HEATHER - AUD ADVANCED HEARING AUDIOLOGY 3231 WARING CT STE H, OCEANSIDE, (800) 598-5300 PROVIDERS LLC CA 92056 CONES, HEATHER - AUD ADVANCED HEARING AUDIOLOGY 15725 POMERADO RD STE 114, POWAY, (800) 598-5300 PROVIDERS LLC CA 92064 CONFIDENTIAL RECOVERY CONFIDENTIAL RECOVERY CHEMICAL DEPENDENCY 7071 CONSOLIDATED WAY, SAN DIEGO, (619) 452-1200 (BCC) REHABILITATION CENTER CA 92121 (OUTPATIENT) CONGRESS MEDICAL CONGRESS MEDICAL AMBULATORY SURGERY 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 SURGERY CENTER SURGERY CENTER CENTER 91105 CONLEY, JUDITH - AUD ADVANCED HEARING AUDIOLOGY 1055 BROADWAY STE A, SONOMA , CA (800) 598-5300 PROVIDERS LLC 95476 CONNER, ROSEMARY - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 19239 GOLDEN VALLEY RD, CANYON (661) 250-9890 COUNTRY, CA 91387 CONNER, ROSEMARY - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 CONNER, ROSEMARY - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 CONNER, TREVOR - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 CONNER, TREVOR - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 2226 MEDICAL CENTER DR, STE 102, (951) 657-1400 GROUP INC PERRIS, CA 92571 CONNER, TREVOR - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 CONOVER, MICHELLE K - PHD SOUTHERN CALIFORNIA NEUROPSYCHOLOGY 6200 CANOGA AVE STE 210, (818) 340-7700 (BCC) NUEROPSYCHOLOGY GROUP WOODLAND HILLS , CA 91367 CONSCIOUS RECOVERY (BCC) CONSCIOUS RECOVERY CHEMICAL DEPENDENCY 1334 LINCOLN BLVD, SANTA MONICA, (310) 576-2063 REHABILITATION CENTER CA 90401 (OUTPATIENT) CONSONUS PHCY SVCS OF N PHARMACY 2148 BEECHCRAFT RD STE 101, (866) 253-0048 CA VACAVILLE, CA 95688 CONTERAS, KRISTA - PT CORE TOTAL BODY PHYSICAL PHYSICAL THERAPY 120 S CHAPARRAL CT STE 150, (714) 998-9580 THERAPY PC ANAHEIM, CA 92808 CONTORNO, ASHLEY - PT EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 28631 S WESTERN AVE STE 104A, (310) 548-5444 ASSOCIATES INC RANCHO PALOS VERDES, CA 90275 CONTRA COSTA ONCOLOGY PHARMACY 500 LENNON LN, WALNUT CREEK, CA (925) 939-9610 94598 CONTRACTOR, TAHMEED A - LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 MD (BCC) HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE CONTRERAS, RICARDO - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 2180 W GRANT LINE RD, TRACY, CA (925) 463-0470 SPECIALISTS 95377 CONTRERAS, RICARDO - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 CONTRERAS, RICARDO - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 5601 NORRIS CANYON RD, SAN (925) 463-0470 SPECIALISTS RAMON, CA 94583 CONWISAR, PHILIP - MD ORTHOPEDICS - HIP 4835 VAN NUYS BLVD STE 210, (818) 784-1354 SHERMAN OAKS, CA 91403 CONWISAR, PHILIP - MD ORTHOPEDICS - LOWER 4835 VAN NUYS BLVD STE 210, (818) 784-1354 EXTREMITIES SHERMAN OAKS, CA 91403 CONWISAR, PHILIP - MD ORTHOPEDICS - SPINE 4835 VAN NUYS BLVD STE 210, (818) 784-1354 SHERMAN OAKS, CA 91403

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 122 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CONWISAR, PHILIP - MD ORTHOPEDICS - UPPER 4835 VAN NUYS BLVD STE 210, (818) 784-1354 EXTREMITIES SHERMAN OAKS, CA 91403 COOK, CRAIG - DC CRAIG D COOK DC CHIROPRACTIC MEDICINE 1465 ENCINITAS BLVD STE H, (760) 632-5445 ENCINITAS, CA 92024 COOK, CRAIG - DC CRAIG D COOK DC CHIROPRACTIC MEDICINE 6612 MISSION GORGE RD STE B, SAN (619) 640-1995 DIEGO, CA 92120 COOK, SHIRLEY - PT FOCUS FORWARD WELLNESS PHYSICAL THERAPY 2436 FOOTHILL BLVD STE C, (707) 942-3927 PHYSICAL THERAPY CALISTOGA, CA 94515 COOK, SIRLINA - DC HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 6820 LA TIJERA BLVD STE 217, LOS (310) 328-4300 GROUP INC ANGELES, CA 90045 COOL VILLAGE PHARMACY PHARMACY 5020 ELLINGHOUSE DR STE E, COOL, (530) 889-1427 CA 95614 COOLEY HEALTH PHARMACY PHARMACY 1280 COOLEY DR STE 23, COLTON, CA (909) 514-1730 92324 COOPER, JOHNSON, MARY, THE HEALING PROJECT PT INC PHYSICAL THERAPY 2028 VILLAGE LN STE 206, SOLVANG, (805) 571-1000 BETH - PT CA 93463 COOPER, LAURA - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 COOPER, SHELLEY - PT JAMES ROBERT MAWHINEY PHYSICAL THERAPY 78078 COUNTRY CLUB DR STE 205, (760) 345-9934 DBA SHELLEY A COOPER BERMUDA DUNES, CA 92203 PHYSICAL THERAPY COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD REHABILITATION OXNARD, CA 93030 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO REHABILITATION ONTARIO, CA 91761 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY REHABILITATION TORRANCE, CA 90501 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH REHABILITATION 91311 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY REHABILITATION INDUSTRY, CA 91744 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO REHABILITATION CA 90220 DOMINGUEZ COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE REHABILITATION CA 91731 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO REHABILITATION EL SEGUNDO, CA 90245 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 6520 N IRWINDALE AVE STE 100, (626) 812-0366 CENTER - IRWINDALE REHABILITATION IRWINDALE, CA 91702 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - REHABILITATION CA 90013 GRAND COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA REHABILITATION CA 90623 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH REHABILITATION CA 90802 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT REHABILITATION ONTARIO, CA 91764 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE REHABILITATION ONTARIO, CA 91761 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO REHABILITATION CUCAMONGA, CA 91730 CUCAMONGA COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE REHABILITATION COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA REHABILITATION 91355 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS REHABILITATION VAN NUYS, CA 91406 COPPELSON, AARON - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL REHABILITATION 90058

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 123 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CORBINPHARMACY PHARMACY 19664 VENTURA BLVD, TARZANA, CA (818) 578-5078 91356 CORCHADO, ANGELA - PT OPTIMAL REHAB ABILITIES INC PHYSICAL THERAPY 7405 N CEDAR AVE STE 103, FRESNO, (559) 261-4100 CA 93720 CORCORAN, CHRISTINA - LAC KASTNER ACUPUNCTURE DBA ACUPUNCTURE 4638 PARK BLVD, SAN DIEGO, CA 92116 (619) 220-0878 CIRCLE OF LIVING CORDERO, GUSTAVO X - MD KAISER PERMANENTE ORTHOPEDICS 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 CORDERO, REYNALDO - MD EMERGENCY MEDICINE 350 POSADA LN STE 102, TEMPLETON, (805) 434-3699 (BCC) CA 93465 CORDES, CARMEN - PT NON SURGICAL MEDICAL PHYSICAL THERAPY 3801 S HARBOR BLVD STE B, SANTA (714) 751-5555 GROUP ANA, CA 92704 CORDOVA, CASSANDRA - PT WALKER PHYSICAL THERAPY PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (951) 672-0455 92586 CORE PERFORMANCE PHYSICAL THERAPY 15 CORPORATE PLAZASTE 130, (949) 759-1840 PHYSICAL THERAPY NEWPORT BEACH, CA 92660 CORE PHYSICAL THERAPY PHYSICAL THERAPY 280 JACKSON ST, SAN JOSE, CA (408) 379-3021 95112-3256 CORE PHYSICAL THERAPY PHYSICAL THERAPY 122 W GRANGER AVE, MODESTO, CA (209) 522-2673 95350-4431 CORE PHYSICAL THERAPY PHYSICAL THERAPY 280 JACKSON ST, SAN JOSE, CA (408) 379-3021 95112-3256 CORE PHYSICAL THERAPY PHYSICAL THERAPY 1026 E CHAPMAN AVE STE C, ORANGE, (714) 538-1952 CA 92866-2152 CORE PHYSICAL THERAPY PHYSICAL THERAPY 1027 N HARBOR BLVD STE B, (714) 870-8478 FULLERTON, CA 92832-1310 CORE PHYSICAL THERAPY PHYSICAL THERAPY 41278 MARGARITA RD STE 102, (951) 587-8105 TEMECULA, CA 92591-5579 CORMIER, CLAY - MD (BCC) EMERGENCY MEDICINE 23845 MCBEAN PKWY, VALENCIA, CA (661) 200-2000 91355 CORNACCHIONE, GINA - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 412-6080 MEDICAL GROUP MAIN DIEGO, CA 92121 CORNACCHIONE, GINA - OT E L PHYSICAL THERAPY OCCUPATIONAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606 CORNACCHIONE, GINA - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (858) 877-8163 MEDICAL GROUP CA 91910 CORNACCHIONE, GINA - PT SYNERGY SPECIALIST PHYSICAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 412-6080 MEDICAL GROUP MAIN DIEGO, CA 92121 CORNACCHIONE, GINA - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606 CORNACCHIONE, GINA - PT SYNERGY SPECIALIST PHYSICAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (858) 877-8163 MEDICAL GROUP CA 91910 CORNEJO, EDWARD - PT YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886 CORNEJO, EDWARD - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 31105 RANCHO VIEJO RD STE C9, SAN (949) 496-4330 SPORTS THERAPY JUAN CAPISTRANO, CA 92675 CORNELL, BENJAMIN - PT 360 WELLNESS PHYSICAL PHYSICAL THERAPY 501 S VINCENT AVE STE 200, WEST (626) 727-6688 THERAPY COVINA, CA 91790 CORNER DRUG PHARMACY 602 MAIN ST, WOODLAND, CA 95695 (530) 662-2813 CORNER DRUG STORE PHARMACY 2087 E FLORIDA AVE, HEMET, CA 92544 (951) 658-7207 CORNERSTONE OF SOUTHERN CORNERSTONE OF SOUTHERN CHEMICAL DEPENDENCY 13682 YORBA ST, TUSTIN, CA 92780 (714) 730-5399 CALIFORNIA (BCC) CALIFORNIA REHABILITATION CENTER (OUTPATIENT) CORNERSTONE OF SOUTHERN CORNERSTONE OF SOUTHERN CHEMICAL DEPENDENCY 1950 E 17TH ST STE 150, SANTA ANA, (714) 547-5375 CALIFORNIA (BCC) CALIFORNIA REHABILITATION CENTER CA 92705 (OUTPATIENT) CORNERSTONE PHARMACY PHARMACY 39575 WASHINGTON ST, PALM DESERT, (760) 200-0220 CA 92211 CORNERSTONE PHARMACY PHARMACY 39575 WASHINGTON ST, PALM DESERT, (760) 200-0220 CA 92211 CORONA MEDICAL PHARMACY PHARMACY 760 WASHBURN AVE STE 1, CORONA, (951) 707-4500 CA 92882 CORONA REGIONAL MEDICAL CORONA REGIONAL MEDICAL ACUTE CARE HOSPITAL 800 S MAIN ST, CORONA, CA 92882 (951) 737-4343 CENTER (BCC) CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 124 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CORONA SPECIALTY PHARMACY 1280 CORONA POINTE CT, CORONA, CA (951) 278-1008 PHARMACY 92879 CORONA VALLEY PHARMACY PHARMACY 2079 COMPTON AVE, CORONA, CA (951) 365-3434 92881 CORONA, AMANDA - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 CORONA, AMANDA - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 CORONA, FRANK E - MD TRI-CITY PULMONARY PULMONARY DISEASE 3231 WARING CT STE D , OCEANSIDE , (760) 758-7402 MEDICAL GROUP APC CA 92506 CORONADO HOSPITAL PHARMACY 250 PROSPECT PL, CORONADO, CA (619) 522-3717 PHARMACY 92118 CORRADO, PHILIP E - PHD SYNOVATION MEDICAL GROUP PSYCHOLOGY 1017 S FAIR OAKS AVE , PASADENA, CA (626) 403-6200 (BCC) 91105 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC ANKLE CA 90638 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE , GARDEN (714) 903-1100 GROUP INC ANKLE GROVE, CA 92841 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC ANKLE 91762 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC FOOT CA 90638 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE , GARDEN (714) 903-1100 GROUP INC FOOT GROVE, CA 92841 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC FOOT 91762 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC LOWER EXTREMITIES CA 90638 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE , GARDEN (714) 903-1100 GROUP INC LOWER EXTREMITIES GROVE, CA 92841 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC UPPER EXTREMITIES CA 90638 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE , GARDEN (714) 903-1100 GROUP INC UPPER EXTREMITIES GROVE, CA 92841 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC UPPER EXTREMITIES 91762 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC EXTREMITIES CA 90638 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 7052 ORANGEWOOD AVE , GARDEN (714) 903-1100 GROUP INC EXTREMITIES GROVE, CA 92841 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC EXTREMITIES 91762 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC CA 90638 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 7052 ORANGEWOOD AVE , GARDEN (714) 903-1100 GROUP INC GROVE, CA 92841 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC EXTREMITIES CA 90638 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 7052 ORANGEWOOD AVE , GARDEN (714) 903-1100 GROUP INC EXTREMITIES GROVE, CA 92841 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC EXTREMITIES 91762 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC CA 90638 CORTES, ZENIA - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 7052 ORANGEWOOD AVE , GARDEN (714) 903-1100 GROUP INC GROVE, CA 92841 CORTEXRX PHARMACY 7301 GIRARD AVE STE 100, LA JOLLA, (858) 246-6918 CA 92037 COSLO PHARMACY PHARMACY 150 S RAYMOND AVE, ALHAMBRA, CA (626) 289-0018 91801

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 125 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COSTA MESA PHYSICAL PHYSICAL THERAPY 2951 HARBOR BLVD, COSTA MESA, CA (714) 427-0803 THERAPY 92626-3912 COSTA SPORTS PHYSICAL PHYSICAL THERAPY 1041 E YORBA LINDA BLVD STE 209, (714) 528-1000 THERAPY PLACENTIA, CA 92870-3760 COSTA, ADRIANA - PTA YOUNG PHYSICAL THERAPY PHYSICAL THERAPY 42301 10TH ST W, LANCASTER, CA (661) 942-2202 INC 93534 COSTA, CARY - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1010 W LA VETA AVE STE 615, (949) 297-4561 ORANGE, CA 92868 COSTA, CARY - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1211 W LA PALMA AVE STE 210, (949) 297-4561 ANAHEIM, CA 92801 COSTA, CARY - PT PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 23141 MOULTON PKWY STE 109, (949) 297-4561 LAGUNA HILLS, CA 92653 COSTALES, STEVE - DC CHIROPRACTIC SPORTS CHIROPRACTIC MEDICINE 24741 ALICIA PKWY STE D, LAGUNA (949) 951-1160 MEDICINE HILLS, CA 92653 COSTCO PHARMACY 725 CENTER DR, SAN MARCOS, CA (760) 871-6868 92069 COSTCO PHARMACY 12350 CARMEL MOUNTAIN RD, SAN (858) 675-0930 DIEGO, CA 92128 COSTCO PHARMACY 1000 N RENGSTORFF AVE, MOUNTAIN (650) 988-7160 VIEW, CA 94043 COSTCO PHARMACY 150 LAWRENCE STATION RD, (408) 730-0424 SUNNYVALE, CA 94086 COSTCO PHARMACY 2660 PARK CENTER DR, SIMI VALLEY, (805) 578-3305 CA 93065 COSTCO PHARMACY 8810 TAMPA AVE, NORTHRIDGE, CA (818) 718-0260 91324 COSTCO PHARMACY 2207 W COMMONWEALTH AVE, (626) 282-6954 ALHAMBRA, CA 91803 COSTCO PHARMACY 2100 DR MLK JR PKWY, CHICO, CA (530) 342-8892 95928 COSTCO PHARMACY 900 S HARBOR BLVD, FULLERTON, CA (714) 738-7532 92832 COSTCO PHARMACY 2200 E WILLOW ST, SIGNAL HILL, CA (562) 424-2837 90755 COSTCO PHARMACY 12700 DAY ST, MORENO VALLEY, CA (951) 697-7737 92553 COSTCO PHARMACY 5700 LINDERO CANYON RD, WESTLAKE (818) 597-3904 VILLAGE, CA 91362 COSTCO PHARMACY 1755 HACIENDA DR, VISTA, CA 92081 (760) 631-5378 COSTCO PHARMACY 450 10TH ST, SAN FRANCISCO, CA (415) 626-4341 94103 COSTCO PHARMACY 2800 INDEPENDENCE DR, LIVERMORE, (925) 443-6783 CA 94551 COSTCO PHARMACY 1445 R ST, MERCED, CA 95340 (209) 725-5030 COSTCO PHARMACY 18649 VIA PRINCESSA, SANTA CLARITA, (661) 250-2845 CA 91387 COSTCO PHARMACY 2001 E VENTURA BLVD, OXNARD, CA (805) 983-6344 93036 COSTCO PHARMACY 5301 ALMADEN EXPY, SAN JOSE, CA (408) 979-2518 95118 COSTCO PHARMACY 2901 LOS FELIZ BLVD, LOS ANGELES, (323) 644-5217 CA 90039 COSTCO PHARMACY 1051 BURBANK BLVD, BURBANK, CA (818) 557-3782 91506 COSTCO PHARMACY 33961 DOHENY PARK RD, SAN JUAN (949) 240-9573 CAPISTRANO, CA 92675 COSTCO PHARMACY 11260 WHITE ROCK RD, RANCHO (916) 635-3162 CORDOVA, CA 95742 COSTCO PHARMACY 11800 4TH ST, RANCHO CUCAMONGA, (909) 581-1702 CA 91730 COSTCO PHARMACY 951 PALOMAR AIRPORT RD, (760) 929-0287 CARLSBAD, CA 92011 COSTCO PHARMACY 26610 YNEZ RD, TEMECULA, CA 92591 (951) 719-2002

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 126 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COSTCO PHARMACY 480 MCKINLEY ST, CORONA, CA 92879 (951) 340-0296 COSTCO PHARMACY 8125 FLETCHER PKWY, LA MESA, CA (619) 667-8520 91942 COSTCO PHARMACY 1900 DAVIS ST, SAN LEANDRO, CA (510) 562-6815 94577 COSTCO PHARMACY 2345 FENTON PKWY, SAN DIEGO, CA (619) 358-4002 92108 COSTCO PHARMACY 9404 CENTRAL AVE, MONTCLAIR, CA (909) 575-5003 91763 COSTCO PHARMACY 2201 VERN ROBERTS CIR, ANTIOCH, CA (925) 757-1933 94509 COSTCO PHARMACY 1600 EXPO PKWY, SACRAMENTO, CA (916) 563-7012 95815 COSTCO PHARMACY 300 VINTAGE WAY, NOVATO, CA 94945 (415) 899-1337 COSTCO PHARMACY 895 E H ST, CHULA VISTA, CA 91910 (619) 482-4405 COSTCO PHARMACY 451 S AIRPORT BLVD, SOUTH SAN (650) 872-0637 FRANCISCO, CA 94080 COSTCO PHARMACY 2030 N IMPERIAL AVE, EL CENTRO, CA (760) 353-8592 92243 COSTCO PHARMACY 1001 METRO CENTER BLVD, FOSTER (650) 286-0759 CITY, CA 94404 COSTCO PHARMACY 220 SYLVANIA AVE, SANTA CRUZ, CA (831) 469-0366 95060 COSTCO PHARMACY 1339 N DAVIS RD, SALINAS, CA 93907 (831) 751-0414 COSTCO PHARMACY 72800 DINAH SHORE DR, PALM (760) 202-1362 DESERT, CA 92211 COSTCO PHARMACY 13111 PEYTON DR, CHINO HILLS, CA (909) 627-1876 91709 COSTCO PHARMACY 2655 EL CAMINO REAL, TUSTIN, CA (714) 838-0677 92782 COSTCO PHARMACY 17900 NEWHOPE ST, FOUNTAIN (714) 434-0344 VALLEY, CA 92708 COSTCO PHARMACY 27220 HEATHER RIDGE RD, LAGUNA (949) 389-8702 NIGUEL, CA 92677 COSTCO PHARMACY 2000 MARKET PLACE DR, MONTEREY (323) 890-0069 PARK, CA 91755 COSTCO PHARMACY 3250 W GRANTLINE RD, TRACY, CA (209) 830-5342 95377 COSTCO PHARMACY 5901 REDWOOD DR, ROHNERT PARK, (707) 540-9112 CA 94928 COSTCO PHARMACY 7100 N ABBY ST, FRESNO, CA 93720 (559) 437-3642 COSTCO PHARMACY 1051 HUME WAY, VACAVILLE, CA 95687 (707) 453-7342 COSTCO PHARMACY 7251 CAMINO ARROYO, GILROY, CA (408) 848-0702 95020 COSTCO PHARMACY 4605 MORENA BLVD, SAN DIEGO, CA (858) 581-4550 92117 COSTCO PHARMACY 1616 E HAMMER LN, STOCKTON, CA (209) 478-7448 95210 COSTCO PHARMACY 1800 CAVITT CT, FOLSOM, CA 95630 (916) 850-1005 COSTCO PHARMACY 1900 SANTA ROSA AVE, SANTA ROSA, (707) 578-1711 CA 95407 COSTCO PHARMACY 1601 COLEMAN AVE, SANTA CLARA, CA (408) 988-0565 95050 COSTCO PHARMACY 4801 CENTRAL AVE, RICHMOND, CA (510) 898-2002 94804 COSTCO PHARMACY 2400 MONUMENT BLVD, CONCORD, CA (925) 566-4002 94520 COSTCO PHARMACY 2201 SENTER RD, SAN JOSE, CA 95112 (408) 947-2055 COSTCO PHARMACY 17550 CASTLETON ST, CITY OF (626) 839-3052 INDUSTRY, CA 91748 COSTCO PHARMACY 21800 VICTORY BLVD, WOODLAND (818) 884-1462 HILLS, CA 91367

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 127 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COSTCO PHARMACY 14501 HINDRY AVE, HAWTHORNE, CA (310) 727-0402 90250 COSTCO PHARMACY 1141 W AVENUE L, LANCASTER, CA (661) 802-4469 93534 COSTCO PHARMACY 101 TOWN CENTER PKWY, SANTEE, CA (619) 562-3993 92071 COSTCO PHARMACY 1600 EL CAMINO REAL, SOUTH SAN (650) 757-3002 FRANCISCO, CA 94080 COSTCO PHARMACY 3150 FOSTORIA WAY, DANVILLE, CA (925) 277-1800 94526 COSTCO PHARMACY 11000 GARDEN GROVE BLVD, GARDEN (714) 638-6311 GROVE, CA 92843 COSTCO PHARMACY 1700 S BRADLEY RD, SANTA MARIA, CA (805) 922-3430 93454 COSTCO PHARMACY 4500 W SHAW AVE, FRESNO, CA 93722 (559) 276-2595 COSTCO PHARMACY 27972 CABOT RD, LAGUNA NIGUEL, CA (949) 364-0601 92677 COSTCO PHARMACY 3801 PELANDALE AVE, MODESTO, CA (209) 342-4902 95356 COSTCO PHARMACY 3560 W CENTURY BLVD, INGLEWOOD, (310) 242-2779 CA 90303 COSTCO PHARMACY 7000 AUBURN BLVD, CITRUS HEIGHTS, (916) 560-4002 CA 95621 COSTCO PHARMACY 5101 BUSINESS CENTER DR, (707) 639-4106 FAIRFIELD, CA 94534 COSTCO PHARMACY 12155 TECH CENTER DR, POWAY, CA (858) 848-2478 92064 COSTCO PHARMACY 2955 N TEGNER RD, TURLOCK, CA (209) 656-5328 95380 COSTCO PHARMACY 1130 BROADWAY, CHULA VISTA, CA (619) 205-1528 91911 COSTCO PHARMACY 5401 KATELLA AVE, CYPRESS, CA (562) 668-5178 90720 COSTCO PHARMACY 1540 FROOM RANCH WAY, SAN LUIS (805) 541-7028 OBISPO, CA 93405 COSTCO PHARMACY 101 N BEACH BLVD, LA HABRA, CA (562) 524-0029 90631 COSTCO PHARMACY 29315 CENTRAL AVE, LAKE ELSINORE, (951) 253-6039 CA 92532 COSTCO PHARMACY 4900 PANAMA LN, BAKERSFIELD, CA (661) 398-4749 93313 COSTCO PHARMACY 16505 SIERRA LAKES PKWY, FONTANA, (909) 770-5648 CA 92336 COSTCO PHARMACY 79795 HIGHWAY 111, LA QUINTA, CA (760) 342-0656 92253 COSTCO PHARMACY 2700 PARK AVE, TUSTIN, CA 92782 (714) 338-1942 COSTCO PHARMACY 1709 AUTOMATION PKWY, SAN JOSE, (408) 678-2159 CA 95131 COSTCO PHARMACY 2299 BRONZE STAR DR, WOODLAND, (530) 406-2129 CA 95776 COSTCO PHARMACY 520 N LONE HILL AVE, SAN DIMAS, CA (909) 962-5516 91773 COSTCO PHARMACY 2440 DANIELS ST, MANTECA, CA 95336 (209) 825-8209 COSTCO PHARMACY 340 LAKEWOOD CENTER MALL, (562) 295-1515 LAKEWOOD, CA 90712 COSTCO PHARMACY 215 DEININGER CIRCLE, CORONA, CA (951) 493-2371 92880 COSTCO PHARMACY 28505 HESPERIAN BLVD, HAYWARD, CA (510) 921-3531 94545 COSTCO PHARMACY 6100 SEPULVEDA BLVD, VAN NUYS, CA (818) 989-5158 91411 COSTCO PHARMACY 2640 LOMITA BLVD, TORRANCE, CA (310) 891-1026 90505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 128 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COSTCO PHARMACY 801 TIOGA RD, SAND CITY, CA 93955 (831) 899-2481 COSTCO PHARMACY 198 PLAZA DR, VALLEJO, CA 94591 (707) 553-6402 COSTCO PHARMACY 1300 DANA DR, REDDING, CA 96003 (530) 222-8097 COSTCO PHARMACY 1099 E HOSPITALITY DR, SAN (909) 478-5662 BERNARDINO, CA 92408 COSTCO PHARMACY 7981 E STOCKTON BLVD, (916) 682-7505 SACRAMENTO, CA 95823 COSTCO PHARMACY 7095 MARKET PLACE DR, GOLETA, CA (805) 685-4141 93117 COSTCO PHARMACY 1006 W WABASH AVE, EUREKA, CA (707) 441-0920 95501 COSTCO PHARMACY 12324 HOXIE AVE, NORWALK, CA 90650 (562) 929-7545 COSTCO PHARMACY 14555 VALLEY CENTER DR, (760) 524-9911 VICTORVILLE, CA 92395 COSTCO PHARMACY 3800 ROSEDALE HWY, BAKERSFIELD, (661) 852-2642 CA 93308 COSTCO PHARMACY 380 W ASHLAN BLVD, CLOVIS, CA 93612 (559) 291-1084 COSTCO PHARMACY 1220 W FOOTHILL BLVD, AZUSA, CA (626) 812-6470 91702 COSTCO PHARMACY 13463 WASHINGTON BLVD, MARINA (310) 754-2002 DEL REY, CA 90292 COSTCO PHARMACY 43621 PACIFIC COMMONS BLVD, (510) 897-1119 FREMONT, CA 94538 COSTCO PHARMACY 1405 W CAMERON AVE, VISALIA, CA (559) 636-9783 93277 COSTCO PHARMACY 115 TECHNOLOGY W DR, IRVINE, CA (949) 453-9733 92618 COSTCO PHARMACY 22633 SAVI RANCH PKWY, YORBA (714) 279-1580 LINDA, CA 92887 COSTCO PHARMACY 2300 MIDDLEFIELD RD, REDWOOD (650) 568-4049 CITY, CA 94063 COSTCO PHARMACY 6750 STANFORD RANCH RD, (916) 789-1493 ROSEVILLE, CA 95678 COSTCO PHARMACY 13550 W PAXTON ST, PACOIMA, CA (818) 272-2709 91331 COSTCO PHARMACY 2680 REYNOLDS RANCH PKWY, LODI, (209) 366-7301 CA 95240 COSTCO PHARMACY 7562 CENTER AVE, HUNTINGTON (714) 372-7511 BEACH, CA 92647 COSTCO PHARMACY 2395 E LACEY BLVD, HANFORD, CA (559) 670-6018 93230 COSTCO PHARMACY 6898 RALEIGH RD, SAN JOSE, CA 95119 (408) 908-7939 COSTCO PHARMACY 5030 HAMNER AVE, EASTVALE, CA (951) 749-7192 91752 COSTCO PHARMACY 1274 AIRPORT PARK BLVD, UKIAH, CA (707) 313-8014 95482 COSTCO PHARMACY 7400 ELK GROVE BLVD, ELK GROVE, (916) 465-6052 CA 95757 COSTCO PHARMACY 650 GATEWAY CENTER DR, SAN (619) 358-2302 DIEGO, CA 92102 COSTELLO, CAITLIN L - MD MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 (BCC) US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 COSTIGAN, WILLIAM - MD CONGRESS MEDICAL SPINE SURGERY 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES 91105 COTA, MARNI - PT GRACE PT/LAGUNA PHYSICAL THERAPY 31341 NIGUEL RD STE G, LAGUNA (949) 443-5442 ORTHOPEDIC REHABILITATION NIGUEL, CA 92677

COTATI - ROHNERT PARK PHYSICAL THERAPY 7840 OLD REDWOOD HWY, COTATI, CA (707) 795-1636 PHYSICAL THERAPY 94931 COTATI-ROHNERT PARK PHYSICAL THERAPY 7840 OLD REDWOOD HWY, COTATI, CA (707) 795-1636 PHYSICAL THERAPY 94931-5106 COTE, GARY - AUD ADVANCED HEARING AUDIOLOGY 453 FOURTH AVE STE 201, CHULA (800) 598-5300 PROVIDERS LLC VISTA, CA 91910

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 129 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COTIC, TOMISLAV - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY COTTEAU, ADAM - PT THE REHAB GROUP PHYSICAL THERAPY 38860A SKY CANYON DR, MURRIETA, (951) 304-1100 CA 92563 COTTONWOOD PHYSICAL PHYSICAL THERAPY 20633 GAS POINT ROAD STE J, (530) 347-4195 THERAPY COTTONWOOD, CA 96022 COTTRELL, CHARLES A - MD LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP COUCH, RANDY - PT ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 3901 WALNUT BLVD STE A2, (925) 516-1949 CENTER BRENTWOOD, CA 94513 COUCH, RANDY - PT ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 4041 LONE TREE WAY STE 106, (925) 754-6262 CENTER ANTIOCH, CA 94531 COULSON, HOLLY - OT DYNAMX PHYSICAL THERAPY OCCUPATIONAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 COUNTRY VILLAGE PHARMACY PHARMACY 10251 COUNTRY CLUB DR UNIT B, MIRA (951) 681-8889 LOMA, CA 91752 COURTER, ANNE - PT PENINSULA SPORTS MEDICINE PHYSICAL THERAPY 2945 JUNIPERO SERRA BLVD, DALY (650) 784-1349 AND REHAB CENTER CITY, CA 94014 COURTESY DRUGS PHARMACY 3180 E FLORENCE AVE, HUNTINGTON (323) 583-4307 PARK, CA 90255 COURY & BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 256-5075 THERAPY 92867-4853 COURY & BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 256-5074 THERAPY 92806-2836 COURY, RICHARD - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 COURY, RICHARD - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 COURY, RICHARD - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 COURY, RICHARD - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 COURY, RICHARD - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 COURY, RICHARD - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 COUSINS, ROBERT - AUD ADVANCED HEARING AUDIOLOGY 26504 BOUQUET CANYON RD , SANTA (800) 598-5300 PROVIDERS LLC CLARITA, CA 91350 COVARRUBIAS, ORLANDO - OT ABSOLUTE PT REHAB CENTER OCCUPATIONAL THERAPY 2616 CLARENDON AVE STE B, (323) 583-2634 INC HUNTINGTON PARK, CA 90255 COVENANT HILLS (BCC) COVENANT HILLS CHEMICAL DEPENDENCY 217 AVENIDA MONTEREY STE A, SAN (949) 248-5335 REHABILITATION CENTER CLEMENTE, CA 92672 (OUTPATIENT) COVENANT HILLS (BCC) COVENANT HILLS CHEMICAL DEPENDENCY 27442 CALLE ARROYO STE B, SAN (949) 369-2915 REHABILITATION CENTER JUAN CAPISTRANO, CA 92675 (OUTPATIENT) COVENANT HILLS (BCC) COVENANT HILLS CHEMICAL DEPENDENCY 34248 VIA SANTA ROSA STE A B C, (949) 369-2915 REHABILITATION CENTER CAPISTRANO BEACH, CA 92624 (OUTPATIENT) COWDREY'S PHARMACY PHARMACY 15243 VANOWEN ST, VAN NUYS, CA (818) 781-0111 91405 COWELL, TIMOTHY - PT ALISO VIEJO PHYSICAL PHYSICAL THERAPY 27432 ALISO CREEK RD STE 100, ALISO (949) 448-0872 THERAPY SPORTS MEDICINE VIEJO, CA 92656 COWIE, DONALD - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 COWLEY, LAURA - OT VILLA LAS PALMAS OCCUPATIONAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 COX PHYSICAL THERAPY PHYSICAL THERAPY 3808 W RIVERSIDE DR STE 300, (818) 237-5759 BURBANK, CA 91505 COX, EMMETT - MD (BCC) HAND SURGERY 1360 W 6TH ST STE 245, SAN PEDRO, (213) 742-9705 CA 90732

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 130 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone COX, EMMETT - MD (BCC) HAND SURGERY 8555 FLORENCE AVE, DOWNEY, CA (310) 519-3146 90240 COX, EMMETT - MD (BCC) ORTHOPEDIC SURGERY - 1360 W 6TH ST STE 245, SAN PEDRO, (213) 742-9705 UPPER EXTREMITIES CA 90732 COX, EMMETT - MD (BCC) ORTHOPEDICS - UPPER 1360 W 6TH ST STE 245, SAN PEDRO, (213) 742-9705 EXTREMITIES CA 90732 COX, KATRINA - AUD ADVANCED HEARING AUDIOLOGY 40101 MONTEREY AVE E2, RANCHO (800) 598-5300 PROVIDERS LLC MIRAGE, CA 92270 COX, RICHARD, RUSSELL - PT PROGRESSIVE SPECIALTY PHYSICAL THERAPY 700 17TH ST STE 202, MODESTO, CA (209) 572-4263 THERAPY SERVICES LLC 95354 COX, SUSAN - MD (BCC) DERMATOLOGY 20162 SW BIRCH ST STE 250, (949) 251-0427 NEWPORT BEACH, CA 92660 COYOTE VALLEY PHARMACY PHARMACY 18990 COYOTE VALLEY RD, HIDDEN (707) 987-8502 VALLEY LAKE, CA 95467 CRABILL, NICHOLAS - DC LIFE SOLUTIONS CHIROPRACTIC MEDICINE 24335 PRIELIPP RD STE 129, (951) 304-9949 CHIROPRACTIC WILDOMAR, CA 92562 CRAEMER, RAYMOND L - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA LOWER EXTREMITIES 90248 CRAEMER, RAYMOND L - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA UPPER EXTREMITIES 90248 CRAEMER, RAYMOND L - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA EXTREMITIES 90248 CRAEMER, RAYMOND L - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA 90248 CRAEMER, RAYMOND L - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA EXTREMITIES 90248 CRAEMER, RAYMOND L - MD CONCENTRA MEDICAL SPINE SURGERY 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA 90248 CRAFT, TIMOTHY - MD KAISER PERMANENTE SAN ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 DIEGO MEDICAL CENTER 92111 CRAIG, ELLEN - PT CAPUCHINO THERAPY GROUP PHYSICAL THERAPY 3601 MARCONI AVE, SACRAMENTO, CA (916) 481-1300 95821 CRANE, TABITHA - MD CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA CRANE, TABITHA - MD CONCENTRA MEDICAL FAMILY MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA CRANER, JULIE - PT GENESIS PHYSICAL THERAPY PHYSICAL THERAPY 2807 E CHOCHRAN ST, SIMI VALLEY, CA (805) 583-9575 93065 CRARY, FAITH - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 CRARY, FAITH - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 CRARY, FAITH - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 CRARY, FAITH - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 CRARY, FAITH - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 CRARY, FAITH - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 CRATER, RONALD B - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY UPPER EXTREMITIES 92883 CRATER, RONALD B - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY LOWER EXTREMITIES 92883 CRATER, RONALD B - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - HIP 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY 92883 CRATER, RONALD B - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - UPPER 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY EXTREMITIES 92883 CRATER, RONALD B - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - LOWER 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY EXTREMITIES 92883

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 131 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CRATER, RONALD B - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - HIP 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY 92883 CRAVANAS, BRIAN A - MD LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 (BCC) HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S CRAWFORD, JOYCE - AUD ADVANCED HEARING AUDIOLOGY 3553 CAMINO MIRA COSTA STE 160, (800) 598-5300 PROVIDERS LLC SAN CLEMENTE, CA 92672 CRAWFORD, MICHAEL - DPM KAISER PERMANENTE SAN PODIATRY 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 DIEGO MEDICAL CENTER 92078 CRAWLEY, BRIANNA K - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S CRAWLEY, BRIANNA K - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 1895 ORANGE TREE LANE STE 102, (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY FP&S CRAWLEY, BRIANNA K - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK CA 92563 SURGERY FP&S CREAMER PHYSICAL THERAPY PHYSICAL THERAPY 7946 IVANHOE AVE STE 110, LA JOLLA, (858) 551-8882 CA 92037-4516 CREAR, STEVEN - PT ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 30837 E THOUSAND OAKS BLVD, (818) 879-2091 MAIN ACCOUNT WESTLAKE VILLAGE, CA 91362 CREATIVE THERAPEUTICS PHYSICAL THERAPY 2763 E SHAW AVE STE 102, FRESNO, (559) 294-8112 PHYSICAL THERAPY CA 93710-8220 CREEKSIDE MANAGED CARE PHARMACY 879 2ND ST, SANTA ROSA, CA 95404 (707) 578-0399 PHCY CREEKSIDE PHARMACY PHARMACY 95 MONTGOMERY DR STE 108, SANTA (707) 525-1130 ROSA, CA 95404 CREEKSIDE PHARMACY PHARMACY 1863 ALUM ROCK AVE STE A, SAN (408) 929-6029 JOSE, CA 95116 CREEKSIDE PHYSICAL PHYSICAL THERAPY 1545 HIGUERA ST, SAN LUIS OBISPO, (805) 543-5633 THERAPY CA 93401 CREMATA, EDWARD - DC EDWARD CREMATA DC RN CHIROPRACTIC MEDICINE 39355 CALIFORNIA ST STE 106, (510) 796-2225 FREMONT, CA 94538 CRENSHAW PHARMACY PHARMACY 3631 CRENSHAW BLVD, LOS ANGELES, (323) 732-5555 CA 90016 CRESCENT DRUGS PHARMACY 5915 BLACKWELDER ST, CULVER CITY, (800) 469-4343 CA 90232 CRESCENT HEALTHCARE PHARMACY 11980 TELEGRAPH RD STE 102, SANTA (877) 872-4844 FE SPRINGS, CA 90670 CRESCENT HEALTHCARE PHARMACY 2010 IOWA AVE, RIVERSIDE, CA 92507 (800) 735-4872 CRESCENT HEALTHCARE PHARMACY 11980 TELEGRAPH RD, SANTA FE (562) 347-2880 SPRINGS, CA 90670 CRESCENT HEALTHCARE PHARMACY 2547 BARRINGTON CT, HAYWARD, CA (510) 264-5454 94545 CRESCENT HEALTHCARE PHARMACY 10070 CARROLL CANYON RD, SAN (800) 736-4872 DIEGO, CA 92131 CRESPO, KIMBERLY - PT RESTOR PHYSICAL THERAPY PHYSICAL THERAPY 351 HOSPITAL RD STE 007, NEWPORT (949) 525-9995 BEACH, CA 92663 CRI HELP INC (BCC) CRI HELP INC CHEMICAL DEPENDENCY 11027 BURBANK BLVD, NORTH (818) 985-8323 REHABILITATION CENTER HOLLYWOOD, CA 91601 (OUTPATIENT) CRI HELP INC PFLEGER CRI HELP INC PFLEGER CHEMICAL DEPENDENCY 8330 LANKERSHIM BLVD, NORTH (800) 413-7660 OUTPATIENT (BCC) OUTPATIENT REHABILITATION CENTER HOLLYWOOD, CA 91605 (OUTPATIENT) CRISIS STABILIZATION UNIT CRISIS STABILIZATION UNIT MENTAL HEALTH/PSYCHIATRIC 555 E VALLEY PKWY, ESCONDIDO, CA (442) 281-3555 (BCC) HOSPITAL (INPATIENT) 92025 CRISMALI, NICHOLAS C - DPM CRISMALI FOOT & ANKLE PODIATRY 18151 BEAR VALLEY RD, HESPERIA, CA (760) 948-7400 (BCC) 92345 CRISMON, DARREN - PT XCELERATE PHYSICAL PHYSICAL THERAPY 144 W LOS ANGELES AVE STE 110, (805) 552-1915 THERAPY MOORPARK, CA 93021 CRISMON, DARREN - PT XCELERATE PHYSICAL PHYSICAL THERAPY 3262 E THOUSAND OAKS BLVD 100, (805) 374-9900 THERAPY THOUSAND OAKS, CA 91362

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 132 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CRISOSTOMO, MELINDA - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 400 E SANTA BARBARA ST STE B, (805) 525-6402 SANTA PAULA, CA 93060 CRISOSTOMO, MELINDA - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 5550 TELEGRAPH RD STE A, VENTURA, (805) 525-6402 CA 93003 CRISWELL, BRADEN - MD (BCC) ORTHOPEDIC SURGERY - 2627 E WASHINGTON BLVD, (626) 797-2002 ANKLE PASADENA, CA 91107 CRISWELL, BRADEN - MD (BCC) ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 340-2686 ANKLE ARCADIA, CA 91007 CRISWELL, BRADEN - MD (BCC) ORTHOPEDIC SURGERY - 2627 E WASHINGTON BLVD, (626) 797-2002 FOOT PASADENA, CA 91107 CRISWELL, BRADEN - MD (BCC) ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 340-2686 FOOT ARCADIA, CA 91007 CRITTENDEN, JENNIFER - PT GIRARD ORTHOPAEDIC PHYSICAL THERAPY 480 4TH AVE STE 509, CHULA VISTA, CA (619) 651-9760 SURGEONS 91910 CROAL'S REXALL DRUGS PHARMACY 901 E WILLIAMS ST, BARSTOW, CA (760) 256-8968 92311 CROCHET, TATIANA - PTA SOUTH PACIFIC PHYSICAL PHYSICAL THERAPY 4940 VAN NUYS BLVD STE 301, VAN (818) 907-0952 THERAPY INC NUYS, CA 91403 CROFTS, DORIS - OT MESA PHYSICAL THERAPY OCCUPATIONAL THERAPY 7510 CLAIREMONT MESA BLVD STE (858) 277-2277 103, SAN DIEGO, CA 92111 CROFUT, DAVID - AUD ADVANCED HEARING AUDIOLOGY 41659 BIG BEAR BLVD , BIG BEAR LAKE, (800) 598-5300 PROVIDERS LLC CA 92315 CROFUT, DAVID - AUD ADVANCED HEARING AUDIOLOGY 73925 HWY 111 STE M, PALM DESERT, (800) 598-5300 PROVIDERS LLC CA 92260 CROOCKSJOSEPH, MICHAEL, REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 ANDREW - OT 165, LAGUNA HILLS, CA 92653 CROOKS, KELSEY - PT PENINSULA ORTHOPEDIC PHYSICAL THERAPY 455 HICKEY BLVD STE 205, DALY CITY, (650) 746-3299 ASSOCIATES INC CA 94015 CROOKS, NICK, CLIFF - PT MARINA SPORTS PHYSICAL PHYSICAL THERAPY 28633 S WESTERN AVE STE 200, (310) 832-2622 THERAPY RANCHO PALOS VERDES, CA 90275 CROOKSJOESPH, MICHAEL - REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 OT 165, LAGUNA HILLS, CA 92653 CROSBIE, DEAN - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1241 E HILLSDAL BLVD STE 170, (408) 362-4655 FOSTER CITY, CA 94404 CROSS JR, JOHN E - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 CROSS JR, JOHN E - MD CONCENTRA MEDICAL PRIMARY TREATING 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE PHYSICIAN CA 92056 CROTEAU, KIMBERLY - PT SOLANO SPORTS PHYSICAL PHYSICAL THERAPY 1350 BURTON DR STE 260, VACAVILLE, (707) 449-3484 THERAPY INC CA 95687 CROUCH, AARON - PT KIME PHYSICAL THERAPY PHYSICAL THERAPY 4990 HILLSDALE CIR STE 100, EL (916) 905-6378 DORADO HILLS, CA 95762 CROW, ROBERT W - MD (BCC) UC IRVINE MEDICAL CENTER OPHTHALMOLOGY 101 THE CITY DR S , ORANGE, CA 92868 (714) 456-7183 CROW, SCOTT A - MD KAISER PERMANENTE ON THE ORTHOPEDIC SURGERY 250 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER CROW, SCOTT A - MD KAISER PERMANENTE ON THE ORTHOPEDICS 250 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER CROW, SCOTT A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 250 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH PHYSICIAN JOSE, CA 95119 CENTER CROW, SCOTT A - MD KAISER PERMANENTE ON THE SPORTS MEDICINE 250 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER CROWN CARE PHARMACY PHARMACY 3208 SANTA ANITA AVE, EL MONTE, CA (626) 442-7696 91733 CROWN DRUG PHARMACY 657 E UNIVERSITY DR, CARSON, CA (310) 323-6193 90746 CROWN PLAZA PHARMACY PHARMACY 4959 PALO VERDE ST, MONTCLAIR, CA (909) 741-7219 91763 CROWN VALLEY PHARMACY PHARMACY 3720 SIERRA HWY STE G, ACTON, CA (661) 269-9500 93510

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 133 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CRUM, FREDERICK - PT HEALTHFIRST MEDICAL PHYSICAL THERAPY 11817 TELEGRAPH RD, SANTA FE (562) 949-9328 GROUP SPRINGS, CA 90670 CRUTCHFIELD, SCOTT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 CRUZ, MYRA T - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4501 SAND CREEK RD 3RD FLR SAND (925) 813-3770 JOB OCCUPATIONAL HEALTH CREEK BLDG, ANTIOCH, CA 94531 CENTER CRUZ, MYRA T - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4501 SAND CREEK RD 3RD FLR SAND (925) 813-3770 JOB OCCUPATIONAL HEALTH PHYSICIAN CREEK BLDG, ANTIOCH, CA 94531 CENTER CRUZAT, ALICE - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 CRYER, HENRY - MD (BCC) SURGERY 200 UCLA MEDICAL PLZ STE 214, LOS (310) 267-9609 ANGELES, CA 90095 CRYSTAL COVE CARE CENTER CRYSTAL COVE CARE CENTER SKILLED NURSING FACILITY 1445 SUPERIOR AVE, NEWPORT (949) 515-3930 (BCC) BEACH, CA 92663 CRYSTAL MED CTR PHARMACY 2809 OLIVE HWY, OROVILLE, CA 95966 (530) 533-1545 PHARMACY CSETE, KATHRYN - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606 CSICSERY, KRISTINE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 CSINTALAN, RICK P - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 CSOKA, KATALIN - LAC BIORIENT INTEGRATIVE CLINIC ACUPUNCTURE 27405 PUERTA REAL SUITE 260, (949) 215-3180 MISSION VIEJO, CA 92691 CSUJA, GILBERT M - MD CONCENTRA MEDICAL HAND SURGERY 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 CSUJA, GILBERT M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD ELBOW CARLSBAD, CA 92008 CSUJA, GILBERT M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD WRIST CARLSBAD, CA 92008 CSUJA, GILBERT M - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 CSUJA, GILBERT M - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 CSUJA, GILBERT M - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 CUBERTSON, JUIE - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 CUCAMONGA COMMUNITY PHARMACY 7777B MILLIKEN AVE SUITE#100, (909) 948-8377 PHARMACY RANCHO CUCAMONGA, CA 91730 CUCAMONGA PHARMACY PHARMACY 9349 FOOTHILL BLVD STE A, RANCHO (909) 987-2518 CUCAMONGA, CA 91730 CUDICH, GERARDO - LAC PROACTIVE WORK HEALTH ACUPUNCTURE 3459 CAHUENGA BLVD W, LOS (323) 851-5000 SERVICES ANGELES, CA 90068 CUEVAS, LISA - PT REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 7614 N FRESNO ST STE 104, FRESNO, (559) 579-1555 CA 93720 CULLEN, AARON B - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER CULLEN, LAUREN - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 CULLINEN HAND THERAPY PHYSICAL THERAPY 7950 REDWOOD DR STE 13, COTATI, CA (707) 792-1370 94931-3054 CULP, CLAYTON - DPM KAISER PERMANENTE SAN PODIATRY 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 CULVER CITY URGENT CARE URGENT CARE FACILITY 9726 VENICE BLVD , CULVER CITY, CA (310) 202-1300 90232 CULVER, CRAIG - AUD ADVANCED HEARING AUDIOLOGY 753 W LANCASTER BLVD, LANCASTER, (800) 598-5300 PROVIDERS LLC CA 93534 CUNNEEN, SCOTT A - MD (BCC) CEDARS SINAI MEDICAL SURGERY 8635 W 3RD ST STE 770, LOS ANGELES (310) 432-8350 CENTER , CA 90048

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 134 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CUNNINGHAM, JOSEPH - AUD ADVANCED HEARING AUDIOLOGY 70065 CA-111 , RANCHO MIRAGE, CA (800) 598-5300 PROVIDERS LLC 92270 CUNNINGHAM, ROSE - MD EYE ASSOCIATES OF ORANGE OPHTHALMOLOGY 2621 S BRISTOL ST STE 205, SANTA (714) 557-5777 (BCC) COUNTY ANA, CA 92704 CUNNINGHAM, TRACY - DC TRACY CUNNINGHAM DC CHIROPRACTIC MEDICINE 24520 HAWTHORNE BLVD STE 240, (310) 373-8777 TORRANCE, CA 90505 CUPERTINO PHYSICAL PHYSICAL THERAPY 1054 S DE ANZA BLVD STE 110, SAN (408) 873-8188 THERAPY JOSE, CA 95129-3553 CUPP, JENNIFER - OTA GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 CURA PHARMACY PHARMACY 17400 IRVINE BLVD STE P, TUSTIN, CA (714) 505-2872 92780 CURE PHYSICAL THERAPY PHYSICAL THERAPY 2595 W FLORIDA AVE, HEMET, CA (951) 929-2027 AND WELLNESS CENTER 92545-4615 CURERX PHARMACY 5060 W SUNSET BLVD STE C, LOS (323) 667-1111 ANGELES, CA 90027 CURERX PHARMACY 18625 SHERMAN WAY STE 107, (818) 881-2998 RESEDA, CA 91335 CUREX PHARMACY PHARMACY 3008 SILLECT AVE STE 180, (661) 489-4322 BAKERSFIELD, CA 93308 CURLIN, MONIKA U - MD KAISER PERMANENTE DERMATOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER CURRENS, LAURA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 CURRENS, LAURA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 CURRENS, LAURA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 CURRENS, LAURA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 3418 LOMA VISTA RD STE A, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 CURRENS, LAURA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 5725 RALSTON ST STE 103, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 CURRENS, LAURA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 CURRIER, PAMELA - AUD ADVANCED HEARING AUDIOLOGY 56669 29 PALMS HWY STE G, YUCCA (800) 598-5300 PROVIDERS LLC VALLEY, CA 92284 CURRY, KATHLEEN - PT PREMIER OCCUPATIONAL PHYSICAL THERAPY 1080 INDIAN CANYON DR STE 101, (760) 832-7961 MEDICINE CENTER PALM SPRINGS, CA 92262 CURSON PHARMACY PHARMACY 7559 SANTA MONICA BLVD, LOS (323) 878-2555 ANGELES, CA 90046 CURT'S PHARMACY PHARMACY 14829 SEVENTH ST STE E, (760) 245-3518 VICTORVILLE, CA 92395 CURTIN, PETER T - MD (BCC) MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 CURTIS PHYSICAL THERAPY PHYSICAL THERAPY 1500 FIRST STREET, NAPA, CA 94559 (707) 257-4507 CURTIS, BRIAN - PT CURTIS PHYSICAL THERAPY PHYSICAL THERAPY 1500 FIRST STREET, NAPA, CA 94559 (707) 246-5683 CUSTOM CARE PHARMACY 124 MARKET PL, SAN RAMON, CA 94583 (925) 830-4631 COMPOUNDING CUSTOM HEALTHCARE COMP PHARMACY 24022 CALLE DE LA PLATA, LAGUNA (949) 595-2273 PHCY HILLS, CA 92653 CUTRI, NICHOLAS - OTA MOTI PHYSIOTHERAPY OCCUPATIONAL THERAPY 1965 HILLHURST AVE FL 1, LOS (323) 912-9166 ANGELES, CA 90027 CUTRI, NICHOLAS - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 7941 BEACH BLVD STE J, BUENA PARK, (714) 736-6855 CA 90620 CUTTING EDGE PHYSICAL PHYSICAL THERAPY 1600 DOVE ST STE 100, NEWPORT (949) 502-3388 THERAPY AND BEACH, CA 92660-2438 REHABILITATION, CVITANOW, BEVERLEE - PT ALVES AND MARTINEZ PHYSICAL THERAPY 708 57TH ST, SACRAMENTO, CA 95819 (916) 457-7427 PHYSICAL THERAPY AND ATHLETIC PERFORMANCE CVITANOW, BEVERLEE - PT ALVES AND MARTINEZ PHYSICAL THERAPY 9381 E STOCKTON BLVD STE 108, ELK (916) 686-5070 PHYSICAL THERAPY AND GROVE, CA 95624 ATHLETIC PERFORMANCE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 135 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVJETKOVIC, NICHOLAS - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 1632 PUENTE AVE, BALDWIN PARK, CA (626) 430-2300 SPORTS THERAPY 91706 CVJETKOVIC, NICHOLAS - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 471 W LAMBERT RD STE 106, BREA, CA (714) 255-8877 SPORTS THERAPY 92821 CVS PHARMACY 6800 SKYWAY BLVD, PARADISE, CA (530) 876-0186 95969 CVS PHARMACY 1560 W VALLEY PKWY, ESCONDIDO, CA (760) 738-9835 92029 CVS PHARMACY 686 LIGHTHOUSE AVE, MONTEREY, CA (831) 655-5411 93940 CVS PHARMACY 1960 TICE VALLEY BLVD, WALNUT (925) 947-6050 CREEK, CA 94595 CVS PHARMACY 4405 1ST ST, LIVERMORE, CA 94551 (925) 373-8124 CVS PHARMACY 7241 BOULDER AVE, HIGHLAND, CA (909) 425-1298 92346 CVS PHARMACY 6378 COMMERCE BLVD, ROHNERT (707) 586-3494 PARK, CA 94928 CVS PHARMACY 1405 FOXWORTHY AVE, SAN JOSE, CA (408) 264-0371 95118 CVS PHARMACY 1324 SAN CARLOS AVE, SAN CARLOS, (650) 591-7659 CA 94070 CVS PHARMACY 22501 FOOTHILL BLVD, HAYWARD, CA (510) 881-9474 94541 CVS PHARMACY 11941 SAN VICENTE BLVD, LOS (310) 440-4162 ANGELES, CA 90049 CVS PHARMACY 455 CENTER ST, HEALDSBURG, CA (707) 433-3357 95448 CVS PHARMACY 3939 STATE ST, SANTA BARBARA, CA (805) 681-8292 93105 CVS PHARMACY 325 SHARON PARK DR, MENLO PARK, (650) 854-4636 CA 94025 CVS PHARMACY 9030 BROOKS RD S, WINDSOR, CA (707) 837-8868 95492 CVS PHARMACY 525 W CAPITOL EXPY, SAN JOSE, CA (408) 448-9224 95136 CVS PHARMACY 16400 BEACH BLVD, WESTMINSTER, CA (714) 841-2679 92683 CVS PHARMACY 4200 EAST MAIN ST, VENTURA, CA (805) 644-0095 93003 CVS PHARMACY 3236 LAKESHORE AVE, OAKLAND, CA (510) 451-1737 94610 CVS PHARMACY 1274 STABLER LN, YUBA CITY, CA (530) 671-5753 95993 CVS PHARMACY 1282 COAST VILLAGE RD, SANTA (805) 565-0897 BARBARA, CA 93108 CVS PHARMACY 1405 HERNDON AVE, CLOVIS, CA 93611 (559) 322-0150 CVS PHARMACY 1039 EL CAMINO REAL, REDWOOD (650) 780-9910 CITY, CA 94063 CVS PHARMACY 29412 AUBERRY RD, PRATHER, CA (559) 855-4220 93651 CVS PHARMACY 1700 MISSION ST, SANTA CRUZ, CA (831) 457-2481 95060 CVS PHARMACY 6910 ALMADEN EXPY, SAN JOSE, CA (408) 927-7310 95120 CVS PHARMACY 717 MARSH ST, SAN LUIS OBISPO, CA (805) 547-9888 93401 CVS PHARMACY 191 WOODLAND PKWY, SAN MARCOS, (760) 471-9007 CA 92069 CVS PHARMACY 5644 MISSION CENTER RD, SAN DIEGO, (619) 298-3655 CA 92108 CVS PHARMACY 9618 W PICO BLVD STE 501, LOS (310) 858-1855 ANGELES, CA 90035

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 136 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 1730 SWEETWATER RD, NATIONAL (619) 474-6703 CITY, CA 91950 CVS PHARMACY 470 BLOSSOM HILL RD, SAN JOSE, CA (408) 578-4900 95123 CVS PHARMACY 1500 FIRST ST, LIVERMORE, CA 94550 (925) 455-5580 CVS PHARMACY 4959 MARCONI AVE, CARMICHAEL, CA (916) 485-1144 95608 CVS PHARMACY 8101 GREENBACK LN, FAIR OAKS, CA (916) 726-4466 95628 CVS PHARMACY 2514 BERRYESSA RD, SAN JOSE, CA (408) 272-1431 95132 CVS PHARMACY 738 BANCROFT RD, WALNUT CREEK, (925) 938-8525 CA 94598 CVS PHARMACY 572 FLETCHER PKWY, EL CAJON, CA (619) 440-3701 92020 CVS PHARMACY 191 DEPOT ST, VACAVILLE, CA 95688 (707) 446-2401 CVS PHARMACY 16995 WALNUT GROVE DR, MORGAN (408) 779-6981 HILL, CA 95037 CVS PHARMACY 1010 UNIVERSITY AVE, SAN DIEGO, CA (619) 291-7377 92103 CVS PHARMACY 2116 S BROADWAY, SANTA MARIA, CA (805) 922-7934 93454 CVS PHARMACY 1480 MORAGA RD STE D, MORAGA, CA (925) 376-5166 94556 CVS PHARMACY 155 ORCHARD PLAZA CTR, UKIAH, CA (707) 462-9751 95482 CVS PHARMACY 260 SPRUCE ST, GRIDLEY, CA 95948 (530) 846-3634 CVS PHARMACY 41040 CALIFORNIA OAKS RD, (951) 696-7612 MURRIETA, CA 92562 CVS PHARMACY 1000 W IMPERIAL HWY, LA HABRA, CA (714) 459-6035 90631 CVS PHARMACY 3300 S BRISTOL ST, SANTA ANA, CA (714) 641-6604 92704 CVS PHARMACY 1919 FULTON AVE, SACRAMENTO, CA (916) 483-5141 95825 CVS PHARMACY 2901 MING AVE, BAKERSFIELD, CA (661) 617-2001 93304 CVS PHARMACY 560 CONTRA COSTA BLVD, PLEASANT (925) 685-5244 HILL, CA 94523 CVS PHARMACY 2000 DRISCOLL RD, FREMONT, CA (510) 770-8571 94539 CVS PHARMACY 12100 VENTURA BLVD, STUDIO CITY, (818) 763-5562 CA 91604 CVS PHARMACY 10776 WESTVIEW PKWY, SAN DIEGO, (858) 566-4551 CA 92126 CVS PHARMACY 662 E BORONDA RD, SALINAS, CA (831) 443-0891 93906 CVS PHARMACY 2191 N TUSTIN ST, ORANGE, CA 92865 (714) 283-4704 CVS PHARMACY 26932 LA PAZ RD, ALISO VIEJO, CA (949) 831-6314 92656 CVS PHARMACY 3405 MCHENRY AVE, MODESTO, CA (209) 523-6210 95350 CVS PHARMACY 2700 BELL RD, AUBURN, CA 95603 (530) 889-2766 CVS PHARMACY 3030 HARBOR BLVD STE A, COSTA (714) 979-6743 MESA, CA 92626 CVS PHARMACY 3535 S LA CIENEGA BLVD, LOS (310) 895-1132 ANGELES, CA 90016 CVS PHARMACY 14920 RAYMER ST, VAN NUYS, CA (818) 922-1002 91405 CVS PHARMACY 3000 COUNTRYSIDE DR, TURLOCK, CA (209) 632-0370 95380 CVS PHARMACY 11525 SOUTH ST, CERRITOS, CA 90703 (562) 274-0064 CVS PHARMACY 3475 MCKEE RD, SAN JOSE, CA 95127 (408) 272-9156

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 137 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 8351 ELK GROVE FLORIN RD, (916) 681-7913 SACRAMENTO, CA 95829 CVS PHARMACY 155 W LOS ANGELES AVE, MOORPARK, (805) 530-0996 CA 93021 CVS PHARMACY 8607 SANTA MONICA BLVD, WEST (310) 659-9810 HOLLYWOOD, CA 90069 CVS PHARMACY 1792 GARNET AVE, SAN DIEGO, CA (858) 483-1489 92109 CVS PHARMACY 1050 HUNTINGTON DR, DUARTE, CA (626) 803-0003 91010 CVS PHARMACY 12300 SEAL BEACH BLVD, SEAL BEACH, (562) 596-1775 CA 90740 CVS PHARMACY 3471 W CENTURY BLVD, INGLEWOOD, (310) 677-5937 CA 90303 CVS PHARMACY 8455 AUBURN FOLSOM RD, GRANITE (916) 791-2197 BAY, CA 95746 CVS PHARMACY 451 S REINO RD, NEWBURY PARK, CA (805) 499-4006 91320 CVS PHARMACY 19783 RINALDI ST, PORTER RANCH, CA (818) 368-6279 91326 CVS PHARMACY 1880 S PACIFIC COAST HWY, REDONDO (310) 316-6492 BEACH, CA 90277 CVS PHARMACY 490 MARKET PL, SAN RAMON, CA 94583 (925) 327-0435 CVS PHARMACY 4850 SAN FELIPE RD, SAN JOSE, CA (408) 532-2952 95135 CVS PHARMACY 63 LINCOLN BLVD, LINCOLN, CA 95648 (916) 408-0230 CVS PHARMACY 1280 AUTO PARK WAY, ESCONDIDO, CA (760) 705-0044 92029 CVS PHARMACY 20200 BLOOMFIELD AVE, CERRITOS, (562) 274-0062 CA 90703 CVS PHARMACY 8840 CORBIN AVE, NORTHRIDGE, CA (818) 739-0043 91324 CVS PHARMACY 223 E BETTERAVIA RD, SANTA MARIA, (805) 922-7184 CA 93454 CVS PHARMACY 200 VINTAGE WAY, NOVATO, CA 94945 (415) 895-3103 CVS PHARMACY 5711 SEPULVEDA BLVD, VAN NUYS, CA (818) 779-0321 91411 CVS PHARMACY 3121 COLORADO BLVD, PASADENA, CA (626) 584-2963 91107 CVS PHARMACY 10600 FIRESTONE BLVD, NORWALK, CA (562) 406-8861 90650 CVS PHARMACY 733 E MAIN ST, SANTA MARIA, CA 93454 (805) 922-2040 CVS PHARMACY 1330 E 17TH ST, SANTA ANA, CA 92705 (714) 547-1042 CVS PHARMACY 3333 ARLINGTON AVE, RIVERSIDE, CA (951) 276-9319 92506 CVS PHARMACY 10576 FOOTHILL BLVD, RANCHO (909) 941-7406 CUCAMONGA, CA 91730 CVS PHARMACY 250 BROADWAY, EL CAJON, CA 92021 (619) 402-0001 CVS PHARMACY 3173 E SHIELDS AVE, FRESNO, CA (559) 222-6287 93726 CVS PHARMACY 1811 HILLSDALE AVE, SAN JOSE, CA (408) 265-3253 95124 CVS PHARMACY 1800 EMPIRE AVE, BURBANK, CA 91504 (818) 238-0239 CVS PHARMACY 1893 W MALVERN AVE, FULLERTON, CA (714) 278-9022 92833 CVS PHARMACY 9100 ROSEDALE HWY, BAKERSFIELD, (661) 589-7192 CA 93312 CVS PHARMACY 2973 STATE ST, SANTA BARBARA, CA (805) 682-3761 93105 CVS PHARMACY 1350 FLORIN RD, SACRAMENTO, CA (916) 392-5184 95822 CVS PHARMACY 5333 ELKHORN BLVD, SACRAMENTO, (916) 334-7450 CA 95842

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 138 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 5059 BUSINESS CENTER DR, (707) 863-0722 FAIRFIELD, CA 94534 CVS PHARMACY 23330 EL TORO RD, LAKE FOREST, CA (949) 830-4422 92630 CVS PHARMACY 41 N MAIN ST, ANGELS CAMP, CA 95222 (209) 736-1840 CVS PHARMACY 801 OAKDALE RD STE F, MODESTO, CA (209) 525-9430 95355 CVS PHARMACY 574 W LACEY BLVD, HANFORD, CA (559) 582-2875 93230 CVS PHARMACY 5407 CAMDEN AVE, SAN JOSE, CA (408) 267-9680 95124 CVS PHARMACY 1387 W WHITTIER BLVD, LA HABRA, CA (562) 691-1721 90631 CVS PHARMACY 6632 PACIFIC AVE, STOCKTON, CA (209) 951-6544 95207 CVS PHARMACY 12940 SARATOGA SUNNYVALE RD, (408) 867-6822 SARATOGA, CA 95070 CVS PHARMACY 3678 SONOMA BLVD, VALLEJO, CA (707) 552-8844 94590 CVS PHARMACY 320 S TWIN OAKS VALLEY RD, SAN (760) 471-8019 MARCOS, CA 92078 CVS PHARMACY 3202 WILSHIRE BLVD, SANTA MONICA, (310) 829-5523 CA 90403 CVS PHARMACY 5408 YGNACIO VALLEY RD, CONCORD, (925) 672-0646 CA 94521 CVS PHARMACY 4242 S EL CAMINO REAL, SAN MATEO, (650) 573-5401 CA 94403 CVS PHARMACY 2224 PATTERSON RD, RIVERBANK, CA (209) 869-6499 95367 CVS PHARMACY 760 ARNEILL RD, CAMARILLO, CA 93010 (805) 484-0446 CVS PHARMACY 40365 WINCHESTER RD, TEMECULA, (951) 296-6729 CA 92591 CVS PHARMACY 1550 E COVELL BLVD, DAVIS, CA 95616 (530) 753-4004 CVS PHARMACY 311 MOUNTAIN AVE, UPLAND, CA 91786 (909) 981-0717 CVS PHARMACY 1155 W HENDERSON AVE, (559) 784-3317 PORTERVILLE, CA 93257 CVS PHARMACY 10621 CARMENITA RD, SANTA FE (562) 298-0044 SPRINGS, CA 90670 CVS PHARMACY 1193 ADMIRAL CALLAGHAN LN, (707) 552-0496 VALLEJO, CA 94591 CVS PHARMACY 24500 ALICIA PKWY, MISSION VIEJO, CA (949) 583-1278 92691 CVS PHARMACY 4349 SAN PABLO AVE, EMERYVILLE, CA (510) 653-0526 94608 CVS PHARMACY 2255 EL CAMINO REAL, OCEANSIDE, CA (760) 828-0001 92054 CVS PHARMACY 133 SERRAMONTE CTR, DALY CITY, CA (650) 755-4668 94015 CVS PHARMACY 5740 N BLACKSTONE AVE, FRESNO, CA (559) 431-8650 93710 CVS PHARMACY 3600 ROSEMEAD BLVD, ROSEMEAD, CA (626) 280-4908 91770 CVS PHARMACY 2605 W MARCH LN, STOCKTON, CA (209) 952-3494 95207 CVS PHARMACY 6750 N CEDAR AVE, FRESNO, CA 93710 (559) 299-3115 CVS PHARMACY 388 ELM AVE, AUBURN, CA 95603 (530) 823-0825 CVS PHARMACY 201 W NAPA ST STE 35, SONOMA, CA (707) 938-4734 95476 CVS PHARMACY 5875 CALLE REAL, GOLETA, CA 93117 (805) 967-5677 CVS PHARMACY 850 OROVILLE DAM BLVD, OROVILLE, (530) 534-1554 CA 95965 CVS PHARMACY 42520 BOB HOPE DR, RANCHO MIRAGE, (760) 568-5651 CA 92270

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 139 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 10350 FRIARS RD, SAN DIEGO, CA (619) 563-9990 92120 CVS PHARMACY 1109 COUNTRY CLUB DR, MADERA, CA (559) 673-0003 93638 CVS PHARMACY 45 N MILPITAS BLVD, MILPITAS, CA (408) 946-6424 95035 CVS PHARMACY 2151 MEEKER AVE, RICHMOND, CA (510) 231-5922 94804 CVS PHARMACY 1060 E CYPRESS AVE, REDDING, CA (530) 221-5575 96002 CVS PHARMACY 1005 SUTTON WAY, GRASS VALLEY, CA (530) 272-8881 95945 CVS PHARMACY 7465 RUSH RIVER DR STE 500, (916) 391-1289 SACRAMENTO, CA 95831 CVS PHARMACY 1595 MAIN ST, WEAVERVILLE, CA 96096 (530) 623-5555 CVS PHARMACY 150 DONAHUE ST, SAUSALITO, CA (415) 339-0169 94965 CVS PHARMACY 3749 AVOCADO BLVD, LA MESA, CA (619) 670-5335 91941 CVS PHARMACY 7850 TELEGRAPH RD, VENTURA, CA (805) 671-5122 93004 CVS PHARMACY 291 N MCDOWELL BLVD, PETALUMA, (707) 778-8666 CA 94954 CVS PHARMACY 2900 STANDIFORD AVE STE 1, (209) 522-1093 MODESTO, CA 95350 CVS PHARMACY 130 N GRAND AVE, GLENDORA, CA (626) 963-0385 91741 CVS PHARMACY 790 JAMACHA RD, EL CAJON, CA 92019 (619) 442-9439 CVS PHARMACY 129 N EL CAMINO REAL, ENCINITAS, CA (760) 942-2269 92024 CVS PHARMACY 2000 MOUNTAIN BLVD, OAKLAND, CA (510) 339-8535 94611 CVS PHARMACY 11 EL CAMINO REAL, SAN CARLOS, CA (650) 595-8511 94070 CVS PHARMACY 11411 DEERFIELD DR, TRUCKEE, CA (530) 587-5775 96161 CVS PHARMACY 3964 MISSOURI FLAT RD STE A, (530) 626-8642 PLACERVILLE, CA 95667 CVS PHARMACY 1395 E PROSPERITY AVE, TULARE, CA (559) 688-2992 93274 CVS PHARMACY 7 W MAIN ST, WOODLAND, CA 95695 (530) 666-2448 CVS PHARMACY 3458 S SEPULVEDA BLVD, LOS (310) 839-9055 ANGELES, CA 90034 CVS PHARMACY 800 1ST ST, GILROY, CA 95020 (408) 842-0373 CVS PHARMACY 110 E LAUREL DR, SALINAS, CA 93906 (831) 754-1551 CVS PHARMACY 3055 W FLORIDA AVE, HEMET, CA 92545 (951) 652-0866 CVS PHARMACY 3320 N TRACY BLVD, TRACY, CA 95376 (209) 836-2316 CVS PHARMACY 25880 MCBEAN PKWY, SANTA CLARITA, (661) 254-3766 CA 91355 CVS PHARMACY 218 E HIGHWAY 246 BLDG 3, (805) 693-1132 BUELLTON, CA 93427 CVS PHARMACY 3935 COCHRAN ST, SIMI VALLEY, CA (805) 581-1800 93063 CVS PHARMACY 1675 HOLLENBECK AVE, SUNNYVALE, (408) 735-7922 CA 94087 CVS PHARMACY 4400 COFFEE RD, BAKERSFIELD, CA (661) 588-1060 93308 CVS PHARMACY 1165 W EL CAMINO REAL, SUNNYVALE, (408) 732-1688 CA 94087 CVS PHARMACY 800 TRI CITY CENTER DR, REDLANDS, (909) 798-1524 CA 92374 CVS PHARMACY 1740 S VICTORIA AVE, VENTURA, CA (805) 644-1833 93003

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 140 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 463 STONY POINT RD, SANTA ROSA, CA (707) 526-7523 95401 CVS PHARMACY 2035 NOVATO BLVD, NOVATO, CA 94947 (415) 897-9917 CVS PHARMACY 257 MT HERMON RD, SCOTTS VALLEY, (831) 438-5920 CA 95066 CVS PHARMACY 2700 YULUPA AVE, SANTA ROSA, CA (707) 545-7500 95405 CVS PHARMACY 124 DE ANZA BLVD, SAN MATEO, CA (650) 572-2514 94402 CVS PHARMACY 175 E 17TH ST, COSTA MESA, CA 92627 (949) 631-9223 CVS PHARMACY 1885 W 11TH ST, TRACY, CA 95376 (209) 836-1460 CVS PHARMACY 7096 N WEST AVE, FRESNO, CA 93711 (559) 436-0471 CVS PHARMACY 18020 CHATSWORTH ST, GRANADA (818) 831-3271 HILLS, CA 91344 CVS PHARMACY 4400 LATROBE RD, EL DORADO HILLS, (916) 934-0133 CA 95762 CVS PHARMACY 3500 STINE RD, BAKERSFIELD, CA (661) 833-0200 93309 CVS PHARMACY 580 MORAGA RD, MORAGA, CA 94556 (925) 631-0204 CVS PHARMACY 1190 N MAIN ST, MANTECA, CA 95336 (209) 239-2018 CVS PHARMACY 13763 MONO WAY, SONORA, CA 95370 (209) 532-6973 CVS PHARMACY 2907 COCHRAN ST, SIMI VALLEY, CA (805) 583-0036 93065 CVS PHARMACY 949 11TH ST, LAKEPORT, CA 95453 (707) 262-0244 CVS PHARMACY 2455 SAN RAMON VALLEY BLVD, SAN (925) 820-7325 RAMON, CA 94583 CVS PHARMACY 1558 TRANCAS ST, NAPA, CA 94558 (707) 253-7918 CVS PHARMACY 1288 CAMINO DEL RIO N, SAN DIEGO, (619) 542-0292 CA 92108 CVS PHARMACY 12051 IMPERIAL HWY, NORWALK, CA (562) 484-9849 90650 CVS PHARMACY 5555 PHILADELPHIA ST, CHINO, CA (909) 464-0063 91710 CVS PHARMACY 8800 WHITTIER BLVD, PICO RIVERA, CA (562) 949-6133 90660 CVS PHARMACY 200 W ORANGETHORPE AVE, (714) 992-4619 FULLERTON, CA 92832 CVS PHARMACY 2626 COLORADO BLVD, LOS ANGELES, (323) 258-5101 CA 90041 CVS PHARMACY 9052 CENTRAL AVE, MONTCLAIR, CA (909) 447-6785 91763 CVS PHARMACY 1835 CLIFF DR, SANTA BARBARA, CA (805) 962-8709 93109 CVS PHARMACY 1030 PLEASANT GROVE BLVD, (916) 780-4733 ROSEVILLE, CA 95678 CVS PHARMACY 869 NEWVILLE RD, ORLAND, CA 95963 (530) 865-4775 CVS PHARMACY 60 CABRILLO HWY N, HALF MOON BAY, (650) 726-6684 CA 94019 CVS PHARMACY 1317 N H ST, LOMPOC, CA 93436 (805) 735-7424 CVS PHARMACY 6877 SEBASTOPOL AVE, SEBASTOPOL, (707) 823-7209 CA 95472 CVS PHARMACY 11655 DUENDA RD, SAN DIEGO, CA (858) 385-0223 92127 CVS PHARMACY 800 W HARRIS ST STE 20, EUREKA, CA (707) 443-8311 95503 CVS PHARMACY 2133 SHAW AVE, CLOVIS, CA 93611 (559) 297-6730 CVS PHARMACY 330 BON AIR CTR, GREENBRAE, CA (415) 461-9093 94904 CVS PHARMACY 2075 E HATCH RD, MODESTO, CA 95351 (209) 537-4824 CVS PHARMACY 29676 RANCHO CALIFORNIA RD, (951) 693-2704 TEMECULA, CA 92591 CVS PHARMACY 3401 MALL VIEW RD, BAKERSFIELD, CA (661) 872-5843 93306

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 141 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 2120 NEWBURY RD, NEWBURY PARK, (805) 499-0463 CA 91320 CVS PHARMACY 1280 DANA DR, REDDING, CA 96003 (530) 224-1437 CVS PHARMACY 8148 E SANTA ANA CANYON RD, (714) 921-2376 ANAHEIM, CA 92808 CVS PHARMACY 39440 10TH ST W, PALMDALE, CA 93551 (661) 265-7361 CVS PHARMACY 7505 LAGUNA BLVD, ELK GROVE, CA (916) 683-2936 95758 CVS PHARMACY 1600 SARATOGA AVE STE 601, SAN (408) 871-9385 JOSE, CA 95129 CVS PHARMACY 15555 E 14TH ST STE 400, SAN (510) 276-3979 LEANDRO, CA 94578 CVS PHARMACY 2499 WHIPPLE RD, HAYWARD, CA 94544 (510) 471-9266 CVS PHARMACY 9846 MISSION GORGE RD, SANTEE, CA (619) 449-9682 92071 CVS PHARMACY 10451 FAIRWAY DR, ROSEVILLE, CA (916) 780-2898 95678 CVS PHARMACY 230 ATLANTIC AVE, PITTSBURG, CA (925) 439-7422 94565 CVS PHARMACY 1496 POLLARD RD, LOS GATOS, CA (408) 376-3554 95032 CVS PHARMACY 8915 TOWN CENTRE DR, SAN DIEGO, (858) 550-9066 CA 92122 CVS PHARMACY 1300 MADONNA RD, SAN LUIS OBISPO, (805) 549-0993 CA 93405 CVS PHARMACY 3220 S WHITE RD, SAN JOSE, CA 95148 (408) 238-9603 CVS PHARMACY 650 N BELLFLOWER BLVD, LONG (562) 597-2143 BEACH, CA 90814 CVS PHARMACY 699 LEWELLING BLVD, SAN LEANDRO, (510) 351-0951 CA 94579 CVS PHARMACY 2790 E BIDWELL ST, FOLSOM, CA 95630 (916) 983-8774 CVS PHARMACY 5039 FOLSOM BLVD, SACRAMENTO, CA (916) 739-0740 95819 CVS PHARMACY 50 N ASHWOOD AVE, VENTURA, CA (805) 658-7848 93003 CVS PHARMACY 1285 LINCOLN AVE, SAN JOSE, CA (408) 280-5521 95125 CVS PHARMACY 46445 MISSION BLVD, FREMONT, CA (510) 656-2467 94539 CVS PHARMACY 3251 STANFORD RANCH RD, ROCKLIN, (916) 435-8711 CA 95765 CVS PHARMACY 8200 STOCKDALE HWY STE G, (661) 832-0982 BAKERSFIELD, CA 93311 CVS PHARMACY 380 E H ST, CHULA VISTA, CA 91910 (619) 426-0866 CVS PHARMACY 455 S MAIN ST, RED BLUFF, CA 96080 (530) 529-5530 CVS PHARMACY 27750 SANTA MARGARITA PKWY, (949) 770-9898 MISSION VIEJO, CA 92691 CVS PHARMACY 1000 W KETTLEMAN LN, LODI, CA 95240 (209) 368-5112 CVS PHARMACY 14830 HIGHWAY 4, DISCOVERY BAY, CA (925) 240-7189 94505 CVS PHARMACY 1822 AVENIDA DE LOS ARBOLES, (805) 493-2894 THOUSAND OAKS, CA 91362 CVS PHARMACY 987 EAST HILLSDALE BLVD, FOSTER (650) 570-4693 CITY, CA 94404 CVS PHARMACY 24167 PASEO DE VALENCIA, LAGUNA (949) 586-3503 WOODS, CA 92637 CVS PHARMACY 515 S STATE HIGHWAY 49, JACKSON, (209) 223-2471 CA 95642 CVS PHARMACY 12100 HARBOR BLVD, GARDEN GROVE, (714) 971-0197 CA 92840 CVS PHARMACY 13831 BROOKHURST ST, GARDEN (714) 539-5516 GROVE, CA 92843

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 142 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 1240 BROADWAY, CHULA VISTA, CA (619) 213-0000 91911 CVS PHARMACY 4301 CENTURY BLVD, PITTSBURG, CA (925) 779-1624 94565 CVS PHARMACY 280 SPRECKELS AVE, MANTECA, CA (209) 824-9288 95336 CVS PHARMACY 2662 DEL MAR HEIGHTS RD, DEL MAR, (858) 481-8601 CA 92014 CVS PHARMACY 885 ISLAND DR STE A, ALAMEDA, CA (510) 865-2155 94502 CVS PHARMACY 2690 MT VERNON AVE, BAKERSFIELD, (661) 872-3821 CA 93306 CVS PHARMACY 4550 MERIDIAN AVE, SAN JOSE, CA (408) 267-1472 95124 CVS PHARMACY 100 N SAN TOMAS AQUINO RD, (408) 374-1337 CAMPBELL, CA 95008 CVS PHARMACY 10455 S DE ANZA BLVD, CUPERTINO, (408) 996-1911 CA 95014 CVS PHARMACY 3074 STORY RD, SAN JOSE, CA 95127 (408) 259-5600 CVS PHARMACY 222 SARATOGA AVE, SANTA CLARA, CA (408) 247-7250 95050 CVS PHARMACY 1057 N 1ST ST, DIXON, CA 95620 (707) 678-4412 CVS PHARMACY 3999 SANTA RITA RD, PLEASANTON, CA (925) 460-8552 94588 CVS PHARMACY 2601 OAKDALE RD STE E, MODESTO, (209) 523-4932 CA 95355 CVS PHARMACY 560 CENTER AVE, MARTINEZ, CA 94553 (925) 370-8077 CVS PHARMACY 931 MARINA VILLAGE PKWY, ALAMEDA, (510) 523-3504 CA 94501 CVS PHARMACY 1125 BRANHAM LN, SAN JOSE, CA (408) 267-0911 95118 CVS PHARMACY 5170 MOORPARK AVE, SAN JOSE, CA (408) 257-9918 95129 CVS PHARMACY 827 OAK PARK BLVD, PISMO BEACH, CA (805) 473-1114 93449 CVS PHARMACY 3667 CASTRO VALLEY BLVD, CASTRO (510) 538-1227 VALLEY, CA 94546 CVS PHARMACY 20475 YORBA LINDA BLVD, YORBA (714) 693-1055 LINDA, CA 92886 CVS PHARMACY 1471 W COVELL BLVD, DAVIS, CA 95616 (530) 757-1128 CVS PHARMACY 581 W CHANNEL ISLANDS BLVD, PORT (805) 985-4479 HUENEME, CA 93041 CVS PHARMACY 3440 LA SIERRA AVE, RIVERSIDE, CA (951) 352-1933 92503 CVS PHARMACY 8320 EL CAMINO REAL, ATASCADERO, (805) 466-0732 CA 93422 CVS PHARMACY 759 E BLITHEDALE AVE, MILL VALLEY, (415) 389-8891 CA 94941 CVS PHARMACY 32575 GOLDEN LANTERN ST, DANA (949) 248-4803 POINT, CA 92629 CVS PHARMACY 352 UNIVERSITY AVE, PALO ALTO, CA (650) 324-3248 94301 CVS PHARMACY 1201 W MAIN ST STE 14, RIPON, CA (209) 599-4686 95366 CVS PHARMACY 2140 GRASS VALLEY HWY, AUBURN, CA (530) 885-6084 95603 CVS PHARMACY 1080 SPERRY AVE, PATTERSON, CA (209) 892-5584 95363 CVS PHARMACY 3520 TYLER ST, RIVERSIDE, CA 92503 (951) 351-1083 CVS PHARMACY 6835 KATELLA AVE, CYPRESS, CA (714) 484-7557 90630 CVS PHARMACY 3150 W SHAW AVE, FRESNO, CA 93711 (559) 276-8926 CVS PHARMACY 900 SHAW AVE, CLOVIS, CA 93612 (559) 297-5697

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 143 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 800 NEW LOS ANGELES AVE, (805) 530-0338 MOORPARK, CA 93021 CVS PHARMACY 2615 TUSCANY ST, CORONA, CA 92881 (951) 277-2356 CVS PHARMACY 855 EL CAMINO REAL, PALO ALTO, CA (650) 322-2554 94301 CVS PHARMACY 49980 JEFFERSON ST, INDIO, CA 92201 (760) 771-8848 CVS PHARMACY 9725 LAUREL CANYON BLVD, ARLETA, (818) 492-0025 CA 91331 CVS PHARMACY 5700 FIRESTONE BLVD, SOUTH GATE, (562) 372-0037 CA 90280 CVS PHARMACY 2270 N BELLFLOWER BLVD, LONG (562) 430-3753 BEACH, CA 90815 CVS PHARMACY 3433 SEPULVEDA BLVD, TORRANCE, (310) 370-1021 CA 90505 CVS PHARMACY 3245 SPORTS ARENA BLVD, SAN (619) 471-0030 DIEGO, CA 92110 CVS PHARMACY 7200 AMADOR PLAZA RD, DUBLIN, CA (925) 241-0000 94568 CVS PHARMACY 2059 CADENASSO DR, FAIRFIELD, CA (707) 759-0005 94533 CVS PHARMACY 141 LAKEWOOD CENTER MALL, (562) 894-0020 LAKEWOOD, CA 90712 CVS PHARMACY 4247 S MOONEY BLVD, VISALIA, CA (559) 749-0748 93277 CVS PHARMACY 2295 N IMPERIAL AVE, EL CENTRO, CA (760) 482-5407 92243 CVS PHARMACY 5769 LONE TREE WAY, ANTIOCH, CA (925) 752-0003 94531 CVS PHARMACY 2755 CANYON SPRINGS PKWY, (951) 697-6449 RIVERSIDE, CA 92507 CVS PHARMACY 6705 CAMINO ARROYO, GILROY, CA (408) 848-6941 95020 CVS PHARMACY 600 W MAIN ST, SANTA PAULA, CA (805) 933-2998 93060 CVS PHARMACY 5800 SANTA ROSA RD, CAMARILLO, CA (805) 484-8208 93012 CVS PHARMACY 783 RIO DEL MAR BLVD STE 3, APTOS, (831) 687-0460 CA 95003 CVS PHARMACY 23791 WASHINGTON AVE, MURRIETA, (951) 698-9616 CA 92562 CVS PHARMACY 1382 SOLANO AVE, ALBANY, CA 94706 (510) 559-3414 CVS PHARMACY 1701 K ST, SACRAMENTO, CA 95811 (916) 444-9266 CVS PHARMACY 305 S HIGHWAY 101, SOLANA BEACH, (858) 259-0340 CA 92075 CVS PHARMACY 10045 COMBIE RD, AUBURN, CA 95602 (530) 268-3753 CVS PHARMACY 67750 E PALM CANYON DR, (760) 202-4061 CATHEDRAL CITY, CA 92234 CVS PHARMACY 2485 EL CAMINO REAL, REDWOOD (650) 549-0000 CITY, CA 94063 CVS PHARMACY 8101 CONSUMNES RIVER BLVD, (916) 525-3586 SACRAMENTO, CA 95823 CVS PHARMACY 10424 TRINITY PKWY, STOCKTON, CA (209) 235-0252 95219 CVS PHARMACY 78935 HIGHWAY 111, LA QUINTA, CA (760) 777-8469 92253 CVS PHARMACY 27320 W LUGONIA AVE, REDLANDS, CA (909) 307-1810 92374 CVS PHARMACY 7100 SANTA MONICA BLVD, WEST (323) 603-0005 HOLLYWOOD, CA 90046 CVS PHARMACY 9285 ELK GROVE BLVD, ELK GROVE, (916) 714-5372 CA 95624 CVS PHARMACY 16964 SLOVER AVE, FONTANA, CA (909) 356-0540 92337

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 144 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 1400 FITZGERALD RD, PINOLE, CA (510) 222-9281 94564 CVS PHARMACY 4300 LAS POSITAS RD, LIVERMORE, CA (925) 245-1406 94551 CVS PHARMACY 777 E COLORADO BLVD, PASADENA, (626) 795-5472 CA 91101 CVS PHARMACY 2610 BISHOP DR, SAN RAMON, CA (925) 867-0245 94583 CVS PHARMACY 2525 4TH ST, EUREKA, CA 95501 (707) 442-0549 CVS PHARMACY 140 N 12TH AVE, HANFORD, CA 93230 (559) 582-9386 CVS PHARMACY 1057 EASTSHORE HWY, ALBANY, CA (510) 982-0513 94710 CVS PHARMACY 879 BLOSSOM HILL RD, SAN JOSE, CA (408) 513-3003 95123 CVS PHARMACY 3471 LAKE TAHOE BLVD, SOUTH LAKE (530) 541-9477 TAHOE, CA 96150 CVS PHARMACY 1435 E GRAND AVE, ARROYO GRANDE, (805) 474-5720 CA 93420 CVS PHARMACY 17751 COLIMA RD, CITY OF INDUSTRY, (626) 709-0000 CA 91748 CVS PHARMACY 1640 N MAIN ST, SALINAS, CA 93906 (831) 442-2961 CVS PHARMACY 3000 HARBISON DR, VACAVILLE, CA (707) 452-8119 95687 CVS PHARMACY 15232 SHERMAN WAY, VAN NUYS, CA (818) 374-3480 91405 CVS PHARMACY 120 E BONITA AVE, SAN DIMAS, CA (909) 305-4888 91773 CVS PHARMACY 8400 FIRESTONE BLVD, DOWNEY, CA (562) 861-5460 90241 CVS PHARMACY 25622 CROWN VALLEY RD, LADERA (949) 347-6751 RANCH, CA 92694 CVS PHARMACY 22361 ANTONIA PKWY, RANCHO SANTA (949) 888-3050 MARGARITA, CA 92688 CVS PHARMACY 2330 S MAIN ST, SANTA ANA, CA 92707 (714) 327-1884 CVS PHARMACY 4775 W ROSECRANS AVE, (310) 263-7330 HAWTHORNE, CA 90250 CVS PHARMACY 1290 HAMNER AVE, NORCO, CA 92860 (951) 735-9505 CVS PHARMACY 475 ROHNERT PARK EXPY W, (707) 585-2420 ROHNERT PARK, CA 94928 CVS PHARMACY 3900 SISK RD, MODESTO, CA 95356 (209) 545-3325 CVS PHARMACY 72549 HIGHWAY 111, PALM DESERT, CA (760) 776-1113 92260 CVS PHARMACY 1790 AIRLINE HWY, HOLLISTER, CA (831) 638-4824 95023 CVS PHARMACY 858 N SUNSET AVE, LA PUENTE, CA (626) 931-1410 91744 CVS PHARMACY 7400 RESEDA BLVD, RESEDA, CA 91335 (818) 776-2600 CVS PHARMACY 9952 LAS TUNAS DR, TEMPLE CITY, CA (626) 614-1500 91780 CVS PHARMACY 1001 WESTWOOD BLVD, LOS ANGELES, (310) 209-9141 CA 90024 CVS PHARMACY 60 N MOORPARK RD, THOUSAND (805) 496-9310 OAKS, CA 91360 CVS PHARMACY 4909 PARAMOUNT BLVD, LAKEWOOD, (562) 272-6809 CA 90712 CVS PHARMACY 23806 MAIN ST, CARSON, CA 90745 (310) 952-6640 CVS PHARMACY 10945 VICTORY BLVD, NORTH (818) 487-0119 HOLLYWOOD, CA 91606 CVS PHARMACY 5030 LONG BEACH BLVD, LONG BEACH, (562) 984-2813 CA 90805 CVS PHARMACY 15333 CULVER BLVD STE 300, IRVINE, (949) 654-2600 CA 92604

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 145 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 7065 LA PALMA AVE, BUENA PARK, CA (714) 228-2085 90620 CVS PHARMACY 816 E MAIN ST, ALHAMBRA, CA 91801 (626) 293-5750 CVS PHARMACY 1931 CAMPUS AVE, UPLAND, CA 91784 (909) 981-6428 CVS PHARMACY 15272 SUMMIT AVE, FONTANA, CA (909) 646-7231 92336 CVS PHARMACY 24425 MAGIC MOUNTAIN PKWY, (661) 254-7234 VALENCIA, CA 91355 CVS PHARMACY 10820 JEFFERSON BLVD, CULVER CITY, (310) 836-7087 CA 90230 CVS PHARMACY 2355 W KETTLEMAN LN, LODI, CA 95242 (209) 339-0232 CVS PHARMACY 3944 GRAND AVE, CHINO, CA 91710 (909) 364-0725 CVS PHARMACY 19201 BEAR VALLEY RD, APPLE (760) 961-6943 VALLEY, CA 92308 CVS PHARMACY 950 N LAKE BLVD STE 100, TAHOE CITY, (530) 584-0250 CA 96145 CVS PHARMACY 1200 N SEPULVEDA BLVD, MANHATTAN (310) 546-1731 BEACH, CA 90266 CVS PHARMACY 20801 VENTURA BLVD, WOODLAND (818) 992-3386 HILLS, CA 91364 CVS PHARMACY 7600 N BLACKSTONE AVE, FRESNO, CA (559) 490-0031 93720 CVS PHARMACY 26762 PORTOLA PKWY, FOOTHILL (949) 454-0327 RANCH, CA 92610 CVS PHARMACY 209 W VENTURA BLVD, CAMARILLO, CA (805) 383-4059 93010 CVS PHARMACY 12471 LIMONITE AVE, EASTVALE, CA (951) 256-5262 91752 CVS PHARMACY 1065 W MANNING AVE, REEDLEY, CA (559) 638-0467 93654 CVS PHARMACY 1153 BUTTE HOUSE RD, YUBA CITY, CA (530) 671-1828 95991 CVS PHARMACY 2800 NAGLEE RD, TRACY, CA 95304 (209) 833-0072 CVS PHARMACY 3527 W FLORIDA AVE, HEMET, CA 92545 (951) 765-4310 CVS PHARMACY 30602 SANTA MARGARITA PKWY, (949) 459-0973 RANCHO SANTA MARGARITA, CA 92688 CVS PHARMACY 1980 SANTA ROSA AVE, SANTA ROSA, (707) 575-0982 CA 95407 CVS PHARMACY 1601 KINGSDALE AVE, REDONDO (310) 750-0004 BEACH, CA 90278 CVS PHARMACY 1750 STORY RD, SAN JOSE, CA 95122 (408) 273-0055 CVS PHARMACY 695 W HERNDON AVE, CLOVIS, CA (559) 321-0010 93612 CVS PHARMACY 15614 WHITTWOOD LN, WHITTIER, CA (562) 371-9004 90603 CVS PHARMACY 8999 BALBOA BLVD, NORTHRIDGE, CA (818) 924-9002 91325 CVS PHARMACY 20700 AVALON BLVD STE 750, CARSON, (310) 819-3012 CA 90746 CVS PHARMACY 9882 ADAMS AVE, HUNTINGTON (714) 849-1815 BEACH, CA 92646 CVS PHARMACY 2425 CLARIBEL RD, RIVERBANK, CA (209) 863-1277 95367 CVS PHARMACY 915 E ARROW HWY, AZUSA, CA 91702 (626) 332-7213 CVS PHARMACY 7530 ORANGETHORPE AVE, BUENA (714) 676-0014 PARK, CA 90621 CVS PHARMACY 2293 H DELA ROSA SR ST, SOLEDAD, (831) 678-5110 CA 93960 CVS PHARMACY 2300 SHATTUCK AVE, BERKELEY, CA (510) 549-4255 94704 CVS PHARMACY 26180 IRIS AVE, MORENO VALLEY, CA (951) 601-2468 92555

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 146 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 18872 BEACH BLVD, HUNTINGTON (714) 378-1452 BEACH, CA 92648 CVS PHARMACY 821 THE ALAMEDA, SAN JOSE, CA (408) 291-4553 95126 CVS PHARMACY 533 COLEMAN AVE, SAN JOSE, CA (408) 346-2023 95110 CVS PHARMACY 3601 N FREEWAY BLVD, SACRAMENTO, (916) 576-0488 CA 95834 CVS PHARMACY 1520 E F ST, OAKDALE, CA 95361 (209) 845-1860 CVS PHARMACY 8491 W SANTA MONICA BLVD, WEST (310) 360-7303 HOLLYWOOD, CA 90069 CVS PHARMACY 26686 PORTOLA PKWY, FOOTHILL (949) 470-4630 RANCH, CA 92610 CVS PHARMACY 150 W WILLOW ST, POMONA, CA 91768 (909) 620-3838 CVS PHARMACY 9225 TWIN TRAILS DR, SAN DIEGO, CA (858) 538-8770 92129 CVS PHARMACY 1631 S MELROSE DR, VISTA, CA 92081 (760) 727-4221 CVS PHARMACY 32900 PACIFIC COAST HWY, DANA (949) 489-9030 POINT, CA 92629 CVS PHARMACY 5385 ALTON PKWY, IRVINE, CA 92604 (949) 733-8226 CVS PHARMACY 22968 VICTORY BLVD, WOODLAND (818) 887-7350 HILLS, CA 91367 CVS PHARMACY 451 S SIERRA MADRE BLVD, (626) 564-8681 PASADENA, CA 91107 CVS PHARMACY 233 E WILLOW ST, LONG BEACH, CA (562) 989-9868 90806 CVS PHARMACY 7100 BROADWAY, LEMON GROVE, CA (619) 697-3415 91945 CVS PHARMACY 1101 S MISSION RD, FALLBROOK, CA (760) 723-5721 92028 CVS PHARMACY 11831 HAWTHORNE BLVD, (310) 679-3668 HAWTHORNE, CA 90250 CVS PHARMACY 21051 SHERMAN WAY, CANOGA PARK, (818) 348-6222 CA 91303 CVS PHARMACY 5101 W RODEO RD, LOS ANGELES, CA (323) 936-0279 90016 CVS PHARMACY 101 E ALAMEDA AVE, BURBANK, CA (818) 563-2724 91502 CVS PHARMACY 3880 W ROSECRANS BLVD, (310) 675-0359 HAWTHORNE, CA 90250 CVS PHARMACY 15700 S WESTERN AVE, GARDENA, CA (310) 538-3131 90247 CVS PHARMACY 650 E EL SEGUNDO BLVD, LOS (310) 327-5520 ANGELES, CA 90059 CVS PHARMACY 9920 E GARVEY AVE, EL MONTE, CA (626) 443-3097 91733 CVS PHARMACY 15421 BROOKHURST ST, (714) 531-1551 WESTMINSTER, CA 92683 CVS PHARMACY 3020 SEPULVEDA BLVD, TORRANCE, (310) 534-1264 CA 90505 CVS PHARMACY 1479 FOOTHILL BLVD, LA VERNE, CA (909) 593-7534 91750 CVS PHARMACY 26851 TRABUCO RD, MISSION VIEJO, (949) 581-5990 CA 92691 CVS PHARMACY 2791 AGOURA RD, THOUSAND OAKS, (805) 495-4938 CA 91361 CVS PHARMACY 5585 N ROSEMEAD BLVD, TEMPLE (626) 287-9959 CITY, CA 91780 CVS PHARMACY 5259 MISSION OAKS BLVD, CAMARILLO, (805) 482-0707 CA 93012 CVS PHARMACY 2456 S GROVE AVE, ONTARIO, CA (909) 947-9390 91761

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 147 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 26550 BOUQUET CANYON RD, SAUGUS, (661) 297-1968 CA 91350 CVS PHARMACY 3741 CRENSHAW BLVD, LOS ANGELES, (323) 298-5595 CA 90016 CVS PHARMACY 2521 EASTBLUFF DR, NEWPORT (949) 717-6642 BEACH, CA 92660 CVS PHARMACY 2500 W VICTORY BLVD, BURBANK, CA (818) 955-8200 91505 CVS PHARMACY 12015 WILSHIRE BLVD, LOS ANGELES, (310) 479-6500 CA 90025 CVS PHARMACY 4105 W AVENUE L, LANCASTER, CA (661) 722-5784 93536 CVS PHARMACY 25080 HANCOCK AVE, MURRIETA, CA (951) 677-4219 92562 CVS PHARMACY 3981 IRVINE BLVD, IRVINE, CA 92602 (714) 368-0991 CVS PHARMACY 1380 43RD ST, SAN DIEGO, CA 92113 (619) 263-8116 CVS PHARMACY 29995 ALICIA PKWY, LAGUNA NIGUEL, (949) 495-2383 CA 92677 CVS PHARMACY 2521 E AVENUE S, PALMDALE, CA 93550 (661) 538-1077 CVS PHARMACY 11735 WHITTIER BLVD, WHITTIER, CA (562) 692-7706 90601 CVS PHARMACY 1441 N SANTA FE, VISTA, CA 92084 (760) 414-1681 CVS PHARMACY 14589 CAMINO DEL NORTE, SAN (858) 451-1050 DIEGO, CA 92128 CVS PHARMACY 1564 W BASELINE AVE, SAN (909) 381-6944 BERNARDINO, CA 92411 CVS PHARMACY 313 WASHINGTON ST, SAN DIEGO, CA (619) 291-7170 92103 CVS PHARMACY 42136 BIG BEAR BLVD, BIG BEAR LAKE, (909) 878-0060 CA 92315 CVS PHARMACY 1830 N BROADWAY, SANTA MARIA, CA (805) 348-3555 93454 CVS PHARMACY 13650 BEAR VALLEY RD, VICTORVILLE, (760) 243-4595 CA 92392 CVS PHARMACY 734 S RANCHO SANTA FE RD, SAN (760) 599-0353 MARCOS, CA 92078 CVS PHARMACY 15210 E ROSECRANS AVE, LA MIRADA, (714) 228-0204 CA 90638 CVS PHARMACY 1810 MAIN ST, RAMONA, CA 92065 (760) 789-9062 CVS PHARMACY 4625 TORRANCE BLVD, TORRANCE, CA (310) 370-7919 90503 CVS PHARMACY 21572 PLANO TRABUCO RD, TRABUCO (949) 589-3792 CANYON, CA 92679 CVS PHARMACY 11428 KENYON WAY, RANCHO (909) 948-1065 CUCAMONGA, CA 91701 CVS PHARMACY 42155 WASHINGTON ST, PALM DESERT, (760) 345-3259 CA 92211 CVS PHARMACY 1747 N CAHUENGA BLVD, HOLLYWOOD, (323) 463-7900 CA 90028 CVS PHARMACY 24840 ORCHARD VILLAGE RD, SANTA (661) 222-7881 CLARITA, CA 91355 CVS PHARMACY 26891 ALISO CREEK RD, ALISO VIEJO, (949) 360-4081 CA 92656 CVS PHARMACY 9045 WILSHIRE BLVD, BEVERLY HILLS, (310) 273-5252 CA 90211 CVS PHARMACY 1980 COLLEGE BLVD, OCEANSIDE, CA (760) 945-4676 92056 CVS PHARMACY 5117 LAKEWOOD BLVD, LAKEWOOD, (562) 634-9100 CA 90712 CVS PHARMACY 4400 E LOS COYOTES DIAGONAL, (562) 494-4282 LONG BEACH, CA 90815 CVS PHARMACY 9038 BALBOA BLVD, NORTHRIDGE, CA (818) 891-0956 91325

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 148 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 1835 NEWPORT BLVD STE C, COSTA (949) 722-1749 MESA, CA 92627 CVS PHARMACY 711 PIER AVE, HERMOSA BEACH, CA (310) 374-6266 90254 CVS PHARMACY 9900 SEPULVEDA BLVD, MISSION (818) 892-4321 HILLS, CA 91345 CVS PHARMACY 1322 W 6TH ST, CORONA, CA 92882 (951) 817-8636 CVS PHARMACY 1150 BAKER ST, COSTA MESA, CA (714) 662-7517 92626 CVS PHARMACY 5501 BALL RD, CYPRESS, CA 90630 (714) 484-3502 CVS PHARMACY 1820 W VERDUGO AVE, BURBANK, CA (818) 845-9332 91506 CVS PHARMACY 8580 WHITTIER BLVD, PICO RIVERA, CA (562) 942-2268 90660 CVS PHARMACY 6299 S BRISTOL PKWY, CULVER CITY, (310) 641-4426 CA 90230 CVS PHARMACY 12221 CARSON ST, HAWAIIAN (562) 468-7011 GARDENS, CA 90716 CVS PHARMACY 1823 W ORANGETHORPE AVE, (714) 871-3040 FULLERTON, CA 92833 CVS PHARMACY 24271 MUIRLANDS BLVD, LAKE (949) 472-6016 FOREST, CA 92630 CVS PHARMACY 5985 W PICO BLVD, LOS ANGELES, CA (323) 965-9161 90035 CVS PHARMACY 44430 CHALLENGER WAY, LANCASTER, (661) 940-8311 CA 93535 CVS PHARMACY 702 N AZUSA AVE, WEST COVINA, CA (626) 967-0679 91791 CVS PHARMACY 6265 EL CAJON BLVD, SAN DIEGO, CA (619) 287-6848 92115 CVS PHARMACY 1550 PUENTE AVE, BALDWIN PARK, CA (626) 814-1483 91706 CVS PHARMACY 3751 WILSHIRE BLVD, LOS ANGELES, (213) 385-5030 CA 90010 CVS PHARMACY 188 LAS TUNAS DR, ARCADIA, CA 91007 (626) 446-8830 CVS PHARMACY 101 W FOOTHILL BLVD, AZUSA, CA (626) 969-6669 91702 CVS PHARMACY 13525 BEACH BLVD, LA MIRADA, CA (562) 947-3789 90638 CVS PHARMACY 2238A S EUCLID AVE, ONTARIO, CA (909) 391-0263 91762 CVS PHARMACY 690 E FOOTHILL BLVD, UPLAND, CA (909) 608-7419 91786 CVS PHARMACY 5944 N FIGUEROA AVE, LOS ANGELES, (323) 478-8310 CA 90042 CVS PHARMACY 33499 YUCAIPA BLVD, YUCAIPA, CA (909) 797-3500 92399 CVS PHARMACY 7911 HAVEN AVE, RANCHO (909) 581-1966 CUCAMONGA, CA 91730 CVS PHARMACY 4615 FRAZEE RD, OCEANSIDE, CA (760) 433-9597 92057 CVS PHARMACY 610 W TEFFT ST, NIPOMO, CA 93444 (805) 929-2740 CVS PHARMACY 20839 W ROSCOE BLVD, WINNETKA, CA (818) 701-8911 91306 CVS PHARMACY 28221 CROWN VALLEY PKWY, LAGUNA (949) 831-2011 NIGUEL, CA 92677 CVS PHARMACY 460 S ANAHEIM HILLS RD, ANAHEIM, CA (714) 921-0275 92807 CVS PHARMACY 4707 W VENICE BLVD, LOS ANGELES, (323) 938-9001 CA 90019 CVS PHARMACY 2001 PACIFIC COAST HWY, LOMITA, CA (310) 517-9535 90717

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 149 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 645 E PALOMAR ST, CHULA VISTA, CA (619) 421-6500 91911 CVS PHARMACY 12490 SEAL BEACH BLVD, SEAL BEACH, (562) 596-4533 CA 90740 CVS PHARMACY 6840 LINCOLN AVE, RIVERSIDE, CA (951) 369-9941 92506 CVS PHARMACY 13181 PEYTON DR, CHINO HILLS, CA (909) 627-5099 91709 CVS PHARMACY 9256 E SLAUSON AVE, PICO RIVERA, (562) 949-5424 CA 90660 CVS PHARMACY 14503 RAMONA BLVD, BALDWIN PARK, (626) 813-7622 CA 91706 CVS PHARMACY 4440 ALAMO ST, SIMI VALLEY, CA 93063 (805) 522-3120 CVS PHARMACY 480 S MAIN ST, ORANGE, CA 92868 (714) 938-1200 CVS PHARMACY 1250 PACIFIC COAST HWY, LONG (562) 218-0080 BEACH, CA 90806 CVS PHARMACY 638 CAMINO DE LOS MARES, SAN (949) 487-9791 CLEMENTE, CA 92673 CVS PHARMACY 27702 CROWN VALLEY PKWY, LADERA (949) 364-1430 RANCH, CA 92694 CVS PHARMACY 15743 IMPERIAL HWY, LA MIRADA, CA (562) 947-9822 90638 CVS PHARMACY 155 PACIFIC COAST HWY, HERMOSA (310) 372-4345 BEACH, CA 90254 CVS PHARMACY 15103 S HAWTHORNE BLVD, (310) 679-7619 LAWNDALE, CA 90260 CVS PHARMACY 17625 HARVARD AVE, IRVINE, CA 92614 (949) 261-5690 CVS PHARMACY 731 S WEIR CANYON RD, ANAHEIM, CA (714) 282-8095 92808 CVS PHARMACY 10048 MILLS AVE, WHITTIER, CA 90604 (562) 903-9678 CVS PHARMACY 2315 HUNTINGTON DR, DUARTE, CA (626) 305-9333 91010 CVS PHARMACY 3644 E OLYMPIC BLVD, LOS ANGELES, (323) 264-0496 CA 90023 CVS PHARMACY 1122 E BROADWAY, GLENDALE, CA (818) 547-0170 91205 CVS PHARMACY 1299 BROADWAY, EL CAJON, CA 92021 (619) 441-8040 CVS PHARMACY 1376 3RD AVE, CHULA VISTA, CA 91911 (619) 691-0662 CVS PHARMACY 31575 DATE PALM DR, CATHEDRAL (760) 324-4239 CITY, CA 92234 CVS PHARMACY 1706 OCEANSIDE BLVD, OCEANSIDE, (760) 721-2433 CA 92054 CVS PHARMACY 800 PALM AVE, IMPERIAL BEACH, CA (619) 424-8989 91932 CVS PHARMACY 3575 ATLANTIC AVE, LONG BEACH, CA (562) 997-8743 90807 CVS PHARMACY 3960 BROAD ST, SAN LUIS OBISPO, CA (805) 783-2903 93401 CVS PHARMACY 861 N VINE ST, HOLLYWOOD, CA 90038 (323) 466-7300 CVS PHARMACY 8008 FIRESTONE BLVD, DOWNEY, CA (562) 904-4848 90241 CVS PHARMACY 6201 SEPULVEDA BLVD, VAN NUYS, CA (818) 373-5005 91411 CVS PHARMACY 1050 SUNSET BLVD, LOS ANGELES, CA (213) 975-1200 90012 CVS PHARMACY 1655 S CENTRE CITY PKWY, (760) 746-9400 ESCONDIDO, CA 92025 CVS PHARMACY 10575 SCRIPPS POWAY PKWY, SAN (858) 547-3939 DIEGO, CA 92131 CVS PHARMACY 12618 STUDEBAKER RD, NORWALK, CA (562) 868-2688 90650 CVS PHARMACY 8985 VENICE BLVD, LOS ANGELES, CA (310) 838-1049 90034

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 150 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 1411 LINCOLN BLVD, SANTA MONICA, (310) 319-1318 CA 90401 CVS PHARMACY 2701 HARBOR BLVD, COSTA MESA, CA (714) 438-1110 92626 CVS PHARMACY 7740 RANCHO SANTA FE RD, (760) 753-5115 CARLSBAD, CA 92009 CVS PHARMACY 22050 VENTURA BLVD, WOODLAND (818) 346-2207 HILLS, CA 91364 CVS PHARMACY 1101 HIDDEN VALLEY PKWY, NORCO, (951) 734-4181 CA 92860 CVS PHARMACY 33205 TEMECULA PKWY, TEMECULA, (951) 303-3164 CA 92592 CVS PHARMACY 313 S GARFIELD AVE, MONTEREY (626) 280-7220 PARK, CA 91754 CVS PHARMACY 5200 N UNIVERSITY PKWY, SAN (909) 887-4929 BERNARDINO, CA 92407 CVS PHARMACY 510 S BEACH BLVD, ANAHEIM, CA 92804 (714) 226-9393 CVS PHARMACY 3710 TWEEDY BLVD, SOUTH GATE, CA (323) 249-9944 90280 CVS PHARMACY 222 N MARKET ST, INGLEWOOD, CA (310) 671-0441 90301 CVS PHARMACY 11623 E ROSECRANS BLVD, NORWALK, (562) 868-8216 CA 90650 CVS PHARMACY 18247 SHERMAN WAY, RESEDA, CA (818) 345-9640 91335 CVS PHARMACY 3010 S SEPULVEDA BLVD, LOS (310) 478-9821 ANGELES, CA 90034 CVS PHARMACY 9089 WOODMAN AVE, ARLETA, CA (818) 892-3167 91331 CVS PHARMACY 8601 S SEPULVEDA BLVD, LOS (310) 645-6770 ANGELES, CA 90045 CVS PHARMACY 2130 BELLFLOWER BLVD, LONG (562) 598-3301 BEACH, CA 90815 CVS PHARMACY 15466 WHITTIER BLVD, WHITTIER, CA (562) 943-9303 90603 CVS PHARMACY 367 N CITRUS AVE, AZUSA, CA 91702 (626) 334-7872 CVS PHARMACY 12031 BROOKHURST ST, GARDEN (714) 530-5280 GROVE, CA 92840 CVS PHARMACY 3151 UNIVERSITY AVE, SAN DIEGO, CA (619) 283-7366 92104 CVS PHARMACY 7915 FLORENCE AVE, DOWNEY, CA (562) 927-4747 90240 CVS PHARMACY 1701 S WESTERN AVE, LOS ANGELES, (323) 731-9247 CA 90006 CVS PHARMACY 1545 W 17TH ST, SANTA ANA, CA 92706 (714) 547-6578 CVS PHARMACY 5020 W 190TH ST, TORRANCE, CA (310) 370-5607 90503 CVS PHARMACY 10208 BALBOA BLVD, GRANADA HILLS, (818) 368-5635 CA 91344 CVS PHARMACY 555 BROADWAY STE 1054, CHULA (619) 420-7808 VISTA, CA 91910 CVS PHARMACY 6360 W 3RD ST, LOS ANGELES, CA (323) 937-3019 90036 CVS PHARMACY 3327 ROSECRANS ST, SAN DIEGO, CA (619) 225-9691 92110 CVS PHARMACY 1020 IRVINE AVE, NEWPORT BEACH, (949) 642-0122 CA 92660 CVS PHARMACY 455 N STATE COLLEGE BLVD, (714) 871-6700 FULLERTON, CA 92831 CVS PHARMACY 950 N WESTERN AVE, SAN PEDRO, CA (310) 832-7258 90732 CVS PHARMACY 12143 VENTURA BLVD, STUDIO CITY, (818) 980-1502 CA 91604

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 151 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 5399 W CENTINELA AVE, LOS (310) 670-3335 ANGELES, CA 90045 CVS PHARMACY 1485 E VALLEY BLVD, ALHAMBRA, CA (626) 289-5075 91801 CVS PHARMACY 8850 VALLEY VIEW ST, BUENA PARK, (714) 827-7321 CA 90620 CVS PHARMACY 5900 TELEGRAPH RD, VENTURA, CA (805) 642-3276 93003 CVS PHARMACY 2240 FAIR PARK AVE, LOS ANGELES, (323) 254-7346 CA 90041 CVS PHARMACY 10011 ADAMS AVE, HUNTINGTON (714) 963-8391 BEACH, CA 92646 CVS PHARMACY 5822 EDINGER AVE, HUNTINGTON (714) 846-2824 BEACH, CA 92649 CVS PHARMACY 950 W FOOTHILL BLVD, MONROVIA, CA (626) 357-1818 91016 CVS PHARMACY 551 S VENTURA RD, OXNARD, CA 93030 (805) 984-2003 CVS PHARMACY 2530 GLENDALE BLVD, LOS ANGELES, (323) 666-1285 CA 90039 CVS PHARMACY 119 S LINCOLN BLVD, VENICE, CA 90291 (310) 392-3983 CVS PHARMACY 14735 VENTURA BLVD, SHERMAN (818) 788-0208 OAKS, CA 91403 CVS PHARMACY 23357 MULHOLLAND DR, WOODLAND (818) 223-8240 HILLS, CA 91364 CVS PHARMACY 1535 E KATELLA AVE, ORANGE, CA (714) 639-6060 92867 CVS PHARMACY 2103 S ATLANTIC BLVD, MONTEREY (323) 268-3524 PARK, CA 91754 CVS PHARMACY 6510 SOUTH ST, LAKEWOOD, CA 90713 (562) 867-1715 CVS PHARMACY 1401 S BALDWIN AVE, ARCADIA, CA (626) 445-1284 91007 CVS PHARMACY 24372 ROCKFIELD BLVD, LAKE FOREST, (949) 830-5090 CA 92630 CVS PHARMACY 4235 PACIFIC COAST HWY, TORRANCE, (310) 373-6847 CA 90505 CVS PHARMACY 1750 N GRAND AVE, SANTA ANA, CA (714) 835-3111 92705 CVS PHARMACY 1382 N MOORPARK RD, THOUSAND (805) 495-4613 OAKS, CA 91360 CVS PHARMACY 7101 ATLANTIC AVE, BELL, CA 90201 (323) 773-2025 CVS PHARMACY 7393 JACKSON DR, SAN DIEGO, CA (619) 465-6800 92119 CVS PHARMACY 206 N AZUSA AVE, COVINA, CA 91722 (626) 331-9907 CVS PHARMACY 150 E YORBA LINDA BLVD, PLACENTIA, (714) 528-3112 CA 92870 CVS PHARMACY 8225 GARVEY AVE, ROSEMEAD, CA (626) 573-2017 91770 CVS PHARMACY 2037 VERDUGO BLVD, MONTROSE, CA (818) 248-8018 91020 CVS PHARMACY 351 CARMEN DR STE B, CAMARILLO, (805) 484-3632 CA 93010 CVS PHARMACY 12717 GLENOAKS BLVD, SYLMAR, CA (818) 367-6116 91342 CVS PHARMACY 13171 MINDANAO WAY, MARINA DEL (310) 821-8908 REY, CA 90292 CVS PHARMACY 1030 COLORADO BLVD, EAGLE ROCK, (323) 255-5130 CA 90041 CVS PHARMACY 17136 MAGNOLIA AVE, FOUNTAIN (714) 847-6054 VALLEY, CA 92708 CVS PHARMACY 3911 S BRISTOL ST, SANTA ANA, CA (714) 556-7183 92704 CVS PHARMACY 100 FOOTHILL BLVD, UPLAND, CA 91786 (909) 982-8908

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 152 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 4320 REDONDO BEACH BLVD, (310) 542-7327 TORRANCE, CA 90504 CVS PHARMACY 17320 VENTURA BLVD, ENCINO, CA (818) 995-0071 91316 CVS PHARMACY 4570 ATLANTIC AVE, LONG BEACH, CA (562) 423-7959 90807 CVS PHARMACY 683 LOMAS SANTE FE DR, SOLANA (858) 755-6697 BEACH, CA 92075 CVS PHARMACY 12315 VENICE BLVD, MAR VISTA, CA (310) 390-6296 90066 CVS PHARMACY 511 N HOLLYWOOD WAY, BURBANK, CA (818) 841-0710 91505 CVS PHARMACY 883 S SANTA FE AVE, VISTA, CA 92083 (760) 630-2134 CVS PHARMACY 25272 MARGUERITE PKWY, MISSION (949) 581-9120 VIEJO, CA 92692 CVS PHARMACY 1015 N SAN FERNANDO BLVD, (818) 841-0810 BURBANK, CA 91504 CVS PHARMACY 201 N LOS ANGELES ST, LOS ANGELES, (213) 620-1491 CA 90012 CVS PHARMACY 12358 POWAY RD, POWAY, CA 92064 (858) 748-9220 CVS PHARMACY 800 W WHITTIER BLVD, MONTEBELLO, (323) 278-9098 CA 90640 CVS PHARMACY 2505 SANTA MONICA BLVD, SANTA (310) 828-6456 MONICA, CA 90404 CVS PHARMACY 19424 SOLEDAD CYN, CANYON (661) 251-5444 COUNTRY, CA 91351 CVS PHARMACY 150 W CARSON ST, CARSON, CA 90745 (310) 549-6500 CVS PHARMACY 19353 VICTORY BLVD, RESEDA, CA (818) 996-4742 91335 CVS PHARMACY 13021 VICTORY BLVD, NORTH (818) 760-2861 HOLLYWOOD, CA 91606 CVS PHARMACY 6215 RIVERSIDE AVE, RIVERSIDE, CA (951) 781-0146 92506 CVS PHARMACY 5735 LA PALMA AVE, ANAHEIM, CA (714) 779-2483 92807 CVS PHARMACY 19121 BEACH BLVD, HUNTINGTON (714) 848-1522 BEACH, CA 92648 CVS PHARMACY 861 N HACIENDA BLVD, LA PUENTE, CA (626) 968-0669 91744 CVS PHARMACY 2825 COCHRAN ST, SIMI VALLEY, CA (805) 522-6904 93065 CVS PHARMACY 11940 GARVEY AVE, EL MONTE, CA (626) 350-1052 91732 CVS PHARMACY 8425 LAUREL CANYON BLVD, SUN (818) 768-2110 VALLEY, CA 91352 CVS PHARMACY 9730 MISSION GORGE RD, SANTEE, CA (619) 448-5110 92071 CVS PHARMACY 5623 KANAN RD, AGOURA HILLS, CA (818) 991-5522 91301 CVS PHARMACY 602 N EL CAMINO REAL, SAN (949) 369-5281 CLEMENTE, CA 92672 CVS PHARMACY 1676 W KATELLA AVE, ANAHEIM, CA (714) 956-5920 92802 CVS PHARMACY 671 E 1ST ST, TUSTIN, CA 92780 (714) 544-7034 CVS PHARMACY 5505 CARSON ST, LAKEWOOD, CA (562) 420-1403 90713 CVS PHARMACY 300 S DIAMOND BAR BLVD, DIAMOND (909) 861-5551 BAR, CA 91765 CVS PHARMACY 2525 VIA CAMPO ST, MONTEBELLO, CA (323) 724-6340 90640 CVS PHARMACY 8280 MAGNOLIA AVE, RIVERSIDE, CA (951) 687-1308 92504

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 153 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 2760 FLETCHER PKWY, EL CAJON, CA (619) 461-4411 92020 CVS PHARMACY 4829 CLAIREMONT DR, SAN DIEGO, CA (858) 273-5300 92117 CVS PHARMACY 8260 MIRA MESA BLVD, SAN DIEGO, CA (858) 566-3031 92126 CVS PHARMACY 2510 EL CAMINO REAL, CARLSBAD, CA (760) 729-8941 92008 CVS PHARMACY 455 ENCINITAS BLVD, ENCINITAS, CA (760) 436-4055 92024 CVS PHARMACY 2006 W AVENUE J, LANCASTER, CA (661) 945-2729 93536 CVS PHARMACY 12101 CENTRAL AVE, CHINO, CA 91710 (909) 591-3911 CVS PHARMACY 3670 S NOGALES ST, WEST COVINA, CA (626) 912-7031 91792 CVS PHARMACY 8831 VILLA LA JOLLA DR, LA JOLLA, CA (858) 457-4480 92037 CVS PHARMACY 14330 CULVER DR, IRVINE, CA 92604 (949) 559-8129 CVS PHARMACY 2900 N SEPULVEDS BLVD, MANHATTAN (310) 546-3481 BEACH, CA 90266 CVS PHARMACY 2655 SANTA ANA ST, SOUTH GATE, CA (323) 582-5601 90280 CVS PHARMACY 270 W LINCOLN AVE, ANAHEIM, CA (714) 774-3827 92805 CVS PHARMACY 10181 RESEDA BLVD, NORTHRIDGE, CA (818) 993-4125 91324 CVS PHARMACY 2091 E LAKESHORE DR, LAKE (951) 245-5540 ELSINORE, CA 92530 CVS PHARMACY 12444 BEACH BLVD, STANTON, CA (714) 899-1520 90680 CVS PHARMACY 16773 BERNARDO CENTER DR, (858) 451-2630 RANCHO BERNARDO, CA 92128 CVS PHARMACY 645 SATURN BLVD, SAN DIEGO, CA (619) 429-8932 92154 CVS PHARMACY 12280 PERRIS BLVD, MORENO VALLEY, (951) 242-3596 CA 92557 CVS PHARMACY 9840 SIERRA AVE, FONTANA, CA 92335 (909) 350-0284 CVS PHARMACY 4040 E CHAPMAN AVE, ORANGE, CA (714) 628-9350 92869 CVS PHARMACY 5822 S VERMONT AVE, LOS ANGELES, (323) 750-5222 CA 90044 CVS PHARMACY 1201 E PLAZA BLVD, NATIONAL CITY, (619) 477-7114 CA 91950 CVS PHARMACY 775 E FOOTHILL BLVD, POMONA, CA (909) 621-6708 91767 CVS PHARMACY 4535 HOLT BLVD, MONTCLAIR, CA (909) 624-4177 91763 CVS PHARMACY 435 E ARROW HWY, GLENDORA, CA (626) 963-1625 91740 CVS PHARMACY 16975 BEAR VALLEY DR, HESPERIA, CA (760) 947-7043 92345 CVS PHARMACY 189 S TURNPIKE RD, GOLETA, CA 93111 (805) 967-4525 CVS PHARMACY 3925 N RIVER RD, OCEANSIDE, CA (760) 757-9348 92058 CVS PHARMACY 82270 US HIGHWAY 111, INDIO, CA (760) 342-2008 92201 CVS PHARMACY 864 SWARTHMORE AVE, PACIFIC (310) 459-7581 PALISADES, CA 90272 CVS PHARMACY 7191 WARNER AVE, HUNTINGTON (714) 841-5118 BEACH, CA 92647 CVS PHARMACY 74955 US HIGHWAY 111, INDIAN WELLS, (760) 346-4464 CA 92210 CVS PHARMACY 211 W BASELINE RD, RIALTO, CA 92376 (909) 874-8002

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 154 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 21761 LAKE FOREST DR, LAKE FOREST, (949) 855-8307 CA 92630 CVS PHARMACY 30842 S PACIFIC COAST HWY, LAGUNA (949) 499-2277 BEACH, CA 92651 CVS PHARMACY 900 N LAKE AVE, PASADENA, CA 91104 (626) 794-4714 CVS PHARMACY 220 E COMPTON BLVD, COMPTON, CA (310) 604-1747 90220 CVS PHARMACY 5960 PACIFIC BLVD, HUNTINGTON (323) 589-6703 PARK, CA 90255 CVS PHARMACY 1645 E 103RD ST, LOS ANGELES, CA (323) 564-5787 90002 CVS PHARMACY 101 REDLANDS MALL, REDLANDS, CA (909) 792-9684 92373 CVS PHARMACY 318 W EL NORTE PKWY, ESCONDIDO, (760) 489-1505 CA 92026 CVS PHARMACY 11851 ARTESIA BLVD, ARTESIA, CA (562) 924-7697 90701 CVS PHARMACY 13303 SOUTH ST, CERRITOS, CA 90703 (562) 865-0612 CVS PHARMACY 611 S BROOKHURST ST, ANAHEIM, CA (714) 778-3123 92804 CVS PHARMACY 2011 E LA PALMA AVE, ANAHEIM, CA (714) 991-9161 92806 CVS PHARMACY 312 N EUCLID ST, FULLERTON, CA (714) 870-1444 92832 CVS PHARMACY 15520 GOLDENWEST ST, HUNTINGTON (714) 373-4352 BEACH, CA 92647 CVS PHARMACY 2138 N TUSTIN AVE, ORANGE, CA 92865 (714) 998-3812 CVS PHARMACY 1240 E YORBA LINDA BLVD, (714) 996-7050 PLACENTIA, CA 92870 CVS PHARMACY 921 PACIFIC COAST HWY, SEAL BEACH, (562) 598-0473 CA 90740 CVS PHARMACY 17642 E 17TH ST, TUSTIN, CA 92780 (714) 832-1850 CVS PHARMACY 596 LONG BEACH BLVD, LONG BEACH, (562) 432-3530 CA 90802 CVS PHARMACY 2427 E VALLEY PKWY, ESCONDIDO, CA (760) 745-2503 92027 CVS PHARMACY 228 N HARBOR BLVD, SANTA ANA, CA (714) 554-7120 92703 CVS PHARMACY 2532 W VALLEY BLVD, ALHAMBRA, CA (626) 308-1001 91803 CVS PHARMACY 4404 EL CAJON BLVD, SAN DIEGO, CA (619) 280-5006 92115 CVS PHARMACY 4501 W SLAUSON AVE, LOS ANGELES, (323) 292-4114 CA 90043 CVS PHARMACY 6588 FOOTHILL BLVD, TUJUNGA, CA (818) 446-0647 91042 CVS PHARMACY 6000 ATLANTIC AVE, LONG BEACH, CA (562) 428-2821 90805 CVS PHARMACY 2141 S HACIENDA BLVD, HACIENDA (626) 330-8775 HEIGHTS, CA 91745 CVS PHARMACY 1183 MAGNOLIA AVE, CORONA, CA (951) 272-4427 92879 CVS PHARMACY 23841 MALIBU RD, MALIBU, CA 90265 (310) 456-9645 CVS PHARMACY 29610 RANCHO CALIFORNIA RD, (951) 699-0192 TEMECULA, CA 92591 CVS PHARMACY 3120 W IMPERIAL HWY, INGLEWOOD, (310) 676-1183 CA 90303 CVS PHARMACY 311C W PACIFIC COAST HWY, (310) 513-0760 WILMINGTON, CA 90744 CVS PHARMACY 727 S ARROYO PKWY, PASADENA, CA (626) 795-3810 91105 CVS PHARMACY 425 SUNRISE WAY S, PALM SPRINGS, (760) 322-2784 CA 92262

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 155 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 26861 SIERRA HWY, SANTA CLARITA, (661) 251-7346 CA 91321 CVS PHARMACY 11426 WASHINGTON BLVD, WHITTIER, (562) 695-4474 CA 90606 CVS PHARMACY 3332 SANDROCK RD, SAN DIEGO, CA (858) 278-0047 92123 CVS PHARMACY 491 E ALESSANDRO BLVD, RIVERSIDE, (951) 780-1835 CA 92508 CVS PHARMACY 11011 ALONDRA BLVD, NORWALK, CA (562) 864-2427 90650 CVS PHARMACY 20 E ORANGE GROVE BLVD, (626) 795-6609 PASADENA, CA 91103 CVS PHARMACY 2419 WORKMAN ST, LOS ANGELES, CA (323) 223-9059 90031 CVS PHARMACY 6775 QUAIL HILL PKWY, IRVINE, CA (949) 823-8915 92603 CVS PHARMACY 5969 N LANKERSHIM BLVD, NORTH (818) 761-4235 HOLLYWOOD, CA 91601 CVS PHARMACY 8530 RESEDA BLVD, NORTHRIDGE, CA (818) 341-7104 91324 CVS PHARMACY 102 N MAIN ST, SANTA ANA, CA 92701 (714) 543-4025 CVS PHARMACY 1485 S GAREY AVE, POMONA, CA 91766 (909) 623-0562 CVS PHARMACY 10889 WELLWORTH AVE, LOS (310) 474-2152 ANGELES, CA 90024 CVS PHARMACY 4345 W CENTURY BLVD, INGLEWOOD, (310) 672-6078 CA 90304 CVS PHARMACY 16 3RD AVE EXT, CHULA VISTA, CA (619) 425-1910 91910 CVS PHARMACY 3800 MLK JR BLVD, LYNWOOD, CA (310) 637-2509 90262 CVS PHARMACY 27983 SECO CANYON RD, SANTA (661) 296-0436 CLARITA, CA 91350 CVS PHARMACY 43839 15TH ST W STE P, LANCASTER, (661) 942-0607 CA 93534 CVS PHARMACY 426 E CHASE AVE, EL CAJON, CA 92020 (619) 447-1069 CVS PHARMACY 901 S CENTRAL AVE, COMPTON, CA (310) 609-1304 90220 CVS PHARMACY 18080 IMPERIAL HWY, YORBA LINDA, (714) 961-1054 CA 92886 CVS PHARMACY 1003 E DEVONSHIRE AVE, HEMET, CA (951) 658-2348 92543 CVS PHARMACY 700 S GAFFEY ST, SAN PEDRO, CA (310) 514-2003 90731 CVS PHARMACY 3350 PALM AVE, SAN DIEGO, CA 92154 (619) 424-7030 CVS PHARMACY 222 W CARRILLO ST, SANTA BARBARA, (805) 965-9632 CA 93101 CVS PHARMACY 12071 MT VERNON AVE, GRAND (909) 514-0287 TERRACE, CA 92313 CVS PHARMACY 7021 HOLLYWOOD BLVD, LOS (323) 836-0307 ANGELES, CA 90028 CVS PHARMACY 6405 DAY ST, RIVERSIDE, CA 92507 (951) 697-5656 CVS PHARMACY 2169 W REDONDO BEACH BLVD, (310) 515-3783 GARDENA, CA 90247 CVS PHARMACY 2831 E EASTLAND CTR DR, WEST (626) 257-2287 COVINA, CA 91791 CVS PHARMACY 1150 EL CAMINO REAL, SAN BRUNO, CA (650) 825-2115 94066 CVS PHARMACY 2040 CALIFORNIA AVE, SAND CITY, CA (831) 583-9110 93955 CVS PHARMACY 900 SPECTRUM CENTER DR, IRVINE, (949) 885-0115 CA 92618 CVS PHARMACY 3155 SILVER CREEK RD, SAN JOSE, CA (408) 238-6070 95121

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 156 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 29985 CANYON HILLS RD, LAKE (951) 244-6001 ELSINORE, CA 92532 CVS PHARMACY 11574 LOWER AZUSA RD, EL MONTE, (626) 350-3550 CA 91732 CVS PHARMACY 102 N SAN GABRIEL BLVD, SAN (626) 237-2054 GABRIEL, CA 91775 CVS PHARMACY 15718 HAWTHORNE BLVD, LAWNDALE, (310) 970-7440 CA 90260 CVS PHARMACY 1875 N KRAEMER BLVD, PLACENTIA, CA (714) 572-5656 92870 CVS PHARMACY 31771 RANCHO CALIFORNIA RD, (951) 699-7587 TEMECULA, CA 92591 CVS PHARMACY 25829 NARBONNE AVE, LOMITA, CA (310) 517-8520 90717 CVS PHARMACY 1299 E ONTARIO AVE, CORONA, CA (951) 270-2073 92881 CVS PHARMACY 2462 FOOTHILL BLVD, LA VERNE, CA (909) 593-8184 91750 CVS PHARMACY 11051 VICTORY BLVD, NORTH (818) 487-9351 HOLLYWOOD, CA 91606 CVS PHARMACY 2305 THEATRE DR, PASO ROBLES, CA (805) 227-4304 93446 CVS PHARMACY 2220 BRIDGEPOINTE PKWY, SAN (650) 393-2126 MATEO, CA 94404 CVS PHARMACY 6700 TOPANGA CANYON BLVD, (818) 746-9923 CANOGA PARK, CA 91303 CVS PHARMACY 747 GRAND AVE, DIAMOND BAR, CA (909) 610-2150 91765 CVS PHARMACY 19661 HESPERIAN BLVD, HAYWARD, CA (510) 731-0002 94541 CVS PHARMACY 18287 COLLIER AVE, LAKE ELSINORE, (951) 674-2696 CA 92530 CVS PHARMACY 950 GROVELAND LN, LINCOLN, CA (916) 251-3003 95648 CVS PHARMACY 3943 SAN FERNANDO RD, GLENDALE, (818) 549-2270 CA 91204 CVS PHARMACY 6247 GRAHAM HILL RD, FELTON, CA (831) 335-6403 95018 CVS PHARMACY 30736 BENTON RD, WINCHESTER, CA (951) 926-1223 92596 CVS PHARMACY 1843 S LA CIENEGA BLVD, LOS (310) 558-0373 ANGELES, CA 90035 CVS PHARMACY 68010 VISTA CHINO, CATHEDRAL CITY, (760) 325-3229 CA 92234 CVS PHARMACY 846 W AVENUE K, LANCASTER, CA (661) 942-5652 93534 CVS PHARMACY 12058 PALMDALE RD, ADELANTO, CA (760) 246-2803 92301 CVS PHARMACY 25511 MUIRLANDS BLVD, MISSION (949) 454-6601 VIEJO, CA 92691 CVS PHARMACY 10560 4S COMMONS DR, SAN DIEGO, (858) 673-3460 CA 92127 CVS PHARMACY 7117 BROCKTON AVE, RIVERSIDE, CA (951) 782-3653 92506 CVS PHARMACY 255 MAIN ST, VENICE, CA 90291 (310) 399-2436 CVS PHARMACY 5420 DEWEY DR, FAIR OAKS, CA 95628 (916) 864-4803 CVS PHARMACY 4200 E 4TH ST, ONTARIO, CA 91764 (909) 579-3041 CVS PHARMACY 2005 TOWN CENTER PLZ, WEST (916) 384-0978 SACRAMENTO, CA 95691 CVS PHARMACY 3340 N TEXAS ST, FAIRFIELD, CA 94533 (707) 423-9463 CVS PHARMACY 3361 MARKET ST, RIVERSIDE, CA 92501 (951) 680-1145 CVS PHARMACY 8859 ALONDRA BLVD, PARAMOUNT, CA (562) 630-2247 90723

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 157 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 15286 SUMMIT AVE, FONTANA, CA (909) 463-9255 92336 CVS PHARMACY 31021 TEMECULA PKWY, TEMECULA, (951) 303-9417 CA 92592 CVS PHARMACY 111 E MERCED ST, FOWLER, CA 93625 (559) 834-1606 CVS PHARMACY 3151 BALDWIN PARK BLVD, BALDWIN (626) 814-3506 PARK, CA 91706 CVS PHARMACY 590 W PUTNAM AVE, PORTERVILLE, CA (559) 784-6336 93257 CVS PHARMACY 3949 PORTOLA PKWY, IRVINE, CA 92602 (714) 508-7527 CVS PHARMACY 3883 E FOOTHILL BLVD, PASADENA, CA (626) 351-0589 91107 CVS PHARMACY 2200 N HARBOR BLVD, FULLERTON, CA (714) 446-9421 92835 CVS PHARMACY 2050 CLUB CENTER DR, SACRAMENTO, (916) 928-6848 CA 95835 CVS PHARMACY 888 W ARROW HWY, SAN DIMAS, CA (909) 962-9000 91773 CVS PHARMACY 1751 UNIVERSITY DR, VISTA, CA 92083 (760) 208-6000 CVS PHARMACY 430 BLUE RAVINE RD, FOLSOM, CA (916) 850-1195 95630 CVS PHARMACY 2300 PARK AVE, TUSTIN, CA 92782 (714) 361-2101 CVS PHARMACY 1061 COCHRANE RD, MORGAN HILL, CA (408) 310-4051 95037 CVS PHARMACY 20288 US HIGHWAY 18, APPLE VALLEY, (760) 240-5501 CA 92307 CVS PHARMACY 200 WESTMINSTER MALL, (714) 657-1352 WESTMINSTER, CA 92683 CVS PHARMACY 2195 GLENDALE GALLERIA, GLENDALE, (818) 334-1401 CA 91210 CVS PHARMACY 27100 EUCALYPTUS AVE, MORENO (951) 571-8015 VALLEY, CA 92555 CVS PHARMACY 997 WOODLAND PKWY, SAN MARCOS, (760) 739-0731 CA 92069 CVS PHARMACY 123 N REINO RD, NEWBURY PARK, CA (805) 480-0314 91320 CVS PHARMACY 645 MARKET ST, SAN DIEGO, CA 92101 (619) 234-5952 CVS PHARMACY 635 S MELROSE DR, VISTA, CA 92081 (760) 643-3904 CVS PHARMACY 3171 BALFOUR RD, BRENTWOOD, CA (925) 626-3963 94513 CVS PHARMACY 1970 YOSEMITE PKWY, MERCED, CA (209) 726-4113 95341 CVS PHARMACY 2100 COLUMBUS PKWY, BENICIA, CA (707) 747-3453 94510 CVS PHARMACY 6490 CLAYTON RD, CLAYTON, CA 94517 (925) 673-2803 CVS PHARMACY 3020 GREEN VALLEY RD STE B, (530) 676-6352 CAMERON PARK, CA 95682 CVS PHARMACY 25601 JERONIMO RD, MISSION VIEJO, (949) 680-1065 CA 92691 CVS PHARMACY 4400 TOWN CENTER BLVD, EL DORADO (916) 605-0185 HILLS, CA 95762 CVS PHARMACY 1621 S ALAMEDA ST, COMPTON, CA (310) 735-0097 90220 CVS PHARMACY 2161 MONTEREY HWY, SAN JOSE, CA (408) 660-1704 95125 CVS PHARMACY 651 W SEPULVEDA BLVD, CARSON, CA (310) 507-0021 90745 CVS PHARMACY 133 GENERAL STILLWELL DR, MARINA, (831) 883-5721 CA 93933 CVS PHARMACY 11133 BALBOA BLVD, GRANADA HILLS, (818) 282-9094 CA 91344 CVS PHARMACY 2195 E PROSPERITY AVE, TULARE, CA (559) 631-1129 93274

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 158 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 850 CALIFORNIA ST, MOUNTAIN VIEW, (650) 691-4004 CA 94041 CVS PHARMACY 1496 EAST AVE, CHICO, CA 95926 (530) 896-5404 CVS PHARMACY 6800 N MILBURN AVE, FRESNO, CA (559) 451-3486 93722 CVS PHARMACY 1794 ASHLAN AVE, CLOVIS, CA 93611 (559) 294-6603 CVS PHARMACY 2370 S AZUSA AVE, WEST COVINA, CA (626) 667-5401 91792 CVS PHARMACY 245 S MILLS RD, VENTURA, CA 93003 (805) 535-2753 CVS PHARMACY 1651 BELLEVUE RD, ATWATER, CA (209) 358-3304 95301 CVS PHARMACY 4414 YORK BLVD, LOS ANGELES, CA (323) 344-4443 90041 CVS PHARMACY 2539 N 11TH AVE, HANFORD, CA 93230 (559) 585-3960 CVS PHARMACY 7300 ALAMEDA ST, WALNUT PARK, CA (323) 583-0638 90255 CVS PHARMACY 2020 W BRIGGSMORE AVE, MODESTO, (209) 521-5713 CA 95350 CVS PHARMACY 1036 CASITAS PASS RD, CARPINTERIA, (805) 684-0260 CA 93013 CVS PHARMACY 316 PACIFIC COAST HWY, REDONDO (310) 540-9183 BEACH, CA 90277 CVS PHARMACY 2025 VAN NESS AVE, SAN FRANCISCO, (415) 353-5705 CA 94109 CVS PHARMACY 109 S WEST ST, TULARE, CA 93274 (559) 687-1953 CVS PHARMACY 2705 TELLER RD, THOUSAND OAKS, CA (805) 716-1040 91320 CVS PHARMACY 5837 SUNRISE BLVD, CITRUS HEIGHTS, (916) 526-0302 CA 95610 CVS PHARMACY 4500 MACDONALD AVE, RICHMOND, CA (510) 253-1001 94805 CVS PHARMACY 16858 GOLDEN VALLEY PKWY, (209) 242-5042 LATHROP, CA 95330 CVS PHARMACY 38019 47TH ST E, PALMDALE, CA 93552 (661) 998-2501 CVS PHARMACY 1405 W PACHECO BLVD, LOS BANOS, (209) 827-2081 CA 93635 CVS PHARMACY 1000 COMMERCE AVE, ATWATER, CA (209) 357-4821 95301 CVS PHARMACY 2185 BRONZE STAR DR, WOODLAND, (530) 665-4149 CA 95776 CVS PHARMACY 101 S EUCLID ST, ANAHEIM, CA 92802 (714) 422-1121 CVS PHARMACY 5495 LA JOLLA BLVD, LA JOLLA, CA (858) 456-4833 92037 CVS PHARMACY 42150 JACKSON ST BLDG A, INDIO, CA (760) 347-0326 92203 CVS PHARMACY 27310 BASELINE ST, HIGHLAND, CA (909) 862-4048 92346 CVS PHARMACY 800 N WESTWOOD ST, PORTERVILLE, (559) 784-2876 CA 93257 CVS PHARMACY 2700 W 120TH ST, HAWTHORNE, CA (323) 492-1001 90250 CVS PHARMACY 1363 W HENDERSON AVE, (559) 719-2204 PORTERVILLE, CA 93257 CVS PHARMACY 6750 CHERRY AVE, LONG BEACH, CA (562) 295-2972 90805 CVS PHARMACY 5680 BALBOA AVE, SAN DIEGO, CA (858) 309-6565 92111 CVS PHARMACY 12795 MAIN ST, HESPERIA, CA 92345 (760) 949-3064 CVS PHARMACY 3308 N DINUBA BLVD, VISALIA, CA (559) 302-1851 93291 CVS PHARMACY 1701 N GAFFEY ST, SAN PEDRO, CA (310) 507-6290 90731 CVS PHARMACY 30340 HAUN RD, MENIFEE, CA 92584 (951) 723-6152

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 159 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 53 E OLIVE AVE, PORTERVILLE, CA (559) 791-9238 93257 CVS PHARMACY 333 ACADEMY AVE, SANGER, CA 93657 (559) 875-2044 CVS PHARMACY 2911 JAMACHA RD RANCHO, EL CAJON, (619) 315-0016 CA 92019 CVS PHARMACY 1415 MAIN ST, WATSONVILLE, CA 95076 (831) 740-4283 CVS PHARMACY 1385 TAVERN RD, ALPINE, CA 91901 (619) 445-6904 CVS PHARMACY 84010 AVENUE 50, COACHELLA, CA (760) 391-5656 92236 CVS PHARMACY 21590 E VALLEY BLVD, CITY OF (909) 444-7807 INDUSTRY, CA 91789 CVS PHARMACY 11950 DEPALMA RD, CORONA, CA (951) 603-0855 92883 CVS PHARMACY 510 C ST, SAN DIEGO, CA 92101 (619) 615-0263 CVS PHARMACY 1102 N DEMAREE ST, VISALIA, CA 93291 (559) 738-8629 CVS PHARMACY 2175 E BARDSLEY AVE, TULARE, CA (559) 685-0123 93274 CVS PHARMACY 155 5TH ST STE 175, HUNTINGTON (714) 536-6145 BEACH, CA 92648 CVS PHARMACY 19105 GOLDEN VALLEY RD, SANTA (661) 977-5155 CLARITA, CA 91387 CVS PHARMACY 5180 E KINGS CANYON RD, FRESNO, (559) 255-9009 CA 93727 CVS PHARMACY 1954 DURFEE AVE, SOUTH EL MONTE, (626) 350-5705 CA 91733 CVS PHARMACY 291 S COOMBS ST, NAPA, CA 94559 (707) 252-0101 CVS PHARMACY 3301 ZINFANDEL DR, RANCHO (916) 852-8332 CORDOVA, CA 95670 CVS PHARMACY 27818 CLINTON KEITH RD, MURRIETA, (951) 704-1124 CA 92562 CVS PHARMACY 3150 BUSINESS PARK DR, VISTA, CA (760) 208-6112 92081 CVS PHARMACY 5184 STOCKDALE HWY, BAKERSFIELD, (661) 633-2066 CA 93309 CVS PHARMACY 44075 JEFFERSON ST, LA QUINTA, CA (760) 772-2969 92253 CVS PHARMACY 3290 CHINO HILLS PKWY, CHINO HILLS, (909) 597-3898 CA 91709 CVS PHARMACY 6500 NILES ST, BAKERSFIELD, CA 93306 (661) 363-6384 CVS PHARMACY 1175 W LATHROP RD, MANTECA, CA (209) 825-4685 95336 CVS PHARMACY 4601 2ND ST, DAVIS, CA 95618 (530) 761-0127 CVS PHARMACY 11000 STOCKDALE HWY, (661) 617-3658 BAKERSFIELD, CA 93311 CVS PHARMACY 6000 SEPULVEDA BLVD, CULVER CITY, (310) 754-4615 CA 90230 CVS PHARMACY 855 E BIRCH ST, BREA, CA 92821 (714) 989-5014 CVS PHARMACY 298 W MC KINLEY AVE, SUNNYVALE, CA (408) 702-1013 94086 CVS PHARMACY 10881 OLSON DR, RANCHO CORDOVA, (916) 503-2513 CA 95670 CVS PHARMACY 4987 N FRESNO ST, FRESNO, CA 93726 (559) 227-7137 CVS PHARMACY 6500 S UNION AVE, BAKERSFIELD, CA (661) 835-8371 93307 CVS PHARMACY 3100 GEER RD, TURLOCK, CA 95382 (209) 664-1121 CVS PHARMACY 102 S SANDERSON AVE, SAN JACINTO, (951) 487-9185 CA 92582 CVS PHARMACY 625 ELMIRA RD, VACAVILLE, CA 95687 (707) 451-0285 CVS PHARMACY 5070 WEST LN, STOCKTON, CA 95210 (209) 472-9684 CVS PHARMACY 1925 DOUGLAS BLVD, ROSEVILLE, CA (916) 786-8992 95661 CVS PHARMACY 950 E 33RD ST, SIGNAL HILL, CA 90755 (562) 257-1033

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 160 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 5600 E WHITTIER BLVD, COMMERCE, (323) 725-7861 CA 90022 CVS PHARMACY 3420 CAMINO TASSAJARA, DANVILLE, (925) 736-0262 CA 94506 CVS PHARMACY 670 EL CERRITO PLZ, EL CERRITO, CA (510) 524-5895 94530 CVS PHARMACY 4020 FREMONT HUB, FREMONT, CA (510) 797-5505 94538 CVS PHARMACY 2314 SANTA CLARA AVE, ALAMEDA, CA (510) 523-4929 94501 CVS PHARMACY 175 41ST ST, OAKLAND, CA 94611 (510) 658-3496 CVS PHARMACY 3320 FRUITVALE AVE, OAKLAND, CA (510) 530-3156 94602 CVS PHARMACY 2677 CLAYTON RD, CONCORD, CA (925) 689-2398 94519 CVS PHARMACY 1617 CANYON DR, PINOLE, CA 94564 (510) 724-8880 CVS PHARMACY 1123 S CALIFORNIA BLVD, WALNUT (925) 933-8353 CREEK, CA 94596 CVS PHARMACY 35720 FREMONT BLVD, FREMONT, CA (510) 792-5100 94536 CVS PHARMACY 243 W JACKSON ST, HAYWARD, CA (510) 783-0330 94544 CVS PHARMACY 1707 GRANT AVE, NOVATO, CA 94945 (415) 897-4171 CVS PHARMACY 880 SIR FRANCIS DRAKE BLVD, SAN (415) 456-9900 ANSELMO, CA 94960 CVS PHARMACY 300 TRAVIS BLVD, FAIRFIELD, CA 94533 (707) 422-3460 CVS PHARMACY 2075 MENDOCINO AVE, SANTA ROSA, (707) 542-4182 CA 95401 CVS PHARMACY 442 LAS GALLINAS AVE, SAN RAFAEL, (415) 479-9171 CA 94903 CVS PHARMACY 801 EAST AVE, CHICO, CA 95926 (530) 345-1363 CVS PHARMACY 100 W LODI AVE, LODI, CA 95240 (209) 369-3648 CVS PHARMACY 600 FRONT ST, SANTA CRUZ, CA 95060 (831) 426-7444 CVS PHARMACY 347 E ALISAL ST, SALINAS, CA 93901 (831) 424-0026 CVS PHARMACY 1750 41ST AVE, CAPITOLA, CA 95010 (831) 476-0400 CVS PHARMACY 6 THE CROSSROADS, CARMEL, CA (831) 624-0148 93923 CVS PHARMACY 77 BOVET RD, SAN MATEO, CA 94402 (650) 349-6303 CVS PHARMACY 375 GELLERT BLVD, DALY CITY, CA (650) 994-0752 94015 CVS PHARMACY 1700 MCHENRY AVE, MODESTO, CA (209) 529-4813 95350 CVS PHARMACY 1302 FULTON MALL, FRESNO, CA 93721 (559) 233-7311 CVS PHARMACY 3011 E SHIELDS AVE, FRESNO, CA (559) 224-2965 93726 CVS PHARMACY 1325 W SHIELDS AVE, FRESNO, CA (559) 224-6963 93705 CVS PHARMACY 3619 W CALDWELL AVE, VISALIA, CA (559) 732-5971 93277 CVS PHARMACY 575 S CITRUS AVE, COVINA, CA 91723 (626) 331-0036 CVS PHARMACY 1540 E HIGHLAND AVE, SAN (909) 886-4981 BERNARDINO, CA 92404 CVS PHARMACY 901 SILVER SPUR RD, ROLLING HILLS, (310) 377-6745 CA 90274 CVS PHARMACY 5685 BALBOA AVE, SAN DIEGO, CA (858) 279-2860 92111 CVS PHARMACY 5500 GROSSMONT CENTER DR, LA (619) 465-1011 MESA, CA 91942 CVS PHARMACY 40044 HIGHWAY 49 STE F, OAKHURST, (559) 642-4227 CA 93644 CVS PHARMACY 750 BLOSSOM HILL RD, LOS GATOS, CA (408) 356-3464 95032 CVS PHARMACY 3375 PLACER ST, REDDING, CA 96001 (530) 241-7328

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 161 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 929 SIERRA ST, KINGSBURG, CA 93631 (559) 897-0290 CVS PHARMACY 4445 MISSION BLVD, SAN DIEGO, CA (858) 273-0900 92109 CVS PHARMACY 3950 W POINT LOMA BLVD, SAN DIEGO, (619) 523-1440 CA 92110 CVS PHARMACY 8900 SEPULVEDA WESTWAY, LOS (310) 258-0265 ANGELES, CA 90045 CVS PHARMACY 9479 MADISON AVE, FOLSOM, CA 95630 (916) 987-0342 CVS PHARMACY 30640 RANCHO CALIFORNIA RD, (951) 695-1713 TEMECULA, CA 92591 CVS PHARMACY 4077 W CLINTON AVE, FRESNO, CA (559) 271-3177 93722 CVS PHARMACY 1400 HOWARD RD, MADERA, CA 93637 (559) 661-8380 CVS PHARMACY 1798 MIRAMONTE AVE, MOUNTAIN (650) 969-6297 VIEW, CA 94040 CVS PHARMACY 2701 MIDDLEFIELD RD, PALO ALTO, CA (650) 330-0132 94306 CVS PHARMACY 1621 LANDER AVE, TURLOCK, CA 95380 (209) 669-6446 CVS PHARMACY 6668 ALHAMBRA AVE, MARTINEZ, CA (925) 935-9430 94553 CVS PHARMACY 4100 REDWOOD RD, OAKLAND, CA (510) 531-0602 94619 CVS PHARMACY 6635 FALLBROOK AVE, WEST HILLS, CA (818) 888-5861 91307 CVS PHARMACY 555 SHOWERS DR, MOUNTAIN VIEW, (650) 965-0129 CA 94040 CVS PHARMACY 3750 BARRANCA PKWY, IRVINE, CA (949) 786-2414 92606 CVS PHARMACY 1043 EMERALD BAY RD, SOUTH LAKE (530) 544-1445 TAHOE, CA 96150 CVS PHARMACY 1041 EL MONTE AVE, MOUNTAIN VIEW, (650) 961-5560 CA 94040 CVS PHARMACY 9120 ALCOSTA BLVD, SAN RAMON, CA (925) 829-9335 94583 CVS PHARMACY 16922 BOLSA CHICA ST, HUNTINGTON (714) 377-8956 BEACH, CA 92649 CVS PHARMACY 2069 CAMDEN AVE, SAN JOSE, CA (408) 559-1450 95124 CVS PHARMACY 150 S MAIN ST, FORT BRAGG, CA 95437 (707) 961-0464 CVS PHARMACY 1107 N WILLOW AVE, CLOVIS, CA 93611 (559) 322-0340 CVS PHARMACY 8063 SAN MIGUEL CANYON RD, (831) 663-2135 SALINAS, CA 93907 CVS PHARMACY 14869 E 14TH ST, SAN LEANDRO, CA (510) 351-1492 94578 CVS PHARMACY 1111 S CLOVERDALE BLVD, (707) 894-5206 CLOVERDALE, CA 95425 CVS PHARMACY 27251 LA PAZ RD, LAGUNA NIGUEL, CA (949) 831-4313 92677 CVS PHARMACY 2771 4TH ST, SANTA ROSA, CA 95405 (707) 528-3311 CVS PHARMACY 649 W OLIVE AVE, MERCED, CA 95348 (209) 723-4303 CVS PHARMACY 691 3RD AVE, CHULA VISTA, CA 91910 (619) 426-3811 CVS PHARMACY 1550 E 14TH ST, SAN LEANDRO, CA (510) 351-7957 94577 CVS PHARMACY 18441 VENTURA BLVD, TARZANA, CA (818) 996-1000 91356 CVS PHARMACY 1005 E BIDWELL ST, FOLSOM, CA 95630 (916) 983-5366 CVS PHARMACY 901 N CARPENTER RD STE 30, (209) 575-2429 MODESTO, CA 95351 CVS PHARMACY 2630 W EL CAMINO REAL, MOUNTAIN (650) 941-8430 VIEW, CA 94040 CVS PHARMACY 728 W SHAW AVE, FRESNO, CA 93704 (559) 226-1485 CVS PHARMACY 1301 BROADWAY ST, REDWOOD CITY, (650) 364-2111 CA 94063

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 162 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 1665 E VALLEY PKWY, ESCONDIDO, CA (760) 747-2500 92027 CVS PHARMACY 445 CASTRO ST, SAN FRANCISCO, CA (415) 864-7030 94114 CVS PHARMACY 3338 ARDEN WAY, SACRAMENTO, CA (916) 480-0351 95825 CVS PHARMACY 200 E HIGHWAY 12 STE D, VALLEY (209) 772-9681 SPRINGS, CA 95252 CVS PHARMACY 4707 PACIFIC AVE, STOCKTON, CA (209) 954-9178 95207 CVS PHARMACY 1105 MYRTLE AVE, EUREKA, CA 95501 (707) 443-5081 CVS PHARMACY 1871 N MAIN ST, WALNUT CREEK, CA (925) 979-0095 94596 CVS PHARMACY 906 E ST, MARYSVILLE, CA 95901 (530) 742-5103 CVS PHARMACY 344 20TH ST, OAKLAND, CA 94612 (510) 832-8384 CVS PHARMACY 13200 JAMBOREE RD, IRVINE, CA 92602 (714) 838-7433 CVS PHARMACY 727 S GLENDORA AVE, WEST COVINA, (626) 337-7284 CA 91790 CVS PHARMACY 576 E EL CAMINO REAL, SUNNYVALE, (408) 739-4620 CA 94087 CVS PHARMACY 9280 SIERRA COLLEGE BLVD, (916) 772-5313 ROSEVILLE, CA 95661 CVS PHARMACY 2170 N FREMONT ST, MONTEREY, CA (831) 375-5135 93940 CVS PHARMACY 7525 EADS AVE, LA JOLLA, CA 92037 (858) 551-8698 CVS PHARMACY 490 RODRIGUEZ ST, WATSONVILLE, CA (831) 722-9454 95076 CVS PHARMACY 3625 MT DIABLO BLVD, LAFAYETTE, CA (925) 284-7121 94549 CVS PHARMACY 3081 STEVENS CREEK BLVD, SANTA (408) 241-5141 CLARA, CA 95050 CVS PHARMACY 872 N DELAWARE ST, SAN MATEO, CA (650) 342-7448 94401 CVS PHARMACY 1113 E CHAMPLAIN AVE, FRESNO, CA (559) 434-2158 93720 CVS PHARMACY 3158 DANVILLE BLVD, ALAMO, CA 94507 (925) 314-9714 CVS PHARMACY 1720 S BASCOM AVE, CAMPBELL, CA (408) 371-7191 95008 CVS PHARMACY 2700 HOMESTEAD RD, SANTA CLARA, (408) 247-8700 CA 95051 CVS PHARMACY 5040 LAGUNA BLVD, ELK GROVE, CA (916) 684-6822 95758 CVS PHARMACY 1587 W EL CAMINO AVE, SACRAMENTO, (916) 568-1667 CA 95833 CVS PHARMACY 8861 GREENBACK LN, ORANGEVALE, (916) 989-4001 CA 95662 CVS PHARMACY 4785 GRANITE DR, ROCKLIN, CA 95677 (916) 624-8286 CVS PHARMACY 50 MORAGA WAY, ORINDA, CA 94563 (925) 254-4956 CVS PHARMACY 187 NIBLICK RD, PASO ROBLES, CA (805) 238-2947 93446 CVS PHARMACY 3500 PALMER DR, CAMERON PARK, CA (530) 676-0171 95682 CVS PHARMACY 20180 HIGHWAY 18, APPLE VALLEY, CA (760) 946-3335 92307 CVS PHARMACY 6450 PONY EXPRESS TRL, POLLOCK (530) 647-8013 PINES, CA 95726 CVS PHARMACY 1401 WASHINGTON AVE, SAN (510) 483-2810 LEANDRO, CA 94577 CVS PHARMACY 1451 SHATTUCK AVE, BERKELEY, CA (510) 849-0484 94709 CVS PHARMACY 7201 REGIONAL ST, DUBLIN, CA 94568 (925) 828-3823 CVS PHARMACY 4424 TREAT BLVD, CONCORD, CA 94521 (925) 676-4040

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 163 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 5090 FOOTHILLS BLVD, ROSEVILLE, CA (916) 783-1355 95747 CVS PHARMACY 1175 2ND ST, BRENTWOOD, CA 94513 (925) 634-8045 CVS PHARMACY 10 BAYHILL SHOPPING CTR, SAN (650) 873-9522 BRUNO, CA 94066 CVS PHARMACY 10650 SAN PABLO AVE, EL CERRITO, (510) 527-3210 CA 94530 CVS PHARMACY 365 E WASHINGTON ST, PETALUMA, CA (707) 778-6722 94952 CVS PHARMACY 675 TRANCAS ST, NAPA, CA 94558 (707) 252-2844 CVS PHARMACY 600 F ST, ARCATA, CA 95521 (707) 822-2479 CVS PHARMACY 35080 NEWARK BLVD, NEWARK, CA (510) 796-4050 94560 CVS PHARMACY 10 SHAW AVE, CLOVIS, CA 93612 (559) 299-9511 CVS PHARMACY 1800 SARATOGA AVE, SAN JOSE, CA (408) 253-3352 95129 CVS PHARMACY 268 RESERVATION RD, MARINA, CA (831) 384-1605 93933 CVS PHARMACY 1455 E NOBLE AVE, VISALIA, CA 93292 (559) 636-1603 CVS PHARMACY 17579 VIERRA CANYON RD, SALINAS, (831) 663-3861 CA 93907 CVS PHARMACY 1140 S MAIN ST, SALINAS, CA 93901 (831) 422-8511 CVS PHARMACY 1966 MAIN ST, WATSONVILLE, CA 95076 (831) 722-1782 CVS PHARMACY 650 SAN RAMON VALLEY BLVD, (925) 820-3222 DANVILLE, CA 94526 CVS PHARMACY 30261 GOLDEN LANTERN, LAGUNA (949) 363-0482 NIGUEL, CA 92677 CVS PHARMACY 1570 ROSECRANS AVE, MANHATTAN (310) 536-9255 BEACH, CA 90266 CVS PHARMACY 8490 BEVERLY BLVD, LOS ANGELES, (323) 653-4616 CA 90048 CVS PHARMACY 2780 ESPLANADE, CHICO, CA 95973 (530) 345-9009 CVS PHARMACY 1302 W MISSION RD, SAN MARCOS, CA (760) 471-7205 92069 CVS PHARMACY 1205 S OXNARD BLVD, OXNARD, CA (805) 483-6510 93030 CVS PHARMACY 8400 BRADSHAW RD, ELK GROVE, CA (916) 689-1124 95624 CVS PHARMACY 14967 W WHITESBRIDGE AVE, KERMAN, (559) 842-0030 CA 93630 CVS PHARMACY 5001 JUNIPERO SERRA BLVD, COLMA, (415) 570-0011 CA 94014 CVS PHARMACY 3401 KATELLA AVE, LOS ALAMITOS, CA (562) 430-2026 90720 CVS PHARMACY 9628 ROSEDALE HWY, BAKERSFIELD, (661) 587-3705 CA 93312 CVS PHARMACY 909 GRAND ST, SAN RAFAEL, CA 94901 (415) 258-1649 CVS PHARMACY 809 N AZUSA AVE, AZUSA, CA 91702 (626) 629-1122 CVS PHARMACY 95 HOLGER WAY, SAN JOSE, CA 95134 (408) 834-1528 CVS PHARMACY 6507 4TH AVE, SACRAMENTO, CA 95817 (916) 503-3679 CVS PHARMACY 51 TIERRA REJADA RD, SIMI VALLEY, (805) 416-5791 CA 93065 CVS PHARMACY 14426 PALMDALE RD, VICTORVILLE, CA (760) 243-1771 92392 CVS PHARMACY 3335 S FIGUEROA ST STE Q, LOS (213) 742-6765 ANGELES, CA 90007 CVS PHARMACY 731 MARKET ST, SAN FRANCISCO, CA (415) 243-0273 94103 CVS PHARMACY 23743 JACKSON AVE, MURRIETA, CA (951) 600-0692 92562 CVS PHARMACY 4028 LONE TREE WAY, ANTIOCH, CA (925) 978-0276 94531

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 164 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 19701 VANOWEN ST, WINNETKA, CA (818) 716-1218 91306 CVS PHARMACY 1555 40TH ST, EMERYVILLE, CA 94608 (510) 285-0560 CVS PHARMACY 1771 PLEASANT GROVE BLVD, (916) 772-2212 ROSEVILLE, CA 95747 CVS PHARMACY 377 32ND AVE, SAN FRANCISCO, CA (415) 666-3153 94121 CVS PHARMACY 2850 N OXNARD BLVD, OXNARD, CA (805) 288-3643 93036 CVS PHARMACY 11990 LOS OSOS VALLEY RD, SAN LUIS (805) 858-9903 OBISPO, CA 93405 CVS PHARMACY 4744 LANKERSHIM BLVD, NORTH (818) 505-0484 HOLLYWOOD, CA 91602 CVS PHARMACY 16461 VENTURA BLVD, ENCINO, CA (818) 986-2117 91436 CVS PHARMACY 1010 N EL CAMINO REAL, ENCINITAS, (760) 697-9107 CA 92024 CVS PHARMACY 14220 SCHLEISMAN RD, EASTVALE, CA (951) 340-0875 92880 CVS PHARMACY 2800 DUBLIN BLVD, DUBLIN, CA 94568 (925) 241-1043 CVS PHARMACY 990 AVENIDA VISTA HERMOSA, SAN (949) 456-8669 CLEMENTE, CA 92673 CVS PHARMACY 8251 MIRA MESA BLVD, SAN DIEGO, CA (858) 357-2002 92126 CVS PHARMACY 43525 10TH ST W, LANCASTER, CA (661) 674-3126 93534 CVS PHARMACY 499 W ORANGE SHOW RD, SAN (909) 379-0003 BERNARDINO, CA 92408 CVS PHARMACY 2120 W MAIN ST, ALHAMBRA, CA 91801 (626) 863-1200 CVS PHARMACY 1120 FOREST AVE, CHICO, CA 95928 (530) 894-5112 CVS PHARMACY 11300 MING AVE, BAKERSFIELD, CA (661) 664-0187 93311 CVS PHARMACY 38012 47TH ST E, PALMDALE, CA 93552 (661) 285-1681 CVS PHARMACY 43950 PACIFIC COMMONS BLVD, (510) 771-1617 FREMONT, CA 94538 CVS PHARMACY 1599 TIBURON BLVD, TIBURON, CA (415) 435-3843 94920 CVS PHARMACY 7200 BANCROFT AVE, OAKLAND, CA (510) 569-2795 94605 CVS PHARMACY 351 CALIFORNIA ST, SAN FRANCISCO, (415) 398-2578 CA 94104 CVS PHARMACY 5995 E KINGS CANYON RD, FRESNO, (559) 252-1124 CA 93727 CVS PHARMACY 1825 41ST AVE, CAPITOLA, CA 95010 (831) 464-8647 CVS PHARMACY 581 MARKET ST, SAN FRANCISCO, CA (415) 777-1654 94105 CVS PHARMACY 5176 WHITTIER BLVD, LOS ANGELES, (323) 307-0702 CA 90022 CVS PHARMACY 5601 VAN NUYS BLVD, SHERMAN OAKS, (818) 781-0569 CA 91401 CVS PHARMACY 591 COUNTRY CLUB DR STE C, SIMI (805) 584-2053 VALLEY, CA 93065 CVS PHARMACY 789 MISSION ST, SAN FRANCISCO, CA (415) 343-6273 94103 CVS PHARMACY 735 S FIGUEROA ST, LOS ANGELES, CA (213) 330-4544 90017 CVS PHARMACY 280 E VIA RANCHO PKWY, ESCONDIDO, (760) 705-9020 CA 92025 CVS PHARMACY 4110 N 1ST ST, SAN JOSE, CA 95134 (408) 434-1839 CVS PHARMACY 16961 BEACH BLVD, HUNTINGTON (714) 841-3591 BEACH, CA 92647 CVS PHARMACY 701 PORTOLA DR, SAN FRANCISCO, CA (415) 504-6043 94127

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 165 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 303 S LA BREA AVE, LOS ANGELES, CA (323) 634-0743 90036 CVS PHARMACY 1059 HYDE ST, SAN FRANCISCO, CA (415) 346-6100 94109 CVS PHARMACY 401 KENILWORTH DR, PETALUMA, CA (707) 775-6323 94952 CVS PHARMACY 6750 BERNAL AVE, PLEASANTON, CA (925) 249-9011 94566 CVS PHARMACY 700 EL CAMINO REAL, MENLO PARK, CA (650) 566-1405 94025 CVS PHARMACY 2655 TELEGRAPH AVE, BERKELEY, CA (510) 549-9063 94704 CVS PHARMACY 1101 MARKET ST, SAN FRANCISCO, CA (415) 558-1538 94103 CVS PHARMACY 135 PIERCE ST, DALY CITY, CA 94015 (650) 992-2521 CVS PHARMACY 26973 NEWPORT RD, MENIFEE, CA (951) 301-6356 92584 CVS PHARMACY 499 HAIGHT ST, SAN FRANCISCO, CA (415) 503-0722 94117 CVS PHARMACY 2675 GEARY BLVD, SAN FRANCISCO, (415) 796-5281 CA 94118 CVS PHARMACY 125 SHORELINE PKWY, SAN RAFAEL, (415) 299-6113 CA 94901 CVS PHARMACY 701 RIO RANCHO RD, POMONA, CA (909) 634-3152 91766 CVS PHARMACY 2700 FIFTH ST, ALAMEDA, CA 94501 (510) 214-0932 CVS PHARMACY 2636 MARCONI AVE, SACRAMENTO, CA (916) 485-6917 95821 CVS PHARMACY 1303 W SEPULVEDA BLVD, TORRANCE, (310) 784-1351 CA 90501 CVS PHARMACY 4030 S WESTERN AVE, LOS ANGELES, (323) 292-7009 CA 90062 CVS PHARMACY 6265 E 2ND ST STE 101, LONG BEACH, (562) 430-6481 CA 90803 CVS PHARMACY 5837 S CENTRAL AVE, LOS ANGELES, (323) 233-2493 CA 90001 CVS PHARMACY 5104 COMMOS DR, ROCKLIN, CA 95677 (916) 251-3346 CVS PHARMACY 5630 COTTLE RD, SAN JOSE, CA 95123 (408) 600-3722 CVS PHARMACY 6655 N RIVERSIDE DR, FRESNO, CA (559) 490-5568 93722 CVS PHARMACY 1151 S HARBOR BLVD, LA HABRA, CA (714) 773-0841 90631 CVS PHARMACY 1720 CENTRAL AVE, MCKINLEYVILLE, (707) 839-5621 CA 95519 CVS PHARMACY 30740 RUSSELL RANCH RD, WESTLAKE (818) 661-2632 VILLAGE, CA 91362 CVS PHARMACY 210 W 7TH ST, LOS ANGELES, CA 90014 (213) 327-0062 CVS PHARMACY 1803 S HARBOR BLVD, ANAHEIM, CA (714) 817-9116 92802 CVS PHARMACY 1795 E LUGONIA AVE, REDLANDS, CA (909) 794-1721 92374 CVS PHARMACY 950 CODDINGTOWN CTR, SANTA ROSA, (707) 596-5588 CA 95401 CVS PHARMACY 2004 EL CAMINO REAL, SANTA CLARA, (669) 342-3321 CA 95050 CVS PHARMACY 4949 SANTA MONICA AVE, SAN DIEGO, (619) 222-1457 CA 92107 CVS PHARMACY 26059 MISSION BLVD, HAYWARD, CA (510) 886-2207 94544 CVS PHARMACY 225 BUSH ST #100, SAN FRANCISCO, (415) 365-0835 CA 94104 CVS PHARMACY 2187 SHATTUCK AVE, BERKELEY, CA (510) 982-3727 94704

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 166 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 12746 W JEFFERSON BLVD, PLAYA (310) 862-9810 VISTA, CA 90094 CVS PHARMACY 6401 MACK RD, SACRAMENTO, CA (916) 405-6900 95823 CVS PHARMACY 474 WINSTON PKWY, LIVINGSTON, CA (209) 394-6785 95334 CVS PHARMACY 2964 BROADWAY, OAKLAND, CA 94611 (510) 836-7904 CVS PHARMACY 10861 WEYBURN AVE, LOS ANGELES, (310) 893-2361 CA 90024 CVS PHARMACY 3600 GEARY BLVD, SAN FRANCISCO, (415) 668-6083 CA 94118 CVS PHARMACY 17170 CAMINO DEL SUR, SAN DIEGO, (858) 227-3919 CA 92127 CVS PHARMACY 1830 OCEAN AVE, SAN FRANCISCO, CA (415) 840-0524 94112 CVS PHARMACY 3030 GRAPE ST, SAN DIEGO, CA 92102 (619) 684-7087 CVS PHARMACY 1745 S IMPERIAL AVE, EL CENTRO, CA (760) 353-5130 92243 CVS PHARMACY 601 MISSION ST, SAN FRANCISCO, CA (415) 442-4737 94105 CVS PHARMACY 3627 E CESAR E CHAVEZ AVE, LOS (323) 268-2703 ANGELES, CA 90063 CVS PHARMACY 3710 FRANKLIN BLVD, SACRAMENTO, (916) 739-1071 CA 95820 CVS PHARMACY 6201 HOLLYWOOD BLVD, LOS (323) 467-7954 ANGELES, CA 90028 CVS PHARMACY 400 SUTTER ST, SAN FRANCISCO, CA (415) 398-2175 94108 CVS PHARMACY 6601 STINE RD, BAKERSFIELD, CA (661) 831-7386 93313 CVS PHARMACY 632 LINDERO CANYON RD, OAK PARK, (818) 889-1243 CA 91377 CVS PHARMACY 8956 FOOTHILL BLVD, RANCHO (909) 466-5032 CUCAMONGA, CA 91730 CVS PHARMACY 336 N MILPAS ST, SANTA BARBARA, CA (805) 560-0092 93103 CVS PHARMACY 603 S. LAKE AVE, PASADENA, CA 91106 (626) 844-5049 CVS PHARMACY 9665 CAMPO RD, SPRING VALLEY, CA (619) 466-4051 91977 CVS PHARMACY 19499 STEVENS CREEK BLVD, (408) 863-0411 CUPERTINO, CA 95014 CVS PHARMACY 7500 MELROSE AVE, LOS ANGELES, CA (323) 782-4209 90046 CVS PHARMACY 27749 CLINTON KEITH RD, MURRIETA, (951) 304-3479 CA 92562 CVS PHARMACY 11900 BALBOA BLVD, GRANADA HILLS, (818) 360-0374 CA 91344 CVS PHARMACY 8000 W SUNSET BLVD, LOS ANGELES, (323) 656-1477 CA 90046 CVS PHARMACY 6720 N FRESNO ST, FRESNO, CA 93710 (559) 432-2729 CVS PHARMACY 2260 E THOMPSON BLVD, VENTURA, CA (805) 648-8985 93001 CVS PHARMACY 180 DONAHUE ST, SAUSALITO, CA (415) 289-0534 94965 CVS PHARMACY 8929 PANAMA RD STE B, LAMONT, CA (661) 845-1953 93241 CVS PHARMACY 657 US HIGHWAY 101 N, CRESCENT (707) 464-5429 CITY, CA 95531 CVS PHARMACY 505 BEAR MOUNTAIN BLVD, ARVIN, CA (661) 854-3187 93203 CVS PHARMACY 3033 HUNTINGTON DR, PASADENA, CA (626) 440-1084 91107

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 167 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 16049 BASELINE AVE UNIT 1, FONTANA, (909) 829-1206 CA 92336 CVS PHARMACY 812 S GRAND AVE, LOS ANGELES, CA (213) 627-7925 90017 CVS PHARMACY 1025 E ADAMS BLVD, LOS ANGELES, CA (213) 742-6849 90011 CVS PHARMACY 125 N CENTRAL AVE, GLENDALE, CA (818) 637-2758 91203 CVS PHARMACY 866 EASTLAKE PKWY, CHULA VISTA, CA (619) 482-8959 91914 CVS PHARMACY 1775 E BAYSHORE RD, EAST PALO (650) 325-2018 ALTO, CA 94303 CVS PHARMACY 233 WINSTON DR, SAN FRANCISCO, CA (415) 664-1436 94132 CVS PHARMACY 4255 CAMPUS DR STE A150, IRVINE, CA (949) 509-9840 92612 CVS PHARMACY 3131 S HOOVER ST UNIT 9A, LOS (213) 763-0588 ANGELES, CA 90089 CVS PHARMACY 4211 EAGLE ROCK BLVD, LOS (323) 340-1435 ANGELES, CA 90065 CVS PHARMACY 10340 SEPULVEDA BLVD, MISSION (818) 361-1709 HILLS, CA 91345 CVS PHARMACY 3010 BERNAL AVE, PLEASANTON, CA (925) 462-9138 94566 CVS PHARMACY 1900 19TH AVE, SAN FRANCISCO, CA (415) 664-1834 94116 CVS PHARMACY 15180 KENSINGTON PARK DR, TUSTIN, (714) 259-7625 CA 92782 CVS PHARMACY 1414 UNIVERSITY AVE, BERKELEY, CA (510) 647-3873 94702 CVS PHARMACY 2620 E CHAPMAN AVE, ORANGE, CA (714) 639-3876 92869 CVS PHARMACY 1919 S HOOVER ST, LOS ANGELES, CA (213) 741-6099 90007 CVS PHARMACY 443 COLLEGE BLVD, OCEANSIDE, CA (760) 940-6032 92057 CVS PHARMACY 3208 E FLORENCE AVE, HUNTINGTON (323) 589-1916 PARK, CA 90255 CVS PHARMACY 799 BEACH ST, SAN FRANCISCO, CA (415) 561-0984 94109 CVS PHARMACY 402 5TH AVE, SAN DIEGO, CA 92101 (619) 744-9967 CVS PHARMACY 620 S VIRGIL AVE STE 100, LOS (213) 637-0215 ANGELES, CA 90005 CVS PHARMACY 1033 N HOLLYWOOD WAY, BURBANK, (818) 955-5816 CA 91505 CVS PHARMACY 7170 DAY CREEK BLVD, RANCHO (909) 463-7846 CUCAMONGA, CA 91739 CVS PHARMACY 2400 RIVER RD, NORCO, CA 92860 (951) 737-7221 CVS PHARMACY 1204 SAN FERNANDO RD, SAN (818) 361-2679 FERNANDO, CA 91340 CVS PHARMACY 29171 NEWPORT RD, MENIFEE, CA (951) 679-2245 92584 CVS PHARMACY 1850 5TH AVE, SAN DIEGO, CA 92101 (619) 615-0726 CVS PHARMACY 328 CENTRAL AVE, FILLMORE, CA (805) 524-0052 93015 CVS PHARMACY 500 PINE ST, SAN FRANCISCO, CA (415) 362-6318 94108 CVS PHARMACY 2222 E LINCOLN AVE, ANAHEIM, CA (714) 517-0204 92806 CVS PHARMACY 2121 W BASELINE RD, UPLAND, CA (909) 608-7833 91784 CVS PHARMACY 3029 UNIVERSITY AVE, SAN DIEGO, CA (619) 849-5396 92104

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 168 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone CVS PHARMACY 2650 GATEWAY RD, CARLSBAD, CA (760) 795-2540 92009 CVS PHARMACY 965 TOWN CENTER DR, LA CANADA (818) 952-2491 FLINTRIDGE, CA 91011 CVS PHARMACY 27551 PUERTA REAL, MISSION VIEJO, (949) 367-0465 CA 92691 CVS PHARMACY 390 N BREA BLVD, BREA, CA 92821 (714) 256-4486 CVS PHARMACY 701 VAN NESS AVE, SAN FRANCISCO, (415) 848-1088 CA 94102 CVS PHARMACY 1023 4TH AVE, SAN DIEGO, CA 92101 (619) 849-3732 CVS PHARMACY 7030 HOLLISTER AVE, GOLETA, CA (805) 562-1480 93117 CVS PHARMACY 11800 SANTA MONICA BLVD, LOS (310) 295-3946 ANGELES, CA 90025 CVS PHARMACY 2115 ARTESIA BLVD, REDONDO BEACH, (424) 408-6006 CA 90278 CVS PHARMACY 399 GEARY ST, SAN FRANCISCO, CA (415) 268-9949 94102 CVS PHARMACY 43418 STATE HIGHWAY 74, HEMET, CA (951) 927-2584 92544 CVS PHARMACY 110 E STETSON AVE, HEMET, CA 92543 (951) 766-1618 CVS PHARMACY 1871 EL CAMINO REAL, BURLINGAME, (650) 692-5065 CA 94010 CVS PHARMACY 1063 C ST, GALT, CA 95632 (209) 745-9534 CVS PHARMACY 4852 S BRADLEY RD, SANTA MARIA, CA (805) 938-9994 93455 CVS PHARMACY 1109 STATE ST, SANTA BARBARA, CA (805) 564-3267 93101 CVS PHARMACY 8585 ELK GROVE BLVD, ELK GROVE, (916) 686-5193 CA 95624 CVS PHARMACY 809 BAY AVE, CAPITOLA, CA 95010 (831) 475-1421 CVS PHARMACY 1685 TULLY RD, SAN JOSE, CA 95122 (408) 923-6616 CVS PHARMACY 1097 LEIGH AVE, SAN JOSE, CA 95126 (408) 294-2240 CVS PHARMACY 2085 FAIR OAKS BLVD, SACRAMENTO, (916) 929-9577 CA 95825 CYNOB PHARMACY PHARMACY 13041 ROSECRANS AVE STE 206, (562) 474-8322 NORWALK, CA 90650 CYPRESS COAST PHYSICAL PHYSICAL THERAPY 2000 GARDEN RD, MONTEREY, CA (831) 375-1885 THERAPY 93940-5313 CYPRESS URGENT CARE CYPRESS URGENT CARE URGENT CARE FACILITY 6876 KATELLA AVE, CYPRESS, CA (714) 903-8900 (BCC) 90630 CYRUS, BRANDON - AUD ADVANCED HEARING AUDIOLOGY 1275 LINCOLN AVE STE 170, SAN (800) 598-5300 PROVIDERS LLC JOSE, CA 95125 CYRUS, BRANDON - AUD ADVANCED HEARING AUDIOLOGY 877 W FREMONT AVE , SUNNYVALE , (800) 598-5300 PROVIDERS LLC CA 94087 CZAJKOWSKI, DANIEL - PT COMPLETE CARE PHYSICAL PHYSICAL THERAPY 35900 BOB HOPE DR STE 115, RANCHO (760) 832-6569 THERAPY MIRAGE, CA 92270 CZAJKOWSKI, DANIEL - PT COMPLETE CARE PHYSICAL PHYSICAL THERAPY 552 S PASEO DOROTEA STE 4, PALM (760) 325-5950 THERAPY SPRINGS, CA 92264 CZEHATOWSKI, MICHAEL - LAC REDDING OCCUPATIONAL ACUPUNCTURE 1710 CHURN CREEK RD, REDDING, CA (530) 646-4242 MEDICAL CENTER 96002 CZEHATOWSKI, MICHEL - LAC EMERYVILLE OCCUPATIONAL ACUPUNCTURE 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 D'AMBROSIO, FRANK - PT WEST POINT PHYSICIAL PHYSICAL THERAPY 1115 W AVENUE M14, PALMDALE, CA (661) 265-0060 THERAPY CENTER 93551 D'AMBROSIO, FRANK - PT WEST POINT PHYSICIAL PHYSICAL THERAPY 1431 W ROSAMOND BLVD STE 11, (661) 256-2700 THERAPY CENTER ROSAMOND, CA 93560 D'ARC, BRENT W - MD (BCC) RIVERSIDE MEDICAL CLINIC - SPORTS MEDICINE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 D'ARC, BRENT W - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE PHYSICIAN 92506 D'ARC, BRENT W - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE UPPER EXTREMITIES 92506

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 169 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone D'ARC, BRENT W - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDIC SURGERY - 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE LOWER EXTREMITIES 92506 D'ARC, BRENT W - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - UPPER 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE EXTREMITIES 92506 D'ARC, BRENT W - MD (BCC) RIVERSIDE MEDICAL CLINIC - ORTHOPEDICS - LOWER 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE EXTREMITIES 92506 D'INCECCO, CHRISTINA - OT ORTHOPEDIC SPECIALISTS OF OCCUPATIONAL THERAPY 2801 K ST STE 310, SACRAMENTO, CA (916) 389-7977 SACRAMENTO 95816 D'SA, STEVEN J - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 6221 METROPOLITAN ST STE 201, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC DABDOUB, GEORGE - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC DABISH, CYNTHIA - MD (BCC) ANESTHESIOLOGY 525 N GARFIELD AVE, MONTEREY (626) 573-2222 PARK, CA 91754 DABNEY PHARMACY PHARMACY 11115 S MAIN ST, LOS ANGELES, CA (323) 757-2263 90061 DABROWSKI, ANNA - PT CALIFORNIA SPORTS PHYSICAL THERAPY 2000 GARDEN RD, MONTEREY, CA (831) 375-1885 PHYSICAL THERAPY CENTERS 93940 INC DBA CYPRESS COAST PT DACKO, SARAH - PTA YUCAIPA PHYSICAL THERAPY PHYSICAL THERAPY 33492 OAK GLEN RD STE H, YUCAIPA, (909) 797-5155 CA 92399 DADIVAS, HANNIVI - PT DYNAMIC REHAB CENTER PHYSICAL THERAPY 1935 W AVENUE L, LANCASTER, CA (661) 948-1999 93534

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 170 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DAGOSTINO, JACQUELINE - PT PERFORMANCE PLUS PHYSICAL THERAPY 1392 E PALOMAR ST STE 503, CHULA (619) 482-3000 PHYSICAL THERAPY VISTA, CA 91913 DAH, ZUBIN - DC SOUTHERN CALIFORNIA CHIROPRACTIC MEDICINE 10 CORPORATE PARK STE 230, IRVINE, (949) 679-3734 HEALTH CENTER CA 92606 DAH, ZUBIN - LAC SOUTHERN CALIFORNIA ACUPUNCTURE 10 CORPORATE PARK STE 230, IRVINE, (949) 679-3734 HEALTH CENTER CA 92606 DAHER, SAMIR - DC GLENDALE URGENCY CHIROPRACTIC MEDICINE 319 S BRAND BLVD, GLENDALE, CA (818) 507-5339 CHIROPRACTIC CLINIC 91204 DAHLHOFF, CHRIS - PT YOSEMITE PHYSICAL PHYSICAL THERAPY 2609 1ST ST, ATWATER, CA 95301 (209) 356-1260 THERAPY INC DAHLHOFF, CHRIS - PT YOSEMITE PHYSICAL PHYSICAL THERAPY 786 LOUGHBOROUGH DR, MERCED, CA (209) 725-8680 THERAPY INC 95348 DAHLIN, STAN - DC HILMAR CHIROPRACTIC CHIROPRACTIC MEDICINE 19947 1ST ST, HILMAR, CA 95324 (209) 668-3077 DAHM, MARCIA, DIANE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD DAHM, MARCIA, DIANE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA DAHM, MARCIA, DIANE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY DAHM, MARCIA, DIANE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS DAHM, MARCIA, DIANE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT DAIL, RYAN - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 DAKE, MACKENZIE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 DALAFU, DAVID - PT PRECISION REHABILITATION PHYSICAL THERAPY 755 N LEMOORE AVE STE C, LEMOORE, (559) 817-5808 AND ORTHOPEDIC PHYSICAL CA 93245 THERAPY DALAFU, JASON - PT PRO PT PHYSICAL THERAPY 392 SIERRA ST, KINGSBURG, CA 93631 (559) 869-4736 DALLMEYER PHYSICAL PHYSICAL THERAPY 181 S TURNPIKE RD, SANTA BARBARA, (805) 681-1004 THERAPY CA 93111 DALTON, KRISTINA - PTA LA MESA REHAB PHYSICAL THERAPY 8380 CENTER DR STE E, LA MESA, CA (619) 466-6077 91942 DALY, MICHAEL - AUD ADVANCED HEARING AUDIOLOGY 1043 VILLAGE LN , CHICO, CA 95926 (800) 598-5300 PROVIDERS LLC DALY, MICHAEL - AUD ADVANCED HEARING AUDIOLOGY 2305 COURT ST , REDDING, CA 96001 (800) 598-5300 PROVIDERS LLC DALY, SCOTT - AUD ADVANCED HEARING AUDIOLOGY 7602 EAST CHAPMAN AVE , ORANGE, (800) 598-5300 PROVIDERS LLC CA 92868 DAMEN, IRMA - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 DAMERON HOSPITAL DAMERON HOSPITAL ACUTE CARE HOSPITAL 525 W ACACIA ST, STOCKTON, CA (209) 461-3148 ASSOCIATION (BCC) ASSOCIATION 95203 DAMERON'S LINACIA PHARMACY 420 W ACACIA ST STE 4, STOCKTON, (209) 466-2954 PHARMACY CA 95203 DAMIAN, NEAL - DC DAMIAN CHIROPRACTIC CHIROPRACTIC MEDICINE 22691 LAMBERT ST STE 512, LAKE (949) 394-9953 FOREST, CA 92630 DAMSER, ROY - DC HEALTH WEST CHIROPRACTIC CHIROPRACTIC MEDICINE 191 E 16TH ST, COSTA MESA, CA 92627 (949) 548-2350 DANA DRUGS PHARMACY 317 N PASS AVE, BURBANK, CA 91505 (818) 562-1177 DANA POINT PHYSICAL PHYSICAL THERAPY 34241 PACIFIC COAST HWY STE 102, (949) 496-3896 THERAPY DANA POINT, CA 92629-3845 DANAN, ILAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC PAIN MANAGEMENT 301 N LAKE AVE, STE 201, PASADENA, (626) 568-9030 CLINIC CA 91101 DANAN, ILAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC PAIN MANAGEMENT 6801 PARK TERRACE, STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 DANAN, ILAN J - MD (BCC) KERLAN - JOBE ORTHOPAEDIC PAIN MANAGEMENT 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 171 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DANCHIK, STEVEN - PT WEST LOS ANGELES URGENT PHYSICAL THERAPY 11560 W PICO BLVD, LOS ANGELES, CA (310) 477-8285 CARE 90064 DANCHIK, STEVEN - PT WEST HOLLYWOOD URGENT PHYSICAL THERAPY 1300 N LA BREA AVE, LOS ANGELES, (323) 464-1336 CARE CA 90028 DANESH, MITCHELL M - MD KAISER PERMANENTE NEUROLOGY 5601 DE SOTO AVE ENTRANCE 5 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER DANESHARD, MITRA - LAC HEALTHLINE MEDICAL GROUP ACUPUNCTURE 15211 VANOWEN ST STE 105, VAN (818) 997-7711 NUYS, CA 91405 DANESHRAD, MITRA - LAC BH ACUHEALTH CLINIC INC ACUPUNCTURE 206 S ROBERTSON BLVD, BEVERLY (310) 659-3870 HILLS, CA 90211 DANESHRAD, MITRA - LAC BH ACUHEALTH CLINIC INC ACUPUNCTURE 3800 E CESAR E CHAVEZ AVE, LOS (310) 659-3870 ANGELES, CA 90063 DANESHRAD, MITRA - LAC HOOMAN M JAVANMARDI ACUPUNCTURE 3806 E CESAR E CHAVEZ AVE, LOS (323) 267-9916 PHYSICAL THERAPY ANGELES, CA 90063 DANG, THAI L - DO KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 DANG, THAI L - DO KAISER PERMANENTE SURGERY - OPHTHALMOLOGY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 DANH'S PHARMACY PHARMACY 9182 BOLSA AVE, WESTMINSTER, CA (714) 892-4407 92683 DANIEL L JAMES PT INC PHYSICAL THERAPY 345 WEST PORTAL AVE STE 400, SAN (415) 664-6492 FRANCISCO, CA 94127-1429 DANIEL L JAMES PT INC PHYSICAL THERAPY 345 WEST PORTAL AVE STE 400, SAN (415) 664-6492 FRANCISCO, CA 94127-1429 DANIELS, RICHARD - DC BODY DYNAMIX INTEGRATED CHIROPRACTIC MEDICINE 18344 OXNARD ST STE 104, TARZANA, (818) 783-4085 SPORTS MEDICINE CA 91356 DANIELS, SAMANTHA - LMT WILLIAMS CHIROPRACTIC MASSAGE THERAPIST 230 N GLENDORA AVE, GLENDORA, CA (626) 914-5881 91741 DANISA, OLUMIDE A - MD (BCC) LOMA LINDA UNIVERSITY SPINE SURGERY 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S DANTO, MICHAEL I - MD (BCC) ORTHOPAEDIC SPECIALTY PAIN MANAGEMENT 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY DANTO, MICHAEL I - MD (BCC) ORTHOPAEDIC SPECIALTY PHYSICAL MEDICINE AND 16300 SAND CANYON AVE STE 511, (949) 255-9890 INSTITUTE MEDICAL GROUP REHABILITATION IRVINE , CA 92618 OF ORANGE COUNTY DAO, HARRY - MD (BCC) LOMA LINDA UNIVERSITY DERMATOLOGY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 DERMATOLOGY DEPT DAQUINO, STEPHEN - DO CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 DAQUINO, STEPHEN - DO CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN DARABI, NADEREH - MD ADVANCED URGENT CARE OF PRIMARY TREATING 243 S ROBERTSON BLVD , BEVERLY (350) 237-8044 BEVERLY HILLS PHYSICIAN HILLS, CA 90211 DARABI, NADEREH - MD ADVANCED URGENT CARE OF FAMILY MEDICINE 243 S ROBERTSON BLVD , BEVERLY (350) 237-8044 BEVERLY HILLS HILLS, CA 90211 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH LOWER EXTREMITIES 91311 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH UPPER EXTREMITIES 91311 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH EXTREMITIES 91311 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH EXTREMITIES 91311 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL SPINE SURGERY 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD LOWER EXTREMITIES OXNARD, CA 93030

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 172 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD UPPER EXTREMITIES OXNARD, CA 93030 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD EXTREMITIES OXNARD, CA 93030 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD EXTREMITIES OXNARD, CA 93030 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL SPINE SURGERY 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS LOWER EXTREMITIES VAN NUYS, CA 91406 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS UPPER EXTREMITIES VAN NUYS, CA 91406 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS EXTREMITIES VAN NUYS, CA 91406 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS EXTREMITIES VAN NUYS, CA 91406 DARAKJIAN, HRAIR E - MD CONCENTRA MEDICAL SPINE SURGERY 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 DAROODI, REZA - DC REZA DAROODI DC CHIROPRACTIC MEDICINE 1746 HAMILTON AVE, SAN JOSE, CA (408) 979-9559 95125 DARYAIE, JALALARMAN - DC DOUGLAS J ABELES MD CHIROPRACTIC MEDICINE 21030 REDWOOD RD, CASTRO VALLEY, (510) 538-0430 CA 94546 DASHTIPOUR, KHASHAYAR - LOMA LINDA UNIVERSITY - NEUROLOGY 11370 ANDERSON ST STE B100, LOMA (800) 679-4642 MD (BCC) DEPT OF NEUROLOGY LINDA , CA 92354 DASILVA, KAREN B - MD (BCC) SANSUM CLINIC - PUEBLO NEUROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 DASTJERDI, MOHAMMAD - MD LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 (BCC) HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S DATE PHARMACY PHARMACY 39765 DATE ST # 101, MURRIETA, CA (951) 696-5400 92563 DATEMA, JODY L - SLP (BCC) LOMA LINDA UNIVERSITY SPEECH THERAPIST 1895 ORANGE TREE LANE STE 102, (800) 679-4642 HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY FP&S DATUIN, MARK - AUD ADVANCED HEARING AUDIOLOGY 26302 LA PAZ RD STE 107, MISSION (800) 598-5300 PROVIDERS LLC VIEJO, CA 92691 DAUGHERTY, DREE H - MD SANSUM CLINIC - PESETAS EMERGENCY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) DAULMAN, GRETCHEN - AUD ADVANCED HEARING AUDIOLOGY 1052 MAIN ST STE B, MORRO BAY, CA (800) 598-5300 PROVIDERS LLC 93442 DAUPHIN, BRENT - LAC EMERYVILLE OCCUPATIONAL ACUPUNCTURE 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 DAUPHIN, MEGAN - LAC REVIVE ACUPUNCTURE INC ACUPUNCTURE 43353 MISSION BLVD STE B, FREMONT, (510) 438-0128 CA 94539 DAVARNIA, HAMID - OT RAPID THERAPY OCCUPATIONAL THERAPY 14901 RINALDI ST STE 335, MISSION (818) 365-9690 HILLS, CA 91345 DAVE', KHAMAJ - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 2241 WANKEL WAY STE C , OXNARD, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CA 93030 DAVE', KHAMAJ - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 400 CAMARILLO RANCH RD STE 205, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CAMARILLO , CA 93010 DAVE, HITEN - PT BACK ON TRACK PHYSICAL PHYSICAL THERAPY 1840 SAN MIGUEL DR STE 100, WALNUT (925) 934-6373 THERAPY CREEK, CA 94596 DAVENPORT, MIKEL - LAC MIKEL DAVENPORT LAC ACUPUNCTURE 490 POST ST STE 900, SAN (415) 409-1367 DNBAO FRANCISCO, CA 94102 DAVID VALPONI PHYSICAL PHYSICAL THERAPY 1430 ESPLANADE STE 8, CHICO, CA (530) 894-0221 THERAPY INC 95926-3366 DAVID, HA, JUNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 173 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DAVID, HA, JUNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 DAVID, HA, JUNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 DAVID, HA, JUNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 DAVID, HA, JUNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 DAVID, HA, JUNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 DAVIDSON, ANDREA - AUD ADVANCED HEARING AUDIOLOGY 8500 WILSHIRE BLVD STE A, BEVERLY (800) 598-5300 PROVIDERS LLC HILLS, CA 90211 DAVIES, MARK R - MD KAISER PERMANENTE ON THE ORTHOPEDIC SURGERY 250 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER DAVIES, MARK R - MD KAISER PERMANENTE ON THE ORTHOPEDICS 250 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER DAVIES, MARK R - MD KAISER PERMANENTE ON THE PRIMARY TREATING 250 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH PHYSICIAN JOSE, CA 95119 CENTER DAVIES, MARK R - MD KAISER PERMANENTE ON THE SPORTS MEDICINE 250 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER DAVIO, MICHEAL B - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90037 CENTER DAVIS, BRENT R - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 DAVIS, CHRISTOPHER M - DO SOUTH COAST FAMILY FAMILY PRACTICE 25500 RANCHO NIGUEL RD STE 100, (949) 643-0500 (BCC) MEDICAL CENTER LAGUNA NIGUEL, CA 92677 DAVIS, CHRISTOPHER M - DO SOUTH COAST FAMILY PRIMARY TREATING 25500 RANCHO NIGUEL RD STE 100, (949) 643-0500 (BCC) MEDICAL CENTER PHYSICIAN LAGUNA NIGUEL, CA 92677 DAVIS, DEBORAH - AUD ADVANCED HEARING AUDIOLOGY 511 3RD ST W STE 6B, SONOMA, CA (800) 598-5300 PROVIDERS LLC 95476 DAVIS, DEBORAH - AUD ADVANCED HEARING AUDIOLOGY 301 ALAMO DR STE G, VACAVILLE, CA (800) 598-5300 PROVIDERS LLC 95688 DAVIS, DINAH - AUD ADVANCED HEARING AUDIOLOGY 2087 GRAND CANAL BLVD STE 9, (800) 598-5300 PROVIDERS LLC STOCKTON, CA 95207 DAVIS, LAUREN K -DO (BCC) SOUTH COAST FAMILY FAMILY PRACTICE 25500 RANCHO NIGUEL RD STE 100, (949) 643-0500 MEDICAL CENTER LAGUNA NIGUEL, CA 92677 DAVIS, LAUREN K -DO (BCC) SOUTH COAST FAMILY PRIMARY TREATING 25500 RANCHO NIGUEL RD STE 100, (949) 643-0500 MEDICAL CENTER PHYSICIAN LAGUNA NIGUEL, CA 92677 DAVIS, MICHAEL - AUD ADVANCED HEARING AUDIOLOGY 1370 BREA BLVD STE 309, (800) 598-5300 PROVIDERS LLC FULLERTON, CA 92835 DAVIS, MICHAEL J - MD (BCC) RETINA INSTITUTE OF OPHTHALMOLOGY 2400 N BROADWAY , LOS ANGELES , CA (323) 221-8000 CALIFORNIA - ACCUITY EYE 90031 GROUP DAVIS, ROBIN - PTA PERRY PHYSICAL THERAPY PHYSICAL THERAPY 44025 JEFFERSON ST STE 104, LA (760) 345-5453 QUINTA, CA 92253 DAVISON DRUG AND PHARMACY 640 MARKET ST, COLUSA, CA 95932 (530) 458-2188 STATIONERY DAWN PHARMACY PHARMACY 4776 EL CAJON BLVD, SAN DIEGO, CA (619) 287-1206 92115 DAWSON, JOHN - PT SD ELITE PHYSICAL THERAPY PHYSICAL THERAPY 410 S MELROSE DR STE 200, VISTA, CA (760) 630-8060 92081 DAWSON, PAUL - PT TITAN PHYSICAL THERAPY PHYSICAL THERAPY 12099 W WASHINGTON BLVD STE 408, (310) 566-7677 AND WELLNESS LOS ANGELES, CA 90066 DAWSON, PETER, KAYL - DC SPINE CARE ORTHOPEDIC CHIROPRACTIC MEDICINE 8610 S SEPULVEDA BLVD STE 109, LOS (310) 337-3700 PHYSICIANS ANGELES, CA 90045 DAY STREET PHARMACY PHARMACY 23900 IRONWOOD AVE STE C, MORENO (951) 485-8100 VALLEY, CA 92557 DAY, CRAIG - PT COOPER PHYSICAL THERAPY PHYSICAL THERAPY 235 N GILBERT ST, HEMET, CA 92543 (951) 658-9000

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 174 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DAYRIT, MELANIE - DPM KAISER PERMANENTE LOS PODIATRY 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 DDE PHARMACY PHARMACY 18491 COLIMA RD, ROWLAND HEIGHTS, (626) 581-3133 CA 91748 DE ANDRADE, PEDRO A - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S DE LA CRUZ, SANDIE - AUD ADVANCED HEARING AUDIOLOGY 24401 CALLE DE LA LOUISA STE 300, (800) 598-5300 PROVIDERS LLC LAGUNA HILLS, CA 92653 DE LA STAR PHARMACY PHARMACY 1721 W MAGNOLIA BLVD, BURBANK, CA (818) 566-7262 91506 DE LOS REYES, KENNETH M - LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PF STE 108A, LOMA (800) 679-4642 MD (BCC) HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S DE LOS REYES, KENNETH M - LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 4500 BROCKTON AVE STE 201, (800) 679-4642 MD (BCC) HEALTH CARE - RIVERSIDE, CA 92501 NEUROSURGERY DEPT FP&S DE LOS REYES, KENNETH M - LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 81 S HIGHLAND SPRINGS AVE STE 303, (800) 679-4642 MD (BCC) HEALTH CARE - BEAUMONT, CA 92223 NEUROSURGERY DEPT FP&S DE VERA, MICHAEL E - MD LOMA LINDA UNIVERSITY TRANSPLANT SURGERY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 (BCC) HEALTH CARE - TRANSPLANT LINDA , CA 92354 INSTITUTE DE, ANGELIS, SCOTT - OT TWO TREES PHYSICAL OCCUPATIONAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 DE, ANGELIS, SCOTT - OT TWO TREES PHYSICAL OCCUPATIONAL THERAPY 3418 LOMA VISTA RD STE A, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 DE, LA, CRUZ, MA, VICTORIA - BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 421-2959 PT THERAPY DE, LA, CRUZ, MA, VICTORIA - BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 222 ACACIA ST, FAIRFIELD, CA 94533 (707) 421-2095 PT THERAPY DE, LA, TORRE, ADRIANA - OT NEWPORT CARE MEDICAL OCCUPATIONAL THERAPY 3300 W COAST HWY STE A, NEWPORT (949) 949-9991 GROUP BEACH, CA 92663 DE, LEON, ROEHL - DC CALIFORNIA HEIGHTS CHIROPRACTIC MEDICINE 3939 ATLANTIC AVE STE 218, LONG (562) 426-8419 CHIROPRACTIC BEACH, CA 90807 DE, LOS, REYES, ARCHIE - PTA SAN DIEGO POSTACUTE PHYSICAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 DE, LOS, REYES, RAMONE - PT GENESIS REHAB THERAPY PHYSICAL THERAPY 266 S HARVARD BLVD SUITE 330, LOS (323) 939-0840 ANGELES, CA 90004 DE, RUYTER, REBECCA - PT PACIFIC ATHLETIC PHYSICAL THERAPY 5910 PACIFIC AVE, STOCKTON, CA (209) 475-1000 INDUSTRIAL REHAB CENTER 95207 DE, RUYTER, REBECCA, JANE - JARRETT ORTHOPAEDIC PHYSICAL THERAPY 2651 IRVINE AVE STE 128, COSTA (949) 722-8811 PT REHABILITATION MESA, CA 92627 DE, VERA, KAREN, MICHELLE - SPARK45 FITNESS AND PHYSICAL THERAPY 4660 CARPINTERIA AVE, CARPINTERIA, (805) 275-3000 PT PHYSICAL THERAPY CA 93013 DE, VERA, THOMAS - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 DEA, DANIEL - MD PULMONARY DISEASE 2701 WEST ALAMEDA AVENUE SUITE (818) 846-2766 601, BURBANK, CA 91505 DEAKERS, ROSE - PT EMERYVILLE OCCUPATIONAL PHYSICAL THERAPY 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 DEAL, KAREN - OT ADVANCED ORTHOPEDIC OCCUPATIONAL THERAPY 2501 CHERRY AVE STE 250, SIGNAL (562) 595-5159 PHYSICAL THERAPY HILL, CA 90755 DEAN SPORTS CONSULTANTS PHYSICAL THERAPY 201 CALLE DE LOS MOLINOS, SAN (949) 388-5692 PHYSICAL THERAPY CLEMENTE, CA 92672 DEAN, KEVIN - PT WPOHS A MEDICAL PHYSICAL THERAPY 2365 S MELROSE DR, VISTA, CA 92081 (760) 571-5910 CORPORATIONMAIN DEAN, KEVIN, DEAN - PT WPOHS A MEDICAL PHYSICAL THERAPY 3156 VISTA WAY STE 100, OCEANSIDE, (760) 681-5222 CORPORATION CA 92056 DEBETTIGNIES, JEAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 DEBETTIGNIES, JEAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 175 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DEBLASI, GREGORY J - MD KAISER PERMANENTE ORTHOPEDICS 5251 VIEWRIDGE COURT , SAN DIEGO, (833) 242-8500 VIEWRIDGE MEDICAL OFFICES CA 92123 DEBLASI, GREGORY J - MD KAISER PERMANENTE SPINE SURGERY 5251 VIEWRIDGE COURT , SAN DIEGO, (833) 242-8500 VIEWRIDGE MEDICAL OFFICES CA 92123 DEBORAH WEINSTEIN PHYSICAL THERAPY 24953 PASEO DE VALENCIA STE 8C, (949) 716-1800 PHYSICAL THERAPY LAGUNA HILLS, CA 92653-4337 DEBOTTIS, DANIEL P - MD ORTHOPAEDIC SPECIALTY PRIMARY TREATING 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP PHYSICIAN IRVINE, CA 92618 OF ORANGE COUNTY DEBOTTIS, DANIEL P - MD ORTHOPAEDIC SPECIALTY PRIMARY TREATING 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP PHYSICIAN 92868 OF ORANGE COUNTY DEBOTTIS, DANIEL P - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP SHOULDER IRVINE, CA 92618 OF ORANGE COUNTY DEBOTTIS, DANIEL P - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - SHOULDER 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY DEBOTTIS, DANIEL P - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP SHOULDER 92868 OF ORANGE COUNTY DEBOTTIS, DANIEL P - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - SHOULDER 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY DEBOTTIS, DANIEL P - MD ORTHOPAEDIC SPECIALTY SPORTS MEDICINE 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY DEBOTTIS, DANIEL P - MD ORTHOPAEDIC SPECIALTY SPORTS MEDICINE 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY DECKEY, JEFFREY E - MD ORTHOPAEDIC SPECIALTY SPINE SURGERY 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY DECKEY, JEFFREY E - MD ORTHOPAEDIC SPECIALTY SPINE SURGERY 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY DEDACE, HADJI - PT IMPERIAL PHYSICAL THERAPY PHYSICAL THERAPY 2222 WEST BURBANK BLVD SUITE 101, (818) 846-1441 BURBANK, CA 91506 DEDERICH, BRANDON - PT XCELERATE PHYSICAL PHYSICAL THERAPY 144 W LOS ANGELES AVE STE 110, (805) 552-1915 THERAPY MOORPARK, CA 93021 DEDERICH, BRANDON - PT XCELERATE PHYSICAL PHYSICAL THERAPY 3262 E THOUSAND OAKS BLVD 100, (805) 374-9900 THERAPY THOUSAND OAKS, CA 91362 DEER PARK PHARMACY PHARMACY 6 WOODLAND RD STE 100, SAINT (707) 963-5209 HELENA, CA 94574 DEES, SEAN - PT SACRAMENTO SPINE PHYSICAL THERAPY 1650 LEAD HILL BLVD STE 300, (916) 677-1210 PHYSICAL ROSEVILLE, CA 95661 THERAPYROSEVILLE DEGREY, ANN - PT MOTI PHYSIOTHERAPY PHYSICAL THERAPY 1965 HILLHURST AVE FL 1, LOS (323) 912-9166 ANGELES, CA 90027 DEGUZMAN, LESTER M - MD CONCENTRA MEDICAL PRIMARY TREATING 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS PHYSICIAN MARCOS, CA 92069 DEGUZMAN, LESTER M - MD CONCENTRA MEDICAL FAMILY MEDICINE 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 DEGUZMAN, SHERWIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 DEGUZMAN, SHERWIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 DEGUZMAN, SHERWIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 DEGUZMAN, SHERWIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 DEGUZMAN, SHERWIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 176 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DEGUZMAN, SHERWIN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 DEGUZMAN, THOMAS - PT ACCESS REHAB PHYSICAL PHYSICAL THERAPY 630 W ARROW HWY, SAN DIMAS, CA (909) 592-2778 THERAPY PC 91773 DEIS, ROBERT - PT YOSEMITE PHYSICAL PHYSICAL THERAPY 2609 1ST ST, ATWATER, CA 95301 (209) 356-1260 THERAPY INC DEIS, ROBERT - PT YOSEMITE PHYSICAL PHYSICAL THERAPY 786 LOUGHBOROUGH DR, MERCED, CA (209) 725-8680 THERAPY INC 95348 DEISINGER, DAVID - PT FORWARD MOTION PHYSICAL PHYSICAL THERAPY 7345 MEDICAL CTR STE 200, WEST 7479006362Lin THERAPY HILLS, CA 91307 e1 DEKRIEK, DAVID - AUD ADVANCED HEARING AUDIOLOGY 13079 ARTESIA BLVD STE 202, (800) 598-5300 PROVIDERS LLC CERRITOS, CA 90703 DEL AMO HOSPITAL (BCC) DEL AMO HOSPITAL CHEMICAL DEPENDENCY 23700 CAMINO DEL SOL, TORRANCE, (800) 533-5266 REHABILITATION CENTER CA 90505 (OUTPATIENT) DEL MAR PHARMACY PHARMACY 9008 GARVEY AVE STE A, ROSEMEAD, (626) 927-9773 CA 91770 DEL NORTE PHYSICAL PHYSICAL THERAPY 440 L ST, CRESCENT CITY, CA (707) 465-3311 THERAPY 95531-4114 DEL'S PHARMACY PHARMACY 10374 TRADEMARK ST, RANCHO (909) 477-6300 CUCAMONGA, CA 91730 DEL, RIO, ANDREW - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 19239 GOLDEN VALLEY RD, CANYON (661) 250-9890 COUNTRY, CA 91387 DEL, RIO, ANDREW - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 DEL, RIO, ANDREW - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 DELA, CRUZ, MARIA - PTA REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 DELACUESTA, ZALDY - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1633 OLD BAYSHORE HWY STE 145, (650) 239-9075 BURLINGAME, CA 94010 DELANO REGIONAL MEDICAL DELANO REGIONAL MEDICAL ACUTE CARE HOSPITAL 1401 GARCES HWY, DELANO, CA 93215 (661) 725-4800 CENTER (BCC) CENTER DELEON, ARWIN - OTA REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 DELEON, VERONICA - PTA REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 DELISE, MELISSA - PT THERESA M LOCKE PHYSICAL PHYSICAL THERAPY 571 STANISLAUS AVE STE F, ANGELS (209) 736-0956 THERAPY INC DBA PINNACLE CAMP, CA 95222 PHYSICAL THERAPY DELL, RICHARD M - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 DELLAMOGIORA, RYAN J - MD BEVERLY HILLS HAND & HAND SURGERY 8635 W 3RD ST STE 990W - CEDARS (310) 423-5900 (BCC) PLASTIC RECONSTRUCTIVE SINAI MEDICAL OFFICE TOWERS, LOS SURGERY ANGELES, CA 90048 DELLAMOGIORA, RYAN J - MD BEVERLY HILLS HAND & HAND SURGERY 8635 W 3RD ST STE 990W - CEDARS (310) 423-5900 (BCC) PLASTIC RECONSTRUCTIVE SINAI MEDICAL OFFICE TOWERS, LOS SURGERY ANGELES, CA 90048 DELLOTA, CHRISTOPHER - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 7900 DISTRICT BLVD UNIT A, (661) 377-1700 BAKERSFIELD, CA 93313 DELSANTOS, CAMERON - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 295 G ST, SAN DIEGO, CA 92101 (619) 238-4318 DELSIGNE, KRISTEN - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 DELSIGNE, KRISTEN - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 DELTA DRUGS PHARMACY 2497 E LAKESHORE DR STE B, LAKE (951) 245-2325 ELSINORE, CA 92530 DELTA DRUGS PHARMACY 437 FERNANDO CT, GLENDALE, CA (818) 309-2649 91204 DELTA DRUGS PHARMACY 1666 MEDICAL CENTER DR, SAN (909) 887-7989 BERNARDINO, CA 92411 DELTA PHARMACY PHARMACY 407 N MAIN ST, RIO VISTA, CA 94571 (707) 374-5135

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 177 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DEMARCO, JENNIFER - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 DEMETROFF, JACQUELYN - ADVANCED HEARING AUDIOLOGY 5160 VINELAND AVE STE 101C, NORTH (800) 598-5300 AUD PROVIDERS LLC HOLLYWOOD, CA 91601 DEMMAN, PHILIP - MD (BCC) ANESTHESIOLOGY 101 E VALENCIA MESA DR, (714) 871-3280 FULLERTON, CA 92835 DEMONACO, NICHOLAS - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 DEMONACO, NICHOLAS - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 DEMONACO, NICHOLAS - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 DEMONACO, NICHOLAS - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 DEMONACO, NICHOLAS - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 DEMONACO, NICHOLAS - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 DEMOSS, STEPHEN - DC SAN CLEMENTE CHIROPRACTIC MEDICINE 131 W EL PORTAL, SAN CLEMENTE, CA (949) 492-5511 CHIROPRACTIC 92672 DENDEL, PETER - MD (BCC) ANESTHESIOLOGY 10666 N TORREY PINES RD, LA JOLLA, (858) 554-3602 CA 92037 DENNIS, KRISTIN - AUD ADVANCED HEARING AUDIOLOGY 24012 CALLE DE LA PLATA STE 215, (800) 598-5300 PROVIDERS LLC LAGUNA HILLS, CA 92653 DERAKSHAN, SETAREH - DC DERAKSHAN CHIRO DBA YOUR CHIROPRACTIC MEDICINE 221 E WALNUT ST STE 275, PASADENA, (626) 765-0555 HEALTH IN MOTION CA 91101 DERAKSHAN, SETAREH - DC YOUR HEALTH IN MOTION CHIROPRACTIC MEDICINE 456 W SAN JOSE AVE STE A, (909) 257-7598 CLAREMONT, CA 91711 DEROSA, VINCENT P - MD SANSUM CLINIC - PUEBLO GASTROENTEROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC CA 93105 DEROSE, ROBIN - OT THE HAND CENTER OF OCCUPATIONAL THERAPY 22110 ROSCOE BLVD STE 302, CANOGA (818) 347-7110 SOUTHERN CALIFORNIA PARK, CA 91304 DERWEESH, ITHAAR H - MD UC SAN DIEGO HEALTH - UROLOGY 9400 CAMPUS POINTE DR, LA JOLLA , (858) 657-7876 (BCC) KOMAN FAMILY OUTPATIENT CA 92037 PAVILLION DERYKE, SANDRA - PT DERYKE ASSOCIATES DBA PHYSICAL THERAPY 201 E HAMILTON AVE, CAMPBELL, CA (408) 376-0900 FYZICAL CAMPBELL 95008 DESAI, ANANT - MD (BCC) NEPHROLOGY 10605 BALBOA BLVD STE 240, (818) 366-4626 GRANADA HILLS, CA 91344 DESAI, KIRIT - MD CARDIOVASCULAR DISEASE 2901 SILLECT AVE SUITE 100, (661) 323-8384 (CARDIOLOGY) BAKERSFIELD, CA 93308 DESCALZI, JAVIER F - MD KAISER PERMANENTE ORTHOPEDICS 2295 S VINEYARD D, ONTARIO, CA (909) 427-3917 VINEYARD ONTARIO SURGERY 91761 CENTER DESCANZO, JOSE - PTA WHITE BLOSSOM CARE PHYSICAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 DESERT HOSPITAL PHARMACY 1180 N INDIAN CANYON DR, PALM (760) 323-1001 OUTPATIENT PHA SPRINGS, CA 92262 DESERT PALMS RECOVERY DESERT PALMS RECOVERY CHEMICAL DEPENDENCY 67580 JONES RD, CATHEDRAL CITY, CA (760) 969-4140 (BCC) REHABILITATION CENTER 92234 (OUTPATIENT) DESERT PHARMACY PHARMACY 1530 S IMPERIAL AVE, EL CENTRO, CA (760) 997-7800 92243 DESERT PHYSICAL THERAPY PHYSICAL THERAPY 18375 US HIGHWAY 18 STE 6, APPLE (760) 242-3963 VALLEY, CA 92307-2218 DESERT PHYSICAL THERAPY PHYSICAL THERAPY 18375 US HIGHWAY 18 STE 6, APPLE (760) 242-3963 VALLEY, CA 92307-2218 DESERT REGIONAL MEDICAL DESERT REGIONAL MEDICAL ACUTE CARE HOSPITAL 1150 N INDIAN CANYON DR, PALM (760) 323-6511 CENTER (BCC) CENTER SPRINGS, CA 92262 DESERT URGENT CARE (BCC) DESERT URGENT CARE URGENT CARE FACILITY 74-990 COUNTRY CLUB DR STE 310, (760) 341-8800 PALM DESERT, CA 92260 DESERT VALLEY HOSPITAL DESERT VALLEY HOSPITAL ACUTE CARE HOSPITAL 16850 BEAR VALLEY RD, VICTORVILLE, (760) 241-8000 (BCC) CA 92395

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 178 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DESERT VALLEY MEDICAL DESERT VALLEY MEDICAL URGENT CARE FACILITY 16850 BEAR VALLEY RD, VICTORVILLE, (760) 245-2474 GROUP (BCC) GROUP CA 92395 DESERT VALLEY MEDICAL DESERT VALLEY MEDICAL URGENT CARE FACILITY 12401 HESPERIA RD STE 9, (760) 245-2474 GROUP INC (BCC) GROUP INC VICTORVILLE, CA 92395 DESERT VIP URGENT CARE DESERT VIP URGENT CARE URGENT CARE FACILITY 100 S SUNRISE WAY, PALM SPRINGS, (760) 969-5999 MEDICAL ASSOCIATES (BCC) MEDICAL ASSOCIATES CA 92262 DESERT VIP URGENT CARE DESERT VIP URGENT CARE URGENT CARE FACILITY 72630 FRED WARING DR STE 101, PALM (760) 674-1923 MEDICAL ASSOCIATES (BCC) MEDICAL ASSOCIATES DESERT, CA 92260 DESERTRX PHARMACY PHARMACY 73091 COUNTRY CLUB DR, PALM (760) 836-3738 DESERT, CA 92260 DESHAZER, CHANTELLE - LAC MERIDIAN ACUPUNCTURE ACUPUNCTURE 2831 CAMINO DEL RIO S STE 218, SAN (619) 325-0771 WELLNESS CENTER INC DIEGO, CA 92108 DESHMUKH, SANJAY V - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS REHABILITATION MARCOS, CA 92069 DESIGN FOR CHANGE (BCC) DESIGN FOR CHANGE CHEMICAL DEPENDENCY 1066 E AVENUE J, LANCASTER, CA (661) 942-1026 REHABILITATION CENTER 93535 (OUTPATIENT) DESROSIERS, GARRETT - PT PRORESULTS PHYSICAL PHYSICAL THERAPY 137 S LAS POSAS RD STE 254, SAN (508) 789-9776 THERAPY INC MARCOS, CA 92078 DESTINATIONS TO RECOVERY DESTINATIONS TO RECOVERY CHEMICAL DEPENDENCY 22029 CANON DR, TOPANGA, CA 90290 (310) 752-1365 (BCC) REHABILITATION CENTER (OUTPATIENT) DESTINATIONS TO RECOVERY DESTINATIONS TO RECOVERY CHEMICAL DEPENDENCY 20851 CHENEY DR, TOPANGA, CA 90290 (310) 752-1363 CHENEY (BCC) CHENEY REHABILITATION CENTER (OUTPATIENT) DESTINATIONS TO RECOVERY DESTINATIONS TO RECOVERY CHEMICAL DEPENDENCY 20851 CHENEY DR, TOPANGA, CA 90290 (310) 752-1363 CHENEY (BCC) CHENEY REHABILITATION CENTER (OUTPATIENT) DESTINATIONS TO RECOVERY DESTINATIONS TO RECOVERY CHEMICAL DEPENDENCY 1304 E MAIN ST STE A, VENTURA, CA (805) 256-3286 VENTURA (BCC) VENTURA REHABILITATION CENTER 93001 (OUTPATIENT) DESTINATIONS TO RECOVERY DESTINATIONS TO RECOVERY CHEMICAL DEPENDENCY 21051 WARNER CENTER LN STE 220, (310) 728-2125 WOODLAND HILLS (BCC) WOODLAND HILLS REHABILITATION CENTER WOODLAND HILLS, CA 91367 (OUTPATIENT) DETELS, ED - OT AFFILIATED PHYSICAL OCCUPATIONAL THERAPY 10225 AUSTIN DR STE 204, SPRING (619) 670-4567 THERAPY VALLEY, CA 91978 DETELS, ED - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 DETELS, ED - OT PRN POWAY THE TRAINING OCCUPATIONAL THERAPY 15725 POMERADO RD STE 106, POWAY, (858) 592-8855 ROOM CA 92064 DETELS, ED - OT PRN DESERT REHABILITATION OCCUPATIONAL THERAPY 1611 W MAIN ST, EL CENTRO, CA 92243 (760) 337-1144 INSTITUTE DETELS, ED - OT PRN AQUATIC PHYSICAL OCCUPATIONAL THERAPY 1663 GREENFIELD DR, EL CAJON, CA (619) 440-5752 REHABILITATION 92021 DETELS, ED - OT DESERT REHABILITATION OCCUPATIONAL THERAPY 180 W LEGION RD, BRAWLEY, CA 92227 (760) 351-7125 INSTITUTE DETELS, ED - OT E L PHYSICAL THERAPY OCCUPATIONAL THERAPY 2437 FENTON ST STE B, CHULA VISTA, (619) 656-5176 CA 91914 DETELS, ED - OT PRN DESERT REHABILITATION OCCUPATIONAL THERAPY 2536 ROCKWOOD AVENUE STE 107, (760) 768-3422 INSTITUTE SOUTH CALEXICO, CA 92231 DETELS, ED - OT EGGLETON LANGTON OCCUPATIONAL THERAPY 2650 CAM DEL RIO N STE 200, SAN (619) 295-3000 PHYSICAL THERAPY DIEGO, CA 92108 MANAGEMENT SERVICES DETELS, ED - OT E L PHYSICAL THERAPY OCCUPATIONAL THERAPY 3130 BONITA RD STE 100, CHULA (619) 422-5315 VISTA, CA 91910 DETELS, ED - OT PRN PHYSICAL THERAPY OCCUPATIONAL THERAPY 317 N EL CAMINO REAL STE 210, (760) 634-0248 ENCINITAS, CA 92024 DETELS, ED - OT SAN DIEGO UPTOWN OCCUPATIONAL THERAPY 4060 4TH AVE STE 206, SAN DIEGO, CA (619) 299-5246 PHYSICAL THERAPY 92103 DETELS, ED - OT SPINE AND JOINT OCCUPATIONAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 DETELS, ED - OT E L PHYSICAL THERAPY OCCUPATIONAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 179 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DETZELY, SANTANA - PTA DOS CAMINOS PT SPORTS PHYSICAL THERAPY 2486 N PONDEROSA DR STE D106, (805) 484-5447 REHAB CAMARILLO, CA 93010 DEVARAJ, BIKASH - MD (BCC) COLON AND RECTAL 3413 W PACIFIC AVE STE 102, (818) 953-4408 SURGERY BURBANK, CA 91505 DEVARAJ, REENA - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY VALLEY, CA 92551 DEVARAJ, REENA - MD CONCENTRA MEDICAL PRIMARY TREATING 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY PHYSICIAN VALLEY, CA 92551 DEVARAJ, REENA - MD (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY DEVARAJ, REENA - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY PHYSICIAN DEVERS, JAMIL - PT PHYSICAL THERAPY CARE PHYSICAL THERAPY 6214 W MANCHESTER AVE FL 2, LOS (310) 348-8464 ANGELES, CA 90045 DEVINE, JOSEPH - MD (BCC) ANESTHESIOLOGY 23500 MADISON ST, TORRANCE, CA (310) 784-2710 90505 DEVINE, JOSEPH - MD (BCC) ANESTHESIOLOGY 3720 LOMITA BLVD STE 100, (310) 376-7000 TORRANCE, CA 90505 DEVINE, JOSEPH - MD (BCC) ANESTHESIOLOGY 3720 LOMITA BLVD STE 102, (310) 802-6260 TORRANCE, CA 90505 DEVINE, JOSEPH - MD (BCC) ANESTHESIOLOGY 4101 TORRANCE BLVD, TORRANCE, CA (310) 540-7676 90503 DEVLIN, MEGAN - PT VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 DEVONSHIRE MEDICAL PHARMACY 17075 DEVONSHIRE ST STE 105, (818) 832-7076 PHARMACY NORTHRIDGE, CA 91325 DEWAN, HISHMNU - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 DEWITT, BARRY, MARTIN - PT DEWITT PHYSICAL THERAPY PHYSICAL THERAPY 670 RIO LINDO AVE STE 700, CHICO, CA (530) 762-0473 95926 DEWITT, BRETT - PT LINCOLN PHYSICAL AND PHYSICAL THERAPY 150 GATEWAY DR STE A, LINCOLN, CA (916) 434-9572 OCCUPATIONAL THERAPY 95648 DEWITT, MARY - OT LINCOLN PHYSICAL AND OCCUPATIONAL THERAPY 150 GATEWAY DR STE A, LINCOLN, CA (916) 434-9572 OCCUPATIONAL THERAPY 95648 DEZFULI, BOBBY - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE ENTRANCE 5, (818) 719-3006 WOODLAND HILLS MEDICAL WOODLAND HILLS, CA 91367 CENTER DHAH, JAGMIT - PT PHYSIOMOTION PHYSICAL PHYSICAL THERAPY 4080 N CEDAR AVE, FRESNO, CA 93726 (559) 222-7497 THERAPY INC DHESI, JAGTAR - DC DR JAGTAR DHESI DC CHIROPRACTIC MEDICINE 1081 MARKET PL STE 100, SAN RAMON, (925) 275-9350 CA 94583 DHILLON, AMANPREET S - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH 95356 CENTER DHILLON, AMANPREET S - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH PHYSICIAN 95356 CENTER DHILLON, ANAHAT - MD (BCC) ANESTHESIOLOGY 757 WESTWOOD PLZ STE 3325, LOS (310) 267-8678 ANGELES, CA 90095 DHIR, HARINDER K - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH MOB 2, ROSEVILLE, CA 95661 CENTER DHIR, HARINDER K - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH PHYSICIAN MOB 2, ROSEVILLE, CA 95661 CENTER DHIR, HARINDER K - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH 95825 CENTER DHIR, HARINDER K - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH PHYSICIAN 95825 CENTER DHOLAKIA, KRISHMA - PT MEDCESSITY INC PHYSICAL THERAPY 4010 ORANGE AVE, LONG BEACH, CA (562) 428-3556 90807

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 180 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DI, GRAZIA, JENNIFER - OT TRIVALLEY ORTHOPEDIC OCCUPATIONAL THERAPY 2180 W GRANT LINE RD, TRACY, CA (925) 463-0470 SPECIALISTS 95377 DI, GRAZIA, JENNIFER - OT TRIVALLEY ORTHOPEDIC OCCUPATIONAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 DI, GRAZIA, JENNIFER - OT TRIVALLEY ORTHOPEDIC OCCUPATIONAL THERAPY 5601 NORRIS CANYON RD, SAN (925) 463-0470 SPECIALISTS RAMON, CA 94583 DIABETES CARE PHARMACY PHARMACY 1339 W GARVEY AVE N, WEST COVINA, (626) 814-0111 CA 91790 DIABLO PHARMACY PHARMACY 2301 CAMINO RAMON STE 190, SAN (925) 237-9939 RAMON, CA 94583 DIABLO VALLEY DRUG AND DIABLO VALLEY DRUG AND CHEMICAL DEPENDENCY 100 PARK PL STE 120, SAN RAMON, CA (408) 460-9984 ALCOHOL SERVICES INC (BCC) ALCOHOL SERVICES INC REHABILITATION CENTER 94583 (OUTPATIENT) DIABLO VALLEY ONCOLOGY PHARMACY 400 TAYLOR BLVD STE 202, PLEASANT (925) 677-5041 HILL, CA 94523 DIACARE PHARMACY PHARMACY 2212 E 4TH ST STE 102, SANTA ANA, CA (714) 541-8150 92705 DIAMANTAKOS, ARISTOTALES LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 E - DO (BCC) HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE DIAMANTAKOS, ARISTOTALES LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 E - DO (BCC) HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE DIAMOND BAR DERMATOLOGY PHARMACY 1111 GRAND AVE STE K, DIAMOND (909) 860-4254 BAR, CA 91765 DIAMOND, VANESSA - PT FYZICAL THERAPY BALANCE PHYSICAL THERAPY 1200 41ST AVE STE H, CAPITOLA, CA (831) 346-6886 CENTER 95010 DIAMOND, VANESSA, MARIE - MONTEREY PENINSULA PHYSICAL THERAPY 10 HARRIS STREET BUILDING A SUITE (831) 643-9788 PT ORTHOPAEDIC SPORTS 1, MONTEREY, CA 93940 MEDICINE INSTITUTE DIAZ, JAIME - MD (BCC) EMERGENCY MEDICINE 18751 VENTURA BLVD STE 100, (818) 881-9002 TARZANA, CA 91356 DIAZ, KELSEY - PT RISE PHYSICAL THERAPY PHYSICAL THERAPY 6451 EL CAMINO REAL STE B2, (858) 755-5200 CARLSBAD, CA 92009 DIBAGOHAR, ARYAN - DC ARYAN DIBOGOHAR DC A CHIROPRACTIC MEDICINE 16430 VENTURA BLVD STE 106, (818) 646-6167 PROFESSIONAL ENCINO, CA 91436 CHIROPRACTIC CORPORATION

DIBUJES, VANESSA - OT ADVANCED THERAPY OCCUPATIONAL THERAPY 2648 MAIN ST STE B, CHULA VISTA, CA (619) 575-2192 SERVICES INC 91911 DICK, HARMONY - AUD ADVANCED HEARING AUDIOLOGY 250 N STATE ST STE B, HEMET, CA (800) 598-5300 PROVIDERS LLC 92543 DICKINSON, PHILLIP W - MD CONCENTRA MEDICAL SURGERY 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA SAN DIEGO, CA 92121 DICKSTONBERG, MICHELLE - REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 PT HILL, CA 94523 DIDINGER, TRACEY MD - (BCC) LA BONE AND JOINT INSTITUTE ORTHOPEDIC SURGERY - 16311 VENTURA BLVD STE 1150, (818) 477-0787 SHOULDER ENCINO, CA 91436 DIDINGER, TRACEY MD - (BCC) LA BONE AND JOINT INSTITUTE ORTHOPEDICS - SHOULDER 16311 VENTURA BLVD STE 1150, (818) 477-0787 ENCINO, CA 91436 DIDINGER, TRACEY MD - (BCC) LA BONE AND JOINT INSTITUTE SPORTS MEDICINE 16311 VENTURA BLVD STE 1150, (818) 477-0787 ENCINO, CA 91436 DIDINGER, TRACEY MD - (BCC) LA BONE AND JOINT INSTITUTE PRIMARY TREATING 16311 VENTURA BLVD STE 1150, (818) 477-0787 PHYSICIAN ENCINO, CA 91436 DIDOMENICANTONIO, TOTAL HEALTH CHIRO CHIROPRACTIC MEDICINE 14650 AVIATION BLVD STE 100, (310) 616-3119 KIMBERLY - DC HAWTHORNE, CA 90250 DIEKMANN, GLENN R - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER DIEP, HUY - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1626 SWEETWATER RD STE A, (619) 474-5916 NATIONAL CITY, CA 91950

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 181 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIEP, XUAN - DC DONIA CHIROPRACTIC CHIROPRACTIC MEDICINE 1455 W PARK AVE, REDLANDS, CA (909) 793-2225 92373 DIETRICK, JAMES - DC NATURAL LIFE CHIROPRACTIC CHIROPRACTIC MEDICINE 2245 MORELLO AVE STE B, PLEASANT (925) 932-3289 HILL, CA 94523 DIETRICK, TODD B - MD (BCC) CONGRESS MEDICAL ORTHOPEDIC SURGERY - HIP 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES 91105 DIETRICK, TODD B - MD (BCC) CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES KNEE 91105 DIETSCH, BERNADRD - AUD ADVANCED HEARING AUDIOLOGY 9340 CLAIREMONT MESA BLVD STE D, (800) 598-5300 PROVIDERS LLC SAN DIEGO, CA 92123 DIETSCH, MARY MONICA - AUD ADVANCED HEARING AUDIOLOGY 689 EAST MAIN STREET, EL CAJON, CA (800) 598-5300 PROVIDERS LLC 92020 DIGIAMARINO, EDWARD - MD ANESTHESIOLOGY 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 (BCC) 91786 DIGNITY HEALTH HOME PHARMACY 124 S COLLEGE DR, SANTA MARIA, CA (805) 739-3810 INFUSION S 93454 DIGRADO, MICHAEL - DC NEWPORT CENTER FAMILY CHIROPRACTIC MEDICINE 359 SAN MIGUEL DR STE 203, (949) 640-1470 CHIRO INC NEWPORT BEACH, CA 92660 DILES, CHRISTINE - AUD ADVANCED HEARING AUDIOLOGY 1261 TRAVIS BLVD STE 224, (800) 598-5300 PROVIDERS LLC FAIRFIELD, CA 94533 DILES, CHRISTINE - AUD ADVANCED HEARING AUDIOLOGY 593 N MCDOWELL BLVD STE C, (800) 598-5300 PROVIDERS LLC PETALUMA, CA 94954 DILLIKAR, ROOPA - MD (BCC) FIRST CALIFORNIA PHYSICIAN INTERNAL MEDICINE 11180 WARNER AVE STE 167, (714) 428-6711 PARTNERS FOUNTAIN VALLEY , CA 92708 DILLON, MARK T - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER DILORENZO, DANIEL J - MD LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PF STE 108A, LOMA (800) 679-4642 (BCC) HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S DIMARTINI, SUSAN - PT SANTIAGO PHYSICAL PHYSICAL THERAPY 33311 SANTIAGO RD, ACTON, CA 93510 (661) 269-4712 THERAPY DIMAS PHARMACY PHARMACY 3805 SAN DIMAS ST STE A, (661) 489-4000 BAKERSFIELD, CA 93301 DING, DAVID Y - MD KAISER PERMANETE SAN ORTHOPEDIC SURGERY 1600 OWENS STREET , SAN (415) 833-9600 FRANCISCO MISSION BAY FRANCISCO, CA 94158 DING, ELAINE - LAC CALIFORNIA ACUPUNCTURE ACUPUNCTURE 5851 MISSION ST, SAN FRANCISCO, CA (415) 337-6088 CENTERS 94112 DING, JAMES C - MD (BCC) ID MED INFECTIOUS DISEASE 23430 HAWTHORNE BLVD STE 200, (310) 784-5880 TORRANCE , CA 90505 DING, QIN - LAC DING'S ACUPUNCTURE ACUPUNCTURE 19753 VALLEY BLVD, WALNUT, CA (909) 967-1410 91789 DINI, ARASH - MD (BCC) SPINE SURGERY 16260 VENTURA BLVD STE 625, (818) 784-1020 ENCINO, CA 91436 DINI, ARASH - MD (BCC) ORTHOPEDIC SURGERY - HIP 16260 VENTURA BLVD STE 625, (818) 784-1020 ENCINO, CA 91436 DINI, ARASH - MD (BCC) ORTHOPEDIC SURGERY - 16260 VENTURA BLVD STE 625, (818) 784-1020 LOWER EXTREMITIES ENCINO, CA 91436 DINI, ARASH - MD (BCC) ORTHOPEDIC SURGERY - 16260 VENTURA BLVD STE 625, (818) 784-1020 UPPER EXTREMITIES ENCINO, CA 91436 DINI, ARASH A - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP PHYSICIAN 90007 DINI, ARASH A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP 90007 DINI, ARASH A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP LOWER EXTREMITIES 90007 DINI, ARASH A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP UPPER EXTREMITIES 90007 DINI, ARASH A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP 90007 DINI, ARASH A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - LOWER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP EXTREMITIES 90007

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 182 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DINI, ARASH A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP EXTREMITIES 90007 DINI, ARASH A - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP 90007 DINUBA PHARMACY PHARMACY 172 N L ST, DINUBA, CA 93618 (559) 725-4525 DIONYSIAN, EMIL - MD KAISER PERMANENTE WEST ORTHOPEDICS 200 N LEWIS AVE , ORANGE, CA 92868 (714) 644-6450 ANAHEIM MEDICAL PLAZA DIONYSIAN, EMIL - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 DIPLOMAT SPECIALTY PHARMACY 1819 ASTON AVE STE 104, CARLSBAD, (760) 707-1486 INFUSION CA 92008 DIPLOMAT SPECIALTY PHARMACY 1809 EXCISE AVE STE 207, ONTARIO, (909) 881-1728 PHARMACY CA 91761 DIPLOMAT SPECIALTY PHARMACY 15211 VANOWEN ST STE 301, VAN (818) 988-1288 PHARMACY NUYS, CA 91405 DIRECT PHARMACY CARE PHARMACY 8475 ARTESIA BLVD STE K, BUENA (800) 380-6883 PARK, CA 90621 DIRECT PHARMACY INC PHARMACY 15099 HESPERIAN BLVD, SAN (510) 460-9299 LEANDRO, CA 94578 DIRECT RX PHARMACY PHARMACY 23275 S POINTE DR #130, LAGUNA (949) 281-7455 HILLS, CA 92653 DIRECTCARE PHARMACY PHARMACY 18436 BROOKHURST ST, FOUNTAIN (714) 465-9410 VALLEY, CA 92708 DIRKSEN, SARAH - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 DISCOUNT MEDICAL PHARMACY 2716 GRIFFITH PARK BLVD, LOS (323) 661-8366 PHARMACY ANGELES, CA 90027 DISIENA, DOUGLAS - DC DI SIENA FAMILY CHIROPRACTIC MEDICINE 6 VENTURE STE 115, IRVINE, CA 92618 (949) 559-6030 CHIROPRACTIC DISSTON, ALEXANDER R - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 DISSTON, ALEXANDER R - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER DISTASIO, CHRISTOPHER C - KAISER PERMANENTE SOUTH NEUROLOGY 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 MD BAY MEDICAL CENTER CA 90710 DITTRICH, KIMBERLY - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 DIVELEY, GENO - PT ACUJIN HOLISTIC THERAPIES PHYSICAL THERAPY 4225 BALBOA AVE, SAN DIEGO, CA (619) 788-7632 92117 DIXIT, RAKESH K, MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN REHABILITATION FRANCISCO, CA 94080 FRANCISCO DIXON, BRIAN - PT GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 DIZON, MANUEL, MANALAD - SYCAMORE CHIROPRACTIC CHIROPRACTIC MEDICINE 1500 SYCAMORE AVE STE B14, (510) 313-4142 DC HERCULES, CA 94547 DJERBAKA, JOHN - PT NEWPORT CARE MEDICAL PHYSICAL THERAPY 3300 W COAST HWY STE A, NEWPORT (949) 949-9991 GROUP BEACH, CA 92663 DJERBAKA, JOHN - PT NEWPORT CARE MEDICAL PHYSICAL THERAPY 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 GROUP CA 90807 DK PHARMACY PHARMACY 10431 LEMON AVE STE G, ALTA LOMA, (909) 493-1500 CA 91737 DMK PHARMACY PHARMACY 8575 LOS COCHES RD STE 5, EL (619) 561-5602 CAJON, CA 92021 DMK PHARMACY PHARMACY 8575 LOS COCHES RD STE 5, EL (619) 561-5602 CAJON, CA 92021 DNM PHARMACY PHARMACY 6221 WILSHIRE BLVD STE 100, LOS (323) 634-8930 ANGELES, CA 90048 DO RX PHARMACY PHARMACY 12 S 14TH ST, SAN JOSE, CA 95112 (408) 294-7022 DOAN, HOA, NGOC - DC HOA DOAN CHIROPRACTIC CHIROPRACTIC MEDICINE 3806 E CESAR E CHAVEZ AVE, LOS (323) 264-6296 LOS ANGELES ANGELES, CA 90063 DOAN, HOA, NGOC - DC HOA DOAN CHIROPRACTIC CHIROPRACTIC MEDICINE 155 W HOSPITALITY LN STE 105, SAN (909) 888-2210 MAIN BERNARDINO, CA 92408

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 183 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DOAN, HOA, NGOC - DC HOA DOAN CHIROPRACTIC MEDICINE 275 WEST SAN BERNARDINO RD, (626) 967-3553 CHIROPRACTICCOVINA COVINA, CA 91723 DOAN, STEVEN P - MD CONCENTRA MEDICAL GERIATRIC MEDICINE 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 DOAN, VUONG - LAC COMMUNI QI ACUPUNCTURE ACUPUNCTURE 1729 SEABRIGHT AVE STE E, SANTA (831) 227-5083 CRUZ, CA 95062 DOANE, STEPHEN - MD HERNIA NETWORK GENERAL SURGERY 328 S FIRST ST STE F-G, ALHAMBRA, (626) 457-5333 CA 91801 DOANE, STEPHEN M - MD CONCENTRA MEDICAL SURGERY 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ DOBASHI, PHILLIP - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 500 E REMINGTON DR STE 10, (408) 389-3600 THERAPY SUNNYVALE SUNNYVALE, CA 94087 DOBEK, ALICE - AUD ADVANCED HEARING AUDIOLOGY 450 FOURTH AVE STE 306, CHULA (800) 598-5300 PROVIDERS LLC VISTA, CA 91910 DOCS SURGICAL HOSPITAL DOC SURGICAL HOSPITAL LLC ACUTE CARE HOSPITAL 6000 SAN VICENTE BLVD #603, LOS (323) 937-0525 LLC (BCC) ANGELES , CA 90036 DOCTOR'S CHOICE PHARMACY PHARMACY 639 N 13TH AVE, UPLAND, CA 91786 (909) 532-5588 DOCTOR, NIRAJ S - MD (BCC) CENTRAL CARDIOLOGY CARDIOVASCULAR DISEASE 2901 SILLECT AVE #100, BAKERSFIELD, (661) 323-8384 MEDICAL (CARDIOLOGY) CA 93308 DOCTORS HOSPITAL OF DOCTORS HOSPITAL OF ACUTE CARE HOSPITAL 1205 E NORTH ST, MANTECA, CA 95336 (209) 823-3111 MANTECA INC (BCC) MANTECA INC DOCTORS MEDICAL CENTER DOCTORS MEDICAL CENTER ACUTE CARE HOSPITAL 1441 FLORIDA AVE, MODESTO, CA (209) 578-1211 OF MODESTO (BCC) OF MODESTO 95350 DOCTORS ON DUTY MEDICAL DOCTORS ON DUTY MEDICAL URGENT CARE FACILITY 1212 S MAIN ST, SALINAS, CA 93901 (831) 422-7777 CLINIC (BCC) CLINIC DOCTORS ON DUTY MEDICAL DOCTORS ON DUTY MEDICAL URGENT CARE FACILITY 1505 MAIN ST, WATSONVILLE, CA 95076 (831) 722-1444 CLINIC (BCC) CLINIC DOCTORS ON DUTY MEDICAL DOCTORS ON DUTY MEDICAL URGENT CARE FACILITY 6800 SOQUEL DR, APTOS, CA 95003 (831) 662-3611 CLINIC (BCC) CLINIC DOCTORS ON DUTY MEDICAL DOCTORS ON DUTY MEDICAL URGENT CARE FACILITY 501 LIGHTHOUSE AVE, MONTEREY, CA (831) 649-0770 CLINIC (BCC) CLINIC 93940 DOCTORS ON DUTY MEDICAL DOCTORS ON DUTY MEDICAL URGENT CARE FACILITY 3130 DEL MONTE BLVD, MARINA, CA (831) 883-3330 CLINIC (BCC) CLINIC 93933 DOCTORS ON DUTY MEDICAL DOCTORS ON DUTY MEDICAL URGENT CARE FACILITY 1513 FREMONT BLVD STE E1, SEASIDE, (831) 899-1910 CLINIC (BCC) CLINIC CA 93955 DOCTORS OUTPATIENT AMBULATORY SURGERY 8436 W 3RD ST STE 700, LOS ANGELES, (310) 274-8228 CENTER FOR SURGERY INC CENTER CA 90048 DOCTORS SURGERY CENTER AMBULATORY SURGERY 10900 WARNER AVE STE 101A, (714) 698-1270 LLC CENTER FOUNTAIN VALLEY, CA 92708 DODGE, LARRY - MD (BCC) SPINE SURGERY 4060 4TH AVE STE 700, SAN DIEGO, CA (619) 299-8500 92103 DODGE, LARRY - MD (BCC) ORTHOPEDICS - KNEE 4060 4TH AVE STE 700, SAN DIEGO, CA (619) 299-8500 92103 DOERING, TIMOTHY - DC DOERING CHIROPRACTIC CHIROPRACTIC MEDICINE 1111 W TOWN AND COUNTRY RD STE (714) 542-3662 6, ORANGE, CA 92868 DOERING, TIMOTHY - DC GLANDORF CHIROPRACTIC MEDICINE 1111 W TWN AND CNTRY RD STE 6, (714) 667-6831 CHIROPRACTIC/MICHAEL J ORANGE, CA 92868 GLANDORF DC DOESSANT, REBECCA KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 MONROE C - MD LOS ANGELES MEDICAL CA 90034 CENTER DOHAD, SUHAIL Y - MD (BCC) CEDARS SINAI CARDIOLOGY CARDIOVASCULAR DISEASE 8631 W 3RD ST STE 635E, LOS (310) 248-8245 (CARDIOLOGY) ANGELES , CA 90048 DOKIMOS EAST MAIN PHARMACY 640 E MAIN ST STE 2, GRASS VALLEY, (530) 274-0100 PHARMACY CA 95945 DOKIMOS NEVADA CITY PHARMACY 737 ZION ST, NEVADA CITY, CA 95959 (530) 470-8854 PHARMACY DOLAN, KRISTEN - AUD ADVANCED HEARING AUDIOLOGY 9705 CA-267, TRUCKEE, CA 96161 (800) 598-5300 PROVIDERS LLC DOLLAR DRUG PHARMACY 1055 W COLLEGE AVE STE C, SANTA (707) 575-1313 ROSA, CA 95401

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 184 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DOLNY, KARA - PT SAN LUIS PHYSICAL THERAPY PHYSICAL THERAPY 7325 EL CAMINO REAL, ATASCADERO, (805) 466-6719 ATASCADERO CA 93422 DOLORICO, ARLENE M - MD KAISER PERMANENTE OPHTHALMOLOGY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 DOLPHIN PHARMACY PHARMACY 7400 MACARTHUR BLVD STE A, (510) 900-3131 OAKLAND, CA 94605 DOMENECH, SUSAN - PT AEGIS PHYSICAL THERAPY INC PHYSICAL THERAPY 27620 LANDAU BLVD STE 3, (760) 322-5090 CATHEDRAL CITY, CA 92234 DOMINGO, KRISTEN - PT 360 SPORTS SPINE WELLNESS PHYSICAL THERAPY 18800 DELAWARE ST STE 1000, (714) 848-9319 INC HUNTINGTON BEACH, CA 92648 DOMINGUEZ PHARMACY 2055 N PERRIS BLVD STE A1, PERRIS, (951) 943-8188 CA 92571 DOMINGUEZ, KARINA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 12562 GARDEN GROVE BLVD, GARDEN (714) 705-4027 CORP GROVE, CA 92843 DOMINGUEZ, KARINA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1535 DEERPARK DR, FULLERTON, CA (714) 993-2070 CORP 92831 DOMINGUEZ, KARINA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1902 ROYALTY DR 170, POMONA, CA (909) 620-9700 CORP 91767 DOMINGUEZ, KARINA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 2101 E 4TH ST, SANTA ANA, CA 92705 (714) 855-3100 CORP MAIN DOMINGUEZ, KARINA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 312 W CERRITOS AVE BLDG 7, (714) 947-1213 CORP ANAHEIM, CA 92805 DOMINGUEZ, KARINA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 9470 FIRESTONE BLVD, DOWNEY, CA (562) 401-4094 CORP 90241 DOMINGUEZ, KARINA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 9530 IMPERIAL HWY STE N, DOWNEY, (714) 947-1213 CORP CA 90242 DOMINICAN PLAZA PHARMACY PHARMACY 1595 SOQUEL DR STE 120, SANTA (831) 462-7726 CRUZ, CA 95065 DOMINICAN SANTA CRUZ DOMINICAN SANTA CRUZ ACUTE CARE HOSPITAL 1555 SOQUEL DR, SANTA CRUZ, CA (831) 462-7700 HOSPITAL (BCC) HOSPITAL 95065 DON'S DRUGS PHARMACY 1222 W 5TH ST, SAN BERNARDINO, CA (909) 884-0128 92411 DON, RYAN - PT INTEGRATED PAIN PHYSICAL THERAPY 1950 EAST 17TH ST, SANTA ANA, CA (714) 975-7950 MANAGEMENT 92705 DON, RYAN - PT INTEGRATED PAIN PHYSICAL THERAPY 2923 WEBSTER ST STE 202, OAKLAND, (925) 627-5000 MANAGEMENT CA 94609 DONALDSON, THOMAS K - MD EMPIRE ORTHOPEDIC CENTER ORTHOPEDIC SURGERY - HIP 900 E WASHINGTON ST STE 200, (909) 882-5867 (BCC) - LOMA LINDA UNIVERSITY COLTON, CA 92324 FACULTY MEDICAL GROUP DONALDSON, THOMAS K - MD EMPIRE ORTHOPEDIC CENTER ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 (BCC) - LOMA LINDA UNIVERSITY KNEE COLTON, CA 92324 FACULTY MEDICAL GROUP DONALDSON, THOMAS K - MD EMPIRE ORTHOPEDIC CENTER ORTHOPEDICS - HIP 900 E WASHINGTON ST STE 200, (909) 882-5867 (BCC) - LOMA LINDA UNIVERSITY COLTON, CA 92324 FACULTY MEDICAL GROUP DONALDSON, THOMAS K - MD EMPIRE ORTHOPEDIC CENTER ORTHOPEDICS - KNEE 900 E WASHINGTON ST STE 200, (909) 882-5867 (BCC) - LOMA LINDA UNIVERSITY COLTON, CA 92324 FACULTY MEDICAL GROUP DONES, GINA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 VISTA, CA 91910 DONG TAM PHARMACY PHARMACY 3163 SAN GABRIEL BLVD, ROSEMEAD, (626) 572-2929 CA 91770 DONGNAI PHARMACY PHARMACY 9081 BOLSA AVE STE 108, (714) 379-5072 WESTMINSTER, CA 92683 DONIA, MICHAEL - DC DONIA CHIROPRACTIC CHIROPRACTIC MEDICINE 1455 W PARK AVE, REDLANDS, CA (909) 793-2225 92373 DONNER, CHRISTOPHER C - SANSUM CLINIC - PESETAS ENDOCRINOLOGY, DIABETES 215 PESETAS LN, SANTA BARBARA, CA (805) 681-7858 MD (BCC) MULTI-SPECIALTY CLINIC AND METABOLISM 93110 DONOHOE, TODD - DC DONOHOE CHIROPRACTIC CHIROPRACTIC MEDICINE 41880 KALMIA ST STE 135, MURRIETA, (951) 677-6500 CA 92562 DONOHUE, JOSEPH - PT PRO SPORT PHYSICAL PHYSICAL THERAPY 23001 DEL LAGO DR STE C1, LAGUNA (949) 387-7333 THERAPY LAGUNA HILLS HILLS, CA 92653

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 185 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DONOVAN, MICHELLE - PT SYNERGY AQUATIC THERAPY PHYSICAL THERAPY 7005 N CHESTNUT AVE STE 102, (559) 323-4100 AND REHABILITATION INC FRESNO, CA 93720 DOOLITTLE, MAILE - PTA BECK AND CALE PHYSICAL PHYSICAL THERAPY 150 MARY AVE STE 1, NIPOMO, CA (805) 929-3230 THERAPY 93444 DOONAN, BRYAN - MD PRIMARY TREATING 360 SAN MIGUEL DR STE 107, (949) 760-8300 PHYSICIAN NEWPORT BEACH, CA 92660 DOONAN, BRYAN - MD FAMILY MEDICINE 360 SAN MIGUEL DR STE 107, (949) 760-8300 NEWPORT BEACH, CA 92660 DOOR TO HOPE (BCC) DOOR TO HOPE CHEMICAL DEPENDENCY 130 W GABILAN ST, SALINAS, CA 93901 (831) 758-0181 REHABILITATION CENTER (OUTPATIENT) DORADO PHARMACY PHARMACY 13003 VAN NUYS BLVD STE E, (818) 485-5554 PACOIMA, CA 91331 DORADO, RUSSELL - MD (BCC) ANESTHESIOLOGY 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 91786 DORAN PHARMACY PHARMACY 525 N GLENDALE AVE, GLENDALE, CA (818) 291-4099 91206 DORFAN, DAVID W - MD (BCC) ADVANCED DERMATOLOGY OF PLASTIC & RECONSTRUCTIVE 30300 AGOURA RD STE 200 , AGOURA (818) 706-3744 SC SURGERY HILLS , CA 91403 DORFF, TANYA - MD ONCOLOGY 1500 EAST DUARTE ROAD, DUARTE, CA (800) 826-4673 91010 DOSCH, STEVEN E - MD (BCC) SANSUM CLINIC - OCCUPATIONAL MEDICINE 101 S PATTERSON AVE , SANTA (805) 898-3311 OCCUPATIONAL MEDICINE BARBARA, CA 93111 DOSCH, STEVEN E - MD (BCC) SANSUM CLINIC - PRIMARY TREATING 101 S PATTERSON AVE , SANTA (805) 898-3311 OCCUPATIONAL MEDICINE PHYSICIAN BARBARA, CA 93111 DOSHI, RISHI R - MD KAISER PERMANENTE YORBA OPHTHALMOLOGY 2521 MICHELLE DR , TUSTIN, CA 92780 (714) 830-6660 LINDA MEDICAL OFFICES DOSHI, SEJAL - PT CAMARILLO PHYSICAL PHYSICAL THERAPY 4000 CALLE TECATE STE 117, (805) 383-0470 THERAPY CAMARILLO, CA 93012 DOSHI, SWETA - PT CALAVERAS PHYSICAL PHYSICAL THERAPY 500 E CALAVERAS BLVD STE 112, (408) 934-4700 THERAPY MILPITAS, CA 95035 DOSTALEK, GARY - PTA YOUNG PHYSICAL THERAPY PHYSICAL THERAPY 42301 10TH ST W, LANCASTER, CA (661) 942-2202 INC 93534 DOUCET, ROBERTA L - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90038 CENTER DOUCETTE, STEPHANI - LAC STEPHANIE DOUCETTE LAC ACUPUNCTURE 1700 SHATTUCK AVE 2ND FL, (510) 495-5752 BERKELEY, CA 94709 DOUCETTE, STEPHANIE - LAC STEPHANIE DOUCETTE LAC ACUPUNCTURE 2149 BYRON ST, BERKELEY, CA 94702 (510) 495-5752 DOUGHERTY, ERIN - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 DOUGHERTY, ERIN - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 DOUGHERTY, JOHN - PTA ATHLETIC CONDITIONING PHYSICAL THERAPY 111 PACIFICA STE 150, IRVINE, CA (949) 754-1344 INJURY CENTER ACIC 92618 DOUGLAS PARK PHARMACY PHARMACY 3828 SCHAUFELE AVE STE 260, LONG (562) 353-4723 BEACH, CA 90808 DOUGLAS, CLIFFORD C - MD LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 4500 BROCKTON AVE STE 201, (800) 679-4642 (BCC) HEALTH CARE - RIVERSIDE, CA 92501 NEUROSURGERY DEPT FP&S DOUGLAS, CLIFFORD C - MD LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 (BCC) HEALTH CARE - CA 92563 NEUROSURGERY DEPT FP&S DOUSTAR, HANA - LAC CLINIC FOR PAIN AND ANXIETY ACUPUNCTURE 1125 S BEVERLY DR STE 610, LOS (424) 281-0345 ANGELES, CA 90035 DOVES LANDING PHARMACY PHARMACY 2450 ORO DAM BLVD E STE B, (530) 533-1234 OROVILLE, CA 95966 DOWNEY PLAZA PHARMACY PHARMACY 11480 BROOKSHIRE AVE, DOWNEY, CA (562) 861-5010 90241 DOWNEY SURGERY CENTER AMBULATORY SURGERY 8555 E FLORENCE AVE , DOWNEY, CA (562) 923-9351 CENTER 90240

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 186 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DOWNEY, CHRISTINA D - MD LOMA LINDA UNIVERSITY RHEUMATOLOGY 11370 ANDERSON ST FMO STE 3625, (800) 679-4642 (BCC) HEALTH CARE – INTERNAL LOMA LINDA , CA 92354 MEDICINE SPECIALTIES GROUP DOWNING, JOHNATHON E - MD EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 1045 W REDONDO BEACH BLVD STE (310) 329-9975 (BCC) 400, GARDENA, CA 90047 DOWNING, JOHNATHON E - MD EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 23441 MADISON ST STE 120, (310) 373-6708 (BCC) TORRANCE, CA 90025 DOWNING, JOHNATHON E - MD EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 1950 SAWTELLE BLVD STE 240, LOS (310) 453-0489 (BCC) ANGELES, CA 90025 DOWNING, KRISTOPHER L - MD CONCENTRA MEDICAL HAND SURGERY 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 DOWNS, BRANDON - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 400 E SANTA BARBARA ST STE B, (805) 525-6402 SANTA PAULA, CA 93060 DOWNS, BRIAN - DO PRIMARY TREATING 23861 MCBEAN PKWY STE E16, (661) 253-8458 PHYSICIAN VALENCIA, CA 91355 DOWNS, BRIAN - DO FAMILY MEDICINE 23861 MCBEAN PKWY STE E16, (661) 253-8458 VALENCIA, CA 91355 DOWNS, DAVID J - MD (BCC) FIRST CALIFORNIA PHYSICIAN ORTHOPEDIC SURGERY - HIP 680 LANGSDORF DR STE 103, (714) 428-6711 PARTNERS FULLERTON , CA 92831 DOWNS, DAVID J - MD (BCC) FIRST CALIFORNIA PHYSICIAN ORTHOPEDIC SURGERY - 680 LANGSDORF DR STE 103, (714) 428-6711 PARTNERS LOWER EXTREMITIES FULLERTON , CA 92831 DOWNS, DAVID J - MD (BCC) FIRST CALIFORNIA PHYSICIAN ORTHOPEDIC SURGERY - 680 LANGSDORF DR STE 103, (714) 428-6711 PARTNERS UPPER EXTREMITIES FULLERTON , CA 92831 DOWNS, ELIZA - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 DOWNS, WILLIAM B - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA DOWNS, WILLIAM B - MD CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA DOWNTOWN PHARMACY PHARMACY 2700 F ST STE 200, BAKERSFIELD, CA (661) 322-5700 93301 DOWNTOWN PHARMACY INC PHARMACY 60 N 13TH ST STE A, SAN JOSE, CA (408) 298-2255 95112 DOWNTOWN STOCKTON PHARMACY 123 S COMMERCE ST STE A, (209) 463-8888 PHARMACY STOCKTON, CA 95202 DOWNTOWN STOCKTON PHARMACY 123 S COMMERCE ST STE A, (209) 463-8888 PHARMACY STOCKTON, CA 95202 DOWNTOWN URGENT CARE URGENT CARE FACILITY 268 S SAN PEDRO ST, LOS ANGELES, (213) 947-3600 CA 90012 DOWNUM, BRIAN - LAC SOLEIMANI ACUPUNCTURE 9040 FRIARS RD STE 401, SAN DIEGO, (619) 280-0201 CHIROPRACTICMAIN CA 92108 DOYLE, BRIAN S - MD KAISER PERMANENTE HAND SURGERY 10800 MAGNOLIA AVE MEDICAL OFFICE (951) 353-4322 RIVERSIDE MEDICAL CENTER BLDG 2, RIVERSIDE, CA 92505 DOYLE, BRIAN S - MD KAISER PERMANENTE ORTHOPEDICS 10800 MAGNOLIA AVE MEDICAL OFFICE (951) 353-4322 RIVERSIDE MEDICAL CENTER BLDG 2, RIVERSIDE, CA 92505 DOYLE, CLINTON - PTA CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 800 S RAYMOND AVE FL 3, PASADENA, (626) 795-0800 ASSOCIATES DBA ELITE CA 91105 MOTION DR IKE'S PHARMACARE PHARMACY 1111 N BRAND BLVD STE C, GLENDALE, (818) 696-2606 CA 91202 DR IKE'S PHARMACY PHARMACY 7640 TAMPA AVE STE 103, RESEDA, CA (818) 578-7400 91335 DR IKE'S PHARMACY PHARMACY 5620 WILBUR AVE STE 100, TARZANA, (747) 265-6781 CA 91356 DR PHARMACY PHARMACY 706 LINDERO CANYON RD, OAK PARK, (818) 991-1901 CA 91377 DRAGON PHARMACY PHARMACY 5839 WESTMINSTER BLVD, (714) 927-7871 WESTMINSTER, CA 92683

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 187 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DREISBACH, JEREMIAH D - MD DESERT CARE NETWORK - FAMILY MEDICINE 47647 CALEO BAY DR STE 210, LA (714) 428-6711 (BCC) PRIMARY AND SPECIALTY QUINTA , CA 92253 CARE DREISBACH, JEREMIAH D - MD DESERT CARE NETWORK - PRIMARY TREATING 47647 CALEO BAY DR STE 210, LA (714) 428-6711 (BCC) PRIMARY AND SPECIALTY PHYSICIAN QUINTA , CA 92253 CARE DREISBACH, JEREMIAH D - MD DESERT CARE NETWORK - SPORTS MEDICINE 47647 CALEO BAY DR STE 210, LA (714) 428-6711 (BCC) PRIMARY AND SPECIALTY QUINTA , CA 92253 CARE DREISBACH, PHILIP - MD HEMATOLOGY AND 39800 BOB HOPE DR #C, RANCHO (760) 568-3613 ONCOLOGY MIRAGE, CA 92270 DREISBACH, PHILIP - MD (BCC) HEMATOLOGY AND 39800 BOB HOPE DR STE C, RANCHO (760) 568-3613 ONCOLOGY MIRAGE, CA 92270 DRESCHSLER, DAVID - DC DRECHSLER CHIROPRACTIC CHIROPRACTIC MEDICINE 30 E SAN JOAQUIN ST STE 102, (831) 757-9412 SALINAS, CA 93901 DREW, LISA - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 5600 MOWRY SCHOOL RD STE 305, (510) 651-9258 PHYSICAL THERAPY NEWARK, CA 94560 DRISCOLL, AMY - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 5630 E SANTA ANA CANYON RD STE (714) 282-7701 SPORTS THERAPY 150, ANAHEIM, CA 92807 DRUG CENTER PHARMACY PHARMACY 1127 E BROADWAY ST, GLENDALE, CA (818) 246-7156 91205 DRUG CENTER PHARMACY PHARMACY 1530 E CHEVY CHASE DR, GLENDALE, (818) 507-8466 CA 91206 DRUG CO PHARMACY PHARMACY 307 N ASH ST, ESCONDIDO, CA 92027 (760) 745-6672 DRUG DEPOT PHARMACY PHARMACY 999 N TUSTIN AVE STE 12, SANTA ANA, (877) 378-4911 CA 92705 DRUGS R US PHARMACY 16229 DEVONSHIRE ST, GRANADA (818) 360-0206 HILLS, CA 91344 DRUGTOWN PHARMACY PHARMACY 802 7TH ST, SANTA MONICA, CA 90403 (310) 393-9821 DSC PERFORMANCE PHYSICAL THERAPY 201 CALLE DE LOS MOLINOS STE B, (949) 388-5692 PHYSICAL THERAPY SAN CLEMENTE, CA 92672 DSC PHYSICAL THERAPY PHYSICAL THERAPY 1346 FOOTHILL BLVD STE 101, LA (818) 790-3001 CANADA FLINTRIDGE, CA 91011 DSC PHYSICAL THERAPY, INC. PHYSICAL THERAPY 1346 FOOTHILL BLVD STE 101, LA (818) 790-3001 CANADA FLINTRIDGE, CA 91011-2131 DSK PHARMACY PHARMACY 9580 GARDEN GROVE BLVD, GARDEN (714) 537-6619 GROVE, CA 92844 DU, HYONG, OAK - LAC EAST AND WEST ACUPUNCTURE 30313 CANWOOD ST STE 23, AGOURA (818) 889-8988 ACUPUNCTURE CLINIC INC HILLS, CA 91301 DU, JEAN, DAJIAN - LAC PROHEALTH ACUPUNCTURE ACUPUNCTURE 1926 28TH ST, SACRAMENTO, CA 95816 (916) 456-9908 CENTER DUARTE, PAUL - PTA GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 DUARTE, TAMMY - AUD ADVANCED HEARING AUDIOLOGY 30 CENTERPOINTE DR STE 9A, LA (800) 598-5300 PROVIDERS LLC PALMA, CA 90623 DUBEY, SONAL - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 DUBIANSKY, JENNA - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 27450 YNEZ RD STE 120, TEMECULA, (951) 695-5144 CA 92591 DUBLIN PHYSICAL THERAPY PHYSICAL THERAPY 6759 SIERRA CT STE A, DUBLIN, CA (925) 803-0530 94568 DUCA, CHRISTINA - AUD ADVANCED HEARING AUDIOLOGY 2717 EL CAMINO AVE STE I, (800) 598-5300 PROVIDERS LLC SACRAMENTO, CA 95821 DUCA, CHRISTINA - AUD ADVANCED HEARING AUDIOLOGY 1139 GRAY AVE , YUBA CITY, CA 95991 (800) 598-5300 PROVIDERS LLC DUEKER FEE PHYSICAL PHYSICAL THERAPY 1187 N WILLOW AVESUITE 103, CLOVIS, (559) 439-8151 THERAPY INC CA 93611-4411 DUEKER FEE PHYSICAL PHYSICAL THERAPY 7275 N 1ST STSUITE 106, FRESNO, CA (559) 439-8151 THERAPY INC 93720-2977 DUER, REVITAL - PT PROX PHYSICAL THERAPY PHYSICAL THERAPY 28210 DOROTHY DR STE 110, AGOURA (818) 532-7600 HILLS, CA 91301 DUER, TALI - PT WESTLAKE SPORTS THERAPY PHYSICAL THERAPY 4165 E THOUSAND OAKS BLVD STE (805) 371-9116 INC 150, WESTLAKE VILLAGE, CA 91362

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 188 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DUERKSEN, JONATHAN S - MD KAISER PERMANENTE OPHTHALMOLOGY 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER DUFFY, DIANA - AUD ADVANCED HEARING AUDIOLOGY 11723 FAIR OAKS BLVD , FAIR OAKS, CA (800) 598-5300 PROVIDERS LLC 95628 DUFFYS NAPA VALLEY REHAB DUFFYS NAPA VALLEY REHAB CHEMICAL DEPENDENCY 3076 MYRTLEDALE RD, CALISTOGA, CA (888) 571-1815 LLC (BCC) LLC REHABILITATION CENTER 94515 (OUTPATIENT) DUGAL, RICKIE - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA 95051 CENTRAL EXPRESSWAY DUGAL, RICKIE - MD CONCENTRA MEDICAL PRIMARY TREATING 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA PHYSICIAN 95051 CENTRAL EXPRESSWAY DUGAN THERAPY AND PHYSICAL THERAPY 2029 VILLAGE LN STE 106, SOLVANG, (805) 686-1934 FITNESS INC CA 93463 DUGGER, WALTER R - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 DUGGER, WALTER R - MD CONCENTRA MEDICAL PUBLIC HEALTH AND GENERAL 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA PREVENTIVE MEDICINE CA 92123 DUGUAY, BRIAN - AUD ADVANCED HEARING AUDIOLOGY 527 KONOCTI AVE , LAKEPORT, CA (800) 598-5300 PROVIDERS LLC 95453 DUGUAY, BRIAN - AUD ADVANCED HEARING AUDIOLOGY 1100 TRANCAS ST STE 210, NAPA, CA (800) 598-5300 PROVIDERS LLC 94558 DUGUAY, BRIAN - AUD ADVANCED HEARING AUDIOLOGY 3443 VILLA LN STE 3, NAPA, CA 94558 (800) 598-5300 PROVIDERS LLC DUGUAY, BRIAN - AUD ADVANCED HEARING AUDIOLOGY 1485 MAIN ST STE 101, SAINT HELENA, (800) 598-5300 PROVIDERS LLC CA 94574 DULLA, ROLAND - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 DULLA, ROLAND - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 DULLA, ROLAND - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 DULLA, ROLAND - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 DULLA, ROLAND - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 DULLA, ROLAND - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 DULONG, MARK J - MD KAISER PERMANENTE SANTA GENERAL SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 DULONG, MARK J - MD KAISER PERMANENTE SANTA PLASTIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 DULOS, RONALD G - MD (BCC) RIVERSIDE MEDICAL CLINIC - INTERNAL MEDICINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY DUMBADSE, CHRISTOPHER - DUMBADSE CHRISTOPHER DC CHIROPRACTIC MEDICINE 515 5TH ST STE A, SANTA ROSA, CA (707) 545-5839 DC 95401 DUME PLAZA PHARMACY PHARMACY 29211 HEATHERCLIFF RD, MALIBU, CA (310) 457-9707 90265 DUNAVAN, CHAE - LAC CHAE K DUNAVAN LAC ACUPUNCTURE 2091 W FLORIDA AVE STE 120, HEMET, (951) 929-0100 CA 92545 DUNBAR, JENNIFER A - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 2195 CLUB CENTER DR STE A-L, SAN (800) 679-4642 (BCC) LLUSM BERNARDINO, CA 92408 DUNBAR, WILLIAM A - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER UPPER EXTREMITIES CA 93110 DUNBAR, WILLIAM A - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER LOWER EXTREMITIES CA 93110 DUNBAR, WILLIAM A - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - HIP 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER CA 93110 DUNBAR, WILLIAM A - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - UPPER 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER EXTREMITIES CA 93110

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 189 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DUNBAR, WILLIAM A - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - LOWER 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER EXTREMITIES CA 93110 DUNBAR, WILLIAM A - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - HIP 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER CA 93110 DUNBAR, WILLIAM A - MD (BCC) SANSUM CLINIC - FOOTHILL SPORTS MEDICINE 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER CA 93110 DUNBAR, WILLIAM A - MD (BCC) SANSUM CLINIC - FOOTHILL PRIMARY TREATING 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER PHYSICIAN CA 93110 DUNDAS, LAURA - AUD ADVANCED HEARING AUDIOLOGY 696 PETALUMA BLVD N , PETALUMA, CA (800) 598-5300 PROVIDERS LLC 94952 DUNDAS, LAURA - AUD ADVANCED HEARING AUDIOLOGY 4340 OLD REDWOOD HWY STE A-12, (800) 598-5300 PROVIDERS LLC SAN RAFAEL, CA 94903 DUNDAS, LISA - AUD ADVANCED HEARING AUDIOLOGY 1100 S ELISEO DR , GREENBRAE, CA (800) 598-5300 PROVIDERS LLC 94904 DUNGCA, LLL, REYNALDO - OT THE HAND CENTER OF OCCUPATIONAL THERAPY 22110 ROSCOE BLVD STE 302, CANOGA (818) 347-7110 SOUTHERN CALIFORNIA PARK, CA 91304 DUNN, LAUREN - PT THE PHYSICAL EDGE PHYSICAL THERAPY 253 N SANTA ANITA AVE, ARCADIA, CA (626) 294-0070 PHYSICAL THERAPY INC 91006 DUNNING, RUSSELL - PT KIME PHYSICAL THERAPY PHYSICAL THERAPY 4990 HILLSDALE CIR STE 100, EL (916) 905-6378 DORADO HILLS, CA 95762 DUOMO PHARMACY PHARMACY 12157 VICTORY BLVD # A, NORTH (818) 980-4999 HOLLYWOOD, CA 91606 DUONG, ANDREW - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 12648 POWAY RD, POWAY, CA 92064 85583759680 DUONG, HUY T - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER DUQUE, HEIDI - PT XCELERATE PHYSICAL PHYSICAL THERAPY 144 W LOS ANGELES AVE STE 110, (805) 552-1915 THERAPY MOORPARK, CA 93021 DUQUE, HEIDI - PT XCELERATE PHYSICAL PHYSICAL THERAPY 3262 E THOUSAND OAKS BLVD 100, (805) 374-9900 THERAPY THOUSAND OAKS, CA 91362 DURAN, MARCOS A - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH FRESNO, CA 93720 CENTER DURAN, MARCOS A - DO KAISER PERMANENTE ON THE PRIMARY TREATING 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH PHYSICIAN FRESNO, CA 93720 CENTER DURKIN, BRITTANY - LAC ADVANCED MD MEDICAL ACUPUNCTURE 3435 CAMINO DEL RIO SOUTH STE 108, (858) 345-4887 GROUP SAN DIEGO, CA 92025 DUSHKIN, ROBIN - OT PRN PHYSICAL THERAPY OCCUPATIONAL THERAPY 317 N EL CAMINO REAL STE 210, (760) 634-0248 ENCINITAS, CA 92024 DUTCHERWOLF, DARRELYN - PERFORMANCE THERAPY PHYSICAL THERAPY 450 ROSEWOOD AVE STE 105, (805) 389-4781 PT CENTER CAMARILLO, CA 93010 DUTTA, SUJAY - MD (BCC) CENTER FOR ADVANCED INTERNAL MEDICINE - 2190 LYNN RD STE 320, THOUSAND (805) 370-4325 WOUND HEALING AT LOS INFECTIOUS DISEASE OAKS , CA 91360 ROBLES HOSPITAL & MEDICAL CENTER DUTTON COMMUNITY PHARMACY 1300 N DUTTON AVE STE 100, SANTA (707) 236-6880 PHARMACY ROSA, CA 95401 DWAYNE'S FRIENDLY PHARMACY 644 W LINE ST, BISHOP, CA 93514 (760) 872-2522 PHARMACY DWORSKY, ERIK M - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 1700 E CESAR E CHAVEZ AVE STE (323) 264-7600 SURGERY SPECIALISTS 2200, LOS ANGELES , CA 90033 DWORSKY, ERIK M - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 1700 E CESAR E CHAVEZ AVE STE (323) 264-7600 SURGERY SPECIALISTS KNEE 2200, LOS ANGELES , CA 90033 DWORSKY, ERIK M - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - HIP 1700 E CESAR E CHAVEZ AVE STE (323) 264-7600 SURGERY SPECIALISTS 2200, LOS ANGELES , CA 90033 DWORSKY, ERIK M - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - KNEE 1700 E CESAR E CHAVEZ AVE STE (323) 264-7600 SURGERY SPECIALISTS 2200, LOS ANGELES , CA 90033 DYE, JUSTIN A - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PP STE 108A, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S DYE, LINDA - AUD ADVANCED HEARING AUDIOLOGY 2023 W VISTA WAY STE J, VISTA, CA (800) 598-5300 PROVIDERS LLC 92083

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 190 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DYJAK, ANDREW - OT HIGH FIVE HAND THERAPY OCCUPATIONAL THERAPY 3130 WILSHIRE BLVD STE 409, LOS (213) 389-1004 AND REHABILITATION LA ANGELES, CA 90010 DYJAK, ANDREW - OT HIGH FIVE HAND THERAPY OCCUPATIONAL THERAPY 9828 GARDEN GROVE BLVD 110, (714) 591-5853 GARDEN GROVE GARDEN GROVE, CA 92844 DYNAMIC AQUATIC & PHYSICAL THERAPY 1220 S CENTRAL AVE STE 104, (818) 240-7511 PHYSICAL THERAPY INC GLENDALE, CA 91204-3807 DYNAMIC AQUATIC & PHYSICAL THERAPY 2950 LOS FELIZ BLVD STE 101, LOS (818) 240-7511 PHYSICAL THERAPY INC ANGELES, CA 90039-1501 DYNAMIC AQUATIC & PHYSICAL THERAPY 8134 VAN NUYS BLVD STE 100, (818) 904-6700 PHYSICAL THERAPY INC PANORAMA CITY, CA 91402-4815 DYNAMIX PHYSICAL THERAPY PHYSICAL THERAPY 14221 N EUCLID ST STE F, GARDEN (714) 891-2739 INC. GROVE, CA 92843-4991 DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2327 HUNTINGTON DR, SAN MARINO, (626) 395-0884 CA 91108-2642 DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 7941 BEACH BLVD STE J, BUENA PARK, (714) 736-6855 CA 90620-1900 DYSON, ERIC - AUD ADVANCED HEARING AUDIOLOGY 12062 VALLEY VIEW ST STE 104, (800) 598-5300 PROVIDERS LLC GARDEN GROVE, CA 92845 E & L PHYSICAL THERAPY PHYSICAL THERAPY 2437 FENTON ST STE B, CHULA VISTA, (619) 656-5176 CA 91914-3517 E & L PHYSICAL THERAPY PHYSICAL THERAPY 2650 CAM DEL RIO N STE 200, SAN (619) 295-3000 DIEGO, CA 92108-1631 E & L PHYSICAL THERAPY PHYSICAL THERAPY 3130 BONITA RD STE 100, CHULA (619) 422-5315 VISTA, CA 91910-3263 E & L PHYSICAL THERAPY PHYSICAL THERAPY 5905 SEVERIN DR, LA MESA, CA (619) 589-2606 91942-3806 E AND J PHARMACY PHARMACY 1234 S GARFIELD AVE, ALHAMBRA, CA (626) 281-9913 91801 E AND L PHYSICAL THERAPY PHYSICAL THERAPY 3070 MADISON ST, CARLSBAD, CA (760) 789-1424 ENCINITAS 92008 E-CARE PHARMACY CORP PHARMACY 10141 WESTMINSTER AVE, GARDEN (714) 462-6366 GROVE, CA 92843 E-Z CARE PHARMACY PHARMACY 202 N EUCLID ST STE 102, SANTA ANA, (714) 968-2000 CA 92703 EAGLE DRUG PHARMACY 101 MAIN ST, WINTERS, CA 95694 (530) 795-4123 EAKIN, DONNA - CHT REDWOOD HAND THERAPY HAND THERAPY 320 TESCONI CIR STE G, SANTA ROSA, (707) 544-2637 CA 95401 EAKIN, DONNA - OT REDWOOD HAND THERAPY OCCUPATIONAL THERAPY 320 TESCONI CIR STE G, SANTA ROSA, (707) 544-2637 CA 95401 EARLE, JAMES - PT NORTH VALLEY PHYSICAL PHYSICAL THERAPY 951 BUTTE ST, REDDING, CA 96001 (530) 241-9142 THERAPY EARTH VILLAGE PHARMACY PHARMACY 5161 BEACH BLVD STE C, BUENA PARK, (714) 228-9212 CA 90621 EAST BAY AIDS CENTER OP PHARMACY 3100 SUMMIT ST, OAKLAND, CA 94609 (510) 869-8451 PHCY EAST BAY PHYSICAL THERAPY PHYSICAL THERAPY 1301 HILLTOP MALL RD # B101, (510) 222-8080 RICHMOND, CA 94806-1911 EAST COUNTY URGENT CARE EAST COUNTY URGENT CARE URGENT CARE FACILITY 1625 E MAIN ST STE 100, EL CAJON, CA (619) 442-9896 (BCC) 92021 EAST COUNTY WATER & PHYSICAL THERAPY 10225 AUSTIN DR STE 106, SPRING (619) 660-8895 SPORTS PT VALLEY, CA 91978-1521 EAST LA PHARMACY PHARMACY 4968 WHITTIER BLVD, LOS ANGELES, (323) 685-5039 CA 90022 EAST LOS ANGELES DOCTORS EAST LOS ANGELES DOCTORS ACUTE CARE HOSPITAL 4060 WHITTIER BLVD, LOS ANGELES, (323) 268-5514 HOSPITAL (BCC) HOSPITAL CA 90023 EAST OAKLAND HEALTH PHARMACY 7450 INTERNATIONAL BLVD, OAKLAND, (510) 835-9610 PHARMACY CA 94621 EAST REMEDY PHARMACY PHARMACY 816 E BROADWAY, GLENDALE, CA (818) 507-0625 91205 EAST SACRAMENTO PHYSICAL PHYSICAL THERAPY 5290 ELVAS AVENUE SUITE A, (916) 457-8801 THERAPY SACRAMENTO, CA 95819 EAST VALLEY PMQ PHARMACY PHARMACY 420 S GLENDORA AVE, WEST COVINA, (626) 869-2470 CA 91790

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 191 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone EAST VALLEY PMQ PHARMACY PHARMACY 1555 S GAREY AVE, POMONA, CA 91766 (626) 869-2472 EAST WEST PHYSICAL PHYSICAL THERAPY 5153 HOLT BLVD STE A1, MONTCLAIR, (909) 626-2220 THERAPY CA 91763-4837 EASTERN PLUMAS HEALTH EASTERN PLUMAS HEALTH ACUTE CARE HOSPITAL 500 1ST AVE, PORTOLA, CA 96122 (530) 832-6500 CARE (BCC) CARE EASTGATE PHARMACY PHARMACY 11741 VALLEY VIEW ST SUITE L, (714) 902-1480 CYPRESS, CA 90630 EASTLAND PHARMACY PHARMACY 18339 COLIMA RD STE A, ROWLAND (626) 810-1056 HEIGHTS, CA 91748 EASTMAN, WILFRED - MD ORTHOPEDIC SURGERY - 475 BRUCE ST STE 900, YREKA, CA (530) 842-1267 (BCC) LOWER EXTREMITIES 96097 EASTMAN, WILFRED - MD ORTHOPEDIC SURGERY - 475 BRUCE ST STE 900, YREKA, CA (530) 842-1267 (BCC) UPPER EXTREMITIES 96097 EASTMAN, WILFRED - MD ORTHOPEDICS - LOWER 475 BRUCE ST STE 900, YREKA, CA (530) 842-1267 (BCC) EXTREMITIES 96097 EASTMAN, WILFRED - MD ORTHOPEDICS - UPPER 475 BRUCE ST STE 900, YREKA, CA (530) 842-1267 (BCC) EXTREMITIES 96097 EATON CANYON TREATMENT EATON CANYON TREATMENT CHEMICAL DEPENDENCY 3323 E FAIRPOINT ST, PASADENA, CA (626) 798-0150 CENTER (BCC) CENTER REHABILITATION CENTER 91107 (OUTPATIENT) EATON, STEVEN - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 EATON, STEVEN - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 EBERLE, ROBERT - AUD ADVANCED HEARING AUDIOLOGY 341 WESTLAKE CENTER STE 331, DALY (800) 598-5300 PROVIDERS LLC CITY, CA 94015 EBERLE, ROBERT - AUD ADVANCED HEARING AUDIOLOGY 1670 S AMPHLETT BLVD STE 214, SAN (800) 598-5300 PROVIDERS LLC MATEO, CA 94402 EBERT, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 EBERT, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 EBERT, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 EBERT, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 EBERT, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 EBERT, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 EBINGER, JOSEPH E - MD SMIDT HEART INSTUTUTE - CARDIOVASCULAR DISEASE 8700 GRACIE ALLEN DR STE 5522, LOS (310) 423-2726 (BCC) CEDARS SINAI (CARDIOLOGY) ANGELES , CA 90048 EBRAHIMI, MEHDI - PT NEW AGE PHYSICAL THERAPY PHYSICAL THERAPY 6221 WILSHIRE BLVD STE 620, LOS (818) 405-8698 ANGELES, CA 90048 EBRAHIMIAN, SHAHIN - MD ANESTHESIOLOGY 18300 ROSCOE BLVD, NORTHRIDGE, (844) 450-1522 (BCC) CA 91328 EBSTER, JOHN - PTA GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 EBY, JOSEPH B - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER EBY, JOSEPH B - MD KAISER PERMANENTE PLASTIC SURGERY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER ECHENIQUE, SILVIA - PTA TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 ECHO PARK PHARMACY PHARMACY 1634 W SUNSET BLVD, LOS ANGELES, (213) 341-1411 CA 90026 ECKARD, TIM - PT KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 25176 RYE CANYON RD, VALENCIA, CA (661) 288-0300 THERAPY INC 91355 ECKARD, TIMOTHY - PT KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 44501 16TH ST W STE 107, LANCASTER, (661) 974-7033 THERAPY INC CA 93534

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 192 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ECKHARDT, KENNETH - DC NORTH MARIN CHIROPRACTIC CHIROPRACTIC MEDICINE 400 ROWLAND BLVD, NOVATO, CA (415) 892-2212 CENTER 94947 ECKHART, HARVEY, E - DC LONGLIFE WELLNESS CHIROPRACTIC MEDICINE 726 MENDOCINO AVE, SANTA ROSA, CA (707) 536-7322 CHIROPRACTIC 95401 ECONO PHARMACY PHARMACY 15435 S WESTERN AVE STE 100-C, (310) 353-2699 GARDENA, CA 90249 ED KIM MPT PHYSICAL THERAPY 3838 SHERMAN DR STE 11, RIVERSIDE, (951) 353-2831 CA 92503 EDDIE'S PHARMACY PHARMACY 8408 BEVERLY BLVD, LOS ANGELES, (310) 358-2400 CA 90048 EDDIN, MONEER - MD (BCC) CARDIOVASCULAR DISEASE 43723 20TH ST W STE 101, LANCASTER, (661) 674-4222 (CARDIOLOGY) CA 93534 EDDY, CHRISTOPHER - DC ROBERT SHEPLER DC CHIROPRACTIC MEDICINE 19038 SOLEDAD CANYON RD, CANYON (661) 252-5192 COUNTRY, CA 91351 EDDY, PAUL - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 400 E SANTA BARBARA ST STE B, (805) 525-6402 SANTA PAULA, CA 93060 EDDY, PAUL - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 5550 TELEGRAPH RD STE A, VENTURA, (805) 525-6402 CA 93003 EDELBURG, ROBERT - DC EDELBURG CHIROPRACTIC CHIROPRACTIC MEDICINE 2150 E TAHQUITZ CANYON WAY SUITE (760) 416-2456 8, PALM SPRINGS, CA 92262 EDEN PHARMACY PHARMACY 2681 W OLYMPIC BLVD, LOS ANGELES, (213) 381-7705 CA 90006 EDERY, GABRIEL - DC GABRIEL EDERY DC CHIROPRACTIC MEDICINE 7439 RESEDA BLVD, RESEDA, CA 91335 (818) 651-3252 EDERY, GABRIEL - DC GABRIEL EDERY CHIROPRACTIC MEDICINE 22311 VENTURA BLVD SUITE 116, (818) 651-3252 DC_WOODLAND HILLS WOODLAND HILLS, CA 91364 EDGE OCCUPATIONAL PHYSICAL THERAPY 42 RACE ST, SAN JOSE, CA 95126-3130 (408) 294-8020 THERAPY EDGE PHYSICAL THERAPY INC. PHYSICAL THERAPY 1308 MONTE VISTA AVE STE 1, (909) 204-2894 UPLAND, CA 91786-8224 EDGEMOOR HOSPITAL PHARMACY 655 PARK CENTER DR, SANTEE, CA (619) 596-6340 92071 EDMINSTER, ALLISON - PTA FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 11960 HERITAGE OAK PL STE 19, (530) 878-5301 AUBURN, CA 95603 EDMINSTER, ALLISON - PTA FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 588 N SUNRISE AVE STE 100, (916) 782-7848 ROSEVILLE, CA 95661 EDMUND GORNAY, PT. INC PHYSICAL THERAPY 11326 MOUNTAIN VIEW AVE STE A, (909) 799-9944 LOMA LINDA, CA 92354-3817 EDMUNDSON, ALAN - PT ALTA ORTHOPAEDIC MEDICAL PHYSICAL THERAPY 511 BATH ST, SANTA BARBARA, CA (805) 963-9377 GROUP INC 93101 EDWARD AYUB MS PHYSICAL PHYSICAL THERAPY 3145 ROSECRANS ST STE F, SAN (619) 223-7175 THERAPIST DIEGO, CA 92110-4831 EDWARD AYUB'S PHYSICAL PHYSICAL THERAPY 3450 BONITA RD STE 105, CHULA (619) 425-1084 THERAPY- BONITA VISTA, CA 91910-3249 EDWARDS, AUTUMN M - MD SANSUM CLINIC - PESETAS EMERGENCY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) EDWARDS, KELLY - PT PRO P T PHYSICAL THERAPY 1150 W MORTON AVE STE B, (559) 782-1501 PORTERVILLE, CA 93257 EDWARDS, ROGER - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 EFRON, ALLEN - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER EFTEKHARI, HOSSEIN - MD CARDIOVASCULAR DISEASE 8317 DAVIS ST, DOWNEY , CA 90241 (562) 869-1511 (CARDIOLOGY) EGAN, JAMES V - MD (BCC) SANSUM CLINIC - PUEBLO GASTROENTEROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 EGBALIEH, BABAK - MD (BCC) SOUTHERN CALIFORNIA MULTI GENERAL SURGERY 26357 MCBEAN PKWY STE 150, (818) 900-6480 SPECIALTY CENTER VALENCIA, CA 91355 EGI TREATMENT AGOURA EGI TREATMENT AGOURA CHEMICAL DEPENDENCY 6425 CHESEBRO RD, AGOURA HILLS, (818) 699-6734 BIRCH CREEK RESIDENTIAL BIRCH CREEK RESIDENTIAL REHABILITATION CENTER CA 91301 TREATMENT PROGRAM (BCC) TREATMENT PROGRAM (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 193 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone EGI TREATMENT TARZANA EGI TREATMENT TARZANA CHEMICAL DEPENDENCY 5358 VANALDEN AVE, TARZANA, CA (818) 938-4138 VAN ALDEN RESIDENTIAL VAN ALDEN RESIDENTIAL REHABILITATION CENTER 91356 TREATMENT PROGRAM (BCC) TREATMENT PROGRAM (OUTPATIENT) EHDAIE, ASHKAN - MD CARDIOVASCULAR DISEASE 127 S SAN VICENTE BLVD STE A3600 , (310) 248-6679 (CARDIOLOGY) LOS ANGELES, CA 90048 EHRHART, KEVIN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 CLINIC SANTA MONICA, CA 90404 EHRHART, KEVIN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 CLINIC KNEE SANTA MONICA, CA 90404 EHRHART, KEVIN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 CLINIC SANTA MONICA, CA 90404 EHRHART, KEVIN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 CLINIC SANTA MONICA, CA 90404 EHSAN, AMIRHESAM - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 EHYA, ANOUSHIRAVAN - MD ORTHOPEDIC SURGERY - 14516 HAWTHORNE BLVD, LAWNDALE, (310) 219-0890 (BCC) LOWER EXTREMITIES CA 90260 EHYA, ANOUSHIRAVAN - MD ORTHOPEDIC SURGERY - 14516 HAWTHORNE BLVD, LAWNDALE, (310) 219-0890 (BCC) UPPER EXTREMITIES CA 90260 EHYA, ANOUSHIRAVAN - MD ORTHOPEDICS - LOWER 14516 HAWTHORNE BLVD, LAWNDALE, (310) 219-0890 (BCC) EXTREMITIES CA 90260 EHYA, ANOUSHIRAVAN - MD ORTHOPEDICS - UPPER 14516 HAWTHORNE BLVD, LAWNDALE, (310) 219-0890 (BCC) EXTREMITIES CA 90260 EHYA, ANOUSHIRAVAN - MD ORTHOPEDIC SURGERY - 1907 E WASHINGTON BLVD, LOS (310) 219-0890 (BCC) KNEE ANGELES, CA 90021 EHYA, ANOUSHIRAVAN - MD ORTHOPEDIC SURGERY - 1907 E WASHINGTON BLVD, LOS (310) 219-0890 (BCC) SHOULDER ANGELES, CA 90021 EHYA, ANOUSHIRAVAN - MD ORTHOPEDICS - KNEE 1907 E WASHINGTON BLVD, LOS (310) 219-0890 (BCC) ANGELES, CA 90021 EHYA, ANOUSHIRAVAN - MD ORTHOPEDICS - SHOULDER 1907 E WASHINGTON BLVD, LOS (310) 219-0890 (BCC) ANGELES, CA 90021 EHYA, ANOUSHIRAVAN - MD ORTHOPEDIC SURGERY - 4580 PACIFIC BLVD, VERNON, CA 90058 (323) 584-0779 (BCC) KNEE EHYA, ANOUSHIRAVAN - MD ORTHOPEDIC SURGERY - 4580 PACIFIC BLVD, VERNON, CA 90058 (323) 584-0779 (BCC) SHOULDER EHYA, ANOUSHIRAVAN - MD ORTHOPEDICS - KNEE 4580 PACIFIC BLVD, VERNON, CA 90058 (323) 584-0779 (BCC) EHYA, ANOUSHIRAVAN - MD ORTHOPEDICS - SHOULDER 4580 PACIFIC BLVD, VERNON, CA 90058 (323) 584-0779 (BCC) EIBSCHUTZ, OFER - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3900 LAKEVILLE HWY MOB 2, (707) 765-3800 JOB OCCUPATIONAL HEALTH PETALUMA, CA 94954 CENTER EIBSCHUTZ, OFER - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3900 LAKEVILLE HWY MOB 2, (707) 765-3800 JOB OCCUPATIONAL HEALTH PHYSICIAN PETALUMA, CA 94954 CENTER EIBSCHUTZ, OFER - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH RAFAEL, CA 94903 CENTER EIBSCHUTZ, OFER - MD KAISER PERMANENTE ON THE PRIMARY TREATING 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH PHYSICIAN RAFAEL, CA 94903 CENTER EIDE, SCOTT - LAC SANTA ANA HEALTH GROUP ACUPUNCTURE 1206 E 17TH ST STE 205, SANTA ANA, (714) 835-3500 MEDICAL ASSOCIATES CA 92701 EIRCH, BRETT - PT PHYSICAL THERAPY CENTER PHYSICAL THERAPY 18102 IRVINE BLVD STE 207, TUSTIN, (714) 505-2966 OF TUSTIN CA 92780 EISENBERG, DANIEL - MD CARDIOVASCULAR DISEASE 201 S BUENA VISTA ST STE 100, (818) 848-6404 (CARDIOLOGY) BURBANK , CA 91505 EISENBERG-KEEFER MED CTR PHARMACY 7150 TAMPA AVE, RESEDA, CA 91335 (818) 654-5521 PHCY EISENGART, MARISSA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 EISENHOWER MEDICAL EISENHOWER MEDICAL ACUTE CARE HOSPITAL 39000 BOB HOPE DR, RANCHO MIRAGE, (760) 340-3911 CENTER (BCC) CENTER CA 92270

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 194 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone EISENHOWER MEDICAL EISENHOWER MEDICAL MENTAL HEALTH/PSYCHIATRIC 39000 BOB HOPE DR, RANCHO MIRAGE, (760) 340-3911 CENTER (BCC) CENTER HOSPITAL (INPATIENT) CA 92270 EISENHOWER OCCUPATIONAL EISENHOWER OCCUPATIONAL URGENT CARE FACILITY 78822 HIGHWAY 111, LA QUINTA, CA (760) 777-7701 HEALTH SERVICES (BCC) HEALTH SERVICES 92253 EISNER PEDIATRIC AND PHARMACY 1500 S OLIVE ST, LOS ANGELES, CA (213) 747-5542 FAMILY 90015 EISNER, PERRY - MD (BCC) ANESTHESIOLOGY 26730 CROWN VALLEY PKWY, MISSION (949) 364-2201 VIEJO, CA 92691 EISNER, PERRY - MD (BCC) ANESTHESIOLOGY 26921 CROWN VALLEY PKWY STE 201, (949) 334-8160 MISSION VIEJO, CA 92691 EISNER, PERRY - MD (BCC) ANESTHESIOLOGY 27700 MEDICAL CENTER RD, MISSION (949) 364-1400 VIEJO, CA 92691 EISNER, PERRY - MD (BCC) ANESTHESIOLOGY 31872 COAST HWY, LAGUNA BEACH, (949) 499-1311 CA 92651 EKE, CLIFFORD C - MD KAISER PERMANENTE GENERAL SURGERY 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER EKENGREN, JESSICA, MARIA - EKENGREN CHIROPRACTIC CHIROPRACTIC MEDICINE 28212 KELLY JOHNSON PKWY STE 120, (661) 254-9400 DC INC VALENCIA, CA 91355 EL CAJON PHARMACY 1685 E MAIN ST STE 301, EL CAJON, CA (888) 748-7526 92021 EL CAJON PHARMACY PHARMACY 505 N MOLLISON AVE # 101, EL CAJON, (619) 446-6444 CA 92021 EL CAJON THERAPY PHYSICAL THERAPY 590 S MAGNOLIA AVE, EL CAJON, CA (619) 444-6113 ASSOCIATES 92020 EL CAJON THERAPY PHYSICAL THERAPY 590 S MAGNOLIA AVE, EL CAJON, CA (619) 444-6113 ASSOCIATES 92020-6011 EL CAMINO HOSPITAL OP PHARMACY 2500 GRANT RD STE 1B20, MOUNTAIN (650) 988-8240 PHARMACY VIEW, CA 94040 EL CAMINO PHARMACY PHARMACY 10940 VICTORY BLVD, NORTH (818) 763-4334 HOLLYWOOD, CA 91606 EL CENTRO PHARMACY PHARMACY 325 WAKE AVE, EL CENTRO, CA 92243 (760) 592-4542 EL CENTRO REGIONAL EL CENTRO REGIONAL ACUTE CARE HOSPITAL 1415 ROSS AVE, EL CENTRO, CA 92243 (760) 339-7256 MEDICAL CENTER (BCC) MEDICAL CENTER EL DORADO COMMUNITY PHARMACY 3100 PONTE MORINO DR, CAMERON (530) 556-2007 PHARMACY PARK, CA 95682 EL DORADO DRUG STORE PHARMACY 2005 MARIPOSA RD, STOCKTON, CA (209) 464-7722 95205 EL DORADO PHYSICAL PHYSICAL THERAPY 4052 MOTHER LODE DR, SHINGLE (530) 677-5092 THERAPY SPRINGS, CA 95682-8491 EL DORADO PHYSICAL PHYSICAL THERAPY 907 EMBARCADERO DR, EL DORADO (916) 933-1221 THERAPY HILLS, CA 95762-4087 EL DORADO PHYSICAL PHYSICAL THERAPY 990 RILEY ST, FOLSOM, CA 95630-3064 (916) 355-1250 THERAPY EL MIRADOR SURGERY AMBULATORY SURGERY 1180 N INDIAN CANYON DR STE W110, (760) 416-4600 CENTER LLC CENTER PALM SPRINGS, CA 92262 EL MONTE COMMUNITY PHARMACY 10808 RAMONA BLVD, EL MONTE, CA (626) 579-6277 PHARMACY 91731 EL MONTE PHARMACY PHARMACY 3948 PECK RD STE A1-A2, EL MONTE, (626) 448-2507 CA 91732 EL NORTE PHARMACY PHARMACY 200 W EL NORTE PKWY, ESCONDIDO, (760) 233-2100 CA 92026 EL PORTAL PHARMACY PHARMACY 3377 G ST STE B, MERCED, CA 95340 (209) 384-8880 EL PORTAL PHARMACY PHARMACY 2407 JENSEN AVE STE 101, SANGER, (559) 399-8644 CA 93657 EL TEJON DRUG CO PHARMACY 2900 BRUNDAGE LN, BAKERSFIELD, CA (661) 325-7284 93304 EL TEJON DRUGS PHARMACY 2819 N CHESTER AVE, BAKERSFIELD, (661) 399-2901 CA 93308 EL TEJON PHARMACY PHARMACY 3544 MOUNT PINOS WAY, FRAZIER (661) 245-1660 PARK, CA 93225

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 195 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ELBERT, KAREN - PT DYNAMIC PHYSICAL THERAPY PHYSICAL THERAPY 44651 VILLAGE CT STE 120, PALM (760) 459-1411 AND SPORTS PERFORMANCE DESERT, CA 92260 INC ELCENKO, NOBLE - DC CONTRA COSTA INDUSTRIAL CHIROPRACTIC MEDICINE 2339 BUCHANAN RD, ANTIOCH, CA (925) 777-9194 MEDICAL CLINIC 94509 ELCENKO, NOBLE - DC NOBLE O ELCENKO CHIROPRACTIC MEDICINE 1980 BEACH ST, CONCORD, CA 94519 (925) 685-8223 ELDAHMY WELLNESS PHARMACY 1985 NATIONAL AVE, SAN DIEGO, CA (619) 331-1111 PHARAMCY 92113 ELDAHMY WELLNESS PHARMACY 7509 DRAPER AVE STE A, LA JOLLA, CA (858) 352-6200 PHARMACY 92037 ELEMENTS PHARMACY PHARMACY 12602 VENTURA BLVD, STUDIO CITY, (818) 305-6024 CA 91604 ELEVARE SPECIALTY PHARMACY 900 WESTERN AVE, GLENDALE, CA (818) 658-5705 SERVICES 91201 ELEVENTH HOUR ELEVENTH HOUR CHEMICAL DEPENDENCY 334 SHAW AVE STE 100, CLOVIS, CA (559) 322-1819 REHABILITATION PROGRAMS REHABILITATION PROGRAMS REHABILITATION CENTER 93612 (BCC) (OUTPATIENT) ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION CA 92131 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION CA 92108 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION CA 92243 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION CA 92056 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION 91910 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 196 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 500 LA TERRAZA BLVD STE 150, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 500 LA TERRAZA BLVD STE 150, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION 92506 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 6221 METROPOLITAN ST STE 201, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 6221 METROPOLITAN ST STE 201, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION 92009 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PAIN MANAGEMENT 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC ELFENBAUM, MARCIA E - MD INSTITUTES OF HEALTH PHYSICAL MEDICINE & 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & REHABILITATION DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO ELBOW CA 92507 AVE ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO KNEE CA 92507 AVE ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO SHOULDER CA 92507 AVE ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO ELBOW SAN BERNARDINO, CA 92408 ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO KNEE SAN BERNARDINO, CA 92408 ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SHOULDER SAN BERNARDINO, CA 92408 ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 197 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408 ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE ELIAS, RAMY N - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408 ELIAS, RAMY N - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 5203B LAKEWOOD BLVD , LAKEWOOD, (562) 633-2273 IMMEDIATE CARE MEDICAL PHYSICIAN CA 90712 CENTER ELIAS, RAMY N - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 5203B LAKEWOOD BLVD , LAKEWOOD, (562) 633-2273 IMMEDIATE CARE MEDICAL CA 90712 CENTER ELIAS, RAMY N - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 5203B LAKEWOOD BLVD , LAKEWOOD, (562) 633-2273 IMMEDIATE CARE MEDICAL LOWER EXTREMITIES CA 90712 CENTER ELIAS, RAMY N - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 5203B LAKEWOOD BLVD , LAKEWOOD, (562) 633-2273 IMMEDIATE CARE MEDICAL UPPER EXTREMITIES CA 90712 CENTER ELIAS, RAMY N - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 5203B LAKEWOOD BLVD , LAKEWOOD, (562) 633-2273 IMMEDIATE CARE MEDICAL CA 90712 CENTER ELIAS, RAMY N - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - LOWER 5203B LAKEWOOD BLVD , LAKEWOOD, (562) 633-2273 IMMEDIATE CARE MEDICAL EXTREMITIES CA 90712 CENTER ELIAS, RAMY N - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 5203B LAKEWOOD BLVD , LAKEWOOD, (562) 633-2273 IMMEDIATE CARE MEDICAL EXTREMITIES CA 90712 CENTER ELIAS, RAMY N - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 5203B LAKEWOOD BLVD , LAKEWOOD, (562) 633-2273 IMMEDIATE CARE MEDICAL CA 90712 CENTER ELIAS, ZOUHEIR - MD (BCC) CARDIOVASCULAR DISEASE 18350 ROSCOE BLVD STE 401, (818) 734-4888 (CARDIOLOGY) NORTHRIDGE, CA 91325 ELIAS, ZOUHEIR - MD (BCC) CARDIOVASCULAR DISEASE 7320 WOODLAKE AVE STE 290, WEST (818) 734-4888 (CARDIOLOGY) HILLS, CA 91307 ELIAVMEIRI, ORNA - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 THERAPY RAMON, CA 94583 ELIAVMEIRI, ORNA - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 THERAPYMAIN 94526 ELITE CARE PHARMACY PHARMACY 5101 SANTA MONICA BLVD, LOS (323) 426-9990 ANGELES, CA 90029 ELITE ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 8382 ARTESIA BLVD STE B, BUENA (714) 735-8950 THERAPY PARK, CA 90621-4186 ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025-1221 ELITE PERFORMANCE PHYSICAL THERAPY 2777 BRISTOL ST STE C, COSTA MESA, (714) 668-1600 PHYSICAL THERAPY CA 92626 ELITE PERFORMANCE PHYSICAL THERAPY 3822 CAMPUS DRSUITE 140, NEWPORT (949) 851-1610 PHYSICAL THERAPY BEACH, CA 92660-2608 ELITE PHARMACY PHARMACY 18155 VENTURA BLVD, TARZANA, CA (818) 342-6000 91356 ELITE PHYSICAL THERAPY PHYSICAL THERAPY 6215 EL CAMINO REALSUITE 100, (760) 603-7900 CARLSBAD, CA 92009-1610 ELITE PHYSICAL THERAPY & PHYSICAL THERAPY 405 CRANE AVE, TURLOCK, CA (209) 250-2226 FITNESS 95380-4525 ELITE PHYSICAL THERAPY & PHYSICAL THERAPY 13633 VICTORY BLVD, VAN NUYS, CA (818) 988-7156 WELLNESS CTR. 91401-1735 ELITE PHYSICAL THERAPY PHYSICAL THERAPY 12561 PALM DRSTE- E, DESERT HOT (760) 671-4760 AND WELLNESS SPRINGS, CA 92240 ELITE PHYSICAL THERAPY PHYSICAL THERAPY 50225 HARRISON ST STE 103, (760) 698-8183 AND WELLNESS COACHELLA, CA 92236-1527 ELITE PHYSICAL THERAPY PHYSICAL THERAPY 72-780 72780 COUNTRY CLUB DR SUITE (760) 636-5207 AND WELLNESS C-300, RANCHO MIRAGE, CA 92270-4126

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 198 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ELITE PHYSICAL THERAPY PHYSICAL THERAPY 78134 CALLE TAMPICO STE 130, LA (760) 771-9054 AND WELLNESS QUINTA, CA 92253-2900 ELITE SPORTS PHYSICAL PHYSICAL THERAPY 194 FRANCISCO LN STE 104, FREMONT, (510) 656-3777 THERAPY CA 94539-7924 ELIZONDO, ANA - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 4010 SORRENTO VALLEY BLVD STE (858) 793-7862 FAMILY HEALTH CENTER 300, SAN DIEGO, CA 92121 ELK GROVE PHARMACY PHARMACY 8470 ELK GROVE BLVD, ELK GROVE, (916) 667-3852 CA 95758 ELLIS, CHRISTOPHER - PT NORTH COUNTY PHYSICAL PHYSICAL THERAPY 1545 HIGUERA ST, SAN LUIS OBISPO, (805) 543-5633 THERAPY DBA CREEKSIDE CA 93401 PHYSICAL THERAPY ELLIS, JOHN G - MD (BCC) ORTHOPEDIC SURGERY & PRIMARY TREATING 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE PHYSICIAN CA 92591 ASSOCIATES ELLIS, JOHN G - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - HIP 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES ELLIS, JOHN G - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE KNEE CA 92591 ASSOCIATES ELLIS, JOHN G - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE SHOULDER CA 92591 ASSOCIATES ELLIS, JOHN G - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDICS - HIP 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES ELLIS, JOHN G - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDICS - KNEE 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES ELLIS, JOHN G - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDICS - SHOULDER 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES ELLIS, JOHN G - MD (BCC) ORTHOPEDIC SURGERY & SPORTS MEDICINE 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES ELLITHORPE, THERESA - LAC SAN DIEGO ACUPUNCTURE ACUPUNCTURE 2304 SAN DIEGO AVE STE C, SAN (619) 291-2462 CENTER DIEGO, CA 92110 ELLYSON, DAVID - LAC ELLYSON CHIROPRACTIC ACUPUNCTURE 605 E ST, MARYSVILLE, CA 95901 (530) 743-2093 ELLYSON, DEAN - LAC ELLYSON CHIROPRACTIC ACUPUNCTURE 605 E ST, MARYSVILLE, CA 95901 (530) 743-2093 ELM COMMUNITY PHARMACY PHARMACY 2740 S ELM AVE, FRESNO, CA 93706 (559) 457-5381 ELMORE PHARMACY PHARMACY 401 WALNUT ST, RED BLUFF, CA 96080 (530) 527-4636 ELOI, ALAIN - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 1902 ROYALTY DR 170, POMONA, CA (909) 620-9700 CORP 91767 ELONG PHARMACY PHARMACY 15415 JEFFREY RD STE 108, IRVINE, CA (949) 988-3998 92618 ELSAYEGH, ASHRAF M - MD PULMONARY DISEASE 2080 CENTURY PARK EAST STE 507, (310) 556-0335 (BCC) LOS ANGELES, CA 90067 ELSISSY, PETER - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 15095 AMARGOSA RD BLDG 1 STE 106, (951) 652-1600 VICTORVILLE, CA 92394 ELSISSY, PETER - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD BLDG 1 STE 106, (951) 652-1600 KNEE VICTORVILLE, CA 92394 ELSISSY, PETER - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 15095 AMARGOSA RD BLDG 1 STE 106, (951) 652-1600 VICTORVILLE, CA 92394 ELSISSY, PETER - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - KNEE 15095 AMARGOSA RD BLDG 1 STE 106, (951) 652-1600 VICTORVILLE, CA 92394 ELSISSY, PETER - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 3889 W STETSON AVE STE 100, HEMET, (909) 557-1600 CA 92545 ELSISSY, PETER - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (909) 557-1600 KNEE CA 92545 ELSISSY, PETER - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 3889 W STETSON AVE STE 100, HEMET, (909) 557-1600 CA 92545 ELSISSY, PETER - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - KNEE 3889 W STETSON AVE STE 100, HEMET, (909) 557-1600 CA 92545

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 199 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ELSISSY, PETER G - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 1901 W LUGONIA AVE STE 120 , (909) 557-1650 REDLANDS , CA 92374 ELSISSY, PETER G - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120 , (909) 557-1650 KNEE REDLANDS , CA 92374 ELSISSY, PETER G - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 1901 W LUGONIA AVE STE 120 , (909) 557-1650 REDLANDS , CA 92374 ELSISSY, PETER G - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - KNEE 1901 W LUGONIA AVE STE 120 , (909) 557-1650 REDLANDS , CA 92374 ELSNER, CHAD - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY - 4647 ZION AVE , SAN DIEGO, CA 92120 (833) 242-8500 DIEGO MEDICAL CENTER KNEE ELSNER, CHAD - MD KAISER PERMANENTE SAN ORTHOPEDICS 4650 PALM AVE 2ND FLOOR, SAN (833) 242-8500 DIEGO MEDICAL CENTER DIEGO, CA 92154 ELWICK, DAISY - AUD ADVANCED HEARING AUDIOLOGY 623 W DUARTE RD STE 8, ARCADIA, CA (800) 598-5300 PROVIDERS LLC 91007 ELWICK, DAISY - AUD ADVANCED HEARING AUDIOLOGY 6360 WILSHIRE BLVD STE 203, LOS (800) 598-5300 PROVIDERS LLC ANGELES, CA 90048 EMAMPOUR, RABEAH - DC A FAMILY CHIROPRACTIC CHIROPRACTIC MEDICINE 100 OCONNOR DR STE 25, SAN JOSE, (408) 271-2800 CA 95128 EMANTE HEALTH EMANTE HEALTH ACUTE CARE HOSPITAL 210 W SAN BERNARDINO RD, COVINA, (626) 331-7331 INTERCOMMUNITY MEDICAL INTERCOMMUNITY MEDICAL CA 91723 CENTER (BCC) CENTER EMANUEL MEDICAL CENTER EMANUEL MEDICAL CENTER ACUTE CARE HOSPITAL 825 DELBON AVE, TURLOCK, CA 95382 (209) 667-4200 (BCC) EMDAD, PAYAM - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER EMDAD, PAYAM - MD KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER EMDAD, PAYAM - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER EMDAD, PAYAM - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER EMDAD, PAYAM - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER EMDAD, PAYAM - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER EMELIN, JESSICA K - MD KAISER PERMANENTE WEST PLASTIC SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER EMEN, NADIA - DC ACTIVE LIFE CHIROPRACTIC CHIROPRACTIC MEDICINE 4601 TELEPHONE RD STE 110, (805) 642-4061 VENTURA, CA 93003 EMERALD BAY PHYSICAL PHYSICAL THERAPY 812 EMERALD BAY RD, SOUTH LAKE (530) 542-2662 THERAPY TAHOE, CA 96150-6413 EMERGENCY CARE DYNAMICS EMERGENCY CARE DYNAMICS URGENT CARE FACILITY 3434 MIDWAY DR, SAN DIEGO, CA (619) 225-6200 URGENT CARE AND MORE URGENT CARE AND MORE 92110 (BCC) EMERYVILLE OCCUPATIONAL EMERYVILLE OCCUPATIONAL URGENT CARE FACILITY 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICAL CENTER (BCC) MEDICAL CENTER EMERYVILLE, CA 94608 EMPIRE PHARMACY PHARMACY 1340 MASSACHUSETTS AVE, (951) 530-8800 RIVERSIDE, CA 92507 EN SOLEIL PHARMACY PHARMACY 5735 EL CAMINO REAL STE H, (805) 460-9600 ATASCADERO, CA 93422 ENAYATI, NIMA - PT HEALTH PRO PHYSICAL PHYSICAL THERAPY 110 LA CASA VIA STE 100, WALNUT (925) 935-4866 THERAPY CREEK, CA 94598 ENBORG LANE PHARMACY PHARMACY 2221 ENBORG LN STE IJ018, SAN JOSE, (408) 885-4100 CA 95128 ENCINITAS PHYSICAL PHYSICAL THERAPY 477 N EL CAMINO REAL #C204, (760) 436-7546 THERAPY ENCINITAS, CA 92024

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 200 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ENCINO CARE PHARMACY PHARMACY 16025 VENTURA BLVD, ENCINO, CA (818) 377-6900 91436 ENCINO CARE PHARMACY PHARMACY 16001 VENTURA BLVD, ENCINO, CA (818) 789-9200 91436 ENCINO FAMILY PHARMACY PHARMACY 16060 VENTURA BLVD, ENCINO, CA (818) 387-8119 91436 ENCINO MEDICAL PHARMACY PHARMACY 17479 VENTURA BLVD, ENCINO, CA (818) 514-4020 91316 ENCINO PHARMACY PHARMACY 17071 VENTURA BLVD, ENCINO, CA (818) 788-5858 91316 ENCOMPASS HEALTH REHABILITATION HOSPITAL 14581 YORBA ST , TUSTIN, CA 92780 (714) 508-4550 REHABILITATION HOSPITAL OF TUSTIN ENCORE PHARMACY PHARMACY 465 N ROXBURY DR STE 103, BEVERLY (310) 271-2600 HILLS, CA 90210 ENDERS, ALLEN - AUD ADVANCED HEARING AUDIOLOGY 1940 W ORANGEWOOD STE 110, (800) 598-5300 PROVIDERS LLC ORANGE, CA 92868 ENDO, JESSICA, REIKO - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 THERAPY RAMON, CA 94583 ENDO, JESSICA, REIKO - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 THERAPYMAIN 94526 ENERGY PHYSICAL THERAPY PHYSICAL THERAPY 16573 VENTURA BLVD STE 5, ENCINO, (818) 990-0868 CA 91436-2021 ENFIEDJIAN, TAMARA - PT 360 WELLNESS PHYSICAL PHYSICAL THERAPY 501 S VINCENT AVE STE 200, WEST (626) 727-6688 THERAPY COVINA, CA 91790 ENFIEDJIAN, TAMARA - PT FORTANASCE ASSOCIATES PHYSICAL THERAPY 671 W NAOMI AVE, ARCADIA, CA 91007 (626) 446-7027 PHYSICAL THERAPY ENGEL, CATHY - AUD ADVANCED HEARING AUDIOLOGY 625 MONTANA AVENUE STE B, SANTA (800) 598-5300 PROVIDERS LLC MONICA, CA 90403 ENGELMANN, GUY R - MD CONCENTRA MEDICAL PRIMARY TREATING 1429 WEST FREMONT ST , STOCKTON, (209) 546-7767 CENTER - STOCKTON WEST PHYSICIAN CA 95203 ENGELMANN, GUY R - MD CONCENTRA MEDICAL GENERAL PRACTICE 1429 WEST FREMONT ST , STOCKTON, (209) 546-7767 CENTER - STOCKTON WEST CA 95203 ENGH, DOUGLAS - MD (BCC) OPHTHALMOLOGY 27420 TOURNEY RD STE 100, (661) 259-3937 VALENCIA, CA 91355 ENGLE, ASHLIE - PT MARKET PLACE PHYSICAL PHYSICAL THERAPY 500 ORANGE ST, REDLANDS, CA 92374 (951) 684-2874 THERAPY ENGLES, MARY - PT NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 3191 SPORTS ARENA BLVD STE B, SAN (619) 226-4131 DIEGO, CA 92110 ENGLISH, ELI - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 258-5987 MAIN ACCOUNT ANGELES, CA 90066 ENKE, SERENA - MD (BCC) ARROWHEAD ORTHOPAEDICS PSYCHOLOGY 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 ENKE, SERENA - MD (BCC) ARROWHEAD ORTHOPAEDICS PSYCHOLOGY 2131 ELKS DR STE 200, SAN (909) 726-6100 BERNARDINO, CA 92404 ENLOE BEHAVIORAL HEALTH ENLOE BEHAVIORAL HEALTH MENTAL HEALTH/PSYCHIATRIC 560 COHASSET RD, CHICO, CA 95926 (530) 332-5250 (BCC) HOSPITAL (INPATIENT) ENLOE MEDICAL CENTER INC ENLOE MEDICAL CENTER INC ACUTE CARE HOSPITAL 1531 ESPLANADE, CHICO, CA 95926 (530) 332-7300 (BCC) ENLOE OUTPATIENT CTR PHARMACY 1531 ESPLANADE RM 1044, CHICO, CA (530) 332-6870 PHARMACY 95926 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND HAND SURGERY 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDIC SURGERY - 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC WRIST BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDIC SURGERY - 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC SHOULDER BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDIC SURGERY - 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC ELBOW BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDIC SURGERY - 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC KNEE BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDICS - HAND 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC BEVERLY HILLS, CA 90211

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 201 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDICS - WRIST 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDICS - SHOULDER 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDICS - ELBOW 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDICS - HIP 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC BEVERLY HILLS, CA 90211 ENNA, MATTHEW J - MD (BCC) GOLDEN STATE BONE AND ORTHOPEDICS - KNEE 9033 WILSHIRE BLVD STE 403, (310) 858-3880 JOINT CLINIC BEVERLY HILLS, CA 90211 ENOS, ANDREW - DC ENOS CHIROPRACTIC CLINIC CHIROPRACTIC MEDICINE 10011 ORR & DAY ROAD, SANTA FE (562) 929-6033 SPRINGS, CA 90670 ENOS, ANDREW - DC ENOS CHIROPRACTIC CLINIC CHIROPRACTIC MEDICINE 9739 FLOWER ST, BELLFLOWER, CA (562) 929-6033 90706 ENOVEX PHARMACY PHARMACY 1111 N BRAND BLVD STE M, GLENDALE, (816) 696-2501 CA 91202 ENRIQUEZ, EDGAR A - MD GENERAL SURGERY 27420 TOURNEY RD STE 210, (661) 253-1353 (BCC) VALENCIA, CA 91355 ENVISION SPORT PT AND PHYSICAL THERAPY 23121 ANTONIO PKWY STE 100, (949) 713-6445 PILATES RANCHO SANTA MARGARITA, CA 92688-2660 ENVISION SPORT PT AND PHYSICAL THERAPY 14150 CULVER DR STE 103, IRVINE, CA (949) 713-6445 PILATES 92604-0322 ENYATI, NIMA - PT SPORTFIT PHYSICAL THERAPY PHYSICAL THERAPY 350 BOLLINGER CANYON LN STE A, (925) 735-6414 SAN RAMON, CA 94582 EO PHARMACY PHARMACY 820 W SAN BERNARDINO RD, COVINA, (626) 446-6088 CA 91722 EPIC CARE PHARMACY 4721 DALLAS RANCH RD, ANTIOCH, CA (925) 778-0679 94531 EPSTEIN, OREN - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER ER PHARMACY RX PHARMACY 19500 PLUMMER ST UNIT D3, (888) 381-2425 NORTHRIDGE, CA 91324 EREREN, ERKAN - MD CONCENTRA MEDICAL PRIMARY TREATING 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY PHYSICIAN INDUSTRY, CA 91744 EREREN, ERKAN - MD CONCENTRA MEDICAL GENERAL PRACTICE 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 ERFANIAN, KAMIL - MD (BCC) SOUTHERN CALIFORNIA PLASTIC & RECONSTRUCTIVE 2400 BAHAMAS DR STE 200, (818) 901-6600 ORTHOPEDIC INSTITUTE SURGERY BAKERSFIELD, CA 93309 ERFANIAN, KAMIL - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE WRIST BAKERSFIELD, CA 93309 ERFANIAN, KAMIL - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 ERFANIAN, KAMIL - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 ERFANIAN, KAMIL - MD (BCC) SOUTHERN CALIFORNIA HAND SURGERY 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 ERGOSOLUTIONS PHYSICAL PHYSICAL THERAPY 1220 DIAMOND WAY STE 120, (925) 566-8670 THERAPY CONCORD, CA 94520-5267 ERIC EWIG PHYSICAL PHYSICAL THERAPY 935 TRANCAS ST STE 4C, NAPA, CA (707) 255-1212 THERAPY 94558 ERIC W. VERHEUL PHYSICAL PHYSICAL THERAPY 234 C ST, LEMOORE, CA 93245-2948 (559) 924-0514 THERAPY ERIC W. VERHEUL PHYSICAL PHYSICAL THERAPY 401 W LACEY BLVD, HANFORD, CA (559) 582-2781 THERAPY 93230-4437 ERICKSON, PETER - PT SUMMIT WELLNESS CENTES PHYSICAL THERAPY 2251 COUNTRY CLUB LN, SELMA, CA (559) 896-6565 INC DBA SELMA FYZICAL 93662 THERAPY BALANCE ERNST, CHRISTINE - PT MONTCLAIR PHYSICAL PHYSICAL THERAPY 473 34TH ST, OAKLAND, CA 94609 (510) 339-2116 THERAPY WELLNESS

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 202 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ESAGOFF, ABBEY F - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 4 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER ESCAMILLA, LUIS - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 ESCAMILLA, LUIS - PT WEST COAST SPINE PHYSICAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 ESCOBAR, ALBERT - PT AQE PHYSICAL THERAPY INC PHYSICAL THERAPY 433 N 4TH ST STE 216, MONTEBELLO, (232) 530-0433 CA 90640 ESCONDIDO PHARMACY 347 W MISSION AVE, ESCONDIDO, CA (888) 748-7526 92025 ESCONDIDO PHARMACY AND PHARMACY 909 E VALLEY PKWY, ESCONDIDO, CA (760) 480-1081 DME 92025 ESDAILE, JULIA - OT PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 ESFAHANE, ALIREZA B - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT ONTARIO, CA 91764 ESFAHANE, ALIREZA B - MD CONCENTRA MEDICAL PUBLIC HEALTH AND GENERAL 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT PREVENTIVE MEDICINE ONTARIO, CA 91764 ESGUERRA, NINA - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 ESGUERRA, NINA - PT WEST COAST SPINE PHYSICAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 ESHGHI, RAMIN - DC SAN PEDRO CHIROPRACTIC CHIROPRACTIC MEDICINE 1534 W 25TH ST, SAN PEDRO, CA 90732 (310) 548-5656 CLINIC ESHRAGHI, NAZILA - DPM PODIATRY 425 HAALAND DR#201, THOUSAND (805) 375-4909 OAKS, CA 91361 ESKANDER, RAMEZ N - MD UC SAN DIEGO HEALTH - OBSTETRICS AND 910 SYCAMORE AVE STE 102, VISTA, (760) 536-7737 (BCC) CANCER SERVICES GYNECOLOGY CA 92081 ESKANDER, RAMEZ N - MD UC SAN DIEGO HEALTH - ONCOLOGY 910 SYCAMORE AVE STE 102, VISTA, (760) 536-7737 (BCC) CANCER SERVICES CA 92081 ESKEW, JARED - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 ESLAMI FARSANI, MAHMOUD - CARDIOVASCULAR DISEASE 16300 SAND CANYON AVE STE 201, (949) 753-9150 MD (BCC) (CARDIOLOGY) IRVINE, CA 92618 ESLAMI FARSANI, MAHMOUD - CARDIOVASCULAR DISEASE 361 HOSPITAL RD STE 523, NEWPORT (949) 706-2903 MD (BCC) (CARDIOLOGY) BEACH, CA 92663 ESLAMI FARSANI, MAHMOUD - CARDIOVASCULAR DISEASE 700 N TUSTIN AVE, SANTA ANA, CA (949) 753-9150 MD (BCC) (CARDIOLOGY) 92705 ESLAMI, BAHRAM - MD (BCC) CARDIOVASCULAR DISEASE 16300 SAND CANYON AVE STE 201, (949) 753-9150 (CARDIOLOGY) IRVINE, CA 92618 ESLAMI, BAHRAM - MD (BCC) CARDIOVASCULAR DISEASE 361 HOSPITAL RD STE 523, NEWPORT (949) 753-9150 (CARDIOLOGY) BEACH, CA 92663 ESLAMI, BAHRAM - MD (BCC) CARDIOVASCULAR DISEASE 700 N TUSTIN AVE, SANTA ANA, CA (714) 245-1444 (CARDIOLOGY) 92705 ESLAMI, PARVIZ - AUD ADVANCED HEARING AUDIOLOGY 18220 YORBA LINDA BLVD # 312, (800) 598-5300 PROVIDERS LLC YORBA LINDA, CA 92886 ESLINGER, CHRISTOPHER - PROFESSIONAL PHYSICAL PHYSICAL THERAPY 2138 MARGUERITE ST, DOS PALOS, CA (209) 392-8830 PTA THERAPY 93620 ESMAIL, ADIL - MD KAISER PERMANENTE ORTHOPEDICS 13730 ROSCOE BLVD , PANORAMA (818) 375-2233 PANORAMA CITY MEDICAL CITY, CA 91402 CENTER ESMAIL, FATEMA Q - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 2195 CLUB CENTER DR STE A-L, SAN (800) 679-4642 LLUSM BERNARDINO, CA 92408 ESMAILIAN, FARDAD - MD CEDARS SINAI CARDIAC THORACIC AND CARDIAC 127 S SAN VICENTE STE A3680, LOS (310) 423-3851 (BCC) SURGERY PAVILLION SURGERY ANGELES , CA 90048 ESPARZA, MARCHELLE - PT HW PHYSICAL THERAPY DBA PHYSICAL THERAPY 250 EL CAMINO REAL STE 100, TUSTIN, (714) 838-6999 SPECIALIZED PHYSICAL CA 92780 THERAPY ESPY, CLARK - MD NEUROLOGY 11645 WILSHIRE BLVD STE 825, LOS (310) 207-4122 ANGELES, CA 90025 ESQUER, STEVEN - PT PHYSICAL THERAPY WEST PHYSICAL THERAPY 44303 LOWTREE AVE, LANCASTER, CA (661) 940-5494 DBA SOUTH PACIFIC PHSYICAL 93534 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 203 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ESSENTIAL BALANCE PHYSICAL THERAPY 21 TAMAL VISTA BLVDSUITE 175, (415) 924-5700 PHYSICAL THERAPY INC CORTE MADERA, CA 94925-1114 ESSENTIAL BALANCE PHYSICAL THERAPY 25 MITCHELL BLVDSUITE 2, SAN (415) 924-5700 PHYSICAL THERAPY INC RAFAEL, CA 94903-2013 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO ELBOW EL SEGUNDO, CA 90245 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO KNEE EL SEGUNDO, CA 90245 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO SHOULDER EL SEGUNDO, CA 90245 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH ELBOW CA 90802 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH KNEE CA 90802 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH SHOULDER CA 90802 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 ESTESS, ALLYSON A - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 ESTESS, ALLYSON A - MD SPORTS AND SPINE PRIMARY TREATING 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS PHYSICIAN TORRANCE, CA 90505 ESTESS, ALLYSON A - MD SPORTS AND SPINE PRIMARY TREATING 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS PHYSICIAN SEGUNDO , CA 90245 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDIC SURGERY - HIP 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS TORRANCE, CA 90505 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDIC SURGERY - 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS LOWER EXTREMITIES TORRANCE, CA 90505 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDIC SURGERY - 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS UPPER EXTREMITIES TORRANCE, CA 90505 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDICS - HIP 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS TORRANCE, CA 90505 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDICS - LOWER 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS EXTREMITIES TORRANCE, CA 90505 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDICS - UPPER 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS EXTREMITIES TORRANCE, CA 90505 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDIC SURGERY - HIP 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS SEGUNDO , CA 90245 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDIC SURGERY - 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS LOWER EXTREMITIES SEGUNDO , CA 90245 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDIC SURGERY - 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS UPPER EXTREMITIES SEGUNDO , CA 90245 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDICS - HIP 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS SEGUNDO , CA 90245 ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDICS - LOWER 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS EXTREMITIES SEGUNDO , CA 90245

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 204 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ESTESS, ALLYSON A - MD SPORTS AND SPINE ORTHOPEDICS - UPPER 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS EXTREMITIES SEGUNDO , CA 90245 ESTESS, ALLYSON A - MD SPORTS AND SPINE SPORTS MEDICINE 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS TORRANCE, CA 90505 ESTESS, ALLYSON A - MD SPORTS AND SPINE SPORTS MEDICINE 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS SEGUNDO , CA 90245 ESTRADA, ALEKA - PT WALKER PHYSICAL THERAPY PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (951) 672-0455 92586 ESTRADA, DEXTER - MD HEMATOLOGY AND 7130 N MILLBROOK #100, FRESNO, CA (559) 447-4949 ONCOLOGY 93720 ESTRADA, JESSICA - AUD ADVANCED HEARING AUDIOLOGY 3418 LOMA VISTA RD STE 140, (800) 598-5300 PROVIDERS LLC VENTURA, CA 93003 ESTRADA, MARJORIE - PT LINWOOD MEADOWS CARE PHYSICAL THERAPY 4444 W MEADOW AVE, VISALIA, CA (559) 627-1241 CENTER 93277 ET PHYSICAL THERAPY PHYSICAL THERAPY 1111 W COVINA BLVD STE 100, SAN (909) 599-0774 DIMAS, CA 91773-3205 ETCHEVERRY, JOHN L - DPM SOUTHERN CALIFORNIA PODIATRIC SURGERY 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC LOWER EXTREMITIES TEMECULA, CA 92590 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC LOWER EXTREMITIES LONG BEACH, CA 90805 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC LOWER EXTREMITIES 91762 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC UPPER EXTREMITIES TEMECULA, CA 92590 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC UPPER EXTREMITIES LONG BEACH, CA 90805 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC UPPER EXTREMITIES 91762 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC EXTREMITIES TEMECULA, CA 92590 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC EXTREMITIES LONG BEACH, CA 90805 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC EXTREMITIES 91762 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC EXTREMITIES TEMECULA, CA 92590 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC EXTREMITIES LONG BEACH, CA 90805 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC EXTREMITIES 91762 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 ETEMAD, ALEX - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 ETHERTON, MELISSA - PT BROCKTON PHYSICAL PHYSICAL THERAPY 3908 10TH ST, RIVERSIDE, CA 92501 (951) 274-7744 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 205 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ETHICAL DRUG PHARMACY 254 N WESTERN AVE, LOS ANGELES, (323) 467-2101 CA 90004 ETO, JEFFREY T - DPM KAISER PERMANENTE YORBA PODIATRY 2521 MICHELLE DR , TUSTIN, CA 92780 (949) 932-5899 LINDA MEDICAL OFFICES EUBANK, ANDREW - PT ALTA ORTHOPAEDIC MEDICAL PHYSICAL THERAPY 511 BATH ST, SANTA BARBARA, CA (805) 963-9377 GROUP INC 93101 EUCLID AVENUE PHARMACY 220 EUCLID AVE STE 30, SAN DIEGO, (888) 748-7526 CA 92114 EUGENE A SHALES PHYSICAL PHYSICAL THERAPY 10817 SANTA MONICA BLVD # 300, LOS (310) 474-8111 THERAPY ANGELES, CA 90025 EUGENE A SHALES PHYSICAL PHYSICAL THERAPY 10817 SANTA MONICA BLVD, LOS (310) 474-8111 THERAPY INCORPORATED ANGELES, CA 90025-4655 EUGENE A SHALES PHYSICAL PHYSICAL THERAPY 1127 WILSHIRE BLVDSUITE 909, LOS (213) 481-1770 THERAPY INCORPORATED ANGELES, CA 90017-3910 EUREKA PHYSICAL THERAPY PHYSICAL THERAPY 1585 HEARTWOOD DR STE H, (707) 839-1802 MCKINLEYVILLE, CA 95519-3993 EVAN PHARMACY PHARMACY 809 W CESAR CHAVEZ AVE, LOS (213) 626-5228 ANGELES, CA 90012 EVANS, BRIAN N - MD (BCC) ADVANCED REGENERATIVE PLASTIC SURGERY 7325 MEDICAL CENTER DR STE 304, (818) 665-3585 CELL INC WEST HILLS , CA 91307 EVANS, DAVID, ANDREW - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 EVANS, KIMBERLY - OT KIMBERLY J EVANS OTRR/L OCCUPATIONAL THERAPY 2050 W CHAPMAN AVE STE 225, (714) 831-5599 CHT PROFESSIONAL ORANGE, CA 92868 CORPORATION EVANS, KIMBERLY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 2101 E 4TH ST STE 170B, SANTA ANA, (714) 558-3977 SPORTS THERAPY CA 92705 EVANS, KIMBERLY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 26302 LA PAZ RD STE 105, MISSION (949) 206-1700 SPORTS THERAPY VIEJO, CA 92691 EVANS, KIMBERLY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 2888 LONG BEACH BLVD STE 405, (562) 595-4489 SPORTS THERAPY LONG BEACH, CA 90806 EVANS, KIMBERLY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 505 N EUCLID ST STE 680, ANAHEIM, CA (714) 780-0010 SPORTS THERAPY 92801 EVERETT, JENNIFER, CHEN - JENNIFER CHEN EVERETT INC ACUPUNCTURE 1533 JEFFERSON ST, NAPA, CA 94559 (707) 343-6536 LAC EVERGREEN PHARMACY PHARMACY 2690 S WHITE RD STE 200A, SAN JOSE, (408) 270-0670 CA 95148 EVERGREEN PHARMACY PHARMACY 2365 QUIMBY RD STE 105, SAN JOSE, (408) 531-9961 CA 95122 EVERGREEN PHYSICAL PHYSICAL THERAPY 1624 E CAPITOL EXPY, SAN JOSE, CA (408) 270-2280 THERAPY 95121-1800 EVERGREEN PHYSICAL PHYSICAL THERAPY 200 E DEL MAR BLVDSUITE 302, (626) 683-8536 THERAPY SPECIALIST INC PASADENA, CA 91105-2552 EVERGREEN RX PHARMACY PHARMACY 41750 WINCHESTER RD STE N, (951) 296-9074 TEMECULA, CA 92590 EVERGREEN SHOP PHARMACY PHARMACY 150 S GRAND AVE STE K, GLENDORA, (626) 335-2442 CA 91741 EVERWINE, CHASE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 EVERWINE, CHASE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 EVERWINE, CHASE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 EVERWINE, CHASE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 EVERWINE, CHASE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 EVERWINE, CHASE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 EVOLUTION PT AND FITNESS PHYSICAL THERAPY 11825 MAJOR ST, CULVER CITY, CA (310) 915-6100 90230 EWELL, NONA - PT HANDS ON PHYSICAL PHYSICAL THERAPY 30212 TOMAS STE 120, RANCHO SANTA (949) 709-8770 THERAPY MARGARITA, CA 92688

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 206 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone EWIG, ERIC - PT ERIC EWIG PHYSICAL PHYSICAL THERAPY 935 TRANCAS ST STE 4C, NAPA, CA (707) 255-1212 THERAPY INC 94558 EXCEL CARE PHARMACY PHARMACY 5272 FRANCIS AVE, CHINO, CA 91710 (818) 495-5977 EXCEL PHYSICA THERAPY PHYSICAL THERAPY 7860 IMPERIAL HWY, DOWNEY, CA (866) 530-3940 90242 EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 2100 N ARROWHEAD AVE, SAN (909) 882-9822 BERNARDINO, CA 92405-4096 EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 24557 UNIVERSITY AVE, LOMA LINDA, (909) 801-7060 CA 92354-2747 EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 28631 S WESTERN AVE STE 104A, (310) 548-5444 ASSOCIATES INC. RANCHO PALOS VERDES, CA 90275-0816 EXCELCARE PHARMACY PHARMACY 12526 WESTMINSTER AVE, SANTA ANA, (714) 554-1111 CA 92706 EXCLUSIVE MEDICAL PHARMACY 65 N MADISON AVE STE 100, (626) 578-9991 PHARMACY PASADENA, CA 91101 EXPRESS PHARMACY PHARMACY 752 E ARROW HWY, POMONA, CA 91767 (909) 398-1289 EXPRESS PHARMACY PHARMACY 9802 STOCKDALE HWY STE 106B, (661) 381-7600 BAKERSFIELD, CA 93311 EXPRESS PHARMACY PHARMACY 650 F ST, WASCO, CA 93280 (661) 240-5900 EXPRESS PHARMACY PHARMACY 3400 CALLOWAY DR STE 302, (661) 829-7870 BAKERSFIELD, CA 93312 EXPRESS PHARMACY PHARMACY 9902 BRIMHALL RD # 100, (661) 829-7861 BAKERSFIELD, CA 93312 EXPRESS PHARMACY PHARMACY 900 KERN ST UNIT A, TAFT, CA 93268 (661) 745-4800 EXPRESS PHARMACY PHARMACY 365 CAMPUS DR STE 101, HANFORD, (559) 583-1480 CA 93230 EXPRESS PHARMACY PHARMACY 317 E KINGS ST, AVENAL, CA 93204 (559) 583-1480 EXPRESS PHARMACY PHARMACY 1111 E WASHINGTON AVE, (760) 755-7880 ESCONDIDO, CA 92025 EXPRESS RX PHARMACY 1711 W TEMPLE ST STE 100, LOS (213) 353-0552 ANGELES, CA 90026 EXTENSIVE IMPACT PHYSICAL PHYSICAL THERAPY 15436 BROOKHURST ST, (714) 418-1088 THERAPY WESTMINSTER, CA 92683-7057 EXTENSIVE IMPACT PHYSICAL PHYSICAL THERAPY 15361 BROOKHURST STSUITE 102, (562) 946-5701 THERAPY WESTMINSTER, CA 92683-7076 EZ PHARMACY PHARMACY 625 E VALLEY BLVD, SAN GABRIEL, CA (626) 872-0750 91776 EZAKI, ETHAN - PT WESTLAKE SPORTS THERAPY PHYSICAL THERAPY 4165 E THOUSAND OAKS BLVD STE (805) 371-9116 INC 150, WESTLAKE VILLAGE, CA 91362 EZCARE PHARMACY PHARMACY 1535 W MERCED AVE STE 100, WEST (626) 587-0400 COVINA, CA 91790 EZRA, NAVID - MD (BCC) CALIFORNIA DERMATOLOGY DERMATOLOGY 2991 LOMA VISTA RD STE A103, (805) 222-5803 INSTITUTE VENTURA, CA 93003 EZRA, NAVID - MD (BCC) CALIFORNIA DERMATOLOGY DERMATOLOGY 3095 OLD CONEJO RD STE 200 , (805) 222-5803 INSTITUTE THOUSAND OAKS , CA 91320 EZRX PHARMACY PHARMACY 649 INDIAN HILL BLVD, POMONA, CA (909) 764-3060 91767 FABALE, LOUIS - DC LIFETIME WELLNESS CHIROPRACTIC MEDICINE 18305 SAN JOSE AVE, CITY OF (310) 282-7100 CHIROPRACTIC INDUSTRY, CA 91748 FABE, JAMES - PT GOLDEN HILLS ORTHOPEDIC PHYSICAL THERAPY 2680 S WHITE RD STE 200, SAN JOSE, (408) 274-0888 SPORTS PT INC CA 95148 FABIAN, CATHERINE - AUD ADVANCED HEARING AUDIOLOGY 6367 ALVARADO CT STE 101, SAN (800) 598-5300 PROVIDERS LLC DIEGO, CA 92120 FABRIKANT, JERRY M - DPM CONCENTRA MEDICAL PODIATRY 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 FABRIKANT, JERRY M - DPM CONCENTRA MEDICAL PODIATRY 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA SAN DIEGO, CA 92121 FACIANA, DAVE - PT BIOMOTION PHYSICAL PHYSICAL THERAPY 3160 TELEGRAPH RD STE 101, (805) 642-1581 THERAPY VENTURA, CA 93003 FACIANA, DAVE - PT BIOMOTION PHYSICAL PHYSICAL THERAPY 865 PATRIOT DR STE 202, MOORPARK, (805) 530-3838 THERAPY CA 93021

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 207 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FAERBER, WADE - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA FAERBER, WADE - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO LOWER EXTREMITIES CUCAMONGA, CA 91730 CUCAMONGA FAERBER, WADE - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO UPPER EXTREMITIES CUCAMONGA, CA 91730 CUCAMONGA FAERBER, WADE - DO CONCENTRA MEDICAL ORTHOPEDICS - HIP 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA FAERBER, WADE - DO CONCENTRA MEDICAL ORTHOPEDICS - LOWER 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO EXTREMITIES CUCAMONGA, CA 91730 CUCAMONGA FAERBER, WADE - DO CONCENTRA MEDICAL ORTHOPEDICS - SPINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA FAERBER, WADE - DO CONCENTRA MEDICAL ORTHOPEDICS - UPPER 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO EXTREMITIES CUCAMONGA, CA 91730 CUCAMONGA FAERBER, WADE - DO CONCENTRA MEDICAL SPINE SURGERY 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA FAERBER, WADE - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 UPPER EXTREMITIES RIVERSIDE, CA 92505 FAERBER, WADE - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 LOWER EXTREMITIES RIVERSIDE, CA 92505 FAERBER, WADE - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 FAERBER, WADE - DO (BCC) ARROWHEAD ORTHOPAEDICS SPINE SURGERY 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 FAERBER, WADE - DO (BCC) ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 FAERBER, WADE - DO (BCC) ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 PHYSICIAN RIVERSIDE, CA 92505 FAGHIHI, JONAS - PT RAPID THERAPY PHYSICAL THERAPY 14901 RINALDI ST STE 335, MISSION (818) 365-9690 HILLS, CA 91345 FAGHIHI, JONAS - PTA BURBANK THERAPY CENTER PHYSICAL THERAPY 920 W ALAMEDA AVE, BURBANK, CA (818) 842-9277 91506 FAHSBENDER, JZYELLE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD FAHSBENDER, JZYELLE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA FAHSBENDER, JZYELLE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY FAHSBENDER, JZYELLE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS FAHSBENDER, JZYELLE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT FAIR OAKS COMMUNITY PHARMACY 2710 MIDDLEFIELD RD, REDWOOD (650) 480-6040 PHARMACY CITY, CA 94063 FAIR OAKS PHARMACY PHARMACY 1526 MISSION ST, SOUTH PASADENA, (626) 799-1414 CA 91030 FAIRBANKS PHARMACY PHARMACY 16089 SAN DIEGUITO RD, RANCHO (858) 759-6625 SANTA FE, CA 92067 FAIRCHILD MEDICAL CENTER FAIRCHILD MEDICAL CENTER ACUTE CARE HOSPITAL 444 BRUCE ST, YREKA, CA 96097 (530) 842-4121 (BCC)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 208 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FAIRFAX PHARMACY PHARMACY 1111 N FAIRFAX AVE, WEST (323) 656-9622 HOLLYWOOD, CA 90046 FAIRFAX URGENT CARE URGENT CARE FACILITY 739 N FAIRFAX AVE , LOS ANGELES , (323) 852-3073 CA 90046 FAIRMONT PHARMACY PHARMACY 50 BELLEFONTAINE ST #103, (626) 793-1188 PASADENA, CA 91105 FAIRMONT PHARMACY PHARMACY 1121 W VINE ST STE 13, LODI, CA 95240 (209) 625-8633 FAIT, JAMES M - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA EXTREMITIES 92562 FAIT, JAMES M - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO EXTREMITIES SAN BERNARDINO, CA 92408 FAJARDO, CESAR - PT CPRX INC PHYSICAL THERAPY 3662 KATELLA AVE STE 105, LOS (562) 799-4494 ALAMITOS, CA 90720 FAJARDO, GINELLE, STATE COLLEGE PHYSICAL PHYSICAL THERAPY 215 N ST COLLEGE BLVD STE G, (714) 999-6596 VILADULAY - PT THERAPY INC DBA ANAHEIM ANAHEIM, CA 92806 HILLS PHYSICAL THERAPY REHAB FAJARDO, GINELLE, STATE COLLEGE PHYSICAL PHYSICAL THERAPY 500 S ANAHEIM HLS RD STE 106, (714) 685-0700 VILADULAY - PT THERAPY INC DBA ANAHEIM ANAHEIM, CA 92807 HILLS PHYSICAL THERAPY REHAB FAKIH, MARWAN G - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 1500 DUARTE RD, DUARTE, CA 91010 (626) 256-4673 FOUNDATION FALAKASSA, JONATHAN - MD SOUTHERN CALIFORNIA SPINE SURGERY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FALAKASSA, JONATHAN - MD SOUTHERN CALIFORNIA SPINE SURGERY 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 FALAKASSA, JONATHAN - MD SOUTHERN CALIFORNIA SPINE SURGERY 19950 RINALDI ST STE 100, PORTER (818) 363-2273 (BCC) ORTHOPEDIC INSTITUTE RANCH, CA 91326 FALAKASSA, JONATHAN - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SPINE 19950 RINALDI ST STE 100, PORTER (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE RANCH, CA 91326 FALAKASSA, JONATHAN - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SPINE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 FALAKASSA, JONATHAN - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SPINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FALAPPINO, JOSEPH - LMT LAWLORFERGUSON MASSAGE THERAPIST 41278 MARGARITA RD STE 103, (951) 693-0503 CHIROPRACTIC WELLNESS TEMECULA, CA 92591 FALCHETTI, DANIEL, A - PT STATE OF THE ART PHYSICAL PHYSICAL THERAPY 2492 WALNUT AVE STE 140, TUSTIN, CA (714) 544-2188 THERAPY 92780 FALL RIVER VALLEY HEALTH FALL RIVER VALLEY HEALTH URGENT CARE FACILITY 43563 STATE HIGHWAY 299 E, FALL (530) 336-6535 CENTER (BCC) CENTER RIVER MILLS, CA 96028 FAMILY CARE PHARMACY PHARMACY 7325 MEDICAL CENTER DR, WEST (818) 300-1352 HILLS, CA 91307 FAMILY CARE PHARMACY PHARMACY 5832 BEACH BLVD, BUENA PARK, CA (714) 521-3535 90621 FAMILY CHIROPRACTIC & PHYSICAL THERAPY 845 REDWOOD ST, VALLEJO, CA (707) 557-5000 SPORTS THERAPY 94590-2943 FAMILY DISCOUNT PHARMACY PHARMACY 5830 JAMESON CT #B, CARMICHAEL, (916) 481-6900 CA 95608 FAMILY DRUG PHARMACY 1805 OLD SONOMA RD, NAPA, CA 94559 (707) 224-7807 FAMILY FIRST PHARMACY PHARMACY 4859 E KINGS CANYON ROAD, FRESNO, (559) 493-5566 CA 93727 FAMILY HEALTHCARE PHARMACY 1107 W POPLAR AVE, PORTERVILLE, (559) 793-3533 NETWORK CA 93257 FAMILY HEALTHCARE PHARMACY 250 W 5TH ST, HANFORD, CA 93230 (559) 741-4593 NETWORK FAMILY HEALTHCARE NTW PHARMACY 400 E OAK AVE, VISALIA, CA 93291 (559) 741-4570 PHCY #2 FAMILY MEDICAL PHARMACY PHARMACY 18009 NORWALK BLVD, ARTESIA, CA (562) 402-0500 90701 FAMILY PHARMACY PHARMACY 1033 N WATERMAN AVE. STE C, SAN (909) 884-2739 BERNARDINO, CA 92410

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 209 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FAMILY PHARMACY PHARMACY 1400 ATLANTIC AVE, LONG BEACH, CA (562) 591-4417 90813 FAMILY PHARMACY PHARMACY 309 N CHESTER AVE, BAKERSFIELD, CA (661) 535-8080 93308 FAMILY PHY SVCS OF PHARMACY 8314 WILSHIRE BLVD, BEVERLY HILLS, (323) 653-4070 BEVERLY HIL CA 90211 FAN, CHUN - LAC UPTOWN WELLNESS CENTER ACUPUNCTURE 7354 PAINTER AVE, WHITTIER, CA (562) 789-1999 90602 FAN, JOSEPH T - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800 & (800) 679-4642 LLUSM 2900, LOMA LINDA, CA 92354 FANG, WEI - LAC FW HEALTH CLINIC ACUPUNCTURE 2105 BEVERLY BLVD STE 115, LOS (213) 353-4811 ANGELES, CA 90057 FANNING, MICHAEL T - DC SOUTHERN CALIFORNIA CHIROPRACTIC MEDICINE 16200 AMBER VALLEY DR, WHITTIER, (562) 943-7125 (BCC) UNIVERSITY HEALTH SYSTEM CA 90604 TACTICAL SPORTS MEDICINE FANOUS, BASEM - MD (BCC) INTERNAL MEDICINE 14124 FOOTHILL BLVD STE 100, (818) 367-1012 SYLMAR, CA 91342 FANTA, PAUL T - MD (BCC) MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 FANTE, RYAN J - MD (BCC) SANSUM CLINIC - FOOTHILL OPHTHALMOLOGY 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-8950 EYE CENTER - BLDG B CA 93110 FARACI, PHILIP - MD (BCC) THORACIC AND CARDIAC 227 W JANSS RD STE 340, THOUSAND (805) 852-9100 SURGERY OAKS, CA 91360 FARACI, PHILIP - MD (BCC) THORACIC AND CARDIAC 7300 MEDICAL CENTER DR, WEST (818) 676-4114 SURGERY HILLS, CA 91307 FARAG, SARAH - MD BRENTWOOD URGENT CARE PRIMARY TREATING 1156 26TH ST, SANTA MONICA, CA (330) 178-5968 PHYSICIAN 90403 FARAG, SARAH - MD BRENTWOOD URGENT CARE FAMILY MEDICINE 1156 26TH ST, SANTA MONICA, CA (330) 178-5968 90403 FARAHAT, REBECCA - PT PHYSICAL THERAPY CENTER PHYSICAL THERAPY 18102 IRVINE BLVD STE 207, TUSTIN, (714) 505-2966 OF TUSTIN CA 92780 FARAHMAND, NAVID - MD SPORTS AND SPINE PAIN MANAGEMENT 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS TORRANCE, CA 90505 FARAHMAND, NAVID - MD SPORTS AND SPINE PAIN MANAGEMENT 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS TORRANCE, CA 90505 FARBEROV, OLEISA - LAC PHYSICAL MEDICINE ACUPUNCTURE 14925 BURBANK BLVD, SHERMAN (818) 905-3355 INSTITUTE OAKS, CA 91411 FARBEROV, OLESIA - LAC PHYSICAL MEDICINE ACUPUNCTURE 4849 VAN NUYS BLVD STE 205, (818) 905-3355 INSTITUTEMAIN SHERMAN OAKS, CA 91403 FARISCAL, ELEAZAR - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 FARISS, MARCIA - AUD ADVANCED HEARING AUDIOLOGY 1821 SARATOGA AVE STE 4, (800) 598-5300 PROVIDERS LLC SARATOGA, CA 95070 FARMA PHARMACEUTICALS PHARMACY 5240 SAN FERNANDO RD, GLENDALE, (818) 464-5655 CA 91203 FARMACIA BRISTOL PHARMACY 1155 W CENTRAL AVE STE 112, SANTA (714) 241-1888 ANA, CA 92707 FARMACIA DEL PUEBLO PHARMACY 1692 S 4TH ST STE F, EL CENTRO, CA (760) 768-6000 92243 FARMACIA DEL PUEBLO PHARMACY 801 E BIRCH ST STE 4, CALEXICO, CA (760) 768-6000 92231 FARMACIA ESTRELLA PHARMACY 5020 S C ST, OXNARD, CA 93033 (805) 240-9962 FARMACIA FAMILIAR PHARMACY 1126 S BRISTOL ST, SANTA ANA, CA (714) 486-2277 92704 FARMACIA M PHARMACY 7965 SIERRA AVE STE G, FONTANA, CA (909) 427-1853 92336 FARMACIA SUPERIOR PHARMACY 1175 S ROBERTSON BLVD, LOS (424) 335-0737 ANGELES, CA 90035 FARNADAY, KRISTA - PT LAGUNA PHYSICAL THERAPY PHYSICAL THERAPY 9563 LAGUNA SPRINGS DR, ELK (916) 691-9822 HAND REHABILITATION GROVE, CA 95758 FARNG, EUGENE - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 210 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FAROOQUI, ADIL - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER FARRIER, JEFFREY M - MD KAISER PERMANENTE GENERAL SURGERY 4405 VANDEVER AVE , SAN DIEGO, CA (833) 242-8500 VANDEVER MEDICAL OFFICES 92120 FARROW, LINDA - AUD ADVANCED HEARING AUDIOLOGY 12791 NEWPORT AVE STE 101, (800) 598-5300 PROVIDERS LLC TUSTIN, CA 92780 FARVILI, OMID - PT DYNAMIC PHYSICAL THERAPY PHYSICAL THERAPY 8134 VAN NUYS BLVD STE 100, (818) 904-6700 PANORAMA CITY, CA 91402 FARZANEH, SARLAK - MD SANSUM CLINIC - OCCUPATIONAL MEDICINE 101 S PATTERSON AVE , SANTA (805) 898-3311 (BCC) OCCUPATIONAL MEDICINE BARBARA, CA 93111 FARZANEH, SARLAK - MD SANSUM CLINIC - PRIMARY TREATING 101 S PATTERSON AVE , SANTA (805) 898-3311 (BCC) OCCUPATIONAL MEDICINE PHYSICIAN BARBARA, CA 93111 FASS, ARTHUR - DPM PODIATRY 18350 ROSCOE BLVD STE 707, (818) 701-5088 NORTHRIDGE, CA 91325 FAST TRACK FITNESS AND PT PHYSICAL THERAPY 39815 ALTA MURRIETA DR STE C1, (951) 304-7673 MURRIETA, CA 92563-5405 FAUST, JEREMY - PT GROVE PHYSICAL THERAPY 127 HOSPITAL DR STE 101, VALLEJO, (707) 552-8795 ANDERSENGHIRINGHELLI CA 94589 PHYSICAL THERAPY FAUST, JEREMY - PT GROVE PHYSICAL THERAPY 860 SOUTHAMPTON RD, BENICIA, CA (707) 745-6144 ANDERSENGHIRINGHELLI 94510 PHYSICAL THERAPY FAUSTGEN, JOSEPH P - MD KAISER PERMANENTE WEST ORTHOPEDICS 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER FAUSTINO, MARIVIC - PT DESERT VALLEY MEDICAL PHYSICAL THERAPY 12421 HESPERIA RD STE 2, (760) 241-5800 GROUP VICTORVILLE, CA 92395 FAVOR, KATHLEEN - AUD ADVANCED HEARING AUDIOLOGY 1234 DIVISADERO ST , SAN (800) 598-5300 PROVIDERS LLC FRANCISCO, CA 94115 FEALK, DAWN - DC ACCIDENT INJURY RELIEF CHIROPRACTIC MEDICINE 11226 GOLD EXPRESS DR STE 201, (916) 861-0028 CENTER GOLD RIVER, CA 95670 FEALY, MICHAEL - MD PLASTIC SURGERY 2525 ERRINGER RD, SIMI VALLEY, CA (805) 527-1404 93065 FEATHER RIVER PHARMACY PHARMACY 5125 SKYWAY, PARADISE, CA 95969 (530) 876-2525 FEATHER, JOLLEEN - OTA REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 FEDER, KEITH S - MD WEST COAST CENTER FOR ORTHOPEDICS - ANKLE 1200 ROSECRANS AVE STE 208, (310) 416-9700 ORTHOPEDIC SURGERY & MANHATTAN BEACH, CA 90266 SPORTS MEDICINE FEDER, KEITH S - MD WEST COAST CENTER FOR ORTHOPEDICS - FOOT 1200 ROSECRANS AVE STE 208, (310) 416-9700 ORTHOPEDIC SURGERY & MANHATTAN BEACH, CA 90266 SPORTS MEDICINE FEDERAL DRUG COMPANY PHARMACY 3327 STATE ST, SANTA BARBARA, CA (805) 687-7551 93105 FEDEWA, BENJAMIN, THOMAS - SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 PT LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 FEDEWA, BENJAMIN, THOMAS - SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 PT LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 FEELEY, DAVID - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 11225 TAMPA AVE, NORTHRIDGE, CA (818) 363-9970 91326 FEELEY, DAVID - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 FEELEY, DAVID - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 FEELEY, LISA - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 FEELEY, LISA - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 FEHR, THEODORE - OT ADVANCED HAND THERAPY OCCUPATIONAL THERAPY 18522 US HIGHWAY 18 STE 105, APPLE (760) 242-0500 INC VALLEY, CA 92307 FEHR, THEODORE - OT SYMMETRY PHYSICAL OCCUPATIONAL THERAPY 18522 US HWY 18 105, APPLE VALLEY, (760) 242-0500 THERAPY APPLE VALLEY CA 92307

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 211 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FEHRENBACHER, GEORGE - CARDIOVASCULAR DISEASE 2 MEDICAL PLAZA DR STE 175, (916) 782-2146 MD (BCC) (CARDIOLOGY) ROSEVILLE, CA 95661 FEI, XIANG - LAC MARK H CHAN MD ACUPUNCTURE 80 GRAND AVE STE 610, OAKLAND, CA (510) 835-0235 94612 FEIG, KIMBERLY - LAC ALOHA ACUPUNCTURE ACUPUNCTURE 410 S MELROSE DR STE 200, VISTA, CA (760) 630-0683 92081 FEINBERG, RACHEL - PT FEINBERG MEDICAL GROUP PHYSICAL THERAPY 825 EL CAMINO REAL, PALO ALTO, CA (650) 223-6400 94301 FEINFIELD, ROBERT E - MD OPHTHALMOLOGY 13320 RIVERSIDE DR STE 114, (818) 501-3937 (BCC) SHERMAN OAKS , CA 91423 FEINFIELD, ROBERT E - MD OPHTHALMOLOGY 2625 W ALAMEDA AVE , BURBANK, CA (818) 845-3557 (BCC) 91505 FEINGOLD, ANDREW - PT SCOR SAN CLEMENTE PHYSICAL THERAPY 653 CAMINO DE LOS MARES STE 110, (949) 496-0122 ORTHOPAEDIC SAN CLEMENTE, CA 92673 REHABILITATION PHYSICAL THERAPY FEIT, ERIC - DPM (BCC) PODIATRY 1360 W 6TH ST STE 240, SAN PEDRO, (310) 548-3311 CA 90732 FEIT, ERIC - DPM (BCC) PODIATRY 3655 LOMITA BLVD STE 120, (310) 791-1092 TORRANCE, CA 90505 FELD, DAVID - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 FELDMAN, KENNETH A - MD KAISER PERMANENTE SOUTH OPHTHALMOLOGY 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 FELDMAN, KENT A - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 FELDMAN, MICHAEL J - MD HAND AND ORTHOPEDIC ORTHOPEDICS - HAND 8555 FLORENCE AVE , DOWNEY, CA (562) 923-9351 (BCC) CENTER OF SOUTHERN 90240 CALIFORNIA FELDMAN, MICHAEL J - MD HAND AND ORTHOPEDIC HAND SURGERY 8555 FLORENCE AVE , DOWNEY, CA (562) 923-9351 (BCC) CENTER OF SOUTHERN 90240 CALIFORNIA FELDMAN, RICHARD J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND FELDMAN, RICHARD J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - KNEE CA 90013 GRAND FELDMAN, RICHARD J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - SHOULDER CA 90013 GRAND FELDMAN, RICHARD J - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND FELDMAN, RICHARD J - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND FELDMAN, RICHARD J - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND FELDMAN, RICHARD J - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND FELDMAN, RICHARD J - MD CONCENTRA MEDICAL SPINE SURGERY 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND FELDMAN, STEFAN L - DPM UNIVERSITY FOOT & ANKLE PODIATRY 10515 BALBOA BLVD STE 140, (818) 962-5600 (BCC) INSTITUTE GRANADA HILLS , CA 91344 FELDMAN, STEFAN L - DPM UNIVERSITY FOOT & ANKLE PODIATRY 32144 AGOURA RD STE 105, WESTLAKE (805) 475-3900 (BCC) INSTITUTE VILLAGE, CA 91361 FELDSHER, JACK S - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 15768 ARROW HWY, IRWINDALE, CA (626) 969-9800 CENTER - IRWINDALE 91706

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 212 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FELDSHER, JACK S - MD CONCENTRA MEDICAL PRIMARY TREATING 15768 ARROW HWY, IRWINDALE, CA (626) 969-9800 CENTER - IRWINDALE PHYSICIAN 91706 FELDSHER, JOEL - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 15768 ARROW HWY, IRWINDALE, CA (626) 969-9800 CENTER - IRWINDALE 91706 FELDSHER, JOEL - DO CONCENTRA MEDICAL PRIMARY TREATING 15768 ARROW HWY, IRWINDALE, CA (626) 969-9800 CENTER - IRWINDALE PHYSICIAN 91706 FELICIANO, JOSE - PT ADVENT PHYSICAL THERAPY PHYSICAL THERAPY 737 PEARL ST STE 108, LA JOLLA, CA (858) 456-2114 GROUP PC DBA ABILITY 92037 REHABILITATION SPECIALISTS FELICITA PHARMACY PHARMACY 625 W CITRACADO PKWY, ESCONDIDO, (760) 432-8520 CA 92025 FELIX, MAUREEN - PT MOBILE REHAB INC PHYSICAL THERAPY 2435 E PLAZA BLVD, NATIONAL CITY, (619) 434-9800 CA 91950 FEMA PHYSICAL THERAPY PHYSICAL THERAPY 1950 E CHAPMAN AVESUITE 1, (714) 447-4838 CENTER FULLERTON, CA 92831-4141 FEMA PHYSICAL THERAPY PHYSICAL THERAPY 1751 W ROMNEYA DR STE M, ANAHEIM, (714) 774-6000 CENTER INC CA 92801-1815 FEMINO, JOSEPH - MD (BCC) ORTHOPEDIC ONCOLOGY 209 FAIR OAKS AVE, SOUTH (626) 396-2900 PASADENA, CA 91030 FENG, SANDY - MD (BCC) SURGERY 505 PARNASSUS AVE STE M896, SAN (415) 353-8725 FRANCISCO, CA 94143 FENG, WEI - MD (BCC) CITY OF HOPE MEDICAL ENDOCRINOLOGY, DIABETES 209 FAIR OAKS AVE , SOUTH (626) 396-2900 FOUNDATION AND METABOLISM PASADENA , CA 91010 FENISON, ANTHONY T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY VALLEY, CA 92551 FENISON, ANTHONY T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY LOWER EXTREMITIES VALLEY, CA 92551 FENISON, ANTHONY T - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY UPPER EXTREMITIES VALLEY, CA 92551 FENISON, ANTHONY T - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY VALLEY, CA 92551 FENISON, ANTHONY T - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY EXTREMITIES VALLEY, CA 92551 FENISON, ANTHONY T - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY VALLEY, CA 92551 FENISON, ANTHONY T - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY EXTREMITIES VALLEY, CA 92551 FENISON, ANTHONY T - MD CONCENTRA MEDICAL SPINE SURGERY 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY VALLEY, CA 92551 FENTON, ANHAYTE - DC SPINE CARE ORTHOPEDIC CHIROPRACTIC MEDICINE 8610 S SEPULVEDA BLVD STE 109, LOS (310) 337-3700 PHYSICIANS ANGELES, CA 90045 FERGUSON, TRACI - PT MOTI PHYSIOTHERAPY PHYSICAL THERAPY 1965 HILLHURST AVE FL 1, LOS (323) 912-9166 ANGELES, CA 90027 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE PHYSICIAN RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE PHYSICIAN FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE ANKLE RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE ANKLE FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE FOOT RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE KNEE RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE SHOULDER RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - FOOT 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 213 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE FOOT FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE KNEE FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SHOULDER FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - FOOT 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 FERKEL, ERIC I - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE ANKLE FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FOOT FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE KNEE FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE SHOULDER FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA ORTHOPEDICS - FOOT 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FERKEL, RICHARD D - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FERKEL, RICHARD D -MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE KNEE THOUSAND OAKS, CA 91361 FERKEL, RICHARD D -MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE SHOULDER THOUSAND OAKS, CA 91361 FERKEL, RICHARD D -MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS, CA 91361 FERKEL, RICHARD D -MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE PHYSICIAN THOUSAND OAKS, CA 91361 FERKEL, RICHARD D -MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE FOOT THOUSAND OAKS, CA 91361 FERKEL, RICHARD D -MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE ANKLE THOUSAND OAKS, CA 91361 FERMOILE, MARIA - PT PRECISION REHABILITATION PHYSICAL THERAPY 323 N 11TH AVE STE 107, HANFORD, CA (559) 772-8304 AND ORTHOPEDIC PHYSICAL 93230 THERAPY DBA PROPT FERNANDES, TIMOTHY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 FERNANDEZ, JENNIFER - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 11276 5TH ST STE 400, RANCHO (909) 481-0437 MAIN CUCAMONGA, CA 91730 FERNANDEZ, MONICA - AUD ADVANCED HEARING AUDIOLOGY 1843 N EUCLID ST , FULLERTON, CA (800) 598-5300 PROVIDERS LLC 92835 FERNANDEZ, PATRICIA S - MD CONCENTRA MEDICAL NUCLEAR MEDICINE 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY VALLEY, CA 92551

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 214 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FERNANDEZ, TONY C - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN 93706 FERNANDEZ, TONY C - MD CONCENTRA MEDICAL PRIMARY TREATING 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN PHYSICIAN 93706 FERNANDO, ANDRES, REY - DC ADVANTAGE HEALTH CHIROPRACTIC MEDICINE 8741 VAN NUYS BLVD STE 101, (818) 894-4437 REHABILITATION PANORAMA CITY, CA 91402 FERRANTE, HORACE - PT RPM REHABSOLEDAD PHYSICAL THERAPY 2149 H DELA ROSA SR ST, SOLEDAD, (831) 678-7333 CA 93960 FERRANTE, HORACE - PT RPM REHABCARMEL PHYSICAL THERAPY 245 THE CROSSROADS BLVD, CARMEL, (831) 574-8386 CA 93923 FERRARI, JOAN - OT BASIL R BESH MD INC OCCUPATIONAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 FERRER, WALDO - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER FERRER, WALDO - MD KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER FERRER, WALDO - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER FERRER, WALDO - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER FERRER, WALDO - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER FERRER, WALDO - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER FERRITO, JOSEPH - AUD ADVANCED HEARING AUDIOLOGY 6140 CAMINO VERDE DRIVE STE I , (800) 598-5300 PROVIDERS LLC SAN JOSE, CA 95119 FERRY'S PHARMACY PHARMACY 2940 EAST ST, ANDERSON, CA 96007 (530) 365-3388 FESSEHA , ASSAF - MD FAIRFAX URGENT CARE PRIMARY TREATING 739 N FAIRFAX AVE , LOS ANGELES , (323) 852-3073 PHYSICIAN CA 90046 FESSEHA , ASSAF - MD FAIRFAX URGENT CARE FAMILY MEDICINE 739 N FAIRFAX AVE , LOS ANGELES , (323) 852-3073 CA 90046 FEUERBORN, PAUL - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 400 E SANTA BARBARA ST STE B, (805) 525-6402 SANTA PAULA, CA 93060 FEUERBORN, PAUL - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 5550 TELEGRAPH RD STE A, VENTURA, (805) 525-6402 CA 93003 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ANKLE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANKLE ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ELBOW ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC FOOT ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC KNEE ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC SHOULDER ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - FOOT 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 215 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FIBEL, KENTON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ANKLE 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC FOOT CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC ELBOW CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC ANKLE CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC KNEE CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC SHOULDER CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - FOOT 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 FIBEL, KENTON H - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 FICKES, CAROLINE - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 FIELDS IN MOTION PHYSICAL PHYSICAL THERAPY 42 W CAMPBELL AVE STE 201, (408) 370-2111 THERAPY CAMPBELL, CA 95008 FIELDS, BRIANA - PT PREMIER OCCUPATIONAL PHYSICAL THERAPY 81719 DOCTOR CARREON BLVD STE B, (760) 619-3053 MEDICINE CENTER INDIO, CA 92201 FIFTEEN SIXTY PHARMACY PHARMACY 1560 E CHEVY CHASE DR, GLENDALE, (818) 240-4971 CA 91206 FILART, ERNEST - PT TORRANCE PHYSICAL PHYSICAL THERAPY 19000 HAWTHORNE BLVD STE 300, (310) 793-1800 THERAPY TORRANCE, CA 90503 FILLMORE PHYSICAL THERAPY PHYSICAL THERAPY 852 W VENTURA ST, FILLMORE, CA (805) 524-2923 93015-1837 FINDLEY, LYNETTE - PTA RICHARD P CARR PHYSICAL PHYSICAL THERAPY 605 TENNANT AVE STE F, MORGAN (408) 778-3434 THERAPY INC HILL, CA 95037 FINISHLINE PHYSICAL PHYSICAL THERAPY 531 N LARCHMONT BLVD STE 2, LOS (323) 463-0592 THERAPY INC ANGELES, CA 90004-1305 FINK, SAYDA L - MD (BCC) DESERT CARE NETWORK - FAMILY MEDICINE 47647 CALEO BAY DR STE 210, LA (714) 428-6711 PRIMARY AND SPECIALTY QUINTA , CA 92253 CARE FINK, SAYDA L - MD (BCC) DESERT CARE NETWORK - PRIMARY TREATING 47647 CALEO BAY DR STE 210, LA (714) 428-6711 PRIMARY AND SPECIALTY PHYSICIAN QUINTA , CA 92253 CARE FINLEYS REXALL DRUG PHARMACY 8554 SIERRA AVE, FONTANA, CA 92335 (909) 822-2288 FINN, JOHN - PT SPORTS AND SPINE PHYSICAL THERAPY 23456 HAWTHORNE BLVD STE 205, (424) 201-0542 ORTHOPAEDICS TORRANCE, CA 90505 FINN, JOHN - PT SPORTS AND SPINE PHYSICAL THERAPY 2361 ROSEGRANS AVENUE SUITE 165, (310) 626-4806 ORTHOPAEDICS EL SEGUNDO, ca 90245 FIRESIDE PHARMACY PHARMACY 73847 HIGHWAY 111, PALM DESERT, CA (760) 346-1113 92260 FIROOZ, DAVID - PT HILLCREST MEDICAL CLINIC PHYSICAL THERAPY 511 E MANCHESTER BLVD, (310) 672-9000 INGLEWOOD, CA 90301 FIRST AVENUE FAMILY PHARMACY 2017 1ST AVE STE 301, SAN DIEGO, CA (888) 748-7526 PLANNING 92101 FIRST STEP PHYSICAL PHYSICAL THERAPY 1000 SUNRISE AVE STE 6A, ROSEVILLE, (916) 786-7837 THERAPY CA 95661-5471 FIRST STEP RECOVERY FIRST STEP RECOVERY CHEMICAL DEPENDENCY 12402 INDUSTRIAL BLVD STE B6, (844) 225-5313 CENTER (BCC) CENTER REHABILITATION CENTER VICTORVILLE, CA 92395 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 216 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FIRST STEPS RECOVERY FIRST STEPS RECOVERY CHEMICAL DEPENDENCY 22051 OAK HILL LN, CLOVIS, CA 93619 (844) 244-7837 (BCC) REHABILITATION CENTER (OUTPATIENT) FIRST STREET MED PLZ PHCY PHARMACY 2010 E 1ST ST STE 120, SANTA ANA, CA (714) 954-1902 92705 FIRSTCARE PHARMACY PHARMACY 18555 VENTURA BLVD STE A, TARZANA, (818) 213-1000 CA 91356 FISCHER, STUART - MD (BCC) LOS ALAMITOS CARDIOVASCULAR DISEASE 5300 KATELLA AVE , LOS ALAMITOS, CA (562) 446-2831 CARDIOVASCULAR (CARDIOLOGY) 90720 FISHER PHYSICAL THERAPY PHYSICAL THERAPY 1321 COLLEGE ST STE D, WOODLAND, (530) 662-0378 CA 95695-4706 FISHER, CHERI - DC CHERI D FISHER DC CHIROPRACTIC MEDICINE 2510 OVERLAND AVE, LOS ANGELES, (424) 261-5051 CA 90064 FISHER, CHRISTINA - PT PATTY BROWN PHYSICAL PHYSICAL THERAPY 880 APOLLO ST STE 160, EL SEGUNDO, (310) 606-5664 THERAPY ASSOCIATES CA 90245 FISHER, MATTHEW - DC FISHER CHIROPRACTIC CHIROPRACTIC MEDICINE 1221 ALHAMBRA BLVD STE 105, (916) 444-0181 SACRAMENTO, CA 95816 FISHERS BREA PHARMACY PHARMACY 385 W CENTRAL AVE STE E, BREA, CA (714) 529-2113 92821 FISHKIN, WILLIAM - DC DR ELIZABETH SERRA CHIROPRACTIC MEDICINE 2638 INTRNL BLVD, OAKLAND, CA 94601 (415) 282-8989 FISHKIN, WILLIAM - DC WILLIAM H FISHKIN CHIROPRACTIC MEDICINE 2638 INTRNL BLVD, OAKLAND, CA 94601 (510) 842-8158 FISHMAN, RICKY - DC EMERYVILLE OCCUPATIONAL CHIROPRACTIC MEDICINE 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 FISK, DAVID T - MD (BCC) SANSUM CLINIC - PUEBLO INFECTIOUS DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 FISLER, JOEL D - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 FISLER, JOEL D - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST LOWER EXTREMITIES DIEGO, CA 92103 FISLER, JOEL D - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST UPPER EXTREMITIES DIEGO, CA 92103 FISLER, JOEL D - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 FISLER, JOEL D - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST EXTREMITIES DIEGO, CA 92103 FISLER, JOEL D - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 FISLER, JOEL D - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST EXTREMITIES DIEGO, CA 92103 FISLER, JOEL D - MD CONCENTRA MEDICAL SPINE SURGERY 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 FISSETTE, BRUCE - DC PAINFREE BIOMECHANICALLY CHIROPRACTIC MEDICINE 1809 W BAY AVE, NEWPORT BEACH, CA (949) 673-3154 92663 FIT FOR LIFE PHYSICAL PHYSICAL THERAPY 569 SEARLS AVE, NEVADA CITY, CA (530) 478-1933 THERAPY 95959 FIT N FREE PHYSICAL PHYSICAL THERAPY 537 A EAST VINE AVE, WEST COVINA, (888) 763-4963 THERAPY CA 91790 FIT PHYSICAL THERAPY PHYSICAL THERAPY 1024 MISTLETOE LN STE A, REDDING, (530) 222-2083 CA 96002-0721 FITHIAN, DONALD - MD KAISER PERMANENTE EL ORTHOPEDICS 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 CAJON MEDICAL OFFICES 92020 FITNESS ADVANTAGE PHYSICAL THERAPY 1200 S DIAMOND BAR BLVD, DIAMOND (909) 396-0309 PHYSICAL THERAPY BAR, CA 91765 FITNESS ADVANTAGE PHYSICAL THERAPY 1200 S DIAMOND BAR BLVDSUITE 108, (909) 396-0309 PHYSICAL THERAPY DIAMOND BAR, CA 91765-2298 FITNESS CHIROPRACTIC AND PHYSICAL THERAPY 100 OCEANGATE STE P280, LONG (714) 898-9631 MASSAGE THERAPY BEACH, CA 90802-4390 FITZGERALD, BETHANY - OT DESERT PHYSICAL THERAPY OCCUPATIONAL THERAPY 18375 US HIGHWAY 18 STE 6, APPLE (760) 242-3963 VALLEY, CA 92307 FITZPATRICK PHYSICAL PHYSICAL THERAPY 1252 BROADWAY STE B, PLACERVILLE, (530) 622-9410 THERAPY CA 95667-5827 FITZPATRICK PHYSICAL PHYSICAL THERAPY 991 GOVERNOR DR STE 104, EL (916) 933-9439 THERAPY DORADO HILLS, CA 95762-4293

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 217 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FITZPATRICK PHYSICAL PHYSICAL THERAPY 615 NEW YORK RANCH RD STE 2, (209) 223-9410 THERAPY, INC. JACKSON, CA 95642-9355 FITZPATRICK, MARIAN - PT FITZPATRICK PHYSICAL PHYSICAL THERAPY 1252 BROADWAY STE B, PLACERVILLE, (530) 622-9410 THERAPY CA 95667 FITZPATRICK, MARIAN - PT FITZPATRICK PHYSICAL PHYSICAL THERAPY 615 NEW YORK RANCH RD STE 2, (209) 223-9410 THERAPY INC JACKSON, CA 95642 FIVE STAR PHARMACY PHARMACY 16438 VANOWEN ST STE 101, VAN (818) 786-0227 NUYS, CA 91406 FIVE STAR PHYSICAL PHYSICAL THERAPY 234 N CITRUS AVE, COVINA, CA (626) 331-0077 THERAPY DBA PT 360 91723-2003 FLAVY, ILONA - PT FOCUS FORWARD WELLNESS PHYSICAL THERAPY 2436 FOOTHILL BLVD STE C, (707) 942-3927 PHYSICAL THERAPY CALISTOGA, CA 94515 FLEMING, DANIELLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 FLEMING, DANIELLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 FLEMING, DANIELLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 FLEMING, DANIELLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 FLEMING, DANIELLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 FLEMING, DANIELLE - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 5630 E SANTA ANA CANYON RD STE (714) 282-7701 SPORTS THERAPY 150, ANAHEIM, CA 92807 FLEMING, DANIELLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 FLEMING, JOSEPH - MD OPHTHALMOLOGY 270 E CHESTNUT ST STE B, FORT (707) 961-0544 BRAGG, CA 95437 FLEMING, KEVIN - DC FORESTHILL CHIROPRACTIC CHIROPRACTIC MEDICINE 5830 SUNSET DR STE 60, FORESTHILL, (530) 367-2525 CENTER CA 95631 FLEMING, MICHELLE - AUD ADVANCED HEARING AUDIOLOGY 4460 BLACK AVE STE F, PLEASANTON, (800) 598-5300 PROVIDERS LLC CA 94566 FLEMING, RHONDA - DC ALL CARE ONE COMMUNITY CHIROPRACTIC MEDICINE 7300 SANTA FE AVE, HUNTINGTON (323) 277-8900 HEALTH CENTER PARK, CA 90255 FLETES, FELIX - LAC FELIX FLETES LAC ACUPUNCTURE 11915 W WASH BLVD, LOS ANGELES, (310) 390-9549 CA 90066 FLETSCHER, WALTER - MD CARDIOVASCULAR DISEASE 2510 AIRPARK DR #302, REDDING, CA (530) 241-9966 (CARDIOLOGY) 96001 FLEX MOTION PHYSICAL PHYSICAL THERAPY 1000 N CENTRAL AVE STE 110, (818) 243-8422 THERAPY GLENDALE, CA 91202-2957 FLINTRIDGE PHARMACY PHARMACY 529 FOOTHILL BLVD, LA CANADA (818) 790-1802 FLINTRIDGE, CA 91011 FLIPPIN, MICHAEL - MD KAISER PERMANENTE SAN ORTHOPEDICS 4647 ZION AVE , SAN DIEGO, CA 92120 (833) 242-8500 DIEGO MEDICAL CENTER FLORENCE PHARMACY AND PHARMACY 1422 E FLORENCE AVE, LOS ANGELES, (323) 277-9500 MED SUP CA 90001 FLORES, BRIAN - AUD ADVANCED HEARING AUDIOLOGY 8311 FLORENCE AVE, DOWNEY, CA (800) 598-5300 PROVIDERS LLC 90240 FLORES, GENE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 18039 SHERMAN WAY, RESEDA, CA (818) 343-4303 91335 FLORES, GENE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 FLORES, GENE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 FLORES, HAYDEN - PT SIERRA ORTHOPAEDIC AND PHYSICAL THERAPY 4300 GOLDEN CENTER DR STE B, (530) 344-2045 ATHLETIC REHABILITATION PLACERVILLE, CA 95667 FLORES, KATIE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 FLORES, KATIE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 FLORES, KATIE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 3418 LOMA VISTA RD STE A, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 218 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FLORES, KATIE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 5725 RALSTON ST STE 103, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 FLORES, KATIE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 FLORES, MARIA, FRANCISCA - REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 PT 165, LAGUNA HILLS, CA 92653 FLORES, MELISSA - PT DYNAMIC PHYSICAL THERAPY PHYSICAL THERAPY 44651 VILLAGE CT STE 120, PALM (760) 459-1411 AND SPORTS PERFORMANCE DESERT, CA 92260 INC FLORIDA AVENUE PHARMACY 1541 FLORIDA AVE STE P, MODESTO, (209) 576-7277 PRESCRIPTIONS CA 95350 FLORIDIA JR, ROSARIO - MD CARDIOTHORACIC SURGERY THORACIC AND CARDIAC 11234 ANDERSON ST SP RM 1617, (800) 679-4642 (BCC) LLUMC SURGERY LOMA LINDA , CA 92354 FLORMAN, STEVEN - MD (BCC) STACY MEDICAL GROUP PAIN MEDICINE 4580 PACIFIC BLVD, VERNON, CA 90058 (323) 584-0779 FLUGER, ALAN - DC BREA CHIROPRACTIC AND CHIROPRACTIC MEDICINE 2854 E IMPERIAL HWY, BREA, CA 92821 (714) 572-1144 WELLNESS CENTER FOBI COMPREHENSIVE PHCY PHARMACY 7922 ROSECRANS AVE STE P2, (562) 630-5700 PARAMOUNT, CA 90723 FOCUS PHYSICAL THERAPY PHYSICAL THERAPY 177 VULCAN DR, LOMPOC, CA (805) 733-7500 INC 93436-1406 FOCUS SPORTS THERAPY PHYSICAL THERAPY 320 4TH ST, HOLLISTER, CA 95023 (831) 638-4860 FOERSTER, BRUCE V - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY UPPER EXTREMITIES CITY, CA 91950 FOERSTER, BRUCE V - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY EXTREMITIES CITY, CA 91950 FOGEL, TRAVIS G - PHD (BCC) LLUHS DEPARTMENT OF NEUROPSYCHOLOGY 11406 LOMA LINDA DR STE 300, LOMA (800) 679-4642 NEUROPSYCHOLOGY LINDA, CA 92354 FOLEY, GILLIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 FOLEY, GILLIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 FOLEY, GILLIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 FOLEY, GILLIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 FOLEY, GILLIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 FOLEY, GILLIAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 FOLEY, HANNA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1626 SWEETWATER RD STE A, (619) 474-5916 NATIONAL CITY, CA 91950 FOLEY, JOHN V - MD (BCC) PLUMAS RURAL HEALTH PRIMARY TREATING 1065 BUCKS LAKE RD - NORTH FORK (530) 283-5640 CENTER - ORTHOPEDIC CLINIC PHYSICIAN BLDG, QUINCY, CA 95971 FOLEY, JOHN V - MD (BCC) PLUMAS RURAL HEALTH ORTHOPEDIC SURGERY - HIP 1065 BUCKS LAKE RD - NORTH FORK (530) 283-5640 CENTER - ORTHOPEDIC CLINIC BLDG, QUINCY, CA 95971 FOLEY, JOHN V - MD (BCC) PLUMAS RURAL HEALTH ORTHOPEDIC SURGERY - 1065 BUCKS LAKE RD - NORTH FORK (530) 283-5640 CENTER - ORTHOPEDIC CLINIC LOWER EXTREMITIES BLDG, QUINCY, CA 95971 FOLEY, JOHN V - MD (BCC) PLUMAS RURAL HEALTH ORTHOPEDIC SURGERY - 1065 BUCKS LAKE RD - NORTH FORK (530) 283-5640 CENTER - ORTHOPEDIC CLINIC UPPER EXTREMITIES BLDG, QUINCY, CA 95971 FOLEY, JOHN V - MD (BCC) PLUMAS RURAL HEALTH ORTHOPEDICS - HIP 1065 BUCKS LAKE RD - NORTH FORK (530) 283-5640 CENTER - ORTHOPEDIC CLINIC BLDG, QUINCY, CA 95971 FOLEY, JOHN V - MD (BCC) PLUMAS RURAL HEALTH ORTHOPEDICS - LOWER 1065 BUCKS LAKE RD - NORTH FORK (530) 283-5640 CENTER - ORTHOPEDIC CLINIC EXTREMITIES BLDG, QUINCY, CA 95971 FOLEY, JOHN V - MD (BCC) PLUMAS RURAL HEALTH ORTHOPEDICS - UPPER 1065 BUCKS LAKE RD - NORTH FORK (530) 283-5640 CENTER - ORTHOPEDIC CLINIC EXTREMITIES BLDG, QUINCY, CA 95971 FOLEY, JOHN V - MD (BCC) PLUMAS RURAL HEALTH SPORTS MEDICINE 1065 BUCKS LAKE RD - NORTH FORK (530) 283-5640 CENTER - ORTHOPEDIC CLINIC BLDG, QUINCY, CA 95971 FOLLET, CHRISTINE - PT PROBODY PHYSICAL THERAPY PHYSICAL THERAPY 3110 CHINO AVE STE 130, CHINO HILLS, (909) 902-5049 CA 91709 FOLMAR, JOHN - AUD ADVANCED HEARING AUDIOLOGY 533 AIRPORT BLVD STE 6B, (800) 598-5300 PROVIDERS LLC BURLINGAME, CA 94010 FOLSOM MEDICAL PHARMACY PHARMACY 1300 E BIDWELL ST STE 105, FOLSOM, (916) 983-4900 CA 95630

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 219 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FOLSOM PHARMACY PHARMACY 9545 FOLSOM BLVD STE 7, (916) 364-9900 SACRAMENTO, CA 95827 FOLTZ, MARY - PT CAMERON PARK PHYSICAL PHYSICAL THERAPY 1060 CAMERADO DR, CAMERON PARK, (530) 676-7184 THERAPY CENTER CA 95682 FONG, ERICA - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 FONG, JOSHUA - PT HAYASHIDA ASSOCIATES PHYSICAL THERAPY 5718 HOLLISTER AVE STE 105, GOLETA, (805) 685-1755 PHYSICAL THERAPY INC CA 93117 FONT, RODRIGUEZ, MARCELA, SPINE CARE ORTHOPEDIC ACUPUNCTURE 8610 S SEPULVEDA BLVD STE 109, LOS (310) 337-3700 C - LAC PHYSICIANS ANGELES, CA 90045 FOOTHILL MEDICAL PLAZA PHARMACY 415 W. ROUTE 66, GLENDORA, CA (626) 857-5500 PHCY 91740 FOOTHILL PHARMACY PHARMACY 7220 FOOTHILL BLVD, TUJUNGA, CA (818) 208-0764 91042 FOOTHILL PHARMACY PHARMACY 720 E FOOTHILL BLVD, RIALTO, CA (909) 236-7916 92376 FOOTHILL PHYSICAL THERAPY PHYSICAL THERAPY 1106 WINDFIELD WAY STE 4, EL (916) 934-0914 DORADO HILLS, CA 95762-9360 FOOTHILL PHYSICAL THERAPY PHYSICAL THERAPY 31975 LODGE RD, AUBERRY, CA (559) 855-8840 93602-9753 FOOTHILL PRESBYTERIAN FOOTHILL PRESBYTERIAN ACUTE CARE HOSPITAL 250 S GRAND AVE, GLENDORA, CA (626) 963-8411 HOSPITAL (BCC) HOSPITAL 91741 FOOTHILL REMEDY DRUGS PHARMACY 6253 FOOTHILL BLVD, TUJUNGA, CA (818) 236-2500 91042 FOOTHILL SURGERY CENTER AMBULATORY SURGERY 255 E SANTA CLARA ST STE 110, (626) 294-9696 LLC CENTER ARCADIA, CA 91006 FORATI, ANAHITA - LAC GOLDEN LEAF ACUPUNCTURE ACUPUNCTURE 2372 ELLSWORTH ST STE E, (510) 549-3000 INC BERKELEY, CA 94704 FORD, AUDRA E - MD CONCENTRA MEDICAL FAMILY MEDICINE 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 FORD, AUDRA E - MD CONCENTRA MEDICAL PRIMARY TREATING 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY PHYSICIAN INDUSTRY, CA 91744 FORESTVILLE PHARMACY PHARMACY 6652 FRONT ST, FORESTVILLE, CA (707) 887-2268 95436 FORGERON PHYSICAL PHYSICAL THERAPY 81880 DR CARREON BLVD, INDIO, CA (760) 775-5511 THERAPY 92201-5559 FORGERON PHYSICAL PHYSICAL THERAPY 1090 N PALM CANYON DR STE D, PALM (760) 778-7150 THERAPY-MAIN SPRINGS, CA 92262-4435 FORGERON, JAY - PT FORGERON PHYSICAL PHYSICAL THERAPY 1090 N PALM CANYON DR STE D, PALM (760) 778-7150 THERAPYMAIN SPRINGS, CA 92262 FORGERON, JAY - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 FORGERON, JAY - PT FORGERON PHYSICAL PHYSICAL THERAPY 81880 DOCTOR CARREON BLVD STE (760) 775-5511 THERAPY C202, INDIO, CA 92201 FORM HAND, WRIST & ELBOW PHYSICAL THERAPY 39180 FARWELL DR STE 211, (510) 857-1000 INSTITUTE FREMONT, CA 94538-1015 FORMAN, STEPHEN J - MD CITY OF HOPE NATIONAL HEMATOLOGY AND 1500 EAST DUARTE RD BRAWERMAN (626) 256-4673 (BCC) MEDICAL CENTER ONCOLOGY BLDG, DUARTE , CA 91010 FORMAN, STEVEN - MD (BCC) LOS ALAMITOS CARDIOVASCULAR DISEASE 5300 KATELLA AVE, LOS ALAMITOS, CA (562) 430-7533 CARDIOVASCULAR (CARDIOLOGY) 90720 FORNALSKI, STEFAN - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 FORNCROOK, MELISSA - OT PACIFIC ATHLETIC OCCUPATIONAL THERAPY 5910 PACIFIC AVE, STOCKTON, CA (209) 475-1000 INDUSTRIAL REHAB CENTER 95207 FORONDA, LAUREN, ASHLEY - CENTRAL CARE PHYSICAL OCCUPATIONAL THERAPY 4541 PHILADELPHIA ST STE C103, (909) 590-7997 OT THERAPY CHINO, CA 91710 FOROOHAR, ABTIN - MD KAISER PERMANENTE SOUTH ORTHOPEDICS 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 FOROUZESH, SOLOMON - MD RHEUMATOLOGY 9808 VENICE BLVD STE 604, CULVER (310) 204-6811 CITY, CA 90232 FOROUZESH, SOLOMON - MD INTERNAL MEDICINE 9808 VENICE BLVD STE 604, CULVER (310) 204-6811 (BCC) CITY, CA 90232 FORQUER, BRIAN - AUD ADVANCED HEARING AUDIOLOGY 14435 SHERMAN WAY STE 224, VAN (800) 598-5300 PROVIDERS LLC NUYS, CA 91405

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 220 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FORREST, WILLIAM - AUD ADVANCED HEARING AUDIOLOGY 610-A EAST BIDWELL STREET, (800) 598-5300 PROVIDERS LLC FOLSOM, CA 95630 FORREST, WILLIAM - AUD ADVANCED HEARING AUDIOLOGY 1534 TENNESSEE ST STE 9A, (800) 598-5300 PROVIDERS LLC VALLEJO, CA 94590 FORTANASCE & ASSOCIATES PHYSICAL THERAPY 671 W NAOMI AVE, ARCADIA, CA (626) 446-7027 PHYSICAL THERAPY 91007-7502 FORTE RX PHARMACY 651 VIA ALONDRA STE 708, (805) 427-9053 CAMARILLO, CA 93012 FORTY NINE DRUG PHARMACY 937 N YOSEMITE ST, STOCKTON, CA (209) 465-2671 95203 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 (BCC) GROUP SHOULDER CA 90807 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - HIP 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 (BCC) GROUP CA 90807 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 (BCC) GROUP KNEE CA 90807 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - SHOULDER 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 (BCC) GROUP CA 90807 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - HIP 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 (BCC) GROUP CA 90807 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - KNEE 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 (BCC) GROUP CA 90807 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - 441 OLD NEWPORT BLVD, NEWPORT (949) 491-9991 (BCC) GROUP SHOULDER BEACH, CA 92663 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - HIP 441 OLD NEWPORT BLVD, NEWPORT (949) 491-9991 (BCC) GROUP BEACH, CA 92663 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - 441 OLD NEWPORT BLVD, NEWPORT (949) 491-9991 (BCC) GROUP KNEE BEACH, CA 92663 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - SHOULDER 441 OLD NEWPORT BLVD, NEWPORT (949) 491-9991 (BCC) GROUP BEACH, CA 92663 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - HIP 441 OLD NEWPORT BLVD, NEWPORT (949) 491-9991 (BCC) GROUP BEACH, CA 92663 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - KNEE 441 OLD NEWPORT BLVD, NEWPORT (949) 491-9991 (BCC) GROUP BEACH, CA 92663 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - 3560 ARLINGTON AVE, RIVERSIDE, CA (949) 491-9991 (BCC) GROUP SHOULDER 92506 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - HIP 3560 ARLINGTON AVE, RIVERSIDE, CA (949) 491-9991 (BCC) GROUP 92506 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDIC SURGERY - 3560 ARLINGTON AVE, RIVERSIDE, CA (949) 491-9991 (BCC) GROUP KNEE 92506 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - SHOULDER 3560 ARLINGTON AVE, RIVERSIDE, CA (949) 491-9991 (BCC) GROUP 92506 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - HIP 3560 ARLINGTON AVE, RIVERSIDE, CA (949) 491-9991 (BCC) GROUP 92506 FOSTER, ANDREW D - MD NEWPORT CARE MEDICAL ORTHOPEDICS - KNEE 3560 ARLINGTON AVE, RIVERSIDE, CA (949) 491-9991 (BCC) GROUP 92506 FOSTER, DEVON - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 FOSTER, JOHN C - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 CENTER - LOS ANGELES - 8TH ANGELES, CA 90017 ST FOSTER, JOHN C - MD CONCENTRA MEDICAL PRIMARY TREATING 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 CENTER - LOS ANGELES - 8TH PHYSICIAN ANGELES, CA 90017 ST FOSTER, KATHERINE - PT SHIRZAD ABRAMS MD PHYSICAL THERAPY 16311 VENTURA BLVD STE 1150, (818) 501-5326 ENCINO, CA 91436 FOSTER, NANCY - PTA CENTRAL OCCUPATIONAL PHYSICAL THERAPY 4300 CENTRAL AVE, RIVERSIDE, CA (951) 222-2206 MEDICINE PROVIDERS 92506 FOUCH AND SON PHARMACY PHARMACY 692 E ST, WILLIAMS, CA 95987 (530) 473-5350 FOUNDATION PHARMACY PHARMACY 3650 E SOUTH ST STE 100, LAKEWOOD, (562) 633-1150 CA 90712

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 221 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FOUNDATIONS SAN DIEGO LLC FOUNDATIONS SAN DIEGO LLC CHEMICAL DEPENDENCY 3930 4TH AVE STE 301, SAN DIEGO, CA (619) 321-1575 (BCC) REHABILITATION CENTER 92103 (OUTPATIENT) FOUNTAIN VALLEY CENTRAL PHARMACY 11055 WARNER AVE, FOUNTAIN (714) 839-5115 PHCY VALLEY, CA 92708 FOUNTAIN VALLEY MED CTR PHARMACY 11100 WARNER AVE, FOUNTAIN (714) 979-9600 PHCY VALLEY, CA 92708 FOUNTAIN VALLEY REGIONAL FOUNTAIN VALLEY REGIONAL ACUTE CARE HOSPITAL 17100 EUCLID ST, FOUNTAIN VALLEY, (714) 966-7200 HOSPITAL AND MEDICAL HOSPITAL AND MEDICAL CA 92708 CENTER (BCC) CENTER FOUR SEASONS PHARMACY PHARMACY 6301 BEACH BLVD STE 105, BUENA (714) 690-0349 INC PARK, CA 90621 FOWLER PHYSICAL THERAPY PHYSICAL THERAPY 108 N 6TH ST, FOWLER, CA 93625-2332 (559) 834-9690 FOX DRUG STORE PHARMACY 13669 E MANNING AVE STE 105, (559) 646-8888 PARLIER, CA 93648 FOX DRUG STORE PHARMACY 1939 HIGH ST, SELMA, CA 93662 (559) 896-1645 FOX DRUGS PHARMACY 1327 EL PRADO AVE, TORRANCE, CA (310) 328-7244 90501 FOX, ROGER E - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1375 CAMINO REAL STE 130, SAN (909) 884-1500 CENTER - SAN BERNARDINO BERNARDINO , CA 92408 FOX, ROGER E - MD CONCENTRA MEDICAL PRIMARY TREATING 1375 CAMINO REAL STE 130, SAN (909) 884-1500 CENTER - SAN BERNARDINO PHYSICIAN BERNARDINO , CA 92408 FRAGEN, ANDREW J - MD DESERT CARE NETWORK - GENERAL SURGERY 1180 N INDIAN CANYON DR STE E421, (714) 428-6711 (BCC) PRIMARY AND SPECIALTY PALM SPRINGS , CA 92262 CARE FRAIPONT, MICHAEL - MD CONGRESS MEDICAL ORTHOPEDICS - ELBOW 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES 91105 FRAIPONT, MICHAEL - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES ELBOW 91105 FRAIPONT, MICHAEL - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES SHOULDER 91105 FRAIPONT, MICHAEL - MD CONGRESS MEDICAL ORTHOPEDICS - SHOULDER 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES 91105 FRANCESCHI AND PHYSICAL THERAPY 6920 COMMERCE BLVD, ROHNERT (707) 794-8799 ASSOCIATES PHYSICAL PARK, CA 94928 THERAPY FRANCESCHI AND PHYSICAL THERAPY 712 D ST STE G, SAN RAFAEL, CA 94901 (415) 454-3838 HEINTZELMAN PT FRANCESCONI, NINA - LAC PRO ACTIVE ACUPUNCTURE ACUPUNCTURE 2401 CAPITOL AVE STE 100, (916) 444-6047 SACRAMENTO, CA 95816 FRANCINI, ALEXANDER O - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA 90248 FRANCINI, ALEXANDER O - MD CONCENTRA MEDICAL PRIMARY TREATING 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA PHYSICIAN 90248 FRANCIS, CHERYL - OT ADVANCED ORTHOPEDIC OCCUPATIONAL THERAPY 2501 CHERRY AVE STE 250, SIGNAL (562) 595-5159 PHYSICAL THERAPY HILL, CA 90755 FRANCIS, HEATHER - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 27450 YNEZ RD STE 120, TEMECULA, (951) 695-5144 CA 92591 FRANCISCO, ANTONIO - PT WEST STAR PHYSICAL PHYSICAL THERAPY 13637 HAWTHORNE BLVD STE 100, (310) 349-8779 THERAPY HAWTHORNE, CA 90250 FRANCISCO, ANTONIO - PT WEST STAR PHYSICAL PHYSICAL THERAPY 600 S GRAND AVE STE 104, SANTA (714) 827-4822 THERAPY ANA, CA 92705 FRANCO, DENNIS P - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 FRANCO, DENNIS P - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 CENTER - AIRPORT LAX ANGELES, CA 90045 FRANCO, DENNIS P - MD CONCENTRA MEDICAL PRIMARY TREATING 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 CENTER - AIRPORT LAX PHYSICIAN ANGELES, CA 90045 FRANCO, DENNIS P - MD CONCENTRA MEDICAL PRIMARY TREATING 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH PHYSICIAN 91311 FRANK FINE PHARMACY 803 COFFEE RD STE 4, MODESTO, CA (209) 569-0776 95355

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 222 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FRANKERA, DARLENE - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 FRANKIEL, MARLENE - PT PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 FRANKLIN PHARMACY PHARMACY 1619 FRANKLIN RD, YUBA CITY, CA (530) 674-3277 95993 FRANKLIN, KAHESHA - MD GATEWAY URGENT CARE FAMILY PRACTICE 710 N EUCLID ST STE 107, ANAHEIM, CA (714) 778-3838 (BCC) CENTER 92801 FRANKLIN, KAHESHA - MD GATEWAY URGENT CARE PRIMARY TREATING 710 N EUCLID ST STE 107, ANAHEIM, CA (714) 778-3838 (BCC) CENTER PHYSICIAN 92801 FRANKS PHARMACY PHARMACY 7548 SOQUEL DR, APTOS, CA 95003 (831) 685-1100 FRANKS, KARI - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 FRANSON, JUSTIN J - DPM UNIVERSITY FOOT & ANKLE PODIATRY 26357 MCBEAN PKWY STE 250, (310) 828-0011 (BCC) INSTITUTE VALENCIA, CA 91355 FRASER, GARY E - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE FRASER, GARY E - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE FRAZIER, SCOTT - PHD PSYCHOLOGY 2108 24TH ST UNIT 4, BAKERSFIELD , (323) 258-8041 CA 93301 FRAZIER, SCOTT - PHD PSYCHOLOGY 9431 HAVEN AVE STE 100 , RANCHO (323) 258-8041 CUCAMONGA, CA 91730 FREE, GREGORY - AUD ADVANCED HEARING AUDIOLOGY 190 EL CERRITO PLZ , EL CERRITO, CA (800) 598-5300 PROVIDERS LLC 94530 FREED, ROBERT L - MD RHEUMATOLOGY 16300 SAND CANYON AVE STE 1009, (949) 753-1666 IRVINE, CA 92618 FREEHAB (BCC) FREEHAB CHEMICAL DEPENDENCY 8140 SUNLAND BLVD, SUN VALLEY, CA (818) 582-8832 REHABILITATION CENTER 91352 (OUTPATIENT) FREEMAN MEDICAL PHARMACY 301 N PRAIRIE AVE STE 110, (310) 672-7000 PHARMACY INGLEWOOD, CA 90301 FREESEMANN, JEFFREY MARK PROHEALTH - DELANO OCCUPATIONAL MEDICINE 1427 S LEXINGTON ST #200, DELANO, (661) 632-1540 - MD OCCUPATIONAL MEDICAL CA 93215 GROUP FREESEMANN, JEFFREY MARK PROHEALTH - CENTRAL OCCUPATIONAL MEDICINE 4100 TRUXTON AVE #200, (661) 632-1540 - MD VALLEY OCCUPATIONAL BAKERSFIELD, CA 93309 MEDICAL GROUP FREESEMANN, JEFFREY MARK PROHEALTH - DELANO PRIMARY TREATING 1427 S LEXINGTON ST #200, DELANO, (661) 632-1540 - MD OCCUPATIONAL MEDICAL PHYSICIAN CA 93215 GROUP FREESEMANN, JEFFREY MARK PROHEALTH - CENTRAL PRIMARY TREATING 4100 TRUXTON AVE #200, (661) 632-1540 - MD VALLEY OCCUPATIONAL PHYSICIAN BAKERSFIELD, CA 93309 MEDICAL GROUP FREI, KAREN P - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S FREMONT HOSPITAL (BCC) FREMONT HOSPITAL CHEMICAL DEPENDENCY 39001 SUNDALE DR, FREMONT, CA (510) 796-1100 REHABILITATION CENTER 94538 (OUTPATIENT) FREMONT URGENT CARE FREMONT URGENT CARE URGENT CARE FACILITY 3161 WALNUT AVE, FREMONT, CA (510) 796-1000 CENTER (BCC) CENTER 94538 FRENCH HOSPITAL MEDICAL FRENCH HOSPITAL MEDICAL ACUTE CARE HOSPITAL 1911 JOHNSON AVE, SAN LUIS OBISPO, (805) 543-5353 CENTER (BCC) CENTER CA 93401 FRENCH, DOUGLAS - DC DOERING CHIROPRACTIC CHIROPRACTIC MEDICINE 1111 W TOWN AND COUNTRY RD STE (714) 542-3662 6, ORANGE, CA 92868 FRENCH, LISA - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 223 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FRESNO HEART AND FRESNO HEART AND ACUTE CARE HOSPITAL 15 E AUDUBON DR, FRESNO, CA 93720 (559) 433-8000 SURGICAL HOSPITAL (BCC) SURGICAL HOSPITAL FRESNO NEW CONNECTION FRESNO NEW CONNECTION CHEMICAL DEPENDENCY 4411 N CEDAR AVE STE 108, FRESNO, (559) 248-1548 INC (BCC) INC REHABILITATION CENTER CA 93726 (OUTPATIENT) FRESNO PHARMACY PHARMACY 4917 E KINGS CANYON RD, FRESNO, (559) 255-8085 CA 93727 FRESNO SURGICAL HOSPITAL FRESNO SURGICAL HOSPITAL ACUTE CARE HOSPITAL 6125 N FRESNO ST, FRESNO, CA 93710 (559) 431-8000 (BCC) FREUND, HILARY - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 5434 THORNWOOD DR, SAN JOSE, CA (408) 365-8396 95123 FRIBOURG, DAVID M - MD KAISER PERMANENTE LOS NEUROLOGICAL SURGERY 1505 N EDGEMONT ST , LOS ANGELES, (323) 783-6621 ANGELES MEDICAL CENTER CA 90027 FRIEDELL, RICHARD - PT SOUTH BAY SPORTS PHYSICAL THERAPY 900 LAFAYETTE ST STE 105, SANTA (408) 293-7794 PREVENTATIVE MEDICINE CLARA, CA 95050 FRIEDEMAN, LAUREN - PT NORTH SANTA ROSA PHYSICAL THERAPY 1400 N DUTTON AVE STE 1, SANTA (707) 523-2848 PHYSICAL THERAPY ROSA, CA 95401 FRIEDLANDER, MELANIE H - ASSOCIATION OF SOUTH BAY GENERAL SURGERY 23451 MADISON ST STE 340, (310) 373-6864 MD (BCC) SURGEONS TORRANCE, CA 90505 FRIEDMAN, MITCHELL S - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90041 CENTER FRIEND, YUNHEE - LAC CHOICE ACUPUNCTURE ACUPUNCTURE 11622 EL CAMINO REAL STE 100, SAN (858) 229-1502 CLINIC DIEGO, CA 92130 FRIENDLY #1 PHARMACY PHARMACY 485 LEWIS RD STE A, SAN JOSE, CA (408) 226-0200 95111 FRIENDLY CARE PHARMACY PHARMACY 9345 BOLSA AVE, WESTMINSTER, CA (714) 617-4751 92683 FRIENDLY PHARMACY PHARMACY 639 TULLY RD STE A, SAN JOSE, CA (408) 279-8188 95111 FRIJASNEFF, JANICE - PT SYMMETRY PHYSICAL PHYSICAL THERAPY 13890 PALMDALE RD, VICTORVILLE, CA (760) 955-8100 THERAPY 92392 FRIJASNEFF, JANICE - PT SYMMETRY PHYSICAL PHYSICAL THERAPY 18522 US HWY 18 105, APPLE VALLEY, (760) 242-0500 THERAPY APPLE VALLEY CA 92307 FRINTNER, MARY JANE - AUD ADVANCED HEARING AUDIOLOGY 2211 W MAGNOLIA BLVD STE 190, (800) 598-5300 PROVIDERS LLC BURBANK, CA 91506 FRINTNER, MARY LYNN - AUD ADVANCED HEARING AUDIOLOGY 1407 FOOTHILL BLVD , LA CANADA (800) 598-5300 PROVIDERS LLC FLINTRIDGE, CA 91011 FRITTER SCHULZ AMP; COLAN PHYSICAL THERAPY 18550 DE PAUL DR STE 100, MORGAN (408) 779-4343 PT HILL, CA 95037 FRITTER SCHULZ PHYSICAL PHYSICAL THERAPY 1710 MEMORIAL DR STE A, HOLLISTER, (831) 637-8108 THERAP CA 95023 FRITTER SCHULZ PT PHYSICAL THERAPY 9460 NO NAME UNO STE 140, GILROY, (408) 847-0107 CA 95020-3532 FRITTER SCHULZ ZOLLINGER PHYSICAL THERAPY 1710 MEMORIAL DR STE A, HOLLISTER, (831) 637-8108 PT CA 95023 FRITTER SCHULZ ZOLLINGER PHYSICAL THERAPY 9460 N NAME UNO STE 140, GILROY, CA (408) 847-0107 PT 95020 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 1717 E LINCOLN AVE , ANAHEIM, CA (714) 956-0803 GROUP PHYSICIAN 92805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP PHYSICIAN PERRIS, CA 92571 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP PHYSICIAN 92324 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP PHYSICIAN LONG BEACH, CA 90805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP PHYSICIAN ANGELES, CA 90045 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP PHYSICIAN 91762 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP ANKLE LONG BEACH, CA 90805

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 224 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP ANKLE ANGELES, CA 90045 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP ANKLE 91762 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 956-0803 GROUP ANKLE 92805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP ANKLE PERRIS, CA 92571 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP ANKLE 92324 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 956-0803 GROUP FOOT 92805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP FOOT PERRIS, CA 92571 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP FOOT 92324 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP FOOT LONG BEACH, CA 90805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP FOOT ANGELES, CA 90045 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP FOOT 91762 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 1717 E LINCOLN AVE , ANAHEIM, CA (714) 956-0803 GROUP 92805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP PERRIS, CA 92571 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP ANGELES, CA 90045 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP 91762 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPORTS MEDICINE 1717 E LINCOLN AVE , ANAHEIM, CA (714) 956-0803 GROUP 92805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPORTS MEDICINE 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP PERRIS, CA 92571 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPORTS MEDICINE 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPORTS MEDICINE 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPORTS MEDICINE 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP ANGELES, CA 90045 FRITZ, ANTO T - MD (BCC) HEALTHPOINTE MEDICAL SPORTS MEDICINE 754 MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP 91762 FRN OUTPATIENT SAN FRN OUTPATIENT SAN CHEMICAL DEPENDENCY 55 FRANCISCO ST STE 405, SAN (415) 293-1680 FRANCISCO (BCC) FRANCISCO REHABILITATION CENTER FRANCISCO, CA 94133 (OUTPATIENT) FROHLICH, CHRISTINA - PT MIND BODY PHYSICAL PHYSICAL THERAPY 2877 LAKE TAHOE BLVD, SOUTH LAKE (530) 541-7133 THERAPY TAHOE, CA 96150 FROHLICH, CHRISTINA - PT MIND BODY PHYSICAL PHYSICAL THERAPY 459 S CHINA LAKE BLVD STE H, (760) 371-1606 THERAPY RIDGECREST, CA 93555 FROHLICH, CHRISTINA - PT MIND BODY PHYSICAL PHYSICAL THERAPY 812 EMERALD BAY RD, SOUTH LAKE (530) 542-2662 THERAPY TAHOE, CA 96150 FROHLICH, HARRY - PT MIND BODY PHYSICAL PHYSICAL THERAPY 2877 LAKE TAHOE BLVD, SOUTH LAKE (530) 541-7133 THERAPY TAHOE, CA 96150 FROHLICH, HARRY - PT MIND BODY PHYSICAL PHYSICAL THERAPY 459 S CHINA LAKE BLVD STE H, (760) 371-1606 THERAPY RIDGECREST, CA 93555 FROHLICH, HARRY - PT MIND BODY PHYSICAL PHYSICAL THERAPY 812 EMERALD BAY RD, SOUTH LAKE (530) 542-2662 THERAPY TAHOE, CA 96150 FROST MEDICAL PHARMACY PHARMACY 7910 FROST ST STE 130, SAN DIEGO, (858) 560-1911 CA 92123

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 225 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FRY, ANNA - AUD ADVANCED HEARING AUDIOLOGY 11360 183RD ST STE 190, CERRITOS, (800) 598-5300 PROVIDERS LLC CA 90703 FRYKMAN, ERIC K - MD (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY 92883 FRYKMAN, ERIC K - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY PHYSICIAN 92883 FU, MICHAEL - DC FU MICHAEL DC CHIROPRACTIC MEDICINE 1300 E MAIN ST STE 110, ALHAMBRA, (626) 588-2101 CA 91801 FUCCELLA, MEGHAN - PT EL DORADO PHYSICAL PHYSICAL THERAPY 990 RILEY ST, FOLSOM, CA 95630 (916) 355-1250 THERAPY FUJIHARA, GLENN A - MD CONCENTRA MEDICAL INTERNAL MEDICINE 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH FRESNO, CA 93720 FUJII II, KEN - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 401 BICENTENNIAL WAY , SANTA ROSA, (707) 566-5555 ROSA MEDICAL CENTER CA 95403 FUJITA, MANABU - MD SURGICAL ONCOLOGY 555 MARIN ST STE 210, THOUSAND (805) 497-7785 OAKS , CA 91360 FUJITANI, ROY M - MD (BCC) UCI IRVINE MEDICAL CENTER - VASCULAR SURGERY 101 THE CITY DR S PAV 111 BLDG 29 , (714) 456-5453 DIVISION OF VASCULAR & ORANGE, CA 92868 ENDOCASCULAR SURGERY FULL MOTION PHYSICAL PHYSICAL THERAPY 31461 RANCHO VIEJO RD., SAN JUAN (949) 542-5000 THERAPY CAPISTRANO, CA 92675 FULL MOTION PHYSICAL PHYSICAL THERAPY 903 CALLE AMANECER, SAN (949) 388-6552 THERAPY CLEMENTE, CA 92673 FULLER, CORY B - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LOWER EXTREMITIES LINDA , CA 92354 SURGERY FP&S FULLER, CORY B - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - HIP 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S FULLER, JENNIFER C - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK CA 92563 SURGERY FP&S FULLER, JENNIFER C - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S FULLER, JULIE M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL ANGELES, CA 90027 CENTER FULLER, JULIE M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL PHYSICIAN ANGELES, CA 90027 CENTER FULLER, JULIE M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 JOB LOS ANGELES MEDICAL CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 FULLER, JULIE M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 JOB LOS ANGELES MEDICAL PHYSICIAN CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 FULLERTON MEDICAL PHARMACY 1401 S BROOKHURST RD, FULLERTON, (714) 992-4908 PHARMACY CA 92833 FULLERTON PHYSICAL PHYSICAL THERAPY 680 LANGSDORF DR STE 100, (714) 871-0460 THERAPY & SPORTS CARE, FULLERTON, CA 92831-3702 INC FUNAHASHI, TADASHI T - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 FUNCTION & ACTION PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 PHYSICAL THERAPY CA 93612-0861 FUNCTION FIT REHAB PHYSICAL THERAPY 5348 CARROLL CANYON RD STE 101, (858) 202-1546 PHYSICAL THERAPY SAN DIEGO, CA 92121-1733 FUNCTION FOR LIFE PHYSICAL PHYSICAL THERAPY 2077 LAS PALMAS DR, CARLSBAD, CA (760) 918-9200 THERAPY DBA LONGEVITY P 92011-1519 FUNCTION PHYSICAL PHYSICAL THERAPY 9201 W SUNSET BLVD STE M140, WEST (310) 860-9720 THERAPY HOLLYWOOD, CA 90069-3700

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 226 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone FUNCTION PHYSICAL PHYSICAL THERAPY 12011 SAN VICENTE BLVD STE B5, LOS (310) 476-3600 THERAPY ANGELES, CA 90049-4949 FUNCTIONAL PT PHYSICAL THERAPY 150 N SANTA ANITA AVE STE 210, (626) 446-3862 ARCADIA, CA 91006-3181 FUNCTIONAL PT PHYSICAL THERAPY 2245 E COLORADO BLVD STE 202, (626) 449-9910 PASADENA, CA 91107-6815 FUNG, DAVID - MD (BCC) ANESTHESIOLOGY 20750 VENTURA BLVD STE 210, (818) 888-7815 WOODLAND HILLS, CA 91364 FUNG, DAVID - MD (BCC) ANESTHESIOLOGY 7240 MEDICAL CENTER DR, WEST (818) 888-7815 HILLS, CA 91307 FUNG, STANLEY - PT SPORTS AND SPINE PHYSICAL THERAPY 23456 HAWTHORNE BLVD STE 205, (310) 791-4040 ORTHOPAEDICS TORRANCE, CA 90505 FUNK, HAMILTON, CAROL - DC WASCO CHIROPRACTIC CHIROPRACTIC MEDICINE 1241 7TH ST, WASCO, CA 93280 (661) 758-3001 FUNK, STACEY - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 31244 PALOS VERDES DR WEST STE (310) 544-7325 THERAPY 209, RANCHO PALOS VERDES, CA 90275 FUNK, STACEY - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 520 N PROSPECT AVE STE 100, (310) 376-9222 THERAPYMAIN REDONDO BEACH, CA 90277 FUQUA PHYSICAL THERAPY PHYSICAL THERAPY 6560 GREENBACK LN STE 100, CITRUS (916) 723-3042 HEIGHTS, CA 95621-6299 FURDIK, VILIAM - MD (BCC) ANESTHESIOLOGY 131 E HUNTINGTON DR, ARCADIA, CA (714) 543-2554 91006 FURMAN, SHARON - PHD BARRINGTON PSYCHIATRIC PSYCHOLOGY 11693 SAN VICENTE BLVD # 830, LOS (800) 771-7955 CENTER ANGELES, CA 90049 FURR, BRENT - PT AFFILIATED PHYSICAL PHYSICAL THERAPY 10225 AUSTIN DR STE 204, SPRING (619) 670-4567 THERAPY VALLEY, CA 91978 FURRY, LARRY - PTA ACTIVBODY PHYSICAL PHYSICAL THERAPY 1860 N TUSTIN ST, ORANGE, CA 92865 (714) 998-8403 THERAPY FURRY, LARRY - PTA ACTIVBODY PHYSICAL PHYSICAL THERAPY 19531 BEACH BLVD, HUNTINGTON (714) 960-7995 THERAPY BEACH, CA 92648 FURUKAWA, BETSY J - MD LOMA LINDA UNIVERSITY DERMATOLOGY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 (BCC) HEALTH CARE - LINDA, CA 92354 DERMATOLOGY DEPT FUSION PHYSICAL THERAPY PHYSICAL THERAPY 5000 VAN NUYS BLVD STE 110, (818) 783-2396 SHERMAN OAKS, CA 91403-1717 FUSION RX COMPOUNDING PHARMACY 2001 WESTWOOD BLVD STE A, LOS (310) 204-6676 PHARMACY ANGELES, CA 90025 FUSSELL, ROSEMARIE - PT HEALTHLINE MEDICAL GROUP PHYSICAL THERAPY 15211 VANOWEN ST STE 105, VAN 8189977711x14 NUYS, CA 91405 0 G SPORTS PHYSICAL PHYSICAL THERAPY 2030 ADDISON STSUITE 101, (415) 732-5608 THERAPY INC BERKELEY, CA 94704-1140 G SPORTS PHYSICAL PHYSICAL THERAPY 332 PINE STSUITE 202, SAN (415) 732-5608 THERAPY INC FRANCISCO, CA 94104-3214 G SPORTS PHYSICAL PHYSICAL THERAPY 332 PINE STSUITE 610, SAN (415) 732-5608 THERAPY INC FRANCISCO, CA 94104-3228 GA PHYSICAL THERAPY PHYSICAL THERAPY 12998 HESPERIA RD STE 103, (760) 245-4800 GROUP VICTORVILLE, CA 92395-8317 GA PHYSICAL THERAPY PHYSICAL THERAPY 1600 E FLORIDA AVE STE 305, HEMET, (951) 925-5205 GROUP CA 92544-8639 GABBARD, ALEXANDER - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY GABBARD, ALEXANDER - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY GABBARD, ALEXANDER - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY GABBARD, ALEXANDRA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY GABEL, HEATHER - LAC GABRIEL EDERY ACUPUNCTURE 22311 VENTURA BLVD SUITE 116, (818) 651-3252 DC_WOODLAND HILLS WOODLAND HILLS, CA 91364

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 227 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GABEL, HEATHER - LMT GABRIEL EDERY DC MASSAGE THERAPIST 7439 RESEDA BLVD, RESEDA, CA 91335 (818) 651-3252 GABOR, CHRISTINA - PT ORTHOSPORT PHYSICAL PHYSICAL THERAPY 10190 CULVER BLVD, CULVER CITY, CA (310) 837-9700 THERAPY 90232 GABOR, DOMINICK, ANDREW - SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 PT THERAPY RAMON, CA 94583 GABOR, DOMINICK, ANDREW - SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 PT THERAPYMAIN 94526 GABREK, SAMUEL - PT PINNACLE HEALTHCARE PHYSICAL THERAPY 2 ROSSI CIR, SALINAS, CA 93907 (831) 770-0444 GABRIEL, EPHRAIM M - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 GABRIEL, EPHRAIM M - MD CONCENTRA MEDICAL PRIMARY TREATING 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS PHYSICIAN VAN NUYS, CA 91406 GACHIMA, PATRICK - OT UNITED THERAPY NETWORK OCCUPATIONAL THERAPY 1845 BUSINESS CENTER DR STE 127, (909) 890-9030 INC SAN BERNARDINO, CA 92408 GACHIMA, PATRICK - OT UNITED THERAPY NETWORK OCCUPATIONAL THERAPY 802 MAGNOLIA AVE STE 107, CORONA, (951) 340-0070 INC MAIN CA 92879 GACUYA, JUDE - PT WEST STAR PHYSICAL PHYSICAL THERAPY 3939 ATLANTIC AVE SUITE 224, LONG (562) 424-3090 THERAPY MAIN BEACH, CA 90807 GACUYA, JUDE - PT WEST STAR PHYSICAL PHYSICAL THERAPY 7807 EAST TELEGRAPH ROAD SUITES (323) 722-3529 THERAPY A & B, MONTEBELLO, CA 90640 GAEBLER, SHARON - OT HAND SURGERY ASSOCIATES OCCUPATIONAL THERAPY 2 SCRIPPS DR STE 310, SACRAMENTO, (916) 457-4263 CA 95825 GAGE PHARMACY PHARMACY 5735 ATLANTIC AVE, LONG BEACH, CA (562) 423-8437 90805 GAGE, BLONDELL A - MD KAISER PERMANENTE NEUROLOGY 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE GAGGERO, GEOFFREY L - DPM KAISER PERMANENTE PODIATRY 1600 EUREKA RD , ROSEVILLE, CA (916) 784-4100 ROSEVILLE MEDICAL CENTER 95661 GAGNON, ALISON - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 GAGNON, ALISON - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 GAINOR, JOHN W - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER UPPER EXTREMITIES CA 93110 GAINOR, JOHN W - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER LOWER EXTREMITIES CA 93110 GAINOR, JOHN W - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - HIP 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER CA 93110 GAINOR, JOHN W - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - UPPER 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER EXTREMITIES CA 93110 GAINOR, JOHN W - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - LOWER 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER EXTREMITIES CA 93110 GAINOR, JOHN W - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - HIP 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER CA 93110 GAITONDE, SATISH - PT PAIR MAROTTA PHYSICAL PHYSICAL THERAPY 2601 OSWELL ST STE 105, (661) 871-5908 THERAPY BAKERSFIELD, CA 93306 GALAXY PHARMACY PHARMACY 1295 E ANAHEIM ST, LONG BEACH, CA (562) 599-1301 90813 GALAXY PHARMACY PHARMACY 1801 W ROMNEYA DR STE 108, (714) 833-5723 ANAHEIM, CA 92801 GALBREATH, MATTHEW - LMT NINE ACUPUNCTURESARAH MASSAGE THERAPIST 12304 STA MON BLVD STE 370, LOS (310) 612-8868 NORVILAS ANGELES, CA 90025 GALIDO, JUAN - MD (BCC) ANESTHESIOLOGY 15107 VANOWEN ST, VAN NUYS, CA (818) 782-6600 91405 GALLANTY PHYSICAL PHYSICAL THERAPY 2877 LAKE TAHOE BLVD SUITE D, (530) 541-7133 THERAPY SOUTH LAKE TAHOE, CA 96150-7807 GALLEGOS, JR, ERNEST - DC ERNEST E GALLEGOS JR DC CHIROPRACTIC MEDICINE 13390 CHAPARRAL RD, WHITEWATER, (760) 391-5265 CA 92282 GALLEMORE, RON P - MD RETINA MACULA INSTITUTE OPHTHALMOLOGY 4201 TORRANCE BLVD STE 220, LOS (310) 944-9393 (BCC) ANGELES, CA 90015 GALLERIA PHARMACY PHARMACY 3250 W OLYMPIC BLVD, LOS ANGELES, (323) 733-7200 CA 90006

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 228 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GALLOWAY, ANNA - PT FITZPATRICK PHYSICAL PHYSICAL THERAPY 1252 BROADWAY STE B, PLACERVILLE, (530) 622-9410 THERAPY CA 95667 GALPERIN, ELENA - LAC RADIANT HANDS INTEGRATED ACUPUNCTURE 4420 HOTEL CIRCLE CT STE 265, SAN (858) 752-4261 ACUPUNCTURE DIEGO, CA 92108 GALT PHARMACY PHARMACY 1000 C ST STE 35, GALT, CA 95632 (209) 251-7535 GALVIN, EUGENE G - MD KAISER PERMANENTE SO SAN ORTHOPEDIC SURGERY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 GAMBARDELLA, RALPH - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 GAMBARDELLA, RALPH - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ELBOW ANGELES, CA 90045 GAMBARDELLA, RALPH - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC KNEE ANGELES, CA 90045 GAMBARDELLA, RALPH - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC SHOULDER ANGELES, CA 90045 GAMBARDELLA, RALPH - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 GAMBARDELLA, RALPH - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 GAMBARDELLA, RALPH A - MD KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 GAMBARDELLA, RALPH A - MD KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC PHYSICIAN ANGELES, CA 90045 GAMBERO, MICHAEL - PT SYNERGY AQUATIC THERAPY PHYSICAL THERAPY 7005 N CHESTNUT AVE STE 102, (559) 323-4100 AND REHABILITATION INC FRESNO, CA 93720 GAMBERO, MICHAEL - PT PHYS MED A PHYSICAL PHYSICAL THERAPY 7033 N FRESNO ST STE 202, FRESNO, (559) 438-4300 THERAPY CORPORATION CA 93720 GAMBOA, GERRY - PTA PACIFIC HILLS MANOR PHYSICAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 GAMEZ, FRANKIE - PTA MARKET PLACE PHYSICAL PHYSICAL THERAPY 500 ORANGE ST, REDLANDS, CA 92374 (951) 684-2874 THERAPY GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK 90601 GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 900 E WASHINGTON ST STE 300, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK COLTON, CA 92324 GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK CA 90242 GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 300 E ESPLANADE DR STE 900 (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 GAMEZ-WALES, MARIA - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 6331 GREENLEAF AVE STE G , (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK WHITTIER, CA 90601 GAMS, GARY - AUD ADVANCED HEARING AUDIOLOGY 250 GREEN VALLEY RD , FREEDOM, CA (800) 598-5300 PROVIDERS LLC 95019 GAMS, GARY - AUD ADVANCED HEARING AUDIOLOGY 49 SAN MIGUEL AVE STE 1, SALINAS, (800) 598-5300 PROVIDERS LLC CA 93901 GAN, KAREN - MD (BCC) ANESTHESIOLOGY 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 91786 GANDE, ABHIRAM V - MD (BCC) CALIFORNIA ORTHOPAEDIC SPINE SURGERY 7485 MISSION VALLEY RD STE 104A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 GANDE, ABHIRAM V - MD (BCC) CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - SPINE 7485 MISSION VALLEY RD STE 104A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 GANDHI, AMIT - PT HW PHYSICAL THERAPY DBA PHYSICAL THERAPY 250 EL CAMINO REAL STE 100, TUSTIN, (714) 838-6999 SPECIALIZED PHYSICAL CA 92780 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 229 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GANDHI, ARUN - MD (BCC) ANESTHESIOLOGY 1920 E LOS ANGELES AVE, SIMI (805) 306-8800 VALLEY, CA 93065 GANDHI, DAYAN K - MD (BCC) RENAL CONSULTANTS NEPHROLOGY 227 JANSS RD STE 310, THOUSAND (805) 496-5800 OAKS, CA 91360 GANESAN, LAKSHMI L - MD LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP GANSERT, KEVIN - DC GANSERT KEVIN DC CHIROPRACTIC MEDICINE 601 N EUCLID AVE, ONTARIO, CA 91762 (626) 852-2268 GAO, JEFFREY L - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH CENTER GAO, JEFFREY L - MD KAISER PERMANENTE ON THE PRIMARY TREATING 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH PHYSICIAN CENTER GAO, MINZHAN - LAC DOUGLAS J ABELES MD ACUPUNCTURE 21030 REDWOOD RD, CASTRO VALLEY, (510) 538-0430 CA 94546 GARBER, BRYAN J - MD (BCC) SANSUM CLINIC - PULMONARY PULMONARY DISEASE 301 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 & CRITICAL CARE MEDICINE CA 93105 GARBEROGLIO, CARLOS A - LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11370 ANDERSON ST - SCHUMAN (800) 679-4642 MD (BCC) HEALTH CARE - WOMENS PAVILLION A-220, LOMA LINDA , CA CANCER & SURGICAL 92354 ONCOLOGY CENTER GARCHA, JAGDEEP - PT CRUX REHABILITATION PHYSICAL THERAPY 5665 POWER INN RD STE 121, (916) 316-7200 SACRAMENTO, CA 95824 GARCHA, JAGDEEP - PT CRUX REHABILITATION PHYSICAL THERAPY 6929 SUNRISE BLVD STE 110, CITRUS (916) 669-9038 HEIGHTS, CA 95610 GARCIA PHARMACY PHARMACY 25 N 14TH ST STE 110, SAN JOSE, CA (408) 294-3219 95112 GARCIA, DUSTIN - LAC CENTRAL COAST FAMILY ACUPUNCTURE 7400 MORRO RD STE B, ATASCADERO, (805) 423-4708 ACUPUNCTURE INC CA 93422 GARCIA, EMMA - AUD ADVANCED HEARING AUDIOLOGY 5385 WALNUT AVE STE 203, CHINO, (800) 598-5300 PROVIDERS LLC CA 91710 GARCIA, EMMA - AUD ADVANCED HEARING AUDIOLOGY 7740 EDISON AVE STE 8, FONTANA, (800) 598-5300 PROVIDERS LLC CA 92663 GARCIA, ERIC, WILSON - PT VIBRANTCARE PHYSICAL THERAPY 2410 SAN RAMON VALLEY BLVD STE (925) 789-8100 214, SAN RAMON, CA 94583 GARCIA, ERICA - PT ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 30837 E THOUSAND OAKS BLVD, (818) 879-2091 MAIN ACCOUNT WESTLAKE VILLAGE, CA 91362 GARCIA, IVAN A - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER GARCIA, JEWEL - PT REHABCARE UNLIMITED PHYSICAL THERAPY 16025 GALE AVE STE B8, CITY OF (626) 333-3172 INDUSTRY, CA 91745 GARCIA, JEWEL - PT REHABCARE UNLIMITED PHYSICAL THERAPY 8349 RESEDA BLVD UNIT F, (818) 341-3791 NORTHRIDGE, CA 91324 GARCIA, MARIA - PT SUMMIT WELLNESS CENTES PHYSICAL THERAPY 2251 COUNTRY CLUB LN, SELMA, CA (559) 896-6565 INC DBA SELMA FYZICAL 93662 THERAPY BALANCE GARCIA, STACY - AUD ADVANCED HEARING AUDIOLOGY 1215 MONROE ST STE 202, RED (800) 598-5300 PROVIDERS LLC BLUFF, CA 96080 GARD, ANDREA - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 GARDEN GROVE COMMUNITY PHARMACY 12665 GARDEN GROVE BLVD, GARDEN (714) 530-1130 PHCY GROVE, CA 92843 GARDEN PHARMACY PHARMACY 9153 GARDEN GROVE BLVD, GARDEN (714) 583-8402 GROVE, CA 92844 GARDEN PLAZA PHARMACY PHARMACY 18411 CLARK ST STE 106, TARZANA, CA (818) 345-7982 91356 GARDENA CENTER PHARMACY PHARMACY 15407 S WESTERN AVE, GARDENA, CA (310) 767-1522 90249 GARDENA PHARMACY PHARMACY 15418 CRENSHAW BLVD, GARDENA, CA (424) 329-3904 90249

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 230 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GARDENA PHYSICAL THERAPY PHYSICAL THERAPY 1045 W REDONDO BEACH BLVD STE (310) 329-1444 130, GARDENA, CA 90247-4129 GARDENA PROFESSIONAL PHARMACY 1045 W REDONDO BEACH BLVD, (310) 532-0222 PHARMACY GARDENA, CA 90247 GARDENER, MORTENSEN, KARL H HARER CHIRO INC CHIROPRACTIC MEDICINE 4517 MARKET ST STE 1, VENTURA, CA (805) 650-5929 ERIC - DC 93003 GARDES, JONATHAN H - MD KAISER PERMANENTE SAN ANESTHESIOLOGY 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 GARDNER S CNTY HLTH CTR PHARMACY 7526 MONTEREY ST, GILROY, CA 95020 (408) 848-9494 PHCY GARDNER, DAVID - AUD ADVANCED HEARING AUDIOLOGY 1700 SAN PABLO AVE STE F, PINOLE, (800) 598-5300 PROVIDERS LLC CA 94564 GARFIELD MEDICAL SQ PHARMACY 500 N GARFIELD AVE STE 103, (626) 288-6120 PHARMACY MONTEREY PARK, CA 91754 GARFIELD PRESCRIPTION PHARMACY 9400 BRIGHTON WAY PHARMACY, (310) 274-0144 PHARMACY BEVERLY HILLS, CA 90210 GARFIELD PRESCRIPTION PHARMACY 3756 SANTA ROSALIA DR, LOS (323) 295-5585 PHCY ANGELES, CA 90008 GARFINKEL, ARTHUR - MD SPINE SURGERY 23861 MCBEAN PKWY STE D6, SANTA (661) 259-5930 CLARITA, CA 91355 GARFINKEL, ARTHUR - MD ORTHOPEDIC SURGERY - HIP 23861 MCBEAN PKWY STE D6, SANTA (661) 259-5930 CLARITA, CA 91355 GARFINKEL, ARTHUR - MD ORTHOPEDIC SURGERY - 23861 MCBEAN PKWY STE D6, SANTA (661) 259-5930 LOWER EXTREMITIES CLARITA, CA 91355 GARFINKEL, ARTHUR - MD ORTHOPEDIC SURGERY - 23861 MCBEAN PKWY STE D6, SANTA (661) 259-5930 UPPER EXTREMITIES CLARITA, CA 91355 GARFINKEL, ARTHUR - MD ORTHOPEDICS - HIP 23861 MCBEAN PKWY STE D6, SANTA (661) 259-5930 CLARITA, CA 91355 GARFINKEL, ARTHUR - MD ORTHOPEDICS - LOWER 23861 MCBEAN PKWY STE D6, SANTA (661) 259-5930 EXTREMITIES CLARITA, CA 91355 GARFINKEL, ARTHUR - MD ORTHOPEDICS - SPINE 23861 MCBEAN PKWY STE D6, SANTA (661) 259-5930 CLARITA, CA 91355 GARFINKEL, ARTHUR - MD ORTHOPEDICS - UPPER 23861 MCBEAN PKWY STE D6, SANTA (661) 259-5930 EXTREMITIES CLARITA, CA 91355 GARFINKEL, ARTHUR I - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 GARFINKEL, ARTHUR I - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA LOWER EXTREMITIES 91355 GARFINKEL, ARTHUR I - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA UPPER EXTREMITIES 91355 GARFINKEL, ARTHUR I - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 GARFINKEL, ARTHUR I - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA EXTREMITIES 91355 GARFINKEL, ARTHUR I - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 GARFINKEL, ARTHUR I - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA EXTREMITIES 91355 GARFINKEL, ARTHUR I - MD CONCENTRA MEDICAL SPINE SURGERY 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 GARG, ASHIMA - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 GARG, ASHIMA - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 GARG, RISHI - MD (BCC) CONGRESS MEDICAL ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES KNEE ARCADIA, CA 91007 GARG, RISHI - MD (BCC) CONGRESS MEDICAL ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES SHOULDER ARCADIA, CA 91007 GARG, SUMIT - MD OPHTHALMOLOGY 101 THE CITY DR S, ORANGE, CA 92868 (714) 456-7183 GARG, VINISHA - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 231 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GARG, VINISHA - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE GARGOLLO, JIMMYRALD - PT QUADS PHYSICAL THERAPY PHYSICAL THERAPY 780 SOUTH ARROYO PKWY, (626) 844-6458 PASADENA, CA 91105 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE PRIMARY TREATING 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE PHYSICIAN TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE ORTHOPEDIC SURGERY - HIP 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE ORTHOPEDIC SURGERY - 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE KNEE TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE ORTHOPEDIC SURGERY - 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE LOWER EXTREMITIES TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE ORTHOPEDIC SURGERY - 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE UPPER EXTREMITIES TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE ORTHOPEDICS - HIP 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE ORTHOPEDICS - KNEE 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE ORTHOPEDICS - LOWER 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE EXTREMITIES TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE ORTHOPEDICS - UPPER 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE EXTREMITIES TEMECULA, CA 92590 GARGULINSKI, MATTHEW J - OASIS MD LIFESTYLE SPORTS MEDICINE 27699 JEFFERSON AVE STE 201, (844) 627-4763 DO (BCC) HEALTHCARE TEMECULA, CA 92590 GARNER, STEPHEN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY GARNETT, MARY JANE - AUD ADVANCED HEARING AUDIOLOGY 4045 LONE TREE WAY STE D, ANTIOCH, (800) 598-5300 PROVIDERS LLC CA 94531 GARRETT, CARLOS R - MD CONCENTRA MEDICAL INTERNAL MEDICINE 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 GARRIDO, NORMAN - PT DYNAMIC PHYSICAL THERAPY PHYSICAL THERAPY 1220 S CENTRAL AVE STE 104, (818) 240-7511 GLENDALE, CA 91204 GARRISON, ROBERT K - MD SANSUM CLINIC - PESETAS EMERGENCY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) GARVEY PHARMACY PHARMACY 7837 GARVEY AVE STE 100A, (626) 571-1359 ROSEMEAD, CA 91770 GARY M SOUZA PT & PHYSICAL THERAPY 21015 PATHFINDER RD STE 100, (909) 861-3511 ASSOCIATES DIAMOND BAR, CA 91765-4002 GASPAR DOCTORS OF PHYSICAL THERAPY 3809 PLAZA DR STE 112, OCEANSIDE, (760) 941-2630 PHYSICAL THERAPY CA 92056-4625 GASPAR DOCTORS OF PHYSICAL THERAPY 6102 AVENIDA ENCINAS STE E, (760) 634-9750 PHYSICAL THERAPY CARLSBAD, CA 92011-1005 GASPAR DOCTORS OF PHYSICAL THERAPY 6221 METROPOLITAN ST STE 101, (760) 707-5080 PHYSICAL THERAPY CARLSBAD, CA 92009-3096 GASPAR DOCTORS OF PHYSICAL THERAPY 700 GARDEN VIEW CT STE 103, (760) 632-6942 PHYSICAL THERAPY ENCINITAS, CA 92024-2478 GASPAR DOCTORS OF PHYSICAL THERAPY 981 LOMAS SANTA FE DR STE A, (858) 794-9995 PHYSICAL THERAPY SOLANA BEACH, CA 92075-2144 GASPAR PHYSICAL THERAPY PHYSICAL THERAPY 13350 CAMINO RUIZ STE 1, SAN DIEGO, (858) 790-8549 CA 92129-4473 GASWAY, ROBERT - MD (BCC) ANESTHESIOLOGY 18321 CLARK ST, TARZANA, CA 91356 (818) 708-5285 GATEWAY CIRCLE PHARMACY PHARMACY 3133 N BROADWAY, LOS ANGELES, CA (323) 223-3228 90031 GATEWAY PHARMACY PHARMACY 1330 GATEWAY BLVD STE B2, (707) 422-0500 FAIRFIELD, CA 94533 GATEWAY PHARMACY PHARMACY 1330 GATEWAY BLVD, FAIRFIELD, CA (707) 422-0500 94533 GATEWAY THERAPY CENTER PHYSICAL THERAPY 15725 POMERADO RD STE 115, POWAY, (858) 675-7766 CA 92064-2058

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 232 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GATEWAY URGENT CARE GATEWAY URGENT CARE URGENT CARE FACILITY 710 N EUCLID ST STE 107, ANAHEIM, CA (714) 778-3838 CENTER (BCC) CENTER 92801 GAUR, ALOK - MD KAISER PERMANENTE FRESNO ORTHOPEDIC SURGERY 7300 N FRESNO ST , FRESNO, CA 93720 (559) 448-4886 MEDICAL CENTER GAZDAR, WILLIAM - DC WILLIAM M GAZDAR DC CHIROPRACTIC MEDICINE 2021 YGNACIO VALLEY RD STE C204, (925) 939-2225 WALNUT CREEK, CA 94598 GAZMARIAN, ROBERT - MD SOUTHERN CALIFORNIA PRIMARY TREATING 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN VALENCIA, CA 91354 GAZMARIAN, ROBERT - MD SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN GAZMARIAN, ROBERT - MD SOUTHERN CALIFORNIA PHYSICAL MEDICINE AND 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE REHABILITATION VALENCIA, CA 91354 GAZMARIAN, ROBERT - MD SOUTHERN CALIFORNIA PHYSICAL MEDICINE AND 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE REHABILITATION GAZMARIAN, ROBERT - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 GAZMARIAN, ROBERT - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GBEGNON, AKPENE A - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS NUYS , CA 91406 GBEGNON, AKPENE A - MD CONCENTRA MEDICAL PRIMARY TREATING 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS PHYSICIAN NUYS , CA 91406 GEARHART, JENNIFER - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 GEARHART, JENNIFER - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 GEARHART, JENNIFER - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 GEDDES, JOSEPH - PT SACRAMENTO SPINE PHYSICAL THERAPY 700 OAK AVENUE PKWY STE B, (916) 932-1210 PHYSICAL THERAPYFOLSOM FOLSOM, CA 95630 GEIGER, KENNETH - MD (BCC) NEUROLOGY 12321 HAWTHORNE BLVD STE B, (310) 679-1441 HAWTHORNE, CA 90250 GELDWERT, DARON - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER GELLER, LOREN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 1818 VERDUGO BLVD STE 402, (818) 952-0670 CLINIC GLENDALE, CA 91208 GELLER, LOREN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 1818 VERDUGO BLVD STE 402, (818) 952-0670 CLINIC KNEE GLENDALE, CA 91208 GELLER, LOREN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 1818 VERDUGO BLVD STE 402, (818) 952-0670 CLINIC SHOULDER GLENDALE, CA 91208 GELLER, LOREN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 1818 VERDUGO BLVD STE 402, (818) 952-0670 CLINIC GLENDALE, CA 91208 GELLER, LOREN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 1818 VERDUGO BLVD STE 402, (818) 952-0670 CLINIC GLENDALE, CA 91208 GELLER, LOREN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 1818 VERDUGO BLVD STE 402, (818) 952-0670 CLINIC GLENDALE, CA 91208 GELSON'S PHARMACY PHARMACY 36101 BOB HOPE DR, RANCHO (760) 321-1006 MIRAGE, CA 92270 GELSON'S PHARMACY PHARMACY 2707 VIA DE LA VALLE, DEL MAR, CA (858) 481-4029 92014 GELSON'S PHARMACY PHARMACY 1736 E AVENIDA DE LOS ARBOLES, (805) 493-8001 THOUSAND OAKS, CA 91362 GELSON'S PHARMACY PHARMACY 7660 EL CAMINO REAL, CARLSBAD, CA (760) 633-0037 92009 GEN RX PHARMACY 16800 LAKESHORE DR # 1, LAKE (951) 674-6836 ELSINORE, CA 92530 GENDELMAN, VLAD - MD SPINE SURGERY 12660 RIVERSIDE DR STE 201, NORTH (323) 933-3434 HOLLYWOOD, CA 91607 GENDELMAN, VLAD - MD ORTHOPEDIC SURGERY - HIP 12660 RIVERSIDE DR STE 201, NORTH (323) 933-3434 HOLLYWOOD, CA 91607 GENDELMAN, VLAD - MD ORTHOPEDIC SURGERY - 12660 RIVERSIDE DR STE 201, NORTH (323) 933-3434 LOWER EXTREMITIES HOLLYWOOD, CA 91607

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 233 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GENDELMAN, VLAD - MD ORTHOPEDIC SURGERY - 12660 RIVERSIDE DR STE 201, NORTH (323) 933-3434 UPPER EXTREMITIES HOLLYWOOD, CA 91607 GENDELMAN, VLAD - MD ORTHOPEDICS - HIP 12660 RIVERSIDE DR STE 201, NORTH (323) 933-3434 HOLLYWOOD, CA 91607 GENDELMAN, VLAD - MD ORTHOPEDICS - LOWER 12660 RIVERSIDE DR STE 201, NORTH (323) 933-3434 EXTREMITIES HOLLYWOOD, CA 91607 GENDELMAN, VLAD - MD ORTHOPEDICS - SPINE 12660 RIVERSIDE DR STE 201, NORTH (323) 933-3434 HOLLYWOOD, CA 91607 GENDELMAN, VLAD - MD ORTHOPEDICS - UPPER 12660 RIVERSIDE DR STE 201, NORTH (323) 933-3434 EXTREMITIES HOLLYWOOD, CA 91607 GENDELMAN, VLAD - MD (BCC) URGENT ORTHOPAEDIC CARE ORTHOPEDIC SURGERY - 1711 W TEMPLE ST , LOS ANGELES, CA (323) 933-3434 UPPER EXTREMITIES 90026 GENDELMAN, VLAD - MD (BCC) URGENT ORTHOPAEDIC CARE ORTHOPEDIC SURGERY - 1711 W TEMPLE ST , LOS ANGELES, CA (323) 933-3434 LOWER EXTREMITIES 90026 GENDELMAN, VLAD - MD (BCC) URGENT ORTHOPAEDIC CARE ORTHOPEDIC SURGERY - HIP 1711 W TEMPLE ST , LOS ANGELES, CA (323) 933-3434 90026 GENDELMAN, VLAD - MD (BCC) URGENT ORTHOPAEDIC CARE SPINE SURGERY 1711 W TEMPLE ST , LOS ANGELES, CA (323) 933-3434 90026 GENDELMAN, VLAD - MD (BCC) URGENT ORTHOPAEDIC CARE ORTHOPEDICS - UPPER 1711 W TEMPLE ST , LOS ANGELES, CA (323) 933-3434 EXTREMITIES 90026 GENDELMAN, VLAD - MD (BCC) URGENT ORTHOPAEDIC CARE ORTHOPEDICS - LOWER 1711 W TEMPLE ST , LOS ANGELES, CA (323) 933-3434 EXTREMITIES 90026 GENDELMAN, VLAD - MD (BCC) URGENT ORTHOPAEDIC CARE ORTHOPEDICS - HIP 1711 W TEMPLE ST , LOS ANGELES, CA (323) 933-3434 90026 GENDELMAN, VLAD - MD (BCC) URGENT ORTHOPAEDIC CARE ORTHOPEDICS - SPINE 1711 W TEMPLE ST , LOS ANGELES, CA (323) 933-3434 90026 GENDREAU, DAVID - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC CA 90638 GENDREAU, DAVID - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 2226 MEDICAL CENTER DR, STE 102, (951) 657-1400 GROUP INC PERRIS, CA 92571 GENDREAU, DAVID - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 GENDREAU, DAVID - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 GENERAL HOSPITAL (BCC) GENERAL HOSPITAL ACUTE CARE HOSPITAL 2200 HARRISON AVE, EUREKA, CA (707) 445-8121 95501 GENESEE PHARMACY PHARMACY 7764 SANTA MONICA BLVD, WEST (323) 822-9500 HOLLYWOOD, CA 90046 GENESIS PHYSICAL THERAPY PHYSICAL THERAPY 2807 E CHOCHRAN ST, SIMI VALLEY, CA (805) 583-9575 93065 GENESIS PROGRAMS INC GENESIS PROGRAMS INC CHEMICAL DEPENDENCY 145 HODENCAMP RD STE 207, (805) 497-6169 (BCC) REHABILITATION CENTER THOUSAND OAKS, CA 91360 (OUTPATIENT) GENESIS PROGRAMS INC GENESIS PROGRAMS INC CHEMICAL DEPENDENCY 1732 PALMA DR STE 208, VENTURA, CA (805) 650-3094 (BCC) REHABILITATION CENTER 93003 (OUTPATIENT) GENESIS REHAB THERAPY PHYSICAL THERAPY 266 S HARVARD BLVD SUITE 330, LOS (323) 939-0840 ANGELES, CA 90004 GENOA HEALTHCARE PHARMACY 615 W CIVIC CENTER DR, SANTA ANA, (714) 656-2358 CA 92701 GENOA HEALTHCARE PHARMACY 474 W VERMONT AVE STE 104, (760) 270-9068 ESCONDIDO, CA 92025 GENOA HEALTHCARE PHARMACY 17782 COWAN STE G, IRVINE, CA 92614 (949) 777-5338 GENTRY, LUKE - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 GEORGE ERB PHYSICAL PHYSICAL THERAPY 231 CAMARILLO RANCH RD, (805) 484-2026 THERAPY CAMARILLO, CA 93012-5082 GEORGE ERB PHYSICAL PHYSICAL THERAPY 231 CAMARILLO RANCH RD, (805) 484-2026 THERAPY CAMARILLO, CA 93012-5082 GEORGE F YOUSSEF M.D. PHYSICAL THERAPY 534 N PLAM AVE, ONTARIO, CA 91762 (909) 391-5151 GEORGE L MEE MEMORIAL GEORGE L MEE MEMORIAL ACUTE CARE HOSPITAL 300 CANAL ST, KING CITY, CA 93930 (831) 385-6000 HOSPITAL (BCC) HOSPITAL

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 234 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GEORGE, CHRISTOPHER E - KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 MD JOB OCCUPATIONAL HEALTH 152, SANTA ROSA, CA 95403 CENTER GEORGE, CHRISTOPHER E - KAISER PERMANENTE ON THE PRIMARY TREATING 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 MD JOB OCCUPATIONAL HEALTH PHYSICIAN 152, SANTA ROSA, CA 95403 CENTER GEORGE, JAMES - PT EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 414 TENNESSEE ST STE F, REDLANDS, (909) 792-5050 AND WELLNESS CA 92373 GEORGIO II, PETER JOHN - MD BEACH CITIES ORTHOPEDICS PRIMARY TREATING 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 (BCC) & SPORTS MEDICINE PHYSICIAN CA 90505 GEORGIO II, PETER JOHN - MD BEACH CITIES ORTHOPEDICS PRIMARY TREATING 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE PHYSICIAN MANHATTAN BEACH, CA 90266 GEORGIO II, PETER JOHN - MD BEACH CITIES ORTHOPEDICS SPORTS MEDICINE 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 (BCC) & SPORTS MEDICINE CA 90505 GEORGIO II, PETER JOHN - MD BEACH CITIES ORTHOPEDICS SPORTS MEDICINE 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 GEORGIO, PETER - MD (BCC) PRIMARY TREATING 1010 N SEPULVEDA BLVD, MANHATTAN (310) 376-6262 PHYSICIAN BEACH, CA 90266 GEORGIO, PETER - MD (BCC) FAMILY MEDICINE 1010 N SEPULVEDA BLVD, MANHATTAN (310) 376-6262 BEACH, CA 90266 GEREAUX, HILLARY - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 GERMANOVICH, ANDREW - MD RESTORE ORTHOPEDICS AND PAIN MANAGEMENT 1120 LA VETA AVE STE 300, ORANGE, (714) 598-1745 SPINE CENTER CA 92868 GERONA, NERIDA - PT SAN DIEGO POSTACUTE PHYSICAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 GERSCHULTZ, STEVEN - MD ANESTHESIOLOGY 12401 WASHINGTON BLVD, WHITTIER, (562) 698-0811 (BCC) CA 90602 GERST, JERALD R - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 GERTEL, YEHUDA S - PSYD PSYCHOLOGY 2030 E 4TH ST STE 134C, SANTA ANA , (424) 282-4008 (BCC) CA 92705 GERTEL, YEHUDA S - PSYD PSYCHOLOGY 9008 CASHIO ST , LOS ANGELES , CA (424) 282-4008 (BCC) 90035 GERTZKI, OLIVER - LAC OLIVER GERTZKI ACUPUNCTURE 115 MAIN ST, VISTA, CA 92084 (760) 726-9660 GESTRING, JASON - DC NECK PAIN BACK PAIN CHIROPRACTIC MEDICINE 2315 S MELROSE DR, VISTA, CA 92081 (760) 727-7600 HEADACHE RELIEF CLINIC GETELMAN, MARK H - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE KNEE GETELMAN, MARK H - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE SHOULDER GETELMAN, MARK H - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GETELMAN, MARK H - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GETELMAN, MARK H - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GETELMAN, MARK H - MD SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN GETELMAN, MARK H - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE KNEE THOUSAND OAKS, CA 91361 GETELMAN, MARK H - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE SHOULDER THOUSAND OAKS, CA 91361 GETELMAN, MARK H - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS, CA 91361 GETELMAN, MARK H - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS, CA 91361 GETELMAN, MARK H - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS, CA 91361 GETELMAN, MARK H - MD SOUTHERN CALIFORNIA PRIMARY TREATING 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN THOUSAND OAKS, CA 91361 GEWERTZ, BRUCE - MD CEDARS SINAI MEDICAL VASCULAR SURGERY 127 SAN VICENTE BLVD STE A-3600, (310) 423-5400 CENTER LOS ANGELES, CA 90048

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 235 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GEYLIKMAN, YURY - DMD DENTIST - ORTHODONTIST 12626 RIVERSIDE DR #406, VALLEY (323) 656-9111 VILLAGE, CA 91607 GEYLIKMAN, YURY - DMD DENTIST 12626 RIVERSIDE DR #406, VALLEY (323) 656-9111 VILLAGE, CA 91607 GHALAMBOR, NAVID - MD ORTHOPEDICS - ELBOW 1120 W LA VETA AVE STE 300, (714) 598-1745 (BCC) ORANGE, CA 92868 GHALAMBOR, NAVID - MD ORTHOPEDIC SURGERY - 1120 W LA VETA AVE STE 300, (714) 598-1745 (BCC) ELBOW ORANGE, CA 92868 GHALAMBOR, NAVID - MD ORTHOPEDIC SURGERY - 1120 W LA VETA AVE STE 300, (714) 598-1745 (BCC) SHOULDER ORANGE, CA 92868 GHALAMBOR, NAVID - MD ORTHOPEDIC SURGERY - 1120 W LA VETA AVE STE 300, (714) 598-1745 (BCC) WRIST ORANGE, CA 92868 GHALAMBOR, NAVID - MD ORTHOPEDICS - SHOULDER 1120 W LA VETA AVE STE 300, (714) 598-1745 (BCC) ORANGE, CA 92868 GHALAMBOR, NAVID - MD ORTHOPEDICS - WRIST 1120 W LA VETA AVE STE 300, (714) 598-1745 (BCC) ORANGE, CA 92868 GHANDI, AMIT - PT COSTA MESA PHYSICAL PHYSICAL THERAPY 2951 HARBOR BLVD, COSTA MESA, CA (714) 427-0803 THERAPY 92626 GHANDOUR, YOUSEF - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 GHANI, FATEMA - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 GHASSEMI, ALI R - PSYD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (562) 493-6799 SHERMAN OAKS , CA 91411 GHASSEMI, ALI R - PSYD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (562) 493-6799 SEAL BEACH, CA 90740 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 PSYCHOLOGICAL NETWORK CA 90242 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 300 E ESPLANADE DR STE 900 (818) 501-4700 PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 6331 GREENLEAF AVE STE G , (818) 501-4700 PSYCHOLOGICAL NETWORK WHITTIER, CA 90601 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 PSYCHOLOGICAL NETWORK 90601 GHASSEMI, ALI R - PSYD (BCC) WESTERN PACIFIC PSYCHOLOGY 900 E WASHINGTON ST STE 300, (818) 501-4700 PSYCHOLOGICAL NETWORK COLTON, CA 92324 GHATAN, ANDREW C - MD KAISER PERMANENTE SAN ORTHOPEDICS 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 GHATNEKAR, REVATI J - MD DESERT CARE NETWORK - CARDIOVASCULAR DISEASE 1180 N INDIAN CANYON DR STE E205, (714) 428-6711 (BCC) PRIMARY AND SPECIALTY (CARDIOLOGY) PALM SPRINGS, CA 92262 CARE GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 KNEE RIVERSIDE, CA 92505 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 SHOULDER RIVERSIDE, CA 92505 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 PHYSICIAN RIVERSIDE, CA 92505 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 KNEE REDLANDS, CA 92374 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 SHOULDER REDLANDS, CA 92374

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 236 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 PHYSICIAN REDLANDS, CA 92374 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 KNEE VICTORVILLE , CA 92394 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 SHOULDER VICTORVILLE , CA 92394 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 VICTORVILLE , CA 92394 GHAZAL, RONNY - MD (BCC) ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 PHYSICIAN VICTORVILLE , CA 92394 GHAZARYAN, GOHAR - PTA BURBANK THERAPY CENTER PHYSICAL THERAPY 920 W ALAMEDA AVE, BURBANK, CA (818) 842-9277 91506 GHAZIASKAR, SOHEILA - DC HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 (BCC) GROUP INC CA 90638 GHERARDI, LISA - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 2221 WANKEL WAY , OXNARD , CA (805) 988-9366 (BCC) 93030 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2221 WANKEL WAY , OXNARD , CA (805) 988-9366 (BCC) LOWER EXTREMITIES 93030 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2221 WANKEL WAY , OXNARD , CA (805) 988-9366 (BCC) UPPER EXTREMITIES 93030 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDICS - HIP 2221 WANKEL WAY , OXNARD , CA (805) 988-9366 (BCC) 93030 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDICS - LOWER 2221 WANKEL WAY , OXNARD , CA (805) 988-9366 (BCC) EXTREMITIES 93030 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDICS - UPPER 2221 WANKEL WAY , OXNARD , CA (805) 988-9366 (BCC) EXTREMITIES 93030 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 3901 LAS POSAS RD STE 4, CAMARILLO (805) 585-5166 (BCC) , CA 93010 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3901 LAS POSAS RD STE 4, CAMARILLO (805) 585-5166 (BCC) LOWER EXTREMITIES , CA 93010 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3901 LAS POSAS RD STE 4, CAMARILLO (805) 585-5166 (BCC) UPPER EXTREMITIES , CA 93010 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDICS - HIP 3901 LAS POSAS RD STE 4, CAMARILLO (805) 585-5166 (BCC) , CA 93010 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDICS - LOWER 3901 LAS POSAS RD STE 4, CAMARILLO (805) 585-5166 (BCC) EXTREMITIES , CA 93010 GHILARDUCCI, MARK J - MD VENTURA ORTHOPEDICS ORTHOPEDICS - UPPER 3901 LAS POSAS RD STE 4, CAMARILLO (805) 585-5166 (BCC) EXTREMITIES , CA 93010 GHOSH, SUNAINA - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 GHURABI, RAFFI - DO TORRANCE URGENT CARE INTERNAL MEDICINE 2195 SEPULVEDA BLVD, TORRANCE, (424) 337-1600 CA 90501 GHURABI, RAFFI - DO (BCC) PRIMARY TREATING 2195 SEPULVEDA BLVD, TORRANCE, (424) 337-1600 PHYSICIAN CA 90501 GHURABI, RAFFI - DO (BCC) FAMILY MEDICINE 2195 SEPULVEDA BLVD, TORRANCE, (424) 337-1600 CA 90501 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX KNEE LOS ANGELES, CA 90045 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX SHOULDER LOS ANGELES, CA 90045 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO KNEE CA 90220 DOMINGUEZ

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 237 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO SHOULDER CA 90220 DOMINGUEZ GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY KNEE TORRANCE, CA 90501 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY SHOULDER TORRANCE, CA 90501 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY TORRANCE, CA 90501 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 21081 S WESTERN AVE150, (310) 782-3333 CENTER - HARBOR GATEWAY TORRANCE, CA 90501 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD KNEE 92618 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD SHOULDER 92618 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST KNEE FOREST, CA 92630 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST SHOULDER FOREST, CA 92630 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST FOREST, CA 92630 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST FOREST, CA 92630 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH KNEE CA 90802 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH SHOULDER CA 90802 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE KNEE GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE SHOULDER GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA KNEE CA 92704 WARNER GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA SHOULDER CA 92704 WARNER GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE KNEE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 238 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE SHOULDER GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE GIACOBETTI, FRANK B - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE GIALAMAS, GUS G - MD (BCC) SEA VIEW ORTHOPAEDICS ORTHOPEDIC SURGERY - 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 UPPER EXTREMITIES SAN CLEMENTE, CA 92673 GIALAMAS, GUS G - MD (BCC) SEA VIEW ORTHOPAEDICS ORTHOPEDIC SURGERY - 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 LOWER EXTREMITIES SAN CLEMENTE, CA 92673 GIALAMAS, GUS G - MD (BCC) SEA VIEW ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 SAN CLEMENTE, CA 92673 GIALAMAS, GUS G - MD (BCC) SEA VIEW ORTHOPAEDICS SPORTS MEDICINE 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 SAN CLEMENTE, CA 92673 GIALAMAS, GUS G - MD (BCC) SEA VIEW ORTHOPAEDICS ORTHOPEDICS - UPPER 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 EXTREMITIES SAN CLEMENTE, CA 92673 GIALAMAS, GUS G - MD (BCC) SEA VIEW ORTHOPAEDICS ORTHOPEDICS - LOWER 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 EXTREMITIES SAN CLEMENTE, CA 92673 GIALAMAS, GUS G - MD (BCC) SEA VIEW ORTHOPAEDICS ORTHOPEDICS - HIP 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 SAN CLEMENTE, CA 92673 GIALAMAS, GUS G - MD (BCC) SEA VIEW ORTHOPAEDICS PRIMARY TREATING 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 PHYSICIAN SAN CLEMENTE, CA 92673 GIAMMANCO, PIERRE - MD HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 (BCC) GROUP INC TEMECULA, CA 92590 GIAMMANCO, PIERRE - MD HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 (BCC) GROUP INC 92324 GIAMMANCO, PIERRE - MD HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 (BCC) GROUP INC LONG BEACH, CA 90805 GIAMMANCO, PIERRE - MD HEALTHPOINTE MEDICAL PRIMARY TREATING 27455 TIERRA ALTA WAY STE A, (951) 699-8563 (BCC) GROUP INC PHYSICIAN TEMECULA, CA 92590 GIAMMANCO, PIERRE - MD HEALTHPOINTE MEDICAL PRIMARY TREATING 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 (BCC) GROUP INC PHYSICIAN 92324 GIAMMANCO, PIERRE - MD HEALTHPOINTE MEDICAL PRIMARY TREATING 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 (BCC) GROUP INC PHYSICIAN LONG BEACH, CA 90805 GIAMMANCO, PIERRE F - MD HEALTHPOINTE MEDICAL OTOLARYNGOLOGY (ENT) 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 (BCC) GROUP 92805 GIAMMANCO, PIERRE F - MD HEALTHPOINTE MEDICAL OTOLARYNGOLOGY (ENT) 27455 TIERRA ALTA WAY STE A, (951) 699-5282 (BCC) GROUP TEMECULA, CA 92590 GIAMMANCO, PIERRE F - MD HEALTHPOINTE MEDICAL OTOLARYNGOLOGY (ENT) 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 (BCC) GROUP 92324 GIAMMANCO, PIERRE F - MD HEALTHPOINTE MEDICAL OTOLARYNGOLOGY (ENT) 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 (BCC) GROUP LONG BEACH, CA 90805 GIANFRANCO, ROBERTO - DC ANDERSON CHIROPRACTIC CHIROPRACTIC MEDICINE 300 E 1ST ST, OXNARD, CA 93030 (805) 486-8311 GIANG, DANIEL W - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S GIANG, ERIC L - DO (BCC) ORTHOPEDICS - ANKLE 2116 E ORANGEBURG AVE STE A , (209) 577-1411 MODESTO, CA 95355 GIANGRANDE, ERIN - PT MD MEDICAL CLINICS PHYSICAL THERAPY 1300 N KRAEMER BLVD, ANAHEIM, CA (714) 630-6363 92806 GIANNONE, LISA - PT ACTIVE CARE PHYSICAL PHYSICAL THERAPY 3019 GEARY BLVD, SAN FRANCISCO, (415) 387-6564 THERAPY CA 94118 GIBANI, SIRAJ - MD (BCC) INLAND NEUROLOGY NEUROLOGICAL SURGERY 1015 N 1ST AVE STE A, ARCADIA, CA (909) 450-0369 INSTITUTE 91006 GIBANI, SIRAJ - MD (BCC) INLAND NEUROLOGY NEUROLOGICAL SURGERY 255 E BONITA AVE #9, POMONA , CA (909) 450-0369 INSTITUTE 91767 GIBBS, CURTIS - AUD ADVANCED HEARING AUDIOLOGY 1770 CHURN CREEK RD, REDDING, CA (800) 598-5300 PROVIDERS LLC 96002 GIBSON, ALAN - AUD ADVANCED HEARING AUDIOLOGY 40047 HWY 41 STE B, OAKHURST , CA (800) 598-5300 PROVIDERS LLC 93644 GIBSON, DAVID - AUD ADVANCED HEARING AUDIOLOGY 11899 EDGEWOOD RD STE 154, (800) 598-5300 PROVIDERS LLC AUBURN, CA 95603

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 239 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GIBSON, KELLY - AUD ADVANCED HEARING AUDIOLOGY 780 W OLIVE AVE STE 100, MERCED, CA (800) 598-5300 PROVIDERS LLC 95348 GIBSON, SIMON - PT MONTCLAIR PHYSICAL PHYSICAL THERAPY 6116 MEDAU PL, OAKLAND, CA 94611 (510) 339-2116 THERAPY WELLNESS GIBSON, TIMOTHY - MD (BCC) ORTHOPEDIC SURGERY - HIP 19582 BEACH BLVD STE 120, (714) 848-1911 HUNTINGTON BEACH, CA 92648 GIBSON, TIMOTHY - MD (BCC) ORTHOPEDIC SURGERY - 19582 BEACH BLVD STE 120, (714) 848-1911 KNEE HUNTINGTON BEACH, CA 92648 GIBSON, TIMOTHY - MD (BCC) ORTHOPEDIC SURGERY - 19582 BEACH BLVD STE 120, (714) 848-1911 SHOULDER HUNTINGTON BEACH, CA 92648 GIBSON, TIMOTHY - MD (BCC) ORTHOPEDICS - HIP 19582 BEACH BLVD STE 120, (714) 848-1911 HUNTINGTON BEACH, CA 92648 GIBSON, TIMOTHY - MD (BCC) ORTHOPEDICS - KNEE 19582 BEACH BLVD STE 120, (714) 848-1911 HUNTINGTON BEACH, CA 92648 GIBSON, TIMOTHY - MD (BCC) ORTHOPEDICS - SHOULDER 19582 BEACH BLVD STE 120, (714) 848-1911 HUNTINGTON BEACH, CA 92648 GIDDENS, JOHN - MD (BCC) CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538 GIDDENS, JOHN - MD (BCC) CONCENTRA MEDICAL PRIMARY TREATING 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT PHYSICIAN 94538 GIDVANI, SANDEEP N - MD CONCENTRA MEDICAL SPINE SURGERY 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS 95035 GIFFORD, ROBERT C - DPM RIVERSIDE MEDICAL CLINIC - PODIATRY 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 (BCC) MORENO VALLEY GILBERT DRUGS PHARMACY 9240 GARDEN GROVE BLVD, GARDEN (714) 638-8230 GROVE, CA 92844 GILBERT, CHRISTOPHER - MD CARDIOVASCULAR DISEASE 1955 CITRACADO PKWY STE 300, (760) 743-0546 (BCC) (CARDIOLOGY) ESCONDIDO, CA 92029 GILES, ERIN - DO (BCC) ANESTHESIOLOGY 39000 BOB HOPE DR, RANCHO MIRAGE, (760) 340-3911 CA 92270 GILES, THOMAS - PT RICHARD P CARR PHYSICAL PHYSICAL THERAPY 605 TENNANT AVE STE F, MORGAN (408) 778-3434 THERAPY INC HILL, CA 95037 GILEWSKI, MICHAEL J - PHD LLUHS DEPARTMENT OF NEUROPSYCHOLOGY 11406 LOMA LINDA DR STE 300, LOMA (800) 679-4642 (BCC) NEUROPSYCHOLOGY LINDA, CA 92354 GILKISON, IAN - PT PACER PHYSICAL THERAPY PHYSICAL THERAPY 2330 SAN RAMON VALLEY BLVD, SAN (925) 855-1733 INC RAMON, CA 94583 GILL PHARMACY PHARMACY 2600 MITCHELL RD STE G, CERES, CA (209) 537-4455 95307 GILL, PARAMJEET - MD (BCC) SIERRA PACIFIC ORTHOPEDIC ORTHOPEDIC SURGERY - HIP 1630 E HERNDON AVE STE 203, (559) 256-5396 & ORTHOPEDICS - SPINE FRESNO, CA 93720 CENTER MEDICAL GROUP GILL, PARAMJEET - MD (BCC) SIERRA PACIFIC ORTHOPEDIC ORTHOPEDIC SURGERY - 1630 E HERNDON AVE STE 203, (559) 256-5396 & ORTHOPEDICS - SPINE KNEE FRESNO, CA 93720 CENTER MEDICAL GROUP GILL, PARAMJEET - MD (BCC) SIERRA PACIFIC ORTHOPEDIC ORTHOPEDICS - HIP 1630 E HERNDON AVE STE 203, (559) 256-5396 & ORTHOPEDICS - SPINE FRESNO, CA 93720 CENTER MEDICAL GROUP GILL, PARAMJEET - MD (BCC) SIERRA PACIFIC ORTHOPEDIC ORTHOPEDICS - KNEE 1630 E HERNDON AVE STE 203, (559) 256-5396 & ORTHOPEDICS - SPINE FRESNO, CA 93720 CENTER MEDICAL GROUP GILL, SAUMYA N - MD KAISER PERMANENTE WEST NEUROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER GILLENWATER, TIMOTHY J - USC BURN UNIT PLASTIC SURGERY 1100 N STATE ST, LOS ANGELES, CA (323) 409-4095 MD (BCC) 90033 GILLENWATER, TIMOTHY J - USC BURN UNIT CRITICAL CARE MEDICINE 1100 N STATE ST, LOS ANGELES, CA (323) 409-4095 MD (BCC) 90033 GILLENWATER, TIMOTHY J - KECK MEDICINE OF USC PLASTIC & RECONSTRUCTIVE 1510 SAN PABLO ST STE 6200, LOS (323) 442-7920 MD (BCC) SURGERY ANGELES, CA 90033 GILLESPIE, CATHERINE - PT ORTHOPEDIC SURGERY SAN PHYSICAL THERAPY 317 N EL CAMINO REAL, ENCINITAS, CA (760) 994-2663 DIEGO 92024 GILLETTE & ASSOCIATES PHYSICAL THERAPY 6325 TOPANGA CANYON BLVD STE 100, (818) 340-8858 PHYSICAL THERAPY WOODLAND HILLS, CA 91367-2005

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 240 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GILLETTE & ASSOCIATES PHYSICAL THERAPY 6325 TOPANGA CANYON BLVD STE 100, (818) 340-8858 PHYSICAL THERAPY WOODLAND HILLS, CA 91367-2005 GILLMAN, MICHAEL - MD RESTORE ORTHOPEDICS AND ORTHOPEDIC SURGERY - 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ANKLE ORANGE, CA 92868 CENTER GILLMAN, MICHAEL - MD RESTORE ORTHOPEDICS AND ORTHOPEDICS - ANKLE 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ORANGE, CA 92868 CENTER GILLMAN, MICHAEL - MD RESTORE ORTHOPEDICS AND ORTHOPEDIC SURGERY - 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE FOOT ORANGE, CA 92868 CENTER GILLMAN, MICHAEL - MD RESTORE ORTHOPEDICS AND ORTHOPEDICS - FOOT 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ORANGE, CA 92868 CENTER GILLMAN, MICHAEL - MD (BCC) ORTHOPEDIC SURGERY - 31862 PACIFIC COAST HWY STE 400, (949) 499-8558 ANKLE LAGUNA BEACH, CA 92651 GILLMAN, MICHAEL - MD (BCC) ORTHOPEDICS - ANKLE 31862 PACIFIC COAST HWY STE 400, (949) 499-8558 LAGUNA BEACH, CA 92651 GILLMAN, MICHAEL - MD (BCC) ORTHOPEDIC SURGERY - 31862 PACIFIC COAST HWY STE 400, (949) 499-8558 FOOT LAGUNA BEACH, CA 92651 GILLMAN, MICHAEL - MD (BCC) ORTHOPEDICS - FOOT 31862 PACIFIC COAST HWY STE 400, (949) 499-8558 LAGUNA BEACH, CA 92651 GILMAN, MICHAEL - PTA CALIENTE SPRINGS PHYSICAL PHYSICAL THERAPY 17350 VAILETTI DR, SONOMA, CA 95476 (707) 935-3230 THERAPY GILMER, JAMES B - PT (BCC) MEMORIAL ORTHOPAEDIC PHYSICAL THERAPY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 SURGICAL GROUP 90806 GILMOUR, WAYNE - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11600 WILSHIRE BLVD STE 205, LOS (424) 248-0100 THERAPY AND FITNESS ANGELES, CA 90025 GILSON, ELIZABETH - AUD ADVANCED HEARING AUDIOLOGY 3353 BEARD RD, NAPA, CA 94558 (800) 598-5300 PROVIDERS LLC GINGRAS, BRIAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY GINGRAS, BRIAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY GINGRAS, BRIAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY GINGRAS, BRIAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY GINOZA, WAYNE - DC GINOZA WAYNE DC CHIROPRACTIC MEDICINE 460 E CARSON PLAZA DR STE 116, (424) 266-9154 CARSON, CA 90746 GIRAGOSIAN, ARTIN - DC GIRAGOSIAN WELLNESS CHIROPRACTIC MEDICINE 2950 HONOLULU AVE, LA CRESCENTA, (818) 970-7678 CENTER CA 91214 GIRDLEY, LISA - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 4519 ADMIRALTY WAY STE 203, MARINA (213) 387-4710 PAIN MANAGEMENT CENTER DEL REY, CA 90292 GIRI, CHANDRA P - MD (*BCC LOMA LINDA UNIVERSITY PULMONARY DISEASE 11370 ANDERSON ST FMO 3300, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP GIROUX, MIRIANNE - CHT SILICON VALLEY HAND HAND THERAPY 1716 MIRAMONTE AVE, MOUNTAIN (650) 934-0455 THERAPY INC/ DBA PEAK VIEW, CA 94040 HAND THERAPY GIROUX, MIRIANNE - OT SILICON VALLEY HAND OCCUPATIONAL THERAPY 1716 MIRAMONTE AVE, MOUNTAIN (650) 934-0455 THERAPY INC/ DBA PEAK VIEW, CA 94040 HAND THERAPY GIUDICELLI, CHRISTOPHER - REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 PT MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 241 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GIUDICELLI, CHRISTOPHER - REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 PT MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY GIUDICELLI, CHRISTOPHER - REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 PT MEDICINE PHYSICAL 92123 THERAPY GIUDICELLI, CHRISTOPHER - REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 PT MEDICINE PHYSICAL MESA, CA 91942 THERAPY GIUSTY, LISA - PT PROACTIVE SPINE SPORTS PHYSICAL THERAPY 2620 LARKSPUR LN STE T, REDDING, (530) 605-4422 PHYSICAL THERAPY DBA CA 96002 FYZICAL THERAPY BALANCE CENTERS GKN RX PHARMACY 1471 B ST STE R, LIVINGSTON, CA (209) 398-2035 95334 GKN RX PHARMACY 7072 N CEDAR AVE, FRESNO, CA 93720 (559) 321-8608 GLANDORF, MICHAEL - DC DOERING CHIROPRACTIC CHIROPRACTIC MEDICINE 1111 W TOWN AND COUNTRY RD STE (714) 542-3662 6, ORANGE, CA 92868 GLASER, SCOTT M - MD (BCC) CITY OF HOPE NATIONAL RADIATION ONCOLOGY 1500 DUARTE RD, DUARTE, CA 91010 (626) 256-4673 MEDICAL CENTER GLEASON, JACOB - PT FULL MOTION PHYSICAL PHYSICAL THERAPY 31461 RANCHO VIEJO RD, SAN JUAN (949) 542-5000 THERAPY CAPISTRANO, CA 92675 GLEIBERMAN, PETER - MD SPINE SURGERY 3475 TORRANCE BLVD STE F, (310) 543-0395 (BCC) TORRANCE, CA 90503 GLEIBERMAN, PETER - MD ORTHOPEDIC SURGERY - HIP 3475 TORRANCE BLVD STE F, (310) 543-0395 (BCC) TORRANCE, CA 90503 GLEIBERMAN, PETER - MD ORTHOPEDIC SURGERY - 3475 TORRANCE BLVD STE F, (310) 543-0395 (BCC) LOWER EXTREMITIES TORRANCE, CA 90503 GLEIBERMAN, PETER - MD ORTHOPEDIC SURGERY - 3475 TORRANCE BLVD STE F, (310) 543-0395 (BCC) UPPER EXTREMITIES TORRANCE, CA 90503 GLEIBERMAN, PETER - MD ORTHOPEDICS - HIP 3475 TORRANCE BLVD STE F, (310) 543-0395 (BCC) TORRANCE, CA 90503 GLEIBERMAN, PETER - MD ORTHOPEDICS - LOWER 3475 TORRANCE BLVD STE F, (310) 543-0395 (BCC) EXTREMITIES TORRANCE, CA 90503 GLEIBERMAN, PETER - MD ORTHOPEDICS - SPINE 3475 TORRANCE BLVD STE F, (310) 543-0395 (BCC) TORRANCE, CA 90503 GLEIBERMAN, PETER - MD ORTHOPEDICS - UPPER 3475 TORRANCE BLVD STE F, (310) 543-0395 (BCC) EXTREMITIES TORRANCE, CA 90503 GLEISINGER, JAMES - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 6303 OWENSMOUTH AVE FL 10 , (800) 803-2086 GROUP INC WOODLAND HILLS , CA 91367 GLEISINGER, JAMES - PHD PSYCHOLOGY 6303 OWENSMOUTH AVE FL 10, (310) 837-2444 (BCC) WOODLAND HILLS, CA 91367 GLENDALE ADVENTIST GLENDALE ADVENTIST CHEMICAL DEPENDENCY 335 MISSION RD, GLENDALE, CA 91205 (818) 242-3116 ALCOHOL AND DRUG ALCOHOL AND DRUG REHABILITATION CENTER SERVICES (BCC) SERVICES (OUTPATIENT) GLENDALE MEMORIAL GLENDALE MEMORIAL ACUTE CARE HOSPITAL 1420 S CENTRAL AVE, GLENDALE, CA (818) 502-1900 HOSPITAL AND HEALTH HOSPITAL AND HEALTH 91204 CENTER (BCC) CENTER GLENDALE PHARMACY PHARMACY 1122 N BRAND BLVD, GLENDALE, CA (818) 244-3164 91202 GLENDALE RX PHARMACY PHARMACY 1030 S GLENDALE AVE, GLENDALE, CA (818) 500-0411 91205 GLENDALE URGENT CARE PHARMACY 801 S CHEVY CHASE DR, GLENDALE, (818) 502-9097 CA 91205 GLENDALE WEST PHARMACY PHARMACY 1109 S GLENDALE AVE, GLENDALE, CA (818) 548-5157 91205 GLENDORA MEDICAL PHARMACY 130 W ROUTE 66 STE 104, GLENDORA, (626) 335-0288 PHARMACY CA 91740 GLENMED PHARMACY PHARMACY 1436 W GLENOAKS BLVD STE A, (818) 409-9020 GLENDALE, CA 91201 GLENN MEDICAL CENTER GLENN MEDICAL CENTER ACUTE CARE HOSPITAL 1133 W SYCAMORE ST, WILLOWS, CA (530) 934-1800 (BCC) 95988

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 242 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GLENOAKS RX PHARMACY PHARMACY 303 S GLENOAKS BLVD STE 16, (818) 846-9011 BURBANK, CA 91502 GLENVISTA PHARMACY PHARMACY 1415 E COLORADO ST STE M, (818) 201-2900 GLENDALE, CA 91205 GLESENER PHARMACY PHARMACY 321 N CITRUS AVE, COVINA, CA 91723 (626) 966-3691 GLEYZER, OLGA - PT SOUTH CITY PHYSICAL PHYSICAL THERAPY 443 GRAND AVE, SOUTH SAN (650) 588-9668 THERAPY FRANCISCO, CA 94080 GLIDEWELL, MAYLENE M - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 GLINN AND GIORDANO PHYSICAL THERAPY 1201 23RD ST, BAKERSFIELD, CA (661) 327-4357 PHYSICAL THERAPY 93301-2306 GLINN AND GIORDANO PHYSICAL THERAPY 200 CHINA GRADE LOOP, (661) 615-6150 PHYSICAL THERAPY BAKERSFIELD, CA 93308-1735 GLINN AND GIORDANO PHYSICAL THERAPY 3700 GOSFORD RD STE G, (661) 832-9737 PHYSICAL THERAPY BAKERSFIELD, CA 93309-7694 GLINN AND GIORDANO PHYSICAL THERAPY 701 CENTRAL VALLEY HWY, SHAFTER, (661) 237-6100 PHYSICAL THERAPY CA 93263-2076 GLINN AND GIORDANO PHYSICAL THERAPY 9501 FLUSHING QUAIL RD, (661) 589-9066 PHYSICAL THERAPY BAKERSFIELD, CA 93312-2660 GLINN, JAMES - PT BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 GLINN, JAMES - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 GLINN, JAMES - PT BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 GLOBAL CANCER RESEARCH PHARMACY 9460 N NAME UNO STE 230, GILROY, CA (408) 384-9284 95020 GLOBAL EXPRESS PHARMACY PHARMACY 10596 GARDEN GROVE BLVD, GARDEN (714) 462-4480 GROVE, CA 92843 GLOBAL PHARMACY PHARMACY 1811 W GLENOAKS BLVD, GLENDALE, (818) 937-9773 CA 91201 GLOBAL RX AND PHARMACY 4250 BARRANCA PKWY STE F, IRVINE, (949) 552-3111 COMPOUNDING CA 92604 GLOBAL SPECIALITY PHARMACY 930 S MOUNT VERNON AVE, COLTON, (909) 317-3100 PHARMACY CA 92324 GO BEYOND PHYSICAL PHYSICAL THERAPY 39 QUAIL CT STE 300, WALNUT CREEK, (925) 977-9300 THERAPY CA 94596-5570 GO, JOHN - MD RADIOLOGY 1520 SAN PABLO ST, LOS ANGELES, CA (323) 442-7450 90033 GO, SIMON - DC SIMON R GO CHIROPRACTIC CHIROPRACTIC MEDICINE 14623 HAWTHORNE BLVD STE 206, (310) 675-8803 INC LAWNDALE, CA 90260 GOBLE, KATELIN - PTA BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 GOBLE, KATELIN - PTA BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 GODES, MARIANA - LAC KASTNER ACUPUNCTURE DBA ACUPUNCTURE 4638 PARK BLVD, SAN DIEGO, CA 92116 (619) 220-0878 CIRCLE OF LIVING GODES, MARIANNA - LAC KASTNER ACUPUNCTURE DBA ACUPUNCTURE 4638 PARK BLVD, SAN DIEGO, CA 92116 (619) 220-0878 CIRCLE OF LIVING GODINEZ, ANDRES - AUD ADVANCED HEARING AUDIOLOGY 4910 VAN NUYS BLVD STE 101, (800) 598-5300 PROVIDERS LLC SHERMAN OAKS, CA 91403 GODINEZ, DELIA - PT J M PHYSICAL THERAPY PHYSICAL THERAPY 9545 RESEDA BLVD STE 4, (818) 886-2005 NORTHRIDGE, CA 91324 GOEL, SANJIV MD CARDIOVASCULAR DISEASE 2100 LYNN RD STE 205, THOUSAND (805) 497-3585 (CARDIOLOGY) OAKS , CA 91360 GOFNUNG, ERIC - DC ERIC E GOFNUNG CHIRO CHIROPRACTIC MEDICINE 12626 RIVERSIDE DR STE 510, VALLEY (818) 623-9633 CORP VILLAGE, CA 91607 GOGIA, HARINDER - MD CARDIOVASCULAR DISEASE 801 N TUSTIN AVE SUITE 706, SANTA (714) 568-6600 (CARDIOLOGY) ANA, CA 92705 GOGIA, JASPAUL S - MD KAISER PERMANENTE SAN SPINE SURGERY 275 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 GOGINENI, HRISHIKESH C - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 (BCC) RIVERSIDE, CA 92505 GOGINENI, HRISHIKESH C - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 (BCC) KNEE RIVERSIDE, CA 92505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 243 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GOGINENI, HRISHIKESH C - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 (BCC) CUCAMONGA, CA 91730 GOGINENI, HRISHIKESH C - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 (BCC) KNEE CUCAMONGA, CA 91730 GOGINENI, HRISHIKESH C - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 (BCC) VICTORVILLE , CA 92394 GOGINENI, HRISHIKESH C - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 (BCC) KNEE VICTORVILLE , CA 92394 GOJI, KEIKO - PT ADVANTAGE PHYSICAL PHYSICAL THERAPY 4572 TELEPHONE RD STE 903, (805) 654-8127 THERAPY VENTURA, CA 93003 GOKEY, MARGARET - OT CALIFORNIA HAND OCCUPATIONAL THERAPY 3273 CLAREMONT WAY STE 204, NAPA, (707) 259-1152 REHABILITATION CA 94558 GOLD COAST PHYSICAL PHYSICAL THERAPY 3111 VILLA WAY, NEWPORT BEACH, CA (949) 673-1662 THERAPY 92663-3823 GOLD, STUART - MD (BCC) ORTHOPEDIC SURGERY - 19000 HAWTHORNE BLVD STE 100, (310) 542-3472 KNEE TORRANCE, CA 90503 GOLD, STUART - MD (BCC) ORTHOPEDIC SURGERY - 19000 HAWTHORNE BLVD STE 100, (310) 542-3472 SHOULDER TORRANCE, CA 90503 GOLD, STUART - MD (BCC) ORTHOPEDICS - KNEE 19000 HAWTHORNE BLVD STE 100, (310) 542-3472 TORRANCE, CA 90503 GOLD, STUART - MD (BCC) ORTHOPEDICS - SHOULDER 19000 HAWTHORNE BLVD STE 100, (310) 542-3472 TORRANCE, CA 90503 GOLDBACH, RICHARD - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 GOLDBERG, ANDREA - MD KAISER PERMANENTE NEUROLOGY 8001 VENTURA CANYON AVE , (818) 375-2233 PANORAMA CITY MEDICAL PANORAMA CITY, CA 91402 CENTER GOLDBERG, DAMIEN - MD OPHTHALMOLOGY 23600 TELO AVE STE 100, TORRANCE, (310) 543-2611 (BCC) CA 90505 GOLDEN BEAR PHYSICAL PHYSICAL THERAPY 1130 COFFEE RD STE 6 B, MODESTO, (209) 576-1946 THERAPY CA 95355 GOLDEN BEAR PHYSICAL PHYSICAL THERAPY 2303 GEER RD, TURLOCK, CA (209) 585-4100 THERAPY & SPORTS INJURY 95382-2408 CENTE GOLDEN BEAR PHYSICAL PHYSICAL THERAPY 1519 W YOSEMITE AVE, MANTECA, CA (209) 823-3322 THERAPY AND SPORTS 95337-5159 INJURY CEN GOLDEN BEAR PHYSICAL PHYSICAL THERAPY 3800 GEER RD STE 101, TURLOCK, CA (209) 667-1729 THERAPY AND SPORTS 95382-1146 INJURY CTR GOLDEN BEAR PT & SPORTS PHYSICAL THERAPY 1222 W COLONY RD, RIPON, CA (209) 624-1288 INJURY CENTER 95366-9480 GOLDEN BEAR PT & SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301-5224 GOLDEN BEAR PT & SPORTS PHYSICAL THERAPY 1335 COFFEE RD STE 200, MODESTO, (209) 576-1946 INJURY CENTER CA 95355-3192 GOLDEN BEAR PT & SPORTS PHYSICAL THERAPY 855 S TRACY BLVD, TRACY, CA 95376 (209) 627-1383 INJURY CENTER GOLDEN BEAR PT & SPORTS PHYSICAL THERAPY 146 N MAAG AVE STE B, OAKDALE, CA (209) 322-2140 INJURY CTR 95361-2249 GOLDEN BEAR PT & SPORTS PHYSICAL THERAPY 1700 KEYSTONE PACIFIC PARKWAY (209) 895-4206 INJURY CTR STE C2, PATTERSON, CA 95355 GOLDEN BEAR PT & SPORTS PHYSICAL THERAPY 4318 SPYRES WAY, MODESTO, CA (209) 576-0710 INJURY CTR-4318 SPYRES 95356-9259 WAY GOLDEN CARE PHARMACY PHARMACY 4128 BROADWAY ST, LOS ANGELES, CA (323) 234-9956 90037 GOLDEN COVE PHCY HOME PHARMACY 31238 PALOS VERDES DR W, RANCHO (310) 750-6082 HC PALOS VERDES, CA 90275 GOLDEN ELITE PHARMACY PHARMACY 2048 W PEPPER ST, ALHAMBRA, CA (626) 576-2418 91801 GOLDEN GATE HAND THERAPY PHYSICAL THERAPY 1700 CALIFORNIA ST STE 440, SAN (415) 359-1444 INC FRANCISCO, CA 94109-4592

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 244 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GOLDEN GATE HAND THERAPY PHYSICAL THERAPY 1 DANIEL BURNHAM CTSUITE 325C, (415) 776-1646 INC SAN FRANCISCO, CA 94109-5482 GOLDEN GATE PHARMACY PHARMACY 1836 NORIEGA ST, SAN FRANCISCO, CA (415) 661-0790 94122 GOLDEN GATE PHARMACY PHARMACY 8 DIGITAL DR STE 200, NOVATO, CA (415) 455-9042 94949 GOLDEN GATE PHYSICAL PHYSICAL THERAPY 1 DANIEL BURNHAM CT STE 325 C, SAN (415) 776-1646 THERAPY FRANCISCO, CA 94109 GOLDEN HEALTH PHARMACY PHARMACY 2392 UNIVERSITY AVE, RIVERSIDE, CA (951) 289-9916 92507 GOLDEN HILLS ORTHOPEDIC & PHYSICAL THERAPY 2680 S WHITE RD STE 200, SAN JOSE, (408) 274-0888 SPORTS PT INC CA 95148-2079 GOLDEN LIFE PHARMACY PHARMACY 1960 SEQUOIA AVE STE 5, SIMI VALLEY, (805) 416-8700 CA 93063 GOLDEN PHARMACY PHARMACY 10301 BOLSA AVE STE 105, (714) 839-0256 WESTMINSTER, CA 92683 GOLDEN PHARMACY PHARMACY 1750 PACIFIC AVE STE A, LONG BEACH, (562) 599-5292 CA 90813 GOLDEN STATE EYE CENTER AMBULATORY SURGERY 1001 TOWER WAY STE 150, (661) 327-4499 ASC CENTER BAKERSFIELD, CA 93309 GOLDEN STATE SPECIALTY PHARMACY 325 N VICTORY BLVD, BURBANK, CA (888) 658-0801 PHARMAC 91502 GOLDEN WELLNESS RX PHARMACY 1230 MONTANA AVE STE 106, SANTA (310) 451-2828 MONICA, CA 90403 GOLDENBERG, TODD - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER GOLDFARB, KAHL - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 GOLDFARB, SARA - AUD ADVANCED HEARING AUDIOLOGY 2 MEDICAL PLAZA DRIVE STE 110, (800) 598-5300 PROVIDERS LLC ROSEVILLE, CA 95661 GOLDHAMER, ALAN - DC GOLDHAMER MARANO CHIROPRACTIC MEDICINE 1551 PACIFIC AVE APT 1, SANTA ROSA, (707) 586-5555 CHIROPRACTIC INC CA 95404 GOLDMAN, SCOTT - MD (BCC) MEDICAL CENTER FOR BONE ORTHOPEDIC SURGERY - 400 N MOUNTAIN AVE STE 310, UPLAND (909) 920-0876 AND JOINT DISORDERS INC LOWER EXTREMITIES , CA 91786 GOLDMAN, SCOTT - MD (BCC) MEDICAL CENTER FOR BONE ORTHOPEDIC SURGERY - 400 N MOUNTAIN AVE STE 310, UPLAND (909) 920-0876 AND JOINT DISORDERS INC UPPER EXTREMITIES , CA 91786 GOLDMAN, SCOTT - MD (BCC) MEDICAL CENTER FOR BONE ORTHOPEDICS - LOWER 400 N MOUNTAIN AVE STE 310, UPLAND (909) 920-0876 AND JOINT DISORDERS INC EXTREMITIES , CA 91786 GOLDMAN, SCOTT - MD (BCC) MEDICAL CENTER FOR BONE ORTHOPEDICS - SPINE 400 N MOUNTAIN AVE STE 310, UPLAND (909) 920-0876 AND JOINT DISORDERS INC , CA 91786 GOLDMAN, SCOTT - MD (BCC) MEDICAL CENTER FOR BONE ORTHOPEDICS - UPPER 400 N MOUNTAIN AVE STE 310, UPLAND (909) 920-0876 AND JOINT DISORDERS INC EXTREMITIES , CA 91786 GOLDMAN, SCOTT - MD (BCC) MEDICAL CENTER FOR BONE SPINE SURGERY 400 N MOUNTAIN AVE STE 310, UPLAND (909) 920-0876 AND JOINT DISORDERS INC , CA 91786 GOLDSTEIN, GAIL - MD (BCC) ANESTHESIOLOGY 18321 CLARK ST, TARZANA, CA 91356 (818) 708-5285 GOLDSTEIN, MARK - MD (BCC) CEDARS-SINAI MEDICAL HEMATOLOGY AND 23101 SHERMAN PLACE STE 410, WEST (818) 346-7025 CENTER - ONCOLOGY WEST ONCOLOGY HILLS , CA 91307 GOLDSWORTHY, MARK - MD ANESTHESIOLOGY 2185 W CITRACADO PKWY, (442) 281-1000 (BCC) ESCONDIDO, CA 92025 GOLETA VALLEY COTTAGE GOLETA VALLEY COTTAGE ACUTE CARE HOSPITAL 351 S PATTERSON AVE, SANTA (805) 967-3411 HOSPITAL (BCC) HOSPITAL BARBARA, CA 93111 GOMER, MICHAEL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 16271 BEACH BLVD, HUNTINGTON (714) 375-1755 AQUATIC THERAPY BEACH, CA 92647 GOMEZ, KATHRYNA - OT PHYSICAL MEDICINE OCCUPATIONAL THERAPY 14925 BURBANK BLVD, SHERMAN (818) 905-3355 INSTITUTE OAKS, CA 91411 GOMEZ, KATHRYNA - OT BRIGHT STAR PHYSICAL OCCUPATIONAL THERAPY 20501 VENTURA BLVD STE 380, (818) 343-3900 THERAPY WOODLAND HILLS, CA 91364 GOMEZ, KATHRYNA - OT PHYSICAL MEDICINE OCCUPATIONAL THERAPY 4849 VAN NUYS BLVD STE 205, (818) 905-3355 INSTITUTEMAIN SHERMAN OAKS, CA 91403 GOMEZ, KATHRYNA - OT BRIGHT STAR PHYSICAL OCCUPATIONAL THERAPY 5223 LAUREL CANYON BLVD, VALLEY (818) 763-7801 THERAPY VILLAGE, CA 91607

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 245 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GOMEZ, NEPHTALI R - MD LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S GOMEZ, NEPHTALI R - MD LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11370 ANDERSON ST - SCHUMAN (800) 679-4642 (BCC) HEALTH CARE PAVILLION A-220, LOMA LINDA , CA 92354 GOMPEL, GABRIEL M - DPM CONCENTRA MEDICAL PODIATRY 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 (BCC) CENTER - FREMONT 94538 GON, ALEXANDER - PT CV PHYSICAL THERAPY PHYSICAL THERAPY 4343 PACIFIC AVE STE B1, STOCKTON, (209) 425-4071 INCSTOCKTON 2 CA 95207 GONG, HUI, RONG - LAC GONG HUI RONG LAC ACUPUNCTURE 3408 BALBOA ST, SAN FRANCISCO, CA (415) 387-2378 94121 GONG, JUN MD - (BCC) CEDARS SINAI MEDICAL ONCOLOGY 8700 BEVERLY BLVD, LOS ANGELES, (310) 423-1161 CENTER CA 90048 GONSALVES, REBECCA M - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO 94577 GONZALES RX PHARMACY PHARMACY 18 FOURTH ST, GONZALES, CA 93926 (831) 675-3643 GONZALES, AMY, LEIGH - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 GONZALES, LOLLETH - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 GONZALEZ LOPEZ, MIGUEL A - LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PF STE 108A, LOMA (800) 679-4642 MD (BCC) HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S GONZALEZ LOPEZ, MIGUEL A - LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 4500 BROCKTON AVE STE 201, (800) 679-4642 MD (BCC) HEALTH CARE - RIVERSIDE, CA 92501 NEUROSURGERY DEPT FP&S GONZALEZ LOPEZ, MIGUEL A - LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 81 S HIGHLAND SPRINGS AVE STE 301, (800) 679-4642 MD (BCC) HEALTH CARE - BEAUMONT, CA 92223 NEUROSURGERY DEPT FP&S GONZALEZ PHARMACY PHARMACY 1240 N HACIENDA BLVD, LA PUENTE, (626) 918-4300 CA 91744 GONZALEZ, JOSE - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 8800 STOCKDALE HWY STE 150, (661) 377-1700 BAKERSFIELD, CA 93311 GONZALEZ, JULIE - PT STONEMOUNTAIN PHYSICAL PHYSICAL THERAPY 21628 GOLDEN STAR BLVD, (661) 823-8101 THERAPY TEHACHAPI, CA 93561 GONZALEZ, MARISSA - PTA PROBODY PHYSICAL THERAPY PHYSICAL THERAPY 3110 CHINO AVE STE 130, CHINO HILLS, (909) 902-5049 CA 91709 GONZALEZ, MONICA - LMT AIM FOR WELLNESS MASSAGE THERAPIST 8725 LA TIJERA BLVD, WESTCHESTER, (424) 331-5661 CA 90045 GOOD DRUGS PHARMACY 1864 E WASHINGTON BLVD, (626) 398-1696 PASADENA, CA 91104 GOOD LIFE RX PHARMACY PHARMACY 731 LARKIN ST, SAN FRANCISCO, CA (415) 922-0777 94109 GOOD MORNING PHARMACY PHARMACY 7655 CLAIREMONT MESA BLVD, SAN (858) 268-1660 DIEGO, CA 92111 GOOD PHARMACY PHARMACY 1428 S SAN GABRIEL BLVD, SAN (626) 280-3060 GABRIEL, CA 91776 GOOD PRICE PHARMACY PHARMACY 6000 N FIGUEROA ST STE 102, LOS (323) 255-5161 ANGELES, CA 90042 GOOD SAMARITAN GOOD SAMARITAN MENTAL HEALTH/PSYCHIATRIC 15891 LOS GATOS ALMADEN RD, LOS (408) 559-2011 BEHAVIORAL HEALTH AT BEHAVIORAL HEALTH AT HOSPITAL (INPATIENT) GATOS, CA 95032 MISSION OAKS HOSPITAL MISSION OAKS HOSPITAL (BCC) GOOD SAMARITAN HOSPITAL GOOD SAMARITAN HOSPITAL ACUTE CARE HOSPITAL 1225 WILSHIRE BLVD, LOS ANGELES, (213) 977-2121 (BCC) CA 90017 GOOD SAMARITAN HOSPITAL GOOD SAMARITAN HOSPITAL ACUTE CARE HOSPITAL 2425 SAMARITAN DR, SAN JOSE, CA (408) 559-2011 (BCC) 95124 GOOD SAMARITAN PHARMACY PHARMACY 8137 MALACHITE AVE STE A, RANCHO (909) 774-1115 CUCAMONGA, CA 91730 GOOD, GEORGIA - LAC BODYWISE ACUPUNCTURE ACUPUNCTURE 885 CANARIOS CT STE 110, CHULA (619) 656-5102 TOTAL WELLNESS INC VISTA, CA 91910 GOOD, GEORGIA - LAC BODYWISE ACUPUNCTURE ACUPUNCTURE 955 LANE AVENUE SUITE 201, CHULA (619) 421-9521 TOTAL WELLNESS INC VISTA, CA 91914

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 246 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GOODELL, LAUREN - PT EXPRESS CARE MEDICAL PHYSICAL THERAPY 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 CLINIC ANGELES, CA 90045 GOODMAN, STANLEY - MD PSYCHIATRY 5535 BALBOA BLVD STE 215, ENCINO, (818) 986-7826 (BCC) CA 91316 GOODMAN, STEVEN B - MD DIGNITY HEALTH URGENT PRIMARY TREATING 5920 W MALL , ATASCADERO , CA 93422 (805) 461-2131 (BCC) CARE PHYSICIAN GOODMAN, STEVEN B - MD DIGNITY HEALTH URGENT FAMILY MEDICINE 5920 W MALL , ATASCADERO , CA 93422 (805) 461-2131 (BCC) CARE GOPAL, SRILA A - MD (BCC) MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 GORDON, DOUGLAS - DC CHIROPRACTIC HEALING TEAM CHIROPRACTIC MEDICINE 20700 VENTURA BLVD STE 130, (818) 345-2660 WOODLAND HILLS, CA 91364 GORILIK, DENA - LAC ANGELES MEDICAL CLINIC ACUPUNCTURE 204 E PICO BLVD, LOS ANGELES, CA (213) 322-1000 90015 GORLICK, NEAL L - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER GORLICK, NEAL L - MD KAISER PERMANENTE PLASTIC SURGERY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER GOSLINGA, TYLER - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 GOSLINGA, TYLER - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 GOSS, JASON - DC UNRUH CHIROPRACTIC CHIROPRACTIC MEDICINE 23043 LYONS AVE, SANTA CLARITA, CA (661) 288-0022 91321 GOTAPU, APARAJITHA - PT SANTA CLARA PHYSICAL PHYSICAL THERAPY 2488 DE LA CRUZ BLVD, SANTA CLARA, (408) 247-7278 THERAPY CA 95050 GOTT, KERRY - MD (BCC) INFECTIOUS DISEASE 255 E BONITA AVE, POMONA, CA 91767 (909) 596-7733 GOUDEY, SKY - PT WORLD GYM PALM PT PHYSICAL THERAPY 72840 HIGHWAY 111, PALM DESERT, CA (760) 610-7558 92260 GOUDEY, SKY - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 72840 HIGHWAY 111 STE A150, PALM (858) 614-6332 DESERT, CA 92260 GOUDEY, SKY - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 72880 FRED WARING DR STE B7, PALM (760) 340-4050 DESERT, CA 92260 GOULD, NANCY - AUD ADVANCED HEARING AUDIOLOGY 1801 STATE ST STE 150, SANTA (800) 598-5300 PROVIDERS LLC BARBARA, CA 93101 GOULD, ROSS - DC BOYSAN CHIROPRACTIC CHIROPRACTIC MEDICINE 20914 NORDHOFF ST STE 102, (844) 875-1811 CHATSWORTH, CA 91311 GOUT, ARIELLE, TENAYA, SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 MARIE - OT ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD GOUT, ARIELLE, TENAYA, SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 MARIE - OT ORTHOPEDIC CA 91354 INSTITUTEVALENCIA GOUT, ARIELLE, TENAYA, SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 MARIE - OT ORTHOPEDIC INSTITUTESIMI 93065 VALLEY GOUT, ARIELLE, TENAYA, SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 MARIE - OT ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS GOUT, ARIELLE, TENAYA, SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 MARIE - OT ORTHOPEDIC INSTITUTE MAIN ACCOUNT GOW, WILLIAM W - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 GOWRINATHAN, RANI N - MD KAISER PERMANENTE LOS NEUROLOGY 1505 N EDGEMONT ST , LOS ANGELES, (323) 783-6621 ANGELES MEDICAL CENTER CA 90027 GRACE CARE PHARMACY PHARMACY 3414 W BEVERLY BLVD, MONTEBELLO, (323) 597-1188 CA 90640 GRACE COMMUNITY PHARMACY 4881 LA PALMA AVE, LA PALMA, CA (562) 860-0586 PHARMACY 90623

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 247 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GRACE PHARMACY PHARMACY 20627 GOLDEN SPRINGS DR, DIAMOND (909) 839-0001 BAR, CA 91789 GRACER MEDICAL GROUP GRACER MEDICAL GROUP CHEMICAL DEPENDENCY 5401 NORRIS CANYON RD STE 102, (925) 277-1100 (BCC) REHABILITATION CENTER SAN RAMON, CA 94583 (OUTPATIENT) GRAFF, MARIAN - PT WEST STAR PHYSICAL PHYSICAL THERAPY 780 N EUCLID ST STE 104, ANAHEIM, CA (714) 533-3416 THERAPY 92801 GRAFMAN, SUSAN - AUD ADVANCED HEARING AUDIOLOGY 100 N BRAND BLVD STE 203, (800) 598-5300 PROVIDERS LLC GLENDALE, CA 91203 GRAHAM, JENNIFER A - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER GRAHAM, THOMAS - MD (BCC) EMERGENCY MEDICINE 757 WESTWOOD PLZ STE 1419, LOS (310) 825-2111 ANGELES, CA 90095 GRAHAM, VICTORIA - PT ALEJANDRO J KATZ ACU DBA PHYSICAL THERAPY 5567 RESEDA BLVD STE 101, TARZANA, 2133874710x9 PAIN MANAGEMENT CENTER CA 91356 GRAMA, JOHN - AUD ADVANCED HEARING AUDIOLOGY 7080 HOLLYWOOD BLVD STE 470, LOS (800) 598-5300 PROVIDERS LLC ANGELES, CA 90028 GRAMES, BARRY - MD ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE #120, REDLANDS, (909) 557-1600 LOWER EXTREMITIES CA 92374 GRAMES, BARRY - MD ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE #120, REDLANDS, (909) 557-1600 UPPER EXTREMITIES CA 92374 GRAMES, BARRY - MD ORTHOPEDICS - LOWER 1901 W LUGONIA AVE #120, REDLANDS, (909) 557-1600 EXTREMITIES CA 92374 GRAMES, BARRY - MD ORTHOPEDICS - UPPER 1901 W LUGONIA AVE #120, REDLANDS, (909) 557-1600 EXTREMITIES CA 92374 GRAMES, BARRY - MD (BCC) ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (909) 557-1600 LOWER EXTREMITIES CA 92545 GRAMES, BARRY - MD (BCC) ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (909) 557-1600 UPPER EXTREMITIES CA 92545 GRAMES, BARRY - MD (BCC) ORTHOPEDICS - LOWER 3889 W STETSON AVE STE 100, HEMET, (909) 557-1600 EXTREMITIES CA 92545 GRAMES, BARRY - MD (BCC) ORTHOPEDICS - UPPER 3889 W STETSON AVE STE 100, HEMET, (909) 557-1600 EXTREMITIES CA 92545 GRAMES, BARRY - MD (BCC) ORTHOPEDIC SURGERY - 4234 RIVERWALK PKWY STE 200, (951) 977-2500 LOWER EXTREMITIES RIVERSIDE, CA 92505 GRAMES, BARRY - MD (BCC) ORTHOPEDIC SURGERY - 4234 RIVERWALK PKWY STE 200, (951) 977-2500 UPPER EXTREMITIES RIVERSIDE, CA 92505 GRAMES, BARRY - MD (BCC) ORTHOPEDICS - LOWER 4234 RIVERWALK PKWY STE 200, (951) 977-2500 EXTREMITIES RIVERSIDE, CA 92505 GRAMES, BARRY - MD (BCC) ORTHOPEDICS - UPPER 4234 RIVERWALK PKWY STE 200, (951) 977-2500 EXTREMITIES RIVERSIDE, CA 92505 GRANADA PHYSICAL THERAPY PHYSICAL THERAPY 10667 WHITE OAK AVE, GRANADA (818) 363-5292 HILLS, CA 91344 GRANADO, ZYLNA - DC GRANADO ZYLNA CHIROPRACTIC MEDICINE 1280 CIVIC DR STE 111, WALNUT (877) 882-9832 CHIROPRACTIC OAKLAND CREEK, CA 94596 GRAND AVE PHARMACY PHARMACY 1400 S GRAND AVE STE 100, LOS (213) 746-4114 ANGELES, CA 90015 GRAND AVENUE PHARMACIES PHARMACY 4455 W 117TH ST STE 101, (310) 649-3774 HAWTHORNE, CA 90250 GRAND PHARMACY PHARMACY 505 S VIRGIL AVE STE 107, LOS (213) 380-5100 ANGELES, CA 90020 GRAND SPECIALTY PHARMACY PHARMACY 1513 S GRAND AVE # 100, LOS (213) 747-3200 ANGELES, CA 90015 GRANDVIEW PHARMACY PHARMACY 13768 ROSWELL AVE STE 111, CHINO, (909) 548-6186 CA 91710 GRANNIS, KIMBERLY A - MD SAINT AGNES CARE ORTHOPEDICS - SPINE 1510 E HERNDON AVE STE 230, (559) 450-2663 (BCC) ORTHOPAEDIC INSTITUTE FRESNO, CA 93720 GRANNIS, KIMBERLY A - MD SAINT AGNES CARE ORTHOPEDICS - UPPER 1510 E HERNDON AVE STE 230, (559) 450-2663 (BCC) ORTHOPAEDIC INSTITUTE EXTREMITIES FRESNO, CA 93720 GRANNIS, KIMBERLY A - MD SAINT AGNES CARE ORTHOPEDICS - LOWER 1510 E HERNDON AVE STE 230, (559) 450-2663 (BCC) ORTHOPAEDIC INSTITUTE EXTREMITIES FRESNO, CA 93720

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 248 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GRANNIS, KIMBERLY A - MD SAINT AGNES CARE ORTHOPEDICS - HIP 1510 E HERNDON AVE STE 230, (559) 450-2663 (BCC) ORTHOPAEDIC INSTITUTE FRESNO, CA 93720 GRANT LINE PHARMACY PHARMACY 2160 W GRANT LINE RD, TRACY, CA (209) 832-2999 95377 GRANT, JOSEPH M - MD (BCC) ADVENTIST HEALTH SONARA ORTHOPEDICS - SPINE 200 W ROSEBURG AVE STE B, (209) 536-5778 NORTHERN CALIFORNIA SPINE MODESTO, CA 95350

GRANT, ROBERT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 GRANT, ROBERT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 GRANT, ROBERT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 GRANT, ROBERT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 GRANT, ROBERT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 GRANT, ROBERT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 GRASSEL, ANTOINETTE - PT EAST BAY PHYSICAL THERAPY PHYSICAL THERAPY 3571 SAN PABLO DAM ROAD, (510) 222-8080 RICHMOND, CA 94806 GRATTAN, ANNE - OD (BCC) ATLANTIS EYECARE OPTOMETRY 23000 CRENSHAW BLVD STE 100, (310) 803-9633 TORRANCE, CA 90505 GRAVES II, MICHAEL A - DPM KAISER PERMANENTE SAN PODIATRY 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 GRAVES, KATHLEEN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 GRAY, BRENDAN - DC WHITELAW WELLNESS CHIROPRACTIC MEDICINE 9030 SOQUEL DR, APTOS, CA 95003 (831) 688-7077 CENTER GRAY, DONALD - DC FAMILY CHIROPRACTIC CHIROPRACTIC MEDICINE 2801 WATERMAN BLVD STE 260, (707) 427-1222 CENTER FAIRFIELD, CA 94534 GRAY, JASON - PT PHYSIOMOTION PHYSICAL PHYSICAL THERAPY 4080 N CEDAR AVE, FRESNO, CA 93726 (559) 222-7497 THERAPY INC GRAY, KATHERINE V - MD KAISER PERMANENTE ON THE HAND SURGERY 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER GRAY, KATHERINE V - MD KAISER PERMANENTE ON THE ORTHOPEDICS 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER GRAY, KATHLEEN A - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 GRAY, KATHLEEN A - MD CONCENTRA MEDICAL PRIMARY TREATING 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST PHYSICIAN DIEGO, CA 92103 GREAT EARTH COMPOUNDS PHARMACY 2060 LINCOLN AVE, PASADENA, CA (310) 550-1822 91103 GREAT RX PHARMACY PHARMACY 26930 CHERRY HILLS BLVD, MENIFEE, (951) 679-7988 CA 92586 GREATER LONG BEACH AMBULATORY SURGERY 3833 WORSHAM AVE STE 200, LONG (562) 426-2606 ENDOSCOPY CENTER CENTER BEACH, CA 90808 GREATER PLACER PHARMACY PHARMACY 3133 PROFESSIONAL DR STE 17, (530) 885-8582 AUBURN, CA 95603 GRECZYN, AMY, ELIZABETH - SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 PT LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 GRECZYN, AMY, ELIZABETH - SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 PT LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 GREEN JR, DONALD F - MD KAISER PERMANENTE ON THE PHYSICAL MEDICINE AND 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 JOB OCCUPATIONAL HEALTH REHABILITATION 152, SANTA ROSA, CA 95403 CENTER GREEN JR, DONALD F - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 JOB OCCUPATIONAL HEALTH 152, SANTA ROSA, CA 95403 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 249 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GREEN JR, DONALD F - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 JOB OCCUPATIONAL HEALTH PHYSICIAN 152, SANTA ROSA, CA 95403 CENTER GREEN ORTHOPEDIC & PHYSICAL THERAPY 26932 OSO PKWY STE 260, MISSION (949) 582-8800 SPORTS PHY THPY VIEJO, CA 92691 GREEN PHARMACY PHARMACY 4305 TORRANCE BLVD, TORRANCE, CA (310) 504-0600 90503 GREEN VALLEY PHARMACY PHARMACY 33733 YUCAIPA BLVD STE 1, YUCAIPA, (909) 790-1688 CA 92399 GREEN VALLEY PHARMACY PHARMACY 8237 ROCHESTER AVE, RANCHO (909) 980-0999 CUCAMONGA, CA 91730 GREEN'S FORTUNA PHARMACY 1058 MAIN ST, FORTUNA, CA 95540 (707) 725-4431 PHARMACY GREEN, BRYAN - AUD ADVANCED HEARING AUDIOLOGY 1313 L ST , MODESTO, CA 95354 (800) 598-5300 PROVIDERS LLC GREEN, BRYAN - AUD ADVANCED HEARING AUDIOLOGY 1000 DELBON AVE STE 206, TURLOCK, (800) 598-5300 PROVIDERS LLC CA 95382 GREEN, EMMA - PT QUADS PHYSICAL THERAPY PHYSICAL THERAPY 780 SOUTH ARROYO PKWY, (626) 844-6458 PASADENA, CA 91105 GREEN, ERICK J - MD (BCC) GREEN SPORTS MEDICINE INC FAMILY MEDICINE 2021 HERNDON AVE STE 201, CLOVIS, (559) 813-3005 CA 93611 GREEN, ERICK J - MD (BCC) GREEN SPORTS MEDICINE INC PRIMARY TREATING 2021 HERNDON AVE STE 201, CLOVIS, (559) 813-3005 PHYSICIAN CA 93611 GREEN, GLYNISS, CLAUDETTE GREEN PHYSICAL THERAPY PHYSICAL THERAPY 23110 ATLANTIC CIR STE D, MORENO (951) 379-1500 - PT INC VALLEY, CA 92553 GREEN, KENNETH - PT BARROWS TRAINING PHYSICAL THERAPY 6049 N 1ST ST STE 104, FRESNO, CA (559) 438-0355 EDUCATION PHYSICAL 93710 THERAPY GREEN, LAURIE - OT BISHOP CARE CENTER OCCUPATIONAL THERAPY 151 PIONEER LN, BISHOP, CA 93514 (760) 872-1000 GREEN, LYDIA M - MD CONCENTRA MEDICAL PRIMARY TREATING 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX PHYSICIAN LOS ANGELES, CA 90045 GREEN, LYDIA M - MD CONCENTRA MEDICAL GENERAL PRACTICE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 GREEN, ROBERT - AUD ADVANCED HEARING AUDIOLOGY 140 TOWN AND COUNTRY DR , (800) 598-5300 PROVIDERS LLC DANVILLE, CA 94526 GREENBAUM, BRADLEY - MD ORTHOPEDIC SURGERY - 15825 LAGUNA CANYON RD STE 103, (949) 451-1454 (BCC) KNEE IRVINE, CA 92618 GREENBAUM, BRADLEY - MD ORTHOPEDIC SURGERY - 15825 LAGUNA CANYON RD STE 103, (949) 451-1454 (BCC) SHOULDER IRVINE, CA 92618 GREENBAUM, BRADLEY - MD ORTHOPEDICS - KNEE 15825 LAGUNA CANYON RD STE 103, (949) 451-1454 (BCC) IRVINE, CA 92618 GREENBAUM, BRADLEY - MD ORTHOPEDICS - SHOULDER 15825 LAGUNA CANYON RD STE 103, (949) 451-1454 (BCC) IRVINE, CA 92618 GREENBERG, BARRY H - MD UCSD CARDIOLOGY CARDIOVASCULAR DISEASE 4168 FRONT ST , SAN DIEGO , CA 92103 (619) 543-5742 (BCC) (CARDIOLOGY) GREENE, JOHN - DC JOHN GREENE DC CHIROPRACTIC MEDICINE 4200 TRABUCO RD STE 180, IRVINE, CA (949) 857-6631 92620 GREENFIELD PHARMACY PHARMACY 2067 W VISTA WAY STE 195, VISTA, CA (760) 842-1700 92083 GREENFIELD, JOHN H - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER GREENFIELD, JON - MD SPINE SURGERY 434 S SAN VICENTE BLVD 2ND FL, LOS (310) 659-3400 ANGELES, CA 90048 GREENFIELD, JON - MD ORTHOPEDIC SURGERY - HIP 434 S SAN VICENTE BLVD 2ND FL, LOS (310) 659-3400 ANGELES, CA 90048 GREENFIELD, JON - MD ORTHOPEDIC SURGERY - 434 S SAN VICENTE BLVD 2ND FL, LOS (310) 659-3400 LOWER EXTREMITIES ANGELES, CA 90048 GREENFIELD, JON - MD ORTHOPEDIC SURGERY - 434 S SAN VICENTE BLVD 2ND FL, LOS (310) 659-3400 UPPER EXTREMITIES ANGELES, CA 90048 GREENFIELD, JON - MD ORTHOPEDICS - HIP 434 S SAN VICENTE BLVD 2ND FL, LOS (310) 659-3400 ANGELES, CA 90048

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 250 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GREENFIELD, JON - MD ORTHOPEDICS - LOWER 434 S SAN VICENTE BLVD 2ND FL, LOS (310) 659-3400 EXTREMITIES ANGELES, CA 90048 GREENFIELD, JON - MD ORTHOPEDICS - SPINE 434 S SAN VICENTE BLVD 2ND FL, LOS (310) 659-3400 ANGELES, CA 90048 GREENFIELD, JON - MD ORTHOPEDICS - UPPER 434 S SAN VICENTE BLVD 2ND FL, LOS (310) 659-3400 EXTREMITIES ANGELES, CA 90048 GREENING, SARAH - OTA GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 GREENWELL, GARTH - DO PHYSICAL MEDICINE AND 900 GREENLEY RD STE 914, SONORA, (209) 532-6128 (BCC) REHABILITATION CA 95370 GREENWOOD, MURRAY A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR 92704 MEDICAL OFFICES GREENWOOD, MURRAY A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR PHYSICIAN 92704 MEDICAL OFFICES GREENWOOD, MURRAY A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL ANAHEIM, CA 92806 OFFICES GREENWOOD, MURRAY A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL PHYSICIAN ANAHEIM, CA 92806 OFFICES GREENWOOD, MURRAY A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER CA 92618 GREENWOOD, MURRAY A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER PHYSICIAN CA 92618 GREG, NORMAN - PT ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 3901 WALNUT BLVD STE A2, (925) 516-1949 CENTER BRENTWOOD, CA 94513 GREG, NORMAN - PT ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 4041 LONE TREE WAY STE 106, (925) 754-6262 CENTER ANTIOCH, CA 94531 GREGORINN, GRATCH - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 14423 HAMLIN ST, VAN NUYS, CA 91401 (213) 387-4710 PAIN MANAGEMENT CENTER GREGORIUS, THEODORE K - CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 360 SAN MIGUEL DR STE 701, (949) 759-3600 MD (BCC) SPECIALISTS NEWPORT BEACH, CA 92660 GREGORIUS, THEODORE K - CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 360 SAN MIGUEL DR STE 701, (949) 759-3600 MD (BCC) SPECIALISTS KNEE NEWPORT BEACH, CA 92660 GREGORIUS, THEODORE K - CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 360 SAN MIGUEL DR STE 701, (949) 759-3600 MD (BCC) SPECIALISTS SHOULDER NEWPORT BEACH, CA 92660 GREGORIUS, THEODORE K - CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - HIP 360 SAN MIGUEL DR STE 701, (949) 759-3600 MD (BCC) SPECIALISTS NEWPORT BEACH, CA 92660 GREGORIUS, THEODORE K - CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - KNEE 360 SAN MIGUEL DR STE 701, (949) 759-3600 MD (BCC) SPECIALISTS NEWPORT BEACH, CA 92660 GREGORIUS, THEODORE K - CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - SHOULDER 360 SAN MIGUEL DR STE 701, (949) 759-3600 MD (BCC) SPECIALISTS NEWPORT BEACH, CA 92660 GRENDA, ERIC - DC ERIC GRENDA DC CHIROPRACTIC MEDICINE 1628 CRAVENS AVE, TORRANCE, CA (310) 787-8104 90501 GRENMAN, DANA - DC EDWARD CREMATA DC RN CHIROPRACTIC MEDICINE 39355 CALIFORNIA ST STE 106, (510) 796-2225 FREMONT, CA 94538 GREYWELL PHARMACY PHARMACY 10672 RIVERSIDE DR, NORTH (818) 306-5500 HOLLYWOOD, CA 91602 GRIERSON, RACHEL - PT MARINA SPORTS MEDICINE PHYSICAL THERAPY 28633 S WESTERN AVE STE 200, (310) 832-2622 RANCHO PALOS VERDES, CA 90275 GRIFFIN OAKS RESIDENTIAL GRIFFIN OAKS RESIDENTIAL CHEMICAL DEPENDENCY 599 QUAIL OAKS DR, OJAI, CA 93023 (805) 272-8616 TREATMENT PROGRAM (BCC) TREATMENT PROGRAM REHABILITATION CENTER (OUTPATIENT) GRIFFIN, ANDREW - DC INTEGRATIVE INDUSTRIAL AND CHIROPRACTIC MEDICINE 1930 WILSHIRE BLVD STE 600, LOS (213) 483-9902 FAMILY CLINICS ANGELES, CA 90057 GRIFFIN, ANDREW - DC INTEGRATIVE INDUSTRIAL AND CHIROPRACTIC MEDICINE 1701 W WHITTIER BLVD, MONTEBELLO, (323) 887-3577 FAMILY PRACTICE MEDICAL CA 90640 CLINICS GRIFFIN, CHARLES - MD (BCC) ANESTHESIOLOGY 23500 MADISON ST, TORRANCE, CA (310) 784-2710 90505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 251 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GRIFFIN, CHARLES - MD (BCC) ANESTHESIOLOGY 3720 LOMITA BLVD STE 100, (310) 376-7000 TORRANCE, CA 90505 GRIFFIN, CHARLES - MD (BCC) ANESTHESIOLOGY 3720 LOMITA BLVD STE 102, (310) 802-6260 TORRANCE, CA 90505 GRIFFIN, CHARLES - MD (BCC) ANESTHESIOLOGY 4101 TORRANCE BLVD, TORRANCE, CA (310) 540-7676 90503 GRIFFIN, PAUL A - MD (BCC) WEST HILLS MEDICAL GROUP PRIMARY TREATING 222 N 5TH ST , COALINGA , CA 93210 (559) 935-5555 INC PHYSICIAN GRIFFIN, PAUL A - MD (BCC) WEST HILLS MEDICAL GROUP FAMILY MEDICINE 222 N 5TH ST , COALINGA , CA 93210 (559) 935-5555 INC GRIFFITHS, CHESTER F - MD PACIFIC NEUROSCIENCE OTOLARYNGOLOGY (ENT) 11645 WILSHIRE BLVD STE 600 , LOS (310) 477-5558 (BCC) INSTITUTE ANGELES, CA 90025 GRIFFITHS, CHESTER F - MD PACIFIC NEUROSCIENCE OTOLARYNGOLOGY (ENT) 2125 ARIZONA AVE , SANTA MONICA, (310) 477-5558 (BCC) INSTITUTE CA 90404 GRIFFITHS, GEOFFREY P - MD KAISER PERMANENTE ORTHOPEDICS 10800 MAGNOLIA AVE MEDICAL OFFICE (951) 353-4322 RIVERSIDE MEDICAL CENTER BLDG 2, RIVERSIDE, CA 92505 GRIFFITHS, TATYANNY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 GRIFFITTS, JAMES - AUD ADVANCED HEARING AUDIOLOGY 1111 EXPOSITION BLVD, SACRAMENTO, (800) 598-5300 PROVIDERS LLC CA 95815 GRIGORYAN, GRATCH - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 541 W COLORADO ST STE 303, (213) 387-4710 PAIN MANAGEMENT CENTER GLENDALE, CA 91204 GRIJALVA, RAMON A - MD KAISER PERMANENTE ORTHOPEDICS 10800 MAGNOLIA AVE MEDICAL OFFICE (951) 353-4322 RIVERSIDE MEDICAL CENTER BLDG 2, RIVERSIDE, CA 92505 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 11206 OLIVE DR, BAKERSFIELD, CA (661) 377-1700 93312 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 1205 N WILLOW, CLOVIS, CA 93619 (559) 322-4103

GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 13019 STOCKDALE HWY STE 500, (661) 377-1700 BAKERSFIELD, CA 93314 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 1430 HIGH ST, DELANO, CA 93215 (661) 377-1700

GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 1800 WESTWIND DRIVE BUILDING 500, (661) 322-9411 BAKERSFIELD, CA 93301 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2838 OSWELL ST, BAKERSFIELD, CA (661) 873-7100 93306 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2960 E NEES AVE STE 108, FRESNO, CA (559) 322-4103 93720 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 3400 CALLOWAY DR STE 603, (661) 615-6600 BAKERSFIELD, CA 93312 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 4004 PANAMA LN STE 100, (661) 377-1700 BAKERSFIELD, CA 93313 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 4025 W FIGARDEN DR STE 105, (661) 617-1182 FRESNO, CA 93720 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 7900 DISTRICT BLVD UNIT A, (661) 377-1700 BAKERSFIELD, CA 93313 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 815 TUCKER RD STE C, TEHACHAPI, CA (661) 377-1700 93561 GRILLO, ERIN, ELIZABETH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 8800 STOCKDALE HWY STE 150, (661) 377-1700 BAKERSFIELD, CA 93311 GRIMES, JAMES B - MD (BCC) ORTHOPEDIC SURGERY - HIP 9330 STOCKDALE HWY STE 600, (661) 324-2491 BAKERSFIELD , CA 93311 GRIMES, JAMES B - MD (BCC) ORTHOPEDIC SURGERY - 9330 STOCKDALE HWY STE 600, (661) 324-2491 KNEE BAKERSFIELD , CA 93311 GRIMES, JAMES B - MD (BCC) ORTHOPEDIC SURGERY - 9330 STOCKDALE HWY STE 600, (661) 324-2491 UPPER EXTREMITIES BAKERSFIELD , CA 93311 GRIMES, JAMES B - MD (BCC) ORTHOPEDICS - HIP 9330 STOCKDALE HWY STE 600, (661) 324-2491 BAKERSFIELD , CA 93311 GRIMES, JAMES B - MD (BCC) ORTHOPEDICS - KNEE 9330 STOCKDALE HWY STE 600, (661) 324-2491 BAKERSFIELD , CA 93311 GRIMES, JAMES B - MD (BCC) ORTHOPEDICS - UPPER 9330 STOCKDALE HWY STE 600, (661) 324-2491 EXTREMITIES BAKERSFIELD , CA 93311

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 252 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GRIMM, MERILEN - OT WELLWORKS PHYSICAL OCCUPATIONAL THERAPY 500 W GLENOAKS BLVD, GLENDALE, CA (747) 272-0027 THERAPY REHABILITATION 91202 INC GRINSTED, STEVEN - PT AXIS PHYSICAL THERAPY PHYSICAL THERAPY 708 WEST 1ST STREET, LOS ANGELES, (213) 617-2947 CA 90012 GRIVAS, TANIA A - MD CONCENTRA MEDICAL SURGERY 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE GROAT, GLENN - MD WIELER & SEIN MEDICAL RADIOLOGY 1220 W HEMLOCK WAY, SANTA ANA, CA (714) 545-9441 GROUP 92707 GROCK, SHIRA - MD ENDOCRINOLOGY 2020 SANTA MONICA BLVD STE 550, (310) 828-1050 SANTA MONICA, CA 90404 GROMAN, SHANNON - PT G3 PHYSICAL THERAPY PHYSICAL THERAPY 227 N EL CAMINO REAL STE 100, (760) 230-2316 ENCINITAS, CA 92024 GROSS, BRIAN - MD (BCC) OPHTHALMOLOGY 27420 TOURNEY RD STE 100, (661) 259-3937 VALENCIA, CA 91355 GROSSMAN, BRIAN S - MD SOUTHERN CALIFORNIA SPINE SURGERY 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE CA 93065 GROSSMAN, BRIAN S - MD SOUTHERN CALIFORNIA SPINE SURGERY 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 GROSSMAN, BRIAN S - MD SOUTHERN CALIFORNIA SPINE SURGERY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GROSSMAN, CHRIS - DC CHRIS GROSSMAN DC CHIROPRACTIC MEDICINE 2045 ROYAL AVE 224, SIMI VALLEY, CA (805) 583-4857 93065 GROSSMONT HOSPITAL GROSSMONT HOSPITAL MENTAL HEALTH/PSYCHIATRIC 5555 GROSSMONT CENTER DR, LA (619) 740-6000 PSYCH (BCC) PSYCH HOSPITAL (INPATIENT) MESA, CA 91942 GROSSMONT PHARMACY PHARMACY 5565 GROSSMONT CENTER DR, LA (619) 462-2400 MESA, CA 91942 GROTTING, JOHN A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD LOWER EXTREMITIES CARLSBAD, CA 92008 GROTTING, JOHN A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD UPPER EXTREMITIES CARLSBAD, CA 92008 GROTTING, JOHN A - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD EXTREMITIES CARLSBAD, CA 92008 GROTTING, JOHN A - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD EXTREMITIES CARLSBAD, CA 92008 GROVE HARBOR MED CTR PHARMACY 12555 GARDEN GROVE BLVD, GARDEN (714) 636-0593 PHARMACY GROVE, CA 92843 GROVE PHARMACY PHARMACY 655 N FAIR OAKS AVE, PASADENA, CA (626) 390-4011 91103 GROVELAND PHARMACY PHARMACY 18638 MAIN ST, GROVELAND, CA 95321 (209) 962-5211 GROVER, DEVINA D - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER GROVER, DEVINA D - MD KAISER PERMANENTE ON THE PRIMARY TREATING 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH PHYSICIAN JOSE, CA 95119 CENTER GROVES, SHAD, JAMES - DC GROVES CHIROPRACTIC DBA CHIROPRACTIC MEDICINE 1225 E WARDLOW RD, LONG BEACH, (562) 997-0966 CHIROPRACTIC NEUROLOGY CA 90807 CENTER GRUBA, MICHAEL - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR 92704 MEDICAL OFFICES GRUBA, MICHAEL - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR PHYSICIAN 92704 MEDICAL OFFICES GRUBA, MICHAEL - MD KAISER PERMANENTE OCCUPATIONAL MEDICINE 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 GRUBA, MICHAEL - MD KAISER PERMANENTE PRIMARY TREATING 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES PHYSICIAN 92806 GRUBA, MICHAEL - MD KAISER PERMANENTE IRVINE OCCUPATIONAL MEDICINE 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 GRUBA, MICHAEL - MD KAISER PERMANENTE IRVINE PRIMARY TREATING 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER PHYSICIAN CA 92618

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 253 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GRUBINSKAS, JAMES - DC EMERYVILLE OCCUPATIONAL CHIROPRACTIC MEDICINE 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 GRUMET, ROBERT - MD (BCC) ORTHOPEDIC SURGERY - HIP 16300 SAND CANYON AVE STE 511, (714) 634-4567 IRVINE, CA 92618 GRUMET, ROBERT - MD (BCC) ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (714) 634-4567 KNEE IRVINE, CA 92618 GRUMET, ROBERT - MD (BCC) ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (714) 634-4567 SHOULDER IRVINE, CA 92618 GRUMET, ROBERT - MD (BCC) ORTHOPEDICS - HIP 16300 SAND CANYON AVE STE 511, (714) 634-4567 IRVINE, CA 92618 GRUMET, ROBERT - MD (BCC) ORTHOPEDICS - KNEE 16300 SAND CANYON AVE STE 511, (714) 634-4567 IRVINE, CA 92618 GRUMET, ROBERT - MD (BCC) ORTHOPEDICS - SHOULDER 16300 SAND CANYON AVE STE 511, (714) 634-4567 IRVINE, CA 92618 GRUSPE, LIGAYA - LAC GOLDEN TOUCH ACUPUNCTURE 3939 ATLANTIC AVE STE 218, LONG (562) 490-2877 ACUPUNCTURE CLINIC BEACH, CA 90807 GRYDER, ALEXANDRA - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 GUAN, HOWARD D - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 GUAN, HOWARD D - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 GUAN, HOWARD D - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 LLUSM BEAUMONT, CA 92223 GUANCHE, CARLOS A - MD SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN GUANCHE, CARLOS A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GUANCHE, CARLOS A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE KNEE GUANCHE, CARLOS A - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE SHOULDER GUANCHE, CARLOS A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GUANCHE, CARLOS A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GUANCHE, CARLOS A - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GUANCHE, CARLOS A - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE GUANZON, MICHELLE - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 GUARDIAN PHARMACY OF PHARMACY 184 E LIBERTY AVE, ANAHEIM, CA (714) 220-0720 ANAHEIM 92801 GUERCIO, RYAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 GUERRERO, JOSEPH - MD IMMEDIATE MED GROUP OCCUPATIONAL MEDICINE 15330 VALLEY VIEW AVE #1 , LA (714) 443-0300 (BCC) MIRADA, CA 90638 GUERRERO, JOSEPH - MD IMMEDIATE MED GROUP PRIMARY TREATING 15330 VALLEY VIEW AVE #1 , LA (714) 443-0300 (BCC) PHYSICIAN MIRADA, CA 90638 GUERRERO-WOOLEY, LOMA LINDA UNIVERSITY INFECTIOUS DISEASE 11370 ANDERSON ST STE 3100, LOMA (800) 679-4642 RICHELLE - MD (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP GUEVARA, CALEB - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 GUEVARA, CALEB - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 GUEVARA, CALEB - PT CAMARILLO AQUATICS PHYSICAL THERAPY 4960 VERDUGO WAY, CAMARILLO, CA (805) 384-8050 REHABILITATION SERVICES 93012 GUEVARA, CALEB - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 GUEVARA, GERARDO - DC GUEVARA GERARDO DC CHIROPRACTIC MEDICINE 6700 INDIANA AVE STE 145, RIVERSIDE, (951) 248-9240 CA 92506

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 254 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GUILBAULT, AMY - PT WALKER PHYSICAL THERAPY PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (951) 672-0455 92586 GUILLINTA, ELIZA - PT B B PHYSICAL THERAPY PHYSICAL THERAPY 24355 LYONS AVE STE 100, NEWHALL, (661) 290-2884 CA 91321 GUIMET, MOISES - DPM KAISER PERMANENTE SAN PODIATRY 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 GUINTO, ROMMEL - DC DR ROMMEL B GUINTO DC CHIROPRACTIC MEDICINE 4253 W REDONDO BEACH BLVD, (310) 921-9940 LAWNDALE, CA 90260 GUIRGUIS, MAGDY - DC ARBOR VITAE WELLNESS CHIROPRACTIC MEDICINE 2730 WILSHIRE BLVD STE 230, SANTA (310) 829-7339 CENTER MONICA, CA 90403 GUISTOLISE, CHRISTOPHER - TOTAL WELLNESS CHIROPRACTIC MEDICINE 4600 S TRACY BLVD STE 116, TRACY, (209) 832-9700 DC CHIROPRACTIC CA 95377 GUL, KHAWAR M - MD (BCC) CARDIOVASCULAR DISEASE 136 N 3RD ST STE 1, LOMPOC, CA (805) 735-7771 (CARDIOLOGY) 93436 GUMBS, VINCENT - MD (BCC) SPINE SURGERY 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 BEACH, CA 90807 GUMBS, VINCENT - MD (BCC) SPINE SURGERY 16542 VENTURA BLVD STE 122, (818) 701-9211 ENCINO, CA 91436 GUMBS, VINCENT - MD (BCC) SPINE SURGERY 3737 MARTIN LUTHER KING JR 605B, (818) 701-9211 LYNWOOD, CA 90262 GUMBS, VINCENT - MD (BCC) SPINE SURGERY 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 90623 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - HIP 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 BEACH, CA 90807 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 LOWER EXTREMITIES BEACH, CA 90807 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 UPPER EXTREMITIES BEACH, CA 90807 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - HIP 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 BEACH, CA 90807 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - LOWER 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 EXTREMITIES BEACH, CA 90807 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - SPINE 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 BEACH, CA 90807 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - UPPER 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 EXTREMITIES BEACH, CA 90807 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - HIP 16542 VENTURA BLVD STE 122, (818) 701-9211 ENCINO, CA 91436 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - 16542 VENTURA BLVD STE 122, (818) 701-9211 LOWER EXTREMITIES ENCINO, CA 91436 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - 16542 VENTURA BLVD STE 122, (818) 701-9211 UPPER EXTREMITIES ENCINO, CA 91436 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - HIP 16542 VENTURA BLVD STE 122, (818) 701-9211 ENCINO, CA 91436 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - LOWER 16542 VENTURA BLVD STE 122, (818) 701-9211 EXTREMITIES ENCINO, CA 91436 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - SPINE 16542 VENTURA BLVD STE 122, (818) 701-9211 ENCINO, CA 91436 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - UPPER 16542 VENTURA BLVD STE 122, (818) 701-9211 EXTREMITIES ENCINO, CA 91436 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - HIP 3737 MARTIN LUTHER KING JR 605B, (818) 701-9211 LYNWOOD, CA 90262 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - 3737 MARTIN LUTHER KING JR 605B, (818) 701-9211 LOWER EXTREMITIES LYNWOOD, CA 90262 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - 3737 MARTIN LUTHER KING JR 605B, (818) 701-9211 UPPER EXTREMITIES LYNWOOD, CA 90262 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - HIP 3737 MARTIN LUTHER KING JR 605B, (818) 701-9211 LYNWOOD, CA 90262 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - LOWER 3737 MARTIN LUTHER KING JR 605B, (818) 701-9211 EXTREMITIES LYNWOOD, CA 90262 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - SPINE 3737 MARTIN LUTHER KING JR 605B, (818) 701-9211 LYNWOOD, CA 90262

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 255 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - UPPER 3737 MARTIN LUTHER KING JR 605B, (818) 701-9211 EXTREMITIES LYNWOOD, CA 90262 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - HIP 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 90623 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 LOWER EXTREMITIES 90623 GUMBS, VINCENT - MD (BCC) ORTHOPEDIC SURGERY - 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 UPPER EXTREMITIES 90623 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - HIP 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 90623 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - LOWER 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 EXTREMITIES 90623 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - SPINE 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 90623 GUMBS, VINCENT - MD (BCC) ORTHOPEDICS - UPPER 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 EXTREMITIES 90623 GUMBS, VINCENT L - MD (BCC) TRICOUNTY MEDICAL GROUP ORTHOPEDICS - HIP 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 CA 90004 GUMBS, VINCENT L - MD (BCC) TRICOUNTY MEDICAL GROUP ORTHOPEDICS - SPINE 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 CA 90004 GUMBS, VINCENT L - MD (BCC) TRICOUNTY MEDICAL GROUP ORTHOPEDIC SURGERY - 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 UPPER EXTREMITIES CA 90004 GUMBS, VINCENT L - MD (BCC) TRICOUNTY MEDICAL GROUP ORTHOPEDIC SURGERY - 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 LOWER EXTREMITIES CA 90004 GUMBS, VINCENT L - MD (BCC) TRICOUNTY MEDICAL GROUP ORTHOPEDIC SURGERY - HIP 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 CA 90004 GUMBS, VINCENT L - MD (BCC) TRICOUNTY MEDICAL GROUP SPINE SURGERY 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 CA 90004 GUMBS, VINCENT L - MD (BCC) TRICOUNTY MEDICAL GROUP ORTHOPEDICS - UPPER 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 EXTREMITIES CA 90004 GUMBS, VINCENT L - MD (BCC) TRICOUNTY MEDICAL GROUP ORTHOPEDICS - LOWER 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 EXTREMITIES CA 90004 GUN, LEE - LAC TRUE ESSENCE ACUPUNCTURE 2525 W 8TH ST STE 210, LOS ANGELES, (213) 270-5001 ACUPUNCTURE CA 90057 GUNN, JOSEPHINE - PT FULL MOTION PHYSICAL PHYSICAL THERAPY 903 CALLE AMANECER, SAN (949) 388-6552 THERAPY CLEMENTE, CA 92673 GUNSET, MARY - DC MARY GUNSET DC CHIROPRACTIC MEDICINE 7801 MISSION CENTER CT STE 320, (619) 299-5409 SAN DIEGO, CA 92108 GUO, NAIJIA - LAC JOIN HANDS ACUPUNCTURE ACUPUNCTURE 7297 RONSON RD STE C, SAN DIEGO, (858) 568-5628 WELLNESS CA 92111 GUPPY, KERN H - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER GUPTA, ANUJ - MD CONCENTRA MEDICAL ANESTHESIOLOGY 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 GUPTA, ANUJ - MD PAIN MANAGEMENT 2023 W VISTA WAY STE D, VISTA, CA (619) 330-8771 92083 GUPTA, ANUPAM - MD (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 12742 LIMONITE AVE , EASTVALE, CA (951) 739-2746 EASTVALE 92880 GUPTA, ANUPAM - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 12742 LIMONITE AVE , EASTVALE, CA (951) 739-2746 EASTVALE PHYSICIAN 92880 GUPTA, CHARU - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 320 LENNON LN LASSEN BLDG 2ND (925) 906-2060 JOB OCCUPATIONAL HEALTH FLR, WALNUT CREEK, CA 94598 CENTER GUPTA, CHARU - MD KAISER PERMANENTE ON THE PRIMARY TREATING 320 LENNON LN LASSEN BLDG 2ND (925) 906-2060 JOB OCCUPATIONAL HEALTH PHYSICIAN FLR, WALNUT CREEK, CA 94598 CENTER GUPTA, MUKUL - MD (BCC) SANSUM CLINIC - RIDLEY-TREE HEMATOLOGY AND 540 W PUEBLO ST , SANTA BARBARA, (805) 681-7858 CANCER CENTER ONCOLOGY CA 93105 GUPTA, NAVYASH - MD (BCC) CEDARS SINAI MEDICAL VASCULAR SURGERY 99 N LA CIENEGA BLVD STE 307, (310) 423-7040 CENTER BEVERLY HILLS , CA 90211

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 256 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GUPTA, SUBHAS C - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 25805 BARTON RD STE 101, LOMA (800) 679-4642 HEALTH CARE - PLASTIC & SURGERY LINDA , CA 92354 RECONSTRUCTIVE SURGERY FP&S GUPTA, SUBHAS C - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 3762 TIBBETS RD , RIVERSIDE , CA (800) 679-4642 HEALTH CARE - PLASTIC & SURGERY 92506 RECONSTRUCTIVE SURGERY FP&S GURBANI, JAY - MD (BCC) UCLA ORTHOPAEDIC ORTHOPEDIC SURGERY - 1225 15TH ST STE 2100, SANTA MONICA (310) 319-1234 SURGERY ANKLE , CA 90404 GURBANI, JAY - MD (BCC) UCLA ORTHOPAEDIC ORTHOPEDIC SURGERY - 1225 15TH ST STE 2100, SANTA MONICA (310) 319-1234 SURGERY FOOT , CA 90404 GURSAHANI, PUSHPA - MD TOTAL CARE MEDICAL GROUP FAMILY MEDICINE 5361 E KING CANYON RD , FRESNO, CA (559) 438-8900 (BCC) 93727 GURSAHANI, PUSHPA - MD TOTAL CARE MEDICAL GROUP PRIMARY TREATING 5361 E KING CANYON RD , FRESNO, CA (559) 438-8900 (BCC) PHYSICIAN 93727 GURTON, ANDREA - PT AEGIS PHYSICAL THERAPY INC PHYSICAL THERAPY 27620 LANDAU BLVD STE 3, (760) 322-5090 CATHEDRAL CITY, CA 92234 GURU PHYSICAL THERAPY, PHYSICAL THERAPY 3857 MONTGOMERY DR, SANTA ROSA, (707) 595-3581 INC CA 95405-5244 GUSTAFSON, ERIC - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 GUSTAFSON, ERIC - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN GUTHRIE, TODD B - MD (BCC) SPINE SURGERY 635 LASSEN LN, MOUNT SHASTA , CA (530) 926-5211 96067 GUTHRIE, TODD B - MD (BCC) ORTHOPEDIC SURGERY - HIP 635 LASSEN LN, MOUNT SHASTA , CA (530) 926-5211 96067 GUTHRIE, TODD B - MD (BCC) ORTHOPEDIC SURGERY - 635 LASSEN LN, MOUNT SHASTA , CA (530) 926-5211 LOWER EXTREMITIES 96067 GUTHRIE, TODD B - MD (BCC) ORTHOPEDIC SURGERY - 635 LASSEN LN, MOUNT SHASTA , CA (530) 926-5211 UPPER EXTREMITIES 96067 GUTHRIE, TODD B - MD (BCC) ORTHOPEDICS - HIP 635 LASSEN LN, MOUNT SHASTA , CA (530) 926-5211 96067 GUTHRIE, TODD B - MD (BCC) ORTHOPEDICS - LOWER 635 LASSEN LN, MOUNT SHASTA , CA (530) 926-5211 EXTREMITIES 96067 GUTHRIE, TODD B - MD (BCC) ORTHOPEDICS - SPINE 635 LASSEN LN, MOUNT SHASTA , CA (530) 926-5211 96067 GUTHRIE, TODD B - MD (BCC) ORTHOPEDICS - UPPER 635 LASSEN LN, MOUNT SHASTA , CA (530) 926-5211 EXTREMITIES 96067 GUTIERREZ, CASEY - PTA MARKET PLACE PHYSICAL PHYSICAL THERAPY 4270 RIVERWALK PKWY STE 114, (951) 684-2874 THERAPY RIVERSIDE, CA 92505 GUTIERREZ, EDWARD - PT CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 2288 AUBURN BLVD STE 107, (916) 446-1497 SACRAMENTO, CA 95821 GUTIERREZ, EDWARD - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 GUTIERREZ, ERASTO - MD ANAHEIM URGENT CARE PRIMARY TREATING 831 S STATE COLLEGE BLVD, ANAHEIM, (714) 533-2273 PHYSICIAN CA 92806 GUTIERREZ, ERASTO - MD ANAHEIM URGENT CARE FAMILY MEDICINE 831 S STATE COLLEGE BLVD, ANAHEIM, (714) 533-2273 CA 92806 GUTIERREZ, JOHN - DC GUTIERREZ CHIROPRACTIC CHIROPRACTIC MEDICINE 1341 W ROBINHOOD DR, STOCKTON, (209) 957-1500 INC CA 95207 GUTIERREZ, JUSTINE - PT RELIANT URGENT CARE PHYSICAL THERAPY 11460 TELEGRAPH RD, SANTA FE (310) 491-7060 SPRINGS, CA 90670 GUTIERREZ, JUSTINE - PT RELIANT URGENT PHYSICAL THERAPY 814 FRANCISCO ST, LOS ANGELES, CA (310) 491-7070 CAREDOWNTOWN LA DTLA 90017 GUTIERREZ, MALINTZE - DO CONCENTRA MEDICAL PREVENTIVE MEDICINE 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 GUTIERREZ, SABINA - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 GUTIERREZ, VINCENT - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 987 UNIVERSITY AVE STE 18, LOS (408) 356-2800 GATOS, CA 95032 GUTTA, RAVI - MD KAISER PERMANENTE OPHTHALMOLOGY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 257 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone GUZALLIS, AMANDA - AUD ADVANCED HEARING AUDIOLOGY 328 N INDIAN HILL BLVD STE 992, (800) 598-5300 PROVIDERS LLC CLAREMONT, CA 91711 GUZALLIS, AMANDA - AUD ADVANCED HEARING AUDIOLOGY 9033 BASELINE ROAD STE F, RANCHO (800) 598-5300 PROVIDERS LLC CUCAMONGA, CA 91730 GUZMAN, ROBERTO - AUD ADVANCED HEARING AUDIOLOGY 12209 HESPERIA RD STE D, (800) 598-5300 PROVIDERS LLC VICTORVILLE, CA 92395 GVHC PMQ MERCED PHARMACY 857 W CHILDS AVE STE 101, MERCED, (209) 383-5987 PHARMACY CA 95341 GVHC PMQ WEST MODESTO PHARMACY 1114 6TH ST STE A, MODESTO, CA (209) 576-1972 PHARMACY 95354 GWIN, ALAN - PTA PALM DESERT PHYSICAL PHYSICAL THERAPY 77622 COUNTRY CLUB DR STE G, PALM (760) 345-3087 THERAPY DESERT, CA 92211 GYDEN, CHARLES - PT LA URGENT CARE MEDICAL PHYSICAL THERAPY 1117 W MANCHESTER BLVD STE K, (310) 215-3555 CENTER INGLEWOOD, CA 90301 H K VALLEY PHARMACY PHARMACY 17643 SHERMAN WAY, VAN NUYS, CA (818) 708-0728 91406 HA ERI, GB - MD GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC LOWER EXTREMITIES GLENDALE, CA 91205 HA ERI, GB - MD GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC UPPER EXTREMITIES GLENDALE, CA 91205 HA ERI, GB - MD GLENDALE FIDELITY MEDICAL ORTHOPEDICS - LOWER 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC EXTREMITIES GLENDALE, CA 91205 HA ERI, GB - MD GLENDALE FIDELITY MEDICAL ORTHOPEDICS - SPINE 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 HA ERI, GB - MD GLENDALE FIDELITY MEDICAL ORTHOPEDICS - UPPER 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC EXTREMITIES GLENDALE, CA 91205 HA ERI, GB - MD GLENDALE FIDELITY MEDICAL SPINE SURGERY 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 HA, EUN, KYUNG - LAC HA ACU HERBS INC ACUPUNCTURE 2180 WESTWOOD BLVD STE 2A, LOS (310) 740-5170 ANGELES, CA 90025 HA, HONGPHUC P - DO (BCC) RIVERSIDE MEDICAL CLINIC - GENERAL SURGERY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 HA, HONGPHUC P - DO (BCC) RIVERSIDE MEDICAL CLINIC - VASCULAR SURGERY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 HABER, DANIEL F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE JOSE, CA 95112 HABER, DANIEL F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE LOWER EXTREMITIES JOSE, CA 95112 HABER, DANIEL F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE UPPER EXTREMITIES JOSE, CA 95112 HABER, DANIEL F - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE JOSE, CA 95112 HABER, DANIEL F - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE EXTREMITIES JOSE, CA 95112 HABER, DANIEL F - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE EXTREMITIES JOSE, CA 95112 HABIB, MOKSEDUL - MD (BCC) COMPREHENSIVE CARDIOVASCULAR DISEASE 5945 TRUXTON AVE , BAKERSFIELD, CA (661) 323-4278 CARDIOVASCULAR MEDICAL (CARDIOLOGY) 93309 GROUP HABIBI, AHMAD - AUD ADVANCED HEARING AUDIOLOGY 18672 FLORIDA ST STE 202A, (800) 598-5300 PROVIDERS LLC HUNTINGTON BEACH, CA 92648 HABIBI, AHMAD - AUD ADVANCED HEARING AUDIOLOGY 22622 LAMBERT ST STE 301B, LAKE (800) 598-5300 PROVIDERS LLC FOREST, CA 92630 HABIBI, AHMAD - AUD ADVANCED HEARING AUDIOLOGY 1635 E LINCOLN AVE , ORANGE, CA (800) 598-5300 PROVIDERS LLC 92865 HACIENDA HEIGHTS PHARMACY 17170 COLIMA RD STE F, HACIENDA (626) 839-8900 PHARMACY HEIGHTS, CA 91745 HACIENDA PHARMACY PHARMACY 3120 S HACIENDA BLVD, HACIENDA (626) 330-8832 HEIGHTS, CA 91745 HACIENDA VALDEZ (BCC) HACIENDA VALDEZ CHEMICAL DEPENDENCY 12890 QUINTA WAY, DESERT HOT (877) 446-2959 REHABILITATION CENTER SPRINGS, CA 92240 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 258 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HACKMAN, DOUGLAS - DC DI SIENA FAMILY CHIROPRACTIC MEDICINE 6 VENTURE STE 115, IRVINE, CA 92618 (949) 559-6030 CHIROPRACTIC HADAYA, KINAN - DC HADAYA CHIROPRACTIC CHIROPRACTIC MEDICINE 18500 VIA PRINCESSA STE 3, CANYON (661) 947-2455 COUNTRY, CA 91387 HADAYA, KINAN - DC HADAYA CHIROPRACTIC MEDICINE 615 W AVENUE Q STE E, PALMDALE, CA (661) 947-2455 CHIROPRACTIC/ADVANCED 93551 CHIROPRACTIC HADDOCK, RYAN - PT XCELERATE PHYSICAL PHYSICAL THERAPY 144 W LOS ANGELES AVE STE 110, (805) 552-1915 THERAPY MOORPARK, CA 93021 HADDOCK, RYAN - PT XCELERATE PHYSICAL PHYSICAL THERAPY 3262 E THOUSAND OAKS BLVD 100, (805) 374-9900 THERAPY THOUSAND OAKS, CA 91362 HADLEY, SCOTT R - MD KAISER PERMANENTE WEST ORTHOPEDICS 200 N LEWIS AVE , ORANGE, CA 92868 (714) 644-6450 ANAHEIM MEDICAL PLAZA HADLEY, SCOTT R - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 HADLEY, SHANE - PTA PRO SPORT PHYSICAL PHYSICAL THERAPY 23001 DEL LAGO DR STE C1, LAGUNA (949) 387-7333 THERAPY LAGUNA HILLS HILLS, CA 92653 HAFFAR, MARK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 HAFFAR, MARK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 HAFFAR, MARK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 HAFFAR, MARK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 HAFFAR, MARK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 HAFFAR, MARK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 HAGGERTY, SHERYL - MD PROHEALTH - CENTRAL OCCUPATIONAL MEDICINE 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL BAKERSFIELD, CA 93313 MEDICAL GROUP HAGGERTY, SHERYL - MD PROHEALTH - CENTRAL PRIMARY TREATING 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL PHYSICIAN BAKERSFIELD, CA 93313 MEDICAL GROUP HAGHI, BEHZAD - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH MOB 2, ROSEVILLE, CA 95661 CENTER HAGHI, BEHZAD - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH PHYSICIAN MOB 2, ROSEVILLE, CA 95661 CENTER HAGHIGHINIA, OMID - DC MEDLAND MEDICAL INC CHIROPRACTIC MEDICINE 18062 IRVINE BLVD STE 206, TUSTIN, (800) 946-6615 CA 92780 HAGHIGHINIA, OMID - DC MEDLAND MEDICAL INC CHIROPRACTIC MEDICINE 4240 TEQUESQUITE AVE, RIVERSIDE, (951) 684-6966 CA 92501 HAGHIGHINIA, OMID - DC RMS MEDICAL GROUP CHIROPRACTIC MEDICINE 18062 IRVINE BLVD STE 206, TUSTIN, (714) 505-6030 CA 92780 HAGHIGHINIA, OMID - DC RMS MEDICAL GROUP CHIROPRACTIC MEDICINE 4240 TEQUESQUITE AVE, RIVERSIDE, (866) 682-0347 CA 92501 HAH, RAYMOND J - MD (BCC) KECK HOSPITAL OF USC SPINE SURGERY 1450 SAN PABLO ST STE 5400, LOS (323) 442-5300 ORTHOPEDICS - SPINE ANGELES, CA 90033 CENTER (BCC) HAH, RAYMOND J - MD (BCC) USC CARE MEDICAL GROUP SPINE SURGERY 1818 VERDUGO BLVD STE 300, (818) 658-5920 GLENDALE, CA 91208 HAHN, WILLIAM V - MD (BCC) SANSUM CLINIC - PUEBLO GASTROENTEROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 HAIG PHARMACY PHARMACY 1112 S GLENDALE AVE, GLENDALE, CA (818) 500-0800 91205 HAIGHT, HOLLY J - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER HAIT, JEANNETTE - AUD ADVANCED HEARING AUDIOLOGY 80150 HWY 111 STE C2, INDIO, CA (800) 598-5300 PROVIDERS LLC 92201

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 259 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HAIT, JEANNETTE - AUD ADVANCED HEARING AUDIOLOGY 44630 MONTEREY AVE STE 100, PALM (800) 598-5300 PROVIDERS LLC DESERT, CA 92260 HAJIAG, NASSER - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 HAJIAG, NASSER - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN HAJJAR, GEORGE - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 28323 VALENCIA BLVD STE 250, SANTA (661) 799-1999 FOUNDATION CLARITA , CA 91355 HAJNIK, CHRISTOPHER - MD ORTHOPEDIC SURGERY - HIP 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 (BCC) CA 92024 HAJNIK, CHRISTOPHER - MD ORTHOPEDIC SURGERY - 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 (BCC) KNEE CA 92024 HAJNIK, CHRISTOPHER - MD ORTHOPEDICS - HIP 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 (BCC) CA 92024 HAJNIK, CHRISTOPHER - MD ORTHOPEDICS - KNEE 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 (BCC) CA 92024 HAKHAMIMI, HOUSHANG - MD SOUTHERN CALIFORNIA PRIMARY TREATING 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP PHYSICIAN 90007 HAKHAMIMI, HOUSHANG - MD SOUTHERN CALIFORNIA OCCUPATIONAL MEDICINE 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 HAKIM, GILBERT - DC MONTEREY BAY CHIROPRACTIC MEDICINE 950 CASS ST STE C, MONTEREY, CA (831) 657-9767 CHIROPRACTIC 93940 HAKIMI, MICHAEL - DO (BCC) CARDIOVASCULAR DISEASE 14124 FOOT HILL BLVD STE 100, (818) 904-6782 (CARDIOLOGY) SYLMAR, CA 91342 HAKIMI, MICHAEL N - DO (BCC) THE HEART MEDICAL GROUP CARDIOVASCULAR DISEASE 16119 VANOWEN ST, VAN NUYS , CA (818) 904-6782 (CARDIOLOGY) 91406 HAKIMI, MICHAEL N - DO (BCC) THE HEART MEDICAL GROUP CARDIOVASCULAR DISEASE 4835 VAN NUYS BLVD STE 215, (818) 995-3132 (CARDIOLOGY) SHERMAN OAKS , CA 91403 HALDERMAN, IAN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 HALEY, KATRINA, MARIE - LAC ACCESS ACUPUNCTURE ACUPUNCTURE 400 NEWPORT CENTER DRIVE 204, (424) 371-6670 HOLISTIC HEALTH NEWPORT BEACH, CA 92660 HALEY, KATRINA, MARIE - LAC ACCESS ACUPUNCTURE ACUPUNCTURE 4146 W 29TH ST, LOS ANGELES, CA (424) 371-6670 HOLISTIC HEALTH MAIN 90016 HALF MOON BAY PHARMACY PHARMACY 40 STONE PINE RD STE I, HALF MOON (650) 726-5542 BAY, CA 94019 HALL, BRUCE - DC BRUCE HALL DC CHIROPRACTIC MEDICINE 25078 PEACHLAND AVE (661) 259-0202 STE E, NEWHALL, CA 91321 HALL, DAVID - AUD ADVANCED HEARING AUDIOLOGY 4800 STOCKDALE HWY STE 201, (800) 598-5300 PROVIDERS LLC BAKERSFIELD, CA 93309 HALL, DOREEN - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 4010 SORRENTO VALLEY BLVD STE (858) 793-7862 FAMILY HEALTH CENTER 300, SAN DIEGO, CA 92121 HALL, DOUGH - AUD ADVANCED HEARING AUDIOLOGY 1205 GARCES HWY , DELANO, CA 93215 (800) 598-5300 PROVIDERS LLC HALL, DOUGH - AUD ADVANCED HEARING AUDIOLOGY 5100 N 6TH ST STE 120, FRESNO, CA (800) 598-5300 PROVIDERS LLC 93710 HALL, DOUGH - AUD ADVANCED HEARING AUDIOLOGY 5100 N 6TH ST STE 120, FRESNO, CA (800) 598-5300 PROVIDERS LLC 93710 HALL, JAMES - DC NON SURGICAL MEDICAL CHIROPRACTIC MEDICINE 3801 S HARBOR BLVD STE B, SANTA (714) 751-5555 GROUP ANA, CA 92704 HALL, JOHN L - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PLAZA, SAN FRANCISCO, CA 94102 CENTER HALL, JOHN L - MD KAISER PERMANENTE ON THE PRIMARY TREATING 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PHYSICIAN PLAZA, SAN FRANCISCO, CA 94102 CENTER HALL, JUDY - AUD ADVANCED HEARING AUDIOLOGY 5730 N 1ST STREET STE 116, FRESNO, (800) 598-5300 PROVIDERS LLC CA 93710 HALL, KATHRYN - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 HALL, MICHAEL P - MD KAISER PERMANENTE SOUTH ORTHOPEDICS 25825 S VERMONT AVE COAST LINE, (310) 527-5600 BAY MEDICAL CENTER HARBOR CITY, CA 90710 HALLER'S LTC PHARMACY PHARMACY 4067 PERALTA BLVD, FREMONT, CA (510) 793-5096 94536

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 260 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HALLER'S PHARMACY AND PHARMACY 37323 FREMONT BLVD, FREMONT, CA (510) 797-2772 MEDICAL 94536 HALLIBURTON PROFESSIONAL PHARMACY 15932 HALLIBURTON RD, HACIENDA (626) 369-6286 PHCY HEIGHTS, CA 91745 HAMADA, JAMES - MD (BCC) ORTHOPEDICS - ELBOW 21500 PIONEER BLVD STE 208, (562) 402-2068 HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) SPINE SURGERY 21500 PIONEER BLVD STE 208, (562) 402-2068 HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) ORTHOPEDIC SURGERY - 21500 PIONEER BLVD STE 208, (562) 402-2068 ELBOW HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) ORTHOPEDIC SURGERY - HIP 21500 PIONEER BLVD STE 208, (562) 402-2068 HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) ORTHOPEDIC SURGERY - 21500 PIONEER BLVD STE 208, (562) 402-2068 KNEE HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) ORTHOPEDIC SURGERY - 21500 PIONEER BLVD STE 208, (562) 402-2068 SHOULDER HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) ORTHOPEDICS - HIP 21500 PIONEER BLVD STE 208, (562) 402-2068 HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) ORTHOPEDICS - KNEE 21500 PIONEER BLVD STE 208, (562) 402-2068 HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) ORTHOPEDICS - SHOULDER 21500 PIONEER BLVD STE 208, (562) 402-2068 HAWAIIAN GARDENS, CA 90716 HAMADA, JAMES - MD (BCC) ORTHOPEDICS - SPINE 21500 PIONEER BLVD STE 208, (562) 402-2068 HAWAIIAN GARDENS, CA 90716 HAMBLY, MARK F - MD (BCC) NORTHERN CALIFORNIA SPINE SPINE SURGERY 2801 K ST STE 410, SACRAMENTO , CA (916) 389-7100 AND REHABILITATION 95816 ASSOCIATES HAMBY, CAROL - DC HAMBY CHIROPRACTIC CHIROPRACTIC MEDICINE 6716 MADISON AVE STE A1, FAIR OAKS, (916) 966-4330 CAROL S HAMBY DC CA 95628 HAMIDUZZAMAN, SABA - MD LOMA LINDA UNIVERSITY PULMONARY DISEASE 11370 ANDERSON ST FMO 3300, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP HAMILTON PHYSICAL PHYSICAL THERAPY 2817 CROW CANYON RD STE 104, SAN (925) 838-9846 THERAPY RAMON, CA 94583-1639 HAMILTON, CAROLYN - PT HAMILTON PHYSICAL PHYSICAL THERAPY 2817 CROW CANYON RD STE 104, SAN (925) 838-9846 THERAPY RAMON, CA 94583 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA PRIMARY TREATING 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE ANKLE BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE KNEE BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE SHOULDER BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA SPORTS MEDICINE 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE ELBOW BAKERSFIELD, CA 93309 HAMILTON, CHRISTOPHER D - SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 2400 BAHAMAS DR STE 200, (661) 328-5565 MD (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 HAMILTON, LAURA - PT CARNAHAN THERAPY PHYSICAL THERAPY 805 E WALNUT AVE, LOMPOC, CA 93436 (805) 735-3714 REHABILITATION HAMILTON, ROBERT - DC CARING CHIROPRACTIC CHIROPRACTIC MEDICINE 1380 GALAXY WAY STE B, CONCORD, (925) 825-8058 CENTER CA 94520 HAMILTON, ROBIN - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 261 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HAMLEY, CRAIG - PT SONOMA HILLS PHYSICAL PHYSICAL THERAPY 151 LYNCH CREEK WAY, PETALUMA, (707) 763-2340 THERAPY CA 94954 HAMMAMI, MUHAMMAD B - MD LOMA LINDA UNIVERSITY GASTROENTEROLOGY 11370 ANDERSON ST FMO #3625, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA, CA 92354 MEDICINE SPECIALTIES GROUP HAMMER LANE PHARMACY PHARMACY 2339 W HAMMER LN STE J, STOCKTON, (209) 477-7100 CA 95209 HAMMER, ADAM - PT ARC PHYSICAL THERAPY PHYSICAL THERAPY 1051 LAS TABLAS ROAD, TEMPLETON, (805) 434-4885 CA 93465 HAMMONS, JAIME - PT NORTH COUNTY PHYSICAL PHYSICAL THERAPY 6713 MORRO RD, ATASCADERO, CA (805) 461-5514 THERAPY MISSION PHYSICAL 93422 THERAPY GROUP HAN'S PHARMACY PHARMACY 3423 EL CAMINO REAL, SANTA CLARA, (408) 247-7450 CA 95051 HAN, CLAIRE - LAC BALANCED HEALTH AND ACUPUNCTURE 1902 WRIGHT PL STE 200, CARLSBAD, (760) 855-6504 HEALING ACUPUNCTURE CA 92008 HAN, EUN, HEE - LAC HANS ACUPUNCTURE ACUPUNCTURE 13422 NEWPORT AVE STE G, TUSTIN, (949) 838-6074 HEALING CA 92780 HAN, GANG - LMT KANG FU ACUPUNCTURE MASSAGE THERAPIST 1615 N BROADWAY, WALNUT CREEK, (925) 930-5639 HERBAL CENTER CA 94596 HAN, HO, SUK - LAC BLESSING ACUPUNCTURE ACUPUNCTURE 9057 CENTRAL AVE, MONTCLAIR, CA (714) 943-9900 HERBS 91763 HAN, HO, SUK - LAC BLESSING ACUPUNCTURE ACUPUNCTURE 930 S MOUNT VERNON AVE STE 90, (714) 943-9900 HERBS COLTON, CA 92324 HAN, HYE, JUNG - LAC DR HAN HYE JUNG LAC PHD ACUPUNCTURE 608 S HARBOR BLVD, ANAHEIM, CA (714) 999-5077 92805 HAN, JAMES - DO CONCENTRA MEDICAL PHYSICAL MEDICINE AND 26 CALIFORNIA ST, SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN REHABILITATION CA 94111 FRANCISCO HAN, JAMES - DO CONCENTRA MEDICAL PHYSICAL MEDICINE AND 5635 W LAS POSITAS BLVD STE 401, (925) 520-0055 CENTER - PLEASANTON REHABILITATION PLEASANTON, CA 94588 HAN, JAMES - DO CONCENTRA MEDICAL PHYSICAL MEDICINE AND 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL REHABILITATION CA 94107 HAN, JEWON - LAC ANDERSON CHIROPRACTIC ACUPUNCTURE 300 E 1ST ST, OXNARD, CA 93030 (805) 486-8311 HAN, MAN, KUNG - LAC CHUNG A ACUPUNCTURE ACUPUNCTURE 21050 GOLDEN SPRINGS DR STE 117, (909) 367-8666 WALNUT, CA 91789 HAN, SANG, YUL - LAC ACUPUNCTURE PAIN RELIEF ACUPUNCTURE 41278 MARGARITA RD STE 103, (951) 444-7752 CLINIC TEMECULA, CA 92591 HAN, XIAO - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH CUPERTINO, CA 95014 CENTER HAN, XIAO - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH PHYSICIAN CUPERTINO, CA 95014 CENTER HAN, YAN, QING - LAC HANS ACUPUNCTURE HERBS ACUPUNCTURE 1220 S DIAMOND BAR BLVD STE F, (909) 396-8700 DIAMOND BAR, CA 91765 HAN, ZHEZHU - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1008 BROXTON AVE, LOS ANGELES, CA (213) 268-6092 90024 HAN, ZHEZHU - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1940 W OLYMPIC BLVD, LOS ANGELES, (213) 389-3929 CA 90006 HAN, ZHEZHU - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 2015 W REDONDO BEACH BLVD STE F, (424) 340-9357 GARDENA, CA 90247 HAN, ZHEZHU - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 24881 AKURA PKWY STE N, LAGUNA (949) 707-7100 HILLS, CA 92653 HAND THERAPY PHYSICAL THERAPY 7325 MEDICAL CENTER DR STE 304, (818) 884-4263 WEST HILLS, CA 91307-4115 HAND THERAPY CENTER PHYSICAL THERAPY 1125 16TH ST STE 212, ARCATA, CA (707) 822-7525 95521-5585 HAND THERAPY CENTER OF PHYSICAL THERAPY 5 BON AIR RD #A 105, LARKSPUR, CA (415) 927-2007 MARIN PT 94939 HAND THERAPY CENTER OF PHYSICAL THERAPY 19000 HAWTHORNE BLVD STE 230, (310) 371-5111 THE SOUTH BAY TORRANCE, CA 90503-1517

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 262 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HAND THERAPY OF FRESNO, PHYSICAL THERAPY 7120 NORTH WHITNEY AVE SUITE #102, (559) 323-4831 INCORPORATED FRESNO, CA 93720 HAND WORKS INC PHYSICAL THERAPY 1701 SOLAR DR STE 195, OXNARD, CA (805) 988-1300 93030 HAND WORKS INC PHYSICAL THERAPY 4000 CALLE TECATE STE 106, (805) 445-1222 CAMARILLO, CA 93012-5284 HANDS OF ZEN WELLNESS PHYSICAL THERAPY 41870 KALMIA ST, MERITTA, CA 92562 (951) 696-1757 CENTER HANDS ON OT PHYSICAL THERAPY 137 BAY ST UNIT 1, SANTA MONICA, CA (310) 396-8564 90405-1026 HANDS PLUS PHYSICAL PHYSICAL THERAPY 22961 SOLEDAD CANYON RD, SANTA (661) 200-3677 THERAPY CLARITA, CA 91350-2633 HANDS-ON THERAPY PHYSICAL THERAPY 5905 CANARY DR, NORTH HIGHLANDS, (916) 332-1505 CA 95660-4707 HANDY, BRIAN - AUD ADVANCED HEARING AUDIOLOGY 8040 WHITE LANE STE F, (800) 598-5300 PROVIDERS LLC BAKERSFIELD, CA 93309 HANES, PILAR - PT GENESIS PHYSICAL THERAPY PHYSICAL THERAPY 2807 E CHOCHRAN ST, SIMI VALLEY, CA (805) 583-9575 93065 HANG, JIMMY - PT (BCC) SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE , VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE HANGTOWN PHYSICAL PHYSICAL THERAPY 1000 FOWLER WAY STE 3, (530) 622-4545 THERAPY PLACERVILLE, CA 95667 HANKANG, SANG - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1940 W OLYMPIC BLVD, LOS ANGELES, (213) 389-3929 CA 90006 HANKANSON, LANTHAN - PT THE REHAB GROUP PHYSICAL THERAPY 38860A SKY CANYON DR, MURRIETA, (951) 304-1100 CA 92563 HANKER, FREDERIC - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 HANKER, FREDRIC, "CHIP" - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 HANKER, FREDRIC, "CHIP" - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 HANKER, GREGORY J - MD SOUTHERN CALIFORNIA PRIMARY TREATING 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN VALENCIA, CA 91354 HANKER, GREGORY J - MD SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE ELBOW VALENCIA, CA 91354 HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE WRIST VALENCIA, CA 91354 HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE ELBOW HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE WRIST HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE HANKER, GREGORY J - MD SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE HANKER, GREGORY J - MD SOUTHERN CALIFORNIA HAND SURGERY 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 HANKER, GREGORY J - MD SOUTHERN CALIFORNIA HAND SURGERY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE HANKER, GREGORY J - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 263 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HANKER, GREGORY J - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE HANKS, CHERY - PT EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 28631 S WESTERN AVE STE 104A, (310) 548-5444 ASSOCIATES INC RANCHO PALOS VERDES, CA 90275 HANKUN, TINA - AUD ADVANCED HEARING AUDIOLOGY 302 N GARFIELD AVENUE STE 1, (800) 598-5300 PROVIDERS LLC MONTEREY PARK, CA 91754 HANLEY, KRISTINA - LAC KRISTINA HANLEY ACUPUNCTURE 740 FRONT ST STE 250, SANTA CRUZ, (831) 238-0131 CA 95060 HANNA, JAMILEH K - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK BURBANK, CA 91505 HANNA, JAMILEH K - MD CONCENTRA MEDICAL PRIMARY TREATING 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK PHYSICIAN BURBANK, CA 91505 HANNA, STEPHANIE C - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER HANNAUER, DAVID J - MD KAISER PERMANENTE SOUTH NEUROLOGY 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 HANNEMANN, CHRISTINE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD HANNEMANN, CHRISTINE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA HANNEMANN, CHRISTINE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY HANNEMANN, CHRISTINE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS HANNEMANN, CHRISTINE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT HANSEN, METTE V - MD KAISER PERMANENTE ON THE PHYSICAL MEDICINE AND 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 JOB OCCUPATIONAL HEALTH REHABILITATION 152, SANTA ROSA, CA 95403 CENTER HANSEN, METTE V - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 JOB OCCUPATIONAL HEALTH 152, SANTA ROSA, CA 95403 CENTER HANSEN, METTE V - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 JOB OCCUPATIONAL HEALTH PHYSICIAN 152, SANTA ROSA, CA 95403 CENTER HAPPY CARE PHARMACY PHARMACY 120 S HARBOR BLVD STE B, SANTA (714) 760-4485 ANA, CA 92704 HAPPY PHARMACY PHARMACY 9143 VALLEY BLVD STE 101B, (626) 872-0103 ROSEMEAD, CA 91770 HAQ, MUHAMMAD S - MD (BCC) SANSUM CLINIC - PESETAS ENDOCRINOLOGY, DIABETES 215 PESETAS LN, SANTA BARBARA, CA (805) 681-7858 MULTI-SPECIALTY CLINIC AND METABOLISM 93110 HARASH, ABDALHAMID A - MD LOMA LINDA UNIVERSITY RHEUMATOLOGY 11370 ANDERSON ST FMO 3625, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP HARBOR COMPOUND AND PHARMACY 2000 HARBOR BLVD STE C100, COSTA (949) 642-0106 HOME HLTH MESA, CA 92627 HARBOR HEALTHY LIVING PHARMACY 646 S HARBOR BLVD, SANTA ANA, CA (714) 531-8080 PHARMACY 92704 HARBOR PHARMACY PHARMACY 16040 HARBOR BLVD STE K, FOUNTAIN (714) 531-9988 VALLEY, CA 92708 HARBOR PHARMACY PHARMACY 10900 WESTMINSTER AVE STE 3, (714) 537-0333 GARDEN GROVE, CA 92843 HARBOR PHYSICAL THERAPY PHYSICAL THERAPY 1294 W 6TH ST STE 101, SAN PEDRO, (310) 547-1850 & SPORTS MEDICINE CA 90731-2997 HARDEN URGENT CARE MED HARDEN URGENT CARE MED URGENT CARE FACILITY 1756 N MAIN ST, SALINAS, CA 93906 (831) 443-8200 CTR (BCC) CTR

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 264 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HARDESTY, JEFFREY S - MD LOMA LINDA UNIVERSITY OBSTETRICS AND 11370 ANDERSON ST FMO STE 3900, (800) 679-4642 (BCC) HEALTH CARE - OBGYN CLINIC GYNECOLOGY LOMA LINDA , CA 92354 HARDING, NADIAMARIE - LAC NADIA MARIE HARDING LAC ACUPUNCTURE 10030 LIMERICK AVE, CHATSWORTH, (818) 882-9765 CA 91311 HARER, KARL - DC ERIC G MORENTEN CHIROPRACTIC MEDICINE 4517 MARKET ST STE 1, VENTURA, CA (805) 650-5929 CHIROPRACTIC INC 93003 HARLAN, KENNETH - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 HARMANJIT, CHERRA - DC ALLIED PAIN AND SPINE CHIROPRACTIC MEDICINE 14777 LOS GATOS BLVD STE 202, LOS (408) 528-8833 INSTITUTE GATOS, CA 95032 HARMON, BUFORD - PT STATE COLLEGE PHYSICAL PHYSICAL THERAPY 215 N ST COLLEGE BLVD STE G, (714) 999-6596 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92806 HILLS PHYSICAL THERAPY REHAB HARMON, BUFORD - PT STATE COLLEGE PHYSICAL PHYSICAL THERAPY 500 S ANAHEIM HLS RD STE 106, (714) 685-0700 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92807 HILLS PHYSICAL THERAPY REHAB HARMON, CYNTHIA - PTA AUBURN OAKS CARE CENTER PHYSICAL THERAPY 3400 BELL RD, AUBURN, CA 95603 (530) 888-6257 HARMONY PLACE WOODLAND HARMONY PLACE WOODLAND CHEMICAL DEPENDENCY 22900 VENTURA BLVD STE 300, (818) 519-0670 HILLS (BCC) HILLS REHABILITATION CENTER WOODLAND HILLS, CA 91364 (OUTPATIENT) HARMS, LAWRENCE A - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER HARNDEN, ERIC - PT PHYSICAL RX PHYSICAL PHYSICAL THERAPY 2100 MAIN ST STE 250, HUNTINGTON (714) 374-0233 THERAPY BEACH, CA 92648 HARNESS, NEIL G - MD KAISER PERMANENTE ORTHOPEDICS 200 N LEWIS ST , ORANGE, CA 92868 (714) 644-6450 ORANGE COUNTY MEDICAL CENTER HARNESS, NEIL G - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 HARNESS, NEIL G - MD KAISER PERMANENTE IRVINE HAND SURGERY 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 HAROLD K REICH'S PHARMACY PHARMACY 39 W 10TH ST, TRACY, CA 95376 (209) 835-1832 HARONIAN, EDWIN - MD (BCC) SYNAPSE ORTHOPEDIC ORTHOPEDICS - SPINE 5651 SEPULVEDA BLVD STE 201, (818) 788-2400 GROUP SHERMAN OAKS, CA 91411 HARONIAN, EDWIN - MD (BCC) SYNAPSE ORTHOPEDIC ORTHOPEDICS - SPINE 724 CORPORATE CENTER DRIVE, (909) 622-6222 GROUP POMONA, CA 91768 HARONIAN, EDWIN - MD (BCC) SYNAPSE ORTHOPEDIC SPINE SURGERY 5651 SEPULVEDA BLVD STE 201, (818) 788-2400 GROUP SHERMAN OAKS, CA 91411 HARONIAN, EDWIN - MD (BCC) SYNAPSE ORTHOPEDIC SPINE SURGERY 724 CORPORATE CENTER DRIVE, (909) 622-6222 GROUP POMONA, CA 91768 HARRAH, ANDREW - PT GIRARD ORTHOPAEDIC PHYSICAL THERAPY 9333 GENESEE AVE 350B, SAN DIEGO, (858) 455-8584 SURGEONS CA 92121 HARRIES, BILL - DPM KAISER PERMANENTE PODIATRY 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 HARRINGTON, PETER - DC HARRINGTON PETER DC CHIROPRACTIC MEDICINE 132 JOERSCHKE DR, GRASS VALLEY, (530) 273-1241 CA 95945 HARRIS HWANG, CAITLIN I - DO SANSUM CLINIC - PESETAS EMERGENCY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) HARRIS, BRENT L - DO CONCENTRA MEDICAL FAMILY MEDICINE 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE CA 91731 HARRIS, BRENT L - DO CONCENTRA MEDICAL PRIMARY TREATING 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE PHYSICIAN CA 91731 HARRIS, CARLY - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 HARRIS, CARLY - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2701 OCEAN PARK BLVD STE 110, (310) 392-0025 SANTA MONICA, CA 90405 HARRIS, DAVID - MD (BCC) ANESTHESIOLOGY 147 N BRENT ST, VENTURA, CA 93003 (805) 794-4636 HARRIS, GEORGE - DC AGOURA FAMILY CHIROPRACTIC MEDICINE 5887 KANAN RD, AGOURA HILLS, CA (818) 991-9379 CHIROPRACTIC 91301

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 265 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HARRIS, IAN - DC MISSION GROVE CHIROPRACTIC MEDICINE 6670 ALESSANDRO BLVD STE A, (951) 776-1693 CHIROPRACTIC RIVERSIDE, CA 92506 HARRIS, JEFFRREY - MD WEST LOS ANGELES URGENT EMERGENCY MEDICINE 11560 W PICO BLVD, LOS ANGELES, CA (310) 477-8285 CARE 90064 HARRIS, JULIAN - PT FUNCTION ACTION PHYSICAL PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 THERAPY CA 93612 HARRIS, MARK A - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 VIEWRIDGE MEDICAL OFFICES REHABILITATION 92078 HARRIS, MONTEL - OTA LINWOOD MEADOWS CARE OCCUPATIONAL THERAPY 4444 W MEADOW AVE, VISALIA, CA (559) 627-1241 CENTER 93277 HARRIS, THOMAS G - MD (BCC) CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 396-1266 ASSOCIATES ANKLE 91105 HARRIS, THOMAS G - MD (BCC) CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 396-1266 ASSOCIATES FOOT 91105 HARRIS, THOMAS G - MD (BCC) CONGRESS MEDICAL ORTHOPEDICS - FOOT 800 S RAYMOND AVE, PASADENA, CA (626) 396-1266 ASSOCIATES 91105 HARRIS, THOMAS G - MD (BCC) CONGRESS MEDICAL ORTHOPEDICS - ANKLE 800 S RAYMOND AVE, PASADENA, CA (626) 396-1266 ASSOCIATES 91105 HARRIS, TODD S - MD (BCC) SURGERY 4501 BIRCH ST, NEWPORT BEACH, CA (949) 221-0136 92660 HARRISON, DANNY L - MD CONCENTRA MEDICAL HAND SURGERY 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 HARRISON, DANNY L - MD CONCENTRA MEDICAL HAND SURGERY 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE CA 91731 HARRISON, DANNY L - MD CONCENTRA MEDICAL HAND SURGERY 6520 N IRWINDALE AVE STE 100, (626) 812-0366 CENTER - IRWINDALE IRWINDALE, CA 91702 HARRISON, DANNY L - MD CONCENTRA MEDICAL HAND SURGERY 434 S SAN VICENTE BLVD STE 100, (310) 360-6780 CENTER - SAN VICENTE LOS ANGELES, CA 90048 HARRISON, DANNY L - MD CONCENTRA MEDICAL HAND SURGERY 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 HARRISON, MITZI - PT BASIL R BESH MD INC PHYSICAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 HARRITY, STEVEN - PT CAMERON PARK PHYSICAL PHYSICAL THERAPY 1060 CAMERADO DR, CAMERON PARK, (530) 676-7184 THERAPY CENTER CA 95682 HART, ROBERT - DC ADVANCED MD MEDICAL CHIROPRACTIC MEDICINE 3435 CAMINO DEL RIO SOUTH STE 108, (858) 345-4887 GROUP SAN DIEGO, CA 92025 HARTENSTEIN, DIANE - LAC GOLDEN LEAF ACUPUNCTURE ACUPUNCTURE 2372 ELLSWORTH ST STE E, (510) 549-3000 INC BERKELEY, CA 94704 HARTMAN, ANDREW - MD ORTHOPEDIC SURGERY - 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 (BCC) UPPER EXTREMITIES 92056 HARTMAN, ANDREW - MD ORTHOPEDICS - UPPER 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 (BCC) EXTREMITIES 92056 HARTMAN, ANDREW - MD ORTHOPEDIC SURGERY - 6121 PASEO DEL NORTE STE 200, (760) 724-9000 (BCC) UPPER EXTREMITIES CARLSBAD, CA 92011 HARTMAN, ANDREW - MD ORTHOPEDICS - UPPER 6121 PASEO DEL NORTE STE 200, (760) 724-9000 (BCC) EXTREMITIES CARLSBAD, CA 92011 HARTMAN, GREGG - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 OAKS, CA 91360 HARTMAN, GREGG - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 LOWER EXTREMITIES OAKS, CA 91360 HARTMAN, GREGG - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 UPPER EXTREMITIES OAKS, CA 91360 HARTMAN, GREGG - MD VENTURA ORTHOPEDICS ORTHOPEDICS - HIP 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 OAKS, CA 91360 HARTMAN, GREGG - MD VENTURA ORTHOPEDICS ORTHOPEDICS - LOWER 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 EXTREMITIES OAKS, CA 91360 HARTMAN, GREGG - MD VENTURA ORTHOPEDICS ORTHOPEDICS - UPPER 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 EXTREMITIES OAKS, CA 91360 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 (BCC) SHOULDER OAKS , CA 91360 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDICS - SHOULDER 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 (BCC) OAKS , CA 91360

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 266 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 2525 ERRINGER RD , SIMI VALLEY, CA (805) 520-2663 (BCC) 93065 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2525 ERRINGER RD , SIMI VALLEY, CA (805) 520-2663 (BCC) LOWER EXTREMITIES 93065 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2525 ERRINGER RD , SIMI VALLEY, CA (805) 520-2663 (BCC) SHOULDER 93065 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2525 ERRINGER RD , SIMI VALLEY, CA (805) 520-2663 (BCC) UPPER EXTREMITIES 93065 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDICS - HIP 2525 ERRINGER RD , SIMI VALLEY, CA (805) 520-2663 (BCC) 93065 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDICS - LOWER 2525 ERRINGER RD , SIMI VALLEY, CA (805) 520-2663 (BCC) EXTREMITIES 93065 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDICS - SHOULDER 2525 ERRINGER RD , SIMI VALLEY, CA (805) 520-2663 (BCC) 93065 HARTMAN, GREGG P - MD VENTURA ORTHOPEDICS ORTHOPEDICS - UPPER 2525 ERRINGER RD , SIMI VALLEY, CA (805) 520-2663 (BCC) EXTREMITIES 93065 HARTWIG, DOUG - LAC DOUG HARTWIG ACUPUNCTURE 410 S MELROSE DR STE 200, VISTA, CA (760) 630-8060 ACUPUNCTURE 92081 HARVARD FAMILY PHARMACY PHARMACY 145 S GLENDALE AVE, GLENDALE, CA (818) 662-0700 91205 HARVARD PHARMACY PHARMACY 3130 W OLYMPIC BLVD, LOS ANGELES, (323) 732-1911 CA 90006 HARVEY, NORAH - MD KAISER PERMANENTE SAN ORTHOPEDICS 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 DIEGO MEDICAL CENTER 92078 HARWER, OLINA - MD CONCENTRA MEDICAL FAMILY MEDICINE 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST FOREST, CA 92630 HARWER, OLINA - MD CONCENTRA MEDICAL PRIMARY TREATING 22741 LAMBERT ST STE 1608, LAKE (949) 581-3011 CENTER - LAKE FOREST PHYSICIAN FOREST, CA 92630 HARWOOD, BENJAMIN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY HARWOOD, BENJAMIN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY HARWOOD, BENJAMIN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY HARWOOD, BENJAMIN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY HASENYAGER, PAUL - PT ACTIVBODY PHYSICAL PHYSICAL THERAPY 1860 N TUSTIN ST, ORANGE, CA 92865 (714) 998-8403 THERAPY HASHIMOTO, WESLEY K - MD KAISER PERMANENTE ON THE INTERNAL MEDICINE 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH SACRAMENTO, CA 95823 CENTER HASHIMOTO, WESLEY K - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH SACRAMENTO, CA 95823 CENTER HASHIMOTO, WESLEY K - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH PHYSICIAN SACRAMENTO, CA 95823 CENTER HASHMI, ASRA - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 25805 BARTON RD STE 101, LOMA (800) 679-4642 HEALTH CARE - PLASTIC & SURGERY LINDA , CA 92354 RECONSTRUCTIVE SURGERY FP&S HASSAN, REHAM - DO (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 500-0523 MISSION HILLS, CA 91345 HASSAN, REHAM - DO (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 256-2100 91345 HASSAN, REHAM - DO (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (661) 222-3100 BURBANK, CA 91505 HASSAN, REHAM - DO (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (818) 365-8051 91355

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 267 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HASSAN, REHAM - DO (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 563-6757 91505 HASSAN, REHAM - DO (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 843-5111 91206 HASSAN, SARAH Z - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 18111 BROOKHURST ST STE 4300, (714) 378-7330 ONCOLOGY FOUNTAIN VALLEY , CA 92708 HASSAN, SARAH Z - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 24411 HEALTH CENTER DR STE 320, (714) 378-7330 ONCOLOGY LAGUNA HILLS , CA 92653 HASSANPOUR, MARYAM - DO CONCENTRA MEDICAL FAMILY MEDICINE 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT 95035 HASSANPOUR, MARYAM - DO CONCENTRA MEDICAL PRIMARY TREATING 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT PHYSICIAN 95035 HASSON, DUKE - MD (BCC) RESTORE ORTHOPEDICS AND ORTHOPEDIC SURGERY - HIP 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ORANGE, CA 92868 CENTER HASSON, DUKE - MD (BCC) RESTORE ORTHOPEDICS AND ORTHOPEDIC SURGERY - 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE KNEE ORANGE, CA 92868 CENTER HASSON, DUKE - MD (BCC) RESTORE ORTHOPEDICS AND ORTHOPEDIC SURGERY - 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE SHOULDER ORANGE, CA 92868 CENTER HASSON, DUKE - MD (BCC) RESTORE ORTHOPEDICS AND ORTHOPEDICS - HIP 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ORANGE, CA 92868 CENTER HASSON, DUKE - MD (BCC) RESTORE ORTHOPEDICS AND ORTHOPEDICS - KNEE 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ORANGE, CA 92868 CENTER HASSON, DUKE - MD (BCC) RESTORE ORTHOPEDICS AND ORTHOPEDICS - SHOULDER 1120 W LA VETA AVE STE 300, (714) 598-1745 ORTHOPEDICS - SPINE ORANGE, CA 92868 CENTER HASTINGS, LAURA - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 HATA, JUSTIN T - MD (BCC) LOMA LINDA UNIVERSITY PHYSICAL MEDICINE AND 11406 LOMA LINDA DR #300, LOMA (800) 679-4642 HEALTH CARE - PHYSICAL MED REHABILITATION LINDA , CA 92354 & REHAB/PAIN MGMT FP&S HATALA, ANNETTE - OT HANDS ON REHAB INC OCCUPATIONAL THERAPY 7921 PROFESSIONAL CIR, (714) 847-8751 HUNTINGTON BEACH, CA 92648 HATCH III, GEORGE F - MD KECK HOSPITAL OF USC - ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPEDIC SURGERY KNEE ANGELES , CA 90033 HATCH III, GEORGE F - MD KECK HOSPITAL OF USC - ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPEDIC SURGERY SHOULDER ANGELES , CA 90033 HATCH III, GEORGE F - MD KECK HOSPITAL OF USC - ORTHOPEDICS - KNEE 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPEDIC SURGERY ANGELES , CA 90033 HATCH III, GEORGE F - MD KECK HOSPITAL OF USC - ORTHOPEDICS - SHOULDER 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPEDIC SURGERY ANGELES , CA 90033 HATCH, DENNIS - DC RAMOS HATCH CHIROPRACTIC MEDICINE 3700 DELTA FAIR BLVD STE L, (925) 778-3288 CHIROPRACTIC ANTIOCH, CA 94509 HATCH, STEPHANIE - PT RANCHO SANTA MARGARITA PHYSICAL THERAPY 29803 SANTA MARGARITA PKWY, (949) 459-9010 PHYSICAL THERAPY RANCHO SANTA MARGARITA, CA 92688 HATCHER, GARY D - DO CONCENTRA MEDICAL PRIMARY TREATING 509 SOUTH I STREET STE A, MADERA, (559) 673-9020 CENTER - FRESNO MADERA PHYSICIAN CA 93637 HATCHER, GARY D - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 509 SOUTH I STREET STE A, MADERA, (559) 673-9020 CENTER - FRESNO MADERA CA 93637 HATCHER, JOANNE - PT PHYSICAL THERAPY PHYSICAL THERAPY 271 FIVE CITIES DR, PISMO BEACH, CA (805) 473-7499 SPECIALISTS PTS 93449 HATTON, NATHAN - PT AUBURN OAKS CARE CENTER PHYSICAL THERAPY 3400 BELL RD, AUBURN, CA 95603 (530) 888-6257 HAU GIANG PHARMACY PHARMACY 14411 BROOKHURST ST STE F, (714) 839-1115 GARDEN GROVE, CA 92843 HAUETER, LAURA - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 HAUGEN'S IDEAL PHARMACY PHARMACY 1155 N CENTRAL AVE, GLENDALE, CA (818) 246-1739 91202 HAUGHER, EVAN - PT KIME PHYSICAL THERAPY PHYSICAL THERAPY 1600 TRIBUTE RD, SACRAMENTO, CA (916) 905-6378 95815

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 268 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HAUGHER, EVAN - PT KIME PHYSICAL THERAPY PHYSICAL THERAPY 4990 HILLSDALE CIR STE 100, EL (916) 905-6378 DORADO HILLS, CA 95762 HAUSCHKA, EDWARD - CHT GRACE PT/LAGUNA HAND THERAPY 31341 NIGUEL RD STE G, LAGUNA (949) 443-5442 ORTHOPEDIC REHABILITATION NIGUEL, CA 92677

HAVEN PHARMACY PHARMACY 9170 HAVEN AVE STE 122, RANCHO (909) 989-2899 CUCAMONGA, CA 91730 HAVRILKO, CAREY - PT ACTION PHYSICAL THERAPY PHYSICAL THERAPY 680 E ROMIE LN, SALINAS, CA 93901 (831) 758-5338 HAW, MICHAEL - OT VILLA LAS PALMAS OCCUPATIONAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 HAWATMEH, HANIN - DC SKYLINE CHIROPRACTIC CHIROPRACTIC MEDICINE 11 GOLDEN SHORE STE 220, LONG (562) 495-5898 BEACH, CA 90802 HAWATMEH, HANIN, MUNEER - HANIN HAWATMEH DC A CHIROPRACTIC MEDICINE 417 W LA HABRA BLVD, LA HABRA, CA (310) 469-2758 DC PROFESSIONAL 90631 CHIROPRACTIC CORPORATION

HAWK, MARK W - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER HAWKINS, CANDACE - OT CAPUCHINO THERAPY GROUP OCCUPATIONAL THERAPY 3601 MARCONI AVE, SACRAMENTO, CA (916) 481-1300 95821 HAWKINS, JOHN - DO (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 365-8051 MISSION HILLS, CA 91345 HAWKINS, JOHN - DO (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (661) 222-3100 91345 HAWKINS, JOHN - DO (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 843-5111 BURBANK, CA 91505 HAWKINS, JOHN - DO (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (818) 563-6757 91355 HAWKINS, JOHN - DO (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 500-0523 91505 HAWKINS, JOHN - DO (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 256-2100 91206 HAWKINS, KYLIE - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 400 E SANTA BARBARA ST STE B, (805) 525-6402 SANTA PAULA, CA 93060 HAWKINS, LAUREN, ANNE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD HAWKINS, LAUREN, ANNE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA HAWKINS, LAUREN, ANNE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY HAWKINS, LAUREN, ANNE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS HAWKINS, LAUREN, ANNE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT HAWKINS, RODNEY - PT FULL MOTION PHYSICAL PHYSICAL THERAPY 31461 RANCHO VIEJO RD, SAN JUAN (949) 542-5000 THERAPY CAPISTRANO, CA 92675 HAWKINS, STEPHANIE T - DO CONCENTRA MEDICAL PRIMARY TREATING 10670 WHITE ROCK RD STE 100, (916) 364-1733 CENTER - RANCHO CORDOVA PHYSICIAN RANCHO CORDOVA, CA 95670 HAWKINS, STEPHANIE T - DO CONCENTRA MEDICAL FAMILY MEDICINE 10670 WHITE ROCK RD STE 100, (916) 364-1733 CENTER - RANCHO CORDOVA RANCHO CORDOVA, CA 95670 HAWSON, SUZANNE, TAN - PT UNIVERSITY FOOT ANKLE PHYSICAL THERAPY 2121 WILSHIRE BLVD STE 101, SANTA (310) 828-0011 INSTITUTE MAIN MONICA, CA 90403 HAWSON, SUZANNE, TAN - PT UNIVERSITY FOOT ANKLE PHYSICAL THERAPY 26357 MCBEAN PARKWAY 250, (661) 260-1180 INSTITUTE VALENCIA, CA 91355 HAWTHORNE PROFESSIONAL PHARMACY 4477 W 118TH ST STE 100, (310) 675-6882 PHCY HAWTHORNE, CA 90250 HAWTHORNE, CATHERINE G - CONCENTRA MEDICAL PRIMARY TREATING 1340 MITCHELL ROAD , MODESTO, CA (209) 581-9711 MD CENTER - MODESTO CERES PHYSICIAN 95351

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 269 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HAWTHORNE, CATHERINE G - CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1340 MITCHELL ROAD , MODESTO, CA (209) 581-9711 MD CENTER - MODESTO CERES 95351 HAWTHORNE, KINJI L - MD DESERT CARE NETWORK - INFECTIOUS DISEASE 47647 CALEO BAY DR STE 210, LA (714) 428-6711 (BCC) PRIMARY AND SPECIALTY QUINTA , CA 92253 CARE HAWY, EMAN E - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800 & (800) 679-4642 LLUSM 2900, LOMA LINDA, CA 92354 HAWY, EMAN E - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 HAY, DAVID C - MD (BCC) KERLAN-JOBE ORTHOPAEDIC HAND SURGERY 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 HAY, DAVID C - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE, STE 400, (714) 937-1338 CLINIC WRIST ANAHEIM, CA 92806 HAY, DAVID C - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HAND 2400 E KATELLA AVE, STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 HAY, DAVID C - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - WRIST 2400 E KATELLA AVE, STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 HAY, DAVID C - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE, STE 400, LOS (310) 665-7200 CLINIC WRIST ANGELES, CA 90045 HAY, DAVID C - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HAND 6801 PARK TERRACE, STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 HAY, DAVID C - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - WRIST 6801 PARK TERRACE, STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 HAY, DAVID C - MD (BCC) KERLAN - JOBE ORTHOPAEDIC HAND SURGERY 2400 E KATELLA AVE, STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 HAY, DAVID C - MD (BCC) KERLAN - JOBE ORTHOPAEDIC HAND SURGERY 6801 PARK TERRACE, STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 HAYASHI, EDYTH - PT BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 689-5025 THERAPY HAYASHIDA & ASSOCIATES PHYSICAL THERAPY 319 ANACAPA ST, SANTA BARBARA, CA (805) 898-1907 PHYSICAL THERAPY INC. 93101 HAYASHIDA & ASSOCIATES PHYSICAL THERAPY 5718 HOLLISTER AVE STE 105, GOLETA, (805) 685-1755 PHYSICAL THERAPY INC. CA 93117-6406 HAYES, CHRISTOPHER B - MD ARROWHEAD ORTHOPAEDICS TRAUMA SURGERY 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 (BCC) RIVERSIDE, CA 92505 HAYES, CHRISTOPHER B - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 (BCC) UPPER EXTREMITIES RIVERSIDE, CA 92505 HAYES, CHRISTOPHER B - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 (BCC) LOWER EXTREMITIES RIVERSIDE, CA 92505 HAYES, CHRISTOPHER B - MD ARROWHEAD ORTHOPAEDICS TRAUMA SURGERY 4500 BROCKTON AVE STE 306, (951) 977-2460 (BCC) RIVERSIDE, CA 92501 HAYES, CHRISTOPHER B - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4500 BROCKTON AVE STE 306, (951) 977-2460 (BCC) UPPER EXTREMITIES RIVERSIDE, CA 92501 HAYES, CHRISTOPHER B - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4500 BROCKTON AVE STE 306, (951) 977-2460 (BCC) LOWER EXTREMITIES RIVERSIDE, CA 92501 HAYES, MICHAEL - DC HAYES CHIROPRACTIC CHIROPRACTIC MEDICINE 820 S FAIRMONT AVE, LODI, CA 95240 (209) 368-6639 HAYES, SANDRA M - MD (BCC) RESTORATIVE WOUND INTERNAL MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED POWAY, CA 92064 GRP HAYES, SANDRA M - MD (BCC) RESTORATIVE WOUND UNDERSEA AND HPYERBARIC 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED MEDICINE POWAY, CA 92064 GRP HAYNES, WENDY - PT COTATIROHNERT PARK PHYSICAL THERAPY 7840 OLD REDWOOD HWY, COTATI, CA (707) 795-1636 PHYSICAL THERAPY 94931 HAYTON, ANTHONY R - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 (BCC) HEALTH CARE - GENERAL CA 92563 SURGERY FP&S HAYTON, ANTHONY R - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S HAZANY, RAMIN - MD (BCC) PHYSICAL MEDICINE AND 323 N PRAIRIE AVE STE 200, (310) 680-0560 REHABILITATION INGLEWOOD, CA 90301

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 270 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HAZANY, SALAR - MD (BCC) ADVANCED DERMATOLOGY DERMATOLOGY 631 WEST AVENUE Q STE B, (661) 947-9000 AND SKIN CANCER PALMDALE, CA 93551 SPECIALISTS HAZANY, SALAR - MD (BCC) ADVANCED DERMATOLOGY OF DERMATOLOGY 30300 AGOURA RD STE 200 , AGOURA (818) 706-3744 SC HILLS , CA 91403 HAZANY, SALAR - MD (BCC) ADVANCED DERMATOLOGY OF DERMATOLOGY 3851 KATELLA AVE STE 105 , LOS (562) 799-3330 SC ALAMITOS, CA 90720 HAZANY, SALAR - MD (BCC) TEHACHAPI DERMATOLOGY DERMATOLOGY 20111 W VALLEY BLVD , TEHACHAPI, (661) 947-9000 AND SKIN CANCER CA 93561 SPECIALISTS HAZEL HAWKINS MEMORIAL HAZEL HAWKINS MEMORIAL ACUTE CARE HOSPITAL 911 SUNSET DR, HOLLISTER, CA 95023 (831) 637-5711 HOSPITAL (BCC) HOSPITAL HAZELWOOD, ANNA - PT VILLA LAS PALMAS PHYSICAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 HAZEN, PATRICK - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 HAZRATI, YASSAMIN N - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 975 SERENO DR , VALLEJO, CA 94591 (707) 651-1370 VALLEJO MEDICAL CENTER HAZRATI, YASSAMIN N - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 HE, FENG, YUN - LAC NEW LIFE ACUPUNCTURE ACUPUNCTURE 1720 SO AMPHLETT BLVD STE 168, SAN (650) 572-1628 CLINIC MATEO, CA 94402 HE, FENG, YUN - LAC NURTURE WELLNESS CENTER ACUPUNCTURE 6821 STOCKTON BLVD STE 145, (916) 393-2738 LLC SACRAMENTO, CA 95823 HE, FENG, YUN - LAC SPRING DAY WELLNESS LLC ACUPUNCTURE 280 REDWOOD SHORES PKWY, (650) 382-1988 REDWOOD CITY, CA 94065 HEAD 2 TOE PHYSICAL PHYSICAL THERAPY 210 N AVIATION BLVD STE B, (310) 376-9200 THERAPY MANHATTAN BEACH, CA 90266-7015 HEALDSBURG DISTRICT HEALDSBURG DISTRICT ACUTE CARE HOSPITAL 1375 UNIVERSITY ST, HEALDSBURG, (707) 431-6500 HOSPITAL (BCC) HOSPITAL CA 95448 HEALING PHARMACY PHARMACY 7840 WESTMINSTER BLVD, (714) 622-5208 WESTMINSTER, CA 92683 HEALTH CARE MEDICAL PHARMACY 420 N GARFIELD AVE STE 101, (626) 573-4513 PHARMACY MONTEREY PARK, CA 91754 HEALTH CARE PHARMACY PHARMACY 223 N GARFIELD AVE, MONTEREY (626) 571-0154 PARK, CA 91754 HEALTH FIRST PHARMACY PHARMACY 3010 W ORANGE AVE STE 101, (714) 236-5777 ANAHEIM, CA 92804 HEALTH GUARD PHARMACY PHARMACY 1833 E CESAR E CHAVEZ AVE, LOS (323) 222-8882 ANGELES, CA 90033 HEALTH MART BELL GARDENS PHARMACY 7625 EASTERN AVE STE C, BELL (323) 773-3800 GARDENS, CA 90201 HEALTH POINT PHYSICAL PHYSICAL THERAPY 5353 MISSION CENTER RD STE 221, (619) 497-2836 THERAPY SAN DIEGO, CA 92108 HEALTH PRO PHYSICAL PHYSICAL THERAPY 110 LA CASA VIA STE 100, WALNUT (925) 935-4866 THERAPY CREEK, CA 94598-3000 HEALTH PRO PHYSICAL PHYSICAL THERAPY 1333 WILLOW PASS RD STE 110, (925) 676-7431 THERAPY CONCORD, CA 94520-5225 HEALTH QUEST PHYSICAL PHYSICAL THERAPY 26941 CABOT RD STE 103, LAGUNA (949) 916-1402 THERAPY GROUP INC HILLS, CA 92653 HEALTH QUEST PT & FITNESS PHYSICAL THERAPY 590 MAIN ST STE H, WEED, CA (530) 938-3344 CTR 96094-2357 HEALTH SOURCE PHARMACY PHARMACY 7012 RESEDA BLVD STE A, RESEDA, CA (866) 447-7317 91335 HEALTH TREE PHARMACY PHARMACY 563 W WHITTIER BLVD, LA HABRA, CA (562) 475-5435 90631 HEALTH WAY PHARMACY PHARMACY 22211 SHERMAN WAY, CANOGA PARK, (818) 805-3972 CA 91303 HEALTHBRIDGE CHILDRENS SPECIALTY HOSPITAL - 393 S TUSTIN ST, ORANGE, CA 92866 (714) 289-2400 HOSPITAL ORANGE CA LP CHILDREN HEALTHCARE CLINIC PHARMACY 1313 S HARBOR BLVD, ANAHEIM, CA (657) 208-5485 92802 HEALTHCARE PHARMACY PHARMACY 14642 NEWPORT AVE, TUSTIN, CA (714) 669-4000 92780

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 271 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HEALTHCARE PHYSICAL PHYSICAL THERAPY 12598 CENTRAL AVE STE 102A, CHINO, (909) 465-0200 THERAPY, INC. CA 91710-3530 HEALTHCARE PHYSICAL PHYSICAL THERAPY 18856 AMAR RD STE 8, WALNUT, CA (626) 667-8600 THERAPY, INC. 91789-7102 HEALTHCARE SERVICES INC HEALTHCARE SERVICES INC CHEMICAL DEPENDENCY 1320 W PEARL ST, ANAHEIM, CA 92801 (714) 780-1174 THE LIGHTHOUSE (BCC) THE LIGHTHOUSE REHABILITATION CENTER (OUTPATIENT) HEALTHFIRST MEDICAL HEALTHFIRST MEDICAL URGENT CARE FACILITY 13440 IMPERIAL HWY, SANTA FE (562) 926-3440 GROUP INC (BCC) GROUP INC SPRINGS, CA 90670 HEALTHLINE MEDICAL GROUP HEALTHLINE MEDICAL GROUP OCCUPATIONAL HEALTH 15211 VANOWEN ST STE 105, VAN (818) 997-7711 (BCC) CENTER NUYS, CA 91405 HEALTHLINE MEDICAL GROUP HEALTHLINE MEDICAL GROUP URGENT CARE FACILITY 15211 VANOWEN ST STE 105, VAN (818) 997-7711 (BCC) NUYS, CA 91405 HEALTHPOINTE - GARDEN OCCUPATIONAL HEALTH 7052 ORANGEWOOD AVE #6, GARDEN (714) 903-1100 GROVE CENTER GROVE, CA 92841 HEALTHPOINTE - IRWINDALE OCCUPATIONAL HEALTH 5345 IRWINDALE AVE, IRWINDALE, CA (626) 960-5361 CENTER 91706 HEALTHPOINTE - LA MIRADA OCCUPATIONAL HEALTH 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 CENTER CA 90638 HEALTHPOINTE - LONG BEACH OCCUPATIONAL HEALTH 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 CENTER LONG BEACH, CA 90805 HEALTHPOINTE - LOS OCCUPATIONAL HEALTH 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 ANGELES CENTER ANGELES, CA 90045 HEALTHPOINTE - ONTARIO OCCUPATIONAL HEALTH 754 N MOUNTAIN AVE, ONTARIO, CA (909) 983-0474 CENTER 91762 HEALTHPOINTE - PERRIS OCCUPATIONAL HEALTH 2226 MEDICAL CENTER DR #100, (951) 657-6559 CENTER PERRIS, CA 92571 HEALTHPOINTE - TEMECULA OCCUPATIONAL HEALTH 27455 TIERRA ALTA WAY, TEMECULA, (951) 699-8563 CENTER CA 92590 HEALTHPOINTE MEDICAL HEALTHPOINTE MEDICAL PHYSICAL THERAPY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC (BCC) GROUP INC CA 90638 HEALTHPOINTE MEDICAL HEALTHPOINTE MEDICAL PHYSICAL THERAPY 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC (BCC) GROUP INC 92324 HEALTHPOINTE MEDICAL HEALTHPOINTE MEDICAL PHYSICAL THERAPY 5346 IRWINDALE AVE , IRWINDALE, CA (626) 960-5361 GROUP INC (BCC) GROUP INC 91706 HEALTHRX SPECIALTY PHARMACY 1844 E ROUTE 66, GLENDORA, CA (626) 335-4777 PHARMACY 91740 HEALTHY FAMILY PHARMACY PHARMACY 7932 SEVILLE AVE, HUNTINGTON PARK, (323) 582-5286 CA 90255 HEALTHY LIVING PHARMACY PHARMACY 22343 LA PALMA AVE, YORBA LINDA, (714) 692-3261 CA 92887 HEALTHY WAY PHARMACY PHARMACY 7223 BALBOA BLVD, VAN NUYS, CA (818) 997-9420 91406 HEART DRUGS PHARMACY PHARMACY 11120 WHITTIER BLVD, WHITTIER, CA (562) 692-4278 90606 HEATHMAN, JANET - PT AQUA PHYSICAL PHYSICAL THERAPY 192 N PLAZA ST STE A, BRAWLEY, CA (760) 352-5582 THERAPYELITE PHYSICAL 92227 THERAPY HEATHMAN, JANET - PT AQUA PHYSICAL PHYSICAL THERAPY 221 CAMPILLO ST STE I, CALEXICO, CA (760) 352-5582 THERAPYELITE PHYSICAL 92231 THERAPY HEATHMAN, JANET - PT AQUA PHYSICAL PHYSICAL THERAPY 541 W MAIN ST, EL CENTRO, CA 92243 (760) 352-5582 THERAPYELITE PHYSICAL THERAPY HECKMANN, NATHANAEL D - KECK MEDICINE OF USC - ORTHOPEDIC SURGERY - HIP 1818 VERDUGO BLVD STE 300, (818) 658-5920 MD (BCC) ORTHOPAEDIC SURGERY GLENDALE, CA 91208 HECKMANN, NATHANAEL D - KECK HOSPITAL OF USC - ORTHOPEDIC SURGERY - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-8018 MD (BCC) ORTHOPEDIC SURGERY ANGELES, CA 90033 HECKMANN, NATHANAEL D - KECK MEDICINE OF USC - ORTHOPEDIC SURGERY - 1818 VERDUGO BLVD STE 300, (818) 658-5920 MD (BCC) ORTHOPAEDIC SURGERY KNEE GLENDALE, CA 91208 HECKMANN, NATHANAEL D - KECK HOSPITAL OF USC - ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-8018 MD (BCC) ORTHOPEDIC SURGERY KNEE ANGELES, CA 90033

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 272 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HECKMANN, NATHANAEL D - KECK HOSPITAL OF USC - ORTHOPEDICS - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-8018 MD (BCC) ORTHOPEDIC SURGERY ANGELES, CA 90033 HECKMANN, NATHANAEL D - KECK MEDICINE OF USC - ORTHOPEDICS - HIP 1818 VERDUGO BLVD STE 300, (818) 658-5920 MD (BCC) ORTHOPAEDIC SURGERY GLENDALE, CA 91208 HECKMANN, NATHANAEL D - KECK HOSPITAL OF USC - ORTHOPEDICS - KNEE 1520 SAN PABLO ST STE 2000, LOS (323) 442-8018 MD (BCC) ORTHOPEDIC SURGERY ANGELES, CA 90033 HECKMANN, NATHANAEL D - KECK MEDICINE OF USC - ORTHOPEDICS - KNEE 1818 VERDUGO BLVD STE 300, (818) 658-5920 MD (BCC) ORTHOPAEDIC SURGERY GLENDALE, CA 91208 HEDAYI, RUDY S - MD KAISER PERMANENTE OPHTHALMOLOGY 9961 SIERRA AVE , FONTANA, CA 91730 (909) 427-3917 FONTANA MEDICAL CENTER HEDGCOCK, MICHELLE, ANN - WEST LAKE PHYSICAL PHYSICAL THERAPY 1220 LA VENTA DR STE 102, WESTLAKE (805) 777-7370 PT THERAPY INC VILLAGE, CA 91361 HEDGE, THOMAS - MD (BCC) PHYSICAL MEDICINE AND 18300 ROSCOE BLVD INSTITUTE FOR (818) 885-5342 REHABILITATION LIVING BLDG 4 FL, NORTHRIDGE, CA 91325 HEDSTROM, JOHN - PT SYNERGY SPECIALIST PHYSICAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 412-6080 MEDICAL GROUP MAIN DIEGO, CA 92121 HEDSTROM, JOHN - PT SYNERGY SPECIALIST PHYSICAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (858) 877-8163 MEDICAL GROUP CA 91910 HEE, ANGELA - DC BERNARDO WEST CHIROPRACTIC MEDICINE 16766 BERNARDO CENTER DR STE 111, (858) 673-1733 CHIROPRACTIC SAN DIEGO, CA 92128 HEE, CHO, WON - LAC JAEIN ACUPUNCTURE HERBAL ACUPUNCTURE 3441 W BALL RD STE E, ANAHEIM, CA (717) 732-1035 MEDICINE INC 92804 HEE, JAE, KIM, ELLIOT - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 1550 E WASHINGTON ST STE 101, (213) 386-7582 INC COLTON, CA 92324 HEE, JAE, KIM, ELLIOT - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 7335 VAN NUYS BLVD STE 115, VAN (213) 386-7582 INC NUYS, CA 91405 HEER, THOMAS E - MD KAISER PERMANENTE ORTHOPEDIC SURGERY - 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL KNEE PARK, CA 91706 CENTER HEER, THOMAS E - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER HEGGIE, CATHERINE - PT COOPER PHYSICAL THERAPY PHYSICAL THERAPY 235 N GILBERT ST, HEMET, CA 92543 (951) 658-9000 HEGLAND, ERIN - AUD ADVANCED HEARING AUDIOLOGY 2557 MOWRY AVE STE 31, FREMONT, (800) 598-5300 PROVIDERS LLC CA 94538 HEIDARI, ALI A - DO CONCENTRA MEDICAL PLASTIC SURGERY 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE ONTARIO, CA 91761 HEIDARI, ALI A - DO CONCENTRA MEDICAL PLASTIC SURGERY 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA HEIDARI-BATENI, GIV - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE HEIDARI-BATENI, GIV - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE HEIDI'S PHARMACY PHARMACY 3150 COLIMA RD STE B, HACIENDA (626) 333-7878 HEIGHTS, CA 91745 HEILBRON JR, MAURICIO - MD VASCULAR SURGERY 3791 KATELLA AVE SUITE 107, LOS (562) 296-8050 ALAMITOS, CA 90720 HEILBRON, MAURICIO - MD VASCULAR SURGERY 300 REDONDO AVE, LONG BEACH, CA (562) 296-8050 (BCC) 90814 HEILBRON, MAURICIO - MD VASCULAR SURGERY 3791 KATELLA AVE STE 107, LOS (562) 296-8050 (BCC) ALAMITOS, CA 90720 HEIM, AMANDA - LAC PING CHAO ACUPUNCTURE ACUPUNCTURE 10000 FLOWER ST, BELLFLOWER, CA (562) 420-8606 90706 HEIM, JESSICA - PT SAN DIEGO SPINE SPORT PHYSICAL THERAPY 3760 CONVOY ST STE 100, SAN DIEGO, (858) 573-9368 INCMAIN SITE CA 92111 HEINDL, LISA M - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 273 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HEINEN, GREGORY T - MD RISSER ORTHOPAEDIC GROUP PRIMARY TREATING 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) PHYSICIAN ARCADIA , CA 91007 HEINEN, GREGORY T - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - HIP 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) ARCADIA , CA 91007 HEINEN, GREGORY T - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) LOWER EXTREMITIES ARCADIA , CA 91007 HEINEN, GREGORY T - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) UPPER EXTREMITIES ARCADIA , CA 91007 HEINEN, GREGORY T - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - HIP 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) ARCADIA , CA 91007 HEINEN, GREGORY T - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - LOWER 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) EXTREMITIES ARCADIA , CA 91007 HEINEN, GREGORY T - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - UPPER 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) EXTREMITIES ARCADIA , CA 91007 HEINEN, GREGORY T - MD RISSER ORTHOPAEDIC GROUP SPORTS MEDICINE 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) ARCADIA , CA 91007 HEINZER, AMY, L - PTA SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 THERAPY RAMON, CA 94583 HEINZER, AMY, L - PTA SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 THERAPYMAIN 94526 HEISDORF, MAKENZIE - PT MARINERS PHYSICAL PHYSICAL THERAPY 201 SANDPOINTE AVE STE 130, SANTA (714) 557-9292 THERAPY ANA, CA 92707 HEISLER, TRACY L - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 4 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER HEITKE, PETER J - MD CONCENTRA MEDICAL INTERNAL MEDICINE 2305 SUNSET BLVD, ROCKLIN, CA (916) 632-9606 CENTER - ROCKLIN 95765 HEKMAT, SOHEIL - MD HILLCREST MEDICAL CLINIC INTERNAL MEDICINE 511 E MANCHESTER BLVD, (310) 672-9000 INGLEWOOD, CA 90301 HELLER, JOHN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 HELM, STANDIFORD - MD (BCC) PAIN MANAGEMENT 24902 MOULTON PKWY STE 200, (949) 462-0560 LAGUNA HILLS, CA 92637 HELMERS, SCOTT - MD KAISER PERMANENTE OTAY ORTHOPEDICS 4650 PALM AVE , SAN DIEGO, CA 92154 (833) 242-8500 MESA MEDICAL OFFICES HELMSTEDTER, CHRIS S - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER HELSE PHYSICAL THERAPY PHYSICAL THERAPY 1600 DOVE ST STE 100, NEWPORT (760) 941-8600 AND REHAB DBA CUTTING BEACH, CA 92660-2438 EDGE HELSE PHYSICAL THERAPY PHYSICAL THERAPY 1830 HACIENDA DR STE 2, VISTA, CA (760) 941-8600 DBA MJ PHYSICAL THERAPY 92081-4544 HELSTEN, TERESA L - MD MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 (BCC) US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 HELTON, DEREK A - MD (BCC) UC SAN DIEGO HEALTH - ONCOLOGY 1200 GARDEN VIEW RD STE 200, (760) 536-7700 CANCER SERVICES ENCINITAS, CA 92024 HEMATOLOGY ONCOLOGY PHARMACY 301 N SAN JACINTO ST, HEMET, CA (951) 766-6460 CONSULTANT 92543 HEMATOLOGY ONCOLOGY PHARMACY 1700 E CESAR E CHAVEZ AVE, LOS (323) 264-0430 SPECIALIST ANGELES, CA 90033 HEMBD, DENNIS - MD (BCC) NORTHERN CALIFORNIA SPINE PAIN MANAGEMENT 2801 K ST STE 410, SACRAMENTO , CA (916) 389-7100 AND REHABILITATION 95816 ASSOCIATES HEMET VALLEY MEDICAL HEMET VALLEY MEDICAL ACUTE CARE HOSPITAL 1117 E DEVONSHIRE AVE, HEMET, CA (951) 652-2811 CENTER (BCC) CENTER 92543 HEMPHILL, JONATHAN - MD CARDIOVASCULAR DISEASE 6347 COYLE AVE, CARMICHAEL, CA (916) 967-4278 (BCC) (CARDIOLOGY) 95608 HEMPTON, ROBERT F - MD KAISER PERMANENTE OTAY ORTHOPEDICS 5893 COPLEY CT , SAN DIEGO, CA (619) 528-5062 MESA MEDICAL OFFICES 92111 HEMSLEY, LAURI B - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2295 S VINEYARD MOB A, 4TH FLR (909) 427-3917 JOB ONTARIO MEDICAL SUITE 404, ONTARIO, CA 91761 OFFICES

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 274 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HEMSLEY, LAURI B - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2295 S VINEYARD MOB A, 4TH FLR (909) 427-3917 JOB ONTARIO MEDICAL PHYSICIAN SUITE 404, ONTARIO, CA 91761 OFFICES HEMSLEY, LAURI B - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL LEVEL, FONTANA, CA 92335 CENTER HEMSLEY, LAURI B - MD KAISER PERMANENTE ON THE PRIMARY TREATING 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL PHYSICIAN LEVEL, FONTANA, CA 92335 CENTER HENDEL, ELI - MD SLEEP MEDICINE 1500 S CENTRAL AVE STE 117, (818) 500-9545 GLENDALE, CA 91204 HENDEL, ELI - MD PULMONARY DISEASE 1500 S CENTRAL AVE STE 117, (818) 500-9545 GLENDALE, CA 91204 HENDERSON, CHRISTOPHER - OPTIMAL HEALTH CENTER ACUPUNCTURE 3260 BEARD RD STE 3, NAPA, CA 94558 (707) 942-1250 LAC HENDERSON, NICHOLAS - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 31105 RANCHO VIEJO RD STE C9, SAN (949) 496-4330 SPORTS THERAPY JUAN CAPISTRANO, CA 92675 HENDRICKS PHARMACY PHARMACY 137 N HARVARD AVE, CLAREMONT, CA (909) 624-1611 91711 HENKEL, DANIELLE M - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE HENRIOD, JOEL B - DDS PASADENA PERIODONTICS DENTIST 72 N HILL AVE , PASADENA, CA 91106 (626) 796-5386 HENRY MAYO NEWHALL HENRY MAYO NEWHALL ACUTE CARE HOSPITAL 23845 MCBEAN PKWY, VALENCIA, CA (661) 253-8000 MEMORIAL HOSPITAL (BCC) MEMORIAL HOSPITAL 91355 HENRY MAYO NEWHALL HENRY MAYO NEWHALL MENTAL HEALTH/PSYCHIATRIC 25727 MCBEAN PKWY, VALENCIA, CA (661) 253-8844 MEMORIAL HOSPITAL REHAB MEMORIAL HOSPITAL REHAB HOSPITAL (INPATIENT) 91355 UNIT (BCC) UNIT HENRY, MARTHA - DC HUMBOLDT BACK NECK PAIN CHIROPRACTIC MEDICINE 1585 HEARTWOOD DR STE B, (707) 839-6300 CENTER MCKINLEYVILLE, CA 95519 HENSLE, GLENN - DC GLENN J HENSLE LAC CHIROPRACTIC MEDICINE 980 ATLANTIC AVE FL 2, LONG BEACH, (562) 624-0766 CA 90813 HEP C PHARMACY PHARMACY 900 W GLENOAKS BLVD STE G, (818) 261-8023 GLENDALE, CA 91202 HEPPS PRESCRIPTION PHARMACY 240 S LA CIENEGA BLVD, BEVERLY (310) 652-0550 PHARMACY HILLS, CA 90211 HERAN, MOJCA - OT MOJCA HERMAN MA OTR/L OCCUPATIONAL THERAPY 3475 TORRANCE BLVD STE B2, (310) 316-7748 CHT DBA ADVANCED THERAPY TORRANCE, CA 90503 CENTER HERBAY PHARMACY N PHARMACY 1451 N RICE AVE STE F, OXNARD, CA (805) 981-2500 INFUSION RX 93030 HERBERT'S PHARMACY PHARMACY 9001 WILSHIRE BLVD STE 101, (310) 859-3887 BEVERLY HILLS, CA 90211 HERD, CLAUDIA - MD (BCC) ANESTHESIOLOGY 4120 LA JOLLA VILLAGE DR, LA JOLLA, (858) 657-0055 CA 92037 HERGENROETHER, MICHAEL - MICHAEL YORK DC ADVANCED CHIROPRACTIC MEDICINE 5350 HOLLISTER AVE STE A3, SANTA (805) 681-7322 DC CHIROPRACTIC GROUP BARBARA, CA 93111 HERITAGE OAKS HOSPITAL HERITAGE OAKS HOSPITAL CHEMICAL DEPENDENCY 4250 AUBURN BLVD, SACRAMENTO, CA (916) 489-3336 (BCC) REHABILITATION CENTER 95841 (OUTPATIENT) HERITAGE PHARMACY PHARMACY 275 N EL CIELO RD # D405, PALM (760) 416-7999 SPRINGS, CA 92262 HERMAN, MOJCA - CHT MOJCA HERMAN MA OTR/L HAND THERAPY 3475 TORRANCE BLVD STE B2, (310) 316-7748 CHT DBA ADVANCED THERAPY TORRANCE, CA 90503 CENTER HERMOSURA, JOANRAE - PT EDGE PHYSICAL THERAPY INC PHYSICAL THERAPY 1599 MONTE VISTA AVE, CLAREMONT, (909) 399-3359 CA 91711 HERNANDEZ, ANNA - PT HORIZON THERAPY SERVICES PHYSICAL THERAPY 8265 WHITE OAK AVE, RANCHO (909) 373-1641 CUCAMONGA, CA 91730 HERNANDEZ, ANNA - PT PRIME REHAB CENTER PHYSICAL THERAPY 8545 SIERRA AVE, FONTANA, CA 92335 (909) 365-3557 HERNANDEZ, DONNA - AUD ADVANCED HEARING AUDIOLOGY 2336 W SUNNYSIDE AVE STE A, (800) 598-5300 PROVIDERS LLC VISALIA, CA 93277

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 275 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HERNANDEZ, EMILY - PT CENTRAL COAST PT PHYSICAL THERAPY 1421 RIVERSIDE AVE, PASO ROBLES, (805) 239-1202 CA 93446 HERNANDEZ, ERIN - PT INTEGRATED PAIN PHYSICAL THERAPY 999 N TUSTIN AVE STE 201, SANTA (925) 691-9806 MANAGEMENT ANA, CA 92705 HERNANDEZ, HAZLETT - PT IN MOTION PHYSICAL PHYSICAL THERAPY 17332 VON KARMAN AVE STE 120, (949) 861-8600 THERAPY IRVINE, CA 92614 HERNANDEZ, JAIME D - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 HERNANDEZ, JAIME D - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE KNEE VALENCIA, CA 91354 HERNANDEZ, JAIME D - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 HERNANDEZ, JAIME D - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 HERNANDEZ, JAIME D - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE HERNANDEZ, JAIME D - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE KNEE HERNANDEZ, JAIME D - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE HERNANDEZ, JAIME D - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE HERNANDEZ, JR, GILBERT - DC BLUE MOUNTAIN CHIROPRACTIC MEDICINE 22365 BARTON RD STE 110, GRAND (909) 370-1564 CHIROPRACTIC TERRACE, CA 92313 HERNANDEZ, LAUREN E - SLP MAXUM PHYSICAL THERAPY SPEECH THERAPIST 774 S PLACENTIA AVE FL 1, PLACENTIA, (714) 646-8318 (BCC) CA 92870 HERNANDEZ, RODOLFO - PT WEST STAR PHYSICAL PHYSICAL THERAPY 10116 INDIANA AVE, RIVERSIDE, CA (951) 785-9900 THERAPY 92503 HERNANDEZ, RODOLFO - PT WEST STAR PHYSICAL PHYSICAL THERAPY 600 S GRAND AVE STE 104, SANTA (714) 827-4822 THERAPY ANA, CA 92705 HERNANDO, RANDY - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 HERNDON RECOVERY CENTER HERNDON RECOVERY CENTER CHEMICAL DEPENDENCY 7055 N CHESTNUT AVE STE 101, (559) 900-1298 (BCC) REHABILITATION CENTER FRESNO, CA 93720 (OUTPATIENT) HEROPOULOS, MARIA - MD ANESTHESIOLOGY 27882 FORBES RD STE 203, LAGUNA (949) 347-2400 (BCC) NIGUEL, CA 92677 HERRERA, CINTIA - LMT SUNNYSIDE REHAB INC MASSAGE THERAPIST 5703 OBERLIN DR STE 308, SAN DIEGO, (858) 547-9101 CA 92121 HERRERA, FRANCINE - LAC ACUPUNCTURE CHINESE ACUPUNCTURE 1590 EL CAMINO REAL STE G, SAN (650) 225-0808 HERBAL MEDICINE BRUNO, CA 94066 HERRERA, FRANCINE - LAC ACUPUNCTURE CHINESE ACUPUNCTURE 3400 CALIFORNIA ST STE 100, SAN (415) 868-5365 HERBAL MEDICINE FRANCISCO, CA 94118 HERRERA, MICHAEL - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 201 N ROBERTSON BLVD STE 101, (424) 303-7647 THERAPY AND FITNESS BEVERLY HILLS, CA 90211 HERRING, CHARLES - MD EXPRESSCARE MEDICAL ORTHOPEDIC SURGERY - 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 CLINIC LOWER EXTREMITIES ANGELES, CA 90045 HERRING, CHARLES - MD EXPRESSCARE MEDICAL ORTHOPEDIC SURGERY - 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 CLINIC UPPER EXTREMITIES ANGELES, CA 90045 HERRING, CHARLES - MD EXPRESSCARE MEDICAL ORTHOPEDICS - LOWER 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 CLINIC EXTREMITIES ANGELES, CA 90045 HERRING, CHARLES - MD EXPRESSCARE MEDICAL ORTHOPEDICS - UPPER 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 CLINIC EXTREMITIES ANGELES, CA 90045 HERRING, CHARLES - MD PRIMARY TREATING 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 (BCC) PHYSICIAN ANGELES, CA 90045 HERRING, CHARLES - MD FAMILY MEDICINE 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 (BCC) ANGELES, CA 90045 HERRING, CHARLES - MD SPORTS MEDICINE 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 (BCC) ANGELES, CA 90045 HERTA, KELLY - DC UNRUH CHIROPRACTIC CHIROPRACTIC MEDICINE 23043 LYONS AVE, SANTA CLARITA, CA (661) 288-0022 91321 HERTZLER, MATTHEW - PT CALDWELL PHYSICAL PHYSICAL THERAPY 1075 YORBA PL STE 107, PLACENTIA, (714) 524-3500 THERAPY CA 92870

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 276 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HESPERIA PHYSICAL THERAPY PHYSICAL THERAPY 15235 MAIN ST, HESPERIA, CA (760) 949-3388 92345-3326 HESSELTINE, ANDREW W - MD INLAND PAIN MEDICINE PAIN MANAGEMENT 851 E 6TH ST STE 1A, BEAUMONT, CA (909) 887-2991 (BCC) 92223 HETH, THERESA - PT BISHOP CARE CENTER PHYSICAL THERAPY 151 PIONEER LN, BISHOP, CA 93514 (760) 872-1000 HEWKO, THOMAS - DC BACK PAIN CHIROPRACTIC CHIROPRACTIC MEDICINE 1111 N BRISTOL ST STE J, SANTA ANA, (714) 434-6875 CLINIC CA 92703 HEYMAN, BENJAMIN M - MD MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 (BCC) US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 HI DESERT MEDICAL CENTER HI DESERT MEDICAL CENTER ACUTE CARE HOSPITAL 6601 WHITE FEATHER RD, JOSHUA (760) 366-3711 (BCC) TREE, CA 92252 HI-DESERT MEDICAL PHARMACY 1002 E AVENUE J # E-1, LANCASTER, (661) 802-7601 PHARMACY CA 93535 HIBBARD, MICHAEL L - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER HIBINE, AMIE - PT ACTION PHYSICAL THERAPY PHYSICAL THERAPY 680 E ROMIE LN, SALINAS, CA 93901 (831) 758-5338 HICKS, JARROD - PT FUNCTION ACTION PHYSICAL PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 THERAPY CA 93612 HIDEHISA, TAKEI T - MD (BCC) RIVERSIDE MEDICAL CLINIC - GENERAL SURGERY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 HIDEHISA, TAKEI T - MD (BCC) RIVERSIDE MEDICAL CLINIC - VASCULAR SURGERY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 HIFUMI, MISUN - PT MARINA SPORTS MEDICINE PHYSICAL THERAPY 28633 S WESTERN AVE STE 200, (310) 832-2622 RANCHO PALOS VERDES, CA 90275 HIFUMI, MISUN, CHUNG - PT MARINA SPORTS PHYSICAL PHYSICAL THERAPY 28633 S WESTERN AVE STE 200, (310) 832-2622 THERAPY RANCHO PALOS VERDES, CA 90275 HIGASHI, RANDY - DC RANDY S HIGASHI CHIROPRACTIC MEDICINE 3621 MARTIN LUTHER KING JR (323) 546-3500 CHIROPRACTIC INC BOULEVARD STE 14, LYNWOOD, CA 90262 HIGASHI, RANDY - DC RANDY S HIGASHI CHIROPRACTIC MEDICINE 9635 MONTE VISTA AVE STE 203, (323) 546-3500 CHIROPRACTIC INC MONTCLAIR, CA 91763 HIGGINS, THOMAS - AUD ADVANCED HEARING AUDIOLOGY 411 N CENTRAL AVE STE 190, (800) 598-5300 PROVIDERS LLC GLENDALE, CA 91203 HIGH DESERT THERAPISTS PHYSICAL THERAPY 60 PENNY LN, WATSONVILLE, CA (831) 786-9000 DBA PACIFIC COAST THERAPY 95076-3079 HIGH STREET PHARMACY PHARMACY 4248 MACARTHUR BLVD, OAKLAND, CA (510) 530-1335 94619 HIGHLAND COMMUNITY PHARMACY 4160 HIGHLAND AVE STE D, HIGHLAND, (909) 907-7915 PHARMACY CA 92346 HIGHLAND FAIRE PHARMACY PHARMACY 5731 WATT AVE, NORTH HIGHLANDS, (916) 571-5545 CA 95660 HIGHLAND OUTPATIENT PHARMACY 1411 E 31ST ST, OAKLAND, CA 94602 (510) 535-7595 PHARMACY HIGLEY, MICHELLE A - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90042 CENTER HILD, BRIAN D - MD KAISER PERMANENTE ORTHOPEDICS 10800 MAGNOLIA AVE MEDICAL OFFICE (951) 353-4322 RIVERSIDE MEDICAL CENTER BLDG 2, RIVERSIDE, CA 92505 HILL ALCOHOL AND DRUG HILL ALCOHOL AND DRUG CHEMICAL DEPENDENCY 41877 ENTERPRISE CIRCLE N STE 100, (951) 719-3685 TREATMENT (BCC) TREATMENT REHABILITATION CENTER TEMECULA, CA 92590 (OUTPATIENT) HILL PHARMACY PHARMACY 1441 AVOCADO AVE STE 101, (949) 640-6564 NEWPORT BEACH, CA 92660 HILL, BRYAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY HILL, BRYAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY HILL, BRYAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 277 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HILL, BRYAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY HILL, DONALD - DC DONALD G HILL DC CHIROPRACTIC MEDICINE 106 RANCH LN STE A, YREKA, CA 96097 (530) 842-6500 HILL, MEGAN - PT CHULA VISTA PHYSICIANS PHYSICAL THERAPY 1055 TIERRA DEL REY STE A, CHULA (619) 421-0444 GROUP VISTA, CA 91910 HILL, MICHAEL E - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 25805 BARTON RD STE 101, LOMA (800) 679-4642 HEALTH CARE - PLASTIC & SURGERY LINDA , CA 92354 RECONSTRUCTIVE SURGERY FP&S HILL, MICHAEL E - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 3762 TIBBETS RD , RIVERSIDE , CA (800) 679-4642 HEALTH CARE - PLASTIC & SURGERY 92506 RECONSTRUCTIVE SURGERY FP&S HILL, SEAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY HILL, SEAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY HILL, SEAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY HILL, SEAN - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY HILL, SHANNON - PT RANCHO SANTA MARGARITA PHYSICAL THERAPY 29803 SANTA MARGARITA PKWY, (949) 459-9010 PHYSICAL THERAPY RANCHO SANTA MARGARITA, CA 92688 HILLCREST PHARMACY PHARMACY 120 UNIVERSITY AVE, SAN DIEGO, CA (619) 260-1010 92103 HILLCREST PHARMACY NORTH PHARMACY 1988 HACIENDA DRIVE, VISTA, CA (760) 295-2625 92081 HILLIARD, ANTHONY A - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE HILLIARD, ANTHONY A - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE HILLMAN, MICHELLE - PTA SYMMETRY PHYSICAL PHYSICAL THERAPY 13890 PALMDALE RD, VICTORVILLE, CA (760) 955-8100 THERAPY 92392 HILLMAN, MICHELLE - PTA SYMMETRY PHYSICAL PHYSICAL THERAPY 18522 US HWY 18 105, APPLE VALLEY, (760) 242-0500 THERAPY APPLE VALLEY CA 92307 HILLS PHYSICAL THERAPY PHYSICAL THERAPY 4330 BARRANCA PKWY STE 240, (949) 857-6558 IRVINE, CA 92604-4768 HILLS PHYSICAL THERAPY PHYSICAL THERAPY 4330 BARRANCA PKWY STE 240, (714) 857-6558 IRVINE, CA 92604 HILLTOP PHARMACY PHARMACY 4545 GEORGETOWN PL, STOCKTON, (209) 851-2162 CA 95207 HILTON, ALICIA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1625 E MAIN ST STE 104, EL CAJON, CA (619) 873-2160 92021 HILTON, JOHN - DC BEVERLY URGENT CARE INC CHIROPRACTIC MEDICINE 401 W BEVERLY BLVD, MONTEBELLO, (323) 477-2200 CA 90640 HILTON, JOHN, STEVEN - DC SOUTHERN CALIFORNIA CHIROPRACTIC MEDICINE 3320 S HILL ST, LOS ANGELES, CA (213) 749-5386 MEDICAL GROUP 90007 HINA'S HOME CARE PHARMACY 9508 STOCKDALE HWY, BAKERSFIELD, (661) 664-7979 PHARMACY CA 93311 HINA'S MERCY SOUTHWEST PHARMACY 500 OLD RIVER RD STE 125, (661) 663-0977 PHCY BAKERSFIELD, CA 93311 HINAS PHARMACY PHARMACY 6300 WHITE LN STE N, BAKERSFIELD, (661) 282-8805 CA 93309

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 278 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HINDLE, KAYLA - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 1 DANIEL BURNHAM CT STE 365C, SAN (925) 697-9806 MANAGEMENT FRANCISCO, CA 94109 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 100 HOSPITAL DR STE 303, VALLEJO, (925) 691-9806 MANAGEMENT CA 94589 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 1125 MISSOURI ST STE 203, FAIRFIELD, (925) 691-9806 MANAGEMENT CA 94533 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 1144 SONOMA AVE STE 105, SANTA (925) 691-9806 MANAGEMENT ROSA, CA 95405 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 1500 SOUTHGATE AVE STE 202, DALY (925) 691-9806 MANAGEMENT CITY, CA 94015 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 170 SANTA CLARA AVE STE 01, (925) 691-9806 MANAGEMENT OAKLAND, CA 94610 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 2923 WEBSTER ST STE 202, OAKLAND, (925) 691-9806 MANAGEMENT CA 94609 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 4530 BALFOUR RD STE E, (925) 691-9806 MANAGEMENT BRENTWOOD, CA 94513 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 5401 NORRIS CANYON RD STE 102, (925) 691-9806 MANAGEMENT SAN RAMON, CA 94583 HINDOCHA, ROMMEL - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 999 N TUSTIN AVE STE 201, SANTA (925) 691-9806 MANAGEMENT ANA, CA 92705 HINMAN, ADRIAN D - MD KAISER PERMANENTE HAND SURGERY 39400 PASEO PADRE PARKWAY , (510) 248-3015 FREMONT MEDICAL CENTER FREMONT, CA 94538 HINMAN, ADRIAN D - MD KAISER PERMANENTE ORTHOPEDICS 39400 PASEO PADRE PARKWAY , (510) 248-3015 FREMONT MEDICAL CENTER FREMONT, CA 94538 HINSON, ANTHONY - AUD ADVANCED HEARING AUDIOLOGY 1275 HIGH STREET, AUBURN, CA 95603 (800) 598-5300 PROVIDERS LLC HINSON, ANTHONY - AUD ADVANCED HEARING AUDIOLOGY 363 S LOWER SACRAMENTO RD , LODI, (800) 598-5300 PROVIDERS LLC CA 95242 HINSON, ANTHONY - AUD ADVANCED HEARING AUDIOLOGY 1150 W ORANGEBURG AVE , MODESTO, (800) 598-5300 PROVIDERS LLC CA 95350 HIRAI, DANIEL, RYAN - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 HIRAI, DANIEL, RYAN - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 HIRANI, JAGRUTI - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 HIRANO, MIYOSHI - LAC MIYOSHI HIRANO DAOM LAC ACUPUNCTURE 1139 N BRAND BLVD STE B, GLENDALE, (818) 244-2287 CA 91202 HIRATA, KRIS - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL OFFICES REHABILITATION 92505 HIRCHMAN, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 HIRCHMAN, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 HIRCHMAN, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 HIRCHMAN, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 HIRCHMAN, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 HIRCHMAN, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 HIRCOCK, CODY - PT GEORGE ERB PHYSICAL PHYSICAL THERAPY 231 CAMARILLO RANCH RD, (805) 484-2026 THERAPY CAMARILLO, CA 93012 HIROFUJI, NAMI - LAC MAIN CHIROPRACTIC INC ACUPUNCTURE 1118 N AVALON BLVD STE 2, (310) 522-5811 WILMINGTON, CA 90744 HIRSCHFIELD, KRISTINE M - ADVANCED DERMATOLOGY DERMATOLOGY 631 WEST AVENUE Q STE B, (661) 947-9000 MD (BCC) AND SKIN CANCER PALMDALE, CA 93551 SPECIALISTS HJELMSTAD, JARED - DC HJELMSTAD JARAD P DC CHIROPRACTIC MEDICINE 29377 RANCHO CALIFORNIA RD STE (951) 676-8686 106, TEMECULA, CA 92591

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 279 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HK PHARMACY PHARMACY 124 N WESTERN AVE, LOS ANGELES, (323) 464-3925 CA 90004 HLAVIN, D'ARCY - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 HLAVIN, DARCY, MARGARET - SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 PT THERAPYTEMPLETON MAIN CA 93465 HO, BURNETT, SHARON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 HO, BURNETT, SHARON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 HO, BURNETT, SHARON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 HO, BURNETT, SHARON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 HO, BURNETT, SHARON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 HO, BURNETT, SHARON - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 HO, DANIELLE - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 26302 LA PAZ RD STE 105, MISSION (949) 206-1700 SPORTS THERAPY VIEJO, CA 92691 HO, JAMES - MD (BCC) PRIMARY TREATING 100 S RAYMOND AVE, ALHAMBRA, CA (626) 458-4764 PHYSICIAN 91801 HO, JAMES - MD (BCC) FAMILY MEDICINE 100 S RAYMOND AVE, ALHAMBRA, CA (626) 458-4764 91801 HO, JOYCE M - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER HO, MIKE - MD (BCC) ANESTHESIOLOGY 3330 LOMITA BLVD, TORRANCE, CA (310) 517-4759 90505 HO, OSCAR H - MD KAISER PERMANENTE SANTA GENERAL SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 HO, OSCAR H - MD KAISER PERMANENTE SANTA PLASTIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 HO, TAYLOR - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER HO, WENDY - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 18600 S FIGUEROA ST STE 120, (310) 527-5600 JOB SOUTH BAY MEDICAL GARDENA, CA 90248 OFFICES HO, WENDY - MD KAISER PERMANENTE ON THE PRIMARY TREATING 18600 S FIGUEROA ST STE 120, (310) 527-5600 JOB SOUTH BAY MEDICAL PHYSICIAN GARDENA, CA 90248 OFFICES HOAG MEMORIAL HOSPITAL HOAG MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 1 HOAG DR, NEWPORT BEACH, CA (949) 764-4624 PRESBYTERIAN (BCC) PRESBYTERIAN 92663 HOAG MEMORIAL HOSPITAL HOAG MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 16300 SAND CANYON AVE STE 100, (949) 557-0630 PRESBYTERIAN (BCC) PRESBYTERIAN IRVINE, CA 92618 HOAG MEMORIAL HOSPITAL HOAG MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 16200 SAND CANYON AVE, IRVINE, CA (949) 517-3000 PRESBYTERIAN-IRVINE (BCC) PRESBYTERIAN-IRVINE 92618 HOAG NEUROBEHAVIORAL HOAG NEUROBEHAVIORAL CHEMICAL DEPENDENCY 1 HOAG DR, NEWPORT BEACH, CA (949) 764-5656 HEALTH LLC (BCC) HEALTH LLC REHABILITATION CENTER 92658 (OUTPATIENT) HOAG ORTHOPEDIC INSTITUTE HOAG ORTHOPEDIC INSTITUTE SPECIALTY HOSPITAL - 16250 SAND CANYON AVE, IRVINE, CA (949) 764-4624 (BCC) SPECIAL 92618 HOANG, BRUCE K - DO CONCENTRA MEDICAL PRIMARY TREATING 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE PHYSICIAN CA 92071 HOANG, BRUCE K - DO CONCENTRA MEDICAL FAMILY MEDICINE 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071 HOANG, DANNY - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 HOANG, STEPHEN - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 5434 THORNWOOD DR, SAN JOSE, CA (408) 365-8396 95123 HOANG, TA, CHUONG - LAC LIGHT ACUPUNCTURE ACUPUNCTURE 14260 BEACH BLVD, WESTMINSTER, CA (714) 653-0367 92683 HOCK, STEPHANIE - OT UNITED THERAPY NETWORK OCCUPATIONAL THERAPY 10470 FOOTHILL BLVD STE 101, (909) 948-0411 INC RANCHO CUCAMONGA, CA 91730

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 280 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HOCK, STEPHANIE - OT UNITED THERAPY NETWORK OCCUPATIONAL THERAPY 1902 ROYALTY DR STE 220, POMONA, (909) 622-0006 INC CA 91767 HOCUTT, INA - PT MACIEJ MAJZEL DC PHYSICAL THERAPY 12660 RIVERSIDE DR STE 205, VALLEY (323) 934-0423 CHIROPRACTIC CORP VILLAGE, CA 91607 HODGELEGGE, MARCIA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 HODGES, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 HODGES, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 HODGES, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 HODGES, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 HODGES, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 HODGES, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 HODOSH, JUDY - AUD ADVANCED HEARING AUDIOLOGY 5525 ETIWANDA AVE STE C, TARZANA, (800) 598-5300 PROVIDERS LLC CA 91356 HOE, YEONG, HOE - LAC HEO HOE ACUPUNCTURE ACUPUNCTURE 6877 WESTON AVE, BUENA PARK, CA (714) 523-8000 90621 HOECK PHYSICAL THERAPY PHYSICAL THERAPY 3535 GENERAL ATOMICS CT STE 100, (858) 724-0392 SAN DIEGO, CA 92121-1140 HOFER, MARK A - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER HOFF, JASON M - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE HOFF, JASON M - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE HOFFMAN, DOUG - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 2531 CHESTER AVE , BAKERSFIELD, CA (661) 398-3813 PHYSICIANS PLAZA MEDICAL 93301 OFFICES HOFFMAN, HANNA - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 2180 W GRANT LINE RD, TRACY, CA (925) 463-0470 SPECIALISTS 95377 HOFFMAN, HANNA - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 HOFFMAN, HANNA - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 5601 NORRIS CANYON RD, SAN (925) 463-0470 SPECIALISTS RAMON, CA 94583 HOFFMAN, KARIN - OT WEST COAST SPINE OCCUPATIONAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 HOFFMAN, KARIN - OT WEST COAST SPINE OCCUPATIONAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 HOFFNER, RICHARD - MD EMERGENCY MEDICINE 4650 LINCOLN BLVD, MARINA DEL REY, (310) 823-8911 (BCC) CA 90292 HOFMEISTER, ERIC P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071 HOFMEISTER, ERIC P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE LOWER EXTREMITIES CA 92071 HOFMEISTER, ERIC P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE UPPER EXTREMITIES CA 92071 HOFMEISTER, ERIC P - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071 HOFMEISTER, ERIC P - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE EXTREMITIES CA 92071 HOFMEISTER, ERIC P - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 281 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HOFMEISTER, ERIC P - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE EXTREMITIES CA 92071 HOFMEISTER, ERIC P - MD CONCENTRA MEDICAL SPINE SURGERY 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071 HOGUE, JIMI, KIM - LAC OPTIMUM TOTAL CARE ACUPUNCTURE 18312 BEACH BLVD, HUNTINGTON (714) 842-9098 BEACH, CA 92648 HOHENTHANER, PETER - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 534 E PINE ST STE A, STOCKTON, CA (209) 463-5800 PHYSICAL AND 95204 OCCUPATIONAL HOJJATI, MEHRNAZ - MD (BCC) LOMA LINDA UNIVERSITY RHEUMATOLOGY 11370 ANDERSON ST FMO STE 3625, (800) 679-4642 HEALTH CARE – INTERNAL LOMA LINDA , CA 92354 MEDICINE SPECIALTIES GROUP HOKOKIAN, JOHN - DC HOKOKIAN CHIROPRACTIC CHIROPRACTIC MEDICINE 1543 W SHAW AVE, FRESNO, CA 93711 (559) 230-1102 HOLL, JONAS - AUD ADVANCED HEARING AUDIOLOGY 13215 E PENN ST STE 420, WHITTIER, (800) 598-5300 PROVIDERS LLC CA 90602 HOLLAND, JENNIFER - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 HOLLAND, JOHN - DC HOLLAND CHIROPRACTIC CHIROPRACTIC MEDICINE 355 S HARBOR BLVD, LA HABRA, CA (562) 694-8347 90631 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 860 WEST VALLEY PKWY STE 150, (760) 740-0707 CENTER - ESCONDIDO ESCONDIDO, CA 92025 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 860 WEST VALLEY PKWY STE 150, (760) 740-0707 CENTER - ESCONDIDO LOWER EXTREMITIES ESCONDIDO, CA 92025 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 860 WEST VALLEY PKWY STE 150, (760) 740-0707 CENTER - ESCONDIDO UPPER EXTREMITIES ESCONDIDO, CA 92025 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 860 WEST VALLEY PKWY STE 150, (760) 740-0707 CENTER - ESCONDIDO ESCONDIDO, CA 92025 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 860 WEST VALLEY PKWY STE 150, (760) 740-0707 CENTER - ESCONDIDO EXTREMITIES ESCONDIDO, CA 92025 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 860 WEST VALLEY PKWY STE 150, (760) 740-0707 CENTER - ESCONDIDO EXTREMITIES ESCONDIDO, CA 92025 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA 92562 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA LOWER EXTREMITIES 92562 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA UPPER EXTREMITIES 92562 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA 92562 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA EXTREMITIES 92562 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA EXTREMITIES 92562 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE LOWER EXTREMITIES CA 92056 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE UPPER EXTREMITIES CA 92056 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE EXTREMITIES CA 92056 HOLLAND, WILLIAM C - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE EXTREMITIES CA 92056 HOLLANDER, JOHN D - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 HOLLBLADFADIMA, KATERINA KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3900 LAKEVILLE HWY MOB 2, (707) 765-3800 Y - MD JOB OCCUPATIONAL HEALTH PETALUMA, CA 94954 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 282 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HOLLBLADFADIMA, KATERINA KAISER PERMANENTE ON THE PRIMARY TREATING 3900 LAKEVILLE HWY MOB 2, (707) 765-3800 Y - MD JOB OCCUPATIONAL HEALTH PHYSICIAN PETALUMA, CA 94954 CENTER HOLLENBECK, BRITTANY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY HOLLENBECK, BRITTANY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY HOLLENBECK, BRITTANY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY HOLLENBECK, BRITTANY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY HOLLOWAY, STACI - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 400 E SANTA BARBARA ST STE B, (805) 525-6402 SANTA PAULA, CA 93060 HOLLOWAY, STACI - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 5550 TELEGRAPH RD STE A, VENTURA, (805) 525-6402 CA 93003 HOLLSTEGGE, MICHAEL - PT RISE PHYSICAL THERAPY PHYSICAL THERAPY 380 STEVENS AVE STE 314, SOLANA (858) 755-5200 BEACH, CA 92075 HOLLSTEGGE, MICHAEL - PT RISE PHYSICAL THERAPY PHYSICAL THERAPY 6451 EL CAMINO REAL STE B2, (858) 755-5200 CARLSBAD, CA 92009 HOLLYWOOD PRESBYTERIAN PHARMACY 1300 N VERMONT AVE, LOS ANGELES, (323) 913-4989 MEDICAL CA 90027 HOLLYWOOD PRESBYTERIAN HOLLYWOOD PRESBYTERIAN ACUTE CARE HOSPITAL 1300 N VERMONT AVE, LOS ANGELES, (213) 413-3000 MEDICAL CENTER (BCC) MEDICAL CENTER CA 90027 HOLMAN, JEREMY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY HOLMES, BRUCE - DC HOLMES CHIROPRACTIC CHIROPRACTIC MEDICINE 225 S GLENOAKS BLVD, BURBANK, CA (818) 843-1919 CLINIC 91502 HOLMES, JEFF - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT ANKLE 95035 HOLMES, JEFF - MD CONCENTRA MEDICAL ORTHOPEDICS - ANKLE 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT 95035 HOLMES, JEFF - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT FOOT 95035 HOLMES, JEFF - MD CONCENTRA MEDICAL ORTHOPEDICS - FOOT 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT 95035 HOLT PHARMACY PHARMACY 1101 E HOLT AVE STE F, POMONA, CA (909) 620-1011 91767 HOLT, CAROL - AUD ADVANCED HEARING AUDIOLOGY 1140 SHAW AVE (SEARS), CLOVIS, CA (800) 598-5300 PROVIDERS LLC 93612 HOLT, CAROL - AUD ADVANCED HEARING AUDIOLOGY 420 N 11TH AVE STE 104, HANFORD , (800) 598-5300 PROVIDERS LLC CA 93230 HOLT, CAROL - AUD ADVANCED HEARING AUDIOLOGY 3558 G ST , MERCED, CA 95340 (800) 598-5300 PROVIDERS LLC HOLT, CAROL - AUD ADVANCED HEARING AUDIOLOGY 611 SCENIC DR STE A, MODESTO , CA (800) 598-5300 PROVIDERS LLC 95350 HOLT, CAROL - AUD ADVANCED HEARING AUDIOLOGY 722 MONO WAY, SONORA , CA 95370 (800) 598-5300 PROVIDERS LLC HOLT, SCOTT - AUD ADVANCED HEARING AUDIOLOGY 1260 A STREET STE 100, HAYWARD, CA (800) 598-5300 PROVIDERS LLC 94541 HOLTHAUS, AMY - PT FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 11960 HERITAGE OAK PL STE 19, (530) 878-5301 AUBURN, CA 95603 HOLTHAUS, AMY - PT FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 588 N SUNRISE AVE STE 100, (916) 782-7848 ROSEVILLE, CA 95661 HOLTZ, JONATHAN - PT FYZICAL THERAPY BALANCE PHYSICAL THERAPY 1200 41ST AVE STE H, CAPITOLA, CA (831) 346-6886 CENTER 95010 HOLTZMAN, DANIEL Y - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 283 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HOLVE, TAYLOR J - MD (BCC) SANSUM CLINIC - PUEBLO CARDIOVASCULAR DISEASE 301 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC (CARDIOLOGY) CA 93105 HOLY CROSS PHARMACY PHARMACY 11550 INDIAN HILLS RD, MISSION HILLS, (818) 898-1628 CA 91345 HOME CARE PHARMACY PHARMACY 1687 ERRINGER RD STE 101, SIMI (805) 527-9600 VALLEY, CA 93065 HOME CARE PHARMACY PHARMACY 450 E SPRING ST STE 11, LONG BEACH, (562) 933-2273 CA 90806 HOMES PHARMACY PHARMACY 9713 BASELINE RD, RANCHO (909) 989-8688 CUCAMONGA, CA 91730 HOMETOWN LTC PHARMACY PHARMACY 1450 W MCCOY LN STE B, SANTA (805) 928-2200 MARIA, CA 93455 HOMETOWN MEDICAL PHARMACY 1482 S BROADWAY STE A, SANTA (805) 322-3411 PHARMACY MARIA, CA 93454 HOMETOWN PHARMACY PHARMACY 414 N H ST, LOMPOC, CA 93436 (805) 922-7999 HOMMA, YOSHIO - DC YOSHIO HOMMA DC CHIROPRACTIC MEDICINE 430 E 2ND ST, LOS ANGELES, CA 90012 (213) 617-2228 HONDA, STEPHAN T - MD (BCC) BAYSIDE MEDICAL CENTER FAMILY MEDICINE 2301 W EL SEGUNDO BLVD, (323) 757-2118 HAWTHORNE, CA 90250 HONDA, STEPHAN T - MD (BCC) BAYSIDE MEDICAL CENTER PRIMARY TREATING 2301 W EL SEGUNDO BLVD, (323) 757-2118 PHYSICIAN HAWTHORNE, CA 90250 HONEY PHARMACY PHARMACY 7002 MOODY ST STE 106, LA PALMA, CA (562) 403-2332 90623 HONG'S PHARMACY PHARMACY 8883 WESTMINSTER AVE, GARDEN (714) 890-0331 GROVE, CA 92844 HONG, ARRON - MD ANESTHESIOLOGY 3330 LOMITA BLVD, TORRANCE, CA (310) 325-9110 90505 HONG, JOYCE - OT LA MESA REHAB OCCUPATIONAL THERAPY 8380 CENTER DR STE E, LA MESA, CA (619) 466-6077 91942 HONG, JU, EUY - ATC HOLISTIC HEALING HANDS INC ATHLETIC TRAINER 3153 LOS FELIZ BLVD, LOS ANGELES, (323) 913-0023 CA 90039 HONG, JUNGRAK - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1149 W 190TH ST , GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE HONG, JUNGRAK - MD CONCENTRA MEDICAL PRIMARY TREATING 1149 W 190TH ST , GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE PHYSICIAN HONG, JUSTIN - OT RYU PHYSICAL THERAPY OCCUPATIONAL THERAPY 520 S VIRGIL AVE UNIT 201, LOS (213) 365-0023 ANGELES, CA 90020 HONG, KENNETH - DC HONG CHIROPARCTIC CHIROPRACTIC MEDICINE 556 W VALLEY BLVD, COLTON, CA (909) 824-1234 92324 HONG, PATRICIA S - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL REHABILITATION PARK, CA 91706 CENTER HONG, SENG, WAN - LAC INGLEWOOD ACUPUNCTURE ACUPUNCTURE 133 NORTH PRAIRIE AVE, INGLEWOOD, (424) 423-9730 CENTER CA 90301 HONG, STEPHANIE, HONG - PT BODY DYNAMIX INTEGRATED PHYSICAL THERAPY 18344 OXNARD ST STE 104, TARZANA, (818) 783-4085 SPORTS MEDICINE CA 91356 HONG, YUN - LAC REVIVE ACUPUNCTURE INC ACUPUNCTURE 43353 MISSION BLVD STE B, FREMONT, (510) 438-0128 CA 94539 HONOLULU PHARMACY PHARMACY 450-452 S CENTRAL AVE, GLENDALE, (818) 242-2233 CA 91204 HONSA, DIANA - PT PALM DESERT PHYSICAL PHYSICAL THERAPY 77622 COUNTRY CLUB DR STE G, PALM (760) 345-3087 THERAPY DESERT, CA 92211 HOON, YOON, HAENG - LAC OMC ACUPUNCTURE CENTER ACUPUNCTURE 3425 E 1ST ST STE 123A, LOS (714) 833-7558 ANGELES, CA 90063 HOOSSEINKHANI, FARANAK - NEW AGE PHYSICAL THERAPY PHYSICAL THERAPY 6221 WILSHIRE BLVD STE 620, LOS (818) 405-8698 PT ANGELES, CA 90048 HOPE BY THE SEA (BCC) HOPE BY THE SEA CHEMICAL DEPENDENCY 31907 DEL OBISPO ST APT B, SAN JUAN (949) 218-2690 REHABILITATION HOSPITAL CAPISTRANO, CA 92675 (INPATIENT) HOPE BY THE SEA INC (BCC) HOPE BY THE SEA INC CHEMICAL DEPENDENCY 33171 PASEO CERVEZA, SAN JUAN (949) 218-2690 REHABILITATION CENTER CAPISTRANO, CA 92675 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 284 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HOPE BY THE SEA INC (BCC) HOPE BY THE SEA INC CHEMICAL DEPENDENCY 28371 VIA ANZAR, SAN JUAN (949) 218-2690 REHABILITATION HOSPITAL CAPISTRANO, CA 92675 (INPATIENT) HOPE PHARMACY PHARMACY 10222 RESEDA BLVD, NORTHRIDGE, CA (818) 832-2757 91324 HOPE PHARMACY PHARMACY 420 HEFFRNAN AVE STE A, CALEXICO, (760) 357-9500 CA 92231 HOPE PHARMACY PHARMACY 31150 TEMECULA PKWY, TEMECULA, (951) 302-3111 CA 92592 HOPE SPECIALTY PHARMACY PHARMACY 330 N BRAND BLVD STE 155, (800) 557-5555 GLENDALE, CA 91203 HOPE SPECIALTY PHARMACY PHARMACY 330 N BRAND BLVD STE 155, (800) 557-5555 GLENDALE, CA 91203 HOPKINS, ASHLEE - OT CALIFORNIA HAND OCCUPATIONAL THERAPY 3273 CLAREMONT WAY STE 204, NAPA, (707) 259-1152 REHABILITATION CA 94558 HOPKINS, GAIL - MD (BCC) SPINE SURGERY 4234 RIVERWALK PKWY STE 200, (909) 912-1750 RIVERSIDE, CA 92505 HOPKINS, GAIL - MD (BCC) SPINE SURGERY 8805 HAVEN AVE STE 100, RANCHO (909) 912-1750 CUCAMONGA, CA 91730 HOPKINS, GAIL -MD (BCC) SPINE SURGERY 1901 W LUGONIA AVE STE 310, (909) 557-1600 REDLANDS, CA 92374 HORIE, MARIKO - LAC MARIKO HORIE LAC ACUPUNCTURE 504 N STATE COLLEGE BLVD, (714) 450-2550 ANAHEIM, CA 92806 HORIZONS PHARMACY PHARMACY 15951 LOS GATOS BLVD STE 12, LOS (408) 560-9720 SERVICES GATOS, CA 95032 HORN, LAWRENCE - DPM KAISER PERMANENTE PODIATRY 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 KNEE CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 SHOULDER CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS HAND SURGERY 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 WRIST CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 ELBOW CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 UPPER EXTREMITIES CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 LOWER EXTREMITIES CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS SPORTS MEDICINE 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS PRIMARY TREATING 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 PHYSICIAN CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - KNEE 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - HIP 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - SHOULDER 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - HAND 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - WRIST 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - ELBOW 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - UPPER 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 EXTREMITIES CA 93033 HORN, THOMAS J - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - LOWER 3525 LOMA VISTA RD STE A , VENTURA, (805) 641-6415 EXTREMITIES CA 93033

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 285 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HORNAK, TIMOTHY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 HORNAK, TIMOTHY - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 1632 PUENTE AVE, BALDWIN PARK, CA (626) 430-2300 SPORTS THERAPY 91706 HORNER, GREGORY - MD CONCENTRA MEDICAL HAND SURGERY 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT OAKLAND, CA 94621 HORNER, GREGORY - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT OAKLAND, CA 94621 HORNER, HEATHER - AUD ADVANCED HEARING AUDIOLOGY 6727 FLANDERS DR STE 114, SAN (800) 598-5300 PROVIDERS LLC DIEGO, CA 92121 HOROWITZ, JOEL - DC HOROWITZ CHIROPRACTIC CHIROPRACTIC MEDICINE 1061 SAN PABLO AVE STE A, PINOLE, (510) 724-9760 CA 94564 HORRIGAN, JOSEPH M - DC SOUTHERN CALIFORNIA CHIROPRACTIC MEDICINE 16200 AMBER VALLEY DR, WHITTIER, (562) 943-7125 (BCC) UNIVERSITY HEALTH SYSTEM CA 90604 TACTICAL SPORTS MEDICINE HORSLEY, JOHN - PT RESTOR PHYSICAL THERAPY PHYSICAL THERAPY 351 HOSPITAL RD STE 007, NEWPORT (949) 525-9995 BEACH, CA 92663 HORSNYDER PHARMACY PHARMACY 1226 SOQUEL AVE STE A, SANTA CRUZ, (831) 423-2315 CA 95062 HORTON AND CONVERSE PHARMACY 8631 W THIRD ST, LOS ANGELES, CA (310) 659-6111 PHARMACY 90048 HORTON AND CONVERSE PHARMACY 10250 SANTA MONICA BLVD, LOS (310) 557-2332 PHARMACY ANGELES, CA 90067 HORTON AND CONVERSE PHARMACY 9201 SUNSET BLVD, LOS ANGELES, CA (323) 272-0488 PHARMACY 90069 HORTON AND CONVERSE PHARMACY 11600 WILSHIRE BLVD, WEST LOS (310) 478-0801 PHARMACY ANGELES, CA 90025 HORTON AND CONVERSE PHARMACY 2001 SANTA MONICA BLVD, SANTA (310) 829-3401 PHARMACY MONICA, CA 90404 HORVET, BRUCE - DC BRUCE EDWARD HORVET DC CHIROPRACTIC MEDICINE 14427 CHASE ST STE 202, PANORAMA (818) 703-7850 CITY, CA 91402 HORVET, BRUCE - DC BRUCE EDWARD HORVET DC CHIROPRACTIC MEDICINE 6400 CANOGA AVE STE 101B, (818) 703-7850 WOODLAND HILLS, CA 91367 HOSHIKO, ERIC - PT FUNCTION ACTION PHYSICAL PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 THERAPY CA 93612 HOSPICARE PHARMACY PHARMACY 16525 SHERMAN WAY, VAN NUYS, CA (818) 786-3110 91406 HOU, CRAIG E - MD KAISER PERMANENTE SO SAN NEUROLOGY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 HOU, TINA, SHUHONG - LAC UNITED UNIVERSITY CLINIC ACUPUNCTURE 480 APOLLO ST STE C, BREA, CA 92821 (909) 628-1955 HOU, TINA, SHUHONG - LAC UNITED UNIVERSITY CLINIC ACUPUNCTURE 620 ALABAMA ST, REDLANDS, CA 92373 (909) 792-4434 HOUSE, JOHN - MD OTOLARYNGOLOGY (ENT) 2100 WEST 3RD STREET, LOS (213) 483-9930 ANGELES, CA 90057 HOUSEHOLDER, II, BRUCE - DC PRIME PHYSICAL THERAPY CHIROPRACTIC MEDICINE 1220 W OLIVE AVE, BURBANK, CA 91506 (714) 738-1888 HOUSTON, MARJORIE - AUD ADVANCED HEARING AUDIOLOGY 325 W 3RD AVE STE 170, ESCONDIDO, (800) 598-5300 PROVIDERS LLC CA 92025 HOUSTON, MICHAEL - DC TOTAL CARE MEDICAL GROUP CHIROPRACTIC MEDICINE 1080 N IRWIN ST, HANFORD, CA 93230 (559) 582-2684 INC HOVEY, DOUGLAS - OT SANTA MONICA HAND OCCUPATIONAL THERAPY 2001 WILSHIRE BLVD STE 310, SANTA (310) 829-3320 THERAPY INC MONICA, CA 90403 HOVEY, DOUGLAS - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 2888 LONG BEACH BLVD STE 405, (562) 595-4489 SPORTS THERAPY LONG BEACH, CA 90806 HOVSEPIAN, PAUL - MD (BCC) CARDIOVASCULAR DISEASE 1024 S GARFIELD AVE, ALHAMBRA, CA (626) 872-6215 (CARDIOLOGY) 91801 HOWARD DRUGS PHARMACY 20141 PIONEER BLVD, LAKEWOOD, CA (562) 866-5795 90715 HOWARD PHARMACY PHARMACY 3 MARCELA DR STE B, WILLITS, CA (707) 456-3005 95490 HOWARD, BENJAMIN M - MD SANSUM CLINIC - PUEBLO GENERAL SURGERY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC CA 93105

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 286 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HOWARD, FRANK D - MD (BCC) LOMA LINDA UNIVERSITY HEMATOLOGY AND 11234 ANDERSON ST SP RM A600, (800) 679-4642 HEALTH CARE - ONCOLOGY LOMA LINDA, CA 92354 HEMATOLOGY/ONCOLOGY DEPT FP&S HOWE, YING - LAC ALL WELLNESS NOW ACUPUNCTURE 720 MAGNOLIA AVE STE B3, CORONA, (951) 371-8888 ACUPUNCTURE CA 92879 HSIEH, RAYMOND - MD (BCC) PAIN CARE OF SILICON PAIN MANAGEMENT 2101 FOREST AVE STE 220A, SAN JOSE (408) 295-8628 VALLEY , CA 95128 HSIEH, YUHUA - LAC DR H 123 CLINIC ACUPUNCTURE 1612 W BURBANK BLVD, BURBANK, CA (818) 841-1313 ACUPUNCTURE 91789 HSU, ALAN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 39400 PASEO PADRE PARKWAY (510) 248-3015 JOB OCCUPATIONAL HEALTH MISSION BLDG, FREMONT, CA 94538 CENTER HSU, ALAN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 39400 PASEO PADRE PARKWAY (510) 248-3015 JOB OCCUPATIONAL HEALTH PHYSICIAN MISSION BLDG, FREMONT, CA 94538 CENTER HSU, ANDREW S - MD (BCC) SOUTH BAY SURGICAL GENERAL SURGERY 480 4TH AVE STE 404 , CHULA VISTA , (619) 425-5184 ASSOCIATES MEDICAL GROUP CA 91910 INC HSU, BRADFORD T - MD (BCC) SOUTH BAY SURGICAL GENERAL SURGERY 480 4TH AVE STE 404 , CHULA VISTA , (619) 425-5184 ASSOCIATES MEDICAL GROUP CA 91910 INC HSU, CHIACHEN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER HSU, CHIACHEN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER HSU, DANIEL T - DO KAISER PERMANENTE ON THE INTERNAL MEDICINE 3555 WHIPPLE RD BLDG A, UNION CITY, (510) 675-4807 JOB OCCUPATIONAL HEALTH CA 94587 CENTER HSU, DANIEL T - DO KAISER PERMANENTE ON THE INTERNAL MEDICINE 39400 PASEO PADRE PARKWAY (510) 248-3015 JOB OCCUPATIONAL HEALTH MISSION BLDG, FREMONT, CA 94538 CENTER HSU, JEFFREY H - MD KAISER PERMANENTE VASCULAR SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER HSU, PHILIP T - MD KAISER PERMANENTE DERMATOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER HSU, RICHARD - LAC ALTERNATIVE MEDICAL ACUPUNCTURE 2343 HUNTINGTON DR, SAN MARINO, (626) 590-5577 CLINICDEOK H AHN CA 91108 HSU, SHIH, WEI - LAC PACIFIC ACUPUNCTURE ACUPUNCTURE 34700 PACIFIC COAST HWY STE 308, (949) 489-1911 CENTER CAPISTRANO BEACH, CA 92624 HSU, WEI - LAC WEI HSU LAC ACUPUNCTURE 1058 LINCOLN AVE, SAN JOSE, CA (408) 275-6622 95125 HSUEH, CHI, CHU - LAC KAN SAI HEALTH CENTER INC ACUPUNCTURE 953 W 7TH ST, OXNARD, CA 93030 (805) 483-6129 HSUEH, CHUNG T - MD (BCC) LOMA LINDA UNIVERSITY HEMATOLOGY AND 11234 ANDERSON ST SP RM A600, (800) 679-4642 HEALTH CARE - ONCOLOGY LOMA LINDA, CA 92354 HEMATOLOGY/ONCOLOGY DEPT FP&S HU, ALLAN - LAC ADVANCED ACUPUNCTURE ACUPUNCTURE 622 W DUARTE RD STE 204, ARCADIA, (626) 462-9821 ARCADIA CA 91007 HU, CATHRYN - LAC ADVANCED ACUPUNCTURE ACUPUNCTURE 622 W DUARTE RD STE 204, ARCADIA, (626) 462-9821 ARCADIA CA 91007 HU, PATRICK P - MD (BCC) RIVERSIDE MEDICAL CLINIC - CARDIOVASCULAR DISEASE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE (CARDIOLOGY) 92506 HU, PEARL Y - MD KAISER PERMANENTE ON THE ORTHOPEDICS 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER HUA, WU, MING - LAC ONENESS ACUPUNCTURE ACUPUNCTURE 350 VINTON AVE STE 102, POMONA, CA (909) 620-0101 HEALING 91767 HUANG, ALLEN C - MD (BCC) CASA COLINA HOSPITAL FOR PHYSICAL MEDICINE & 255 E BONITA AVE , POMONA, CA (909) 450-0158 REHABILITATION REHABILITATION 91767

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 287 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HUANG, ANITA, (YUANYI) - LAC ANITA HUANG ACUPUNCTURE 101 N EL CAMINO REAL STE 4, SAN (650) 342-8880 MATEO, CA 94401 HUANG, BARRY - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 HUANG, BARRY - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN HUANG, BARRY P - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 CENTER - AIRPORT LAX ANGELES, CA 90045 HUANG, BARRY P - MD CONCENTRA MEDICAL PRIMARY TREATING 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 CENTER - AIRPORT LAX PHYSICIAN ANGELES, CA 90045 HUANG, DERHOW, JOSHUA - REPAIR NB PHYSICAL PHYSICAL THERAPY 2013 NEWPORT BLVD, COSTA MESA, (714) 377-4314 PT THERAPY CORP CA 92627 HUANG, GRACE W - DO (BCC) DESERT CARE NETWORK - CARDIOVASCULAR DISEASE 1180 N INDIAN CANYON DR STE E205, (714) 428-6711 PRIMARY AND SPECIALTY (CARDIOLOGY) PALM SPRINGS, CA 92262 CARE HUANG, STEVE Y - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL ANGELES, CA 90027 CENTER HUANG, STEVE Y - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL PHYSICIAN ANGELES, CA 90027 CENTER HUANG, STEVE Y - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 JOB LOS ANGELES MEDICAL CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 HUANG, STEVE Y - MD KAISER PERMANENTE ON THE PRIMARY TREATING 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 JOB LOS ANGELES MEDICAL PHYSICIAN CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 HUANG, WEI - PT WELLNESS PHYSICAL PHYSICAL THERAPY 1208 S GARFIELD AVE, ALHAMBRA, CA (626) 282-1218 THERAPY CENTER 91801 HUANG, WILLIAM A - MD (BCC) GLENDALE INTERNAL CARDIOVASCULAR DISEASE 500 N CENTRAL AVE , GLENDALE, CA (818) 242-4191 MEDICINE AND CARDIOLOGY (CARDIOLOGY) 91203 MEDICAL GROUP INC HUANG, YUCHING - PT REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 741 S ORANGE AVE STE 200, WEST (626) 338-7392 DBA SAMIMI ORTHOPAEDIC COVINA, CA 91790 GROUP HUANG, YUHWEN - LAC PARAMOUNT ACUPUNCTURE ACUPUNCTURE 11618 SOUTH ST STE 214, ARTESIA, CA (562) 660-3000 CLINIC 90701 HUATOY CONSULTING & PHYSICAL THERAPY 25 S RAYMOND AVE STE 100, (626) 818-0616 THERAPY, INC. ALHAMBRA, CA 91801-7101 HUBBARD PHARMACY PHARMACY 2012 GLENOAKS BLVD, SAN (818) 639-0173 FERNANDO, CA 91340 HUBBARD, JASON - PT HAYASHIDA ASSOCIATES PHYSICAL THERAPY 319 ANACAPA ST, SANTA BARBARA, CA (805) 898-1907 PHYSICAL THERAPY INC 93101 HUBBARD, JEFFREY - RPT HEALTHPOINTE MEDICAL PHYSICAL THERAPY 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 (BCC) GROUP INC 92324 HUBBART, JASON - PT FITZPATRICK PHYSICAL PHYSICAL THERAPY 1252 BROADWAY STE B, PLACERVILLE, (530) 622-9410 THERAPY CA 95667 HUBBI, SAMAR - DDS ABRI DENTAL CORP ENDODONTICS 3808 RIVERSIDE DR STE 501, (844) 346-3337 BURBANK, CA 91505 HUBBI, SAMAR - DDS ABRI DENTAL CORP ENDODONTICS 50 N LA CIENEGA BLVD STE 217, (844) 346-3337 BEVERLY HILLS, CA 90211 HUBBI, SAMAR - DDS ABRI DENTAL CORP ENDODONTICS 23333 CINEMA DR STE 190, VALENCIA, (844) 346-3337 CA 91355 HUDSON & WALKER PHYSICAL PHYSICAL THERAPY 16018 TUSCOLA RD STE 6, APPLE (760) 242-8672 THERAPY VALLEY, CA 92307-1329 HUDSON & WALKER PHYSICAL PHYSICAL THERAPY 2131 ELKS DR STE 102, SAN (909) 886-1212 THERAPY BERNARDINO, CA 92404-5571 HUENEME FAMILY PHARMACY PHARMACY 261 E PORT HUENEME RD, PORT (805) 488-8200 HUENEME, CA 93041 HUETTE, JOHN - DO (BCC) HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 HUETTE, JOHN - DO (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC PHYSICIAN TEMECULA, CA 92590

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 288 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HUETTE, JOHN - DO (BCC) HEALTHPOINTE MEDICAL GENERAL PRACTICE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 HUFFMAN, DIANA - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 HUGHES, DONALD - LAC DONALD HUGHES LAC ACUPUNCTURE 3179 COLLEGE AVE UNIT 4, BERKELEY, (510) 923-0079 CA 94705 HUGHES, KEVIN - PT CORNERSTONE PHYSICAL PHYSICAL THERAPY 7145 N CHESTNUT AVE STE 105, (559) 299-2244 THERAPY FRESNO, CA 93720 HUGHES, MICHAEL - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 HUGHES, REGINA - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 HUGHES, RICHARD - MD (BCC) OCCUPATIONAL MEDICINE 1300 N KRAEMER BLVD, ANAHEIM, CA (714) 630-6363 92806 HUGHEY, STEVIE - PT CENTRAL VALLEY PHYSICAL PHYSICAL THERAPY 2401 W TURNER RD STE 250, LODI, CA (209) 334-2224 THERAPY 95242 HUH, KI, YOUNG - LAC RIVERSIDE FAMILY ACUPUNCTURE 5432 ARLINGTON AVE, RIVERSIDE, CA (951) 703-5282 ACUPUNCTURE 92504 HUH, MISSIE - PT WHITE BLOSSOM CARE PHYSICAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 HUHN, ROBERT - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 HUI, ISABEL - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 HUI, ISABEL - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 1632 PUENTE AVE, BALDWIN PARK, CA (626) 430-3995 SPORTS THERAPY 91706 HUI, ISABEL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 1809 E DYER RD STE 313, SANTA ANA, (888) 734-2280 SPORTS REHAB MAIN CA 92705 HUI, JENNIFER I - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 HUI, JENNIFER I - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 LLUSM BEAUMONT, CA 92223 HULME, KRISTINE - PTA CALIFORNIA EMERGENCY PHYSICAL THERAPY 554 BLOSSOM HILL RD, SAN JOSE, CA (408) 281-2772 PHYSICIANS DBA SAMARITAN 95123 MEDICAL CARE CENTER HUMBOLDT HAND & FOOT PHYSICAL THERAPY 1587 MYRTLE AVE, EUREKA, CA (707) 441-1931 THERAPY INC. 95501-1453 HUMBOLDT HOME INFUSION PHARMACY 2612 HARRISON AVE, EUREKA, CA (707) 269-4258 PROGRAM 95501 HUMPHRIES, BRUCE - DC CHIROPRACTIC SPORTS AND CHIROPRACTIC MEDICINE 1399 W COLTON AVE STE 9, (909) 793-9787 INJURY CENTER REDLANDS, CA 92374 HUNG JEN PHARMACY PHARMACY 1336 W VALLEY BLVD STE B, (626) 571-2928 ALHAMBRA, CA 91803 HUNT PHYSICAL THERAPY PHYSICAL THERAPY 447 BURCHETT ST, GLENDALE, CA (818) 244-0468 91203 HUNT, LINDA - MD (BCC) PRIMARY TREATING 2080 NEWBURY RD STE B, NEWBURY (805) 499-0308 PHYSICIAN PARK, CA 91320 HUNT, LINDA - MD (BCC) GENERAL PRACTICE 2080 NEWBURY RD STE B, NEWBURY (805) 499-0308 PARK, CA 91320 HUNT, TONY S - MD CONCENTRA MEDICAL FAMILY MEDICINE 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623 HUNT, TONY S - MD CONCENTRA MEDICAL PRIMARY TREATING 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA PHYSICIAN CA 90623 HUNTER, CHARLES - MD (BCC) SURGERY 201 S ALVARADO ST STE 716, LOS (213) 484-2000 ANGELES, CA 90057 HUNTER, LAUREN - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 2923 WEBSTER ST STE 202, OAKLAND, (925) 627-5000 MANAGEMENT CA 94609 HUNTER, LAUREN - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 999 N TUSTIN AVE STE 201, SANTA (925) 691-9806 MANAGEMENT ANA, CA 92705 HUNTER-GALBRAITH, CARLA - CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 MD CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 289 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HUNTER-GALBRAITH, CARLA - CONCENTRA MEDICAL PRIMARY TREATING 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 MD CENTER - SOUTH SAN PHYSICIAN FRANCISCO, CA 94080 FRANCISCO HUNTINGTON AMBULATORY AMBULATORY SURGERY 625 S FAIR OAKS AVE STE 380, (626) 229-8999 SURGERY CENTER LLC CENTER PASADENA, CA 91105 HUNTINGTON MEMORIAL HUNTINGTON MEMORIAL ACUTE CARE HOSPITAL 100 W CALIFORNIA BLVD, PASADENA, (626) 397-5139 HOSPITAL (BCC) HOSPITAL CA 91105 HURLEY, MARY E - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER HURLEY, SUSAN - OT HI DESERT PHYSICAL OCCUPATIONAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 HURLEY, SUSAN - OT HI DESERT PHYSICAL OCCUPATIONAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277 HUROWITZ, ELI J - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 HUROWITZ, ELI J - MD CONCENTRA MEDICAL PRIMARY TREATING 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL PHYSICIAN CA 94107 HURSON, JONH - LAC ACUPUNCTURE OF AMERICA ACUPUNCTURE 18822 BEACH BLVD STE 106, (657) 845-4973 HUNTINGTON BEACH, CA 92648 HURST PHYSICAL THERAPY PHYSICAL THERAPY 1111 W HOBSONWAY, BLYTHE, CA (760) 922-8400 92225-1421 HURST, DEBORAH, THOMPSON HURST PHYSICAL THERAPY PHYSICAL THERAPY 1111 W HOBSONWAY, BLYTHE, CA (760) 922-8400 - PT 92225 HURST, LAWRENCE, HOSMER - HURST PHYSICAL THERAPY PHYSICAL THERAPY 1111 W HOBSONWAY, BLYTHE, CA (760) 922-8400 PT 92225 HURVITZ, GRAHAM - MD (BCC) ORTHOPEDIC SURGERY - HIP 2936 DE LA VINA ST 1 FL, SANTA (805) 963-2729 BARBARA, CA 93105 HURVITZ, GRAHAM - MD (BCC) ORTHOPEDIC SURGERY - 2936 DE LA VINA ST 1 FL, SANTA (805) 963-2729 KNEE BARBARA, CA 93105 HURVITZ, GRAHAM - MD (BCC) ORTHOPEDIC SURGERY - 2936 DE LA VINA ST 1 FL, SANTA (805) 963-2729 SHOULDER BARBARA, CA 93105 HURVITZ, GRAHAM - MD (BCC) ORTHOPEDICS - HIP 2936 DE LA VINA ST 1 FL, SANTA (805) 963-2729 BARBARA, CA 93105 HURVITZ, GRAHAM - MD (BCC) ORTHOPEDICS - KNEE 2936 DE LA VINA ST 1 FL, SANTA (805) 963-2729 BARBARA, CA 93105 HURVITZ, GRAHAM - MD (BCC) ORTHOPEDICS - SHOULDER 2936 DE LA VINA ST 1 FL, SANTA (805) 963-2729 BARBARA, CA 93105 HUSAIN, ADEEL - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 15325 FAIRFIELD RANCH RD STE 150, (909) 557-1668 PHYSICIAN CHINO HILLS , CA 91709 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 8805 HAVEN AVE STE 200, RANCHO (909) 557-1650 PHYSICIAN CUCAMONGA, CA 91730 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 15325 FAIRFIELD RANCH RD STE 150, (909) 557-1668 CHINO HILLS , CA 91709 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 8805 HAVEN AVE STE 200, RANCHO (909) 557-1650 CUCAMONGA, CA 91730 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 15325 FAIRFIELD RANCH RD STE 150, (909) 557-1668 CHINO HILLS , CA 91709 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 8805 HAVEN AVE STE 200, RANCHO (909) 557-1650 CUCAMONGA, CA 91730 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15325 FAIRFIELD RANCH RD STE 150, (909) 557-1668 ELBOW CHINO HILLS , CA 91709 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15325 FAIRFIELD RANCH RD STE 150, (909) 557-1668 KNEE CHINO HILLS , CA 91709 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15325 FAIRFIELD RANCH RD STE 150, (909) 557-1668 SHOULDER CHINO HILLS , CA 91709 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - KNEE 15325 FAIRFIELD RANCH RD STE 150, (909) 557-1668 CHINO HILLS , CA 91709 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 15325 FAIRFIELD RANCH RD STE 150, (909) 557-1668 CHINO HILLS , CA 91709 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 8805 HAVEN AVE STE 200, RANCHO (909) 557-1650 ELBOW CUCAMONGA, CA 91730

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 290 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 8805 HAVEN AVE STE 200, RANCHO (909) 557-1650 KNEE CUCAMONGA, CA 91730 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 8805 HAVEN AVE STE 200, RANCHO (909) 557-1650 SHOULDER CUCAMONGA, CA 91730 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - KNEE 8805 HAVEN AVE STE 200, RANCHO (909) 557-1650 CUCAMONGA, CA 91730 HUSAIN, ASGHAR - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 8805 HAVEN AVE STE 200, RANCHO (909) 557-1650 CUCAMONGA, CA 91730 HUSSAIN, SYED N - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PF STE 108A, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S HUSSAIN, SYED N - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 603 E LATHAM AVE , HEMET, CA 92543 (800) 679-4642 HEALTH CARE - NEUROSURGERY DEPT FP&S HUSSAIN, SYED N - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 HEALTH CARE - CA 92563 NEUROSURGERY DEPT FP&S HUTCHINS, CONSTANCE - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY HUTCHINSON, BRIAN K - MD KAISER PERMANENTE WEST ORTHOPEDICS 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER HUTTO, LAURA - PT PENINSULA SPORTS MEDICINE PHYSICAL THERAPY 2945 JUNIPERO SERRA BLVD, DALY (650) 784-1349 AND REHAB CENTER CITY, CA 94014 HUX, CHRISTOPHER - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 201 S EL CAMINO REAL STE A, (760) 274-1671 ENCINITAS, CA 92024 HUYNH, ALISSA - LAC PRIME PHYSICAL THERAPY ACUPUNCTURE 5110 WESTMINSTER AVE STE K, SANTA (714) 738-1888 ANA, CA 92703 HUYNH, ANTHONY A - OD ATLANTIS EYECARE OPTOMETRY 5991 E SPRING ST , LONG BEACH, CA (562) 938-9945 (BCC) 90808 HUYNH, ANTHONY A - OD ATLANTIS EYECARE OPTOMETRY 8028 3RD ST , DOWNEY, CA 90241 (562) 622-8700 (BCC) HUYNH, KYLE - MD (BCC) VENTURA EYE INSTITUTE INC OPHTHALMOLOGY 3801 LAS POSAS RD STE 112, (805) 388-1211 CAMARILLO , CA 93010 HUYNH, REBECCA - AUD ADVANCED HEARING AUDIOLOGY 3525 PACIFIC COAST HIGHWAY STE N, (800) 598-5300 PROVIDERS LLC TORRANCE, CA 90505 HUYNH, ROSALIE - AUD ADVANCED HEARING AUDIOLOGY 302 W LA VETA AVE STE 268, (800) 598-5300 PROVIDERS LLC ORANGE, CA 92866 HV PHARMACY PHARMACY 22641 LAKE FOREST DR, LAKE FOREST, (949) 457-2246 CA 92630 HWAN, YUN, SUNG - LAC HANGUL ACUPUNCTURE INC ACUPUNCTURE 7860 IMPERIAL HWY STE A, DOWNEY, (562) 869-8877 CA 90242 HWANG, DAVID - DC HWANG DAVID DC CHIROPRACTIC MEDICINE 268 LOMBARD ST STE B, THOUSAND (805) 777-9277 OAKS, CA 91360 HWANG, FRANK S - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 HWANG, FRANK S - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 HWANG, FRANK S - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 LLUSM BEAUMONT, CA 92223 HWANG, HA, LYOUNG - LAC HA LYOUNG HWANG ACUPUNCTURE 1370 ROSECRANS ST STE C, SAN (619) 866-1414 ACUPUNCTURE INC DIEGO, CA 92106 HWANG, HOJUN - LAC HOJUN HWANG LAC DBA EAST ACUPUNCTURE 100 O'CONNOR DRIVE STE 31, SAN (408) 295-7380 WEST CHIROPRACTIC JOSE, CA 95128 ACUPUNCTURE CLINIC HWANG, HOJUN - LAC HOJUN HWANG LAC DBA EAST ACUPUNCTURE 41255 FREMONT BLVD STE 101, (510) 623-7004 WEST CHIROPRACTIC FREMONT, CA 94538 ACUPUNCTURE CLINIC HWANG, IL, HOON - LAC EL CENTRO ACUPUNCTURE ACUPUNCTURE 1121 S 4TH ST STE A, EL CENTRO, CA (760) 370-0516 92243 HWANG, JAMES C - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 291 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone HWANG, JAMES C - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 HWANG, JIMIN - DC KIM LEE CHIROPRACTIC CHIROPRACTIC MEDICINE 3661 TORRANCE BLVD STE 201, (949) 872-8761 ACUPUNCTURE TORRANCE, CA 90503 CORPORATION DBA ADVANCED SPINE PAIN CENTER HWANG, JIMIN - LAC AFFINITY ACUPUNCTURE ACUPUNCTURE 22481 EL TORO RD STE D, LAKE (949) 872-8761 FOREST, CA 92630 HWANG, MATTHEW W - MD KAISER PERMANENTE GENERAL SURGERY 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 HWANG, MATTHEW W - MD KAISER PERMANENTE SPINE SURGERY 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 HWANG, MICHAEL M - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER HYEUK, KWON, SANG - LAC SANG H KWON DBA BUENO ACUPUNCTURE 10933 VALLEY MALL UNIT D7, EL (626) 442-1321 ACUPUNCTURE CLINIC MONTE, CA 91731 HYGEIA LTC PHARMACY PHARMACY 786 MONTEREY PASS RD, MONTEREY (323) 263-4939 PARK, CA 91754 HYMAN, MICHAEL J - MD (BCC) UROLOGY 16311 VENTURA BLVD STE 800, (818) 906-1300 ENCINO, CA 91436 HYMAN, RICHARD M - MD (BCC) CARDIOVASCULAR DISEASE 1125 E 17TH ST STE E-218, SANTA ANA , (310) 207-3320 (CARDIOLOGY) CA 92701 HYMAN, RICHARD M - MD (BCC) CARDIOVASCULAR DISEASE 11645 WILSHIRE BLVD STE 825, LOS (310) 207-3320 (CARDIOLOGY) ANGELES, CA 90025 HYMAN, RICHARD M - MD (BCC) CARDIOVASCULAR DISEASE 12115 PARAMOUNT BLVD , DOWNEY, (310) 207-3320 (CARDIOLOGY) CA 90242 HYMAN, RICHARD M - MD (BCC) CARDIOVASCULAR DISEASE 300 E ESPLANADE DR STE 420, (310) 207-3320 (CARDIOLOGY) OXNARD, CA 93036 HYMAN, RICHARD M - MD (BCC) CARDIOVASCULAR DISEASE 408 N NEVADA ST, OCEANSIDE, CA (310) 207-3320 (CARDIOLOGY) 92054 HYMAN, RICHARD M - MD (BCC) CARDIOVASCULAR DISEASE 6700 INDIANA AVE #145 , RIVERSIDE, (310) 207-3320 (CARDIOLOGY) CA 92506 HYMAN, RICHARD M - MD (BCC) CARDIOVASCULAR DISEASE 790 W AVENUE Q , PALMDALE, CA (310) 207-3320 (CARDIOLOGY) 93551 HYMES, JAYSON - MD (BCC) CONSERVATIVE CARE ADDICTION MEDICINE 5901 W OLYMPIC BLVD STE 204, LOS (818) 781-6684 SPECIALTY MEDICAL GROUP ANGELES, CA 90036 HYMES, JAYSON A - MD (BCC) CONSERVATIVE CARE PAIN MANAGEMENT 6815 NOBLE AVE STE 105, VAN NUYS, (818) 781-6684 SPECIALTY MEDICAL GROUP CA 91405 HYODONG, JEONG - LAC NOAH ACUPUNCTURE ACUPUNCTURE 2897 W OLYMPIC BLVD STE 202, LOS (213) 257-6542 ANGELES, CA 90006 HYODONG, JEONG - LAC NOAH ACUPUNCTURE ACUPUNCTURE 9047 E FLORENCE AVE STE L, (213) 257-6542 DOWNEY, CA 90240 HYUN, KIM, SO - LAC HOPE ACUPUNCTURE ACUPUNCTURE 421 N BROOKHURST ST STE 119, (213) 379-0958 ANAHEIM, CA 92801 HYUNDAI DRUGS PHARMACY 461 S WESTERN AVE, LOS ANGELES, (213) 480-3322 CA 90020 HYUNSOOK, CATHERINE - LAC SOUTHERN CALIFORNIA UNIV ACUPUNCTURE 3460 WILSHIRE BLVD STE 500, LOS (213) 413-9500 SOMA ANGELES, CA 90010 I AND G PHARMACY PHARMACY 815 E COLORADO BLVD STE A, (818) 500-0895 GLENDALE, CA 91205 IAMSIRITHAWORN, SANDEE WELLNESS CENTER ACUPUNCTURE 1253 NORTH VINE STREET UNIT 10, (323) 747-0987 CHALAIPORN - LAC LOS ANGELES, CA 90038 IBRAHIM, MOHAMMED - PT CENTRAL OCCUPATIONAL PHYSICAL THERAPY 4300 CENTRAL AVE, RIVERSIDE, CA 9512222208x19 MEDICINE PROVIDERS 92506 09 IBRAHIM, NUHA - MD CONCENTRA MEDICAL INTERNAL MEDICINE 434 S SAN VICENTE BLVD STE 100, (310) 360-6780 CENTER - SAN VICENTE LOS ANGELES, CA 90048 IBRAHIMI, SAID - MD CONCENTRA MEDICAL NEUROLOGY 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE JOSE, CA 95112 IBRAHIMI, SAID - MD CONCENTRA MEDICAL NEUROLOGY 2737 WALSH AVE , SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA 95051 CENTRAL EXPRESSWAY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 292 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ICARE PHARMACY PHARMACY 1727 BERRYESSA RD STE B, SAN JOSE, (408) 926-7691 CA 95133 ICARE PHARMACY PHARMACY 920 SUNNYSLOPE RD, HOLLISTER, CA (408) 926-7691 95023 ICAREMORE PHARMACY PHARMACY 9493 GARFIELD ST, RIVERSIDE, CA (951) 299-7100 92503 IDYLLWILD PHARMACY PHARMACY 54391 VILLAGE CENTER DR, (951) 659-2135 IDYLLWILD, CA 92549 IFTIKAR, SHAWN J - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 8250 WOODMAN AVE NORTH 2, (818) 375-2233 PANORAMA CITY MEDICAL REHABILITATION PANORAMA CITY, CA 91402 CENTER IKNADOSSIAN, RAFFI, S - DC RAFFI IKNADOSSIAN CHIROPRACTIC MEDICINE 2750 E WASHINGTON BLVD STE 140, (626) 797-5800 CHIROPRACTIC INC PASADENA, CA 91107 IKUTA, MICHELE - AUD ADVANCED HEARING AUDIOLOGY 1077D CASS STREET, MONTEREY, CA (800) 598-5300 PROVIDERS LLC 93940 IKUTA, MICHELE - AUD ADVANCED HEARING AUDIOLOGY 2920 PARK AVE STE C, SOQUEL , CA (800) 598-5300 PROVIDERS LLC 95073 ILKANICH, ERIKA - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 ILKANICH, ERIKA - PT HI DESERT PHYSICAL PHYSICAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277 IMBASCIANI, VITO D - MD KAISER PERMANENTE WEST UROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER IMMEDIATE CARE (BCC) IMMEDIATE CARE URGENT CARE FACILITY 1750 EL CAMINO REAL # 15, (650) 570-2273 BURLINGAME, CA 94010 IMPACT PHYSICAL THERAPY PHYSICAL THERAPY 3150 CALIFORNIA ST, SAN FRANCISCO, (415) 775-2319 CA 94115 IMPERIAL OF WESTWOOD PHARMACY 1820 WESTWOOD BLVD, LOS ANGELES, (310) 475-6000 PHARMACY CA 90025 IMPERIAL PHARMACY PHARMACY 15074 IMPERIAL HWY, LA MIRADA, CA (562) 902-5580 90638 IMPERIAL PHYSICAL THERAPY PHYSICAL THERAPY 1300 S CENTRAL AVE, GLENDALE, CA (818) 484-7941 91204-2506 IMPERIAL PHYSICAL THERAPY PHYSICAL THERAPY 2222 WEST BURBANK BLVD SUITE 101, (818) 846-1441 BURBANK, CA 91506 IMPERIAL PHYSICAL THERAPY PHYSICAL THERAPY 1698 CRUICKSHANK DR STE A, EL (760) 353-3422 CENTRO, CA 92243-2329 IMPERIAL PHYSICAL THERAPY PHYSICAL THERAPY 420 HEFFERNAN AVENUE SUITE 2-B, (760) 768-4100 CALEXICO, CA 92231 IMPERIAL VALLEY EL CENTRO PHARMACY 1463 STH 4TH ST, EL CENTRO, CA (888) 748-7526 CA 92243 IMPERIAL VALLEY THERAPY PHYSICAL THERAPY 428 N IMPERIAL AVE, EL CENTRO, CA (760) 353-3422 CENTER 92243 IMPERIAL VALLEY THERAPY PHYSICAL THERAPY 428 N IMPERIAL AVE, EL CENTRO, CA (760) 353-3422 CENTER 92243 IN MOTION PHYSICAL PHYSICAL THERAPY 17332 VON KARMAN AVE STE 120, (949) 861-8600 THERAPY IRVINE, CA 92614-6282 IN STEP PHYSICAL THERAPY PHYSICAL THERAPY 1800 WESTWIND DR STE 403, (661) 328-9913 BAKERSFIELD, CA 93301-3032 IN STRIDE PHYSICAL THERAPY PHYSICAL THERAPY 581 LIGHTHOUSE AVE, PACIFIC GROVE, (831) 657-0177 & REHAB CA 93950-2615 INCLEDON, APRIL - PT IGN PHYSIOTHERAPY INC DBA PHYSICAL THERAPY 2123 FOOTHILL BLVD STE D, LA VERNE, (909) 596-9696 LA VERNE PHYSICAL THERAPY CA 91750

INDEFREE PHYSICAL THERAPY PHYSICAL THERAPY 1820 FULLERTON AVESUITE 320, (951) 279-0777 & PAIN CENTER CORONA, CA 92881-3175 INDEPENDENT PHYSICAL PHYSICAL THERAPY 1060 GLENDON AVE, LOS ANGELES, CA (310) 539-8800 THERAPY 90024-2908 INDEPENDENT PHYSICAL PHYSICAL THERAPY 11056 WASHINGTON BLVD STE C, (310) 539-8800 THERAPY CULVER CITY, CA 90232-3923 INDEPENDENT PHYSICAL PHYSICAL THERAPY 15477 VENTURA BLVD STE 200, (310) 539-8800 THERAPY SHERMAN OAKS, CA 91403-3048

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 293 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone INDEPENDENT PHYSICAL PHYSICAL THERAPY 1601 PACIFIC COAST HWY STE 165, (310) 539-8800 THERAPY HERMOSA BEACH, CA 90254-3273 INDEPENDENT PHYSICAL PHYSICAL THERAPY 3244 SEPULVEDA BLVD, TORRANCE, (310) 539-8800 THERAPY CA 90505-2719 INDEPENDENT PHYSICAL PHYSICAL THERAPY 501 DEEP VALLEY DR STE 200, (310) 377-7878 THERAPY ROLLING HILLS ESTATES, CA 90274-7608 INDEPENDENT PHYSICAL PHYSICAL THERAPY 559 E CARSON ST STE B, CARSON, CA (310) 539-8800 THERAPY 90745-2721 INDIAN HEALTH COUNCIL PHARMACY 50100 GOLSH RD, VALLEY CENTER, CA (760) 749-1410 PHARMACY 92082 INDIAN HILLS PHYSICAL PHYSICAL THERAPY 10550 SEPULVEDA BLVD STE 117, (818) 365-9171 THERAPY MISSION HILLS, CA 91345 INDIO MEDICAL PHARMACY PHARMACY 81893 DR CARREON BLVD STE 7, INDIO, (760) 347-0659 CA 92201 INDIVIDUALIZED PHYSICAL PHYSICAL THERAPY 17705 HALE AVE STE H6, MORGAN (408) 778-6800 THERAPY CA HILL, CA 95037-4347 INFANTE, CHAD - PTA MARINERS PHYSICAL PHYSICAL THERAPY 201 SANDPOINTE AVE STE 130, SANTA (714) 557-9292 THERAPY ANA, CA 92707 INFANTE, CHAD - PTA MARINERS PHYSICAL PHYSICAL THERAPY 2300 UNIVERSITY DR, NEWPORT (714) 557-9292 THERAPY BEACH, CA 92660 INFANTE, SERGIO - MD (BCC) LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP INFINITY PHARMACY PHARMACY 10738 JEFFDERSON BLVD, CULVER (310) 919-4100 CITY, CA 90230 INFUSION CARE PHARMACY PHARMACY 455 E COLUMBIA ST, LONG BEACH, CA (562) 933-7702 NORTH 90806 INFUSION CONNECTIONS PHARMACY 3216 SANTA MONICA BLVD, SANTA (855) 828-3690 PHCY SVCS MONICA, CA 90404 ING, JEFFREY J - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 ING, JEFFREY J - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 LLUSM BEAUMONT, CA 91961 ING, JEFFREY J - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 2900, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 INGLEWOOD PHYSICAL PHYSICAL THERAPY 133 N PRAIRIE AVE STE A, (310) 673-9861 THERAPY INGLEWOOD, CA 90301-4880 INGRAM'S PHARMACY PHARMACY 1709 27TH ST, BAKERSFIELD, CA 93301 (661) 864-7216 INGRAM, DENNIS - PT REDWOOD ORTHOPAEDIC PHYSICAL THERAPY 20211 PATIO DR STE 205, CASTRO (510) 537-3991 PHYSICAL THERAPY VALLEY, CA 94546 INGRAM, ROBERT - DC INGRAM FAMILY CHIROPRACTIC MEDICINE 17975 SKY PARK CIR STE C, IRVINE, CA (949) 263-0270 CHIROPRACTIC 92614 INGRAM, ROBERT - DC INGRAM FAMILY CHIROPRACTIC MEDICINE 41900 WINCHESTER RD STE 201, (951) 506-0088 CHIROPRACTIC TEMECULA, CA 92590 INGRAM, ROBERT, JAMES - DC SKYPARK CHIROPRACTIC CHIROPRACTIC MEDICINE 17975 SKY PARK CIR STE C, IRVINE, CA (949) 263-0270 92614 INJOY RX PHARMACY 14676 PIPELINE AVE STE M, CHINO (909) 597-9500 HILLS, CA 91709 INLAND EMPIRE INLAND EMPIRE URGENT CARE FACILITY 3579 ARLINGTON AVE STE 300, (951) 341-9333 OCCUPATIONAL MEDICINE OCCUPATIONAL MEDICINE RIVERSIDE, CA 92506 (BCC) INLAND HAND THERAPY PHYSICAL THERAPY 15525 POMERADO RD STE C8, POWAY, (858) 674-4263 CA 92064-2426 INLAND MEDICAL PHARMACY 319 E PALM DR STE A, PLACENTIA, CA (888) 603-8181 CONSULTANTS 92870 INLAND PHARMACY PHARMACY 1001 E LATHAM AVE STE P, HEMET, CA (951) 658-7111 92543 INLAND VALLEY MEDICAL INLAND VALLEY MEDICAL ACUTE CARE HOSPITAL 36485 INLAND VALLEY DR, WILDOMAR, (951) 677-1111 CENTER-WILDOMAR (BCC) CENTER-WILDOMAR CA 92595 INLAND VALLEY PHARMACY PHARMACY 3349 W FLORIDA AVE, HEMET, CA 92545 (951) 766-5100

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 294 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone INLAND VALLEY RECOVERY INLAND VALLEY RECOVERY CHEMICAL DEPENDENCY 1260 E ARROW HWY BLDG C, UPLAND, (909) 608-2002 SERVICES (BCC) SERVICES REHABILITATION CENTER CA 91786 (OUTPATIENT) INLAND VALLEY RECOVERY INLAND VALLEY RECOVERY CHEMICAL DEPENDENCY 934 N MOUNTAIN AVE STE A, UPLAND, (909) 949-4667 SERVICES (BCC) SERVICES REHABILITATION CENTER CA 91786 (OUTPATIENT) INLAND VALLEY RECOVERY INLAND VALLEY RECOVERY CHEMICAL DEPENDENCY 939 N D ST, SAN BERNARDINO, CA (909) 889-6519 SERVICES (BCC) SERVICES REHABILITATION CENTER 92410 (OUTPATIENT) INLAND VALLEY REHAB (PT PHYSICAL THERAPY 886 W FOOTHILL BLVD STE E, UPLAND, (909) 946-2673 DEPT) CA 91786-3780 INMAN, JARED C - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 HEALTH CARE - HEAD & NECK CA 92563 SURGERY FP&S INMAN, JARED C - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S INNISS PHYSICAL THERAPY PHYSICAL THERAPY 6475 ALVARADO RD STE 118, SAN (619) 287-4678 DIEGO, CA 92120-5007 INNOVATIVE PHYSICAL PHYSICAL THERAPY 5289 STATE ST, KELSEYVILLE, CA (707) 279-0881 THERAPY 95451-9449 INNOVATIVE PHYSICAL PHYSICAL THERAPY 5030 CAMINO DE LA SIESTA STE 220, (619) 260-0750 THERAPY SAN DIEGO, CA 92108-3118 INSITE DIGESTIVE HEALTH PHARMACY 2186 GEARY BLVD STE 320, SAN (415) 749-6900 CARE FRANCISCO, CA 94115 INTEGRATED MEDI ASSOC PHARMACY 10500 MACARTHUR BLVD, OAKLAND, (510) 382-1671 PHARMACY CA 94605 INTERCORE PHYSICAL PHYSICAL THERAPY 3624 E CHAPMAN AVE, ORANGE, CA (714) 744-4400 THERAPY 92868 INTERCORE PHYSICAL PHYSICAL THERAPY 26700 TOWNE CENTRE DR STE 120, (949) 597-2103 THERAPY-FOOTHILL RANCH FOOTHILL RANCH, CA 92610-2843 INTRA DRUGS ARTESIA PHARMACY 403 S LONG BEACH BLVD, COMPTON, (310) 639-1653 CA 90221 INTRA DRUGS LYNWOOD PHARMACY 3628 E IMPERIAL HWY STE 102, (310) 637-2006 LYNWOOD, CA 90262 INTROCASO, BRIANNA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 VISTA, CA 91910 INTWALA, PANKITA - PT IMOTION PHYSICAL THERAPY PHYSICAL THERAPY 555 MOWRY AVE STE E, FREMONT, CA (510) 745-7700 INC 94536 IONE PHARMACY PHARMACY 307 PRESTON AVE, IONE, CA 95640 (209) 274-2432 IRONS, BRANDON - PT SAN DIEGO UPTOWN PHYSICAL THERAPY 4060 4TH AVE STE 206, SAN DIEGO, CA (619) 299-5246 PHYSICAL THERAPY 92103 IRVINE MEDICAL CENTER PHARMACY 16300 SAND CANYON AVE, IRVINE, CA (949) 453-9789 PHARMACY 92618 IRVINE PHARMACY PHARMACY 14130 CULVER DR STE D, IRVINE, CA (949) 651-1111 92604 IRVINE, MICHAEL J - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 JOB DOWNEY MEDICAL DOWNEY, CA 90242 CENTER IRVINE, MICHAEL J - DO KAISER PERMANENTE ON THE PRIMARY TREATING 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 JOB DOWNEY MEDICAL PHYSICIAN DOWNEY, CA 90242 CENTER ISA, DERRICK - PT TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 550 SAINT CHARLES DR STE 100, (805) 777-1023 INC THOUSAND OAKS, CA 91360 ISA, DERRICK, T - PT TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 400 CAMARILLO RANCH RD 108, (805) 388-3055 INC CAMARILLO, CA 93021 ISAAC, IZABELLA S - MD KAISER PERMANENTE NEUROLOGY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 ISAEFF, DALE - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SCHUMAN (800) 679-4642 HEALTH CARE - (CARDIOLOGY) PAVILION STE 1617, LOMA LINDA, CA INTERNATIONAL HEART 92354 INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 295 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ISAEFF, WAYNE B - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 ISEKE, HAROLD - DC HAROLD ISEKE CHIROPRACTIC CHIROPRACTIC MEDICINE 3711 LONG BEACH BLVD STE 200, (562) 980-0555 LONG BEACH, CA 90807 ISERO, ERIC - DC BALCH CHIROPRACTIC CHIROPRACTIC MEDICINE 199 CALIFORNIA DR STE 100, (650) 692-2273 MILLBRAE, CA 94030 ISHAAYA, ABRAHAM M - MD DBA MIDWAY INDUSTRIAL ALLERGY AND IMMUNOLOGY 5901 OLYMPIC BLVD STE 200, LOS (323) 954-1788 (BCC) HEALTHCARE SERVICES ANGELES, CA 90036 ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - ELBOW 2221 WANKEL WAY, OXNARD , CA 93030 (805) 988-9366 ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - ELBOW 3901 LAS POSAS RD STE 4, (805) 585-5166 CAMARILLO, CA 93010 ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2221 WANKEL WAY, OXNARD , CA 93030 (805) 988-9366 ELBOW ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2221 WANKEL WAY, OXNARD , CA 93030 (805) 988-9366 WRIST ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - WRIST 2221 WANKEL WAY, OXNARD , CA 93030 (805) 988-9366 ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3901 LAS POSAS RD STE 4, (805) 585-5166 ELBOW CAMARILLO, CA 93010 ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3901 LAS POSAS RD STE 4, (805) 585-5166 WRIST CAMARILLO, CA 93010 ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - WRIST 3901 LAS POSAS RD STE 4, (805) 585-5166 CAMARILLO, CA 93010 ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS HAND SURGERY 2221 WANKEL WAY, OXNARD , CA 93030 (805) 988-9366 ISHAK, ANDRE M - MD (BCC) VENTURA ORTHOPEDICS HAND SURGERY 3901 LAS POSAS RD STE 4, (805) 585-5166 CAMARILLO, CA 93010 ISHII, DAVID - PT SYNERGY PHYSICAL THERAPY PHYSICAL THERAPY 7451 WARNER AVE STE A, (714) 596-0700 HUNTINGTON BEACH, CA 92647 ISIP, VIDA - PT RELIANT URGENT CARE PHYSICAL THERAPY 11460 TELEGRAPH RD, SANTA FE (310) 491-7060 SPRINGS, CA 90670 ISIS PHYSICAL THERAPY PHYSICAL THERAPY 11848 BERNARDO PLAZA CT STE 100, (858) 217-2496 SAN DIEGO, CA 92128 ISKANDAR, RUDOLF - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH SACRAMENTO, CA 95823 CENTER ISKANDAR, RUDOLF - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH PHYSICIAN SACRAMENTO, CA 95823 CENTER ISKANDER, MINA - DC ARBOR VITAE WELLNESS CHIROPRACTIC MEDICINE 2730 WILSHIRE BLVD STE 230, SANTA (310) 829-7339 CENTER MONICA, CA 90403 ISKANDER, RAYMOND - DC PHYSICAL MEDICINE CHIROPRACTIC MEDICINE 14925 BURBANK BLVD, SHERMAN (818) 905-3355 INSTITUTE OAKS, CA 91411 ISKANDER, RAYMOND - DC PHYSICAL MEDICINE CHIROPRACTIC MEDICINE 5651 SEPULVEDA BLVD STE 202, VAN (818) 905-3355 INSTITUTE NUYS, CA 91411 ISKANDER, RAYMOND - DC PHYSICAL MEDICINE CHIROPRACTIC MEDICINE 4849 VAN NUYS BLVD STE 205, (818) 905-3355 INSTITUTEMAIN SHERMAN OAKS, CA 91403 ISLAS, JEFFREY - MD (BCC) SURGERY 3610 LONG BEACH BLVD STE 101, (562) 424-0421 LONG BEACH, CA 90807 ISMAIL, BOBBY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 ISMAIL, BOBBY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 ISMAIL, BOBBY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 3184 COLLINS DR, MERCED, CA 95348 (209) 230-5289 INJURY CTR ISMAIL, BOBBY - PT GOLDEN BEAR PHYSICAL PHYSICAL THERAPY 3800 GEER RD STE 101, TURLOCK, CA (209) 667-1729 THERAPY AND SPORTS 95382 INJURY CTR ISRAEL, BROOKE - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230 ISRAEL, BROOKE - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 201 N ROBERTSON BLVD STE 101, (424) 303-7647 THERAPY AND FITNESS BEVERLY HILLS, CA 90211 ISSAKHANIAN, MARIKA - MD KAISER PERMANENTE NEUROLOGY 8120 WOODMAN AVE , PANORAMA (818) 375-2233 PANORAMA CITY MEDICAL CITY, CA 91402 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 296 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ISTRIN, JORDAN - PT BRIGHTON THERAPY PHYSICAL THERAPY 1125 S BEVERLY DR STE 500, LOS (310) 734-7771 ANGELES, CA 90035 ISTRIN, JORDAN - PT HANDS ON OT PHYSICAL THERAPY 137 BAY ST UNIT 1, SANTA MONICA, CA (310) 396-8564 90405 IV LEAGUE PHARMACY 6076 BRISTOL PKWY STE 104, CULVER (310) 645-1500 CITY, CA 90230 IV MED SERVICES PHARMACY 11207 S LA CIENEGA BLVD, LOS (310) 670-6337 ANGELES, CA 90045 IVANOFF, LAUREN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 IVERSEN, STEPHEN - DC BACK IN LINE CHIROPRACTIC CHIROPRACTIC MEDICINE 2901 E KATELLA AVE STE H, ORANGE, (714) 633-2225 REHAB CENTER CA 92867 IVEY PHYSICAL THERAPY PHYSICAL THERAPY 565 BRUNSWICK RD STE 4, GRASS (530) 273-4152 VALLEY, CA 95945-9529 IVORY, KEVIN - AUD ADVANCED HEARING AUDIOLOGY 130 W ROUTE 66 STE 203, GLENDORA, (800) 598-5300 PROVIDERS LLC CA 91740 IVORY, KEVIN - AUD ADVANCED HEARING AUDIOLOGY 130 WEST ROUTE 66 #210, GLENDORA, (800) 598-5300 PROVIDERS LLC CA 91740 IVORY, KEVIN - AUD ADVANCED HEARING AUDIOLOGY 1434 FOOTHILL BLVD , LA CANADA (800) 598-5300 PROVIDERS LLC FLINTRIDGE, CA 91011 IWATA, RACHEL - PT PRAXIS PHYSICAL THERAPY PHYSICAL THERAPY 1360 W 6TH ST STE 210, SAN PEDRO, (310) 548-3130 INC CA 90732 IZU, CHRIS - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 J & M PHYSICAL THERAPY PHYSICAL THERAPY 9545 RESEDA BLVD STE 4, (818) 886-2005 NORTHRIDGE, CA 91324-2351 J & M PHYSICAL THERAPY PHYSICAL THERAPY 9545 RESEDA BLVD STE 4, (818) 886-2005 NORTHRIDGE, CA 91324-2351 JACK'S DRUG STORE PHARMACY 121 TUNSTEAD AVE, SAN ANSELMO, CA (415) 454-1451 94960 JACKEL, DAVID - DC JACKEL DAVID DC CHIROPRACTIC MEDICINE 2940 JAMACHA RD STE I, EL CAJON, CA (619) 660-0707 92019 JACKSON MEDICAL PHARMACY 266 N JACKSON AVE STE 8, SAN JOSE, (408) 251-8122 PHARMACY CA 95116 JACKSON PHYSICAL THERAPY PHYSICAL THERAPY 11 BANEBERRY, ALISO VIEJO, CA (949) 494-3200 & STUDIO 92656-2147 JACKSON PHYSICAL THERAPY PHYSICAL THERAPY 1100 S COAST HWY STE 301 B, LAGUNA (949) 494-3200 AND STUDIO BEACH, CA 92651 JACKSON, JOSEPH - PT COMMUNITY PHYSICAL PHYSICAL THERAPY 725 S LONG BH BLVD, COMPTON, CA (310) 631-8703 THERAPY CENTER 90221 JACKSON, KENT R - MD KAISER PERMANENTE SOUTH ORTHOPEDICS 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 JACKSON, TIMOTHY J - MD CONGRESS MEDICAL AND ORTHOPEDIC SURGERY - HIP 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES 91105 JACKSON, TIMOTHY J - MD CONGRESS MEDICAL AND ORTHOPEDICS - HIP 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 (BCC) ASSOCIATES 91105 JACKSON-SCOTT, ERIC D - MD CONCENTRA MEDICAL PRIMARY TREATING 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE PHYSICIAN 94085 JACKSON-SCOTT, ERIC D - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 JACOBO PHYSICAL THERAPY PHYSICAL THERAPY 2441 G ST, BAKERSFIELD, CA (661) 631-8793 93301-2809 JACOBS, LINDSAY - PT TELESMANIC REHABILITATION PHYSICAL THERAPY 746 G ST, REEDLEY, CA 93654 (559) 638-1171 INC DBA REEDLEY PHYSICAL THERAPY JACOBSON, DOUGLAS W - MD SANSUM CLINIC - FOOTHILL OPHTHALMOLOGY 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-8950 (BCC) EYE CENTER - BLDG B CA 93110 JACOUB, JACK F - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 18111 BROOKHURST ST STE 4300, (714) 378-7330 ONCOLOGY FOUNTAIN VALLEY , CA 92708 JACOUB, JACK F - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 24411 HEALTH CENTER DR STE 320, (714) 378-7330 ONCOLOGY LAGUNA HILLS , CA 92653 JADE PHARMACY PHARMACY 34460 FREMONT BLVD STE B, (510) 792-4742 FREMONT, CA 94555

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 297 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JAGELS, MATTHEW - DC JAGELS CHIROPRACTIC CHIROPRACTIC MEDICINE 1150 MURRIETA BOULEVARD SUITE (925) 373-6363 100, LIVERMORE, CA 94550 JAGODAOHMAN, BEATA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 JAGODOWICZ, MORRIS - MD PAIN MANAGEMENT 18350 ROSCOE BLVD STE 318, (818) 349-0600 NORTHRIDGE , CA 91325 JAGODOWICZ, MORRIS - MD PAIN MANAGEMENT 10515 BALBOA BLVD STE 390, (818) 360-4949 GRANADA HILLS , CA 91344 JAHROMI, SHAHZAD - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH FRESNO, CA 93720 CENTER JAHROMI, SHAHZAD - MD KAISER PERMANENTE ON THE PRIMARY TREATING 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH PHYSICIAN FRESNO, CA 93720 CENTER JAIN, BHARAT - DC A TRUE ACUPUNCTURE CHIROPRACTIC MEDICINE 15216 VANOWEN ST STE 2C, VAN (818) 439-7769 NUYS, CA 91405 JAIN, INDU - MD (BCC) ANESTHESIOLOGY 1753 W AVENUE J STE A, LANCASTER, (661) 206-0555 CA 93534 JAIN, NICKUL S - MD (BCC) SOUTHERN CALIFORNIA SPINE SURGERY 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 JAIVIN, JONATHAN S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE ANKLE VALENCIA, CA 91354 JAIVIN, JONATHAN S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE ANKLE JAIVIN, JONATHAN S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 JAIVIN, JONATHAN S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE JAIVIN, JONATHAN S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE FOOT JAIVIN, JONATHAN S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - FOOT 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE JAIVIN, JONATHAN S - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE FOOT VALENCIA, CA 91354 JAIVIN, JONATHAN S - MD SOUTHERN CALIFORNIA ORTHOPEDICS - FOOT 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 (BCC) ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 JAJU, NIRAJ - OT REHABCARE UNLIMITED OCCUPATIONAL THERAPY 16025 GALE AVE STE B8, CITY OF (626) 333-3172 INDUSTRY, CA 91745 JAKIEL, CLAUDIA - PT PRN DESERT REHABILITATION PHYSICAL THERAPY 1611 W MAIN ST, EL CENTRO, CA 92243 (760) 337-1144 INSTITUTE JAKOBISTOPPER, PATRICIA - SANTIAGO PHYSICAL PHYSICAL THERAPY 33311 SANTIAGO RD, ACTON, CA 93510 (661) 269-4712 PT THERAPY JAMAL, AMMAR - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 JAMESON, RYAN - DO ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 JANA PHARMACY PHARMACY 5233 MELROSE AVE, LOS ANGELES, CA (323) 836-0007 90038 JANG, SUNGHO - DC HEHWA CLINIC INC CHIROPRACTIC MEDICINE 1208 E ARQUES AVE STE 109, (408) 530-9115 SUNNYVALE, CA 94085 JANG, SUNGHO - DC OPTIMAL BALANCE CHIROPRACTIC MEDICINE 5540 ALMADEN EXPRESSWAY, SAN (408) 478-8555 CHIROPRACTIC JOSE, CA 95118 JANIN, RACHEL - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 JANKOWSKI, NATHAN - PT SYNERGY SPECIALIST PHYSICAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (619) 230-0855 MEDICAL GROUP CA 91910 JANKOWSKI, NATHASHA - PT SYNERGY SPECIALIST PHYSICAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 450-7118 MEDICAL GROUP MAIN DIEGO, CA 92121 JANKOWSKY, NATASHA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1626 SWEETWATER RD STE A, (619) 474-5916 NATIONAL CITY, CA 91950 JANKOWSKY, NATASHA - PT SYNERGY SPECIALIST PHYSICAL THERAPY 8388 PARKWAY DR, LA MESA, CA 91942 (619) 797-1190 MEDICAL GROUP

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 298 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JANKU, GEORGE V - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER CA 94115 JANOIAN III, PAUL M - MD (BCC) UCLA HEALTH - PRIMARY & INFECTIOUS DISEASE 15503 VENTURA BLVD STE 170, (818) 461-8148 SPECIALTY CARE ENCINO, CA 91436 JANOV, DANIEL - PT DANIEL JANOV PT PHYSICAL THERAPY 23945 CALABASAS RD STE 219, (818) 222-0235 CALABASAS, CA 91302 JANSSEN, SARAH J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PLAZA, SAN FRANCISCO, CA 94102 CENTER JANSSEN, SARAH J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PHYSICIAN PLAZA, SAN FRANCISCO, CA 94102 CENTER JANTZ, BRETT - PT TURLOCK PHYSICAL THERAPY PHYSICAL THERAPY 1199 DELBON AVE STE 4, TURLOCK, CA (209) 667-6040 95382 JANUS OF SANTA CRUZ (BCC) JANUS OF SANTA CRUZ CHEMICAL DEPENDENCY 200 7TH AVE STE 150, SANTA CRUZ, CA (831) 462-1060 REHABILITATION CENTER 95062 (OUTPATIENT) JAQUES, HEATHER - PTA CALIFORNIA EMERGENCY PHYSICAL THERAPY 554 BLOSSOM HILL RD, SAN JOSE, CA (408) 281-2772 PHYSICIANS DBA SAMARITAN 95123 MEDICAL CARE CENTER JARECKI, BRITINI - PT KINETIX PHYSICAL THERAPY PHYSICAL THERAPY 959 LAS TABLAS RD STE A4, (805) 286-4794 TEMPLETON, CA 93465 JAROSLAW, WOJSIAT - DC NORALAHI MEDICAL CLINICS CHIROPRACTIC MEDICINE 1925 ALUM ROCK AVE STE B, SAN (408) 923-0203 INCORPORATED JOSE, CA 95116 JASA, ADAM - AUD ADVANCED HEARING AUDIOLOGY 52 MISSION CIR STE 203, SANTA (800) 598-5300 PROVIDERS LLC ROSA, CA 95409 JASON, MELISSA - DC MELISSA JASON DC CHIROPRACTIC MEDICINE 1066 4TH ST STE B, SANTA ROSA, CA (707) 545-1650 95404 JAUBERT, LESLIE, MARIE - PT CALIENTE SPRINGS PHYSICAL PHYSICAL THERAPY 17350 VAILETTI DR, SONOMA, CA 95476 (707) 935-3230 THERAPY JAUREGUITO, JOHN W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS KNEE 95035 JAUREGUITO, JOHN W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS SHOULDER 95035 JAUREGUITO, JOHN W - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS 95035 JAUREGUITO, JOHN W - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS 95035 JAUREGUITO, JOHN W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY KNEE CITY, CA 94587 JAUREGUITO, JOHN W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY SHOULDER CITY, CA 94587 JAUREGUITO, JOHN W - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY CITY, CA 94587 JAUREGUITO, JOHN W - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY CITY, CA 94587 JAVAHERIAN, MOHAMMAD - ORTHOPEDIC SURGERY SAN ACUPUNCTURE 317 N EL CAMINO REAL, ENCINITAS, CA (760) 994-2663 LAC DIEGO 92024 JAVANMARDI, HOOMAN - PT PRIME THERAPY AND PAIN PHYSICAL THERAPY 3421 ARLINGTON AVE STE 105, (951) 684-2865 CENTER RIVERSIDE, CA 92506 JAVIDAN, YASHAR - MD (BCC) UC DAVIS SPINE CENTER SPINE SURGERY 3301 C ST STE 1500, SACRAMENTO , CA (916) 734-7463 95816 JAVIDAN, YASHAR - MD (BCC) UC DAVIS SPINE CENTER ORTHOPEDICS - SPINE 3301 C ST STE 1500, SACRAMENTO , CA (916) 734-7463 95816 JAWORSKI, JAMES - MD PAIN MANAGEMENT 27036 HARRIS ST, EUREKA, CA 95503 (707) 269-3694 JAYA, DAYANG KIM M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER JAYA, DAYANG KIM M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 299 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JAYA, DAYANG KIM M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER JAYA, DAYANG KIM M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER JAYA, DAYANG KIM M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER JAYA, DAYANG KIM M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER JAZAYERI, MAJID - DC DR JAY JAZAYERI DC CHIROPRACTIC MEDICINE 1111 W TOWN AND COUNTRY RD STE (714) 569-0560 6, ORANGE, CA 92868 JAZAYERI, REZA - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 VENTURA MEDICAL OFFICES CA 93003 JAZYERI, MAJID - DC MAJID JAZAYERI DC JAZAYERI CHIROPRACTIC MEDICINE 1111 W TWN AND CNTRY RD STE 6, (714) 569-0560 CHIROPRACTIC INC ORANGE, CA 92868 JC NEIGHBORHOOD PHARMACY 770 MAGNOLIA AVE STE 1G, CORONA, (951) 531-8041 PHARMACY CA 92879 JD PHARMACY PHARMACY 18003 SKY PARK CIR, IRVINE, CA 92614 (949) 506-7079 JDX PHARMACY PHARMACY 1504 S BROADWAY, SANTA MARIA, CA (805) 922-1747 93454 JEFFERS, BADI D - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR 92704 MEDICAL OFFICES JEFFERS, BADI D - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR PHYSICIAN 92704 MEDICAL OFFICES JEFFERS, BADI D - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL ANAHEIM, CA 92806 OFFICES JEFFERS, BADI D - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL PHYSICIAN ANAHEIM, CA 92806 OFFICES JEFFERS, BADI D - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER CA 92618 JEFFERS, BADI D - DO KAISER PERMANENTE ON THE PRIMARY TREATING 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER PHYSICIAN CA 92618 JEFFERSON PHARMACY PHARMACY 1029 JEFFERSON BLVD STE A, WEST (916) 371-2022 SACRAMENTO, CA 95691 JEFFREY GOODMAN PHARMACY 1625 SCHRADER BLVD FL 1, LOS (323) 993-7513 PHARMACY ANGELES, CA 90028 JEGANATHAN, NIRANJAN - MD LOMA LINDA UNIVERSITY PULMONARY DISEASE 11370 ANDERSON ST FMO STE 3300, (800) 679-4642 (BCC) HEALTH CARE – INTERNAL LOMA LINDA, CA 92354 MEDICINE SPECIALTIES GROUP JELLISON, FORREST C - MD LOMA LINDA UNIVERSITY UROLOGY 11370 ANDERSON ST FMO 1100, LOMA (800) 679-4642 (BCC) HEALTH CARE - UROLOGY LINDA , CA 92354 DEPARTMENT FP&S JELLISON, FORREST C - MD LOMA LINDA UNIVERSITY UROLOGY 81 S HIGHLAND SPRINGS AVE STE 303, (800) 679-4642 (BCC) HEALTH CARE - UROLOGY BEAUMONT, CA 92223 DEPARTMENT FP&S JEMISS, NAZAR - DC DEL CARMEN MEDICAL CHIROPRACTIC MEDICINE 19234 VANOWEN ST, RESEDA, CA (818) 705-1157 CENTER 91335 JEN, CHAI, TSAI - LAC CAIDEN'S ACUPUNCTURE AND ACUPUNCTURE 525 N AZUSA AVE STE 207, LA PUENTE, (949) 434-4913 HERBAL CLINIC CA 91744 JENA, MEDEIROS - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 JENKINS, KARA - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 JENNINGS, HERBERT D - MD PRO CARE WORK INJURY OCCUPATIONAL MEDICINE 17232 RED HILL AVE , IRVINE, CA 92614 (949) 752-1111 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 300 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JENNINGS, HERBERT D - MD PRO CARE WORK INJURY PRIMARY TREATING 17232 RED HILL AVE , IRVINE, CA 92614 (949) 752-1111 CENTER PHYSICIAN JENNINGS, HERBERT D - MD PRO CARE WORK INJURY OCCUPATIONAL MEDICINE 17122 BEACH BLVD #104 , HUNTINGTON (714) 964-4448 CENTER BEACH, CA 92647 JENNINGS, HERBERT D - MD PRO CARE WORK INJURY PRIMARY TREATING 17122 BEACH BLVD #104 , HUNTINGTON (714) 964-4448 CENTER PHYSICIAN BEACH, CA 92647 JENNINGS, SUSAN - PT BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 JENNINGS, SUSAN - PT BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 JENSEN, ADAM - PTA NIELSON PHYSICAL THERAPY PHYSICAL THERAPY 2747 W BULLARD AVE STE 105, (559) 261-1425 FRESNO, CA 93711 JEON, DANBI - LAC JUN'S ACUPUNCTURE ACUPUNCTURE 23349 LYONS AVE, VALENCIA, CA 91355 (661) 799-7369 JEON, JONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 1045 ATLANTIC AVE STE 608, LONG (213) 386-7582 INC BEACH, CA 90813 JEON, JONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 12321 HAWTHORNE BLVD SUITE C, (213) 386-7582 INC HAWTHORNE, CA 90250 JEON, JONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 18531 ROSCOE BLVD STE 202, (213) 386-7582 INC NORTHRIDGE, CA 91324 JEON, JONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 4156 10TH ST, RIVERSIDE, CA 92501 (800) 385-1130 INC JEON, JONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 9635 MONTE VISTA AVE STE 203, (213) 386-7582 INC MONTCLAIR, CA 91763 JEON, JONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 2897 W OLYM BLVD STE 202, LOS (213) 386-7582 INC MAIN ANGELES, CA 90006 JEONG, HYODONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 12466 WASHINGTON BLVD, WHITTIER, (800) 385-1130 INC CA 90602 JEONG, HYODONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 3530 ATLANTIC AVE STE 101, LONG (800) 385-1130 INC BEACH, CA 90807 JEONG, HYODONG - LAC NOAH ACUPUNCTURE ACUPUNCTURE 12440 FIRESTONE BLVD STE 1025, (562) 341-0801 NORWALK, CA 90650 JEONG, YOONKI - LAC CONEJO ACUPUNCTURE ACUPUNCTURE 3188 E THOUSAND OAKS BLVD, (805) 496-8000 WELLNESS THOUSAND OAKS, CA 91362 JEROLD PHELPS COMMUNITY JEROLD PHELPS COMMUNITY ACUTE CARE HOSPITAL 733 CEDAR ST, GARBERVILLE, CA (707) 923-3921 HOSPITAL (BCC) HOSPITAL 95542 JESPERSEN, KIMBERLY - PT CERTIFIED HAND PHYSICAL THERAPY 760 SAN RAMON VALLEY BLVD STE 100, (925) 743-8905 REHABILITATION DANVILLE, CA 94526 JESPERSON, CHRIS - DC CHIROPRACTIC FAMILY CHIROPRACTIC MEDICINE 1333 N 2ND ST, EL CAJON, CA 92021 (619) 444-4792 HEALTH CENTER JESTER, ROBERT - AUD ADVANCED HEARING AUDIOLOGY 851 E 6TH STREET STE B-2, (800) 598-5300 PROVIDERS LLC BEAUMONT, CA 92223 JESTER, ROBERT - AUD ADVANCED HEARING AUDIOLOGY 401 E LATHAM AVE, HEMET , CA 92543 (800) 598-5300 PROVIDERS LLC JHUMKHAWALA, DHRUMA - MISSION PEAK ORTHOPAEDIC PHYSICAL THERAPY 39350 CIVIC CENTER DR STE 300, (510) 797-3933 PTA MEDICAL GROUP INC FREMONT, CA 94538 JI, YEUN, CHU - LAC BLAKE PHYSICAL THERAPY ACUPUNCTURE 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 JIANG, HAIXIA - LAC GUAN MEDICAL CENTER ACUPUNCTURE 3460 OCEAN VIEW BLVD STE A, (818) 957-2289 GLENDALE, CA 91208 JIANG, TONG - MD KAISER PERMANENTE WEST NEUROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER JIANG, XIAOHUA - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER JIANG, XIAOHUA - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER JIK, KIM, CHUL - LAC CHUL JIK KIMMERIDIAN ACUPUNCTURE 16602 CRENSHAW BLVD, TORRANCE, (213) 505-2134 ACUPUNCTURE CA 90504 JILLANI, ASIF - MD (BCC) PAIN MANAGEMENT 16300 SAND CANYON AVE STE 511, (949) 255-9890 IRVINE, CA 92618

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 301 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JILLANI, ASIF - MD (BCC) ORTHOPAEDIC SPECIALTY PAIN MANAGEMENT 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY JIMENEZ, CLARIBEL - DC ORLOW STEPHEN E CHIROPRACTIC MEDICINE 1011 W LA PALMA AVE STE 101, (714) 758-8777 ANAHEIM, CA 92801 JIMENEZ, JUAN C - MD (BCC) UCLA GONDA GOLDSCHMIED VASCULAR SURGERY 200 UCLA MEDICAL PLAZA STE 526, (310) 206-6294 VENOUS CENTER LOS ANGELES , CA 90095 JIMENEZ, MONICA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 2115 MONTIEL RD STE 103, SAN (760) 839-2905 MARCOS, CA 92069 JIN, GUISHU - LAC GOLDEN ACUPUNCTURE ACUPUNCTURE 331 S C ST STE D, OXNARD, CA 93030 (805) 272-1166 CLINIC JINDAL, VIKAS - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 43112 N 15TH ST W WEST BUILDING, (661) 726-2262 JOB LANCASTER MEDICAL LANCASTER, CA 93534 OFFICES JINDAL, VIKAS - MD KAISER PERMANENTE ON THE PRIMARY TREATING 43112 N 15TH ST W WEST BUILDING, (661) 726-2262 JOB LANCASTER MEDICAL PHYSICIAN LANCASTER, CA 93534 OFFICES JING, LING N - DO CONCENTRA MEDICAL PRIMARY TREATING 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA PHYSICIAN SAN DIEGO, CA 92121 JING, LING N - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA SAN DIEGO, CA 92121 JJ TRINTY COMPOUNDING PHARMACY 27141 HIDAWAY AVE STE 101, CANYON (661) 298-9610 PHARMACY COUNTRY, CA 91351 JJS PHARMACY PHARMACY 21010 GOLDEN SPRINGS DR, DIAMOND (909) 595-4003 BAR, CA 91789 JMP PHYSICAL THERAPY PHYSICAL THERAPY 1000 NEWBURY RD STE 135, (805) 214-9933 GROUP THOUSAND OAKS, CA 91320-6437 JMP PHYSICAL THERAPY PHYSICAL THERAPY 14116 MAGNOLIA BLVD, SHERMAN (818) 789-3819 GROUP OAKS, CA 91423-1119 JMP PHYSICAL THERAPY PHYSICAL THERAPY 30135 AGOURA RD STE C, AGOURA (818) 707-7344 GROUP HILLS, CA 91301-4338 JO, KIM, SANG - LAC KSJ ACUPUNCTURE CLINIC ACUPUNCTURE 12402 INDUSTRIAL BLVD STE B2, (760) 428-2800 VICTORVILLE, CA 92395 JO, MARK J - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 LOWER EXTREMITIES CA 91105 JO, STEVE, RAE - DC STEVE JO DC CHIROPRACTIC MEDICINE 817 W WILSHIRE AVE, FULLERTON, CA (714) 449-1199 92832 JOAL B. MILES P.T DBA PHYSICAL THERAPY 180 ROSE LANE SUITE ONE, YREKA, CA (530) 842-1818 ADVANCED PHYSICAL 96097 THERAPY JOE'S PHARMACY PHARMACY 5199 GEARY BLVD, SAN FRANCISCO, (415) 751-2326 CA 94118 JOE, JOHN - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 1714 17TH ST, SANTA MONICA, CA (310) 392-7889 90404 JOE, JOHN - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 JOE, SE, HEE - LAC ZEN ACUPUNCTURE ACUPUNCTURE 1780 TOWN AND COUNTRY DR A102, (951) 270-0036 NORCO, CA 92860 JOE, VICTOR C - MD (BCC) UC IRVINE HEALTH REGIONAL CRITICAL CARE MEDICINE 101 THE CITY DR BLDG 1 STE 150, (714) 456-6170 BURN CENTER ORANGE, CA 92868 JOE, VICTOR C - MD (BCC) UC IRVINE HEALTH REGIONAL GENERAL SURGERY 101 THE CITY DR BLDG 1 STE 150, (714) 456-6170 BURN CENTER ORANGE, CA 92868 JOHANSON, MARCIA - PT FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 11960 HERITAGE OAK PL STE 19, (530) 878-5301 AUBURN, CA 95603 JOHANSON, MARIA - PT FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 588 N SUNRISE AVE STE 100, (916) 782-7848 ROSEVILLE, CA 95661 JOHARCHI, AVERY, LAUREL - HUNTINGTON BEACH PT OCCUPATIONAL THERAPY 19582 BEACH BLVD 130, HUNTINGTON (714) 841-6162 OT BEACH, CA 92648 JOHARCHI, AVERY, LAUREL - HUNTINGTON BEACH PT PHYSICAL THERAPY 19582 BEACH BLVD 130, HUNTINGTON (714) 841-6162 PT BEACH, CA 92648 JOHN C FREMONT JOHN C FREMONT ACUTE CARE HOSPITAL 5189 HOSPITAL RD, MARIPOSA, CA (209) 966-3631 HEALTHCARE DISTRICT (BCC) HEALTHCARE DISTRICT 95338

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 302 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JOHN F KENNEDY MEMORIAL JOHN F KENNEDY MEMORIAL ACUTE CARE HOSPITAL 47111 MONROE ST, INDIO, CA 92201 (760) 347-6191 HOSPITAL (BCC) HOSPITAL JOHN MUIR BEHAVIORAL JOHN MUIR BEHAVIORAL CHEMICAL DEPENDENCY 2740 GRANT ST, CONCORD, CA 94520 (925) 674-4100 HEALTH (BCC) HEALTH REHABILITATION CENTER (OUTPATIENT) JOHN MUIR MEDICAL CENTER JOHN MUIR MEDICAL CENTER ACUTE CARE HOSPITAL 2540 EAST ST, CONCORD, CA 94520 (925) 682-8200 CONCORD CAMPUS (BCC) CONCORD CAMPUS JOHN MUIR MEDICAL CENTER JOHN MUIR MEDICAL CENTER ACUTE CARE HOSPITAL 1601 YGNACIO VALLEY RD, WALNUT (925) 947-3313 WALNUT CREEK CAMPUS WALNUT CREEK CAMPUS CREEK, CA 94598 (BCC) JOHN NATIVO PHYSICAL PHYSICAL THERAPY 5800 STANFORD RANCH, ROCKLIN, CA (916) 928-1234 THERAPY 95765-4386 JOHN NATIVO PHYSICAL PHYSICAL THERAPY 6614 MERCY COURT, FAIR OAKS, CA (916) 928-1234 THERAPY 95628-3133 JOHN NATIVO PHYSICAL PHYSICAL THERAPY 7200 S LAND PARK DR STE30, (916) 928-1234 THERAPY SACRAMENTO, CA 95831-3612 JOHN P SANTORO PHARMACY 29645 RANCHO CALIFORNIA RD, (951) 699-9775 TEMECULA, CA 92591 JOHN'S SHOP-RITE PHARMACY PHARMACY 4333 SOUTH ST, LAKEWOOD, CA 90712 (562) 616-0056 JOHN, ANN - PT FITZPATRICK PHYSICAL PHYSICAL THERAPY 1252 BROADWAY STE B, PLACERVILLE, (530) 622-9410 THERAPY CA 95667 JOHN, LYNNE - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 471 W LAMBERT RD STE 106, BREA, CA (714) 255-8877 SPORTS THERAPY 92821 JOHNA, SAMIR D - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER JOHNKE, MELANIE - CHT GOLDEN GATE HAND THERAPY HAND THERAPY 1700 CALIFORNIA ST STE 440, SAN (415) 359-1444 FRANCISCO, CA 94109 JOHNKE, MELANIE - OT GOLDEN GATE HAND THERAPY OCCUPATIONAL THERAPY 1700 CALIFORNIA ST STE 440, SAN (415) 359-1444 FRANCISCO, CA 94109 JOHNS, DIANA M - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 190 LEAVESLEY RD STE 102, GILROY, (408) 848-0444 CENTER - GILROY CA 95020 JOHNSON, BOB - DC WOLFE JERRY H DC CHIROPRACTIC MEDICINE 9265 ACTIVITY RD STE 111, SAN DIEGO, (858) 578-5775 CA 92126 JOHNSON, CONSTANCE - AUD ADVANCED HEARING AUDIOLOGY 1551 GRAND AVE, GROVER BEACH, CA (800) 598-5300 PROVIDERS LLC 93433 JOHNSON, CONSTANCE - AUD ADVANCED HEARING AUDIOLOGY 735 PINE ST, PASO ROBLES, CA 93446 (800) 598-5300 PROVIDERS LLC JOHNSON, DANA R - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES JOHNSON, DANA R - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL PHYSICIAN FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES JOHNSON, DANA R - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL ROOM 106, MORENO VALLEY, CA 92553 OFFICES JOHNSON, DANA R - MD KAISER PERMANENTE ON THE PRIMARY TREATING 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL PHYSICIAN ROOM 106, MORENO VALLEY, CA 92553 OFFICES JOHNSON, DANA R - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL 205, WILDOMAR, CA 92563 OFFICES JOHNSON, DANA R - MD KAISER PERMANENTE ON THE PRIMARY TREATING 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL PHYSICIAN 205, WILDOMAR, CA 92563 OFFICES JOHNSON, JAMES E - MD KAISER PERMANENTE SO SAN ORTHOPEDIC SURGERY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 JOHNSON, JAN, R, GALBAWY - JAN R JOHNSON PHYSICAL PHYSICAL THERAPY 585 TAHOE KEYS BLVD STE F, SOUTH (530) 542-5750 PT THERAPY LAKE TAHOE, CA 96150 JOHNSON, JEMANI - LMT AIM FOR WELLNESS MASSAGE THERAPIST 8725 LA TIJERA BLVD, WESTCHESTER, (424) 331-5661 CA 90045 JOHNSON, LINDSAY - PT BALANCE PHYSICAL THERAPY PHYSICAL THERAPY 120 GUTHRIE LN, BRENTWOOD, CA (925) 513-2252 94513

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 303 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JOHNSON, LYNNE - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 JOHNSON, MARK - DC MARK JOHNSON DC CHIROPRACTIC MEDICINE 2617 E CHAPMAN AVE STE 105, (714) 832-2273 ORANGE, CA 92869 JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 6221 METROPOLITAN ST STE 201, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC JOHNSON, MEGAN - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC JOHNSON, PAUL M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1600 OWENS STREET , SAN (415) 833-9600 JOB OCCUPATIONAL HEALTH FRANCISCO, CA 94158 CENTER JOHNSON, PAUL M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1600 OWENS STREET , SAN (415) 833-9600 JOB OCCUPATIONAL HEALTH PHYSICIAN FRANCISCO, CA 94158 CENTER JOHNSON, PAUL M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PLAZA, SAN FRANCISCO, CA 94102 CENTER JOHNSON, PAUL M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PHYSICIAN PLAZA, SAN FRANCISCO, CA 94102 CENTER JOHNSON, QUENTIN - PT VISALIA SPORT SPINE REHAB PHYSICAL THERAPY 2325 W CALDWELL AVE, VISALIA, CA (559) 625-2777 93277 JOHNSON, RONALD - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 304 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JOHNSON, RONALD - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 JOHNSON, RONALD - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 38656 MEDICAL CTR DR STE B, (661) 947-9977 PALMDALE, CA 93551 JOHNSON, RONNIE - PT RJ PHYSICAL THERAPY PHYSICAL THERAPY 501 E HARDY ST STE 160, INGLEWOOD, (310) 412-0100 GROUP CA 90301 JOHNSON, THOMAS - DC BODY DYNAMIX INTEGRATED CHIROPRACTIC MEDICINE 18344 OXNARD ST STE 104, TARZANA, (818) 783-4085 SPORTS MEDICINE CA 91356 JOHNSON, THOMAS - OD OPTOMETRY 641 SPRING ST, PASO ROBLES, CA (805) 226-0400 93446 JOHNSON, VANCE Z - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REHABILITATION REDLANDS, CA 92374 JOINT EFFORTS (BCC) JOINT EFFORTS CHEMICAL DEPENDENCY 590 W 8TH ST, SAN PEDRO, CA 90731 (310) 831-2358 REHABILITATION CENTER (OUTPATIENT) JOKHIO, NASREEN - OT THE REHAB GROUP OCCUPATIONAL THERAPY 31741 TEMECULA PKWY STE C, (951) 719-8155 TEMECULA, CA 92592 JOKHIO, NASREEN - OT THE REHAB GROUP OCCUPATIONAL THERAPY 40680 CALIFORNIA OAKS RD STE 2A, (951) 894-4800 MURRIETA, CA 92562 JOLIVETTE, JENNIFER, LYNN - VILLA LAS PALMAS OCCUPATIONAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 OTA JONATHAN'S PHARMACY PHARMACY 19341 BEAR VALLEY RD, APPLE (760) 983-2599 VALLEY, CA 92308 JONES III, WALTER - MD (BCC) REDLANDS INDUSTRIAL INTERNAL MEDICINE 255 TERRACINA BLVD STE 101-A, (909) 748-6569 MEDICAL CLINIC REDLANDS, CA 92373 JONES, BRITTA - PT HANDS ON REHAB INC PHYSICAL THERAPY 7921 PROFESSIONAL CIR, (714) 847-8751 HUNTINGTON BEACH, CA 92648 JONES, BRITTANY - PT CARNAHAN THERAPY PHYSICAL THERAPY 805 E WALNUT AVE, LOMPOC, CA 93436 (805) 735-3714 REHABILITATION JONES, DONNA - AUD ADVANCED HEARING AUDIOLOGY 31862 COAST HIGHWAY STE 208, (800) 598-5300 PROVIDERS LLC LAGUNA BEACH, CA 92651 JONES, GEORGINA - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 121 BOATYARD DR SUITE A, FORT (707) 964-1208 BRAGG, CA 95437 JONES, JENNIFER - PT DERYKE ASSOCIATES DBA PHYSICAL THERAPY 201 E HAMILTON AVE, CAMPBELL, CA (408) 376-0900 FYZICAL CAMPBELL 95008 JONES, JESSICA - PT MIND BODY PHYSICAL PHYSICAL THERAPY 2877 LAKE TAHOE BLVD, SOUTH LAKE (530) 541-7133 THERAPY TAHOE, CA 96150 JONES, JESSICA - PT MIND BODY PHYSICAL PHYSICAL THERAPY 459 S CHINA LAKE BLVD STE H, (760) 371-1606 THERAPY RIDGECREST, CA 93555 JONES, JESSICA - PT MIND BODY PHYSICAL PHYSICAL THERAPY 812 EMERALD BAY RD, SOUTH LAKE (530) 542-2662 THERAPY TAHOE, CA 96150 JONES, KATHLEEN - PT JOHN GEARY INC D/B/A PHYSICAL THERAPY 7325 MEDICAL CENTER DR STE 206, (818) 340-8320 COMMUNITY CENTER WEST HILLS, CA 91307 PHYSICAL THERAPY JONES, KEVIN - LAC KEVIN JONES LAC ACUPUNCTURE 3248 SEPULVEDA BLVD, TORRANCE, (310) 334-9265 CA 90505 JONES, KIERAN - LAC THE PARANI CLINIC ACUPUNCTURE 725 E WASHINGTON ST STE 102, (707) 772-5479 PETALUMA, CA 94952 JONES, LORELLE - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 JONES, MACCAIA - AUD ADVANCED HEARING AUDIOLOGY 8995 APOLLO WAY, DOWNEY, CA 90242 (800) 598-5300 PROVIDERS LLC JONES, RANDOLPH P - MD CONCENTRA MEDICAL PRIMARY TREATING 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 CENTER - SANTA ANA TUSTIN PHYSICIAN CA 92705 JONES, RANDOLPH P - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 CENTER - SANTA ANA TUSTIN CA 92705 JONES, RAYANNA - PT SACRAMENTO SPINE PHYSICAL THERAPY 1650 LEAD HILL BLVD STE 300, (916) 677-1210 PHYSICAL ROSEVILLE, CA 95661 THERAPYROSEVILLE JONES, RYAN - PT FIVE STAR PHYSICAL PHYSICAL THERAPY 234 N CITRUS AVE, COVINA, CA 91723 (626) 331-0077 THERAPY DBA PT 360 JONES, STEVE - MD (BCC) PRIMARY TREATING 2921 SAVIERS RD, OXNARD, CA 93033 (805) 487-5588 PHYSICIAN JONES, STEVE - MD (BCC) FAMILY MEDICINE 2921 SAVIERS RD, OXNARD, CA 93033 (805) 487-5588

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 305 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JONES, STEVEN - DC STEVEN R JONES DC CHIROPRACTIC MEDICINE 10393 SAN DIEGO MISSION RD STE 130, (619) 280-0554 SAN DIEGO, CA 92108 JONES, TODD - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 1395 1ST ST STE 100, GILROY, CA 95020 (408) 846-6000 THERAPY GILROY JONES, TODD - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 14103 WINCHESTER BLVD STE F, LOS (408) 868-5577 THERAPY LOS GATOS GATOS, CA 95032 JONES, TODD - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 4205 SAN FELIPE RD STE 100, SAN (408) 238-1552 PHYSICAL THERAPY JOSE, CA 95135 JONES, TODD - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 500 E REMINGTON DR STE 10, (408) 389-3600 THERAPY SUNNYVALE SUNNYVALE, CA 94087 JONG, HEE, KIM - LAC KIM'S ACUPUNCTURE ACUPUNCTURE 12600 BROOKHURST ST 201, GARDEN (714) 420-9731 GROVE, CA 92840 JORDAN PHYSICAL THERAPY PHYSICAL THERAPY 42080 STATE ST, PALM DESERT, CA (760) 568-2894 CENTER 92211-5173 JORDAN, GRACE - PT GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 JOSEPH CHAN PHYSICAL PHYSICAL THERAPY 3500 LOMITA BLVDSUITE M100, (310) 316-2368 THERAPY TORRANCE, CA 90505-5037 JOSEPH CHAN PHYSICAL PHYSICAL THERAPY 5230 PACIFIC CONCOURSE DRSUITE (310) 297-9221 THERAPY 100, LOS ANGELES, CA 90045-6279 JOSEPH CHAN PT PHYSICAL THERAPY 5230 PACIFIC CONCOURSE DR STE 110, (310) 670-0116 LOS ANGELES, CA 90045 JOSEPH, BOBAN - MD (BCC) OPHTHALMOLOGY 160 E ARTESIA ST STE 345, POMONA, (909) 865-7990 CA 91767 JOSEPH, SOLOMON - PT ADVANCED ORTHOPEDIC PHYSICAL THERAPY 2501 CHERRY AVE STE 250, SIGNAL (562) 595-5159 PHYSICAL THERAPY HILL, CA 90755 JOSEPH, THOMAS P - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 28323 VALENCIA BLVD STE 250, SANTA (661) 799-1999 FOUNDATION CLARITA , CA 91355 JOSHI, CHANDRASHEKHAR - INTERNAL MEDICINE 1350 E LOS ANGELES AVE, SIMI (805) 522-3782 MD (BCC) VALLEY, CA 93065 JOURGENSEN, DAVID R - MD CONCENTRA MEDICAL INTERNAL MEDICINE 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 JOVES, BRIAN C - MD (BCC) SPINE & NERVE DIAGNOSTIC PAIN MANAGEMENT 1528 EUREKA RD STE 103 , ROSEVILLE (916) 772-5325 CENTER , CA 95661 JOY RISO, DENA - AUD ADVANCED HEARING AUDIOLOGY 230 PROSPECT PL STE 101, (800) 598-5300 PROVIDERS LLC CORONADO, CA 92118 JOY, RICK - DC CHIROPRACTIC HEALTH CHIROPRACTIC MEDICINE 1012 CARVER RD, MODESTO, CA 95350 (209) 549-2215 CENTER/RICK JOYDC JOYCE, NEELIE, HONORINE - BROWN PHYSICAL THERAPY PHYSICAL THERAPY 1930 DEL PASO RD STE 123, (916) 333-0570 PTA SACRAMENTO, CA 95834 JOYNER, DIANA - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 JOYO, COLIN - MD (BCC) THORACIC SURGERY 447 OLD NEWPORT BLVD STE 200, (949) 650-3350 NEWPORT BEACH, CA 92663 JP PHARMACY PHARMACY 9188 MIRA MESA BLVD, SAN DIEGO, CA (858) 271-0014 92126 JUAN F DURAN PT PHYSICAL THERAPY 650 COMMERCE AVESUITE E, (818) 300-1589 PALMDALE, CA 93551-3884 JUAREZ, BERDARDO - PTA SAN JOSE PHYSICAL THERAPY PHYSICAL THERAPY 125 N JACKSON AVE STE 201, SAN (408) 254-7722 JOSE, CA 95116 JUAREZ, GREGORY C - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90043 CENTER JUDEH, ASMEA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 JUDEH, ASMEA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 JUDEH, ASMEA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 JUDEH, ASMEA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 JUDEH, ASMEA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 306 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JUDEH, ASMEA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 JUE, JEFFREY - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 800 S RAYMOND AVE FL 3, PASADENA, (626) 795-0800 ASSOCIATES DBA ELITE CA 91105 MOTION JUELLE AND LIMA PHARMACY PHARMACY 4566 FLORENCE AVE STE 9, BELL, CA (323) 562-1577 90201 JUHL, JERRY - PT UNITED THERAPY PHYSICAL THERAPY 46900 MONROE ST BLDG C STE 304, (760) 289-3010 NETWORKINC INDIO, CA 92201 JULIAN YNIQUEZ PHYSICAL PHYSICAL THERAPY 1125 E 17TH ST STE E101, SANTA ANA, (714) 543-3500 THERAPY, INC. CA 92701 JULIAN YNIQUEZ PHYSICAL PHYSICAL THERAPY 1220 HEMLOCK WAY STE 206, SANTA (714) 754-1990 THERAPY, INC. ANA, CA 92707-3652 JULIAN, ROBERT S - MD (BCC) ORAL AND MAXILLOFACIAL 215 N FRESNO ST STE 490, FRESNO, (559) 459-4101 SURGERY CA 93701 JULIE GOMEZ PHYSICAL PHYSICAL THERAPY 145 N SIERRA MADRE BLVD STE 8, (626) 396-6958 THERAPY PASADENA, CA 91107-3379 JUMPER, ALFRED - MD (BCC) ANESTHESIOLOGY 8670 WILSHIRE BLVD STE 300, (310) 275-1646 BEVERLY HILLS, CA 90211 JUN, ESTHER, YOU - LAC GINSENGDANG ACUPUNCTURE 3030 W OLYMPIC BLVD STE 102A, LOS (213) 296-7596 ACUPUNCTURE HERBAL ANGELES, CA 90006 CLINIC JUN, LEE, YOUNG - LAC HWA PYUNG ACUPUNCTURE ACUPUNCTURE 2518 W LINCOLN AVE, ANAHEIM, CA (714) 220-0321 HERBS 92801 JUN, YONG - LAC YONG GU JUN ACUPUNCTURE 6939 SUNRISE BLVD STE 226, CITRUS (916) 677-9818 HEIGHTS, CA 95610 JUN, YONG, GU - LAC YONG GU JUN ACUPUNCTURE 1712 BRODEA LN, ROCKLIN, CA 95765 (415) 385-4059 JUNG, CHO, WON - LAC TREVIZO CHIROPRACTIC ACUPUNCTURE 400 RAMONA AVE STE 115, CORONA, (951) 340-0440 ACUPUNCTURE CA 92879 JUNG, GUMN - LAC GUMIN JUNG ACUPUNCTURE 2550 E SLAUSON AVE STE D, (323) 584-0103 HUNTINGTON PARK, CA 90255 JUNG, HEE, SUN - LAC ACUTHERAPY ACUPUNCTURE ACUPUNCTURE 22777 LYONS AVE STE 105, SANTA (661) 505-0530 CLINIC CLARITA, CA 91321 JUNG, HONG, HWAN - LAC JOY ACUPUNCTURE CLINIC ACUPUNCTURE 410 W BADILLO ST SUITE 100C, (626) 541-0517 COVINA, CA 91723 JUNG, JAMES - DPM (BCC) PODIATRY 728 N EUCLID AVE, ONTARIO, CA 91762 (909) 984-5614 JUNG, JAMES K - DPM (BCC) FAMILY FOOT CENTER PODIATRY 16465 SIERRA LAKES PKWY STE 240, (909) 427-9522 FONTANA, CA 92236 JUNG, KENNETH - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANKLE ANGELES, CA 90045 JUNG, KENNETH - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ANKLE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 JUNG, KENNETH - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC FOOT ANGELES, CA 90045 JUNG, KENNETH - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - FOOT 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 JUNG, KENNETH S - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 CLINIC FOOT ANGELES, CA 90033 JUNG, KENNETH S - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 CLINIC ANKLE ANGELES, CA 90033 JUNG, KENNETH S - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - FOOT 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 CLINIC ANGELES, CA 90033 JUNG, KENNETH S - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - ANKLE 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 CLINIC ANGELES, CA 90033 JUNG, KENNETH S - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 CLINIC FOOT CA 91101 JUNG, KENNETH S - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 CLINIC ANKLE CA 91101 JUNG, KENNETH S - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - FOOT 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 CLINIC CA 91101 JUNG, KENNETH S - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - ANKLE 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 CLINIC CA 91101

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 307 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone JUNG, KENNETH S - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC ANKLE CA 92806 JUNG, KENNETH S - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ANKLE 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 JUNG, KENNETH S - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC FOOT CA 92806 JUNG, KENNETH S - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - FOOT 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 JUNG, MINCHUL - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 520 S VIRGIL AVE UNIT 201, LOS (213) 480-0021 ANGELES, CA 90020 JUNG, YI - LAC APRICOT GROVE ACUPUNCTURE 2920 F ST STE F11, BAKERSFIELD, CA (661) 434-3415 ACUPUNCTURE 93301 JUNG, YURA - LAC CONTEMPORARY ACUPUNCTURE 8610 W 3RD ST, LOS ANGELES, CA (310) 657-8600 ALTERNATIVE MEDICINE INC 90048 JURA, YING HUA - MD KAISER PERMANENTE WEST UROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER JURADO, ANN - PT DESERT REHABILITATION PHYSICAL THERAPY 180 W LEGION RD, BRAWLEY, CA 92227 (760) 351-7125 INSTITUTE JURKOWITZ, JAY - MD NEUROLOGY 1585 S D ST STE 211, SAN (818) 461-8150 BERNARDINO, CA 92408 JURKOWITZ, JAY - MD NEUROLOGY 16311 VENTURA BLVD STE 1000, (818) 461-8150 ENCINO, CA 91436 JURKOWITZ, JAY - MD NEUROLOGY 302 W LA VETA AVE STE 101, ORANGE, (818) 461-8150 CA 92866 JURKOWITZ, JAY - MD NEUROLOGY 40005 10TH ST W #213, PALMDALE, CA (818) 461-8150 93551 JURKOWITZ, JAY - MD NEUROLOGY 6700 INDIANA AVE #145 , RIVERSIDE, (818) 461-8150 CA 92506 JURUPA VALLEY PHARMACY PHARMACY 7990 LIMONITE AVE STE F, JUPURA (951) 332-2235 VALLEY, CA 92509 JUSTICE, JAMES C - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER JUTZY, KENNETH - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SCHUMAN (800) 679-4642 HEALTH CARE - (CARDIOLOGY) PAVILION STE 1617, LOMA LINDA, CA INTERNATIONAL HEART 92354 INSTITUTE JUTZY, KENNETH - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS AVE STE 301, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE K AND T PHARMACY PHARMACY 3116 E CHAPMAN AVE, ORANGE, CA (714) 633-3366 92869 K'S PHARMACY PHARMACY 12582 CENTRAL AVE, CHINO, CA 91710 (909) 591-7429 KABAT AND ASSOCIATES PHYSICAL THERAPY 5161 LONE TREE WAY, ANTIOCH, CA (925) 522-8000 PHYSICAL THERAPY 94531-8689 KABIR, SAIF - AUD ADVANCED HEARING AUDIOLOGY 16914 SAN FERNANDO MISSION BLV, (800) 598-5300 PROVIDERS LLC GRANADA HILLS, CA 91344 KABIR, SAIF - AUD ADVANCED HEARING AUDIOLOGY 8341 LAUREL CANYON BLVD, SUN (800) 598-5300 PROVIDERS LLC VALLEY, CA 91352 KADAMBI, ANIRUDH - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 1901 W LUGONIA AVE STE 230, (909) 557-1600 REHABILITATION REDLANDS, CA 92374 KADAMBI, ANIRUDH - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 REHABILITATION CUCAMONGA, CA 91730 KADAMBI, ANIRUDH - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 REHABILITATION RIVERSIDE, CA 92505 KADAMBI, ANIRUDH - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 2131 ELKS DR STE 200, SAN (909) 726-6100 REHABILITATION BERNARDINO, CA 92404 KADAMBI, ANIRUDH - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 15095 AMARGOSA RD STE 106 , (760) 245-6495 REHABILITATION VICTORVILLE , CA 92394 KADER, KARIM - MD (BCC) UC SAN DIEGO HEALTH - UROLOGY 9400 CAMPUS POINTE DR, LA JOLLA , (858) 657-7876 KOMAN FAMILY OUTPATIENT CA 92037 PAVILLION

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 308 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KAHANU, RYAN - PT FORTANASCE ASSOCIATES PHYSICAL THERAPY 671 W NAOMI AVE, ARCADIA, CA 91007 (626) 446-7027 PHYSICAL THERAPY KAHEN, PEDRAM - DPM KAISER PERMANENTE WEST PODIATRY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KAHM, CARA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 KAHM, CARA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 KAILAR, LAVANYA - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER KAILAR, LAVANYA - MD KAISER PERMANENTE ON THE PRIMARY TREATING 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH PHYSICIAN JOSE, CA 95119 CENTER KAISER COASTLINE PHARMACY 25821 S VERMONT AVE FL 1, HARBOR (844) 424-1866 PHARMACY CITY, CA 90710 KAISER PERMANENTE ACUTE CARE HOSPITAL 4501 SAND CREEK RD HOSPITAL BLDG, (925) 813-6500 ANTIOCH MEDICAL CENTER ANTIOCH, CA 94531 KAISER PERMANENTE URGENT CARE FACILITY 4501 SAND CREEK RD MINOR INJURY (925) 813-3770 ANTIOCH MEDICAL OFFICES CLINIC, ANTIOCH, CA 94531 KAISER PERMANENTE ACUTE CARE HOSPITAL 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER KAISER PERMANENTE URGENT CARE FACILITY 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER KAISER PERMANENTE URGENT CARE FACILITY 1011 BALDWIN PARK BLVD HOSPITAL (800) 780-1277 BALDWIN PARK MEDICAL FL 1, BALDWIN PARK, CA 91706 CENTER KAISER PERMANENTE URGENT CARE FACILITY 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 CROSSROADS MEDICAL STE 150, CITY OF INDUSTRY, CA 91746 CENTER KAISER PERMANENTE ACUTE CARE HOSPITAL 9333 E IMPERIAL HIGHWAY , DOWNEY, (562) 657-2200 DOWNEY MEDICAL CENTER CA 90242 KAISER PERMANENTE ACUTE CARE HOSPITAL 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-5521 FONTANA MEDICAL CENTER KAISER PERMANENTE URGENT CARE FACILITY 9985 SIERRA AVE BUILDING 1, 1ST (909) 427-3917 FONTANA MEDICAL CENTER FLOOR, FONTANA, CA 92335 KAISER PERMANENTE ACUTE CARE HOSPITAL 39400 PASEO PADRE PARKWAY , (510) 248-3000 FREMONT MEDICAL CENTER FREMONT, CA 94538 KAISER PERMANENTE FRESNO ACUTE CARE HOSPITAL 7300 N FRESNO ST , FRESNO, CA 93720 (559) 448-4500 MEDICAL CENTER KAISER PERMANENTE URGENT CARE FACILITY 12100 EUCLID ST , GARDEN GROVE, CA (888) 988-2800 GARDEN GROVE MEDICAL 92840 OFFICES KAISER PERMANENTE URGENT CARE FACILITY 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 HARBOR MACARTHUR 92704 MEDICAL OFFICES KAISER PERMANENTE HIGH URGENT CARE FACILITY 14011 PARK AVE , VICTORVILLE, CA (888) 750-0036 DESERT MEDICAL OFFICES 92392 KAISER PERMANENTE URGENT CARE FACILITY 9449 E IMPERIAL HWY BLDG D STE 130, (562) 657-2200 IMPERIAL MEDICAL OFFICES DOWNEY, CA 90242 KAISER PERMANENTE IRVINE ACUTE CARE HOSPITAL 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL OFFICES CA 92618 KAISER PERMANENTE LA URGENT CARE FACILITY 8080 PARKWAY DRIVE , LA MESA, CA (619) 528-5000 MESA MEDICAL OFFICES 91942 KAISER PERMANENTE URGENT CARE FACILITY 43112 N 15TH ST W WEST BUILDING, (661) 726-2262 LANCASTER MEDICAL OFFICES LANCASTER, CA 93534 KAISER PERMANENTE LOS URGENT CARE FACILITY 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 ANGELES MEDICAL CENTER ANGELES, CA 90027 KAISER PERMANENTE LOS ACUTE CARE HOSPITAL 4867 W SUNSET BLVD , LOS ANGELES, (323) 783-6621 ANGELES MEDICAL CENTER CA 90027

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 309 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KAISER PERMANENTE ACUTE CARE HOSPITAL 1777 W YOSEMITE AVE , MANTECA, CA (209) 825-3700 MANTECA MEDICAL CENTER 95337 KAISER PERMANENTE URGENT CARE FACILITY 23781 MAQUINA AVE , MISSION VIEJO, (714) 830-6660 MISSION VIEJO MEDICAL CA 92691 OFFICES KAISER PERMANENTE ACUTE CARE HOSPITAL 4601 DALE RD , MODESTO, CA 95356 (209) 735-5000 MODESTO MEDICAL CENTER KAISER PERMANENTE ACUTE CARE HOSPITAL 12815 HEACOCK STREET 1ST FLR (951) 353-4322 MORENO VALLEY MEDICAL ROOM 106, MORENO VALLEY, CA 92553 CENTER KAISER PERMANENTE URGENT CARE FACILITY 12815 HEACOCK STREET 1ST FLR (951) 353-4322 MORENO VALLEY MEDICAL ROOM 106, MORENO VALLEY, CA 92553 CENTER KAISER PERMANENTE URGENT CARE FACILITY 28150 KELLER ROAD , MURRIETA, CA (866) 984-7483 MURRIETA MEDICAL OFFICES 92563 KAISER PERMANENTE ACUTE CARE HOSPITAL 275 W MACARTHUR BLVD , OAKLAND, (510) 752-7600 OAKLAND MEDICAL CENTER CA 94611 KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 JOB BALDWIN PARK MEDICAL CENTER STE 150, CITY OF INDUSTRY, CA 91746 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 10820 183RD ST 2ND FLR, CERRITOS, (562) 657-2200 JOB CERRITOS MEDICAL CENTER CA 90703 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 JOB DOWNEY MEDICAL CENTER DOWNEY, CA 90242 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 9985 SIERRA AVE MOB-3 BASEMENT, (909) 427-3917 JOB FONTANA MEDICAL CENTER FONTANA, CA 92335 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR CENTER 92704 MEDICAL OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 6670 ALTON PKWY , IRVINE, CA 92618 (714) 644-6450 JOB IRVINE MEDICAL CENTER CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3501 STOCKDALE HWY , BAKERSFIELD, (661) 398-3813 JOB KERN COUNTY MEDICAL CENTER CA 93309 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 43112 N 15TH ST W WEST BUILDING, (661) 726-2262 JOB LANCASTER MEDICAL CENTER LANCASTER, CA 93534 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL CENTER ANGELES, CA 90027 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 333 S HOPE ST STE C130 CONCOURSE (323) 783-6621 JOB LOS ANGELES MEDICAL CENTER LEVEL, LOS ANGELES, CA 90071 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL CENTER ROOM 106, MORENO VALLEY, CA 92553 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 1 QUALITY DR MOB-A 1ST FLR A16, (707) 624-2480 JOB OCCUPATIONAL HEALTH CENTER VACAVILLE, CA 95688 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH CENTER CUPERTINO, CA 95014 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH CENTER REDWOOD CITY, CA 94063 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 1600 EUREKA RD BULD C 1ST FLR , (916) 784-4100 JOB OCCUPATIONAL HEALTH CENTER ROSEVILLE, CA 95661 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 310 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 1600 OWENS STREET , SAN (415) 833-9600 JOB OCCUPATIONAL HEALTH CENTER FRANCISCO, CA 94158 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 1779 W YOSEMITE AVE STE 202, (209) 825-3531 JOB OCCUPATIONAL HEALTH CENTER MANTECA, CA 95337 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 200 MUIR RD HACIENDA BLDG 1ST FLR, (925) 313-0301 JOB OCCUPATIONAL HEALTH CENTER MARTINEZ, CA 94553 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH CENTER 95825 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 2155 IRON POINT RD 2ND FLR, (916) 817-5660 JOB OCCUPATIONAL HEALTH CENTER FOLSOM, CA 95630 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 2651 HIGHLAND AVE, SELMA, CA 93662 (559) 448-4886 JOB OCCUPATIONAL HEALTH CENTER CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 275 HOSPITAL PKWY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH CENTER JOSE, CA 95119 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3100 DUBLIN BLVD 3RD FLR, DUBLIN, (925) 556-5875 JOB OCCUPATIONAL HEALTH CENTER CA 94568 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 320 LENNON LN LASSEN BLDG 2ND (925) 906-2060 JOB OCCUPATIONAL HEALTH CENTER FLR, WALNUT CREEK, CA 94598 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3285 CLAREMONT WAY 2ND FLR, NAPA, (707) 258-4907 JOB OCCUPATIONAL HEALTH CENTER CA 94558 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3460 E LA PALMA AVE BULD 1, (714) 644-6450 JOB OCCUPATIONAL HEALTH CENTER ANAHEIM, CA 92806 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3553 WHIPPLE RD BLDG B, UNION CITY, (510) 675-4807 JOB OCCUPATIONAL HEALTH CENTER CA 94587 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3701 BROADWAY 5 FLR STE 501, (510) 752-1244 JOB OCCUPATIONAL HEALTH CENTER OAKLAND, CA 94611 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3900 LAKEVILLE HWY MOB-2, (707) 765-3800 JOB OCCUPATIONAL HEALTH CENTER PETALUMA, CA 94954 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 39400 PASEO PADRE PARKWAY (510) 248-3015 JOB OCCUPATIONAL HEALTH CENTER MISSION BLDG, FREMONT, CA 94538 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 3975 OLD REDWOOD HWY MOB 5 STE (707) 566-5555 JOB OCCUPATIONAL HEALTH CENTER 152, SANTA ROSA, CA 95403 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 4501 SAND CREEK RD 3RD FLR SAND (925) 813-3770 JOB OCCUPATIONAL HEALTH CENTER CREEK BLDG, ANTIOCH, CA 94531 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 4601 DALE RD 4TH FLR, MODESTO, CA (209) 735-4100 JOB OCCUPATIONAL HEALTH CENTER 95356 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH CENTER PLAZA, SAN FRANCISCO, CA 94102 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2001 JOB OCCUPATIONAL HEALTH CENTER SACRAMENTO, CA 95823 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 7300 N FRESNO ST OAK 1 BLDG, (559) 448-4886 JOB OCCUPATIONAL HEALTH CENTER FRESNO, CA 93720 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 311 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3694 JOB OCCUPATIONAL HEALTH CENTER 95210 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH CENTER BRUNO, CA 94066 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 901 NEVIN AVE MOB 1 1ST FLR DEPT (510) 307-1560 JOB OCCUPATIONAL HEALTH CENTER #107, RICHMOND, CA 94801 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 975 SERENO DR 1ST FLR DEPT #128, (707) 651-1370 JOB OCCUPATIONAL HEALTH CENTER VALLEJO, CA 94589 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 99 MONTECILLO RD MOB-2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH CENTER RAFAEL, CA 94903 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 2295 S VINEYARD AVE MOB A 3RD FLR (909) 427-3917 JOB ONTARIO MEDICAL CENTER STE 306, ONTARIO, CA 91761 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 2200 E GONZALEZ RD 1ST FLR STE 105, (805) 604-6055 JOB OXNARD MEDICAL CENTER OXNARD, CA 93036 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 13652 CANTARA ST AREA 156 N 2 BLDG (818) 375-2233 JOB PANORAMA CITY MEDICAL CENTER 1ST FLR, PANORAMA CITY, CA 91402 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 5300 MCCONNELL AVE 1ST FL, LOS (310) 202-3030 JOB PLAYA VISTA CENTER ANGELES, CA 90066 KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 10800 MAGNOLIA AVE MOB-1 4TH FLR (951) 353-4322 JOB RIVERSIDE MEDICAL CENTER RM 408, RIVERSIDE, CA 92505 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CENTER CA 92120 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 4650 PALM AVE 2ND FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CENTER CA 92154 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 JOB SAN MARCOS MEDICAL CENTER 92078 CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 18600 S FIGUEROA ST 1ST FLR, (310) 527-5600 JOB SOUTH BAY MEDICAL CENTER GARDENA, CA 90248 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 110 N LA BREA AVE 3RD FLR , (310) 202-3030 JOB WEST LOS ANGELES CENTER INGLEWOOD, CA 90301 MEDICAL CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES CENTER ANGELES, CA 90034 MEDICAL CENTER KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 36450 INLAND VALLEY DR 2ND FLR (951) 353-4322 JOB WILDOMAR MEDICAL CENTER ROOM 205, WILDOMAR, CA 92595 OFFICES KAISER PERMANENTE ON THE OCCUPATIONAL HEALTH 5601 DESOTO AVE ENTRANCE N 1ST (818) 719-3006 JOB WOODLAND HILLS CENTER FLR STE 172, WOODLAND HILLS, CA MEDICAL CENTER 91367 KAISER PERMANENTE ACUTE CARE HOSPITAL 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 ONTARIO MEDICAL CENTER KAISER PERMANENTE ACUTE CARE HOSPITAL 3440 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ORANGE COUNTY ANAHEIM 92806 MEDICAL CENTER KAISER PERMANENTE OTAY URGENT CARE FACILITY 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 MESA MEDICAL OFFICES CA 92154 KAISER PERMANENTE URGENT CARE FACILITY 13640 ROSCOE BLVD NORTH BUILDING (818) 375-2233 PANORAMA CITY MEDICAL 6, PANORAMA CITY, CA 91402 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 312 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KAISER PERMANENTE ACUTE CARE HOSPITAL 13652 CANTARA ST , PANORAMA CITY, (818) 375-2233 PANORAMA CITY MEDICAL CA 91402 CENTER KAISER PERMANENTE URGENT CARE FACILITY 13630 WILLARD ST , PANORAMA CITY, (888) 778-5000 PANORAMA CITY MEDICAL CA 91402 CENTER / SOUTH 2 MEDICAL OFFICES KAISER PERMANENTE URGENT CARE FACILITY 3280 E FOOTHILL BLVD , PASADENA, (800) 954-8000 PASADENA MEDICAL OFFICES CA 91107 KAISER PERMANENTE PHARMACY 2295 S VINEYARD AVE, ONTARIO, CA (909) 724-7647 PHARMACY 91761 KAISER PERMANENTE PLAYA URGENT CARE FACILITY 5300 MCCONNELL AVE 1ST FL, LOS (310) 202-3030 VISTA ANGELES, CA 90066 KAISER PERMANENTE ACUTE CARE HOSPITAL 1100 VETERANS BLVD HOSPITAL (650) 299-2000 REDWOOD CITY MEDICAL TOWER 1ST FLR, REDWOOD CITY, CA CENTER 94063 KAISER PERMANENTE ACUTE CARE HOSPITAL 901 NEVIN AVE , RICHMOND, CA 94801 (510) 307-1500 RICHMOND MEDICAL CENTER KAISER PERMANENTE ACUTE CARE HOSPITAL 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 KAISER PERMANENTE URGENT CARE FACILITY 10800 MAGNOLIA AVE PARK SIERRA (951) 353-4322 RIVERSIDE MEDICAL CENTER BLDG 1ST FLR, RIVERSIDE, CA 92505 KAISER PERMANENTE ACUTE CARE HOSPITAL 1600 EUREKA RD , ROSEVILLE, CA (916) 784-4000 ROSEVILLE MEDICAL CENTER 95661 KAISER PERMANENTE ACUTE CARE HOSPITAL 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5000 SACRAMENTO MEDICAL 95825 CENTER KAISER PERMANENTE SAN ACUTE CARE HOSPITAL 9455 CLAIREMONT MESA BLVD , SAN (833) 242-8500 DIEGO CLAIREMONT MEDICAL DIEGO, CA 92123 CENTER KAISER PERMANENTE SAN ACUTE CARE HOSPITAL 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 DIEGO MEDICAL CENTER CA 92120 KAISER PERMANENTE SAN URGENT CARE FACILITY 9455 CLAIREMONT MESA BLVD , SAN (619) 528-5000 DIEGO MEDICAL CENTER DIEGO, CA 92123 KAISER PERMANENTE SAN URGENT CARE FACILITY 2238 GEARY BLVD 3RD FLR INJURY (415) 833-9600 FRANCISCO MEDICAL CENTER CENTER, SAN FRANCISCO, CA 94115 KAISER PERMANENTE SAN ACUTE CARE HOSPITAL 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-2000 FRANCISCO MEDICAL CENTER CA 94115 KAISER PERMANENTE SAN ACUTE CARE HOSPITAL 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-3000 JOSE MEDICAL CENTER CA 95119 KAISER PERMANENTE SAN URGENT CARE FACILITY 275 HOSPITAL PARKWAY MINOR (408) 972-6800 JOSE MEDICAL CENTER INJURY CLINIC 1ST FLR, SAN JOSE, CA 95119 KAISER PERMANENTE SAN ACUTE CARE HOSPITAL 2500 MERCED ST , SAN LEANDRO, CA (510) 454-1000 LEANDRO MEDICAL CENTER 94577 KAISER PERMANENTE SAN URGENT CARE FACILITY 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 KAISER PERMANENTE SAN ACUTE CARE HOSPITAL 99 MONTECILLO RD , SAN RAFAEL, CA (415) 444-2000 RAFAEL MEDICAL CENTER 94903 KAISER PERMANENTE SANTA ACUTE CARE HOSPITAL 700 LAWRENCE EXPRESSWAY, SANTA (408) 851-1000 CLARA MEDICAL CENTER CLARA, CA 95051 KAISER PERMANENTE SANTA URGENT CARE FACILITY 26877 TOURNEY ROAD , VALENCIA, CA (888) 778-5000 CLARITA MEDICAL OFFICES 2 91355 KAISER PERMANENTE SANTA ACUTE CARE HOSPITAL 401 BICENTENNIAL WAY , SANTA ROSA, (707) 393-4000 ROSA MEDICAL CENTER CA 95403 KAISER PERMANENTE SO ACUTE CARE HOSPITAL 6600 BRUCEVILLE RD, SACRAMENTO, (916) 688-2000 SACRAMENTO MEDICAL CA 95823 CENTER KAISER PERMANENTE SO SAN ACUTE CARE HOSPITAL 1200 EL CAMINO REAL , SOUTH SAN (650) 742-2000 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 KAISER PERMANENTE SOUTH ACUTE CARE HOSPITAL 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 313 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KAISER PERMANENTE SOUTH URGENT CARE FACILITY 25965 S NORMANDIE AVE , HARBOR (800) 780-1230 BAY MEDICAL CENTER / CITY, CA 90710 NORMANDIE NORTH MEDICAL OFFICES KAISER PERMANENTE URGENT CARE FACILITY 3501 STOCKDALE HWY , BAKERSFIELD, (661) 398-3813 STOCKDALE MEDICAL CA 93309 OFFICES KAISER PERMANENTE ACUTE CARE HOSPITAL 1 QUALITY DR 1ST FLR MOB B MAIN (707) 624-4000 VACAVILLE MEDICAL CENTER HOSPITAL, VACAVILLE, CA 95688 KAISER PERMANENTE ACUTE CARE HOSPITAL 975 SERENO DR 1ST FLR, HOSPITAL (707) 651-1000 VALLEJO MEDICAL CENTER ENTRANCE, VALLEJO, CA 94589 KAISER PERMANENTE URGENT CARE FACILITY 2295 S VINEYARD A, ONTARIO, CA (909) 427-3917 VINEYARD ONTARIO SURGERY 91761 CENTER KAISER PERMANENTE ACUTE CARE HOSPITAL 1425 S MAIN ST , WALNUT CREEK, CA (925) 295-4000 WALNUT CREEK MEDICAL 94596 CENTER KAISER PERMANENTE URGENT CARE FACILITY 1425 S MAIN ST MINOR INJURY CLINIC, (925) 295-6313 WALNUT CREEK MEDICAL WALNUT CREEK, CA 94596 CENTER KAISER PERMANENTE WEST URGENT CARE FACILITY 4700 SUNSET BLVD 1ST FLOOR, LOS (323) 783-6621 LOS ANGELES MEDICAL ANGELES, CA 90027 CENTER KAISER PERMANENTE WEST ACUTE CARE HOSPITAL 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KAISER PERMANENTE WEST URGENT CARE FACILITY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KAISER PERMANENTE URGENT CARE FACILITY 36450 INLAND VALLEY DRIVE , (866) 984-7483 WILDOMAR MEDICAL OFFICES WILDOMAR, CA 92595 KAISER PERMANENTE ACUTE CARE HOSPITAL 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL CA 91367 CENTER KAISER PERMANENTE URGENT CARE FACILITY 5601 DE SOTO AVE MED OFFICE (818) 719-3006 WOODLAND HILLS MEDICAL TOWER ENTRANCE 4, WOODLAND CENTER HILLS, CA 91367 KAJU PHARMACY PHARMACY 8887 GARDEN GROVE BLVD, GARDEN (714) 539-6631 GROVE, CA 92844 KAKKIS, JANE - MD (BCC) SURGERY 9900 TALBERT AVE STE 103B, (714) 378-5011 FOUNTAIN VALLEY, CA 92708 KAKLEAS, JON - DC KAKLEAS CHIROPRACTIC CHIROPRACTIC MEDICINE 4380 REDWOOD HWY STE B6, SAN (415) 499-8469 RAFAEL, CA 94903 KAKLEAS, JON - PT KAKLEAS CHIROPRACTIC PHYSICAL THERAPY 4380 REDWOOD HWY STE B6, SAN (415) 499-8469 RAFAEL, CA 94903 KALAMA, JONATHAN - AUD ADVANCED HEARING AUDIOLOGY 2530 F STREET STE 100, BAKERSFIELD, (800) 598-5300 PROVIDERS LLC CA 93301 KALAMA, JONATHAN - AUD ADVANCED HEARING AUDIOLOGY 2054 W AVENUE K, LANCASTER, CA (800) 598-5300 PROVIDERS LLC 93536 KALBERER, JAMES - AUD ADVANCED HEARING AUDIOLOGY 400 30TH ST , OAKLAND, CA 94609 (800) 598-5300 PROVIDERS LLC KALE, ASHAY A - MD - (BCC) CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538 KALE, ASHAY A - MD - (BCC) CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT ELBOW 94538 KALE, ASHAY A - MD - (BCC) CONCENTRA MEDICAL HAND SURGERY 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538 KALE, ASHAY A - MD - (BCC) CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT KNEE 94538 KALE, ASHAY A - MD - (BCC) CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT SHOULDER 94538 KALE, ASHAY A - MD - (BCC) CONCENTRA MEDICAL ORTHOPEDICS - HAND 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 314 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KALE, ASHAY A - MD - (BCC) CONCENTRA MEDICAL ORTHOPEDICS - KNEE 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538 KALE, ASHAY A - MD - (BCC) CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538 KALIMADA, PONNAPPA - MD ANESTHESIOLOGY 26371 CROWN VALLEY PKWY, MISSION (949) 348-0544 (BCC) VIEJO, CA 92691 KALIMADA, PONNAPPA - MD ANESTHESIOLOGY 26730 CROWN VALLEY PKWY, MISSION (949) 364-2201 (BCC) VIEJO, CA 92691 KALIMADA, PONNAPPA - MD ANESTHESIOLOGY 26921 CROWN VALLEY PKWY STE 201, (949) 334-8160 (BCC) MISSION VIEJO, CA 92691 KALIMADA, PONNAPPA - MD ANESTHESIOLOGY 27700 MEDICAL CENTER RD, MISSION (949) 364-1400 (BCC) VIEJO, CA 92691 KALIMADA, PONNAPPA - MD ANESTHESIOLOGY 31872 COAST HWY, LAGUNA BEACH, (949) 499-1311 (BCC) CA 92651 KALINA, SHARON L - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER KALIOUNDJI, SAM J - MD (BCC) CARDIOVASCULAR DISEASE 18406 ROSCOE BLVD , NORTHRIDGE , (818) 477-2337 (CARDIOLOGY) CA 91325 KALMAN, LESLIE M - MD CONCENTRA MEDICAL INTERNAL MEDICINE 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 KALRA, TEJINDER M - MD (BCC) LOMA LINDA UNIVERSITY GASTROENTEROLOGY 11370 ANDERSON ST FMO #3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA, CA 92354 MEDICINE SPECIALTIES GROUP KALTGRAD, JULIE E - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 KALTGRAD, JULIE E - MD CONCENTRA MEDICAL PRIMARY TREATING 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA PHYSICIAN 91942 KALVE, ELISABETH - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2200 E GONZALEZ RD FLR 1 STE 5, (805) 604-6055 JOB OXNARD MEDICAL OXNARD, CA 93036 OFFICES KALVE, ELISABETH - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2200 E GONZALEZ RD FLR 1 STE 5, (805) 604-6055 JOB OXNARD MEDICAL PHYSICIAN OXNARD, CA 93036 OFFICES KALVE, ELISABETH - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5601 DE SOTO AVE NORTHSIDE MOB (818) 719-3006 JOB WOODLAND HILLS ENTRANCE #10, 1 ST FLOOR, MEDICAL CENTER WOODLAND HILLS, CA 91367 KALVE, ELISABETH - MD KAISER PERMANENTE ON THE PRIMARY TREATING 5601 DE SOTO AVE NORTHSIDE MOB (818) 719-3006 JOB WOODLAND HILLS PHYSICIAN ENTRANCE #10, 1 ST FLOOR, MEDICAL CENTER WOODLAND HILLS, CA 91367 KAMAKEA, ERIC - PT DESERT REHABILITATION PHYSICAL THERAPY 180 W LEGION RD, BRAWLEY, CA 92227 (760) 351-7125 INSTITUTE KAMAKEA, ERIC - PT WEST STAR PHYSICAL PHYSICAL THERAPY 9635 MONTE VISTA AVE STE 206, (909) 399-3100 THERAPY MONTCLAIR, CA 91763 KAMASHIANS PHARMACY PHARMACY 10515 BALBOA BLVD, GRANADA HILLS, (818) 360-2124 CA 91344 KAMBE, VINCENT - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 KAMBOJ, SYLWIA - PTA ADVANTAGE PHYSICAL PHYSICAL THERAPY 4572 TELEPHONE RD STE 903, (805) 654-8127 THERAPY VENTURA, CA 93003 KAMDAR, SUJATA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 KAMINSKI, RON - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 987 UNIVERSITY AVE STE 18, LOS (408) 356-2800 GATOS, CA 95032 KAMINSKI, RONALD - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 KAMM, KEIRA L - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KAMPH, ALEXANDRA - CHT SELECT PHYSICAL THERAPY HAND THERAPY 7425 MISSION VALLEY RD STE 201, SAN (619) 291-3400 DIEGO, CA 92108 KANAN PHARMACY PHARMACY 5847 KANAN RD, AGOURA HILLS, CA (818) 889-3070 91301

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 315 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KANDULA, VITTAL K - MD KAISER PERMANENTE SAN ANESTHESIOLOGY 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 KANE, CHELSEA - PT SAN DIEGO SPINE SPORT PHYSICAL THERAPY 3760 CONVOY ST STE 100, SAN DIEGO, (858) 573-9368 INCMAIN SITE CA 92111 KANE, CHRISTOPHER - MD UROLOGY 3855 HEALTH SCIENCES DR, LA JOLLA, (858) 822-6100 (BCC) CA 92093 KANE, CHRISTOPHER J - MD UC SAN DIEGO HEALTH - UROLOGY 9400 CAMPUS POINTE DR, LA JOLLA , (858) 657-7876 (BCC) KOMAN FAMILY OUTPATIENT CA 92037 PAVILLION KANEMOTO, MARYAM, PARSI - PARSI ACUPUNCTURE CLINIC ACUPUNCTURE 22 ODYSSEY SUITE 165, IRVINE, CA (949) 216-0960 LAC IRVINE 92618 KANEMOTO, MARYAM, PARSI - PARSI ACUPUNCTURE ACUPUNCTURE 401 N BROOKHURST STREET 100, (949) 216-0960 LAC CLINICANAHEIM ANAHEIM, CA 92801 KANG KANG PHARMACY PHARMACY 329 N GARFIELD AVE, MONTEREY (626) 280-8833 PARK, CA 91754 KANG, BENJAMIN - DC MYUNG SIM DANG CHIROPRACTIC MEDICINE 14519 MAIN STREET, HESPERIA, CA (562) 879-3856 CHIROPRACTIC INC 92345 KANG, BENJAMIN - LAC MYUNG SIM DANG ACUPUNCTURE 14519 MAIN STREET, HESPERIA, CA (562) 879-3856 CHIROPRACTIC INC 92345 KANG, DANNY - CHT HIGH FIVE HAND THERAPY HAND THERAPY 3130 WILSHIRE BLVD STE 409, LOS (213) 389-1004 AND REHABILITATION LA ANGELES, CA 90010 KANG, DANNY - CHT HIGH FIVE HAND THERAPY HAND THERAPY 9828 GARDEN GROVE BLVD 110, (714) 591-5853 GARDEN GROVE GARDEN GROVE, CA 92844 KANG, DANNY - OT HIGH FIVE HAND THERAPY OCCUPATIONAL THERAPY 3130 WILSHIRE BLVD STE 409, LOS (213) 389-1004 AND REHABILITATION LA ANGELES, CA 90010 KANG, DANNY - OT HIGH FIVE HAND THERAPY OCCUPATIONAL THERAPY 9828 GARDEN GROVE BLVD 110, (714) 591-5853 GARDEN GROVE GARDEN GROVE, CA 92844 KANG, JASON R - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-5611 FONTANA MEDICAL CENTER KANG, JONGHAN - LAC PURE WAVE MEDICAL GROUP ACUPUNCTURE 1321 N HARBOR BLVD STE 205, (866) 553-4515 INC FULLERTON, CA 92835 KANG, JUSTIN S - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL CA 91367 CENTER KANG, KWANGYO - PT RESTORATIVE THERAPY PHYSICAL THERAPY 15775 LAGUNA CANYON RD STE 110, (949) 333-3833 ASSOCIATES IRVINE, CA 92618 KANG, MICHAEL - PT CJ PHYSIOTHERAPY INC PHYSICAL THERAPY 1966 E CHAPMAN AVE STE A, (714) 519-3147 FULLERTON, CA 92831 KANG, SANG - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1008 BROXTON AVE, LOS ANGELES, CA (213) 268-6092 90024 KANG, SANG - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 2015 W REDONDO BEACH BLVD STE F, (424) 340-9357 GARDENA, CA 90247 KANG, SANG - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 24881 AKURA PKWY STE N, LAGUNA (949) 707-7100 HILLS, CA 92653 KANG, STEVE - MD (BCC) ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (949) 255-9890 ANKLE IRVINE, CA 92618 KANG, STEVE - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP ANKLE 92868 OF ORANGE COUNTY KANG, STEVE - MD (BCC) ORTHOPEDICS - ANKLE 16300 SAND CANYON AVE STE 511, (949) 255-9890 IRVINE, CA 92618 KANG, STEVE - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - ANKLE 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY KANG, STEVE - MD (BCC) ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (949) 255-9890 FOOT IRVINE, CA 92618 KANG, STEVE - MD (BCC) ORTHOPEDICS - FOOT 16300 SAND CANYON AVE STE 511, (949) 255-9890 IRVINE, CA 92618 KANG, STEVE - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP FOOT 92868 OF ORANGE COUNTY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 316 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KANG, STEVE - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - FOOT 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY KANG, SZZHIANG - LAC TRILOGY HEALTH WELLNESS ACUPUNCTURE 670 MONTEREY PASS RD STE 100, (626) 545-2880 MONTEREY PARK, CA 91754 KANG, YIRYE - LAC YIRYE KANG ACUPUNCTURE 15420 S WESTERN AVE STE E, (213) 354-3166 GARDENA, CA 90249 KANGAS, JOHN - PT HAYASHIDA ASSOCIATES PHYSICAL THERAPY 319 ANACAPA ST, SANTA BARBARA, CA (805) 898-1907 PHYSICAL THERAPY INC 93101 KANNAPPAN, AARTHY - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON FMO ST STE 2100, (800) 679-4642 (BCC) HEALTH CARE - GENERAL LOMA LINDA, CA 92354 SURGERY FP&S KANNIER, DEAN - PT NORTH VALLEY PHYSICAL PHYSICAL THERAPY 951 BUTTE ST, REDDING, CA 96001 (530) 241-9142 THERAPY KANOMATA, ATSUSHI - LAC PERFECT BALANCE ACUPUNCTURE 2180 GARNET AVE STE 1I, SAN DIEGO, (619) 432-2477 ACUPUNCTURE CA 92109 KANOMATA, ATSUSHI - LAC PERFECT BALANCE ACUPUNCTURE 861 HAROLD PLACE SUITE 210, CHULA (619) 432-2477 ACUPUNCTURE VISTA, CA 91914 KANTOR, JEFFREY A - MD ORTHOPEDIC SURGERY - HIP 23206 LYONS AVE STE 110, SANTA (661) 259-2110 CLARITA, CA 91321 KANTOR, JEFFREY A - MD ORTHOPEDIC SURGERY - 23206 LYONS AVE STE 110, SANTA (661) 259-2110 KNEE CLARITA, CA 91321 KANTOR, JEFFREY A - MD ORTHOPEDICS - HIP 23206 LYONS AVE STE 110, SANTA (661) 259-2110 CLARITA, CA 91321 KANTOR, JEFFREY A - MD ORTHOPEDICS - KNEE 23206 LYONS AVE STE 110, SANTA (661) 259-2110 CLARITA, CA 91321 KANTOR, JEFFREY A - MD SPORTS MEDICINE 23206 LYONS AVE STE 110, SANTA (661) 259-2110 CLARITA, CA 91321 KANTOR, JEFFREY A - MD PRIMARY TREATING 23206 LYONS AVE STE 110, SANTA (661) 259-2110 PHYSICIAN CLARITA, CA 91321 KANZAWA, TRACI - LAC TRACI KANZAWA LAC ACUPUNCTURE 220 MONTGOMERY ST STE 305, SAN (415) 677-9900 FRANCISCO, CA 94104 KAO, DIANA - LAC DIANA HWA KAO ACUPUNCTURE 12541 LAMBERT RD, WHITTIER, CA (562) 789-8661 90606 KAPADIA, KEVIN M - MD (BCC) SANSUM CLINIC - PUEBLO NEUROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 KAPLAN, HANNAH - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 KAPLAN, HANNAH - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 KAPLAN, JO - PHD (BCC) PSYCHOLOGY 18401 BURBANK BLVD STE 118, (818) 571-6210 TARZANA, CA 91356 KAPLAN, JONATHAN R - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP ANKLE IRVINE, CA 92618 OF ORANGE COUNTY KAPLAN, JONATHAN R - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP ANKLE 92868 OF ORANGE COUNTY KAPLAN, JONATHAN R - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP FOOT IRVINE, CA 92618 OF ORANGE COUNTY KAPLAN, JONATHAN R - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP FOOT 92868 OF ORANGE COUNTY KAPTEIN, JOHN M - MD (BCC) LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP KARAKALIDI, KETINO - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 5250 STA MON BLVD STE 305, LOS (213) 387-4710 PAIN MANAGEMENT CENTER ANGELES, CA 90029 KARAMLOO, SARA - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 2850 SEVENTH ST STE 100, BERKELEY, (510) 845-5170 CENTER - BERKELEY CA 94710

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 317 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KARE PHARMACY PHARMACY 12146 SOUTH ST STE C, ARTESIA, CA (562) 809-8656 90701 KAREN PHARMACY PHARMACY 1730 W VERDUGO AVE, BURBANK, CA (818) 842-1511 91506 KARGOZARAN, HAMED - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KARLE, KURT - PT FOWLER PHYSICAL THERAPY PHYSICAL THERAPY 108 N 6TH ST, FOWLER, CA 93625 (559) 834-9690 KARMARKAR, PREEYANKA - PT PACER PHYSICAL THERAPY PHYSICAL THERAPY 2255 YGNACIO VALLEY RD STE E, (925) 930-6680 WALNUT CREEK, CA 94598 KARR, ANDREA - PT CALIFORNIA HAND PHYSICAL PHYSICAL THERAPY 2001 SOLAR DR STE 150, OXNARD, CA (805) 604-1924 THERAPY 93036 KARRAS, KENT - DC K KARRAS CHIROPRACTIC INC CHIROPRACTIC MEDICINE 7733 PALM ST STE 105, LEMON GROVE, (619) 461-4652 CA 91945 KARSTETTER, STEVEN - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1633 OLD BAYSHORE HWY STE 145, (650) 239-9075 BURLINGAME, CA 94010 KART, JASON - DC ORTHOPEDIC SURGERY SAN CHIROPRACTIC MEDICINE 317 N EL CAMINO REAL, ENCINITAS, CA (760) 994-2663 DIEGO 92024 KARVELAS, NICHOLAS B - MD SPINE & NERVE DIAGNOSTIC PAIN MANAGEMENT 1528 EUREKA RD STE 103 , ROSEVILLE (916) 772-5325 (BCC) CENTER , CA 95661 KARWANDE, SARINA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1902 ROYALTY DR 170, POMONA, CA (909) 620-9700 CORP 91767 KARZEL, RONALD P - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE PHYSICIAN VALENCIA, CA 91354 KARZEL, RONALD P - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE KNEE VALENCIA, CA 91354 KARZEL, RONALD P - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE SHOULDER VALENCIA, CA 91354 KARZEL, RONALD P - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 KARZEL, RONALD P - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 KARZEL, RONALD P - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 KASCHAK, THOMAS J - DPM KAISER PERMANENTE FRESNO PODIATRY 7300 N FRESNO ST , FRESNO, CA 93720 (559) 448-4886 MEDICAL CENTER KASE, FRANKLIN - DPM PODIATRY 241 W OLIVE AVE, BURBANK, CA 91502 (818) 848-2817 KASHAN, HAMID - PT MANAGED CARE REHAB PHYSICAL THERAPY 18531 ROSCOE BLVD STE 215A, (818) 886-2245 DBANORTHRIDGE REHAB NORTHRIDGE, CA 91324 KASHAN, HAMID - PT MANAGED CARE REHAB DBA PHYSICAL THERAPY 23734 VALENCIA BLVD STE 201, (661) 253-3744 MIDVALLEY PHYSICAL VALENCIA, CA 91355 THERAPY KASHAN, HAMID - PT MANAGED CARE REHAB PHYSICAL THERAPY 8215 VAN NUYS BLVD STE 212, VAN (818) 886-2245 NUYS, CA 91402 KASHANI, PARIVASH - CHT WESTWOOD HILLS HAND HAND THERAPY 1033 GAYLEY AVE STE 201, LOS (310) 824-3499 THERAPY ANGELES, CA 90024 KASHANI, PARIVASH - OT WESTWOOD HILLS HAND OCCUPATIONAL THERAPY 1033 GAYLEY AVE STE 201, LOS (310) 824-3499 THERAPY ANGELES, CA 90024 KASHANI, SAMUEL - MD (BCC) SURGERY 16133 VENTURA BLVD STE 415, (818) 804-5177 ENCINO, CA 91436 KASHYAP, ASHWIN - MD (BCC) CITY OF HOPE ONCOLOGY 425 HAALAND DR STE 101, THOUSAND (805) 496-2949 OAKS, CA 91361 KASIARZ, TERESA - AUD ADVANCED HEARING AUDIOLOGY 1837 E GIBSON RD STE A1, (800) 598-5300 PROVIDERS LLC WOODLAND, CA 95776 KASIMIAN, STEPAN - MD SPINE SURGERY 1101 E BROADWAY STE 201, (818) 500-9286 GLENDALE, CA 91205 KASS, FREDERICK C - MD SANSUM CLINIC - RIDLEY-TREE HEMATOLOGY AND 540 W PUEBLO ST , SANTA BARBARA, (805) 681-7858 (BCC) CANCER CENTER ONCOLOGY CA 93105 KASSAI, KATHRYN - PT PRAXIS PHYSICAL THERAPY PHYSICAL THERAPY 1360 W 6TH ST STE 210, SAN PEDRO, (310) 548-3130 INC CA 90732 KASSIS, MICHAEL - PT SOLANO SPORTS PHYSICAL PHYSICAL THERAPY 1350 BURTON DR STE 260, VACAVILLE, (707) 449-3484 THERAPY INC CA 95687

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 318 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KASTING, GREGG A - MD CONCENTRA MEDICAL PRIMARY TREATING 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD PHYSICIAN OXNARD, CA 93030 KASTING, GREGG A - MD CONCENTRA MEDICAL PRIMARY TREATING 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO PHYSICIAN 93012 KASTING, GREGG A - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO 93012 KASTING, GREGG A - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 KASTNER, JANE, MARIE - LAC KASTNER ACUPUNCTURE DBA ACUPUNCTURE 4638 PARK BLVD, SAN DIEGO, CA 92116 (619) 220-0878 CIRCLE OF LIVING KASTNER, MARK - LAC KASTNER ACUPUNCTURE DBA ACUPUNCTURE 4638 PARK BLVD, SAN DIEGO, CA 92116 (619) 220-0878 CIRCLE OF LIVING KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & HAND SURGERY 4902 IRVINE CENTER DR STE 107, 9495365110 - MD (BCC) WRIST IRVINE, CA 92604 KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & HAND SURGERY 4902 IRVINE CENTER DR STE 107, 9495365110 - MD (BCC) WRIST IRVINE, CA 92604 KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & HAND SURGERY 3662 KATELLA AVE STE 205, LOS 9495365110 - MD (BCC) WRIST ALAMITOS, CA 90720 KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & HAND SURGERY 3662 KATELLA AVE STE 205, LOS 9495365110 - MD (BCC) WRIST ALAMITOS, CA 90720 KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & ORTHOPEDICS - HAND 3662 KATELLA AVE STE 205, LOS 9495365110 - MD (BCC) WRIST ALAMITOS, CA 90720 KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & HAND SURGERY 2707 VALLEY BLVD STE 303, WEST 9495365110 - MD (BCC) WRIST COVINA, CA 91792 KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & HAND SURGERY 2707 VALLEY BLVD STE 303, WEST 9495365110 - MD (BCC) WRIST COVINA, CA 91792 KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & ORTHOPEDICS - HAND 2707 VALLEY BLVD STE 303, WEST 9495365110 - MD (BCC) WRIST COVINA, CA 91792 KATCHERIAN, CHRISTOPHER G SURGERY OF THE HAND & ORTHOPEDICS - HAND 4902 IRVINE CENTER DR STE 107, 9495365110 - MD (BCC) WRIST IRVINE, CA 92604 KATHURIA, INDERJOTE - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 KATHURIA, INDERJOTE - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN KATOW, JEAN - MD (BCC) OPHTHALMOLOGY 1045 W REDONDO BEACH BLVD STE (310) 329-9975 400, GARDENA, CA 90247 KATOW, JEAN - MD (BCC) OPHTHALMOLOGY 23441 MADISON ST STE 120, (310) 373-6708 TORRANCE, CA 90505 KATOW, JEAN - MD (BCC) OPHTHALMOLOGY 420 E 3RD ST STE 603, LOS ANGELES, (213) 680-1551 CA 90013 KATRINA PHARMACY PHARMACY 4718 W 1ST #101, SANTA ANA, CA 92703 (657) 231-6850 KATTAR, WALEED - DC GARFIELD HEALTH CENTER CHIROPRACTIC MEDICINE 1711 W TEMPLE ST STE 6647, LOS (213) 365-9369 MEDICAL GROUP INC ANGELES, CA 90026 KATTAR, WALEED - DC GARFIELD HEALTH CENTER CHIROPRACTIC MEDICINE 320 S GARFIELD AVE STE 322, (626) 570-9892 MEDICAL GROUP INC ALHAMBRA, CA 91801 KATTIH, MOHAMED - MD (BCC) PAIN MANAGEMENT 191 S BUENA VISTA ST STE 370, (818) 558-5977 BURBANK, CA 91505 KATTIH, MOHAMED - MD (BCC) PAIN MANAGEMENT 219 W BADILLO ST STE B, COVINA, CA (626) 914-4300 91723 KATZ, ALEJANDRO - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 5250 STA MON BLVD STE 305, LOS (213) 387-4710 PAIN MANAGEMENT CENTER ANGELES, CA 90029 KATZ, ALEJANDRO - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 5567 RESEDA BLVD STE 101, TARZANA, (213) 387-4710 PAIN MANAGEMENT CENTER CA 91356 KATZ, JEFFREY - DC KATZ ACCIDENT INJURY CHIROPRACTIC MEDICINE 4879 MISSION ST, SAN FRANCISCO, CA (415) 584-3042 CENTER 94112 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 2226 MEDICAL CENTER DR, STE 101, (951) 699-5282 GROUP INC PERRIS, CA 92571 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 319 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC LOWER EXTREMITIES CA 90638 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC LOWER EXTREMITIES 92805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 2226 MEDICAL CENTER DR, STE 101, (951) 699-5282 GROUP INC LOWER EXTREMITIES PERRIS, CA 92571 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LOWER EXTREMITIES LONG BEACH, CA 90805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC LOWER EXTREMITIES GARDEN GROVE, CA 92841 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC LOWER EXTREMITIES 91762 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC UPPER EXTREMITIES CA 90638 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC UPPER EXTREMITIES 92805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 2226 MEDICAL CENTER DR, STE 101, (951) 699-5282 GROUP INC UPPER EXTREMITIES PERRIS, CA 92571 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC UPPER EXTREMITIES LONG BEACH, CA 90805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC UPPER EXTREMITIES GARDEN GROVE, CA 92841 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC UPPER EXTREMITIES 91762 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 2226 MEDICAL CENTER DR, STE 101, (951) 699-5282 GROUP INC PERRIS, CA 92571 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC EXTREMITIES CA 90638 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC EXTREMITIES 92805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 2226 MEDICAL CENTER DR, STE 101, (951) 699-5282 GROUP INC EXTREMITIES PERRIS, CA 92571 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC EXTREMITIES LONG BEACH, CA 90805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC EXTREMITIES GARDEN GROVE, CA 92841 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC EXTREMITIES 91762 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 2226 MEDICAL CENTER DR, STE 101, (951) 699-5282 GROUP INC PERRIS, CA 92571 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 320 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC EXTREMITIES CA 90638 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC EXTREMITIES 92805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 2226 MEDICAL CENTER DR, STE 101, (951) 699-5282 GROUP INC EXTREMITIES PERRIS, CA 92571 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC EXTREMITIES LONG BEACH, CA 90805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC EXTREMITIES GARDEN GROVE, CA 92841 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC EXTREMITIES 91762 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 2226 MEDICAL CENTER DR, STE 101, (951) 699-5282 GROUP INC PERRIS, CA 92571 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 KATZ, NEIL - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP UPPER EXTREMITIES 92805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP LOWER EXTREMITIES 92805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP 92805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP EXTREMITIES 92805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP EXTREMITIES 92805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 1717 E LINCOLN AVE , ANAHEIM, CA (714) 635-2642 GROUP 92805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP UPPER EXTREMITIES LONG BEACH, CA 90805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LOWER EXTREMITIES LONG BEACH, CA 90805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP EXTREMITIES LONG BEACH, CA 90805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP EXTREMITIES LONG BEACH, CA 90805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP UPPER EXTREMITIES 92324 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP LOWER EXTREMITIES 92324 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP EXTREMITIES 92324 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP EXTREMITIES 92324 KATZ, STANLEY G - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 321 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KATZMAN, BRAD A - DPM (BCC) FAMILY FOOT CENTER PODIATRY 16465 SIERRA LAKES PKWY STE 240, (909) 427-9522 FONTANA, CA 92236 KATZMAN, BRAD A - DPM (BCC) FAMILY FOOT CENTER PODIATRY 728 N EUCLID AVE , ONTARIO, CA 91762 (909) 984-5614 KAUFFMAN, KENNETH - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 KAUFFMAN, KENNETH - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 KAUFMAN, WARREN E - DDS DENTIST 10760 WASHINGTON , CULVER CITY , (310) 838-7780 CA 90232 KAVEESHVAR, HIRSH DO (BCC) THE SPINE AND ORTHOPEDIC NEUROLOGY 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER KAVEESHVAR, HIRSH DO (BCC) THE SPINE AND ORTHOPEDIC PAIN MANAGEMENT 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER KAVEESHVAR, HIRSH DO (BCC) THE SPINE AND ORTHOPEDIC NEUROLOGY 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER CA 93458 KAVEESHVAR, HIRSH DO (BCC) THE SPINE AND ORTHOPEDIC PAIN MANAGEMENT 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER CA 93458 KAVEESHVAR, HIRSH DO (BCC) THE SPINE AND ORTHOPEDIC NEUROLOGY 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 CENTER CA 93101 KAVEESHVAR, HIRSH DO (BCC) THE SPINE AND ORTHOPEDIC PAIN MANAGEMENT 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 CENTER CA 93101 KAVEESHVAR, HIRSH DO (BCC) THE SPINE AND ORTHOPEDIC NEUROLOGY 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER KAVEESHVAR, HIRSH DO (BCC) THE SPINE AND ORTHOPEDIC PAIN MANAGEMENT 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER KAVIANI, AMIR - MD (BCC) ASSOCIATION OF SOUTH BAY VASCULAR SURGERY 23560 MADISON ST STE 110, (310) 373-6864 SURGEONS - TORRANCE, CA 90505 VASCULAR/ENDOVASCULAR OFFICE KAWANAMI, KOKI - LAC ADVANCED PHYSICAL ACUPUNCTURE 300 GRAND AVE, OAKLAND, CA 94610 (510) 465-3668 MEDICINE REHAB GROUP INC KAWEAH DELTA MEDICAL KAWEAH DELTA MEDICAL ACUTE CARE HOSPITAL 400 W MINERAL KING AVE, VISALIA, CA (559) 624-2000 CENTER (BCC) CENTER 93291 KAWEAH DELTA PHARMACY PHARMACY 202 W WILLOW AVE STE 102, VISALIA, (559) 624-4880 CA 93291 KAY, PHILLIP K - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 WOODLAND HILLS MEDICAL REHABILITATION FLR, WOODLAND HILLS, CA 91367 CENTER KAYVANFAR, JOHN - MD (BCC) SPINE SURGERY 16573 VENTURA BLVD STE 5, ENCINO, (661) 947-0078 CA 91436 KAYVANFAR, JOHN - MD (BCC) SPINE SURGERY 40005 10TH ST W STE 213, PALMDALE, (661) 947-0078 CA 93551 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDIC SURGERY - HIP 16573 VENTURA BLVD STE 5, ENCINO, (661) 947-0078 CA 91436 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDIC SURGERY - 16573 VENTURA BLVD STE 5, ENCINO, (661) 947-0078 LOWER EXTREMITIES CA 91436 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDIC SURGERY - 16573 VENTURA BLVD STE 5, ENCINO, (661) 947-0078 UPPER EXTREMITIES CA 91436 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDICS - HIP 16573 VENTURA BLVD STE 5, ENCINO, (661) 947-0078 CA 91436 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDICS - LOWER 16573 VENTURA BLVD STE 5, ENCINO, (661) 947-0078 EXTREMITIES CA 91436 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDICS - SPINE 16573 VENTURA BLVD STE 5, ENCINO, (661) 947-0078 CA 91436 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDICS - UPPER 16573 VENTURA BLVD STE 5, ENCINO, (661) 947-0078 EXTREMITIES CA 91436 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDIC SURGERY - HIP 40005 10TH ST W STE 213, PALMDALE, (661) 947-0078 CA 93551 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDIC SURGERY - 40005 10TH ST W STE 213, PALMDALE, (661) 947-0078 LOWER EXTREMITIES CA 93551 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDIC SURGERY - 40005 10TH ST W STE 213, PALMDALE, (661) 947-0078 UPPER EXTREMITIES CA 93551

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 322 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KAYVANFAR, JOHN - MD (BCC) ORTHOPEDICS - HIP 40005 10TH ST W STE 213, PALMDALE, (661) 947-0078 CA 93551 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDICS - LOWER 40005 10TH ST W STE 213, PALMDALE, (661) 947-0078 EXTREMITIES CA 93551 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDICS - SPINE 40005 10TH ST W STE 213, PALMDALE, (661) 947-0078 CA 93551 KAYVANFAR, JOHN - MD (BCC) ORTHOPEDICS - UPPER 40005 10TH ST W STE 213, PALMDALE, (661) 947-0078 EXTREMITIES CA 93551 KAZAZIAN, RAFFI - MD PROHEALTH - GLENDALE PRIMARY TREATING 500 E COLORADO ST STE 100, (818) 246-4800 OCCUPATIONAL MEDICAL PHYSICIAN GLENDALE, CA 91205 GROUP KAZAZIAN, RAFFI - MD PROHEALTH - GLENDALE FAMILY MEDICINE 500 E COLORADO ST STE 100, (818) 246-4800 OCCUPATIONAL MEDICAL GLENDALE, CA 91205 GROUP KAZEM HAGHIGHI, ASIEH - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4501 SAND CREEK RD 3RD FLR SAND (925) 813-3770 JOB OCCUPATIONAL HEALTH CREEK BLDG, ANTIOCH, CA 94531 CENTER KAZEM HAGHIGHI, ASIEH - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4501 SAND CREEK RD 3RD FLR SAND (925) 813-3770 JOB OCCUPATIONAL HEALTH PHYSICIAN CREEK BLDG, ANTIOCH, CA 94531 CENTER KAZI, WASSEEMUDDIN (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE KAZIMIROFF, PAUL B - MD KAISER PERMANENTE WEST NEUROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KD PHARMACY PHARMACY 10970 SHERMAN WAY STE 110, (818) 847-8600 BURBANK, CA 91505 KEARNY MESA PHARMACY 7526 CLAIREMONT MESA BLVD, SAN (888) 748-7526 DIEGO, CA 92111 KEATHLEY, KIMBERLEY, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 PT ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD KEATHLEY, KIMBERLEY, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 PT ORTHOPEDIC CA 91354 INSTITUTEVALENCIA KEATHLEY, KIMBERLEY, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 PT ORTHOPEDIC INSTITUTESIMI 93065 VALLEY KEATHLEY, KIMBERLEY, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 PT ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS KEATHLEY, KIMBERLEY, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 PT ORTHOPEDIC INSTITUTE MAIN ACCOUNT KECK MEDICINE OF USC PHARMACY 1000 S FREMONT AVE, ALHAMBRA, CA (855) 885-2600 SPECIALTY 91803 KEELER, KIMBERLY - OT GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 KEH, GERIE - LAC ACUPUNCTURE FAMILY ACUPUNCTURE 2655 FIRST ST STE 345, SIMI VALLEY, (805) 864-9290 HEALTHCARE CLINIC CA 93065 KEITH MAHLER PHYSICAL PHYSICAL THERAPY 7801 MISSION CENTER CT STE 430, (619) 296-5780 THERAPY SAN DIEGO, CA 92108-1332 KEITH MAHLER PHYSICAL PHYSICAL THERAPY 7801 MISSION CENTER CT STE 430, (619) 296-5780 THERAPY SAN DIEGO, CA 92108-1332 KEITH MAHLER PHYSICAL PHYSICAL THERAPY 7801 MISSION CENTER CTSUITE 430, (619) 296-5780 THERAPY SAN DIEGO, CA 92108-1332 KEITH'S PHARMACY PHARMACY 875 REDWOOD DR, GARBERVILLE, CA (707) 923-2461 95542 KELLEN, LAURA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 323 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KELLEN, LAURA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 KELLEN, LAURA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 KELLEN, LAURA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 KELLEN, LAURA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 KELLEN, LAURA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 KELLER, CARL - DC KELLER CHIROPRACTIC CHIROPRACTIC MEDICINE 4616 EL CAMINO AVENUE SUITE A, (916) 486-1521 OFFICE SACRAMENTO, CA 95821 KELLEY, DENISE, MICHELLE - THRIVE NC PHYSICAL PHYSICAL THERAPY 569 SEARLS AVE STE B, NEVADA CITY, (530) 478-1933 PT THERAPY INC DBA FIT FOR CA 95959 LIFE KELLEY, KENNETH - MD (BCC) EMERGENCY MEDICINE 2315 STOCKTON BLVD, SACRAMENTO, (916) 734-3797 CA 95817 KELLEY, STEVEN - MD (BCC) ORTHOPEDIC SURGERY - 40949 WINCHESTER RD, TEMECULA, (951) 296-6676 LOWER EXTREMITIES CA 92591 KELLEY, STEVEN - MD (BCC) ORTHOPEDIC SURGERY - 40949 WINCHESTER RD, TEMECULA, (951) 296-6676 UPPER EXTREMITIES CA 92591 KELLEY, STEVEN - MD (BCC) ORTHOPEDICS - LOWER 40949 WINCHESTER RD, TEMECULA, (951) 296-6676 EXTREMITIES CA 92591 KELLEY, STEVEN - MD (BCC) ORTHOPEDICS - UPPER 40949 WINCHESTER RD, TEMECULA, (951) 296-6676 EXTREMITIES CA 92591 KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & PRIMARY TREATING 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE PHYSICIAN CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - HIP 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE KNEE CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE LOWER EXTREMITIES CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE SHOULDER CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE UPPER EXTREMITIES CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDICS - HIP 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDICS - KNEE 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDICS - LOWER 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE EXTREMITIES CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDICS - SHOULDER 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & ORTHOPEDICS - UPPER 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE EXTREMITIES CA 92591 ASSOCIATES KELLEY, STEVEN T - MD (BCC) ORTHOPEDIC SURGERY & SPORTS MEDICINE 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 SPORTS MEDICINE CA 92591 ASSOCIATES KELLIM, KRISTIN - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 10630 SEPULVEDA BLVD, MISSION (818) 361-3369 THERAPY CENTERS HILLS, CA 91345

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 324 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KELLIM, KRISTIN - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 4100 TRUXTUN AVE STE 200, (661) 632-1540 THERAPY CENTERS BAKERSFIELD, CA 93309 KELLY, BRIELLE - LAC YINFINITE WELLNESS ACUPUNCTURE 10 EL CAMINO REAL STE 202, SAN (650) 596-5616 CARLOS, CA 94070 KELLY, JOHN - AUD ADVANCED HEARING AUDIOLOGY 785 GRAND AVE STE 210A, CARLSBAD, (800) 598-5300 PROVIDERS LLC CA 92008 KELLY, JOHN - AUD ADVANCED HEARING AUDIOLOGY 2204 S EL CAMINO REAL STE 14, (800) 598-5300 PROVIDERS LLC OCEANSIDE, CA 92054 KELLY, JOHN - AUD ADVANCED HEARING AUDIOLOGY 11717 BERNARDO PLAZA COURT STE (800) 598-5300 PROVIDERS LLC 102, SAN DIEGO, CA 92128 KELLY, JOHN - AUD ADVANCED HEARING AUDIOLOGY 3952 30TH ST , SAN DIEGO , CA 92104 (800) 598-5300 PROVIDERS LLC KELLY, MICHAEL - PT CALIENTE SPRINGS PHYSICAL PHYSICAL THERAPY 17350 VAILETTI DR, SONOMA, CA 95476 (707) 935-3230 THERAPY KELLY, WALTER - AUD ADVANCED HEARING AUDIOLOGY 300 CARLSBAD VILLAGE DR STE 206, (800) 598-5300 PROVIDERS LLC CARLSBAD, CA 92008 KELMAN, CHARLES A - DPM UNIVERSITY FOOT & ANKLE PODIATRY 10515 BALBOA BLVD STE 140, (818) 962-5600 (BCC) INSTITUTE GRANADA HILLS , CA 91344 KELMAN, CHARLES A - DPM UNIVERSITY FOOT & ANKLE PODIATRY 32144 AGOURA RD STE 105, WESTLAKE (805) 475-3900 (BCC) INSTITUTE VILLAGE, CA 91361 KELSEYVILLE PHARMACY PHARMACY 3720 MAIN ST, KELSEYVILLE, CA 95451 (707) 279-1561 KEMP, BRUCE - DC JURUPA CHIROPRACTIC CHIROPRACTIC MEDICINE 7900 LIMONITE AVE STE L, RIVERSIDE, (951) 685-5345 CA 92509 KEMP, JACQUELINE - PT SAN LUIS PHYSICAL THERAPY PHYSICAL THERAPY 2011 S BROADWAY STE N, SANTA (805) 440-9318 SANTA MARIA 2 MARIA, CA 93454 KEMP, MICHAEL - AUD ADVANCED HEARING AUDIOLOGY 8146 GREENBACK LN STE 100, FAIR (800) 598-5300 PROVIDERS LLC OAKS, CA 95628 KEMP, MICHAEL - AUD ADVANCED HEARING AUDIOLOGY 1260 FULTON AVE, SACRAMENTO, CA (800) 598-5300 PROVIDERS LLC 95825 KEN PHARMACY PHARMACY 583 E FOOTHILL BLVD, UPLAND, CA (909) 579-0719 91786 KENCH, SALEENA - PT NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 12411 POWAY RD STE 202B, POWAY, (858) 312-6444 CA 92064 KENDLE, RYAN F - MD (BCC) SANSUM CLINIC - RIDLEY-TREE HEMATOLOGY AND 540 W PUEBLO ST , SANTA BARBARA, (805) 681-7858 CANCER CENTER ONCOLOGY CA 93105 KENLY, MICHAEL - MD (BCC) PHYSICAL MEDICINE AND 2001 SOLAR DR STE 220, OXNARD, CA (805) 688-8821 REHABILITATION 93036 KENLY, MICHAEL - MD (BCC) PHYSICAL MEDICINE AND 2027 VILLAGE LN STE 101, SOLVANG, (805) 963-9377 REHABILITATION CA 93463 KENLY, MICHAEL - MD (BCC) PHYSICAL MEDICINE AND 511 BATH ST, SANTA BARBARA, CA (805) 963-9377 REHABILITATION 93101 KENNADAY, CHRISTINA - PT CALIFORNIA EMERGENCY PHYSICAL THERAPY 554 BLOSSOM HILL RD, SAN JOSE, CA (408) 281-2772 PHYSICIANS DBA SAMARITAN 95123 MEDICAL CARE CENTER KENNEDY, JAMES - DC KENNEDY CHIROPRACTIC CHIROPRACTIC MEDICINE 13348 POWAY RD, POWAY, CA 92064 (858) 748-3900 KENNETH VILLAGE PHARMACY PHARMACY 1400 W KENNETH RD, GLENDALE, CA (818) 242-4158 91201 KENNISTOM, MICHAEL - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 KEOUGH, KELLY - DC GRAND TERRACE CHIROPRACTIC MEDICINE 12139 MOUNT VERNON AVE STE 100, (909) 783-4950 CHIROPRACTIC GRAND TERRACE, CA 92313 KERENYI, VICTOR - DC KERENYI CHIROPRACTIC CHIROPRACTIC MEDICINE 13830 SAN PABLO AVE STE B, SAN (510) 965-1965 PABLO, CA 94806 KERLAN JOBE SURGERY AMBULATORY SURGERY 6801 PARK TERRACE, LOS ANGELES, (310) 665-7200 CENTER CENTER CA 90045 KERN MED CTR CAMPUS PHARMACY 2014 COLLEGE AVE, BAKERSFIELD, CA (661) 326-2505 PHARMACY 93305 KERN MEDICAL CENTER (BCC) KERN MEDICAL CENTER ACUTE CARE HOSPITAL 1700 MOUNT VERNON AVE, (661) 326-2000 BAKERSFIELD, CA 93306 KERN VALLEY HEALTHCARE KERN VALLEY HEALTHCARE ACUTE CARE HOSPITAL 6412 LAUREL AVE, LAKE ISABELLA, CA (760) 379-2681 DISTRICT (BCC) DISTRICT 93240 KERNBACH, KLAUS J - DPM KAISER PERMANENTE PODIATRY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 325 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KERNER, ALESSIA - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 KERNEVES, BENJAMIN - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 285-0443 MAIN ACCOUNT ANGELES, CA 90066 KERR, HOCUTT, INA - PT HOLLYWOOD PHYSICAL PHYSICAL THERAPY 4855 SANTA MONICA BLVD STE 102, (323) 741-8500 THERAPY LOS ANGELES, CA 90029 KERR, STEPHEN - PT THERAPY WORKS FITNESS PHYSICAL THERAPY 500 QUINTANA RD, MORRO BAY, CA (805) 772-7358 WORKS 93442 KERTZNER, RICHARD I - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER KESCHNER, DAVID B - MD KAISER PERMANENTE IRVINE SURGERY - HEAD AND NECK 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 KESHISHIAN, MELINA - DC KESHISHYAN CHIROPRACTIC CHIROPRACTIC MEDICINE 5887 KANAN RD, AGOURA HILLS, CA (818) 991-4685 91301 KESHISHYAN, VAHAGN - DC KESHISHYAN CHIROPRACTIC CHIROPRACTIC MEDICINE 5887 KANAN RD, AGOURA HILLS, CA (818) 991-4685 91301 KESINGER PHYSICAL PHYSICAL THERAPY 9634 ELK GROVE FLORIN RD, ELK (916) 685-8448 THERAPY GROVE, CA 95624 KESSLER, JEFFREY I - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 KETCHUM, PAUL - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 KETCHUM, PAUL - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606 KETTER, DANIELLE - LMT AIM FOR WELLNESS MASSAGE THERAPIST 8725 LA TIJERA BLVD, WESTCHESTER, (424) 331-5661 CA 90045 KETTNER, BRIAN - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 1205 N WILLOW, CLOVIS, CA 93619 (559) 322-4103

KETTNER, BRIAN - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2960 E NEES AVE STE 108, FRESNO, CA (559) 322-4103 93720 KETTNER, BRIAN - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 4025 W FIGARDEN DR STE 105, (661) 617-1182 FRESNO, CA 93720 KEUROGHLIAN, APEL - MD ABRI DENTAL CORP ORAL AND MAXILLOFACIAL 23333 CINEMA DR STE 190, VALENCIA, (844) 346-3337 SURGERY CA 91355 KEUROGHLIAN, APEL - MD ABRI DENTAL CORP ORAL AND MAXILLOFACIAL 3808 RIVERSIDE DR STE 501, (844) 346-3337 SURGERY BURBANK, CA 91505 KEUROGHLIAN, APEL - MD ABRI DENTAL CORP ORAL AND MAXILLOFACIAL 50 N LA CIENEGA BLVD STE 217, (844) 346-3337 SURGERY BEVERLY HILLS, CA 90211 KEUSHKERIAN, SIMON M - MD SURGICAL MULTISPECIALTIES VASCULAR SURGERY 1505 WILSON TERRACE STE 330, (818) 242-6828 (BCC) MEDICAL GROUP GLENDALE, CA 91206 KEVIN SNIDER PHYSICAL PHYSICAL THERAPY 1920 BARNEY RD, ANDERSON, CA (530) 365-2142 THERAPY 96007-4337 KEVIN WENTZ PHYSICAL PHYSICAL THERAPY 5107 RICHFIELD RD, YORBA LINDA, CA (714) 854-7609 THERAPY 92886-3932 KEVIN WENTZ PHYSICAL PHYSICAL THERAPY 801 S RAYMOND AVE, PASADENA, CA (626) 356-0599 THERAPY 91105-3223 KEY DRUG COMPANY PHARMACY 770 S VERMONT AVE, LOS ANGELES, (213) 383-2211 CA 90005 KEY OF JOY PHYSICAL PHYSICAL THERAPY 3727 W 6TH ST STE 602, LOS ANGELES, (213) 388-7822 THERAPY AND ACUPUNCTURE CA 90020-5111 KEY PHARMACY PHARMACY 12660 RIVERSIDE DR, VALLEY VILLAGE, (818) 509-3630 CA 91607 KEY, LISA M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH BRUNO, CA 94066 CENTER KEY, LISA M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH PHYSICIAN BRUNO, CA 94066 CENTER KEZEL, FARIBA - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 17777 CENTER COURT DR N STE 600, (800) 803-2086 GROUP INC CERRITOS, CA 90703 KEZEL, FARIBA - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 4199 CAMPUS DR STE 550, IRVINE, CA (800) 803-2086 GROUP INC 92612

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 326 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KEZEL, FARIBA - PHD (BCC) NEUROPSYCHOLOGY 17777 CENTER COURT DR N STE 600, (310) 837-2444 CERRITOS, CA 90703 KHACHATOURIANS, ARMAND G KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 - MD BALDWIN PARK MEDICAL PARK, CA 91706 CENTER KHADAVI, ALEX MD (BCC) DERMATOLOGY 16260 VENTURA BLVD STE 140 , (818) 528-2500 ENCINO, CA 91436 KHADAVI, ALEX MD (BCC) DERMATOLOGY 415 ROLLING OAKS DR STE 110, (805) 557-1740 THOUSAND OAKS , CA 91361 KHALAJHEDAYATI, FAKHTEH - ONE LIFE ACUPUNCTURE ACUPUNCTURE 27405 PUERTA REAL STE 330, MISSION (949) 371-9740 LAC VIEJO, CA 92691 KHALAJHEDAYATI, FAKHTEH - ONE LIFE ACUPUNCTURE ACUPUNCTURE 5911 HEIL AVE STE F, HUNTINGTON (714) 377-2257 LAC BEACH, CA 92649 KHALIFE, MOHAMMED - MD ANESTHESIOLOGY 1350 W COVINA BLVD, SAN DIMAS, CA (909) 599-6811 (BCC) 91773 KHALSA, MHA - DC KHALSA CHIROPRACTIC MEDICINE 5880 SAN VICENTE BLVD STE 101, LOS (323) 857-1277 CHIROPRACTIC/MHATMA ANGELES, CA 90019 KHALSA DC KHAN, AHSAN M - MD KAISER PERMANENTE YORBA OPHTHALMOLOGY 22550 E SAVI RANCH PKWY , YORBA (714) 644-6450 LINDA MEDICAL OFFICES LINDA, CA 92887 KHAN, ASIYA A - MD CONCENTRA MEDICAL PRIMARY TREATING 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS PHYSICIAN 95035 KHAN, ASIYA A - MD CONCENTRA MEDICAL FAMILY MEDICINE 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS 95035 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK BURBANK, CA 91505 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK LOWER EXTREMITIES BURBANK, CA 91505 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK UPPER EXTREMITIES BURBANK, CA 91505 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK BURBANK, CA 91505 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK EXTREMITIES BURBANK, CA 91505 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK EXTREMITIES BURBANK, CA 91505 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO 93012 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO LOWER EXTREMITIES 93012 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO UPPER EXTREMITIES 93012 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO 93012 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO EXTREMITIES 93012 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO EXTREMITIES 93012 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD LOWER EXTREMITIES OXNARD, CA 93030 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD UPPER EXTREMITIES OXNARD, CA 93030 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD EXTREMITIES OXNARD, CA 93030 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD EXTREMITIES OXNARD, CA 93030 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS SAUGUS, CA 91350

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 327 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS LOWER EXTREMITIES SAUGUS, CA 91350 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS UPPER EXTREMITIES SAUGUS, CA 91350 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS SAUGUS, CA 91350 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS EXTREMITIES SAUGUS, CA 91350 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS EXTREMITIES SAUGUS, CA 91350 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA LOWER EXTREMITIES 91355 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA UPPER EXTREMITIES 91355 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA EXTREMITIES 91355 KHAN, MAHER W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA EXTREMITIES 91355 KHAN, MAHER W - MD (BCC) PRIMARY TREATING 18546 ROSCOE BLVD STE 220, (661) 259-8010 PHYSICIAN NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) SPORTS MEDICINE 18546 ROSCOE BLVD STE 220, (661) 259-8010 NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) ORTHOPEDIC SURGERY - HIP 18546 ROSCOE BLVD STE 220, (661) 259-8010 NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) ORTHOPEDIC SURGERY - 18546 ROSCOE BLVD STE 220, (661) 259-8010 KNEE NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) ORTHOPEDIC SURGERY - 18546 ROSCOE BLVD STE 220, (661) 259-8010 LOWER EXTREMITIES NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) ORTHOPEDIC SURGERY - 18546 ROSCOE BLVD STE 220, (661) 259-8010 SHOULDER NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) ORTHOPEDICS - HIP 18546 ROSCOE BLVD STE 220, (661) 259-8010 NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) ORTHOPEDICS - KNEE 18546 ROSCOE BLVD STE 220, (661) 259-8010 NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) ORTHOPEDICS - LOWER 18546 ROSCOE BLVD STE 220, (661) 259-8010 EXTREMITIES NORTHRIDGE , CA 91324 KHAN, MAHER W - MD (BCC) ORTHOPEDICS - SHOULDER 18546 ROSCOE BLVD STE 220, (661) 259-8010 NORTHRIDGE , CA 91324 KHAN, MOHAMED - MD (BCC) CARDIOVASCULAR DISEASE 2425 SONOMA ST, REDDING, CA 96001 (530) 241-1144 (CARDIOLOGY) KHAN, NAJEEB - MD KAISER PERMANENTE SAN ORTHOPEDICS 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 KHAN, NASSER U - MD (BCC) COMPREHENSIVE CARDIOVASCULAR DISEASE 5945 TRUXTON AVE , BAKERSFIELD, CA (661) 323-4278 CARDIOVASCULAR MEDICAL (CARDIOLOGY) 93309 GROUP KHAN, SANA, HASIB - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD KHAN, SANA, HASIB - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA KHAN, SANA, HASIB - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY KHAN, SANA, HASIB - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 328 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KHAN, SANA, HASIB - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT KHANAKI, SALMAN - DC CLOUD CHIROPRACTIC CHIROPRACTIC MEDICINE 15 MAREBLU STE 230, ALISO VIEJO, CA (949) 454-8859 92656 KHANAL, SANJAYA - MD CARDIOVASCULAR DISEASE 43723 20TH ST W STE 101, LANCASTER, (661) 674-4222 (CARDIOLOGY) CA 93534 KHANDPUR, RITIKA - MD KAISER PERMANENTE DERMATOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER KHANNA, GAURAV - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER KHAPCHIK, VLADIMIR - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 KHAPCHIK, VLADIMIR - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7222 CLINIC PHYSICIAN ANGELES , CA 90045 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ELBOW ANAHEIM, CA 92806 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC KNEE ANAHEIM, CA 92806 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC SHOULDER ANAHEIM, CA 92806 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ELBOW ANGELES, CA 90045 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC KNEE ANGELES, CA 90045 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC SHOULDER ANGELES, CA 90045 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KHARRAZI, DANIEL - MD (BCC) KERLAN - JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7222 CLINIC ANGELES , CA 90045 KHATCHATRIAN, ANDRANIK V - CONCENTRA MEDICAL PHYSICAL MEDICINE AND 542 BROADWAY STE G, CHULA VISTA, (619) 425-8212 MD CENTER - CHULA VISTA REHABILITATION CA 91910 KHATCHATRIAN, ANDRANIK V - CONCENTRA MEDICAL PHYSICAL MEDICINE AND 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 MD CENTER - KEARNY MESA REHABILITATION CA 92123 KHATCHATRIAN, ANDRANIK V - CONCENTRA MEDICAL PHYSICAL MEDICINE AND 7590 MIRAMAR RD STE C, SAN DIEGO, (858) 549-4255 MD CENTER - MIRAMAR REHABILITATION CA 92126 KHATCHATRIAN, ANDRANIK V - CONCENTRA MEDICAL PHYSICAL MEDICINE AND 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 MD CENTER - NATIONAL CITY REHABILITATION CITY, CA 91950 KHATCHATRIAN, ANDRANIK V - CONCENTRA MEDICAL PHYSICAL MEDICINE AND 10350 BARNES CANYON RD STE 200, (858) 455-0200 MD CENTER - SORRENTO MESA REHABILITATION SAN DIEGO, CA 92121 KHATOD, MONTI I - MD KAISER PERMANENTE ORTHOPEDIC SURGERY - 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL KNEE PARK, CA 91706 CENTER KHATOD, MONTI I - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER KHATOD, MONTI I - MD KAISER PERMANENTE WEST ORTHOPEDICS 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 329 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KHAZAENI, LEILA M - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 2195 CLUB CENTER DR STE A-L, SAN (800) 679-4642 LLUSM BERNARDINO, CA 92408 KHER, KANWAL K - MD CONCENTRA MEDICAL PEDIATRICS 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK CREEK, CA 94596 KHO, JENNIFER Y - MD (BCC) LESIN BALFOUR AND ZIV A ORTHOPEDICS - HAND 4849 VAN NUYS BLVD STE 217, (661) 254-8163 PROF MED CORP SHERMAN OAKS , CA 91403 KHO, JENNIFER Y - MD (BCC) LESIN BALFOUR AND ZIV A ORTHOPEDICS - WRIST 4849 VAN NUYS BLVD STE 217, (661) 254-8163 PROF MED CORP SHERMAN OAKS , CA 91403 KHO, JENNIFER Y - MD (BCC) LESIN BALFOUR AND ZIV A HAND SURGERY 4849 VAN NUYS BLVD STE 217, (661) 254-8163 PROF MED CORP SHERMAN OAKS , CA 91403 KHO, JENNIFER Y - MD (BCC) LESIN BALFOUR AND ZIV A ORTHOPEDIC SURGERY - 4849 VAN NUYS BLVD STE 217, (661) 254-8163 PROF MED CORP WRIST SHERMAN OAKS , CA 91403 KHO, JENNIFER Y - MD (BCC) HAND SURGERY 10640 RIVERSIDE DR , NORTH (818) 955-9898 HOLLYWOOD, CA 91602 KHO, JENNIFER Y - MD (BCC) ORTHOPEDIC SURGERY - 10640 RIVERSIDE DR , NORTH (818) 955-9898 WRIST HOLLYWOOD, CA 91602 KHO, JENNIFER Y - MD (BCC) ORTHOPEDICS - HAND 10640 RIVERSIDE DR , NORTH (818) 955-9898 HOLLYWOOD, CA 91602 KHO, JENNIFER Y - MD (BCC) ORTHOPEDICS - WRIST 10640 RIVERSIDE DR , NORTH (818) 955-9898 HOLLYWOOD, CA 91602 KHODADADI, NAVID - MD KAISER PERMANENTE OPHTHALMOLOGY 8250 WOODMAN AVE NORTH 2, (818) 375-2233 PANORAMA CITY MEDICAL PANORAMA CITY, CA 91402 CENTER KHODAKIVSKA, OLGA - MD FIRST CALIF0RNIA PHYSICIAN NEUROLOGY 1180 N INDIAN CANYON DR STE W200, (714) 428-6711 (BCC) PARTNERS - DESERT CARE PALM SPRINGS , CA 92262 NETWORK KHOO, LARRY T - MD THE SPINE CLINIC OF LOS NEUROLOGICAL SURGERY 1245 WILSHIRE BLVD STE 770, LOS (213) 481-8500 ANGELES ANGELES, CA 90017 KHOO, LARRY T - MD (BCC) THE ORTHOPEDICS - SPINE SPINE SURGERY 1245 WILSHIRE BLVD STE 770, LOS (213) 481-8500 CLINIC OF LOS ANGELES ANGELES, CA 90017 KHOSLA, DEVEN - MD (BCC) ACHIEVE BRAIN AND SPINE NEUROLOGICAL SURGERY 2811 WILSHIRE BLVD STE 930, SANTA (310) 710-1919 MONICA, CA 90403 KHOSRAVI, AZARMINDOKHT - ENDOCRINOLOGY, DIABETES 1500 E DUARTE RD, DUARTE, CA 91010 (626) 256-4673 MD (BCC) AND METABOLISM KHREICH, JEANPIERRE, NABIH SUNG KIM INC CHIROPRACTIC MEDICINE 100 OCEANGATE STE P280, LONG (562) 590-7349 - DC BEACH, CA 90802 KHUONG, SOVATHANA - DC KHUONG CHIROPRACTIC CHIROPRACTIC MEDICINE 42 RACE ST, SAN JOSE, CA 95126 (408) 294-8020 CORP KIANIAN, GUITA - DC SAN JOSE HOLISTIC HEALTH CHIROPRACTIC MEDICINE 551 E SANTA CLARA ST, SAN JOSE, CA (408) 294-7692 CARE CLINIC 95112 KIDD, STEPHANIE C - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S KIDMAN, AMANDA - AUD ADVANCED HEARING AUDIOLOGY 19852 BEACH BLVD , HUNTINGTON (800) 598-5300 PROVIDERS LLC BEACH, CA 92648 KIDMAN, AMANDA - AUD ADVANCED HEARING AUDIOLOGY 23361 MADERO , MISSION VIEJO, CA (800) 598-5300 PROVIDERS LLC 92691 KIDMAN, AMANDA - AUD ADVANCED HEARING AUDIOLOGY 520 SUPERIOR AVE STE 110, (800) 598-5300 PROVIDERS LLC NEWPORT BEACH, CA 92663 KIDMAN, AMANDA - AUD ADVANCED HEARING AUDIOLOGY 1301 W PROVIDENCE AVE STE 150, (800) 598-5300 PROVIDERS LLC ORANGE, CA 92868 KIDNEY CARE INSTITUTE DIALYSIS 1711 W TEMPLE ST, LOS ANGELES , CA (213) 484-4929 90026 KIDNEY CONSULTANTS DIALYSIS 11550 INDIAN HILLS RD # 371, MISSION (818) 365-1194 MEDICAL GROUP HILLS, CA 91345 KIEKHAEFER, MICHAEL L - MD KAISER PERMANENTE NEUROLOGY 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE KIEMENEY, MICHAEL - MD EMERGENCY MEDICINE 11234 ANDERSON ST MEDICAL CENTER (800) 679-4642 (BCC) RM A108, LOMA LINDA, CA 92354 KIERNAN, HUGH W - OD (BCC) OPHTHALMOLOGY DEPT FP&S OPTOMETRY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 KIERNAN, HUGH W - OD (BCC) OPHTHALMOLOGY DEPT FP&S OPTOMETRY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 LLUSM BEAUMONT, CA 92223

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 330 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KIEU AN PHARMACY PHARMACY 600 E VALLEY BLVD STE G, SAN (626) 280-0466 GABRIEL, CA 91776 KIIM, JOSEPH - DC JOSEPH KIM CHIROPRACTIC CHIROPRACTIC MEDICINE 555 QUEENSLAND CIR STE 102, (951) 278-3333 ACUPUNCTURE CLINIC CORONA, CA 92879 KILARU, PRASAD - MD CONCENTRA MEDICAL PLASTIC SURGERY 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT 95035 KILARU, PRASAD G - MD (BCC) CONCENTRA MEDICAL PLASTIC SURGERY 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538 KILGORE, JUSTIN - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 2357 W MARCH LN, STOCKTON, CA (209) 477-9300 PHYSICAL AND 95207 OCCUPATIONAL THERAPY KILIMANJARO PHARMACY PHARMACY 2345A HIGHWAY 46, WASCO, CA 93280 (661) 240-5661 KILROY, ROBERT - DC KILROY ROBERT A DC CHIROPRACTIC MEDICINE 12401 WLSHRE BLVD STE 104, LOS (310) 451-4888 ANGELES, CA 90025 KIM AN PHARMACY PHARMACY 15550 BROOKHURST ST, (714) 839-5888 WESTMINSTER, CA 92683 KIM PHARMACY PHARMACY 6665 STOCKTON BLVD STE 6, (916) 392-3488 SACRAMENTO, CA 95823 KIM PHARMACY PHARMACY 14536 BROOKHURST ST STE 101, (714) 775-6677 WESTMINSTER, CA 92683 KIM PHARMACY PHARMACY 9828 GARDEN GROVE BLVD, GARDEN (714) 534-4555 GROVE, CA 92844 KIM PHARMACY PHARMACY 5026 FRUITRIDGE RD STE 3, (916) 469-9813 SACRAMENTO, CA 95820 KIM, ALEX - DPM KAISER PERMANENTE SAN PODIATRY 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 KIM, ARMANDO - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 12562 GARDEN GROVE BLVD, GARDEN (714) 705-4027 CORP GROVE, CA 92843 KIM, ARMANDO - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 1535 DEERPARK DR, FULLERTON, CA (714) 993-2070 CORP 92831 KIM, ARMANDO - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 1902 ROYALTY DR 170, POMONA, CA (909) 620-9700 CORP 91767 KIM, ARMANDO - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 2101 E 4TH ST, SANTA ANA, CA 92705 (714) 855-3100 CORP MAIN KIM, ARMANDO - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 312 W CERRITOS AVE BLDG 7, (714) 947-1213 CORP ANAHEIM, CA 92805 KIM, ARMANDO - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 9530 IMPERIAL HWY STE N, DOWNEY, (714) 947-1213 CORP CA 90242 KIM, BENJAMIN N - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KIM, BILL J - MD CONCENTRA MEDICAL HAND SURGERY 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO WRIST KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO KIM, BILL J - MD CONCENTRA MEDICAL HAND SURGERY 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE WRIST 90040 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 KIM, BILL J - MD CONCENTRA MEDICAL HAND SURGERY 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND KIM, BILL J - MD CONCENTRA MEDICAL HAND SURGERY 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA POMONA, CA 91768

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 331 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA WRIST POMONA, CA 91768 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA POMONA, CA 91768 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA POMONA, CA 91768 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - WRIST CA 90013 GRAND KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND KIM, BILL J - MD CONCENTRA MEDICAL HAND SURGERY 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL WRIST 90058 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 KIM, BILL J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 3364 EAST SLAUSON AVE, VERNON, CA (323) 584-7242 CENTER - VERNON CENTRAL 90058 KIM, BILL J - MD (BCC) ESSENCE PLASTIC & HAND SURGERY 5757 WILSHIRE BLVD STE 374, LOS (323) 525-1733 RECONSTRUCTIVE SURGERY ANGELES, CA 90036 KIM, BILL J - MD (BCC) ESSENCE PLASTIC & PLASTIC & RECONSTRUCTIVE 5757 WILSHIRE BLVD STE 374, LOS (323) 525-1733 RECONSTRUCTIVE SURGERY SURGERY - HAND ANGELES, CA 90036 KIM, BO, KYUN - LAC IN BO ACUPUNCTURE ACUPUNCTURE 13560 SAN ANTONIO DR STE C, (562) 868-8188 NORWALK, CA 90650 KIM, BRINA, HAE - LAC ARC ACUPUNCTURE CORP ACUPUNCTURE 554 E FOOTHILL BLVD STE 116, SAN (909) 599-8898 DIMAS, CA 91773 KIM, BYUNG - LAC BYUNG JOE KIM LAC ACUPUNCTURE 3430 FOOTHILL BLVD STE B, LA (213) 519-8833 CRESCENTA, CA 91214 KIM, CHANG O - MD KAISER PERMANENTE WEST ORTHOPEDICS 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KIM, CHEOL - LAC CHEOL KIM ACUPUNCTURE ACUPUNCTURE 18173 PIONEER BLVD STE N, ARTESIA, (562) 713-5212 CLINIC CA 90701 KIM, CHRISTIAN - LAC EVERGREEN ACUPUNCTURE ACUPUNCTURE 77 BIRCH ST STE B, REDWOOD CITY, (650) 369-3727 CA 94062 KIM, CHUL - DPM (BCC) PODIATRY 2780 SKYPARK DR STE 100, (310) 326-8551 TORRANCE, CA 90505 KIM, DAE - LAC ELIM ACUPUNCTURE CLINIC ACUPUNCTURE 5471 LA PALMA AVE STE 202, LA (562) 468-0023 INC PALMA, CA 90623 KIM, DAE, YOUNG - LAC DR JIMMY BAE DC INC ACUPUNCTURE 4345 E LOWELL ST STE A, ONTARIO, CA (213) 700-8725 91761 KIM, DANIEL - LAC DANIEL KIM LACGLOBAL ACUPUNCTURE 1323 E FLORIDA AVE, HEMET, CA 92544 (951) 652-4042 EASTERN MEDICINE GROUP INC KIM, DANIEL, HO - LAC OLYMPIA MULTISPECIALTY ACUPUNCTURE 3544 W OLYMPIC BLVD STE 202, LOS (323) 733-8765 CLINIC ANGELES, CA 90019 KIM, DANIEL, HOJIN - DC OLYMPIA MULTISPECIALTY CHIROPRACTIC MEDICINE 3544 W OLYMPIC BLVD STE 202, LOS (323) 733-8765 CLINIC ANGELES, CA 90019 KIM, DAVID - LAC BETHESDA HEALTH GROUP ACUPUNCTURE 740 S WESTERN AVE STE 211, LOS (213) 675-9848 ANGELES, CA 90005 KIM, DIANE, SUK - LAC BEACH CITIES ORTHOPEDIC ACUPUNCTURE 400 S SEPULVEDA BLVD STE 247, (310) 546-3461 SPORTS MEDICINEMAIN MANHATTAN BEACH, CA 90266 KIM, DIANNE H - MD KAISER PERMANENTE EL OPHTHALMOLOGY 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 CAJON MEDICAL OFFICES 92020 KIM, DIEGO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 KIM, DIEGO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 332 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KIM, DIEGO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 KIM, DIEGO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 KIM, DIEGO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 KIM, DIEGO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 KIM, DOOSIK - LAC CALIFORNIA GREEN CROSS ACUPUNCTURE 5305 N FRESNO ST STE 106E, FRESNO, (559) 229-7575 CLINIC CA 93710 KIM, EDWARD - PT KIM PHYSICAL THERAPY PHYSICAL THERAPY 3838 SHERMAN DR STE 11, RIVERSIDE, (951) 353-2831 CA 92503 KIM, EDWARD T - MD (BCC) RIVERSIDE MEDICAL CLINIC - CARDIOVASCULAR DISEASE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE (CARDIOLOGY) 92506 KIM, ESTHER - MD (BCC) PRIMARY TREATING 25455 BARTON RD STE 108A, LOMA (800) 679-4642 PHYSICIAN LINDA, CA 92354 KIM, ESTHER - MD (BCC) GENERAL PRACTICE 25455 BARTON RD STE 108A, LOMA (800) 679-4642 LINDA, CA 92354 KIM, ESTHER J - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PF STE 108A, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S KIM, EUNJI - LAC EUNJI KIM LAC ACUPUNCTURE 5550 E 7TH STREET, LONG BEACH, CA (562) 433-2177 90804 KIM, GRACE - LAC LIVING STONE ACUPUNCTURE ACUPUNCTURE 9161 SIERRA AVE STE 211, FONTANA, (909) 767-3018 CA 92335 KIM, GRACE, JUNG - LAC PHELAN ACUPUNCTURE ACUPUNCTURE 16209 MAIN ST, HESPERIA, CA 92345 (213) 392-2133 HERBS KIM, HANS Y - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 25805 BARTON RD STE 101, LOMA (800) 679-4642 HEALTH CARE - PLASTIC & SURGERY LINDA , CA 92354 RECONSTRUCTIVE SURGERY FP&S KIM, HANS Y - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 3762 TIBBETS RD , RIVERSIDE , CA (800) 679-4642 HEALTH CARE - PLASTIC & SURGERY 92506 RECONSTRUCTIVE SURGERY FP&S KIM, HEEJEE - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 1045 ATLANTIC AVE STE 608, LONG (213) 386-7582 INC BEACH, CA 90813 KIM, HEEJEE - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 12321 HAWTHORNE BLVD SUITE C, (213) 386-7582 INC HAWTHORNE, CA 90250 KIM, HEEJEE - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 18531 ROSCOE BLVD STE 202, (213) 386-7582 INC NORTHRIDGE, CA 91324 KIM, HEEJEE - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 9635 MONTE VISTA AVE STE 203, (213) 386-7582 INC MONTCLAIR, CA 91763 KIM, HEEJEE - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 2897 W OLYM BLVD STE 202, LOS (213) 386-7582 INC MAIN ANGELES, CA 90006 KIM, HOJUN - LAC EL CENTRO ACUPUNCTURE ACUPUNCTURE 1121 S 4TH ST STE A, EL CENTRO, CA (760) 370-0516 92243 KIM, HONG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 839 W PALMDALE BLVD, PALMDALE, CA (800) 385-1130 INC 93551 KIM, HOSE - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT ONTARIO , CA 91764 KIM, HOSE - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT LOWER EXTREMITIES ONTARIO , CA 91764 KIM, HOSE - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT UPPER EXTREMITIES ONTARIO , CA 91764 KIM, HOSE - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT ONTARIO , CA 91764 KIM, HOSE - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT EXTREMITIES ONTARIO , CA 91764 KIM, HOSE - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT EXTREMITIES ONTARIO , CA 91764

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 333 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KIM, HUI-KYUNG T - MD (BCC) PREMIER DERMATOLOGY DERMATOLOGY 20162 SW BIRCH ST STE 250, (949) 251-0427 ASSOCIATES OF ORANGE NEWPORT BEACH, CA 92660 COUNTY KIM, HYOSU - LAC RIVERNORTH ACUPUNCTURE ACUPUNCTURE 1130 S DIAMOND BAR BLVD, DIAMOND (909) 642-4936 BAR, CA 91765 KIM, HYUN, BRIAN - LAC ACUPUNCTURE OF AMERICA ACUPUNCTURE 25775 MCBEAN PKWY STE 212, (661) 505-7651 VALENCIA VALENCIA, CA 91355 KIM, JAE - LAC TOTAL CARE MEDICAL GROUP ACUPUNCTURE 4678 N 1ST ST, FRESNO, CA 93726 (559) 438-8900 INC KIM, JAE Y - MD (BCC) CITY OF HOPE MEDICAL SURGICAL ONCOLOGY 209 FAIR OAKS AVE , SOUTH (626) 396-2900 FOUNDATION PASADENA , CA 91010 KIM, JAE Y - MD (BCC) CITY OF HOPE MEDICAL THORACIC SURGERY 209 FAIR OAKS AVE , SOUTH (626) 396-2900 FOUNDATION PASADENA , CA 91010 KIM, JAEDEOK - LAC JAY ACUPUNCTURE ACUPUNCTURE 3858 CHICAGO AVE, RIVERSIDE, CA (657) 252-1530 92507 KIM, JAMES A - MD (BCC) PAIN & WELLNESS CENTERS PAIN MANAGEMENT 10841 WHITE OAK AVE STE 201, (949) 566-8688 OF SOUTHERN CALIFORNIA RANCHO CUCAMONGA, CA 91730 KIM, JAMES A - MD (BCC) PAIN & WELLNESS CENTERS PAIN MANAGEMENT 12980 FREDERICK ST STE E, MORENO (949) 566-8688 OF SOUTHERN CALIFORNIA VALLEY, CA 92553 KIM, JAMES A - MD (BCC) PAIN & WELLNESS CENTERS PAIN MANAGEMENT 361 HOSPITAL RD STE 224, NEWPORT (949) 566-8688 OF SOUTHERN CALIFORNIA BEACH, CA 92663 KIM, JAMES A - MD (BCC) PAIN & WELLNESS CENTERS PAIN MANAGEMENT 5203 LAKEWOOD BLVD STE B , (949) 566-8688 OF SOUTHERN CALIFORNIA LAKEWOOD, CA 90712 KIM, JAMES A - MD (BCC) PAIN & WELLNESS CENTERS PAIN MANAGEMENT 801 N TUSTIN AVE STE 507, SANTA ANA (949) 566-8688 OF SOUTHERN CALIFORNIA , CA 92705 KIM, JANET K - MD (BCC) ATLANTIS EYECARE OPHTHALMOLOGY 8028 3RD ST , DOWNEY, CA 90241 (562) 622-8700 KIM, JANET K - MD (BCC) ATLANTIS EYECARE OPHTHALMOLOGY 229 E BEVERLY BLVD, MONTEBELLO, (323) 728-7998 CA 90640 KIM, JEFFREY - AUD ADVANCED HEARING AUDIOLOGY 342 W FOOTHILL BLVD , GLENDORA, CA (800) 598-5300 PROVIDERS LLC 91741 KIM, JEONGHYEE - LAC NUBA ACUPUNCTURE CLINIC ACUPUNCTURE 5475 E LA PALMA AVE STE 209, (714) 202-2541 ANAHEIM, CA 92807 KIM, JIN K - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH CUPERTINO, CA 95014 CENTER KIM, JIN K - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH PHYSICIAN CUPERTINO, CA 95014 CENTER KIM, JIN, WON - LAC BK ACUHEALTH INC ACUPUNCTURE 20855 GOLDEN SPRINGS DR STE 200, (626) 221-5030 DIAMOND BAR, CA 91789 KIM, JISUN - LAC FIT CHIROPRACTOR ACUPUNCTURE 1825 HAMNER AVE STE R, NORCO, CA (951) 582-9700 ACUPUNCTURE 92860 KIM, JOHN - LAC OK GO ACUPUNCTURE ACUPUNCTURE 14270 7TH ST STE 3, VICTORVILLE, CA (760) 843-3700 HEALTH CARE INC 92395 KIM, JOHN - LAC OK GO ACUPUNCTURE ACUPUNCTURE 16960 BASTANCHURY RD STE G, (714) 985-9277 HEALTH CARE INC YORBA LINDA, CA 92886 KIM, JOHN - LAC OK GO ACUPUNCTURE ACUPUNCTURE 222 E MAIN ST STE 212, BARSTOW, CA (760) 979-2067 HEALTH CARE INC 92311 KIM, JOHN J - MD (BCC) LOMA LINDA UNIVERSITY GASTROENTEROLOGY 11370 ANDERSON ST FMO #3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA, CA 92354 MEDICINE SPECIALTIES GROUP KIM, JONG, KEE - ATC NATURAL HEALING CENTER ATHLETIC TRAINER 8009 ARCHIBALD AVE, RANCHO (909) 987-0520 CUCAMONGA, CA 91730 KIM, JOO, WON - ATC ORLOW STEPHEN E ATHLETIC TRAINER 1011 W LA PALMA AVE STE 101, (714) 758-8777 ANAHEIM, CA 92801 KIM, JOSEPH - DC JOSEPH KIM CHIROPRACTIC CHIROPRACTIC MEDICINE 4128 W COMMONWEALTH AVE STE 101, (714) 525-3535 ACUPUNCTURE CLINIC FULLERTON, CA 92833 KIM, JOSEPH - LAC JOSEPH KIM CHIROPRACTIC ACUPUNCTURE 4128 W COMMONWEALTH AVE STE 101, (714) 525-3535 ACUPUNCTURE CLINIC FULLERTON, CA 92833 KIM, JOSEPH - LAC JOSEPH KIM CHIROPRACTIC ACUPUNCTURE 555 QUEENSLAND CIR STE 102, (951) 278-3333 ACUPUNCTURE CLINIC CORONA, CA 92879

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 334 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KIM, JU Y - MD KAISER PERMANENTE GENERAL SURGERY 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER KIM, JU Y - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER KIM, JULIA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 12562 GARDEN GROVE BLVD, GARDEN (714) 705-4027 CORP GROVE, CA 92843 KIM, JULIA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1535 DEERPARK DR, FULLERTON, CA (714) 993-2070 CORP 92831 KIM, JUNG - LAC LIVING ACUPUNCTURE ACUPUNCTURE 1510 W VERDUGO AVE STE D, (818) 558-7146 BURBANK, CA 91506 KIM, JUNG - LAC THE PHYSICAL THERAPY ACUPUNCTURE 124 N LA BREA AVE, LOS ANGELES, CA (818) 623-3100 ACUPUNCTURE REHAB 90036 CENTER KIM, JUNG - LAC THE PHYSICAL THERAPY ACUPUNCTURE 13746 VICTORY BLVD STE 106, VAN (818) 623-8100 ACUPUNCTURE REHAB NUYS, CA 91401 CENTER KIM, JUNG - LAC THE PHYSICAL THERAPY ACUPUNCTURE 6344 LAUREL CANYON BLVD, NORTH (818) 623-8100 ACUPUNCTURE REHAB HOLLYWOOD, CA 91606 CENTER KIM, JUNG, HAN - PTA ELITE ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 8382 ARTESIA BLVD STE B, BUENA (714) 735-8950 THERAPY PARK, CA 90621 KIM, KI S - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN REHABILITATION FRANCISCO, CA 94080 FRANCISCO KIM, KIYOUNG - LAC NATURAL HEALING ACUPUNCTURE 27734 AVENUE SCOTT STE 110, (323) 286-2635 ACUPUNCTURE CENTER VALENCIA, CA 91355 KIM, KWANGSOON - LAC KWANGSOON KIM LAC ACUPUNCTURE 3400 W 6TH ST STE 305, LOS ANGELES, (714) 459-5697 CA 90020 KIM, KYUNG - LAC SOUTHERN CALIFORNIA UNIV ACUPUNCTURE 3460 WILSHIRE BLVD STE 500, LOS (213) 413-9500 SOMA ANGELES, CA 90010 KIM, LESLIE - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC ANKLE TEMECULA, CA 92590 KIM, LESLIE - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - ANKLE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 KIM, LESLIE - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC FOOT TEMECULA, CA 92590 KIM, LESLIE - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC KNEE TEMECULA, CA 92590 KIM, LESLIE - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC SHOULDER TEMECULA, CA 92590 KIM, LESLIE - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - FOOT 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 KIM, LESLIE - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - KNEE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 KIM, LESLIE - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SHOULDER 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 KIM, MARY I - MD (BCC) LOMA LINDA UNIVERSITY PAIN MANAGEMENT 11406 LOMA LINDA DR #300, LOMA (800) 679-4642 HEALTH CARE - PHYSICAL MED LINDA , CA 92354 & REHAB/PAIN MGMT FP&S KIM, MICHELLE - MD (BCC) ANESTHESIOLOGY 5700 SAN FERNANDO RD, GLENDALE, (818) 637-7766 CA 91202 KIM, MIN - LAC MS ACUNPUNTURE CLINIC INC ACUPUNCTURE 943 W 7TH ST, OXNARD, CA 93030 (805) 247-0411 KIM, MIN, ,, -, JOO - LAC ACUPUNCTURE FAMILY ACUPUNCTURE 2655 FIRST ST STE 345, SIMI VALLEY, (805) 864-9290 HEALTHCARE CLINIC CA 93065 KIM, MIN, KYUN - LAC MK INTEGRATIVE WELLNESS ACUPUNCTURE 535 ENCINITAS BLVD STE 112, (619) 309-6069 ENCINITAS, CA 92024 KIM, MIN, SUG - LAC MS ACUNPUNTURE CLINIC INC ACUPUNCTURE 697 MOBIL AVE, CAMARILLO, CA 93010 (805) 484-9013 KIM, MYENGSOOK - LAC MYENGSOOK KIM ACUPUNCTURE 8736 GARDEN GROVE BLVD, GARDEN (714) 501-0285 ACUPUNCTURE DBA PK GROVE, CA 92844 ACUPUNCTURE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 335 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KIM, PAUL - MD KEYSTONE INDUSTRIAL OCCUPATIONAL MEDICINE 1950 SOUTH SUNWEST LN STE 108, (909) 521-8818 MEDICINE SAN BERNARDINO, CA 92408 KIM, PAUL - MD KEYSTONE INDUSTRIAL PRIMARY TREATING 1950 SOUTH SUNWEST LN STE 108, (909) 521-8818 MEDICINE PHYSICIAN SAN BERNARDINO, CA 92408 KIM, PAUL D - (BCC) SPINE INSTITUTE OF SAN SPINE SURGERY 6719 ALVARADO RD STE 308, SAN (619) 265-7912 DIEGO DIEGO, CA 92120 KIM, PAUL D - (BCC) SPINE INSTITUTE OF SAN ORTHOPEDICS - SPINE 6719 ALVARADO RD STE 308, SAN (619) 265-7912 DIEGO DIEGO, CA 92120 KIM, PAUL D - (BCC) SPINE INSTITUTE OF SAN SPINE SURGERY 488 E VALLEY PARKWAY STE 316, (619) 265-7912 DIEGO ESCONDIDO, CA 92025 KIM, PAUL D - (BCC) SPINE INSTITUTE OF SAN ORTHOPEDICS - SPINE 488 E VALLEY PARKWAY STE 316, (619) 265-7912 DIEGO ESCONDIDO, CA 92025 KIM, PAUL D - (BCC) SPINE INSTITUTE OF SAN SPINE SURGERY 332 SANTA FE DR STE 110, ENCINITAS, (619) 265-7912 DIEGO CA 92050 KIM, PAUL D - (BCC) SPINE INSTITUTE OF SAN ORTHOPEDICS - SPINE 332 SANTA FE DR STE 110, ENCINITAS, (619) 265-7912 DIEGO CA 92050 KIM, PAUL D - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER KIM, PAUL D - MD CONCENTRA MEDICAL HAND SURGERY 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 KIM, PAUL D - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA WRIST CA 92123 KIM, PAUL D - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 KIM, PAUL D - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 KIM, PAUL D - MD SPINE SURGERY 6719 ALVARADO RD STE 308, SAN (619) 265-7912 DIEGO, CA 92120 KIM, PAUL D - MD ORTHOPEDICS - SPINE 6719 ALVARADO RD STE 308, SAN (619) 265-7912 DIEGO, CA 92120 KIM, PETER - MD (BCC) NEUROCARE NEUROLOGY 1195 ROADRUNNER WAY, SIMI VALLEY, (805) 579-8892 CA 93065 KIM, PETER - MD (BCC) NEUROCARE NEUROLOGY 227 W JANSS RD STE 345, THOUSAND (805) 777-4825 OAKS, CA 91360 KIM, PYONG S - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 KIM, PYONG S - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 KIM, SHINYOUNG - LAC HEALING ZONE ACUPUNCTURE 7223 CHURCH ST STE A1, HIGHLAND, (213) 434-9556 ACUPUNCTURE CLINIC CA 92346 KIM, SHINYOUNG - LAC HEALING ZONE ACUPUNCTURE 945 S WESTERN AVE STE 200, LOS (213) 434-9556 ACUPUNCTURE CLINICMAIN ANGELES, CA 90006 KIM, SO, HYOUNG - LAC SO HYOUNG KIM ACUPUNCTURE 1111 W TOWN AND COUNTRY RD STE (714) 818-3384 1, ORANGE, CA 92868 KIM, SO, HYOUNG - LAC SO HYOUNG KIM ACUPUNCTURE 6200 E CANYON RIM RD 113, ANAHEIM (714) 818-3384 HILLS, CA 92807 KIM, SO, HYOUNG - LAC SO HYOUNG KIM ACUPUNCTURE 9036 ADAMS AVE, HUNTINGTON (714) 818-3384 BEACH, CA 92646 KIM, SONYA - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 KIM, SOO, JIN - DC PRIMO CHIROPRACTIC CHIROPRACTIC MEDICINE 520 N BROOKHURST ST STE 226, (213) 352-4048 ACUPUNCTURE ANAHEIM, CA 92801 KIM, SOO, JIN - LAC PRIMO CHIROPRACTIC ACUPUNCTURE 520 N BROOKHURST ST STE 226, (213) 352-4048 ACUPUNCTURE ANAHEIM, CA 92801 KIM, SUNGYUN - LAC FITNESS CHIROPRACTIC AND ACUPUNCTURE 100 OCEANGATE STE P280, LONG (562) 590-7349 MASSAGE THERAPY BEACH, CA 90802 KIM, SUNGYUN - LAC SUNG KIM INC ACUPUNCTURE 100 OCEANGATE STE P280, LONG (562) 590-7349 BEACH, CA 90802 KIM, TAESU - LAC DEL AMO ACUPUNCTURE ACUPUNCTURE 2787 E DEL AMO BLVD STE E11, (714) 244-0027 COMPTON, CA 90221 KIM, TIFFANY - MD (BCC) ANESTHESIOLOGY 1001 N TUSTIN AVE, SANTA ANA, CA (714) 953-3500 92705

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 336 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KIM, TIFFANY - MD (BCC) ANESTHESIOLOGY 1420 S CENTRAL AVE, GLENDALE, CA (818) 802-1900 91204 KIM, WILLIAM - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1008 BROXTON AVE, LOS ANGELES, CA (213) 268-6092 90024 KIM, WILLIAM - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1940 W OLYMPIC BLVD, LOS ANGELES, (213) 389-3929 CA 90006 KIM, WILLIAM - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 2015 W REDONDO BEACH BLVD STE F, (424) 340-9357 GARDENA, CA 90247 KIM, WILLIAM - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 24881 AKURA PKWY STE N, LAGUNA (949) 707-7100 HILLS, CA 92653 KIM, WILLIAM - MD (BCC) ORTHOPEDIC SURGERY - HIP 4201 TORRANCE BLVD STE 190, (310) 543-2521 TORRANCE, CA 90503 KIM, WILLIAM - MD (BCC) ORTHOPEDIC SURGERY - 4201 TORRANCE BLVD STE 190, (310) 543-2521 LOWER EXTREMITIES TORRANCE, CA 90503 KIM, WILLIAM - MD (BCC) ORTHOPEDIC SURGERY - 4201 TORRANCE BLVD STE 190, (310) 543-2521 UPPER EXTREMITIES TORRANCE, CA 90503 KIM, WILLIAM - MD (BCC) ORTHOPEDICS - HIP 4201 TORRANCE BLVD STE 190, (310) 543-2521 TORRANCE, CA 90503 KIM, WILLIAM - MD (BCC) ORTHOPEDICS - LOWER 4201 TORRANCE BLVD STE 190, (310) 543-2521 EXTREMITIES TORRANCE, CA 90503 KIM, WILLIAM - MD (BCC) ORTHOPEDICS - UPPER 4201 TORRANCE BLVD STE 190, (310) 543-2521 EXTREMITIES TORRANCE, CA 90503 KIM, WILLIAM - MD (BCC) ORTHOPEDIC SURGERY - HIP 701 E 28TH ST STE 117, LONG BEACH, (562) 426-9890 CA 90806 KIM, WILLIAM - MD (BCC) ORTHOPEDIC SURGERY - 701 E 28TH ST STE 117, LONG BEACH, (562) 426-9890 LOWER EXTREMITIES CA 90806 KIM, WILLIAM - MD (BCC) ORTHOPEDIC SURGERY - 701 E 28TH ST STE 117, LONG BEACH, (562) 426-9890 UPPER EXTREMITIES CA 90806 KIM, WILLIAM - MD (BCC) ORTHOPEDICS - HIP 701 E 28TH ST STE 117, LONG BEACH, (562) 426-9890 CA 90806 KIM, WILLIAM - MD (BCC) ORTHOPEDICS - LOWER 701 E 28TH ST STE 117, LONG BEACH, (562) 426-9890 EXTREMITIES CA 90806 KIM, WILLIAM - MD (BCC) ORTHOPEDICS - UPPER 701 E 28TH ST STE 117, LONG BEACH, (562) 426-9890 EXTREMITIES CA 90806 KIM, WOO, JOON - LAC SANTANA CHIROPRACTIC ACUPUNCTURE 28382 SOUTHWEST AVE, RANCHO (310) 832-8777 MANAGEMENT PALOS VERDES, CA 90275 KIM, YANG, DONG - LAC NEUROBALANCE ACUPUNCTURE 4200 CHINO HILLS PKWY STE 900, (909) 696-6929 CHIROPRACTIC CHINO HILLS, CA 91709 ACUPUNCTURE CLINIC KIM, YANGDONG - DC NEUROBALANCE CHIROPRACTIC MEDICINE 4200 CHINO HILLS PKWY STE 900, (909) 696-6929 CHIROPRACTIC CHINO HILLS, CA 91709 ACUPUNCTURE CLINIC KIM, YONGHA - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 520 S VIRGIL AVE UNIT 201, LOS (213) 365-0023 ANGELES, CA 90020 KIM, YOUNG - LAC A YOUNG KIM UNRUH SPINE ACUPUNCTURE 23043 LYONS AVE, NEWHALL, CA 91321 (661) 288-0022 CTR KIM, YOUNG - LAC KIMS ACUPUNCTURE INC ACUPUNCTURE 16250 VENTURA BLVD STE 450A, (818) 809-1009 ENCINO, CA 91436 KIM, YOUNG - LAC MACIEJ MAJZEL DC ACUPUNCTURE 12660 RIVERSIDE DR STE 205, VALLEY (323) 934-0423 CHIROPRACTIC CORP VILLAGE, CA 91607 KIM, YOUNG - LAC MACIEJ MAJZEL DC ACUPUNCTURE 6200 WILSHIRE BLVD STE 910, LOS (323) 933-3434 CHIROPRACTIC CORP ANGELES, CA 90048 KIM, YOUNG - LAC RIVERSIDE FAMILY ACUPUNCTURE 5432 ARLINGTON AVE, RIVERSIDE, CA (951) 703-5282 ACUPUNCTURE 92504 KIM, YOUNG - LAC YOUNG KIM ACUPUNCTURE ACUPUNCTURE 1411 W OLIVE AVE STE C, BURBANK, (818) 557-1213 HERBS CLINIC CA 91506 KIM, YOUNG, JOO - LAC ACUBAY CLINIC ACUPUNCTURE 1925 WINCHESTER BLVD STE 101, (408) 824-4122 CAMPBELL, CA 95008 KIM, YOUNG, MI - LAC SOL ACUPUNCTURE CLINIC ACUPUNCTURE 1121 VIA VERDE, SAN DIMAS, CA 91773 (951) 660-8689 KIM, YOUNGHOON - PT YOUNG PHYSICAL THERAPY PHYSICAL THERAPY 42301 10TH ST W, LANCASTER, CA (661) 942-2202 INC 93534 KIMBALL, MICHAEL P - MD CONCENTRA MEDICAL ORTHOPEDICS - BACK 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 337 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KIMBALL, MICHAEL P - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 KIMBALL, MICHAEL P - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 KIMBER, BRENDON - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 KIMBLE, LOREN, KODA - PT KODA PHYSICAL THERAPY PHYSICAL THERAPY 1600 CORPORATE CIR, PETALUMA, CA (707) 981-8604 94954 KIMBRELL, JAMES - PT GEORGE ERB PHYSICAL PHYSICAL THERAPY 231 CAMARILLO RANCH RD, (805) 484-2026 THERAPY CAMARILLO, CA 93012 KIMBROUGH, ROBYN - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 KINAM MEDICAL CENTER PHCY PHARMACY 1200 AIRPORT RD, HOOPA, CA 95546 (530) 625-4114 KINDCARE PHARMACY AND PHARMACY 230 WALNUT ST, CHICO, CA 95928 (530) 592-3917 MEDICAL KINDRED CARE PHARMACY PHARMACY 26500 AGOURA RD STE 111, (818) 880-8816 CALABASAS, CA 91302 KINDRED HOSPITAL BALDWIN KINDRED HOSPITAL BALDWIN SPECIALTY HOSPITAL - LONG 14148 FRANCISQUITO AVE, BALDWIN (626) 388-2700 PARK (BCC) PARK TERM PARK, CA 91706 KINDRED HOSPITAL BREA KINDRED HOSPITAL BREA SPECIALTY HOSPITAL - LONG 875 N BREA BLVD, BREA, CA 92821 (714) 529-6842 (BCC) TERM KINDRED HOSPITAL LA KINDRED HOSPITAL LA SPECIALTY HOSPITAL - LONG 14900 IMPERIAL HWY, LA MIRADA, CA (562) 944-1900 MIRADA (BCC) MIRADA TERM 90638 KINDRED HOSPITAL LOS KINDRED HOSPITAL LOS SPECIALTY HOSPITAL - LONG 5525 W SLAUSON AVE, LOS ANGELES, (310) 642-0325 ANGELES (BCC) ANGELES TERM CA 90056 KINDRED HOSPITAL OF SAN KINDRED HOSPITAL OF SAN SPECIALTY HOSPITAL - LONG 845 N LARK ELLEN AVE, WEST COVINA, (626) 339-5451 GABRIEL VALLEY (BCC) GABRIEL VALLEY TERM CA 91791 KINDRED HOSPITAL ONTARIO KINDRED HOSPITAL ONTARIO SPECIALTY HOSPITAL - LONG 550 N MONTEREY AVE, ONTARIO, CA (909) 391-0333 (BCC) TERM 91764 KINDRED HOSPITAL RANCHO KINDRED HOSPITAL RANCHO SPECIALTY HOSPITAL - LONG 10841 WHITE OAK AVE, RANCHO (909) 581-6400 (BCC) TERM CUCAMONGA, CA 91730 KINDRED HOSPITAL KINDRED HOSPITAL SPECIALTY HOSPITAL - LONG 2224 MEDICAL CENTER DR, PERRIS, CA (951) 436-3535 RIVERSIDE (BCC) RIVERSIDE TERM 92571 KINDRED HOSPITAL SAN KINDRED HOSPITAL SAN SPECIALTY HOSPITAL - LONG 1940 EL CAJON BLVD, SAN DIEGO, CA (619) 543-4500 DIEGO (BCC) DIEGO TERM 92104 KINDRED HOSPITAL SAN KINDRED HOSPITAL SAN SPECIALTY HOSPITAL - LONG 2800 BENEDICT DR, SAN LEANDRO, CA (510) 357-8300 FRANCISCO BAY AREA (BCC) FRANCISCO BAY AREA TERM 94577 KINDRED HOSPITAL SANTA KINDRED HOSPITAL SANTA SPECIALTY HOSPITAL - LONG 1901 COLLEGE AVE, SANTA ANA, CA (714) 564-7800 ANA (BCC) ANA TERM 92706 KINDRED HOSPITAL SOUTH KINDRED HOSPITAL SOUTH SPECIALTY HOSPITAL - LONG 1246 W 155TH ST, GARDENA, CA 90247 (562) 860-4488 BAY (BCC) BAY TERM KINDRED HOSPITAL KINDRED HOSPITAL SPECIALTY HOSPITAL - LONG 200 HOSPITAL CIR, WESTMINSTER, CA (714) 893-4541 WESTMINSTER (BCC) WESTMINSTER TERM 92683 KINDSTRAND, NATHAN, ALLEN TUSTIN PHYSICAL THERAPY PHYSICAL THERAPY 15000 KENSINGTON PARK DR 110, (714) 841-6162 - PT TUSTIN, CA 92782 KINEMATICS PHYSICAL PHYSICAL THERAPY 1801 3RD ST STE 101, NORCO, CA (951) 777-2178 THERAPY & SPORTS 92860-2672 PERFORMANCE KINESIS PHYSICAL THERAPY PHYSICAL THERAPY 15405 LOS GATOS BLVD STE 101, LOS (408) 444-7422 GATOS, CA 95032-2500 KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 23501 CINEMA DR STE 116, VALENCIA, (661) 288-0300 THERAPY INC CA 91355-5429 KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 44501 16TH ST W STE 107, LANCASTER, (661) 974-7033 THERAPY INC CA 93534-2884 KINETIX PHYSICAL THERAPY PHYSICAL THERAPY 959 LAS TABLAS RD STE A4, (805) 286-4794 TEMPLETON, CA 93465-9703 KING PHARMACY PHARMACY 2707 WHITTIER BLVD, LOS ANGELES, (323) 262-8845 CA 90023 KING PHARMACY AND DME PHARMACY 2323 MONTPELIER DR STE D, SAN (408) 347-0193 JOSE, CA 95116 KING'S PHARMACY PHARMACY 1834 W LINCOLN AVE STE N, ANAHEIM, (714) 687-9090 CA 92801

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 338 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KING'S PHARMACY PHARMACY 1060 E FOOTHILL BLVD, UPLAND, CA (909) 982-1778 91786 KING'S PHARMACY AND COMP PHARMACY 510 SUPERIOR AVE STE 120, NEWPORT (949) 631-4624 CTR BEACH, CA 92663 KING'S PHARMACY AND COMP PHARMACY 16205 SAND CANYON AVE, IRVINE, CA (949) 387-0780 CTR 92618 KING, FRED - PT DOS CAMINOS PT SPORTS PHYSICAL THERAPY 2486 N PONDEROSA DR STE D106, (805) 484-5447 REHAB CAMARILLO, CA 93010 KING, KIMBERLY - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 KING, KIMBERLY - PT WEST COAST SPINE PHYSICAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 KING, LINDA - OT DESERT HAND ASSOCIATES OCCUPATIONAL THERAPY 36951 COOK ST STE 102, PALM (760) 342-8444 DESERT, CA 92211 KING, RACHEL - OT REDWOOD HAND THERAPY OCCUPATIONAL THERAPY 320 TESCONI CIR STE G, SANTA ROSA, (707) 544-2637 CA 95401 KING, STEVEN - DC KING CHIROPRACTIC CHIROPRACTIC MEDICINE 271 RESERVATION RD STE 201B, (831) 384-1791 MARINA, CA 93933 KINGS PHYSICAL THERAPY PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 KINGSBURG PHYSICAL PHYSICAL THERAPY 1581 18TH AVE, KINGSBURG, CA 93631 (559) 897-5270 THERAPY KINGSLAND, KIM - OT MAXUM PHYSICAL THERAPY OCCUPATIONAL THERAPY 740 S PLACENTIA AVE STE 100, (714) 646-8319 INC PLACENTIA, CA 92870 KINGSLEY PHARMACY PHARMACY 3663 W 6TH ST STE 102, LOS ANGELES, (213) 383-8877 CA 90020 KINGSLEY, AMBER - DC CHIROPRACTIC HEALTH CHIROPRACTIC MEDICINE 1012 CARVER RD, MODESTO, CA 95350 (209) 549-2215 CENTER/RICK JOYDC KINNEY, RANDI, LEE - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 KINNUCAN, ELSPETH - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1600 EUREKA RD BUILDING C MOB 2, (916) 784-4100 ROSEVILLE MEDICAL CENTER ROSEVILLE, CA 95661 KIONKA, PAUL - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 KIRAKOSYAN, HOVANES - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 KIRAN, RAVI V - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER KIRKENDALLAZER, ROSANNA - TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 PT THERAPY WELLNESS 93033 KIRKENDALLAZER, ROSANNA - TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 PT THERAPY WELLNESS 93036 KIRKENDALLAZER, ROSANNA - TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 PT THERAPY WELLNESS PAULA, CA 93060 KIRKMAN, LALITA PRIYA - LAC ATHENA MEDICAL GROUP ACUPUNCTURE 915 HILBY AVE STE 26, SEASIDE, CA (831) 900-5757 MAIN 93955 KIRKWOOD, PAMELA - DC KIRKWOOD CHIROPRACTIC CHIROPRACTIC MEDICINE 1164 MONROE ST STE 1, SALINAS, CA (831) 443-1222 93906 KIRSCH, CARSON - AUD ADVANCED HEARING AUDIOLOGY 2730 WILSHIRE BLVD STE 110, SANTA (800) 598-5300 PROVIDERS LLC MONICA, CA 90403 KIRSCH, MARK - PT MARINERS PHYSICAL PHYSICAL THERAPY 201 SANDPOINTE AVE STE 130, SANTA (714) 557-9292 THERAPY ANA, CA 92707 KIRSH, MARK - PT MARINERS PHYSICAL PHYSICAL THERAPY 2300 UNIVERSITY DR, NEWPORT (714) 557-9292 THERAPY BEACH, CA 92660 KIRSTEN, MATTHEW - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 31105 RANCHO VIEJO RD STE C9, SAN (949) 496-4330 SPORTS THERAPY JUAN CAPISTRANO, CA 92675 KISHI, CAROLE - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 KISHI, CAROLE - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 7941 BEACH BLVD STE J, BUENA PARK, (714) 736-6855 CA 90620 KISHIHARA, CAROLYN - OT HAND THERAPY OF FRESNO OCCUPATIONAL THERAPY 7120 NORTH WHITNEY AVE SUITE 102, (559) 323-4831 INCORPORATED FRESNO, CA 93720 KISHIHARA, KENNETH - CHT HAND THERAPY OF FRESNO HAND THERAPY 7120 NORTH WHITNEY AVE SUITE 102, (559) 960-5764 INCORPORATED FRESNO, CA 93720

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 339 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KISHIHARA, KENNETH - OT HAND THERAPY OF FRESNO OCCUPATIONAL THERAPY 7120 NORTH WHITNEY AVE SUITE 102, (559) 960-5764 INCORPORATED FRESNO, CA 93720 KITE, CHRISTOPHER - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 285-0443 MAIN ACCOUNT ANGELES, CA 90066 KIVULS, JURIS - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 KIVULS, JURIS - MD KAISER PERMANENTE PLASTIC SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 KJELDSEN, LEIGH - AUD ADVANCED HEARING AUDIOLOGY 1220 ROSSMOOR PKWY , WALNUT (800) 598-5300 PROVIDERS LLC CREEK, CA 94595 KLARER, CATHERINE - CHT WPOHS A MEDICAL HAND THERAPY 2365 S MELROSE DR, VISTA, CA 92081 (760) 571-5910 CORPORATIONMAIN KLARER, CATHERINE - CHT WPOHS A MEDICAL HAND THERAPY 3156 VISTA WAY STE 100, OCEANSIDE, (760) 681-5222 CORPORATION CA 92056 KLARER, CATHERINE - OT WPOHS A MEDICAL OCCUPATIONAL THERAPY 2365 S MELROSE DR, VISTA, CA 92081 (760) 571-5910 CORPORATIONMAIN KLARER, CATHERINE - OT WPOHS A MEDICAL OCCUPATIONAL THERAPY 3156 VISTA WAY STE 100, OCEANSIDE, (760) 681-5222 CORPORATION CA 92056 KLASSEN PHYSICAL THERAPY PHYSICAL THERAPY 341 S MOORPARK RD # D, THOUSAND (805) 497-2764 OAKS, CA 91361 KLAWIN, SAMANTHA - PT AXIS PHYSICAL THERAPY PHYSICAL THERAPY 708 WEST 1ST STREET, LOS ANGELES, (213) 617-2947 CA 90012 KLEE, LINDA - PTA PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 121 BOATYARD DR SUITE A, FORT (707) 964-1208 BRAGG, CA 95437 KLEIN, JOSEPH R - MD KAISER PERMANENTE SAN ANESTHESIOLOGY 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 KLEIN, KIM - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 KLEIN, STANLEY R - MD (BCC) ASSOCIATION OF SOUTH BAY BARIATRIC SURGERY 23451 MADISON ST STE 340, (310) 373-6864 SURGEONS TORRANCE, CA 90505 KLEINMAN, WAYNE - MD (BCC) ANESTHESIOLOGY 18321 CLARK ST, TARZANA, CA 91356 (818) 708-5285 KLEUGER, ADAM - PT SUNSET PHYSICAL THERAPY PHYSICAL THERAPY 18800 MAIN ST STE 104, HUNTINGTON (717) 843-9077 BEACH, CA 92648 KLIMCZAK, JENNIFER - AUD ADVANCED HEARING AUDIOLOGY 1555 RIVER PARK DR STE 206L, (800) 598-5300 PROVIDERS LLC SACRAMENTO, CA 95815 KLIMTCHUK, KARINA - LAC LIFESTYLE CHIROPRACTIC ACUPUNCTURE 13050 SAN VICENTE BLVD STE 206, LOS (424) 234-8024 WELLNESS ANGELES, CA 90049 KLINE, RAYNA - PT KEVIN SNIDER PHYSICAL PHYSICAL THERAPY 1920 BARNEY RD, ANDERSON, CA (530) 365-2142 THERAPY 96007 KLINEBERG, ERIC O - MD (BCC) UC DAVIS SPINE CENTER SPINE SURGERY 3301 C ST STE 1500, SACRAMENTO , CA (916) 734-7463 95816 KLINEBERG, ERIC O - MD (BCC) UC DAVIS SPINE CENTER ORTHOPEDICS - SPINE 3301 C ST STE 1500, SACRAMENTO , CA (916) 734-7463 95816 KLISHEVICH, CERGEI - DC VISTA PACIFICA CHIROPRACTIC MEDICINE 4560 ADMIRALTY WAY STE 302, MARINA (310) 578-9333 CHIROPRACTIC DEL REY, CA 90292 KMART PHARMACY PHARMACY 111 W MCKNIGHT WAY, GRASS (530) 272-2697 VALLEY, CA 95949 KMART PHARMACY PHARMACY 710 W TEHACHAPI BLVD, TEHACHAPI, (661) 822-3594 CA 93561 KMART PHARMACY PHARMACY 1702 FREEDOM BLVD, FREEDOM, CA (831) 728-9324 95019 KML PHARMACY PHARMACY 1655 S DE ANZA BLVD STE 2, (408) 873-8123 CUPERTINO, CA 95014 KNAPIK, JOYLINE - PTA VANCE PHYSICAL THERAPY PHYSICAL THERAPY 511 W VISALIA RD, EXETER, CA 93221 (559) 592-7117 KNAPP, BRIAN E - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1 QUALITY DR 1ST FLR MOB A, (707) 624-2480 JOB OCCUPATIONAL HEALTH VACAVILLE, CA 95688 CENTER KNAPP, BRIAN E - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1 QUALITY DR 1ST FLR MOB A, (707) 624-2480 JOB OCCUPATIONAL HEALTH PHYSICIAN VACAVILLE, CA 95688 CENTER KNAPP, THOMAS P - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 CLINIC SHOULDER SANTA MONICA, CA 90404 KNAPP, THOMAS P - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 CLINIC SANTA MONICA, CA 90404

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 340 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KNEETER, MARCI - PT BASIL R BESH MD INC PHYSICAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 KNIGHT PHYSICAL THERAPY PHYSICAL THERAPY 13341 GARDEN GROVE BLVD STE B, (714) 750-4097 GARDEN GROVE, CA 92843-2255 KNOLLWOOD PHARMACY PHARMACY 16911 SAN FERNANDO, GRANADA (818) 363-8107 HILLS, CA 91344 KNOWLES, LACY - DO (BCC) PRIMARY TREATING 8501 WILSHIRE BLVD STE 100, (310) 248-7004 PHYSICIAN BEVERLY HILLS, CA 90211 KNOWLES, LACY - DO (BCC) FAMILY MEDICINE 8501 WILSHIRE BLVD STE 100, (310) 248-7004 BEVERLY HILLS, CA 90211 KNT PHYSICAL THERAPY DBA PHYSICAL THERAPY 16661 VENTURA BLVD STE 314, (818) 528-3669 ACCELERATED REHAB ENCINO, CA 91436-1951 KNT PHYSICAL THERAPY DBA PHYSICAL THERAPY 9001 WILSHIRE BLVD STE 208, (310) 550-8585 ACCELERATED REHAB BEVERLY HILLS, CA 90211-1844 KNUDSEN, KIMBERLY - AUD ADVANCED HEARING AUDIOLOGY 6600 MERCY CT STE 150, FAIR OAKS, (800) 598-5300 PROVIDERS LLC CA 95628 KNUDSEN, KIMBERLY - AUD ADVANCED HEARING AUDIOLOGY 1561 CREEKSIDE DRIVE STE 190, (800) 598-5300 PROVIDERS LLC FOLSOM, CA 95630 KNUTSON, BRIAN - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2838 OSWELL ST, BAKERSFIELD, CA (661) 873-7100 93306 KO, ALBERT S - MD KAISER PERMANENTE GENERAL SURGERY 10800 MAGNOLIA AVE PARK SIERRA (951) 353-4322 RIVERSIDE MEDICAL OFFICES MEDICAL BLDG, RIVERSIDE, CA 92505 KO, CHADWICK - MD ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 KO, EDMUND Y - MD (BCC) LOMA LINDA UNIVERSITY UROLOGY 11370 ANDERSON ST FMO 1100, LOMA (800) 679-4642 HEALTH CARE - UROLOGY LINDA , CA 92354 DEPARTMENT FP&S KO, KATHERINE - PT THE PHYSICAL EDGE PHYSICAL THERAPY 253 N SANTA ANITA AVE, ARCADIA, CA (626) 294-0070 PHYSICAL THERAPY INC 91006 KO, MICHAEL - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 2357 W MARCH LN, STOCKTON, CA (209) 477-9300 PHYSICAL AND 95207 OCCUPATIONAL THERAPY KO, TIEN-HOA - MD CONCENTRA MEDICAL PRIMARY TREATING 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE PHYSICIAN 90040 KO, TIEN-HOA - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 KOAM PHARMACY PHARMACY 18102 S PIONEER BLVD STE 101, (562) 402-3636 ARTESIA, CA 90701 KOCHIYAMA, MAYA - PT PRAXIS PHYSICAL THERAPY PHYSICAL THERAPY 1360 W 6TH ST STE 210, SAN PEDRO, (310) 548-3130 INC CA 90732 KOCZYWAS, MARIANNA - MD CITY OF HOPE MEDICAL ONCOLOGY 1500 DUARTE RD, DUARTE, CA 91007 (626) 218-9840 (BCC) FOUNDATION KODEL, GARY - MD CONCENTRA MEDICAL PRIMARY TREATING 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS PHYSICIAN SAUGUS, CA 91350 KODEL, GARY - MD CONCENTRA MEDICAL FAMILY MEDICINE 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS SAUGUS, CA 91350 KOEHLER, CRAIG - DC KOEHLER CHIROPRACTIC CHIROPRACTIC MEDICINE 5891 WARNER AVE, HUNTINGTON (714) 846-3544 BEACH, CA 92649 KOGAN, GREGORY - DO (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 500-0523 MISSION HILLS, CA 91345 KOGAN, GREGORY - DO (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 256-2100 91345 KOGAN, GREGORY - DO (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (661) 222-3100 BURBANK, CA 91505 KOGAN, GREGORY - DO (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (818) 365-8051 91355 KOGAN, GREGORY - DO (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 563-6757 91505 KOGAN, GREGORY - DO (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 843-5111 91206 KOH, JOSEPH, CHANG, WOO - NEW HOPE ACUPUNCTURE ACUPUNCTURE 28212 KELLY JOHNSON PKWY STE 140, (661) 257-1233 LAC MEDICAL GROUP INC VALENCIA, CA 91355

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 341 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KOH, LILLY - PT WALNUT PHYSICAL THERAPY PHYSICAL THERAPY 20817 VALLEY BLVD, WALNUT, CA (909) 468-0438 AND PERFORMANCE PC 91789 KOHA, SHANE - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 4121 10TH ST, RIVERSIDE, CA 92501 (951) 274-0421 CHIROPRACTIC INC DBA BROCKTON INTEGRATIVE REHAB KOHANA PHARMACY PHARMACY 181 TANK FARM RD STE 120, SAN LUIS (805) 542-0864 OBISPO, CA 93401 KOHL, JONATHAN - MD (BCC) ANESTHESIOLOGY 1328 22ND ST, SANTA MONICA, CA (626) 795-6596 90404 KOHL, JONATHAN - MD (BCC) ANESTHESIOLOGY 2121 WILSHIRE BLVD STE 201, SANTA (310) 576-7267 MONICA, CA 90403 KOLLMORGEN, SAVINA - PT PHYSICAL MEDICINE PHYSICAL THERAPY 14925 BURBANK BLVD, SHERMAN (818) 905-3355 INSTITUTE OAKS, CA 91411 KOLODIN, STEVEN - AUD ADVANCED HEARING AUDIOLOGY 500 E ESPLANADE DR STE 1225, (800) 598-5300 PROVIDERS LLC OXNARD, CA 93036 KOLSKI, BRIAN C - MD (BCC) ORANGE COUNTY HEART CARDIOVASCULAR DISEASE 1140 W LA VETA AVE STE 640 - ST. (714) 564-3300 INSTITUTE AND RESEARCH (CARDIOLOGY) JOSEPH OUTPATIENT PAVILLION, CENTER ORANGE, CA 92868 KOMOTO MEDICAL PHARMACY PHARMACY 2110 TRUXTUN AVE STE 100, (661) 327-7524 BAKERSFIELD, CA 93301 KOMOTO PHARMACY PHARMACY 1017 ELLINGTON ST, DELANO, CA 93215 (661) 725-9489 KONG, LAWRENCE B - MD KAISER PERMANENTE THORACIC SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER KONGA, SHANE - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 4121 10TH ST, RIVERSIDE, CA 92501 (951) 274-0421 CHIROPRACTIC INC DBA BROCKTON INTEGRATIVE REHAB KONNUR, DEEPA - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 KONO, MICHIYUKI - MD KAISER PERMANENTE WEST ORTHOPEDIC SURGERY - 200 N LEWIS AVE , ORANGE, CA 92868 (714) 644-6450 ANAHEIM MEDICAL PLAZA UPPER EXTREMITIES KONO, MICHIYUKI - MD KAISER PERMANENTE WEST ORTHOPEDICS 200 N LEWIS AVE , ORANGE, CA 92868 (714) 644-6450 ANAHEIM MEDICAL PLAZA KONO, MINA - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 KONO, MINA - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 KOO, IRENE - LAC CHINESE HEALING ARTS ACUPUNCTURE 2837 HYPERION AVE, LOS ANGELES, (323) 912-9200 ACUPUNCTURE CA 90027 KOO, IRENE - LAC CHINESE HEALING ARTS ACUPUNCTURE 621 S VIRGIL AVE STE 200, LOS (323) 913-9200 ACUPUNCTURE ANGELES, CA 90005 KOO, JA, HYUNG - LAC K Y ACUPUNCTURE ACUPUNCTURE 817 W WILSHIRE AVE, FULLERTON, CA (213) 435-0665 92832 KOOIMAN, CHER - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 KOOPMANS, SUZANNE C - MD KAISER PERMANENTE SO NEUROLOGY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER KOPENY, JILL - PTA PHYSICAL THERAPY CENTER PHYSICAL THERAPY 18102 IRVINE BLVD STE 207, TUSTIN, (714) 505-2966 OF TUSTIN CA 92780 KOPENY, JILL - PTA PHYSICAL THERAPY CENTER PHYSICAL THERAPY 18102 IRVINE BLVD STE 207, TUSTIN, (714) 505-2966 OF TUSTIN CA 92780 KORE, ARPUTHARAJ H - MD LOMA LINDA UNIVERSITY TRANSPLANT SURGERY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 (BCC) HEALTH CARE - TRANSPLANT LINDA , CA 92354 INSTITUTE KORETZ, ALEXANDER - MD ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 256-2100 (BCC) MISSION HILLS, CA 91345 KORETZ, ALEXANDER - MD ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 (BCC) 91345 KORETZ, ALEXANDER - MD ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 563-6757 (BCC) BURBANK, CA 91505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 342 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KORETZ, ALEXANDER - MD ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (661) 222-3100 (BCC) 91355 KORETZ, ALEXANDER - MD ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 (BCC) 91505 KORETZ, ALEXANDER - MD ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 500-0523 (BCC) 91206 KORMAN, SHERRI M - MD KAISER PERMANENTE DERMATOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER KORYO PHARMACY PHARMACY 2727 W OLYMPIC BLVD, LOS ANGELES, (213) 738-6970 CA 90006 KOSAREFF, DAVID - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 505 N EUCLID ST STE 680, ANAHEIM, CA (714) 780-0010 SPORTS THERAPY 92801 KOSHLAND PHARM PHARMACY 301 FOLSOM ST STE B, SAN (415) 344-0600 FRANCISCO, CA 94105 KOSNIK, MARIE, ALICE - PT HUNTINGTON BEACH PT PHYSICAL THERAPY 19582 BEACH BLVD 130, HUNTINGTON (714) 841-6162 BEACH, CA 92648 KOSS, WEGA G - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER KOTHARI, ZAINAB - PT AVID PHYSICAL THERAPY PHYSICAL THERAPY 81557 DOCTOR CARREON BLVD STE (760) 347-6195 C4, INDIO, CA 92201 KOUDSI, NABIL - MD (BCC) VASCULAR SURGERY 811 E 11TH ST STE 207, UPLAND, CA (909) 981-3411 91786 KOURY, MICHAEL - PT REDWOOD ORTHOPAEDIC PHYSICAL THERAPY 20211 PATIO DR STE 205, CASTRO (510) 537-3991 PHYSICAL THERAPY VALLEY, CA 94546 KOVAC'S CARE PHARMACY PHARMACY 14423 GILMORE ST, VAN NUYS, CA (818) 786-2669 91401 KOVACS-FREY PHARMACY PHARMACY 2860 ARTESIA BLVD, REDONDO BEACH, (310) 371-7541 CA 90278 KOVTUN, GARRY, LEON - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD KOVTUN, GARRY, LEON - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA KOVTUN, GARRY, LEON - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY KOVTUN, GARRY, LEON - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS KOVTUN, GARRY, LEON - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 1 DANIEL BURNHAM CT STE 365C, SAN (925) 697-9806 OT MANAGEMENT FRANCISCO, CA 94109 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 100 HOSPITAL DR STE 303, VALLEJO, (925) 691-9806 OT MANAGEMENT CA 94589 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 1125 MISSOURI ST STE 203, FAIRFIELD, (925) 691-9806 OT MANAGEMENT CA 94533 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 1144 SONOMA AVE STE 105, SANTA (925) 691-9806 OT MANAGEMENT ROSA, CA 95405 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 1500 SOUTHGATE AVE STE 202, DALY (925) 691-9806 OT MANAGEMENT CITY, CA 94015 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 170 SANTA CLARA AVE STE 01, (925) 691-9806 OT MANAGEMENT OAKLAND, CA 94610 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 2923 WEBSTER ST STE 202, OAKLAND, (925) 691-9806 OT MANAGEMENT CA 94609 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 450 N WIGET LN, WALNUT CREEK, CA (925) 627-5001 OT MANAGEMENT MAIN 94598 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 4530 BALFOUR RD STE E, (925) 691-9806 OT MANAGEMENT BRENTWOOD, CA 94513 KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 5401 NORRIS CANYON RD STE 102, (925) 691-9806 OT MANAGEMENT SAN RAMON, CA 94583

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 343 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KOWALSKI, THOMAS, ADAM - INTEGRATED PAIN OCCUPATIONAL THERAPY 999 N TUSTIN AVE STE 201, SANTA (925) 691-9806 OT MANAGEMENT ANA, CA 92705 KOWATCH, BENJAMIN - PT MK PHYSICAL THERAPY MAIN PHYSICAL THERAPY 4411 30 TH ST, SAN DIEGO, CA 92116 (877) 827-8246 KRAD, OMAR - MD (BCC) EYE ASSOCIATES OF ORANGE OPHTHALMOLOGY 2621 S BRISTOL ST STE 205, SANTA (714) 557-5777 COUNTY ANA, CA 92704 KRAETZER, BRADFORD B - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 2500 MERCED ST , SAN LEANDRO, CA (510) 675-4807 LEANDRO MEDICAL CENTER 94577 KRAFT, HAROLD H - MD - (BCC) LASERMD PAIN RELIEF INC PAIN MANAGEMENT 1821 WILSHIRE BLVD STE 300, SANTA (213) 550-5600 MONICA, CA 90403 KRAFT, HAROLD H - MD - (BCC) LASERMD PAIN RELIEF INC PAIN MANAGEMENT 2809 N SEPULVEDA BLVD , (213) 550-5600 MANHATTAN BEACH, CA 90366 KRAFT, HAROLD H - MD - (BCC) LASERMD PAIN RELIEF INC PAIN MANAGEMENT 4910 VAN NUYS BLVD STE 302, (213) 550-5600 SHERMAN OAKS , CA 91403 KRAMER, LEWIS L - MD KAISER PERMANENTE DERMATOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER KRAMERS PHARMACY PHARMACY 29525 CANWOOD ST, AGOURA HILLS, (818) 706-8099 CA 91301 KRANTZ, KENNETH - MD KAISER PERMANENTE OPHTHALMOLOGY 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 HARBOR MACARTHUR 92704 MEDICAL OFFICES KRAUSE, JULIA - PT SPECTRUM MEDICAL GROUP PHYSICAL THERAPY 5211 E WASHINGTON BLVD, LOS (323) 606-7679 ANGELES, CA 90040 KRAUSE, JULIA - PT RMS MEDICAL GROUP PHYSICAL THERAPY 5211 E WASHINGTON BLVD 2ND (866) 982-0347 FLOOR, COMMERCE, CA 90040 KRAUSS, VICTOR - DC BETTER LIFE CHIROPRACTIC CHIROPRACTIC MEDICINE 6753 EL CAJON BLVD, SAN DIEGO, CA (619) 584-4847 92115 KRAUTHAMER, CAROL - PT CALIENTE SPRINGS PHYSICAL PHYSICAL THERAPY 17350 VAILETTI DR, SONOMA, CA 95476 (707) 935-3230 THERAPY KRAVCHENKO, MAYA - DC ERIC E GOFNUNG CHIRO CHIROPRACTIC MEDICINE 12626 RIVERSIDE DR STE 510, VALLEY (818) 623-9633 CORP VILLAGE, CA 91607 KREIL, ERIK - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 KREIMAN, HADASSAH R - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3553 WHIPPLE RD BLDG B, UNION CITY, (510) 675-4807 JOB OCCUPATIONAL HEALTH CA 94587 CENTER KREIMAN, HADASSAH R - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3553 WHIPPLE RD BLDG B, UNION CITY, (510) 675-4807 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94587 CENTER KRESS, SUSANN - PT CALIFORNIA EMERGENCY PHYSICAL THERAPY 554 BLOSSOM HILL RD, SAN JOSE, CA (408) 360-8490 PHYSICIANS DBA SAMARITAN 95123 MEDICAL CARE CENTER KREUTZ, JIM - PT COOL PHYSICAL THERAPY PHYSICAL THERAPY 5000 ELLINGHOUSE DR STE 100, COOL, (530) 887-9598 AND SPEECH SERVICES CA 95614 KRIEGER, LAUREN E - MD KAISER PERMANENTE ORTHOPEDICS 8250 WOODMAN AVE NORTH 2, (818) 375-2233 PANORAMA CITY MEDICAL PANORAMA CITY, CA 91402 CENTER KRIGBAUM, HENRY - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER CA 94115 KRISHNA, PRIYA D - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON FMO ST STE 2100, (800) 679-4642 HEALTH CARE - HEAD & NECK LOMA LINDA, CA 92354 SURGERY FP&S KRISHNA, PRIYA D - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 1895 ORANGE TREE LANE STE 102, (800) 679-4642 HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY FP&S KRISHNA, PRIYA D - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 HEALTH CARE - HEAD & NECK CA 92563 SURGERY FP&S KRISHNAN, AMRITA Y - MD THE CITY OF HOPE HEMATOLOGY AND 1601 AVOCADO AVE , NEWPORT (949) 763-2204 (BCC) ONCOLOGY BEACH, CA 92660 KRISKOVICH, NICOLE - PT COOCCUPATIONAL MEDICAL PHYSICAL THERAPY 1341 HISTORICAL PLAZA WAY, (209) 824-1893 PARTNERSMANTECA MANTECA, CA 95336 KRISKOVICH, NICOLE - PT COOCCUPATIONAL MEDICAL PHYSICAL THERAPY 2156 W GRANT LINE RD STE 200, (209) 327-1484 PARTNERS TRACY, CA 95377

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 344 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KRISTIN BOWNE PHYSICAL PHYSICAL THERAPY 269 MOUNT HERMON RD STE 205, (831) 600-7381 THERAPY SCOTTS VALLEY, CA 95066-4000 KRISTIN BOWNE PHYSICAL PHYSICAL THERAPY 269 MOUNT HERMON RD STE 205, (831) 600-7381 THERAPY SCOTTS VALLEY, CA 95066-4000 KROGER SPECIALTY INFUSION PHARMACY 19110 VAN NESS AVE, TORRANCE, CA (866) 202-9552 CA 90501 KROGER SPECIALTY PHARMACY 7373 LINCOLN WAY, GARDEN GROVE, (800) 228-3643 PHARMACY CA CA 92841 KROGER SPECIALTY PHARMACY 6240 WILSHIRE BLVD, LOS ANGELES, (800) 806-0020 PHARMACY CA 2 CA 90048 KROONEN, LEO T - MD KAISER PERMANENTE SAN ORTHOPEDICS 5893 COPLEY CT , SAN DIEGO, CA (833) 242-8500 DIEGO MEDICAL CENTER 92111 KROPF, MICHAEL A - MD (BCC) CEDARS SINAI SPINE CENTER SPINE SURGERY 444 S SAN VICENTE BLVD STE 901 (310) 248-7320 MARK GOODSON BLDG, LOS ANGELES, CA 90048 KRUGER, FREDERICK J - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH FRESNO, CA 93720 KRUSE, DAVID W - MD (BCC) ORTHOPAEDIC SPECIALTY PRIMARY TREATING 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP PHYSICIAN IRVINE, CA 92618 OF ORANGE COUNTY KRUSE, DAVID W - MD (BCC) ORTHOPAEDIC SPECIALTY PRIMARY TREATING 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP PHYSICIAN 92868 OF ORANGE COUNTY KRUSE, DAVID W - MD (BCC) ORTHOPAEDIC SPECIALTY PRIMARY TREATING 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP PHYSICIAN IRVINE, CA 92618 OF ORANGE COUNTY KRUSE, DAVID W - MD (BCC) ORTHOPAEDIC SPECIALTY PRIMARY TREATING 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP PHYSICIAN 92868 OF ORANGE COUNTY KRUSE, DAVID W - MD (BCC) ORTHOPAEDIC SPECIALTY FAMILY MEDICINE 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY KRUSE, DAVID W - MD (BCC) ORTHOPAEDIC SPECIALTY FAMILY MEDICINE 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY KRUSE, DAVID W - MD (BCC) ORTHOPAEDIC SPECIALTY SPORTS MEDICINE 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY KRUSE, DAVID W - MD (BCC) ORTHOPAEDIC SPECIALTY SPORTS MEDICINE 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY KUCHTA, KENNETH - MD (BCC) ANESTHESIOLOGY 757 WESTWOOD PLZ STE 3325, LOS (310) 267-8642 ANGELES, CA 90095 KUENNING, DOUGLAS - AUD ADVANCED HEARING AUDIOLOGY 1613 SECOND ST, LIVERMORE, CA (800) 598-5300 PROVIDERS LLC 94550 KUENNING, MICHAEL - PT SYNERGY SPECIALIST PHYSICAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (619) 230-0855 MEDICAL GROUP CA 91910 KUENNING, MICHALE - PT SYNERGY SPECIALIST PHYSICAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 450-7118 MEDICAL GROUP MAIN DIEGO, CA 92121 KUHL, CANDACE - OT PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 KUJAC, TANJA L - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1855 GATEWAY BLVD 100, CONCORD, (925) 685-7744 CENTER - CONCORD REHABILITATION CA 94520 KUJAC, TANJA L - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK REHABILITATION CREEK, CA 94596 KULBER, DAVID A - MD (BCC) BEVERLY HILLS HAND & HAND SURGERY 8635 W 3RD ST STE 990W - CEDARS (310) 423-5900 PLASTIC RECONSTRUCTIVE SINAI MEDICAL OFFICE TOWERS, LOS SURGERY ANGELES, CA 90048 KULBER, DAVID A - MD (BCC) BEVERLY HILLS HAND & PLASTIC & RECONSTRUCTIVE 8635 W 3RD ST STE 990W - CEDARS (310) 423-5900 PLASTIC RECONSTRUCTIVE SURGERY SINAI MEDICAL OFFICE TOWERS, LOS SURGERY ANGELES, CA 90048 KUMAR, PRADEEP J - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 345 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KUMAR, PRIYANKA - PT TITAN PHYSICAL THERAPY PHYSICAL THERAPY 12099 W WASHINGTON BLVD STE 408, (310) 566-7677 AND WELLNESS LOS ANGELES, CA 90066 KUMAR, SANJAY - MD KAISER PERMANENTE FRESNO ORTHOPEDIC SURGERY 7300 N FRESNO ST , FRESNO, CA 93720 (559) 448-4886 MEDICAL CENTER KUMAR, STEPHEN K - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR 92704 MEDICAL OFFICES KUMAR, STEPHEN K - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR PHYSICIAN 92704 MEDICAL OFFICES KUMAR, STEPHEN K - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL ANAHEIM, CA 92806 OFFICES KUMAR, STEPHEN K - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL PHYSICIAN ANAHEIM, CA 92806 OFFICES KUMAR, STEPHEN K - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER CA 92618 KUMAR, STEPHEN K - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER PHYSICIAN CA 92618 KUMAR, VINOD - MD (BCC) HEART VASCULAR AND LEG CARDIOVASCULAR DISEASE 5020 COMMERCE DR, BAKERSFIELD, (661) 324-4100 CENTER (CARDIOLOGY) CA 93309 KUMBHANI, NIBHA, BHARAT - PROACTIVE PHYSICAL PHYSICAL THERAPY 1208 E ARQUES AVE STE 115, (408) 720-1700 PT THERAPY INC SUNNYVALE, CA 94085 KUMMER, STEPHAN - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 KUO, ALEXANDER - MD (BCC) CEDARS SINAI GASTROENTEROLOGY 8900 BEVERLY BLVD, LOS ANGELES , (310) 423-6000 COMPREHENSIVE CA 90048 TRANSPLANT CENTER KUO, TOM - MD (BCC) PLAYA MARINA URGENT CARE EMERGENCY MEDICINE 4560 ADMIRALTY WAY STE 100, MARINA (310) 827-3700 CENTER DEL REY, CA 90292 KUPFER, DAVID M - MD (BCC) PLASTIC & RECONSTRUCTIVE 25495 MEDICAL CENTER DR STE 303, (858) 560-0242 SURGERY MURRIETA, CA 92562 KUPFERMAN, DANIELLE - OT VOSA HAND THERAPY OCCUPATIONAL THERAPY 14624 SHERMAN WAY STE 500, VAN (818) 902-2888 NUYS, CA 91405 KUPFERMAN, DANIELLE - OT VOSA HAND THERAPY OCCUPATIONAL THERAPY 23861 MCBEAN PKWY STE E30, (661) 414-4523 VALENCIA, CA 91355 KUPFERWASSER, LEON I - MD THE HEART MEDICAL GROUP CARDIOVASCULAR DISEASE 16119 VANOWEN ST, VAN NUYS , CA (818) 904-6782 (BCC) (CARDIOLOGY) 91406 KUPFERWASSER, LEON I - MD THE HEART MEDICAL GROUP CARDIOVASCULAR DISEASE 4835 VAN NUYS BLVD STE 215, (818) 995-3132 (BCC) (CARDIOLOGY) SHERMAN OAKS , CA 91403 KUPPERMAN, BARUCH - MD OPHTHALMOLOGY 101 THE CITY DR S, ORANGE, CA 92869 (714) 456-7183 KURI II, JOHN A - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 UPPER EXTREMITIES RIVERSIDE, CA 92505 KURI II, JOHN A - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 LOWER EXTREMITIES RIVERSIDE, CA 92505 KURI II, JOHN A - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 KURI II, JOHN A - MD (BCC) ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 KURI II, JOHN A - MD (BCC) ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 PHYSICIAN RIVERSIDE, CA 92505 KUROKAWA, CHAD H - DPM KAISER PERMANENTE WEST PODIATRY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER KURTZ, ALLAN - DO INTERNAL MEDICINE 6325 TOPANGA CANYON BLVD # 501, (818) 346-1440 WOODLAND HILLS, CA 91367 KURTZ, KAREN - PT OXNARD SPORTS SPINE PHYSICAL THERAPY 941 W 7TH ST, OXNARD, CA 93030 (805) 486-8611 PHYSICAL THERAPY KURTZ, MARK - PT OXNARD SPORTS SPINE PHYSICAL THERAPY 941 W 7TH ST, OXNARD, CA 93030 (805) 486-8611 PHYSICAL THERAPY KURWA, BADRUDIN - MD (BCC) OPHTHALMOLOGY 210 S GRAND AVE STE 115, GLENDORA, (626) 963-9436 CA 91741

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 346 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KURWA, BADRUDIN - MD (BCC) OPHTHALMOLOGY 767 S SUNSET AVE STE 1, WEST (626) 698-1553 COVINA, CA 91790 KURWA, BADRUDIN - MD (BCC) OPHTHALMOLOGY 931 BUENA VISTA ST STE 500, DUARTE, (626) 355-6644 CA 91010 KUSKIN, ROBERT - PT IMPERIAL PHYSICAL THERAPY PHYSICAL THERAPY 2222 WEST BURBANK BLVD SUITE 101, (818) 846-1441 BURBANK, CA 91506 KUSTUDIA, MARKO - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 1395 1ST ST STE 100, GILROY, CA 95020 (408) 846-6000 THERAPY GILROY KVAREKVAAL, TORHILD E - PT KORE PHYSICAL THERAPY PHYSICAL THERAPY 2377 W FOOTHILL BLVD #20, UPLAND, (909) 608-2800 CA 91786 KVITNE, RONALD - MD (BCC) KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KVITNE, RONALD - MD (BCC) KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC PHYSICIAN ANGELES, CA 90045 KVITNE, RONALD - MD (BCC) KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 CLINIC CA 91101 KVITNE, RONALD - MD (BCC) KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 CLINIC PHYSICIAN CA 91101 KVITNE, RONALD - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KVITNE, RONALD - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ELBOW ANGELES, CA 90045 KVITNE, RONALD - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC KNEE ANGELES, CA 90045 KVITNE, RONALD - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC SHOULDER ANGELES, CA 90045 KVITNE, RONALD - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KVITNE, RONALD - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KWAK, CHRISTINE M - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE PHYSICIAN RANCH, CA 91326 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE PHYSICIAN VALENCIA, CA 91354 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE PHYSICIAN KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE KNEE RANCH, CA 91326 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE SHOULDER RANCH, CA 91326 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE KNEE VALENCIA, CA 91354 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE SHOULDER VALENCIA, CA 91354 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE KNEE KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SHOULDER KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 KWAK, STEVE K - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 347 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KWAN, ABEL - LAC ACUHOPE ENCINO ACUPUNCTURE 16661 VENTURA BLVD STE 108, (818) 708-0698 ENCINO, CA 91436 KWAN, ABEL - LAC ACUHOPE CENTER MAIN SITE ACUPUNCTURE 19730 VENTURA BLVD STE 4, (818) 708-1698 WOODLAND HILLS, CA 91364 KWAN, ALEX - LAC ACUHOPE ENCINO ACUPUNCTURE 16661 VENTURA BLVD STE 108, (818) 708-0698 ENCINO, CA 91436 KWAN, ALEX - LAC ACUHOPE CENTER MAIN SITE ACUPUNCTURE 19730 VENTURA BLVD STE 4, (818) 708-1698 WOODLAND HILLS, CA 91364 KWAN, ALEX - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 223 E THOUSAND OAKS BLVD, (213) 387-4710 PAIN MANAGEMENT CENTER THOUSAND OAKS, CA 91360 KWAN, ALEX - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 750 W GONZALES RD STE 200, (213) 387-4710 PAIN MANAGEMENT CENTER OXNARD, CA 93036 KWAN, SANTINA - LAC ACUHOPE ENCINO ACUPUNCTURE 16661 VENTURA BLVD STE 108, (818) 708-0698 ENCINO, CA 91436 KWAN, SANTINA - LAC ACUHOPE ACUPUNCTURE ACUPUNCTURE 19730 VENTURA BLVD STE 4, (818) 708-1698 WOODLAND HILLS, CA 91364 KWAN, SANTINA - LAC ACUHOPE ACUPUNCTURE ACUPUNCTURE 412 W AVEVUE J D, LANCASTER, CA (818) 708-1698 LANCASTER 93534 KWAN, TAO - LAC OPTIMAL HEALTH ACUPUNCTURE 238 S ARROYO PKWY UNIT 140, (626) 817-2896 INTEGRATIVE CHINESE PASADENA, CA 91105 MEDICINE INC KWEON, HYUK - DC WOOREE ALTERNATIVE CHIROPRACTIC MEDICINE 2660 W WOODLAND DR STE 130, (714) 828-2345 MEDICAL GROUP ANAHEIM, CA 92801 KWOK, JAMES W - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1313 W 8TH ST STE 100, LOS ANGELES, (213) 401-1970 CENTER - LOS ANGELES - 8TH CA 90017 ST KWOK, JAMES W - DO CONCENTRA MEDICAL PRIMARY TREATING 1313 W 8TH ST STE 100, LOS ANGELES, (213) 401-1970 CENTER - LOS ANGELES - 8TH PHYSICIAN CA 90017 ST KWOK, JAMES W - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR 92704 MEDICAL OFFICES KWOK, JAMES W - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR PHYSICIAN 92704 MEDICAL OFFICES KWOK, JAMES W - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL ANAHEIM, CA 92806 OFFICES KWOK, JAMES W - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL PHYSICIAN ANAHEIM, CA 92806 OFFICES KWOK, JAMES W - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES ANGELES, CA 90034 MEDICAL CENTER KWOK, JAMES W - DO KAISER PERMANENTE ON THE PRIMARY TREATING 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES PHYSICIAN ANGELES, CA 90034 MEDICAL CENTER KWOK, JAMES W - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 JOB DOWNEY MEDICAL DOWNEY, CA 90242 CENTER KWOK, JAMES W - DO KAISER PERMANENTE ON THE PRIMARY TREATING 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 JOB DOWNEY MEDICAL PHYSICIAN DOWNEY, CA 90242 CENTER KWON, HEE - LAC CARE ACUPUNCTURE CLINIC ACUPUNCTURE 1516 E LINCOLN AVE, ORANGE, CA (714) 974-5588 92865 KWON, HYE - LAC GOOD HANDS ACUPUNCTURE ACUPUNCTURE 600 N EUCLID AVE STE 203, UPLAND, (909) 243-0867 UPLAND INC CA 91786 KWON, JEONG - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 680 E ROMIE LN STE C, SALINAS, CA (831) 975-5902 INCORPORATED 93901 KWON, JOSHUA - OT WAVE HAND THERAPY OCCUPATIONAL THERAPY 9040 FRIARS RD STE 410, SAN DIEGO, (847) 852-9641 CA 92108 KWON, MIN, KYEONG - LAC SEVEN OAKS WELLNESS ACUPUNCTURE 2 JAMES WAY 108, PISMO BEACH, CA (805) 925-2395 CENTER 93449

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 348 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KWON, MIN, KYEONG - LAC SEVEN OAKS WELLNESS ACUPUNCTURE 940 E MAIN ST, SANTA MARIA, CA 93454 (805) 925-2395 CENTER MAIN KWON, MURRAY - MD (BCC) THORACIC SURGERY 100 UCLA MEDICAL PLZ STE 630, LOS (310) 825-9011 ANGELES, CA 90024 KWON, MURRAY - MD (BCC) THORACIC SURGERY 200 UCLA MEDICAL PLZ STE 330, LOS (310) 825-5758 ANGELES, CA 90095 KWON, YENG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 1045 ATLANTIC AVE STE 608, LONG (213) 386-7582 INC BEACH, CA 90813 KWON, YENG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 12321 HAWTHORNE BLVD SUITE C, (213) 386-7582 INC HAWTHORNE, CA 90250 KWON, YENG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 18531 ROSCOE BLVD STE 202, (213) 386-7582 INC NORTHRIDGE, CA 91324 KWON, YENG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 9635 MONTE VISTA AVE STE 203, (213) 386-7582 INC MONTCLAIR, CA 91763 KWON, YENG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 2897 W OLYM BLVD STE 202, LOS (213) 386-7582 INC MAIN ANGELES, CA 90006 KWON, YEUNG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 17330 BEAR VALLEY RD STE 105, (800) 385-1130 INC VICTORVILLE, CA 92395 KWON, YEUNG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 23133 HAWTHORNE BLVD STE 108, (800) 385-1130 INC TORRANCE, CA 90505 KWON, YEUNG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 3297 ARLINGTON AVE STE 102, (800) 385-1130 INC RIVERSIDE, CA 92506 KWON, YEUNG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 3475 TORRANCE BLVD STE F, (800) 385-1130 INC TORRANCE, CA 90503 KWON, YEUNG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 36945 COOK ST STE 103, PALM (800) 385-1130 INC DESERT, CA 92211 KWON, YEUNG - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 800 N TUSTIN AVE STE I, SANTA ANA, (800) 385-1130 INC CA 92705 KWON, YEUNG, H - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 1550 E WASHINGTON ST STE 101, (213) 386-7582 INC COLTON, CA 92324 KWON, YEUNG, H - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 3440 LOMITA BLVD STE 440, (213) 386-7582 INC TORRANCE, CA 90505 KWON, YEUNG, H - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 7335 VAN NUYS BLVD STE 115, VAN (213) 386-7582 INC NUYS, CA 91405 KWON, YONG - MD KAISER PERMANENTE EL ORTHOPEDICS 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 CAJON MEDICAL OFFICES 92020 KWONG, PHILLIP - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANKLE ANAHEIM, CA 92806 KWONG, PHILLIP - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANKLE ANGELES, CA 90045 KWONG, PHILLIP - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ANKLE 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 KWONG, PHILLIP - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ANKLE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KWONG, PHILLIP - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC FOOT ANAHEIM, CA 92806 KWONG, PHILLIP - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - FOOT 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 KWONG, PHILLIP - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC FOOT ANGELES, CA 90045 KWONG, PHILLIP - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - FOOT 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 KY, NGUYEN - DPM CONCENTRA MEDICAL PODIATRY 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS 95035 KY, NGUYEN - DPM CONCENTRA MEDICAL PODIATRY 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS CARLOS, CA 94070 KY, NGUYEN - DPM CONCENTRA MEDICAL PODIATRY 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA 95050 KY, NGUYEN - DPM CONCENTRA MEDICAL PODIATRY 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 KYOTO PHARMACY PHARMACY 420 E 3RD ST STE 106, LOS ANGELES, (213) 253-5999 CA 90013

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 349 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone KYUN, KIM, MIN - LAC MK INTEGRATIVE WELLNESS ACUPUNCTURE 6125 PASEO DEL NORTE STE 100, (619) 309-6069 CARLSBAD, CA 92008 L, THOMAS, TAEKOO - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 675 N PARK AVE STE A, POMONA, CA (909) 622-6429 CHIROPRACTIC INC 91768 LA BOTICA PHARMACY PHARMACY 49281 GRAPEFRUIT BLVD STE 2, (760) 296-3468 COACHELLA, CA 92236 LA BUENA VIDA PHARMACY PHARMACY 51335 HARRISON ST STE 116, (760) 398-8866 COACHELLA, CA 92236 LA CLINICA DE LA RAZA PHARMACY 3451 E 12TH ST, OAKLAND, CA 94601 (510) 535-3375 LA CRESCENTA PHARMACY PHARMACY 2764 FOOTHILL BLVD, LA CRESCENTA, (818) 248-5851 CA 91214 LA DRUGS PHARMACY 3030 W OLYMPIC BLVD, LOS ANGELES, (213) 387-3030 CA 90006 LA FAMILIA PHARMACY PHARMACY 14359 PIONEER BLVD STE B, (562) 868-2277 NORWALK, CA 90650 LA FUENTE HOLLYWOOD LA FUENTE HOLLYWOOD CHEMICAL DEPENDENCY 5718 FOUNTAIN AVE, LOS ANGELES, CA (323) 464-2947 TREATMENT CENTER LLC TREATMENT CENTER LLC REHABILITATION CENTER 90028 (BCC) (OUTPATIENT) LA JOLLA DISCOUNT PHARMACY 9850 GENESEE AVE STE 160, LA JOLLA, (858) 622-1800 PHARMACY CA 92037 LA MAESTRA COMMUNITY PHARMACY 4060 FAIRMOUNT AVE, SAN DIEGO, CA (619) 564-7013 PHARMACY 92105 LA MESA PHARMACY PHARMACY 8301 LA MESA BLVD, LA MESA, CA (619) 466-3246 91942 LA MESA PHYSICAL THERAPY PHYSICAL THERAPY 5648 LAKE MURRAY BLVD, LA MESA, CA (619) 464-1352 91942-1929 LA MIRADA PHARMACY PHARMACY 15651 IMPERIAL HWY STE 102A, LA (562) 943-5888 MIRADA, CA 90638 LA PALMA TOWERS PHARMACY 5451 LA PALMA AVE STE 17, LA PALMA, (714) 522-7791 PHARMACY CA 90623 LA PEER SURGERY CENTER AMBULATORY SURGERY 8920 WILSHRE BLVD STE 101, (310) 272-7780 LLC CENTER BEVERLY HILLS, CA 90211 LA PHARMACY PHARMACY 2630 SAN GABRIEL BLVD, ROSEMEAD, (626) 572-8255 CA 91770 LA QUINTA PHARMACY PHARMACY 43875 WASHINGTON ST STE A, PALM (760) 777-9902 DESERT, CA 92211 LA VENTANA TREATMENT LA VENTANA TREATMENT CHEMICAL DEPENDENCY 1154 CARDIFF CIRCLE, THOUSAND (800) 560-8518 PROGRAMS (BCC) PROGRAMS REHABILITATION CENTER OAKS, CA 91362 (OUTPATIENT) LA VENTANA TREATMENT LA VENTANA TREATMENT CHEMICAL DEPENDENCY 1243 7TH ST STE B, SANTA MONICA, CA (800) 560-8518 PROGRAMS (BCC) PROGRAMS REHABILITATION CENTER 90401 (OUTPATIENT) LA VENTANA TREATMENT LA VENTANA TREATMENT CHEMICAL DEPENDENCY 395 N CONEJO SCHOOL RD, (800) 560-8518 PROGRAMS (BCC) PROGRAMS REHABILITATION CENTER THOUSAND OAKS, CA 91362 (OUTPATIENT) LA VENTANA TREATMENT LA VENTANA TREATMENT CHEMICAL DEPENDENCY 1408 E THOUSAND OAKS BLVD STE (800) 560-8518 PROGRAMS EATING PROGRAMS EATING REHABILITATION CENTER 100, THOUSAND OAKS, CA 91362 DISORDER (BCC) DISORDER (OUTPATIENT) LA VITA COMPOUNDING PHCY PHARMACY 3978 SORRENTO VALLEY BLVD, SAN (858) 453-2500 DIEGO, CA 92121 LA, Y - LAC Y THUAN LA DBA DEER SONG ACUPUNCTURE 2718 FOLSOM ST, LOS ANGELES, CA (562) 373-2298 ACUPUNCTURE 90033 LA, Y, THUAN - LAC Y THUAN LA DBA DEER SONG ACUPUNCTURE 1000 FREMONT AVE STE 130A, SOUTH (562) 373-2298 ACUPUNCTURE PASADENA, CA 91030 LA, Y, THUAN - LAC Y THUAN LA DBA DEER SONG ACUPUNCTURE 10801 NATIONAL BLVD STE 254, LOS (562) 373-2298 ACUPUNCTURE ANGELES, CA 90064 LABALO, VLADIMIR - MD INFECTIOUS DISEASE 2841 LOMITA BLVD STE 135, (310) 784-6954 TORRANCE, CA 90505 LABARTE, THERESA L - DO LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 (BCC) HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S LABASAN, GERARDO P - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 350 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LABAT, HILARY - PTA ADVANTAGE PHYSICAL PHYSICAL THERAPY 4572 TELEPHONE RD STE 903, (805) 654-8127 THERAPY VENTURA, CA 93003 LABIAL, LOUIE D - PT (BCC) MEMORIAL ORTHOPAEDIC PHYSICAL THERAPY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 SURGICAL GROUP 90806 LACARRA, ANTONIO - AUD ADVANCED HEARING AUDIOLOGY 1244 UNIVERSITY AVE , SAN DIEGO, CA (800) 598-5300 PROVIDERS LLC 92103 LACKEY, ROYA - OT TERRIO THERAPY FITNESS INC OCCUPATIONAL THERAPY 1800 WESTWIND DRIVE BUILDING 500, (661) 322-9411 BAKERSFIELD, CA 93301 LACKPOUR, SEPIDEH - LAC ACUPUNCTURE HERBAL ACUPUNCTURE 827 DEEP VALLEY DR STE 103, (310) 265-9588 HOLISTIC CARE ROLLING HILLS ESTATES, CA 90274 LACSON, MARY, ANN - PT PENINSULA ORTHOPEDIC PHYSICAL THERAPY 455 HICKEY BLVD STE 205, DALY CITY, (650) 746-3299 ASSOCIATES INC CA 94015 LACY, AMA L - MD CONCENTRA MEDICAL SURGERY 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH 92518 LADINES, ROBERT - PT CALCARE INDUSTRIAL PHYSICAL THERAPY 502 S GAREY AVE, POMONA, CA 91766 (909) 620-8887 MEDICAL LADOUCEUR, AMOS - MD RELIANT URGENT CARE NEUROLOGICAL SURGERY 5900 PACIFIC BLVD, HUNTINGTON (310) 491-7080 PARK, CA 90255 LAFLEUR, HALEY - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 LAFORTEZA, DAVE - PTA ABLE PHYSICAL THERAPY PHYSICAL THERAPY 312 W CERRITOS AVE BLDG 7, (714) 947-1213 CORP ANAHEIM, CA 92805 LAGANA, KRISTINA - PT REHABONE MEDICAL GROUP PHYSICAL THERAPY 13980 BLOSSOM HILL RD STE B, LOS (408) 445-8400 INC GATOS, CA 95032 LAGUNA BEACH PHARMACY PHARMACY 944 GLENNEYRE ST, LAGUNA BEACH, (949) 494-6585 CA 92651 LAGUNA DANA URGENT CARE LAGUNA DANA URGENT CARE URGENT CARE FACILITY 24060 CAMINO DEL AVION STE A, DANA (949) 248-8900 INC (BCC) INC POINT, CA 92629 LAGUNA HILLS PHARMACY PHARMACY 24261 AVENIDA DE LA CARLOTA, (949) 588-7900 LAGUNA HILLS, CA 92653 LAGUNA HONDA HOSPITAL PHARMACY 375 LAGUNA HONDA BLVD, SAN (415) 682-5780 PHARMACY FRANCISCO, CA 94116 LAGUNA PHARMACY PHARMACY 8112 SHELDON RD STE 300, ELK (916) 684-9922 GROVE, CA 95758 LAHIJANI, MINA - DC PAIN RELIEF CENTER CHIROPRACTIC MEDICINE 12215 VENTURA BLVD STE 208, STUDIO (818) 505-0816 CITY, CA 91604 LAHIJANI, MINA - DC PAIN RELIEF CENTER CHIROPRACTIC MEDICINE 20620 LEAPWOOD AVE STE H, (424) 329-2530 CARSON, CA 90746 LAI, NEUZIL - MD KAISER PERMANENTE SO NEUROLOGY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER LAI, PEI, CHING - LAC PEI CHING LAI ACUPUNCTURE 653 E E ST STE 106, ONTARIO, CA 91764 (909) 786-2893 LAI, SHIHNI - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 LAI, WEIYUN - OT WEST COAST SPINE OCCUPATIONAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 LAI, WEIYUN - OT WEST COAST SPINE OCCUPATIONAL THERAPY 6814 MAGNOLIA AVE, RIVERSIDE, CA (951) 653-4480 RESTORATION CENTER 92506 LAIMINS, PETER - MD KAISER PERMANENTE ORTHOPEDICS 13652 CANTARA ST , PANORAMA CITY, (818) 375-2233 PANORAMA CITY MEDICAL CA 91402 CENTER LAKE COUNTY TRIBAL HEALTH PHARMACY 925 BEVINS CT, LAKEPORT, CA 95453 (707) 263-8382 PHAR LAKE GREGORY PHARMACY PHARMACY 580 FOREST SHADE RD STE 7, (909) 338-1875 CRESTLINE, CA 92325 LAKE PHARMACY PHARMACY 15230 LAKESHORE DR, CLEARLAKE, CA (707) 994-3141 95422 LAKE VIEW PHARMACY PHARMACY 31571 CANYON ESTATES DR STE118, (951) 245-4488 LAKE ELSINORE, CA 92532 LAKEWOOD REGIONAL LAKEWOOD REGIONAL ACUTE CARE HOSPITAL 3700 SOUTH ST, LAKEWOOD, CA 90712 (562) 531-2550 MEDICAL CENTER (BCC) MEDICAL CENTER LALA, AMISHA - PT PRN DESERT REHABILITATION PHYSICAL THERAPY 1611 W MAIN ST, EL CENTRO, CA 92243 (760) 337-1144 INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 351 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LALANI, FAISAL - MD ANESTHESIOLOGY 1964 WESTWOOD BLVD #435, LOS (310) 856-9488 ANGELES, CA 90025 LALONDE, JUSTIN - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 LALONDE, JUSTIN, BRADY - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 LAM PHARMACY PHARMACY 10900 WESTMINSTER AVE STE 1, (714) 537-0325 GARDEN GROVE, CA 92843 LAM, ALBERT Y - MD (BCC) ASSOCIATION OF SOUTH BAY GENERAL SURGERY 23451 MADISON ST STE 340, (310) 373-6864 SURGEONS TORRANCE, CA 90505 LAM, CHING - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 13652 CANTARA ST BLDG 2, 1ST FLR, (818) 375-2233 JOB PANORAMA CITY MEDICAL PANORAMA CITY, CA 91402 CENTER LAM, CHING - MD KAISER PERMANENTE ON THE PRIMARY TREATING 13652 CANTARA ST BLDG 2, 1ST FLR, (818) 375-2233 JOB PANORAMA CITY MEDICAL PHYSICIAN PANORAMA CITY, CA 91402 CENTER LAM, EUGENE C - MD (BCC) DESERT CARE NETWORK GASTROENTEROLOGY 47647 CALEO BAY DR STE 210, LA (714) 428-6711 MULITSPECIALTY CLINIC - LA QUINTA , CA 92253 QUINTA LAM, JONATHAN J - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1400 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER LAM, KHANH, MINH - LAC ADVANCED PAIN CLINIC ACUPUNCTURE 7151 LINCOLN AVE STE K, BUENA (714) 952-1080 PARK, CA 90620 LAM, LISA - LAC BLUE PATH ACUPUNCTURE ACUPUNCTURE 3400 CALIFORNIA ST STE 100, SAN (415) 727-6764 FRANCISCO, CA 94118 LAM, LYNDA L - MD KAISER PERMANENTE SAN NEUROLOGY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 LAM, MEIYING - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 4205 SAN FELIPE RD STE 100, SAN (408) 238-1552 PHYSICAL THERAPY JOSE, CA 95135 LAMAR, JAMES E - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 LAMARCHE, MICHELE - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 2001 S BARRINGTON AVE, LOS (213) 387-4710 PAIN MANAGEMENT CENTER ANGELES, CA 90025 LAMARCHE, MICHELE - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 4336 11TH AVE, LOS ANGELES, CA (213) 387-4710 PAIN MANAGEMENT CENTER 90008 LAMB, DAVID - DC VACA VALLEY CHIROPRACTIC CHIROPRACTIC MEDICINE 97 DOBBINS ST STE A, VACAVILLE, CA (707) 447-9885 95688 LAMB, DEBRA - PTA CLAWSON PHYSICAL THERAPY PHYSICAL THERAPY 1075 FULTON AVE SUITE A, (916) 488-4000 SACRAMENTO, CA 95825 LAMB, DEBRA - PTA CLAWSON PHYSICAL THERAPY PHYSICAL THERAPY 6915 ELK GROVE BLVD SUITE A, ELK (916) 684-3000 GROVE, CA 95758 LAMBERT, EVAN - DC FUSION PHYSICAL THERAPY CHIROPRACTIC MEDICINE 5000 VAN NUYS BLVD STE 110, (818) 783-2396 SHERMAN OAKS, CA 91403 LAMENS, JOHANNES - PT PERFORMANCE PHYSICAL PHYSICAL THERAPY 15215 NATIONAL AVE STE 100A, LOS (408) 358-7326 THERAPY GATOS, CA 95032 LAMENS, JOHANNES - PT RICHARD CARR PHYSICAL PHYSICAL THERAPY 25 N 14TH ST STE 550, SAN JOSE, CA (408) 294-3922 THERAPY 95112 LAMERSON, SUSAN - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 THERAPYMAIN 94526 LAMERSON, USAN, JUDYTH - SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 PT THERAPY RAMON, CA 94583 LAN, HOWARD W - DO (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE LAN, HOWARD W - DO (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE LANCASTER PHARMACY PHARMACY 1841 W AVE I STE 107, LANCASTER, CA (661) 948-1818 93534

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 352 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LAND, SHAUNA - AUD ADVANCED HEARING AUDIOLOGY 19742 MACARTHUR BLVD STE 210, (800) 598-5300 PROVIDERS LLC IRVINE, CA 92612 LANDAUER, KYLE - MD GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC LOWER EXTREMITIES GLENDALE, CA 91205 LANDAUER, KYLE - MD GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC UPPER EXTREMITIES GLENDALE, CA 91205 LANDAUER, KYLE - MD GLENDALE FIDELITY MEDICAL ORTHOPEDICS - LOWER 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC EXTREMITIES GLENDALE, CA 91205 LANDAUER, KYLE - MD GLENDALE FIDELITY MEDICAL ORTHOPEDICS - UPPER 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC EXTREMITIES GLENDALE, CA 91205 LANDAUER, KYLE - MD (BCC) ORTHOPEDIC SURGERY - 4014 LONG BEACH BLVD STE 210, (562) 997-7100 LOWER EXTREMITIES LONG BEACH, CA 90807 LANDAUER, KYLE - MD (BCC) ORTHOPEDIC SURGERY - 4014 LONG BEACH BLVD STE 210, (562) 997-7100 UPPER EXTREMITIES LONG BEACH, CA 90807 LANDAUER, KYLE - MD (BCC) ORTHOPEDICS - LOWER 4014 LONG BEACH BLVD STE 210, (562) 997-7100 EXTREMITIES LONG BEACH, CA 90807 LANDAUER, KYLE - MD (BCC) ORTHOPEDICS - UPPER 4014 LONG BEACH BLVD STE 210, (562) 997-7100 EXTREMITIES LONG BEACH, CA 90807 LANDERS, ERICA - PT SOUTH PACIFIC PHYSICAL PHYSICAL THERAPY 4940 VAN NUYS BLVD STE 301, VAN (818) 907-0952 THERAPY INC NUYS, CA 91403 LANDIS, WHITNEY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY LANDMARK SPECIALTY PHARMACY 1208 W MAGNOLIA BLVD, BURBANK, CA (818) 260-0010 PHARMACY 91506 LANDOCH, ANGELA - PT PHYSICAL THERAPY CARE PHYSICAL THERAPY 6214 W MANCHESTER AVE FL 2, LOS (310) 348-8464 ANGELES, CA 90045 LANDOCH, MICHAEL - PT PHYSICAL THERAPY CARE PHYSICAL THERAPY 6214 W MANCHESTER AVE FL 2, LOS (310) 348-8464 ANGELES, CA 90045 LANDRY, DAVID - DC INTEGRATED MEDICAL CHIROPRACTIC MEDICINE 2250 S MAIN ST STE 203, CORONA, CA (951) 737-1252 CENTER OF CORONA 92882 LANDS END PHYSICAL PHYSICAL THERAPY 44 GOUGH ST STE 308, SAN (415) 524-7390 THERAPY FRANCISCO, CA 94103-5424 LANDSWICK PHYSICAL PHYSICAL THERAPY 959 E WALNUT ST, PASADENA, CA (626) 795-2390 THERAPY INC 91106 LANE, CHRISTOPHER T - MD UC IRVINE HEALTH REGIONAL CRITICAL CARE MEDICINE 101 THE CITY DR BLDG 1 STE 150, (714) 456-6170 (BCC) BURN CENTER ORANGE, CA 92868 LANE, CHRISTOPHER T - MD UC IRVINE HEALTH REGIONAL GENERAL SURGERY 101 THE CITY DR BLDG 1 STE 150, (714) 456-6170 (BCC) BURN CENTER ORANGE, CA 92868 LANE, DENISE - PT STATE OF THE ART PHYSICAL PHYSICAL THERAPY 2492 WALNUT AVE STE 140, TUSTIN, CA (714) 544-2188 THERAPY 92780 LANE, GREGORY - LAC GREGORY LANE DACM LAC ACUPUNCTURE 7445 MISSION VALLEY RD STE 105, SAN (619) 574-6932 DIEGO, CA 92108 LANE, JAMES - AUD ADVANCED HEARING AUDIOLOGY 24022 CALLE DELA PLATA STE 415, (800) 598-5300 PROVIDERS LLC LAGUNA HILLS, CA 92653 LANE, JENNIFER - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 2115 MONTIEL RD STE 103, SAN (760) 839-2905 MARCOS, CA 92069 LANE, KEVIN - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 534 E PINE ST STE A, STOCKTON, CA (209) 463-5800 PHYSICAL AND 95204 OCCUPATIONAL LANGIS, TANYA - PT ORTHOPAEDIC SPECIALISTS PHYSICAL THERAPY 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 OF NORTH COUNTY 92056 OCEANSIDE LANGLEY PORTER LANGLEY PORTER MENTAL HEALTH/PSYCHIATRIC 401 PARNASSUS AVE, SAN (415) 476-7000 PSYCHIATRIC INSTITUTE (BCC) PSYCHIATRIC INSTITUTE HOSPITAL (INPATIENT) FRANCISCO, CA 94143 LANGLEY, SHAWNA K -MD LOMA LINDA UNIVERSITY DERMATOLOGY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 (BCC) HEALTH CARE - LINDA, CA 92354 DERMATOLOGY DEPT LANGROUDI, ANDREW - DPM PODIATRY 2100 SOLAR DR STE 102, OXNARD, CA (805) 988-3338 (BCC) 93036 LANGWORTHY, MATTHEW - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 3405 KENYON ST STE 212, SAN DIEGO, 61955239874 CA 92110

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 353 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LANIER, GREGORY - PTA DESERT HAND ASSOCIATES PHYSICAL THERAPY 36951 COOK ST STE 102, PALM (760) 342-8444 DESERT, CA 92211 LANOFF, JULIE S - PSYD KAISER PERMANENTE ON THE PSYCHOLOGY 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER LANTANA PHARMACY PHARMACY 2412 N PONDEROSA DR B106, (805) 388-5888 CAMARILLO, CA 93010 LANVY PHARMACY PHARMACY 14971 BROOKHURST ST, (714) 531-2828 WESTMINSTER, CA 92683 LAO, JUSTIN - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 LAPALMA PHYSICAL THERAPY PHYSICAL THERAPY 7851 WALKER ST STE 202, LA PALMA, (714) 739-4941 CA 90623 LAPLANTE, SEBASTIEN, VIBRANTCARE PHYSICAL THERAPY 2400 DEL PASO RD STE 132, (916) 886-2940 NICOLAS - PT SACRAMENTO, CA 95834 LARA, DANIEL - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 LARAWAY, ADAM - PT VALLEY PHYSICAL THERAPY PHYSICAL THERAPY 1306 W AVENUE J STE 2, LANCASTER, (661) 948-0186 GROUP CA 93534 LARDIZABAL, JOEL - MD (BCC) CENTRAL CARDIOLOGY CARDIOVASCULAR DISEASE 35 CASA ST STE 340, SAN LUIS OBISPO (805) 540-2081 MEDICAL CLINIC (CARDIOLOGY) , CA 93405 LARK DRUGS PHARMACY PHARMACY 16251 MAIN ST, GUERNEVILLE, CA (707) 869-9055 95446 LAROCHE, CHARLES J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER LAROCHE, CHARLES J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER LAROSE, JAMES - DPM PODIATRY 1060 N 13TH AVE, UPLAND, CA 91786 (909) 985-2555 LARRETA, BORIS - MD (BCC) CARDIOVASCULAR DISEASE 201 S BUENA VISTA ST STE 100, (818) 848-6404 (CARDIOLOGY) BURBANK, CA 91505 LARSEN & DUNNICLIFF PT PHYSICAL THERAPY 1341 HISTORICAL PLAZA WAY, (209) 473-1138 MANTECA, CA 95336-5064 LARSEN & DUNNICLIFF PT PHYSICAL THERAPY 2087 GRAND CANAL BLVD STE 17, (209) 473-1138 STOCKTON, CA 95207-6651 LARSEN & DUNNICLIFF PT PHYSICAL THERAPY 2156 W GRANT LINE RD STE 200, (209) 473-1138 TRACY, CA 95377-7337 LARSEN, ROBERT - MD (BCC) ANESTHESIOLOGY 2825 CAPITOL AVE, SACRAMENTO, CA (916) 481-6800 95816 LARSIEN, JAMES - PT FELIX R CANOUT REHAB PHYSICAL THERAPY 1200 WILSHIRE BLVD STE 401, LOS (213) 481-1515 SERVICES ANGELES, CA 90017 LARSON'S PHARMACY PHARMACY 142 W H ST, COLTON, CA 92324 (909) 825-1950 LARSON, NEILS - DC COCHRAN JAMES A DC CHIROPRACTIC MEDICINE 5350 HOLLISTER AVE STE A3, SANTA (805) 681-7322 BARBARA, CA 93111 LAS CRUCES HAND THERAPY PHYSICAL THERAPY 970 PETIT AVE STE A, VENTURA, CA (805) 647-8800 93004-2215 LAS CRUCES HAND THERAPY PHYSICAL THERAPY 970 PETIT AVE STE A, VENTURA, CA (805) 647-8800 93004-2215 LAS PALMAS PHARMACY PHARMACY 555 E TACHEVAH DR STE 1W101, PALM (760) 416-0830 SPRINGS, CA 92262 LASIG, JEMEL - PT REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 LASSEN DRUG COMPANY PHARMACY 271 MAIN ST STE A, CHESTER, CA (530) 258-2261 96020 LASSEN INDIAN HEALTH PHARMACY 795 JOAQUIN ST, SUSANVILLE, CA (530) 257-5173 CENTER 96130 LAST FRONTIER PHARMACY PHARMACY 120 S MAIN ST, ALTURAS, CA 96101 (530) 233-4884 LASTER, DANIEL - MD (BCC) RISSER ORTHOPADEIC GROUP ORTHOPEDIC SURGERY - HIP 2627 E WASHINGTON BLVD, (626) 797-2002 PASADENA, CA 91107 LASTER, DANIEL - MD (BCC) RISSER ORTHOPADEIC GROUP ORTHOPEDIC SURGERY - 2627 E WASHINGTON BLVD, (626) 797-2002 KNEE PASADENA, CA 91107

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 354 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LASTER, DANIEL - MD (BCC) RISSER ORTHOPADEIC GROUP ORTHOPEDICS - HIP 2627 E WASHINGTON BLVD, (626) 797-2002 PASADENA, CA 91107 LASTER, DANIEL - MD (BCC) RISSER ORTHOPADEIC GROUP ORTHOPEDICS - KNEE 2627 E WASHINGTON BLVD, (626) 797-2002 PASADENA, CA 91107 LASTER, DANIEL - MD (BCC) RISSER ORTHOPADEIC GROUP ORTHOPEDIC SURGERY - HIP 289 W HUNTINGTON DR STE 304, (626) 797-2002 ARCADIA, CA 91007 LASTER, DANIEL - MD (BCC) RISSER ORTHOPADEIC GROUP ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 797-2002 KNEE ARCADIA, CA 91007 LASTER, DANIEL - MD (BCC) RISSER ORTHOPADEIC GROUP ORTHOPEDICS - HIP 289 W HUNTINGTON DR STE 304, (626) 797-2002 ARCADIA, CA 91007 LASTER, DANIEL - MD (BCC) RISSER ORTHOPADEIC GROUP ORTHOPEDICS - KNEE 289 W HUNTINGTON DR STE 304, (626) 797-2002 ARCADIA, CA 91007 LASTING RECOVERY (BCC) LASTING RECOVERY CHEMICAL DEPENDENCY 6046 CORNERSTONE CT W STE 113, (858) 453-4314 REHABILITATION CENTER SAN DIEGO, CA 92121 (OUTPATIENT) LATCH, DAVID, J - DC LATCH AND SO CHIROPRACTIC CHIROPRACTIC MEDICINE 1237 VAN NESS AVE STE 300, SAN (415) 775-4204 FRANCISCO, CA 94109 LATIMER'S PHARMACY PHARMACY 7885 HIGHWAY 99 E, LOS MOLINOS, CA (530) 384-2330 96055 LATIMER, CALEB - PT GRACE PT/LAGUNA PHYSICAL THERAPY 31341 NIGUEL RD STE G, LAGUNA (949) 443-5442 ORTHOPEDIC REHABILITATION NIGUEL, CA 92677

LATTA, BRITTANY - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 815 TUCKER RD STE C, TEHACHAPI, CA (661) 822-2001 93561 LATTYAK, BRUCE - MD (BCC) OTOLARYNGOLOGY (ENT) 300 SIERRA COLLEGE DR STE 240, (530) 273-3400 GRASS VALLEY, CA 95945 LAU, ALEX C - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER CA 94115 LAU, JAMES H - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 LAU, JOSHUA - PT CENTRAL OCCUPATIONAL PHYSICAL THERAPY 13800 HEACOCK ST STE C136, (951) 656-6009 MEDICINE PROVIDERS MORENO VALLEY, CA 92553 LAU, JOSHUA - PT CENTRAL OCCUPATIONAL PHYSICAL THERAPY 1690 W 6TH ST STE K, CORONA, CA (951) 736-9500 MEDICINE PROVIDERS 92882 LAU, JOSHUA - PT CENTRAL OCCUPATIONAL PHYSICAL THERAPY 18575 GALE AVE STE 155, CITY OF (626) 581-8960 MEDICINE PROVIDERS INDUSTRY, CA 91748 LAU, JOSHUA - PT CENTRAL OCCUPATIONAL PHYSICAL THERAPY 295 E CAROLINE ST STE D1, SAN (909) 723-1161 MEDICINE PROVIDERS BERNARDINO, CA 92408 LAU, JOSHUA - PT CENTRAL OCCUPATIONAL PHYSICAL THERAPY 4300 CENTRAL AVE, RIVERSIDE, CA (951) 222-2206 MEDICINE PROVIDERS 92506 LAU, JOSHUA - PT CENTRAL OCCUPATIONAL PHYSICAL THERAPY 59 S MILLIKEN AVE STE 100, ONTARIO, (909) 605-8888 MEDICINE PROVIDERS CA 91761 LAU, SAMANTHA - PT ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 30837 E THOUSAND OAKS BLVD, (818) 879-2091 MAIN ACCOUNT WESTLAKE VILLAGE, CA 91362 LAU, STEVEN CHE-YIN - MD ANESTHESIOLOGY 100 S RAYMOND AVE, ALHAMBRA, CA (626) 458-4774 91801 LAUDEN INTEGRATIVE PHARMACY 1820 F 41ST AVE, CAPITOLA, CA 95010 (831) 462-9880 PHARMACY LAUDER, WILLIAM - PT SUMMIT WELLNESS CENTES PHYSICAL THERAPY 2251 COUNTRY CLUB LN, SELMA, CA (559) 896-6565 INC DBA SELMA FYZICAL 93662 THERAPY BALANCE LAUPPE, JESSICA, RAE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD LAUPPE, JESSICA, RAE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA LAUPPE, JESSICA, RAE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY LAUPPE, JESSICA, RAE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 355 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LAUPPE, JESSICA, RAE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT LAURA PHARMACY PHARMACY 2525 WESTMINSTER AVE STE E, SANTA (714) 884-4493 ANA, CA 92706 LAUREL CARE PHARMACY PHARMACY 13678 VAN NUYS BLVD, PACOIMA, CA (747) 225-3925 91331 LAURENTE, SCOTT, MICHAEL - SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 PT ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD LAURENTE, SCOTT, MICHAEL - SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 PT ORTHOPEDIC CA 91354 INSTITUTEVALENCIA LAURENTE, SCOTT, MICHAEL - SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 PT ORTHOPEDIC INSTITUTESIMI 93065 VALLEY LAURENTE, SCOTT, MICHAEL - SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 PT ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS LAURENTE, SCOTT, MICHAEL - SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 PT ORTHOPEDIC INSTITUTE MAIN ACCOUNT LAVAYEN PHYSICAL THERAPY PHYSICAL THERAPY 26691 PLAZA STE 205, MISSION VIEJO, (949) 367-1088 INC CA 92691-6348 LAVAYEN, CARLOS - PT LAVAYEN PHYSICAL THERAPY PHYSICAL THERAPY 26691 PLAZA STE 205, MISSION VIEJO, (949) 367-1088 INC CA 92691 LAVECK, LONDA, L - LAC ACUPUNCTURE ACUPUNCTURE 1224 E GREEN ST STE 100, PASADENA, (626) 755-6260 THERAPEUTICS CA 91106 LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - HIP 11525 BROOKSHIRE BLVD STE 205, (818) 377-7777 ORTHOPAEDIC MEDICAL DOWNEY, CA 90241 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - 11525 BROOKSHIRE BLVD STE 205, (818) 377-7777 ORTHOPAEDIC MEDICAL LOWER EXTREMITIES DOWNEY, CA 90241 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - 11525 BROOKSHIRE BLVD STE 205, (818) 377-7777 ORTHOPAEDIC MEDICAL UPPER EXTREMITIES DOWNEY, CA 90241 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - HIP 11525 BROOKSHIRE BLVD STE 205, (818) 377-7777 ORTHOPAEDIC MEDICAL DOWNEY, CA 90241 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - LOWER 11525 BROOKSHIRE BLVD STE 205, (818) 377-7777 ORTHOPAEDIC MEDICAL EXTREMITIES DOWNEY, CA 90241 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - SPINE 11525 BROOKSHIRE BLVD STE 205, (818) 377-7777 ORTHOPAEDIC MEDICAL DOWNEY, CA 90241 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - UPPER 11525 BROOKSHIRE BLVD STE 205, (818) 377-7777 ORTHOPAEDIC MEDICAL EXTREMITIES DOWNEY, CA 90241 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - HIP 4940 VAN NUYS BLVD STE 308, (818) 377-7777 ORTHOPAEDIC MEDICAL SHERMAN OAKS, CA 91403 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - 4940 VAN NUYS BLVD STE 308, (818) 377-7777 ORTHOPAEDIC MEDICAL LOWER EXTREMITIES SHERMAN OAKS, CA 91403 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - 4940 VAN NUYS BLVD STE 308, (818) 377-7777 ORTHOPAEDIC MEDICAL UPPER EXTREMITIES SHERMAN OAKS, CA 91403 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - HIP 4940 VAN NUYS BLVD STE 308, (818) 377-7777 ORTHOPAEDIC MEDICAL SHERMAN OAKS, CA 91403 CENTERS

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 356 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - LOWER 4940 VAN NUYS BLVD STE 308, (818) 377-7777 ORTHOPAEDIC MEDICAL EXTREMITIES SHERMAN OAKS, CA 91403 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - SPINE 4940 VAN NUYS BLVD STE 308, (818) 377-7777 ORTHOPAEDIC MEDICAL SHERMAN OAKS, CA 91403 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - UPPER 4940 VAN NUYS BLVD STE 308, (818) 377-7777 ORTHOPAEDIC MEDICAL EXTREMITIES SHERMAN OAKS, CA 91403 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - HIP 9033 BASELINE RD STE Q, RANCHO (818) 377-7777 ORTHOPAEDIC MEDICAL CUCAMONGA, CA 91730 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - 9033 BASELINE RD STE Q, RANCHO (818) 377-7777 ORTHOPAEDIC MEDICAL LOWER EXTREMITIES CUCAMONGA, CA 91730 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDIC SURGERY - 9033 BASELINE RD STE Q, RANCHO (818) 377-7777 ORTHOPAEDIC MEDICAL UPPER EXTREMITIES CUCAMONGA, CA 91730 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - HIP 9033 BASELINE RD STE Q, RANCHO (818) 377-7777 ORTHOPAEDIC MEDICAL CUCAMONGA, CA 91730 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - LOWER 9033 BASELINE RD STE Q, RANCHO (818) 377-7777 ORTHOPAEDIC MEDICAL EXTREMITIES CUCAMONGA, CA 91730 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - SPINE 9033 BASELINE RD STE Q, RANCHO (818) 377-7777 ORTHOPAEDIC MEDICAL CUCAMONGA, CA 91730 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & ORTHOPEDICS - UPPER 9033 BASELINE RD STE Q, RANCHO (818) 377-7777 ORTHOPAEDIC MEDICAL EXTREMITIES CUCAMONGA, CA 91730 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & SPINE SURGERY 11525 BROOKSHIRE BLVD STE 205, (818) 377-7777 ORTHOPAEDIC MEDICAL DOWNEY, CA 90241 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & SPINE SURGERY 4940 VAN NUYS BLVD STE 308, (818) 377-7777 ORTHOPAEDIC MEDICAL SHERMAN OAKS, CA 91403 CENTERS LAVI, SIMON - DO LAVI ORTHOPEDICS - SPINE & SPINE SURGERY 9033 BASELINE RD STE Q, RANCHO (818) 377-7777 ORTHOPAEDIC MEDICAL CUCAMONGA, CA 91730 CENTERS LAW, PAMELA W - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 110 N LA BREA 3RD FLR RM 303, (310) 202-3030 JOB WEST LOS ANGELES INGLEWOOD, CA 90301 MEDICAL CENTER LAW, PAMELA W - MD KAISER PERMANENTE ON THE PRIMARY TREATING 110 N LA BREA 3RD FLR RM 303, (310) 202-3030 JOB WEST LOS ANGELES PHYSICIAN INGLEWOOD, CA 90301 MEDICAL CENTER LAW, PAMELA W - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5300 MCCONNELL AVE 1ST FL, LOS (310) 202-3030 JOB PLAYA VISTA ANGELES, CA 90066 LAW, PAMELA W - MD KAISER PERMANENTE ON THE PRIMARY TREATING 5300 MCCONNELL AVE 1ST FL, LOS (310) 202-3030 JOB PLAYA VISTA PHYSICIAN ANGELES, CA 90066 LAW, PAMELA W - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES ANGELES, CA 90034 MEDICAL CENTER LAW, PAMELA W - MD KAISER PERMANENTE ON THE PRIMARY TREATING 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES PHYSICIAN ANGELES, CA 90034 MEDICAL CENTER LAWRENCE, PAUL - AUD ADVANCED HEARING AUDIOLOGY 2777 JEFFERSON ST STE 101, (800) 598-5300 PROVIDERS LLC CARLSBAD, CA 92008 LAWRENCE, RYAN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 LAWRENCE, TRACY - MD (BCC) EMERGENCY MEDICINE 23845 MCBEAN PKWY, VALENCIA, CA (661) 200-2000 91355

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 357 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LAWVER, KENNETH - DC LAWVER CHIROPRACTIC MEDICINE 130 N GRANT AVE, MANTECA, CA 95336 (209) 825-5610 CHIROPRACTIC/KENNETH E LAWVER DC LAX PHARMACY PHARMACY 4457 LENNOX BLVD, LENNOX, CA 90304 (310) 674-1403 LAZOR, KELLY - DPT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 7052 ORANGEWOOD AVE, STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 LAZOR, KELLY - DPT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC CA 90638 LC SCRIPTS PHARMACY 15440 BEACH BLVD STE 120, (714) 892-4445 WESTMINSTER, CA 92683 LCD PHARMACY PHARMACY 879 S TUSTIN ST, ORANGE, CA 92866 (714) 485-0908 LE, BACH - PTA LAGUNA PHYSICAL THERAPY PHYSICAL THERAPY 9563 LAGUNA SPRINGS DR, ELK (916) 691-9822 HAND REHABILITATION GROVE, CA 95758 LE, DANIEL Q - MD (BCC) ORTHOPAEDIC SPECIALTY PAIN MANAGEMENT 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY LE, DANIEL Q - MD (BCC) ORTHOPAEDIC SPECIALTY PAIN MANAGEMENT 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY LE, DAVID H - MD KAISER PERMANENTE ORTHOPEDICS 10800 MAGNOLIA AVE MEDICAL OFFICE (951) 353-4322 RIVERSIDE MEDICAL CENTER BLDG 2, RIVERSIDE, CA 92505 LE, HELEN - OD (BCC) ATLANTIS EYECARE OPTOMETRY 5991 E SPRING ST , LONG BEACH, CA (562) 938-9945 90808 LE, HELEN - OD (BCC) ATLANTIS EYECARE OPTOMETRY 7667 CENTER AVE STE 301, (714) 991-4100 HUNTINGTON BEACH, CA 92547 LE, HELEN - OD (BCC) ATLANTIS EYECARE OPTOMETRY 361 HOSPITAL RD STE 425, NEWPORT (949) 642-3100 BEACH, CA 92663 LE, HELEN - OD (BCC) ATLANTIS EYECARE OPTOMETRY 8028 3RD ST , DOWNEY, CA 90241 (562) 622-8700 LE, KATHY T - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PLACENTIA, CA 92870 LE, KATHY T - MD CONCENTRA MEDICAL PUBLIC HEALTH AND GENERAL 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PREVENTIVE MEDICINE PLACENTIA, CA 92870 LE, MATTHEW - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 LE, MATTHEW - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 LE, MATTHEW - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 LE, MATTHEW - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 LE, MATTHEW - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 LE, MATTHEW - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 LE, NANCY - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 500 E REMINGTON DR STE 10, (408) 389-3600 THERAPY SUNNYVALE SUNNYVALE, CA 94087 LE, NGUYEN M - MD (BCC) CARDIOTHORACIC SURGERY THORACIC AND CARDIAC 11234 ANDERSON ST SP RM 1617, (800) 679-4642 LLUMC SURGERY LOMA LINDA , CA 92354 LE, SANG V - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 15325 FAIRFIELD RANCH RD STE 150 , (909) 557-1668 CHINO HILLS , CA 91709 LE, SANG V - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 15325 FAIRFIELD RANCH RD STE 150 , (909) 557-1668 CHINO HILLS , CA 91709 LE, SANG V - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15325 FAIRFIELD RANCH RD STE 150 , (909) 557-1668 UPPER EXTREMITIES CHINO HILLS , CA 91709 LE, TUAN A - DPM KAISER PERMANENTE LOS PODIATRY 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 LE, TUNG B - MD KAISER PERMANENTE SANTA HAND SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 LE, TUNG B - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 LE, VU H - MD (BCC) NEWPORT CARE MEDICAL SPINE SURGERY 3560 ARLINGTON AVE, RIVERSIDE, CA (949) 491-9991 GROUP 92506

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 358 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LE, VU H - MD (BCC) NEWPORT CARE MEDICAL ORTHOPEDICS - SPINE 3560 ARLINGTON AVE, RIVERSIDE, CA (949) 491-9991 GROUP 92506 LE, VU H - MD (BCC) NEWPORT CARE MEDICAL SPINE SURGERY 441 OLD NEWPORT BLVD, NEWPORT (949) 491-9991 GROUP BEACH, CA 92663 LE, VU H - MD (BCC) NEWPORT CARE MEDICAL ORTHOPEDICS - SPINE 441 OLD NEWPORT BLVD, NEWPORT (949) 491-9991 GROUP BEACH, CA 92663 LE, VU H - MD (BCC) NEWPORT CARE MEDICAL SPINE SURGERY 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 GROUP CA 90807 LE, VU H - MD (BCC) NEWPORT CARE MEDICAL ORTHOPEDICS - SPINE 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 GROUP CA 90807 LE, VU H - MD (BCC) CHAPMAN GLOBAL MEDICAL SPINE SURGERY 2617 CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER 92869 LE, VU H - MD (BCC) CHAPMAN GLOBAL MEDICAL ORTHOPEDICS - SPINE 2617 CHAPMAN AVE, ORANGE, CA (714) 288-8051 CENTER 92869 LEACH, BENJAMIN I - MD (BCC) CITY OF HOPE MEDICAL HEMATOLOGY AND 15031 RINALDI ST STE 150 , MISSION (818) 660-4700 FOUNDATION ONCOLOGY HILLS , CA 91345 LEACH, BENJAMIN I - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 15031 RINALDI ST STE 150, MISSION (818) 660-4700 FOUNDATION HILLS, CA 91345 LEAKE, BRETT A - MD KAISER PERMANENTE ON THE ORTHOPEDICS 8250 WOODMAN AVE NORTH 2 (818) 375-2233 JOB PANORAMA CITY MEDICAL MEDICAL OFFICES, PANORAMA CITY, OFFICE CA 91402 LEALPEREIDA, LUCILA - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD LEALPEREIDA, LUCILA - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA LEALPEREIDA, LUCILA - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY LEALPEREIDA, LUCILA - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS LEALPEREIDA, LUCILA - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT LEASURE, ALEXANDER S - MD SANSUM CLINIC - PESETAS EMERGENCY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) LEATON, MICHAEL - MD (BCC) ANESTHESIOLOGY 160 GREEN VALLEY RD STE 101, (831) 763-9700 FREEDOM, CA 95019 LEAVER, RICHARD, SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 ALEXANDER - PT LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 LEAVER, RICHARD, SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 ALEXANDER - PT LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 LEBOW, MAX - MD RELIANT URGENT CARE EMERGENCY MEDICINE 2300 W BEVERLY BLVD, MONTEBELLO, (626) 646-5238 CA 90640 LEBOW, MAX - MD RELIANT URGENT CARE EMERGENCY MEDICINE 5900 PACIFIC BLVD, HUNTINGTON (310) 491-7080 PARK, CA 90255 LEBOW, MAX - MD RELIANT URGENT CARE EMERGENCY MEDICINE 814 S FRANCISCO ST, LOS ANGELES, (310) 491-7070 CA 90017 LEBOW, MAX - MD RELIANT URGENT CARE OCCUPATIONAL MEDICINE 2300 W BEVERLY BLVD, MONTEBELLO, (626) 646-5238 CA 90640 LEBOW, MAX - MD RELIANT URGENT CARE OCCUPATIONAL MEDICINE 5900 PACIFIC BLVD, HUNTINGTON (310) 491-7080 PARK, CA 90255 LEBOW, MAX - MD RELIANT URGENT CARE PRIMARY TREATING 2300 W BEVERLY BLVD, MONTEBELLO, (626) 646-5238 PHYSICIAN CA 90640 LEBOW, MAX - MD RELIANT URGENT CARE PRIMARY TREATING 5900 PACIFIC BLVD, HUNTINGTON (310) 491-7080 PHYSICIAN PARK, CA 90255 LECHMAIER, LAUREN - PT BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 421-2959 THERAPY LEDDON, KRISTINA - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 359 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEDEAN, TIMOTHY A - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3900 LAKEVILLE HWY MOB 2, (707) 765-3800 JOB OCCUPATIONAL HEALTH PETALUMA, CA 94954 CENTER LEDEAN, TIMOTHY A - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3900 LAKEVILLE HWY MOB 2, (707) 765-3800 JOB OCCUPATIONAL HEALTH PHYSICIAN PETALUMA, CA 94954 CENTER LEDEAN, TIMOTHY A - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH RAFAEL, CA 94903 CENTER LEDEAN, TIMOTHY A - DO KAISER PERMANENTE ON THE PRIMARY TREATING 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH PHYSICIAN RAFAEL, CA 94903 CENTER LEDERHAUS, ERIC - PT VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 LEDUC, CLIFFORD - PT WILDWOOD PHYSICAL PHYSICAL THERAPY 11392 PLEASANT VALLEY RD, PENN (530) 277-9662 THERAPY VALLEY, CA 95946 LEDUC, PAMELA - PT WILDWOOD PHYSICAL PHYSICAL THERAPY 11392 PLEASANT VALLEY RD, PENN (530) 277-9662 THERAPY VALLEY, CA 95946 LEE'S BFMC PHARMACY PHARMACY 4570 CALIFORNIA AVE STE 110, (661) 633-1100 BAKERSFIELD, CA 93309 LEE'S CLINICAL PHARMACY PHARMACY 1201 24TH ST STE B120, BAKERSFIELD, (661) 323-7006 CA 93301 LEE'S NILES DRUG STORE PHARMACY 1405 NILES ST, BAKERSFIELD, CA 93305 (661) 327-9317 LEE, ALBERN, HUNG, HEE - PT SUNSHINE HEALTHCARE PHYSICAL THERAPY 650 W DUARTE RD 102, ARCADIA, CA (626) 715-6137 NETWORK 91007 LEE, ALBERT - DO (BCC) ANESTHESIOLOGY 3500 BARRANCA PKWY STE 130, (949) 552-6266 IRVINE, CA 92606 LEE, ALBERT - DO (BCC) ANESTHESIOLOGY 681 S PARKER ST STE 150, ORANGE, (714) 744-0900 CA 92868 LEE, ALEX - ATC HAWTHORNE WELLNESS ATHLETIC TRAINER 2772 SEPULVEDA BLVD, TORRANCE, (310) 464-1167 CENTER CA 90505 LEE, ALEX - LAC PAIN SOLUTION CENTER ACUPUNCTURE 3020 WILSHIRE BLVD STE 221, LOS (213) 385-4535 ANGELES, CA 90010 LEE, ALEX - LAC TRICITY HEALTH GROUP ACUPUNCTURE 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 BEACH, CA 90807 LEE, ANDREW, S - PT CJ PHYSIOTHERAPY INC PHYSICAL THERAPY 1966 E CHAPMAN AVE STE A, (714) 519-3147 FULLERTON, CA 92831 LEE, ANDY - DC HEALING HANDS CHIROPRACTIC MEDICINE 9872 CHAPMAN AVE STE 201, GARDEN (714) 873-7793 ACUPUNCTURE HERBS CLINIC GROVE, CA 92841

LEE, ANDY - LAC JUHENG ACUPUNCTURE ACUPUNCTURE 23861 MCBEAN PKWY STE A3, (661) 253-9986 CLINIC VALENCIA, CA 91355 LEE, ANN M - MD (BCC) SANSUM CLINIC - PUEBLO PULMONARY DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 LEE, ARNOLD W - MD KAISER PERMANENTE WEST DERMATOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90052 CENTER LEE, ARTHUR T - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 301 N LAKE AVE, STE 201, PASADENA, (626) 568-9030 CLINIC CA 91101 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 LEE, BRIAN - MD (BCC) ANESTHESIOLOGY 1225 WILSHIRE BLVD, LOS ANGELES, (213) 977-2121 CA 90017 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ELBOW ANAHEIM, CA 92806 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC SHOULDER ANAHEIM, CA 92806 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 360 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 301 N LAKE AVE, STE 201, PASADENA, (626) 568-9030 CLINIC ELBOW CA 91101 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 301 N LAKE AVE, STE 201, PASADENA, (626) 568-9030 CLINIC SHOULDER CA 91101 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 301 N LAKE AVE, STE 201, PASADENA, (626) 568-9030 CLINIC CA 91101 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ELBOW ANGELES, CA 90045 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC SHOULDER ANGELES, CA 90045 LEE, BRIAN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 LEE, BRIAN L - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER LEE, BRIAN P - MD KAISER PERMANENTE SANTA NEUROLOGY 710 LAWRENCE EXPRESSWAY , SANTA (408) 236-6160 CLARA MEDICAL CENTER CLARA, CA 95051 LEE, BYUNGIN - LAC HILLS MEDI INC ACUPUNCTURE 1820 FULLERTON AVE 222, CORONA, (951) 733-0880 CA 92881 LEE, CARISSA - OT WEST COAST SPINE OCCUPATIONAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 LEE, CHANG - LAC CHANG YONG LEE LAC ACUPUNCTURE 1649 W ORANGETHORPE AVE, (714) 715-2018 FULLERTON, CA 92833 LEE, CHRISTOPHE - MD (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - HIP 1035 S VERMONT AVE, LOS ANGELES, (213) 387-0102 CA 90006 LEE, CHRISTOPHE - MD (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - 1035 S VERMONT AVE, LOS ANGELES, (213) 387-0102 LOWER EXTREMITIES CA 90006 LEE, CHRISTOPHE - MD (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - 1035 S VERMONT AVE, LOS ANGELES, (213) 387-0102 LOWER EXTREMITIES CA 90006 LEE, CHRISTOPHE - MD (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - HIP 1035 S VERMONT AVE, LOS ANGELES, (213) 387-0102 CA 90006 LEE, CHRISTOPHE - MD (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - LOWER 1035 S VERMONT AVE, LOS ANGELES, (213) 387-0102 EXTREMITIES CA 90006 LEE, CHRISTOPHE - MD (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - UPPER 1035 S VERMONT AVE, LOS ANGELES, (213) 387-0102 EXTREMITIES CA 90006 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDIC SURGERY - HIP 1037 E PALMDALE BLVD STE 202, (661) 456-3177 PALMDALE, CA 93550 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDIC SURGERY - 1037 E PALMDALE BLVD STE 202, (661) 456-3177 LOWER EXTREMITIES PALMDALE, CA 93550 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDIC SURGERY - 1037 E PALMDALE BLVD STE 202, (661) 456-3177 LOWER EXTREMITIES PALMDALE, CA 93550 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDICS - HIP 1037 E PALMDALE BLVD STE 202, (661) 456-3177 PALMDALE, CA 93550 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDICS - LOWER 1037 E PALMDALE BLVD STE 202, (661) 456-3177 EXTREMITIES PALMDALE, CA 93550 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDICS - UPPER 1037 E PALMDALE BLVD STE 202, (661) 456-3177 EXTREMITIES PALMDALE, CA 93550 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDIC SURGERY - HIP 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 CA 91203 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDIC SURGERY - 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 LOWER EXTREMITIES CA 91203 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDIC SURGERY - 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 LOWER EXTREMITIES CA 91203 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDICS - HIP 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 CA 91203 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDICS - LOWER 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 EXTREMITIES CA 91203 LEE, CHRISTOPHE - MD (BCC) ORTHOPEDICS - UPPER 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 EXTREMITIES CA 91203 LEE, CHRISTOPHER - MD (BCC) ORTHOPEDIC SURGERY - HIP 191 S BUENA VISTA ST STE 470, (818) 848-3030 BURBANK, CA 91505 LEE, CHRISTOPHER - MD (BCC) ORTHOPEDIC SURGERY - 191 S BUENA VISTA ST STE 470, (818) 848-3030 LOWER EXTREMITIES BURBANK, CA 91505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 361 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEE, CHRISTOPHER - MD (BCC) ORTHOPEDIC SURGERY - 191 S BUENA VISTA ST STE 470, (818) 848-3030 LOWER EXTREMITIES BURBANK, CA 91505 LEE, CHRISTOPHER - MD (BCC) ORTHOPEDICS - HIP 191 S BUENA VISTA ST STE 470, (818) 848-3030 BURBANK, CA 91505 LEE, CHRISTOPHER - MD (BCC) ORTHOPEDICS - LOWER 191 S BUENA VISTA ST STE 470, (818) 848-3030 EXTREMITIES BURBANK, CA 91505 LEE, CHRISTOPHER - MD (BCC) ORTHOPEDICS - UPPER 191 S BUENA VISTA ST STE 470, (818) 848-3030 EXTREMITIES BURBANK, CA 91505 LEE, CLARENCE M - MD CONCENTRA MEDICAL PRIMARY TREATING 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE PHYSICIAN CA 92056 LEE, CLARENCE M - MD CONCENTRA MEDICAL GENERAL PRACTICE 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 LEE, DAHLIA M - MD KAISER PERMANENTE SO ORTHOPEDIC SURGERY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - HIP 1035 S VERMONT AVE , LOS ANGELES, (213) 387-0102 CA 90006 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - 1035 S VERMONT AVE , LOS ANGELES, (213) 387-0102 LOWER EXTREMITIES CA 90006 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - 1035 S VERMONT AVE , LOS ANGELES, (213) 387-0102 UPPER EXTREMITIES CA 90006 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - HIP 1035 S VERMONT AVE , LOS ANGELES, (213) 387-0102 CA 90006 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - LOWER 1035 S VERMONT AVE , LOS ANGELES, (213) 387-0102 EXTREMITIES CA 90006 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - UPPER 1035 S VERMONT AVE , LOS ANGELES, (213) 387-0102 EXTREMITIES CA 90006 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - HIP 1037 E PALMDALE BLVD STE 202, (661) 456-3177 PALMDALE, CA 93550 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - 1037 E PALMDALE BLVD STE 202, (661) 456-3177 LOWER EXTREMITIES PALMDALE, CA 93550 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - 1037 E PALMDALE BLVD STE 202, (661) 456-3177 UPPER EXTREMITIES PALMDALE, CA 93550 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - HIP 1037 E PALMDALE BLVD STE 202, (661) 456-3177 PALMDALE, CA 93550 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - LOWER 1037 E PALMDALE BLVD STE 202, (661) 456-3177 EXTREMITIES PALMDALE, CA 93550 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - UPPER 1037 E PALMDALE BLVD STE 202, (661) 456-3177 EXTREMITIES PALMDALE, CA 93550 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - HIP 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 CA 91203 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 LOWER EXTREMITIES CA 91203 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDIC SURGERY - 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 UPPER EXTREMITIES CA 91203 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - HIP 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 CA 91203 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - LOWER 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 EXTREMITIES CA 91203 LEE, DANIEL D - (BCC) LEE ORTHOPAEDIC INSTITUTE ORTHOPEDICS - UPPER 435 ARDEN AVE STE 530, GLENDALE, (818) 550-9910 EXTREMITIES CA 91203 LEE, DAVID W - MD (BCC) FIRST CALIFORNIA PHYSICIAN PAIN MANAGEMENT 680 LANGSDORF DR STE 103, (714) 428-6711 PARTNERS FULLERTON , CA 92831 LEE, DAVID W - MD (BCC) FIRST CALIFORNIA PHYSICIAN PHYSICAL MEDICINE AND 680 LANGSDORF DR STE 103, (714) 428-6711 PARTNERS REHABILITATION FULLERTON , CA 92831 LEE, DEBORAH - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 8388 PARKWAY DR, LA MESA, CA 91942 (619) 797-1190 MEDICAL GROUP LEE, DONGJOON - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER LEE, DONGJOON - MD KAISER PERMANENTE WEST PLASTIC SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 362 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEE, DONGKUN - LAC ORANGE ACUPUNCTURE ACUPUNCTURE 1920 E KATELLA AVE STE F, ORANGE, (714) 633-0080 CENTER CA 92867 LEE, EDWARD - MD (BCC) ANESTHESIOLOGY 1100 W STEWART DR, ORANGE, CA (714) 633-9111 92868 LEE, ELAINE - MD (BCC) EMERGENCY MEDICINE 23845 MCBEAN PKWY, VALENCIA, CA (661) 200-2000 91355 LEE, ELENA - LAC CALIFORNIA ACUPUNCTURE ACUPUNCTURE 1025 B ST, HAYWARD, CA 94541 (510) 733-0288 CENTER LEE, ELISE H - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES REHABILITATION 90242 LEE, ERNEST E - MD KAISER PERMANENTE SOUTH GENERAL SURGERY 18600 S FIGUEROA ST , GARDENA, CA (310) 527-5600 BAY MEDICAL CENTER 90248 LEE, EUN, JUNG - LAC LEE ACUPUNCTURE ACUPUNCTURE 13141 CENTURY BLVD, GARDEN (714) 590-3210 WELLNESS RECOVER CENTER GROVE, CA 92843 LEE, EUN, SOOK - LAC SALLY CLINIC N HEALTH ACUPUNCTURE 3003 W OLYMPIC BLVD STE 206, LOS (310) 257-9080 ANGELES, CA 90006 LEE, GRACE C - MD KAISER PERMANENTE OPHTHALMOLOGY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER LEE, HO - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER LEE, HONG, JOON - LAC BARATTA WELLNESS ACUPUNCTURE 6728 FAIR OAKS BLVD STE 300, (916) 979-0716 CARMICHAEL, CA 95608 LEE, HONGJOON - LAC LIFELINE ACUPUNCTURE ACUPUNCTURE 635 ANDERSON RD STE 12A, DAVIS, CA (530) 756-1445 HERBS CLINIC 95616 LEE, HONGJOON - LAC LIFELINE ACUPUNCTURE ACUPUNCTURE 6728 FAIR OAKS BLVD SUITE 300, (916) 589-7020 HERBS CLINIC CARMICHAEL, CA 95608 LEE, HOSUK - OT TOTAL CARE PHYSICAL OCCUPATIONAL THERAPY 1181 E HIGHLAND AVE STE B, SAN (909) 883-5069 THERAPY BERNARDINO, CA 92404 LEE, HOSUK - OT TOTAL CARE PHYSICAL OCCUPATIONAL THERAPY 12139 MOUNT VERNON AVE STE 110, (909) 370-3396 THERAPY CA GRAND TERRACE, CA 92313 LEE, HOSUK - OT PRIME REHAB CENTER OCCUPATIONAL THERAPY 8545 SIERRA AVE, FONTANA, CA 92335 (909) 365-3557 LEE, JACQUELYN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 LEE, JASON - DC MORALES ROBERTO P DC CHIROPRACTIC MEDICINE 935 E GREEN ST, PASADENA, CA 91106 (626) 796-4141 LEE, JASON - LAC MORALES ROBERTO P DC ACUPUNCTURE 935 E GREEN ST, PASADENA, CA 91106 (626) 796-4141 LEE, JEONG, WOO - LAC JLEE ACUPUNCTURE CLINIC ACUPUNCTURE 6110 ORANGETHORPE AVE, BUENA (714) 562-0100 PARK, CA 90620 LEE, JEONGROK - LAC BALANCE ACUPUNCTURE INC ACUPUNCTURE 1401 S BROOKHURST RD STE 107, (714) 603-9088 FULLERTON, CA 92833 LEE, JOANNE A - DPM KAISER PERMANENTE PODIATRY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 LEE, JOE YB - MD (BCC) CONGRESS MEDICAL ORTHOPEDICS - SPINE 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES ARCADIA , CA 91007 LEE, JOE YB - MD (BCC) CONGRESS MEDICAL SPINE SURGERY 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES ARCADIA , CA 91007 LEE, JOHN J - MD KAISER PERMANENTE SOUTH ORTHOPEDICS 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 LEE, JONATHAN K - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 REHABILITATION CA 92545 LEE, JONATHAN K - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 1901 W LUGONIA AVE STE 230, (909) 557-1600 REHABILITATION REDLANDS, CA 92374 LEE, JONATHAN K - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 REHABILITATION RIVERSIDE, CA 92505 LEE, JONATHAN K - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 2131 ELKS DR STE 200, SAN (909) 726-6100 REHABILITATION BERNARDINO, CA 92404 LEE, JONATHAN K - MD (BCC) HEALTHPOINTE MEDICAL PAIN MANAGEMENT 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP PERRIS, CA 92571 LEE, JONATHAN K - MD (BCC) HEALTHPOINTE MEDICAL PAIN MANAGEMENT 27455 TIERRA ALTA WAY STE A, (951) 699-5282 GROUP TEMECULA, CA 92590 LEE, JOON - LAC YONG ACUPUNCTURE HERBS ACUPUNCTURE 801 S VERMONT AVE STE 204, LOS (213) 514-8972 ANGELES, CA 90005

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 363 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEE, JUDY - DC ALEJANDRO J KATZ ACU DBA CHIROPRACTIC MEDICINE 5567 RESEDA BLVD STE 101, TARZANA, (213) 387-4710 PAIN MANAGEMENT CENTER CA 91356 LEE, JUDY - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 5567 RESEDA BLVD STE 101, TARZANA, (213) 387-4710 PAIN MANAGEMENT CENTER CA 91356 LEE, JULIANNE - LAC KIM LEE CHIROPRACTIC ACUPUNCTURE 3661 TORRANCE BLVD STE 201, (949) 872-8761 ACUPUNCTURE TORRANCE, CA 90503 CORPORATION DBA ADVANCED SPINE PAIN CENTER LEE, JUNE - LAC LEE'S ACUPUNCTURE HERB ACUPUNCTURE 401 ROLAND WAY STE 225, OAKLAND, (510) 444-1010 CLINIC CA 94621 LEE, JUNE - LAC LEE'S ACUPUNCTURE HERB ACUPUNCTURE 6990 VILLAGE PARKWAY (510) 444-1010 CLINIC STE 212, DUBLIN, CA 94568 LEE, JUNG JIN (JAMES) J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 JOB ONTARIO MEDICAL OFFICES LEE, JUNG JIN (JAMES) J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 JOB ONTARIO MEDICAL PHYSICIAN OFFICES LEE, JUNG JIN (JAMES) J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL LEVEL, FONTANA, CA 92335 CENTER LEE, JUNG JIN (JAMES) J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL PHYSICIAN LEVEL, FONTANA, CA 92335 CENTER LEE, JUNG, AE - LAC CJ HEALTH AND WELLNESS ACUPUNCTURE 6881 STANTON AVE STE F, BUENA (714) 752-6870 INC DBA A PLUS CLINIC PARK, CA 90621 ACUPUNCTURE LEE, KENNETH W - MD (BCC) GASTROENTEROLOGY 2140 GRAND AVE STE 120, CHINO (909) 622-3800 HILLS , CA 91709 LEE, KEVIN - PT NEWMED HEALTH CENTER PHYSICAL THERAPY 3925 ROSEMEAD BLVD STE 102, (626) 288-1368 ROSEMEAD, CA 91770 LEE, KIRSTEN - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 LEE, KWANG - LAC PRIME PHYSICAL THERAPY ACUPUNCTURE 27403 YNEZ RD STE 214, TEMECULA, (714) 738-1888 CA 92591 LEE, KWANG, BUM - LAC ADVANCED ACUPUNCTURE ACUPUNCTURE 27403 YNEZ RD STE 214, TEMECULA, (562) 455-8800 CA 92591 LEE, KYUNG - LAC ACUPUNCTURE ONE CENTER ACUPUNCTURE 18031 US HIGHWAY 18 STE D, APPLE (760) 242-3255 APPLE VALLEY VALLEY, CA 92307 LEE, KYUNG - LAC ACUPUNCTURE ONE CENTER ACUPUNCTURE 31348 VIA COLINAS STE 105, (818) 575-9096 WESTLAKE VILLAGE WESTLAKE VILLAGE, CA 91362 LEE, KYUNG - LAC HEALTHPOINTE MEDICAL ACUPUNCTURE 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 LEE, KYUNG HAN - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 LEE, KYUNG HAN - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 2226 MEDICAL CENTER DR, STE 102, (951) 657-1400 GROUP INC PERRIS, CA 92571 LEE, MEG - LAC HOLISTIC ACUPUNCTURE ACUPUNCTURE 28924 S WESTERN AVE 216, RANCHO (310) 547-4500 PALOS VERDES, CA 90275 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDICS - KNEE 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES WEST HILLS, CA 91307 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDICS - SHOULDER 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES WEST HILLS, CA 91307 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDICS - ELBOW 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES WEST HILLS, CA 91307 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDICS - HAND 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES WEST HILLS, CA 91307 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDICS - UPPER 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES EXTREMITIES WEST HILLS, CA 91307 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDIC SURGERY - 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES KNEE WEST HILLS, CA 91307 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDIC SURGERY - 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES SHOULDER WEST HILLS, CA 91307

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 364 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDIC SURGERY - 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES ELBOW WEST HILLS, CA 91307 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC HAND SURGERY 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES WEST HILLS, CA 91307 LEE, MICHAEL - MD (BCC) PROFESSIONAL ORTHOPEDIC ORTHOPEDIC SURGERY - 7345 MEDICAL CENTER DR STE 280, (818) 888-2855 MEDICAL ASSOCIATES UPPER EXTREMITIES WEST HILLS, CA 91307 LEE, MICHAEL B - DO CONCENTRA MEDICAL PRIMARY TREATING 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA PHYSICIAN POMONA, CA 91768 LEE, MICHAEL B - DO CONCENTRA MEDICAL FAMILY MEDICINE 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA POMONA, CA 91768 LEE, MYEONG - LAC ACU HERB MEDICINE GROUP ACUPUNCTURE 6540 LUSK BLVD STE C139, SAN DIEGO, (858) 215-1816 OF MJ CA 92121 LEE, MYUNG, JAE - LAC ACUHEALING CLINICS INC ACUPUNCTURE 27201 TOURNEY RD STE 122, (661) 290-2797 VALENCIA, CA 91355 LEE, NAM, SUK - LAC HEALTHPOINTE MEDICAL ACUPUNCTURE 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 LEE, OK - LAC O K ACUPUNCTURE CLINIC ACUPUNCTURE 1935 W LA HABRA BLVD, LA HABRA, CA (562) 690-8068 90631 LEE, PAUL - DO (BCC) ANESTHESIOLOGY 6969 BROCKTON AVE STE B, (951) 686-3579 RIVERSIDE, CA 92506 LEE, ROBERT S - MD (BCC) LOS ALAMITOS CARDIOVASCULAR DISEASE 5300 KATELLA AVE , LOS ALAMITOS, CA (562) 446-2831 CARDIOVASCULAR (CARDIOLOGY) 90720 LEE, RONG X - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3100 DUBLIN BLVD, DUBLIN, CA 94568 (925) 556-5860 JOB OCCUPATIONAL HEALTH CENTER LEE, RONG X - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3100 DUBLIN BLVD, DUBLIN, CA 94568 (925) 556-5860 JOB OCCUPATIONAL HEALTH PHYSICIAN CENTER LEE, SAMUEL J - MD (BCC) LOMA LINDA UNIVERSITY PHYSICAL MEDICINE AND 11406 LOMA LINDA DR #300, LOMA (800) 679-4642 HEALTH CARE - PHYSICAL MED REHABILITATION LINDA , CA 92354 & REHAB/PAIN MGMT FP&S LEE, SANDRA J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH BRUNO, CA 94066 CENTER LEE, SANDRA J - MD KAISER PERMANENTE ON THE PHYSICAL MEDICINE AND 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH REHABILITATION BRUNO, CA 94066 CENTER LEE, SANDRA J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH PHYSICIAN BRUNO, CA 94066 CENTER LEE, SANG - LAC INTEGRATIVE INDUSTRIAL AND ACUPUNCTURE 1930 WILSHIRE BLVD STE 600, LOS (213) 483-9902 FAMILY CLINICS ANGELES, CA 90057 LEE, SANG - LAC INTEGRATIVE INDUSTRIAL AND ACUPUNCTURE 1701 W WHITTIER BLVD, MONTEBELLO, (323) 887-3577 FAMILY PRACTICE MEDICAL CA 90640 CLINICS LEE, SANG, JAE - LAC SANG JAE LEE ACUPUNCTURE 10727 WHITE OAK AVE STE 101, (818) 858-6262 GRANADA HILLS, CA 91344 LEE, SANGHYUN - LAC SANGHYUN LEE MARTIN ACUPUNCTURE 2595 E WASHINGTON BLVD STE 108, (818) 577-3925 CHIROPRACTIC PASADENA, CA 91107 LEE, SANGWON - LAC ANGELS ACUPUNCTURE HERB ACUPUNCTURE 11419 MOORPARK ST, STUDIO CITY, CA (818) 762-1068 CENTER 91602 LEE, SEOK - LAC ALPHA THERAPY INC ACUPUNCTURE 17 SPECTRUM POINTE DR STE 506, (949) 533-6699 LAKE FOREST, CA 92630 LEE, SEOK - LAC ALPHA THERAPY INC ACUPUNCTURE 18004 SKY PARK CIR STE 260, IRVINE, (949) 533-6699 CA 92614 LEE, SEUNGHOON - LAC HEALING HAND ACUPUNCTURE 6319 N FRESNO ST 102, FRESNO, CA (213) 210-4006 ACUPUNCTURE CLINIC 93710 LEE, SHANG, JOON - LAC HEALING HANDS ACUPUNCTURE 10401 BEACH BLVD STE 222223, (7`4) 873-7793 ACUPUNCTURE HERBS CLINIC STANTON, CA 90680

LEE, SIMON - DC WELLNESS CHIROPRACTIC CHIROPRACTIC MEDICINE 730 E EL CAMINO REAL STE B, (408) 245-6898 CLINIC SUNNYVALE, CA 94087

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 365 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEE, SIMON - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 1045 ATLANTIC AVE STE 608, LONG (213) 386-7582 INC BEACH, CA 90813 LEE, SIMON - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 12321 HAWTHORNE BLVD SUITE C, (213) 386-7582 INC HAWTHORNE, CA 90250 LEE, SIMON - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 18531 ROSCOE BLVD STE 202, (213) 386-7582 INC NORTHRIDGE, CA 91324 LEE, SIMON - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 9635 MONTE VISTA AVE STE 203, (213) 386-7582 INC MONTCLAIR, CA 91763 LEE, SIMON - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 2897 W OLYM BLVD STE 202, LOS (213) 386-7582 INC MAIN ANGELES, CA 90006 LEE, STEPHANIE - LAC ADVANCED ACUPUNCTURE ACUPUNCTURE 40055 BOB HOPE DR STE H, RANCHO (760) 832-7585 AND WELLNESS CENTER MIRAGE, CA 92270 LEE, STEVE C - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S LEE, SUKJAE - LAC NICHOLAS G VANDERHYDE A ACUPUNCTURE 2323 16TH ST STE 201, BAKERSFIELD, (661) 246-1407 CHIROPRACTIC CORPORATION CA 93301

LEE, SUSANNAH - LAC REVIVE ACUPUNCTURE INC ACUPUNCTURE 43353 MISSION BLVD STE B, FREMONT, (510) 438-0128 CA 94539 LEE, TAE, EOB - LAC KYUNG HEE ACUPUNCTURE ACUPUNCTURE 10062 MILLER AVE STE 280, (408) 334-3954 CUPERTINO, CA 95014 LEE, TAI - MD (BCC) ANESTHESIOLOGY 15107 VANOWEN ST, VAN NUYS, CA (818) 782-6600 91405 LEE, TAI - MD (BCC) ANESTHESIOLOGY 2131 W 3RD ST, LOS ANGELES, CA (213) 484-5556 90057 LEE, TAI - MD (BCC) ANESTHESIOLOGY 3700 SOUTH ST, LAKEWOOD, CA 90712 (562) 531-2550 LEE, TAI - MD (BCC) ANESTHESIOLOGY 3751 KATELLA AVE, LOS ALAMITOS, CA (562) 598-1331 90720 LEE, TAI - MD (BCC) ANESTHESIOLOGY 820 E MOUNTAIN VIEW ST, BARSTOW, (760) 256-1761 CA 92311 LEE, THOMAS - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 1220 HEMLOCK WAY SUITE 206, SANTA (626) 854-1144 CHIROPRACTIC INC ANA, CA 92707 LEE, THOMAS - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 4121 10TH ST, RIVERSIDE, CA 92501 (951) 274-0421 CHIROPRACTIC INC DBA BROCKTON INTEGRATIVE REHAB LEE, THOMAS - LAC LEE AND RODRIGUEZ ACUPUNCTURE 4121 10TH ST, RIVERSIDE, CA 92501 (951) 274-0421 CHIROPRACTIC INC DBA BROCKTON INTEGRATIVE REHAB LEE, THOMAS - MD (BCC) ANESTHESIOLOGY 1001 N TUSTIN AVE, SANTA ANA, CA (714) 953-3500 92705 LEE, TRACY J - MD PRO CARE WORK INJURY OCCUPATIONAL MEDICINE 17232 RED HILL AVE , IRVINE, CA 92614 (949) 752-1111 CENTER LEE, TRACY J - MD PRO CARE WORK INJURY PRIMARY TREATING 17232 RED HILL AVE , IRVINE, CA 92614 (949) 752-1111 CENTER PHYSICIAN LEE, TRACY J - MD CONCENTRA MEDICAL PRIMARY TREATING 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD PHYSICIAN 92618 LEE, TRACY J - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 LEE, WEON - LAC RAPHA ACUPUNCTURE ACUPUNCTURE 2651 E CHAPMAN AVE STE 105, (657) 445-6494 FULLERTON, CA 92831 LEE, WHAN, P - LAC PHIL'S ACUPUNCTURE CLINIC ACUPUNCTURE 13209 SOUTH ST, CERRITOS, CA 90703 (562) 402-5252 LEE, WOO, SOK - PT CALIFORNIA EMERGENCY PHYSICAL THERAPY 554 BLOSSOM HILL RD, SAN JOSE, CA (408) 360-8490 PHYSICIANS DBA SAMARITAN 95123 MEDICAL CARE CENTER LEE, YONG - LAC LEE'S ACUPUNCTURE CLINIC ACUPUNCTURE 911 E FLORIDA AVE, HEMET, CA 92543 (951) 925-0548 LEE, YOUNG - LAC YEUNG LEE CREATUR ACUPUNCTURE 20700 VENTURA BLVD STE 130, (213) 294-8564 WOODLAND HILLS, CA 91364 LEE, YOUNG - LAC YOUNG'S HEALTH CENTER ACUPUNCTURE 15346 SAN FERNANDO MISSION BLVD, (818) 361-0997 MISSION HILLS, CA 91345

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 366 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEE, YOUNG, HWA - LAC NATURAL BALANCE ACUPUNCTURE 771 W 19TH ST STE C, COSTA MESA, (213) 703-2954 ACUPUNCTURE HERB CA 92627 LEE, YU FON - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 LEE-ANG, LORRAINE - MD CONCENTRA MEDICAL PRIMARY TREATING 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO PHYSICIAN EL SEGUNDO, CA 90245 LEE-ANG, LORRAINE - MD CONCENTRA MEDICAL FAMILY MEDICINE 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - EL SEGUNDO EL SEGUNDO, CA 90245 LEEDER, CYNTHIA - DC LEEDER CHIROPRACTIC INC CHIROPRACTIC MEDICINE 800 GRAND AVE STE C2, CARLSBAD, (760) 434-4615 CA 92008 LEES DISCOUNT DRUG PHARMACY 2732 W OLYMPIC BLVD, LOS ANGELES, (213) 382-6391 CA 90006 LEESCH, MARTIN - PT SUMMIT WELLNESS CENTES PHYSICAL THERAPY 2251 COUNTRY CLUB LN, SELMA, CA (559) 896-6565 INC DBA SELMA FYZICAL 93662 THERAPY BALANCE LEEWALLINE, WAIMING P - MD KAISER PERMANENTE OPHTHALMOLOGY 13730 ROSCOE BLVD , PANORAMA (818) 375-2233 PANORAMA CITY MEDICAL CITY, CA 91402 CENTER LEFKO, PAUL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD LEFKO, PAUL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA LEFKO, PAUL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY LEFKO, PAUL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS LEFKO, PAUL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT LEGACY, CRAIG - PT RANCHO SANTA MARGARITA PHYSICAL THERAPY 29803 SANTA MARGARITA PKWY, (949) 459-9010 PHYSICAL THERAPY RANCHO SANTA MARGARITA, CA 92688 LEGASPI, ALMA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD LEGASPI, ALMA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA LEGASPI, ALMA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY LEGASPI, ALMA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS LEGASPI, ALMA, M - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT LEGASPI, RONA - PT LEGACY OUTPATIENT PHYSICAL THERAPY 11618 SOUTH ST 201, ARTESIA, CA (562) 467-0777 THERAPY SERVICES INC 90701 LEHMAN, CHRISTOPHER - MD KAISER PERMANENTE SO SAN ORTHOPEDIC SURGERY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 LEI, JIBONG - DPM (BCC) ARROWHEAD ORTHOPAEDICS PODIATRY 29099 HOSPITAL RD STE 114, LAKE (909) 336-3694 ARROWHEAD , CA 92352 LEI, JIBONG - DPM (BCC) ARROWHEAD ORTHOPAEDICS PODIATRY 400 N PEPPER AVE - OUTPATIENT (877) 873-2762 CARE CENTER, COLTON , CA 92324 LEIBHAM, STEPHEN P - MD CONCENTRA MEDICAL INTERNAL MEDICINE 542 BROADWAY STE G, CHULA VISTA, (619) 425-8212 CENTER - CHULA VISTA CA 91910 LEIBHAM, STEPHEN P - MD CONCENTRA MEDICAL INTERNAL MEDICINE 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY CITY, CA 91950

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 367 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEIBY, TAYLOR - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 LEICHTBERG, JOSHUA - MD PROHEALTH - CENTRAL OCCUPATIONAL MEDICINE 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL BAKERSFIELD, CA 93312 MEDICAL GROUP LEICHTBERG, JOSHUA - MD PROHEALTH - CENTRAL PRIMARY TREATING 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL PHYSICIAN BAKERSFIELD, CA 93312 MEDICAL GROUP LEIGH, ALEXANDRA - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 LEIMKUHLER, JESSICA - PT IN MOTION PHYSICAL PHYSICAL THERAPY 17332 VON KARMAN AVE STE 120, (949) 861-8600 THERAPY IRVINE, CA 92614 LEISEN, CHRISTINA - PT FOCUS FORWARD WELLNESS PHYSICAL THERAPY 2436 FOOTHILL BLVD STE C, (707) 942-3927 PHYSICAL THERAPY CALISTOGA, CA 94515 LEISURE WORLD PHARMACY PHARMACY 1661 D GOLDEN RAIN RD, SEAL BEACH, (562) 795-6202 CA 90740 LEM, LANA L - DPM KAISER PERMANENTE SANTA PODIATRY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 140 1ST FLR, SANTA CLARA, CA 95051 LEMIRE, BRETT - DC LEMIRE CHIROPRACTIC SPINE CHIROPRACTIC MEDICINE 2354 MARITIME DR S100, ELK GROVE, (916) 683-3900 SPORT CA 95758 LEMM, MICHAEL D - DPM KAISER PERMANENTE EL PODIATRY 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 CAJON MEDICAL OFFICES 92020 LEMONS, DAVID - DC LEMONS CHIROPRACTIC INC CHIROPRACTIC MEDICINE 750 W GONZALES RD STE 170, (805) 485-5880 OXNARD, CA 93036 LEMOS, ANN - PT CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 8569 BOND RD STE 150, ELK GROVE, (916) 714-1177 CA 95624 LEMOS, ANNA - PT ORTHOPEDIC SPECIALISTS OF PHYSICAL THERAPY 2801 K ST STE 310, SACRAMENTO, CA (916) 389-7977 SACRAMENTO 95816 LEMUS, ALBERTO - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 22 ODYSSEY STE 165, IRVINE, CA 92618 (949) 727-2192 THERAPY LEMUS, ALBERTO - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 2700 N MAIN ST STE 340, SANTA ANA, (714) 953-7330 THERAPY CA 92705 LEMUS, ALBERTO - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 401 N BROOKHURST ST STE 100, (949) 727-2192 THERAPY ANAHEIM, CA 92801 LENDARIS, GEORGE - PT GEORGE LENDARIS PHYSICAL PHYSICAL THERAPY 3030 BEARD RD STE B, NAPA, CA 94558 (707) 257-0686 THERAPY LEO'S CATALINA DRUG STORE PHARMACY 401 CRESCENT AVE, AVALON, CA 90704 (310) 510-0189 LEO'S LAKESIDE PHARMACY PHARMACY 9943 MAINE AVE, LAKESIDE, CA 92040 (619) 443-1013 LEON, BILLY - PT CALCARE INDUSTRIAL PHYSICAL THERAPY 502 S GAREY AVE, POMONA, CA 91766 (909) 620-8887 MEDICAL LEONARD, CHALON - AUD ADVANCED HEARING AUDIOLOGY 1421 GUERNEVILLE RD STE 203, (800) 598-5300 PROVIDERS LLC SANTA ROSA, CA 95403 LEONARDCOOPER, MELANI - HOLISTIC SPORTS ACUPUNCTURE 1000 E DOMINGUEZ ST STE 101, (310) 327-1325 LAC ACUPUNCTURE CARSON, CA 90746 LEONARDI, MEREDITH - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 534 E PINE ST STE A, STOCKTON, CA (209) 463-5800 PHYSICAL AND 95204 OCCUPATIONAL LEONARDI, MICHAEL J - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER LEONE, ANTHONY J - MD KAISER PERMANENTE SOUTH ORTHOPEDIC SURGERY 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 LEONE, BRANDY - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 LEONE, BRANDY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 LEONG, BEATRIZ V - MD (BCC) LOMA LINDA UNIVERSITY VASCULAR SURGERY 11234 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - VASCULAR LINDA , CA 92354 SURGERY LEONG, BEATRIZ V - MD (BCC) LOMA LINDA UNIVERSITY VASCULAR SURGERY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 HEALTH CARE - VASCULAR CA 92563 SURGERY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 368 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEONG, DARREN S - MD KAISER PERMANENTE GENERAL SURGERY 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER LEONG, DARREN S - MD KAISER PERMANENTE PLASTIC SURGERY 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER LEONG, TRACY S - MD (BCC) RIVERSIDE MEDICAL CLINIC - DERMATOLOGY 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY 92883 LEONI, SEAN - MD OXNARD VALLEY MEDICAL INTERNAL MEDICINE 11525 BROOKSHIRE AVE STE 205, (818) 386-0197 GROUP DOWNEY, CA 90241 LEONI, SEAN - MD OXNARD VALLEY MEDICAL INTERNAL MEDICINE 1405 W RANCHO VISTA BLVD , (818) 386-0197 GROUP PALMDALE, CA 93551 LEONI, SEAN - MD INTERNAL MEDICINE 16661 VENTURA BLVD STE 604, (818) 386-0197 ENCINO, CA 91436 LEONI, SEAN - MD OXNARD VALLEY MEDICAL INTERNAL MEDICINE 300 E ESPLANADE DR STE 420, (818) 386-0197 GROUP OXNARD, CA 93036 LEONI, SHERRY - DC SYNAPSE MED GRP/EDWIN CHIROPRACTIC MEDICINE 5651 SEPULVDA BLVD STE 202, (818) 788-2400 HARONIAN MD INC SHERMAN OAKS, CA 91411 LEPORE, KARI - PTA PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 400 N MOUNTAIN AVE STE 310, (909) 920-6457 UPLAND, CA 91786 LEPOW, MARTHA - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 5434 THORNWOOD DR, SAN JOSE, CA (408) 365-8396 95123 LERNER, DAVID R - DO (BCC) SANSUM CLINIC - PUEBLO CARDIOVASCULAR DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC (CARDIOLOGY) CA 93105 LERNER, STEVEN A - MD (BCC) COAST GASTROENTEROLOGY GASTROENTEROLOGY 501 E HARDY ST STE 430, INGLEWOOD, (310) 671-7010 MEDICAL GROUP CA 90301 LESCHUK, IGOR - PT EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 711 S STATE HIGHWAY 49, JACKSON, (209) 223-5669 CA 95642 LESHIN, BENJAMIN A - MD SYNOVATION MEDICAL GROUP PAIN MANAGEMENT 1127 WILSHIRE BLVD STE 800, LOS (213) 839-1119 (BCC) ANGELES , CA 90017 LESIGUES, JESSICA - OT HUMAN PERFORMANCE OCCUPATIONAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 LESIN, RACHEL - OT VOSA HAND THERAPY OCCUPATIONAL THERAPY 14624 SHERMAN WAY STE 500, VAN (818) 902-2888 NUYS, CA 91405 LESIN, RACHEL - OT VOSA HAND THERAPY OCCUPATIONAL THERAPY 23861 MCBEAN PKWY STE E30, (661) 414-4523 VALENCIA, CA 91355 LESLIE, TODD - PT LA MESA REHAB PHYSICAL THERAPY 8380 CENTER DR STE E, LA MESA, CA (619) 466-6077 91942 LESLIE, TODD - PT IN MOTION PHYSICAL PHYSICAL THERAPY 985 BROADWAY STE E, CHULA VISTA, (619) 585-0977 THERAPY CA 91911 LESTER, JACQUELINE - OTA GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 LESUEUR, ROBERT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 LETCHER, LISA - PTA BAUDENDISTEL PHYSICAL PHYSICAL THERAPY 3609 MISSION AVE STE C, (916) 487-4681 THERAPY CARMICHAEL, CA 95608 LEUFROY, PAULO - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 12402 INDUSTRIAL BLVD STE B2, (760) 955-6061 VICTORVILLE, CA 92395 LEUNG, ALICE - AUD ADVANCED HEARING AUDIOLOGY 3150 CALIFORNIA ST , SAN FRANCISCO, (800) 598-5300 PROVIDERS LLC CA 94115 LEUNG, EDWIN - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 11276 5TH ST STE 400, RANCHO (909) 481-0437 MAIN CUCAMONGA, CA 91730 LEUNG, GEORGE - DC GEORGE O LEUNG DC INC CHIROPRACTIC MEDICINE 112 E EMERSON AVE, MONTEREY (626) 572-8002 PARK, CA 91755 LEVASSEUR, STEPHANIE - PT IN MOTION PHYSICAL PHYSICAL THERAPY 17332 VON KARMAN AVE STE 120, (949) 861-8600 THERAPY IRVINE, CA 92614 LEVEEN, ERIC - MD CONCENTRA MEDICAL GENERAL SURGERY 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO LEVIN, DANIEL E - MD (BCC) HUNTINGTON BEACH ORAL ORAL AND MAXILLOFACIAL 7891 TALBERT AVE STE 101, (714) 842-2521 SURGERY SURGERY HUNTINGTON BEACH, CA 92648 LEVINE, MARK PHD NEUROPSYCHOLOGY 5455 WILSHIRE BLVD FL 21, LOS (310) 285-3708 ANGELES, CA 90036

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 369 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LEVINE, MARK PHD PSYCHOLOGY 5455 WILSHIRE BLVD FL 21, LOS (310) 285-3708 ANGELES, CA 90036 LEVINE, MARTIN D - MD (BCC) CONSERVATIVE CARE NEUROLOGY 6815 NOBLE AVE STE 105, VAN NUYS, (818) 781-6684 SPECIALTY MEDICAL GROUP CA 91405 LEVINE, MICHAEL D - MD (BCC) KECK HOSPITAL OF USC MEDICAL TOXICOLOGY 1500 SAN PABLO ST, LOS ANGELES , (818) 426-0300 CA 90033 LEVINE, REED - MD NEUROLOGICAL SURGERY 1017 S FAIR OAKS AVE, PASADENA, CA (626) 403-6200 91105 LEVINE, TAYLOR - DC UNRUH CHIROPRACTIC CHIROPRACTIC MEDICINE 23043 LYONS AVE, SANTA CLARITA, CA (661) 288-0022 91321 LEVINGASPARYAN, YELENA - RAPID THERAPY PHYSICAL THERAPY 14901 RINALDI ST STE 335, MISSION (818) 365-9690 PT HILLS, CA 91345 LEVINGASPARYAN, YELENA - VALLEY CORF INC PHYSICAL THERAPY 5620 WILBUR AVE STE 103, TARZANA, (818) 758-2673 PT CA 91356 LEVINGASPARYAN, YELENA - BURBANK THERAPY CENTER PHYSICAL THERAPY 920 W ALAMEDA AVE, BURBANK, CA (818) 842-9277 PT 91506 LEVTCHENKO, ELENA - OT VALLEY CORF INC OCCUPATIONAL THERAPY 5620 WILBUR AVE STE 103, TARZANA, (818) 758-2673 CA 91356 LEVY, DEREK - DC HERMOSA CHIROPRACTIC CHIROPRACTIC MEDICINE 950 AVIATION BLVD STE K, HERMOSA (310) 379-0503 DEREK LEVY DC BEACH, CA 90254 LEVY, LESLIE G - DPM (BCC) PODIATRY 23501 CINEMA DR STE 209, VALENCIA, (661) 254-0795 CA 91355 LEWIS, CATHERINE - MD (BCC) SURGERY 10833 LE CONTE AVE 72-215 CHS, LOS (310) 825-9425 ANGELES, CA 90095 LEWIS, CHRISTOPHER - PT PRO P T PHYSICAL THERAPY 1150 W MORTON AVE STE B, (559) 782-1501 PORTERVILLE, CA 93257 LEWIS, GINA - PT ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 3901 WALNUT BLVD STE A2, (925) 516-1949 CENTER BRENTWOOD, CA 94513 LEWIS, GINA - PT ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 4041 LONE TREE WAY STE 106, (925) 754-6262 CENTER ANTIOCH, CA 94531 LEWIS, MARGARET - AUD ADVANCED HEARING AUDIOLOGY 14845 POMERADO RD , POWAY, CA (800) 598-5300 PROVIDERS LLC 92064 LEWIS, MICHAEL I - MD CEDAR SENAI MEDICAL PULMONARY DISEASE 127 S SAN VICENTE STE A3600, LOS (310) 248-8388 CENTER ANGELES, CA 90048 LEWIS, MICHELLE - OTA SAN DIEGO POSTACUTE OCCUPATIONAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 LEWIS, PATRICK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 LEWIS, PATRICK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 LEWIS, PATRICK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 LEWIS, PATRICK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 LEWIS, PATRICK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 LEWIS, PATRICK - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 LEWIS, SARAH - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER LEWIS, TERENCE D - MD (BCC) LOMA LINDA UNVIVERSITY GASTROENTEROLOGY 11371 ANDERSON ST FMO #3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP LEXANN PHARMACY PHARMACY 1569 LEXANN DR STE 104, SAN JOSE, (408) 528-9079 CA 95121 LEZINE-HANNA, JACQUELINE - ORTHOPEDIC SURGERY - 8555 FLORENCE AVE, DOWNEY, CA (562) 923-9351 MD (BCC) UPPER EXTREMITIES 90240 LEZINE-HANNA, JACQUELINE - ORTHOPEDICS - UPPER 8555 FLORENCE AVE, DOWNEY, CA (562) 923-9351 MD (BCC) EXTREMITIES 90240 LG PHARMACY PHARMACY 5400 HOLLYWOOD BLVD UNIT A, LOS (323) 664-6664 ANGELES, CA 90027

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 370 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LI, BING - MD (BCC) ANESTHESIOLOGY 100 S RAYMOND AVE, ALHAMBRA, CA (626) 570-1606 91801 LI, GARRICK - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 LI, GUODONG - MD (BCC) CONSERVATIVE CARE PAIN MANAGEMENT 6815 NOBLE AV E STE 105, VAN NUYS, (818) 781-6684 SPECIALTY MEDICAL GROUP CA 91405 LI, JAN J - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES REHABILITATION 90242 LI, KAIRONG - LAC ACUPUNCTURE FOR AMERICA ACUPUNCTURE 2700 N BELLFLOWER BLVD STE 116, (562) 888-3399 BEYOND LONG BEACH, CA 90815 LI, KAIRONG - LAC ACUPUNCTURE FOR AMERICA ACUPUNCTURE 3682 KATELLA AVE, LOS ALAMITOS, CA (562) 888-3399 BEYOND 90720 LI, KAIRONG - LAC ACUPUNCTURE FOR AMERICA ACUPUNCTURE 5855 E NAPLES PLZ STE 111, LONG (562) 888-3399 BEYOND BEACH, CA 90803 LI, LILY - LAC BRIGHT ACUPUNCTURE CLINIC ACUPUNCTURE 6552 BRIGHT AVE, WHITTIER, CA 90601 (562) 698-3056

LI, LINDA - LAC BETTER HEALTH ACUPUNCTURE 1961 ALAMO DR STE C, VACAVILLE, CA (707) 455-8628 ACUPUNCTURE 95687 LI, MICHAEL H - MD (BCC) ASSOCIATION OF SOUTH BAY BARIATRIC SURGERY 23451 MADISON ST STE 340, (310) 373-6864 SURGEONS TORRANCE, CA 90505 LI, MICHAEL H - MD (BCC) ASSOCIATION OF SOUTH BAY GENERAL SURGERY 23451 MADISON ST STE 340, (310) 373-6864 SURGEONS TORRANCE, CA 90505 LI, PING, PING - LAC NATURAL BALANCE HEALTH ACUPUNCTURE 963 ALAMO DR, VACAVILLE, CA 95687 (707) 646-1618 ACUPUNCTURE INC LI, WALTER - PT ALPHA DYNAMIC PHYSICAL PHYSICAL THERAPY 1004 14TH AVE STE A, DELANO, CA (661) 474-2600 THERAPY 93215 LI, YUKYIN - LAC ZOE ACUPUNCTURE HERBS ACUPUNCTURE 10990 WARNER AVE STE B, FOUNTAIN (714) 593-8881 CENTER VALLEY, CA 92708 LIANG, LORINDA, ZHAOJIA - HOLISTIC MEDICAL CLINIC ACUPUNCTURE 405 N GARFIELD AVE, MONTEREY (626) 280-4884 LAC PARK, CA 91754 LIANG, PEI, JUN - LAC ALL WELLNESS NOW ACUPUNCTURE 720 MAGNOLIA AVE STE B3, CORONA, (951) 371-8888 ACUPUNCTURE CA 92879 LIAO, ANDREW B - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER LIAO, COREY - LAC HARMONY ACUPUNCTURE ACUPUNCTURE 630 W DUARTE RD STE 204, ARCADIA, (626) 538-4740 CA 91007 LIAO, JING, YI - LAC CUPERTINO ACUPUNCTURE ACUPUNCTURE 19968 HOMESTEAD RD, CUPERTINO, (408) 216-9082 AND HERBALS CA 95014 LIAO, VIVIAN P - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR 92704 MEDICAL OFFICES LIAO, VIVIAN P - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR PHYSICIAN 92704 MEDICAL OFFICES LIAO, VIVIAN P - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL ANAHEIM, CA 92806 OFFICES LIAO, VIVIAN P - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL PHYSICIAN ANAHEIM, CA 92806 OFFICES LIAO, VIVIAN P - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER CA 92618 LIAO, VIVIAN P - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER PHYSICIAN CA 92618 LIAO, WEN, CHING - LAC NURTURE WELLNESS CENTER ACUPUNCTURE 6821 STOCKTON BLVD STE 145, (916) 393-2738 LLC SACRAMENTO, CA 95823 LIBBIT SURGICAL CENTER LIBBIT SURGICAL CENTER AMBULATORY SURGERY 16260 VENTURA BLVD, ENCINO, CA (818) 788-4292 (BCC) CENTER 91436 LIBONATI, RACHEL - PT STATE OF THE ART PHYSICAL PHYSICAL THERAPY 2492 WALNUT AVE STE 140, TUSTIN, CA (714) 544-2188 THERAPY 92780 LIBONATI, VINCENT - PT THE KINETIC CHAIN PHYSICAL PHYSICAL THERAPY 12 MAUCHLY STE A, IRVINE, CA 92618 (949) 552-9100 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 371 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LICATA, PAUL - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC PHYSICIAN LICATA, PAUL - MD (BCC) PRIMARY TREATING 16702 VALLEY VIEW AVE, LA MIRADA, (562) 920-8394 PHYSICIAN CA 90638 LICATA, PAUL - MD (BCC) PRIMARY TREATING 1717 E LINCOLN AVE, ANAHEIM, CA (562) 921-0341 PHYSICIAN 92805 LICATA, PAUL - MD (BCC) PRIMARY TREATING 5584 N PARAMOUNT BLVD STE100, (626) 960-5361 PHYSICIAN LONG BEACH, CA 90805 LICATA, PAUL - MD (BCC) PRIMARY TREATING 7052 ORANGEWOOD AVE STE 6, (714) 635-2642 PHYSICIAN GARDEN GROVE, CA 92841 LICATA, PAUL - MD (BCC) PRIMARY TREATING 754 N MOUNTAIN AVE, ONTARIO, CA (714) 903-1100 PHYSICIAN 91762 LICATA, PAUL - MD (BCC) FAMILY MEDICINE 16702 VALLEY VIEW AVE, LA MIRADA, (562) 920-8394 CA 90638 LICATA, PAUL - MD (BCC) FAMILY MEDICINE 1717 E LINCOLN AVE, ANAHEIM, CA (562) 921-0341 92805 LICATA, PAUL - MD (BCC) FAMILY MEDICINE 5584 N PARAMOUNT BLVD STE100, (626) 960-5361 LONG BEACH, CA 90805 LICATA, PAUL - MD (BCC) FAMILY MEDICINE 7052 ORANGEWOOD AVE STE 6, (714) 635-2642 GARDEN GROVE, CA 92841 LICATA, PAUL - MD (BCC) FAMILY MEDICINE 754 N MOUNTAIN AVE, ONTARIO, CA (714) 903-1100 91762 LICATA, PAUL - MD (BCC) HEALTHPOINTE MEDICAL FAMILY MEDICINE 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC LICHTENSTEIN, ERIC - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 LICHTY, KATHYRN - PT MOTI PHYSIOTHERAPY PHYSICAL THERAPY 1965 HILLHURST AVE FL 1, LOS (323) 912-9166 ANGELES, CA 90027 LIEBERMAN, CATHERINE - PT A+ WELLNESS CLINIC PHYSICAL THERAPY 22772 CENTRE DR STE 100, LAKE (949) 955-9499 FOREST, CA 92630 LIEBL, MAX E - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER LIEM, CHRISTINA F - SLP (BCC) LOMA LINDA UNIVERSITY SPEECH THERAPIST 1895 ORANGE TREE LANE STE 102, (800) 679-4642 HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY FP&S LIFE CARE PHARMACY PHARMACY 947 S ANAHEIM BLVD STE 108, (714) 533-2157 ANAHEIM, CA 92805 LIFE CHOICES TREATMENT LIFE CHOICES TREATMENT CHEMICAL DEPENDENCY 1157 E TAYLOR ST, SAN JOSE, CA (408) 971-7811 SERVICES INC (BCC) SERVICES INC REHABILITATION CENTER 95112 (OUTPATIENT) LIFEPLUS PHARMACY PHARMACY 377 SANTANA ROW STE 1145, SAN (408) 606-8900 JOSE, CA 95128 LIFESCRIPT PHARMACY PHARMACY 39039 PASEO PADRE PKWY, FREMONT, (510) 878-7562 CA 94538 LIFETIME VALUE PHARMACY PHARMACY 23080 ALESSANDRO BLVD, MORENO (951) 656-7171 VALLEY, CA 92553 LIFETIME VALUE PHARMACY PHARMACY 301 E 17TH ST, SANTA ANA, CA 92706 (714) 862-2470 LILJEGREN, PATRICIA - PT SUPERIOR REHABILITATION PHYSICAL THERAPY 1441 SUPERIOR AVE STE D, NEWPORT (949) 646-0653 CENTER INC BEACH, CA 92663 LILLIE, BRITTANY, ELIZABETH - WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 PT THERAPY INC DIEGO, CA 92109 LILLY, ALICE - AUD ADVANCED HEARING AUDIOLOGY 30250 RANCHO VIEJO RD STE A, SAN (800) 598-5300 PROVIDERS LLC JUAN CAPISTRANO, CA 92675 LIM, CHARLES K - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER LIM, CHIN - MD (BCC) ANESTHESIOLOGY 1115 S SUNSET AVE, WEST COVINA, CA (626) 962-4011 91790 LIM, CHRISTOPHER - MD (BCC) ANESTHESIOLOGY 101 E VALENCIA MESA DR, (714) 871-3280 FULLERTON, CA 92835 LIM, DANIEL, DAE - LAC CALLE MAYOR ACUPUNCTURE ACUPUNCTURE 4441 CALLE MAYOR, TORRANCE, CA (310) 378-8788 90505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 372 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LIM, DEAN W - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 1500 DUARTE RD, DUARTE, CA 91010 (626) 256-4673 FOUNDATION LIM, ERIC L - MD CONCENTRA MEDICAL INTERNAL MEDICINE 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE LIM, EUNJAE - LAC LIM ACUPUNCTURE ACUPUNCTURE 7878 CLAIREMONT MESA BLVD STE A, (310) 869-9437 SAN DIEGO, CA 92111 LIM, FRANCES - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 3700 E TACHEVAH DR STE 107, PALM (760) 459-0003 INC SPRINGS, CA 92262 LIM, FRANCES - PT UNITED THERAPY PHYSICAL THERAPY 46900 MONROE ST BLDG C STE 304, (760) 289-3010 NETWORKINC INDIO, CA 92201 LIM, GRACE - LAC AGAPE HEALTHCARE INC ACUPUNCTURE 15501 S F MSSN BLVD STE 311, (818) 403-6130 MISSION HILLS, CA 91345 LIM, JIN - LAC LIM'S ACUPUNCTURE ACUPUNCTURE 12600 HESPERIA RD STE G, (760) 241-4600 VICTORVILLE, CA 92395 LIM, JIN - LAC LIM'S ACUPUNCTURE ACUPUNCTURE 15800 MAIN ST STE 180, HESPERIA, CA (760) 241-4600 92345 LIM, JOSHUA - LAC AGAPE HEALTHCARE INC ACUPUNCTURE 15501 S F MSSN BLVD STE 311, (818) 403-6130 MISSION HILLS, CA 91345 LIM, MANIPON, GRETCHEN - PT PRECISION REHABILITATION PHYSICAL THERAPY 755 N LEMOORE AVE STE C, LEMOORE, (559) 817-5808 AND ORTHOPEDIC PHYSICAL CA 93245 THERAPY LIM, PAULINE - MD KAISER PERMANENTE LA OPHTHALMOLOGY 5 CENTERPOINTE DR , LA PALMA, CA (714) 830-6660 PALMA MEDICAL OFFICES 90623 LIM, PHILIP - PT APEX PHYSICAL THERAPY AND PHYSICAL THERAPY 1360 REYNOLDS AVE STE 118, IRVINE, (949) 797-0110 REHAB INC CA 92614 LIM, TIMOTHY - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 395-0884 MAIN ACCOUNT MARINO, CA 91108 LIM, TIMOTHY - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2701 OCEAN PARK BLVD STE 110, (310) 392-0025 SANTA MONICA, CA 90405 LIMA'S PROFESSIONAL PHARMACY 2097 HARRISON AVE, EUREKA, CA (707) 441-8500 PHARMACY 95501 LIMPISVASTI, ORR - MD (BCC) KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 LIMPISVASTI, ORR - MD (BCC) KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC PHYSICIAN ANGELES, CA 90045 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC PRIMARY TREATING 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC PHYSICIAN CA 92806 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC ELBOW CA 92806 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC KNEE CA 92806 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC SHOULDER CA 92806 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC SPORTS MEDICINE 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ELBOW ANGELES, CA 90045 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC KNEE ANGELES, CA 90045 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC SHOULDER ANGELES, CA 90045 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 LIMPISVASTI, ORR - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 373 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LIN, ABRAHAM G - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 LIN, ALEX - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 WOODLAND HILLS MEDICAL REHABILITATION FLR, WOODLAND HILLS, CA 91367 CENTER LIN, ANTHONY - MD (BCC) ANESTHESIOLOGY 225 N JACKSON AVE, SAN JOSE, CA (408) 729-2819 95116 LIN, ANTHONY - MD (BCC) ANESTHESIOLOGY 2425 SAMARITAN DR, SAN JOSE, CA (408) 559-2011 95124 LIN, BENJAMIN R - MD KAISER PERMANENTE WEST DERMATOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER ANKLE MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDICS - ANKLE 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER FOOT MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER KNEE MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER UPPER EXTREMITIES MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDICS - FOOT 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDICS - HIP 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDICS - KNEE 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, CAROL A - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDICS - UPPER 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER EXTREMITIES MARK GOODSON BLDG, LOS ANGELES, CA 90048 LIN, DAVID C - DPM KAISER PERMANENTE SAN PODIATRY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 1313 W 8TH ST STE 100, LOS ANGELES, (213) 401-1970 CENTER - LOS ANGELES - 8TH CA 90017 ST LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 6520 N IRWINDALE AVE STE 100, (626) 812-0366 CENTER - IRWINDALE IRWINDALE, CA 91702 LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT ONTARIO, CA 91764 LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 374 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 LIN, FRANK P - MD CONCENTRA MEDICAL NEUROLOGY 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND LIN, JENNIFER M - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER LIN, LAVINIA H - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER LIN, LI, LI - LAC CHINA ACUPUNCTURE ACUPUNCTURE 336 BROOKSIDE BLVD, REDLANDS, CA (909) 798-1318 92373 LIN, MICHAEL T - MD (BCC) MD SOLUTIONS DBA DERMATOLOGY 15477 VENTURA BLVD STE 100 , (661) 705-9705 ADVANCED DERMATOLOGY SHERMAN OAKS , CA 91403 AND SKIN CANCER INSTITUTE LIN, MICHAEL T - MD (BCC) MD SOLUTIONS DBA DERMATOLOGY 1801 SOLAR DR STE 150, OXNARD, CA (818) 906-6900 ADVANCED DERMATOLOGY 93030 AND SKIN CANCER INSTITUTE LIN, MICHAEL T - MD (BCC) MD SOLUTIONS DBA DERMATOLOGY 2659 TOWNSGATE RD STE 215 , (818) 906-6900 ADVANCED DERMATOLOGY WESTLAKE VILLAGE, CA 91361 AND SKIN CANCER INSTITUTE LIN, MICHAEL T - MD (BCC) MD SOLUTIONS DBA DERMATOLOGY 28049 SMYTH DR , VALENCIA, CA 91355 (818) 906-6900 ADVANCED DERMATOLOGY AND SKIN CANCER INSTITUTE LIN, MICHAEL T - MD (BCC) MD SOLUTIONS DBA DERMATOLOGY 416 N BEDFORD DR STE 100, BEVERLY (818) 906-6900 ADVANCED DERMATOLOGY HILLS , CA 90210 AND SKIN CANCER INSTITUTE LIN, STEVEN - LAC ACUPUNCTURE FOR AMERICA ACUPUNCTURE 2700 N BELLFLOWER BLVD STE 116, (562) 888-3399 BEYOND LONG BEACH, CA 90815 LIN, STEVEN - MD (BCC) ORTHOPEDICS - ELBOW 289 W HUNTINGTON DR STE 103, (626) 821-0707 ARCADIA, CA 91007 LIN, STEVEN - MD (BCC) HAND SURGERY 289 W HUNTINGTON DR STE 103, (626) 821-0707 ARCADIA, CA 91007 LIN, STEVEN - MD (BCC) ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 103, (626) 821-0707 ELBOW ARCADIA, CA 91007 LIN, STEVEN - MD (BCC) ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 103, (626) 821-0707 WRIST ARCADIA, CA 91007 LIN, STEVEN - MD (BCC) ORTHOPEDICS - HAND 289 W HUNTINGTON DR STE 103, (626) 821-0707 ARCADIA, CA 91007 LIN, STEVEN - MD (BCC) ORTHOPEDICS - WRIST 289 W HUNTINGTON DR STE 103, (626) 821-0707 ARCADIA, CA 91007 LIN, TINA - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 LIN, TZU, HENG - LAC TCM ACUPUNCTURE ACUPUNCTURE 259 SPRECKELS AVE, MANTECA, CA (209) 239-8826 WELLNESS CLINIC 95336 LIN, XINYI - LAC CHEN LIN CHIROPRACTIC AND ACUPUNCTURE 1800 TULLY RD STE D, MODESTO, CA (209) 238-9888 ACUPUNCTURE DR LIN 95350 LIN, XINYI - LAC CHEN LIN CHIROPRACTIC AND ACUPUNCTURE 345 9TH ST STE 209, OAKLAND, CA (510) 268-8898 ACUPUNCTURE DR LIN 94607 LIN, YOUNG - MD (BCC) ANESTHESIOLOGY 1601 YGNACIO VALLEY RD, WALNUT (925) 939-3000 CREEK, CA 94598 LINARES, RONALD - PT PROACTIVE WORK HEALTH PHYSICAL THERAPY 39251 10TH ST W, PALMDALE, CA 93551 (661) 274-2000 SERVICES LINCOLN HEIGHTS FAMILY LINCOLN HEIGHTS FAMILY CHEMICAL DEPENDENCY 4099 N MISSION RD, LOS ANGELES, CA (323) 221-1746 RECOVERY CENTER (BCC) RECOVERY CENTER REHABILITATION CENTER 90032 (OUTPATIENT) LINCOLN PHARMACY PHARMACY 831 STERLING PKWY STE 120, (916) 209-3618 LINCOLN, CA 95648 LINCOLN, ALAN J - PHD (BCC) PSYCHOLOGY 10065 OLD GROVE ST STE 103, SAN (619) 994-3576 DIEGO, CA 92131 LIND, ANDREW - DC MCDONALD WELLNESS CTR CHIROPRACTIC MEDICINE 36945 COOK ST STE 103, PALM (760) 565-1158 DR ANDREW S LIND DC DESERT, CA 92211

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 375 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LINDA RX PHARMACY PHARMACY 1569 LEXANN AVE STE 130, SAN JOSE, (408) 270-2828 CA 95121 LINDA VISTA PHARMACY PHARMACY 2361 ULRIC ST, SAN DIEGO, CA 92111 (858) 277-6147 LINDA VISTA PHARMACY PHARMACY 4300 ROSE DR STE D, YORBA LINDA, (714) 528-3610 CA 92886 LINDBERG, JOHN - MD (BCC) PHYSICAL MEDICINE AND 210 W SAN BERNARDINO RD, COVINA, (626) 331-7331 REHABILITATION CA 91723 LINDEBORG, DENNIS M - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER LINDEN PHARMACY PHARMACY 19047 MAIN ST, LINDEN, CA 95236 (209) 887-3397 LINDO, JUSTIN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 LING, ZHONG - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3115 JOB OCCUPATIONAL HEALTH 95210 CENTER LING, ZHONG - MD KAISER PERMANENTE ON THE PRIMARY TREATING 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3115 JOB OCCUPATIONAL HEALTH PHYSICIAN 95210 CENTER LINGAS, PETER - PT PERFORMANCE PHYSICAL PHYSICAL THERAPY 394 COMMERCIAL RD, SAN (909) 796-7700 THERAPY BERNARDINO, CA 92408 LINH'S PHARMACY PHARMACY 9500 BOLSA AVE STE N, (714) 775-0550 WESTMINSTER, CA 92683 LINH'S PHARMACY PHARMACY 9191 BOLSA AVE STE 102, (714) 892-8773 WESTMINSTER, CA 92683 LINHARES, YULIYA - MD (BCC) CEDARS-SINAI MEDICAL HEMATOLOGY AND 8700 BEVERLY BLVD, LOS ANGELES, (310) 423-1160 CENTER - SAMUEL OSCHIN ONCOLOGY CA 90048 CANCER CENTER LINNEBUR, MEGAN R - MD ASSOCIATION OF SOUTH BAY COLON AND RECTAL 23451 MADISON ST STE 340, (310) 373-6864 (BCC) SURGEONS SURGERY TORRANCE, CA 90505 LINNEMANN, GARY - MD (BCC) PRIMARY TREATING 1534 E WARNER AVE STE A, SANTA (714) 557-5599 PHYSICIAN ANA, CA 92705 LINNEMANN, GARY - MD (BCC) FAMILY MEDICINE 1534 E WARNER AVE STE A, SANTA (714) 557-5599 ANA, CA 92705 LINSON, ROBERT - PT EL DORADO PHYSICAL PHYSICAL THERAPY 4052 MOTHER LODE DR, SHINGLE (530) 677-5092 THERAPY SPRINGS, CA 95682 LINSON, ROBERT - PT EL DORADO PHYSICAL PHYSICAL THERAPY 907 EMBARCADERO DR, EL DORADO (916) 933-1221 THERAPY HILLS, CA 95762 LINZNER, ERWIN - DC ERWIN LINZNER DC CHIROPRACTIC MEDICINE 1551 PACIFIC AVE, SANTA ROSA, CA (707) 586-5555 95404 LION PHARMACY PHARMACY 2857 SENTER RD STE A, SAN JOSE, CA (408) 784-3921 95111 LIPAROTO, BLAYNE - PT ADVANTAGE PHYSICAL PHYSICAL THERAPY 4572 TELEPHONE RD STE 903, (805) 654-8127 THERAPY VENTURA, CA 93003 LIPEL, VADIM - MD CONCENTRA MEDICAL PAIN MEDICINE 1313 W 8TH ST STE 100, LOS ANGELES, (213) 401-1970 CENTER - LOS ANGELES - 8TH CA 90017 ST LIPEL, VADIM - MD CONCENTRA MEDICAL INTERVENTIONAL PAIN 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH MANAGEMENT 91311 LIPEL, VADIM - MD CONCENTRA MEDICAL INTERVENTIONAL PAIN 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO MANAGEMENT CA 90220 DOMINGUEZ LIPEL, VADIM - MD CONCENTRA MEDICAL INTERVENTIONAL PAIN 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD MANAGEMENT OXNARD, CA 93030 LIPEL, VADIM - MD CONCENTRA MEDICAL INTERVENTIONAL PAIN 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA MANAGEMENT 91355 LIPEL, VADIM - MD CONCENTRA MEDICAL INTERVENTIONAL PAIN 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS MANAGEMENT VAN NUYS, CA 91406 LIPEL, VADIM - MD PAIN MANAGEMENT 16260 VENTURA BLVD STE 309, (818) 906-7643 ENCINO, CA 91436 LIPEL, VADIM - MD CONCENTRA MEDICAL INTERVENTIONAL PAIN 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - MANAGEMENT CA 90013 GRAND

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 376 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LIPIN, EUGENE - AUD ADVANCED HEARING AUDIOLOGY 4020 W MAGNOLIA BLVD STE D, (800) 598-5300 PROVIDERS LLC BURBANK, CA 91505 LIPIN, EUGENE - AUD ADVANCED HEARING AUDIOLOGY 9153 RESEDA BLVD , NORTHRIDGE, CA (800) 598-5300 PROVIDERS LLC 91324 LIRA'S PHARMACY PHARMACY 14400 ROSCOE BLVD STE C, (818) 894-1171 PANORAMA CITY, CA 91402 LISA FAMILY PHARMACY PHARMACY 14137 LAKERIDGE CIR, MAGALIA, CA (530) 873-0460 95954 LISA FAMILY PHARMACY PHARMACY 5954 CLARK RD, PARADISE, CA 95969 (530) 762-0057 LITAO, DEANNA - PT GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 LITTLE CO OF MARY HOSP PHARMACY 4101 TORRANCE BLVD, TORRANCE, CA (310) 303-5777 PHCY 90503 LITTLE TOKYO PHARMACY PHARMACY 402 E 2ND ST, LOS ANGELES, CA 90012 (213) 680-4011 LITTLE, DALE - PT PROACTIVE SPINE SPORTS PHYSICAL THERAPY 2620 LARKSPUR LN STE T, REDDING, (530) 605-4422 PHYSICAL THERAPY DBA CA 96002 FYZICAL THERAPY BALANCE CENTERS LITTLE, HEATHER - AUD ADVANCED HEARING AUDIOLOGY 350 BON AIR RD STE 180, (800) 598-5300 PROVIDERS LLC GREENBRAE, CA 94904 LITTLE, HEATHER - AUD ADVANCED HEARING AUDIOLOGY 750 LAS GALLINAS AVE STE 202, SAN (800) 598-5300 PROVIDERS LLC RAFAEL, CA 94903 LITTLE, MILTON T - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER ANKLE MARK GOODSON BLDG, LOS ANGELES, CA 90048 LITTLE, MILTON T - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDICS - ANKLE 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER MARK GOODSON BLDG, LOS ANGELES, CA 90048 LITTLE, MILTON T - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDICS - ELBOW 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER MARK GOODSON BLDG, LOS ANGELES, CA 90048 LITTLE, MILTON T - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER ELBOW MARK GOODSON BLDG, LOS ANGELES, CA 90048 LITTLE, MILTON T - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER FOOT MARK GOODSON BLDG, LOS ANGELES, CA 90048 LITTLE, MILTON T - MD (BCC) CEDARS-SINAI ORTHOPAEDIC ORTHOPEDICS - FOOT 444 S SAN VICENTE BLVD STE 603 (310) 248-7305 CENTER MARK GOODSON BLDG, LOS ANGELES, CA 90048 LITTLE, TARA - PT AUBURN OAKS CARE CENTER PHYSICAL THERAPY 3400 BELL RD, AUBURN, CA 95603 (530) 888-6257 LITTLEFLORES, MARIAN - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 LITWINSKI, ROMAN A - MD ASSOCIATION OF SOUTH BAY VASCULAR SURGERY 23560 MADISON ST STE 110, (310) 373-6864 (BCC) SURGEONS - TORRANCE, CA 90505 VASCULAR/ENDOVASCULAR OFFICE LITZENBERGER, CHRISTA - MD KAISER PERMANENTE OPHTHALMOLOGY 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 HARBOR MACARTHUR 92704 MEDICAL OFFICES LIU, ANDY H - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER LIU, ANG - LAC CALIFORNIA PHYSICAL ACUPUNCTURE 10630 SEPULVEDA BLVD, MISSION (818) 361-3369 THERAPY CENTERS HILLS, CA 91345 LIU, ANG - LAC CALIFORNIA PHYSICAL ACUPUNCTURE 4100 TRUXTUN AVE STE 200, (661) 632-1540 THERAPY CENTERS BAKERSFIELD, CA 93309 LIU, CHARLES Y - MD (BCC) FIRST CALIFORNIA PHYSICIAN NEUROLOGICAL SURGERY 3650 E SOUTH ST STE 404, LAKEWOOD, (714) 428-6711 PARTNERS CA 90712 LIU, CHUN, LIN - LAC ADVANCED THERAPEUTIC ACUPUNCTURE 4082 WHITTIER BLVD STE 105, LOS (323) 383-0816 HEALTH CENTER ANGELES, CA 90023 LIU, EVANGELINE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 LIU, EVE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 377 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LIU, GEORGE - MD KAISER PERMANENTE GENERAL SURGERY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL OFFICES 92505 LIU, GEORGE - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL OFFICES 92505 LIU, JOEY - MD PRIMARY TREATING 620 E JANSS RD, THOUSAND OAKS, CA (805) 495-6866 PHYSICIAN 91360 LIU, JOEY - MD FAMILY MEDICINE 620 E JANSS RD, THOUSAND OAKS, CA (805) 495-6866 91360 LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - UPPER EXTREMITIES COLTON , CA 92324 EMPIRE ORTHOPEDICS LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - LOWER EXTREMITIES COLTON , CA 92324 EMPIRE ORTHOPEDICS LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - HIP 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - COLTON , CA 92324 EMPIRE ORTHOPEDICS LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY SPORTS MEDICINE 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - COLTON , CA 92324 EMPIRE ORTHOPEDICS LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY PRIMARY TREATING 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - PHYSICIAN COLTON , CA 92324 EMPIRE ORTHOPEDICS LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC UPPER EXTREMITIES LINDA , CA 92354 SURGERY FP&S LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - HIP 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY SPORTS MEDICINE 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S LIU, JOSEPH N - MD (BCC) LOMA LINDA UNIVERSITY PRIMARY TREATING 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC PHYSICIAN LINDA , CA 92354 SURGERY FP&S LIU, JUDY - OT PRN DESERT REHABILITATION OCCUPATIONAL THERAPY 1611 W MAIN ST, EL CENTRO, CA 92243 (760) 337-1144 INSTITUTE LIU, KUEI, KU - LAC TAI WELLNESS GROUP ACUPUNCTURE 221 S EUCLID AVE, PASADENA, CA (626) 466-5364 91101 LIU, LANA - OT PROACTIVE WORK HEALTH OCCUPATIONAL THERAPY 132 S BEAUDRY AVE, LOS ANGELES, (213) 977-9300 SERVICES CA 90012 LIU, PAUL C - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER LIU, SARIAH S - MD (BCC) CITY OF HOPE MEDICAL HEMATOLOGY AND 5212 TORRANCE BLVD, TORRANCE, CA (310) 750-1715 FOUNDATION ONCOLOGY 90503 LIU, STEVEN S - MD - (BCC) TRI-VALLEY ORTHOPEDIC PAIN MANAGEMENT 2180 GRANT LINE RD STE 100 , TRACY, (925) 463-6286 SPECIALISTS CA 95377 LIU, STEVEN S - MD - (BCC) TRI-VALLEY ORTHOPEDIC PAIN MANAGEMENT 4626 WILLOW RD, PLEASANTON, CA (866) 623-7600 SPECIALISTS 94588 LIU, YAN - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT ONTARIO, CA 91764 LIU, YAN - MD CONCENTRA MEDICAL PRIMARY TREATING 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT PHYSICIAN ONTARIO, CA 91764 LIU, YAN - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH 92518 LIU, YAN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 JOB ONTARIO MEDICAL OFFICES LIU, YAN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 JOB ONTARIO MEDICAL PHYSICIAN OFFICES LIU, YAN - MD CONCENTRA MEDICAL PRIMARY TREATING 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH PHYSICIAN 92518

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 378 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LIU, YAN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL LEVEL, FONTANA, CA 92335 CENTER LIU, YAN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL PHYSICIAN LEVEL, FONTANA, CA 92335 CENTER LIU, YUAN F - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 HEALTH CARE - HEAD & NECK CA 92563 SURGERY FP&S LIU, YUAN F - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S LIU, YUNBO - LAC NEWMED HEALTH CENTER ACUPUNCTURE 3925 ROSEMEAD BLVD STE 102, (626) 288-1368 ROSEMEAD, CA 91770 LIVE OAK PHARMACY PHARMACY 9970 LIVE OAK BLVD, LIVE OAK, CA (530) 695-5100 95953 LIVE WELL PHARMACY PHARMACY 15871 POMONA RINCON RD, CHINO (909) 325-2211 HILLS, CA 91709 LIVING PROOF RECOVERY LIVING PROOF RECOVERY CHEMICAL DEPENDENCY 324 W FOOTHILL BLVD, MONROVIA, CA (626) 205-2518 CENTER (BCC) CENTER REHABILITATION CENTER 91016 (OUTPATIENT) LIVOLSI, PHILIP - DC LIVOLSKI CHIROPRACTIC CHIROPRACTIC MEDICINE 926 E CYPRESS AVE STE 700, (530) 221-0253 REDDING, CA 96002 LLOYD, CHRISTOPHER - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 295 G ST, SAN DIEGO, CA 92101 (619) 238-4318 LLU FACULTY PHARMACY PHARMACY 11370 ANDERSON ST STE 1000, LOMA (909) 558-2804 LINDA, CA 92354 LLU-HIGHLAND SPRINGS PHARMACY 81 HIGHLAND SPRINGS AVE, (951) 849-3378 PHARMACY BEAUMONT, CA 92223 LLUMC OUTPATIENT PHARMACY 11234 ANDERSON ST, LOMA LINDA, CA (909) 558-4500 PHARMACY 92354 LLUMC-MERIDIAN PHARMACY PHARMACY 25875 BARTON RD STE B-108, LOMA (909) 558-3766 LINDA, CA 92354 LO, JUSTIN L - MD (BCC) PAIN CARE OF SILICON PAIN MANAGEMENT 2101 FOREST AVE STE 220A, SAN JOSE (408) 295-8628 VALLEY , CA 95128 LO, PEGGY - LAC INFLOW INC ACUPUNCTURE 612 W DUARTE RD STE 805, ARCADIA, (626) 353-8631 CA 91007 LOARCA, ANNE - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 855 N LARK ELLEN AVE STE J, WEST (626) 331-8355 INC COVINA, CA 91791 LOBO, BJORN - MD (BCC) NEUROLOGICAL SURGERY 16260 VENTURA BLVD STE 700, (661) 799-2542 ENCINO, CA 91436 LOBO, BJORN - MD (BCC) NEUROLOGICAL SURGERY 25751 MCBEAN PKWY STE 305, (661) 799-2542 VALENCIA, CA 91355 LOCKARY, DEBRA - AUD ADVANCED HEARING AUDIOLOGY 2415 HIGH SCHOOL AVE STE 300, (800) 598-5300 PROVIDERS LLC CONCORD, CA 94520 LOCKE, THERESA - PT THERESA M LOCKE PHYSICAL PHYSICAL THERAPY 571 STANISLAUS AVE STE F, ANGELS (209) 736-0956 THERAPY INC DBA PINNACLE CAMP, CA 95222 PHYSICAL THERAPY LOCKEFORD DRUG PHARMACY 14090 E HIGHWAY 88, LOCKEFORD, CA (209) 727-5527 95237 LOCKEN, SCOTT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 LOCKEN, SCOTT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 LOCKEN, SCOTT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 LOCKEN, SCOTT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 LOCKEN, SCOTT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 LOCKEN, SCOTT - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 LOCQUIAO, REYNALDO - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 10630 SEPULVEDA BLVD, MISSION (818) 361-3369 THERAPY CENTERS HILLS, CA 91345

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 379 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LOCQUIAO, REYNALDO - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 4100 TRUXTUN AVE STE 200, (661) 632-1540 THERAPY CENTERS BAKERSFIELD, CA 93309 LODI MEMORIAL PHARMACY PHARMACY 2415 W VINE ST STE 104B, LODI, CA (209) 333-3009 WEST 95242 LOEFFLER, TIFFANY - PT FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 588 N SUNRISE AVE STE 100, (916) 782-7848 ROSEVILLE, CA 95661 LOFTIS, ELIZABETH - PT REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 LOFY, BRENT - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 LOH, SAMUEL - MD (BCC) ANESTHESIOLOGY 1720 E CESAR E CHAVEZ AVE, LOS (323) 268-5000 ANGELES, CA 90033 LOIURIO, TIFFANY - OT LA MESA REHAB OCCUPATIONAL THERAPY 8380 CENTER DR STE E, LA MESA, CA (619) 466-6077 91942 LOKAN, SARA, J - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 LOMA LINDA HEALTH PHARMACY 11382 MOUNTAIN VIEW AVE, LOMA (909) 796-3780 PHARMACY LINDA, CA 92354 LOMA LINDA PHARMACY PHARMACY 25620 BARTON RD, LOMA LINDA, CA (909) 796-8308 92354 LOMA LINDA UNIV LOMA LINDA UNIV CHEMICAL DEPENDENCY 1710 BARTON RD, REDLANDS, CA 92373 (909) 558-9200 BEHAVIORAL MEDICINE BEHAVIORAL MEDICINE REHABILITATION CENTER CENTER (BCC) CENTER (OUTPATIENT) LOMA LINDA UNIV COMM PHARMACY 25455 BARTON RD STE 111A, LOMA (909) 558-6447 PHARMACY LINDA, CA 92354 LOMA LINDA UNIV MEDICAL PHARMACY 28078 BAXTER RD STE 326, MURRIETA, (951) 290-4810 CENTER CA 92563 LOMA LINDA UNIVERSITY LOMA LINDA UNIVERSITY SPECIALTY HOSPITAL - 11234 ANDERSON ST RM 1113, LOMA (909) 558-4141 CHILDRENS HOSPITAL (BCC) CHILDRENS HOSPITAL CHILDREN LINDA, CA 92354 LOMA LINDA UNIVERSITY LOMA LINDA UNIVERSITY ACUTE CARE HOSPITAL 11234 ANDERSON ST, LOMA LINDA, CA (909) 558-4000 MEDICAL CENTER (BCC) MEDICAL CENTER 92354 LOMA LINDA UNIVERSITY LOMA LINDA UNIVERSITY ACUTE CARE HOSPITAL 28062 BAXTER RD, MURRIETA, CA (951) 290-4000 MEDICAL CENTER MURRIETA MEDICAL CENTER MURRIETA 92563 (BCC) LOMA LINDA UNIVERSITY PHARMACY 250 S G ST, SAN BERNARDINO, CA (909) 771-2990 PHARMACY 92410 LOMBARDI ROSA PHARMACY PHARMACY 751 LOMBARDI CT, SANTA ROSA, CA (707) 583-8770 95407 LOMBARDO, STEPHEN - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 LOMBARDO, STEPHEN - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ELBOW ANGELES, CA 90045 LOMBARDO, STEPHEN - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC KNEE ANGELES, CA 90045 LOMBARDO, STEPHEN - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC SHOULDER ANGELES, CA 90045 LOMBARDO, STEPHEN - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 LOMBARDO, STEPHEN - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 LOMBARDO, STEPHEN J - MD KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 LOMBARDO, STEPHEN J - MD KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC PHYSICIAN ANGELES, CA 90045 LOMITA CARE PHARMACY PHARMACY 3655 LOMITA BLVD STE 102, (310) 378-4999 TORRANCE, CA 90505 LOMPOC VALLEY MEDICAL PHARMACY 1515 E OCEAN AVE, LOMPOC, CA 93436 (805) 737-3337 CENTER LOMPOC VALLEY MEDICAL LOMPOC VALLEY MEDICAL ACUTE CARE HOSPITAL 1515 E OCEAN AVE, LOMPOC, CA 93436 (805) 737-3300 CENTER (BCC) CENTER LOMPOC VALLEY MEDICAL LOMPOC VALLEY MEDICAL URGENT CARE FACILITY 1225 NORTH H ST, LOMPOC, CA 93436 (805) 737-8786 CENTER (BCC) CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 380 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LONE PINE DRUG PHARMACY 200 AND 202 N MAIN ST, LONE PINE, CA (760) 876-5569 93545 LONG BEACH MEMORIAL - PHARMACY 2801 ATLANTIC AVE, LONG BEACH, CA (562) 933-7948 OUTPATIE 90806 LONG BEACH MEMORIAL LONG BEACH MEMORIAL ACUTE CARE HOSPITAL 2801 ATLANTIC AVE, LONG BEACH, CA (562) 933-2000 MEDICAL CENTER (BCC) MEDICAL CENTER 90806 LONG, JULIE A - MD (BCC) TRI-VALLEY ORTHOPEDIC ORTHOPEDICS - SPINE 2180 GRANT LINE RD STE 100 , TRACY, (925) 463-0470 SPECIALISTS CA 95377 LONG, MARY - LAC MORALES ROBERTO P DC ACUPUNCTURE 935 E GREEN ST, PASADENA, CA 91106 (626) 796-4141 LONG, MICHAEL, RAY - LAC COASTAL ACUPUNCTURE ACUPUNCTURE 1879 PORTOLA RD STE L, VENTURA, CA (805) 644-8044 93003 LONG, SHEENA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 LONGJOHN, DONALD - MD ORTHOPEDIC SURGERY - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 ANGELES, CA 90033 LONGJOHN, DONALD - MD ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 KNEE ANGELES, CA 90033 LONGJOHN, DONALD - MD ORTHOPEDICS - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 ANGELES, CA 90033 LONGJOHN, DONALD - MD ORTHOPEDICS - KNEE 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 ANGELES, CA 90033 LONTOC, ESCOBAR, JENNIFER PACIFIC HILLS MANOR PHYSICAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 - PTA LOO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 LOO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 LOO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 LOO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 LOO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 LOO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 LOO, STEPHEN W - DO KAISER PERMANENTE ON THE INTERNAL MEDICINE 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH RAFAEL, CA 94903 CENTER LOO, STEPHEN W - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH RAFAEL, CA 94903 CENTER LOO, STEPHEN W - DO KAISER PERMANENTE ON THE PRIMARY TREATING 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH PHYSICIAN RAFAEL, CA 94903 CENTER LOOMIS PHYSICAL THERAPY PHYSICAL THERAPY 6125 KING RD STE 102, LOOMIS, CA (530) 221-9952 AND SPORTS MEDICINE 95650 LOOMIS, ELEANOR A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH 95825 CENTER LOOMIS, ELEANOR A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH PHYSICIAN 95825 CENTER LOONEYCOLTON, SHANNON - SAN LUIS PHYSICAL OCCUPATIONAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 OT THERAPYTEMPLETON MAIN CA 93465 LOPES, MICHAEL - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 LOPES, MICHAEL - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 220 S CHURCH ST, LODI, CA 95240 (209) 365-7867 INJURY CTR LOPES, MICHAEL - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 2908 E WHITMORE AVE STE E, CERES, (209) 622-4149 INJURY CTR CA 95307 LOPES, MICHAEL - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 631 S HAM LN, LODI, CA 95242 (209) 368-7433 INJURY CTR

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 381 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LOPES, SHAWNE - LAC PIVOT ACUPUNCTURE AND ACUPUNCTURE 480 REDWOOD ST STE 14, VALLEJO, CA (707) 653-0495 INTEGRATIVE HEALTH INC 94590 LOPEZ, APRIL, ANN - DC STADIUM CHIROPRACTIC CHIROPRACTIC MEDICINE 1940 W ORANGEWOOD AVE STE 101, (714) 385-9088 SPORTS MEDICINE ORANGE, CA 92868 LOPEZ, BERNARD - PT WEST STAR PHYSICAL PHYSICAL THERAPY 10116 INDIANA AVE, RIVERSIDE, CA (951) 785-9900 THERAPY 92503 LOPEZ, BERNARD - PT WEST STAR PHYSICAL PHYSICAL THERAPY 600 S GRAND AVE STE 104, SANTA (714) 827-4822 THERAPY ANA, CA 92705 LOPEZ, CHRISTIAN - PT BARROWS TRAINING PHYSICAL THERAPY 6049 N 1ST ST STE 104, FRESNO, CA (559) 438-0355 EDUCATION PHYSICAL 93710 THERAPY LOPEZ, DIANA - PT ANTELOPE VALLEY PHYSICAL PHYSICAL THERAPY 3167 RNCH VST BLVD STE D, (661) 266-9578 THERAPY PALMDALE, CA 93551 LOPEZ, FERDINAND - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 1171 RAILROAD ST, STE 101, CORONA, (951) 272-1400 GROUP INC CA 92882 LOPEZ, JR, RAMON - PT LOPEZ AND ASSOCIATES PHYSICAL THERAPY 1426 AVIATION BLVD STE 204, (310) 798-8899 PHYSICAL THERAPY REDONDO BEACH, CA 90278 LOPEZ, KENNETH T - DPM KAISER PERMANENTE SANTA PODIATRY 3925 OLD REDWOOD HIGHWAY STEIN (707) 566-5555 ROSA MEDICAL CENTER CAMPUS MOB 4, SANTA ROSA, CA 95403 LOPEZ, LUIS - DC L E LOPEZ CHIROPRACTIC INC CHIROPRACTIC MEDICINE 1721 N RIVERSIDE AVE, RIALTO, CA (909) 562-0800 92376 LOPEZ, LUIS - DC L E LOPEZ CHIROPRACTIC INC CHIROPRACTIC MEDICINE 73350 EL PASEO STE 106, PALM (760) 776-9862 DESERT, CA 92260 LOPEZ, PEDRO - MD (BCC) ANESTHESIOLOGY 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 91786 LOPEZ, VINCE - OT REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 LOREN, GREGORY - MD (BCC) ORTHOPEDIC SURGERY - 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 KNEE CA 92024 LOREN, GREGORY - MD (BCC) ORTHOPEDIC SURGERY - 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 SHOULDER CA 92024 LOREN, GREGORY - MD (BCC) ORTHOPEDICS - KNEE 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 CA 92024 LOREN, GREGORY - MD (BCC) ORTHOPEDICS - SHOULDER 332 SANTA FE DR STE 110, ENCINITAS, (760) 943-6700 CA 92024 LORENA PHARMACY PHARMACY 3400 WHITTIER BLVD, LOS ANGELES, (323) 268-3384 CA 90023 LORETO, ALFREDO - PT GREEN PHYSICAL THERAPY PHYSICAL THERAPY 23110 ATLANTIC CIR STE D, MORENO (951) 379-1500 INC VALLEY, CA 92553 LOS ALAMITOS MEDICAL LOS ALAMITOS MEDICAL ACUTE CARE HOSPITAL 3751 KATELLA AVE, LOS ALAMITOS, CA (562) 598-1311 CENTER (BCC) CENTER 90720 LOS ALAMITOS PHARMACY PHARMACY 115 N JACKSON AVE #103, SAN JOSE, (408) 259-1000 CA 95116 LOS ALAMITOS PHARMACY PHARMACY 3801 KATELLA AVE STE 120, LOS (562) 431-2505 ALAMITOS, CA 90720 LOS ANGELES AMBULATORY AMBULATORY SURGERY 266 S HARVARD BLVD STE 200, LOS (213) 387-9000 SURGERY CENTER CENTER ANGELES, CA 90004 LOS ANGELES CENTER FOR LOS ANGELES CENTER FOR CHEMICAL DEPENDENCY 470 E 3RD ST STE A, LOS ANGELES, CA (213) 626-6411 ALCOHOL AND DRUG ABUSE ALCOHOL AND DRUG ABUSE REHABILITATION CENTER 90013 (BCC) (OUTPATIENT) LOS ANGELES COMMUNITY LOS ANGELES COMMUNITY MENTAL HEALTH/PSYCHIATRIC 9542 E ARTESIA BLVD, BELLFLOWER, (562) 273-1800 HOSPITAL AT BELLFLOWER HOSPITAL AT BELLFLOWER HOSPITAL (INPATIENT) CA 90706 (BCC) LOS ANGELES HEMATOLOGY PHARMACY 1505 WILSON TER STE 200, GLENDALE, (818) 409-0121 CA 91206 LOS ANGELES ORTHOPAEDIC LOS ANGELES ORTHOPAEDIC SPECIALTY HOSPITAL - 403 W ADAMS BLVD, LOS ANGELES, CA (213) 742-1000 MEDICAL CENTER (BCC) MEDICAL CENTER SPECIAL 90007 LOS BANOS DRUG PHARMACY 601 J ST, LOS BANOS, CA 93635 (209) 826-5834 LOS COYOTES DRUG PHARMACY 10572 CALLE LEE STE 138, LOS (562) 420-1480 ALAMITOS, CA 90720 LOS OSOS PHYSICAL PHYSICAL THERAPY 2115 10TH ST STE B, LOS OSOS, CA (805) 528-3002 THERAPY 93402

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 382 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LOS OSOS REXALL DRUG PHARMACY 989 LOS OSOS VALLEY RD, LOS OSOS, (805) 528-1017 CA 93402 LOS ROBLES REGIONAL LOS ROBLES REGIONAL ACUTE CARE HOSPITAL 215 W JANSS RD, THOUSAND OAKS, CA (805) 497-2727 MEDICAL CENTER (BCC) MEDICAL CENTER 91360 LOSEY, TRAVIS E - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S LOSTRACCO, MARK - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 LOSTRACCO, MARK - PT HI DESERT PHYSICAL PHYSICAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277 LOTT, MARK - MD (BCC) COAST GASTROENTEROLOGY GASTROENTEROLOGY 502 E HARDY ST STE 430, INGLEWOOD, (310) 671-7010 MEDICAL GROUP CA 90301 LOTUS PHARMACY PHARMACY 1135 S SAN GABRIEL BLVD, SAN (626) 872-0181 GABRIEL, CA 91776 LOTUS PHARMACY PHARMACY 27994 BRADLEY RD STE H, MENIFEE, (951) 301-8868 CA 92586 LOUISE AUDET PHYSICAL PHYSICAL THERAPY 222 COALINGA PLAZA, COALINGA, CA (559) 935-9697 THERAPY 93210 LOVATO, GABRIELLE - PTA PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1041 E YORBA LINDA BLVS STE 210, (714) 617-1775 PLACENTIA, CA 92870 LOVELL, BENJAMIN - PT SAN DIEGO UPTOWN PHYSICAL THERAPY 4060 4TH AVE STE 206, SAN DIEGO, CA (619) 299-5246 PHYSICAL THERAPY 92103 LOVING HANDS PHARMACY PHARMACY 2220 N. MOORPARK RD #107, (805) 379-9907 THOUSAND OAKS, CA 91360 LOVVIT PHARMACY PHARMACY 3532 N BROADWAY, LOS ANGELES, CA (323) 987-0315 90031 LOW, ANDREA, KATHLEEN - WINDING RIVER MEDICINE ACUPUNCTURE 6000 FAIRWAY DR STE 2, ROCKLIN, CA (530) 723-5008 LAC 95677 LOW, AUSTIN, KOREY - LAC WINDING RIVER MEDICINE ACUPUNCTURE 6000 FAIRWAY DR STE 2, ROCKLIN, CA (530) 723-5008 95677 LOW, SAVINA - MD KAISER PERMANENTE OPHTHALMOLOGY 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER LOWELL, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 LOWELL, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 LOWELL, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 LOWELL, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 LOWELL, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 LOWELL, JONATHAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 LOWENBERG, GLENN - DC LOWENBERG GLENN E DR CHIROPRACTIC MEDICINE 6400 CANOGA AVE STE 333, (818) 703-8480 WOODLAND HILLS, CA 91367 LOWINGER, JANET - OT UNITED THERAPY NETWORK OCCUPATIONAL THERAPY 500 N CENTRAL AVE STE 440, (818) 549-9764 INC GLENDALE, CA 91203 LOWRY, TERRY B - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER LOYALTY PHARMACY PHARMACY 16385 W SCHENDEL AVE SUITE K, (209) 600-4417 DELHI, CA 95315 LOZANO, JOSIAH - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 LOZANO, JOSIAH - PT THERESA M LOCKE PHYSICAL PHYSICAL THERAPY 571 STANISLAUS AVE STE F, ANGELS (209) 736-0956 THERAPY INC DBA PINNACLE CAMP, CA 95222 PHYSICAL THERAPY LOZANO, REBECCA E - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 383 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LOZANO, REBECCA E - MD CONCENTRA MEDICAL PRIMARY TREATING 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN PHYSICIAN FRANCISCO, CA 94080 FRANCISCO LST GARDEN PHARMACY PHARMACY 14501 MAGNOLIA ST STE 100, (714) 890-3174 WESTMINSTER, CA 92683 LU, LOUIE, C - LAC RUYI ACUPUNCTURE ACUPUNCTURE 5546 ROSEMEAD BLVD STE 204, (626) 474-8762 ORIENTAL MEDICINE CLINIC TEMPLE CITY, CA 91780 LU, YURONG - PT 360 WELLNESS PHYSICAL PHYSICAL THERAPY 501 S VINCENT AVE STE 200, WEST (626) 727-6688 THERAPY COVINA, CA 91790 LUA, ROSA - LMT TOTAL CARE MEDICAL GROUP MASSAGE THERAPIST 1901 E TULARE AVE, TULARE, CA 93274 (559) 688-8080 INC LUCA, FABRIZIO - MD (BCC) LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S LUCAS, DELLINGER, SHELLI - LUCAS HEALTH SOLUTIONS HAND THERAPY 4907 MORENA BLVD STE 1413, SAN (858) 272-0418 CHT DIEGO, CA 92117 LUCAS, DELLINGER, SHELLI - LUCAS HEALTH SOLUTIONS OCCUPATIONAL THERAPY 4907 MORENA BLVD STE 1413, SAN (858) 272-0418 OT DIEGO, CA 92117 LUCAS, MONICA - PT SUPERIOR REHABILITATION PHYSICAL THERAPY 1441 SUPERIOR AVE STE D, NEWPORT (949) 646-0653 CENTER INC BEACH, CA 92663 LUCE, ZACHARY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 LUCERNE PHARMACY PHARMACY 6244 E HIGHWAY 20, LUCERNE, CA (707) 274-6643 95458 LUCERO, ETHEL - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 14624 SHERMAN WAY STE 201, VAN (818) 988-8410 NUYS, CA 91405 LUCERO, SHANNA - OT TWO TREES PHYSICAL OCCUPATIONAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 LUCERO, SHANNA - OT TWO TREES PHYSICAL OCCUPATIONAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 LUCIANI, JENNIFER - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 LUCIER, PETER - AUD ADVANCED HEARING AUDIOLOGY 12326 LOS OSOS VALLEY RD STE 200, (800) 598-5300 PROVIDERS LLC SAN LUIS OBISPO, CA 93405 LUCILE PACKARD CHILDRENS PHARMACY 725 WELCH RD RM 166, PALO ALTO, CA (650) 497-8289 HOSPI 94304 LUCILE PACKARD CHILDRENS LUCILE PACKARD CHILDRENS SPECIALTY HOSPITAL - 725 WELCH RD, PALO ALTO, CA 94304 (650) 497-8000 HOSPITAL (BCC) HOSPITAL CHILDREN LUCILLE S PACKARD CHILD PHARMACY 725 WELCH RD, PALO ALTO, CA 94304 (650) 497-8289 HOSP LUCKETT, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 LUCKETT, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 LUCKETT, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 LUCKETT, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 LUCKETT, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 LUCKETT, DAVID - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 LUCKY PHARMACY PHARMACY 21001 SAN RAMON VALLEY BLVD, SAN (925) 828-8670 RAMON, CA 94583 LUCKY PHARMACY PHARMACY 570 MAGNOLIA AVE, LARKSPUR, CA (415) 924-6738 94939 LUCKY PHARMACY PHARMACY 3705 EL CAMINO REAL, SANTA CLARA, (408) 249-6700 CA 95051 LUCKY PHARMACY PHARMACY 939 LAKEVILLE HWY, PETALUMA, CA (707) 762-1036 94952 LUCKY PHARMACY PHARMACY 1108 S BALDWIN AVE # 8-9, ARCADIA, (626) 445-1888 CA 91007

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 384 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LUCKY PHARMACY PHARMACY 416 W LAS TUNAS DR, SAN GABRIEL, (626) 282-2277 CA 91776 LUECK, KRISTIN L - MD KAISER PERMANENTE NEUROLOGY 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 HARBOR MACARTHUR CA 92618 MEDICAL OFFICES LUETZOW, WILLIAM F - MD KAISER PERMANENTE ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES 92111 LUGO, CARLOS - MD (BCC) ORTHOPEDIC SURGERY - 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 ANKLE COVINA, CA 91790 LUGO, CARLOS - MD (BCC) ORTHOPEDICS - ANKLE 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 COVINA, CA 91790 LUGO, CARLOS - MD (BCC) ORTHOPEDIC SURGERY - 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 FOOT COVINA, CA 91790 LUGO, CARLOS - MD (BCC) ORTHOPEDICS - FOOT 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 COVINA, CA 91790 LUGO, ROBERT A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL LEVEL, FONTANA, CA 92335 CENTER LUGO, ROBERT A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL PHYSICIAN LEVEL, FONTANA, CA 92335 CENTER LUI, PAUL D - MD (BCC) LOMA LINDA UNIVERSITY UROLOGY 11370 ANDERSON ST FMO 1100, LOMA (800) 679-4642 HEALTH CARE - UROLOGY LINDA , CA 92354 DEPARTMENT FP&S LUI, PAUL D - MD (BCC) LOMA LINDA UNIVERSITY UROLOGY 81 S HIGHLAND SPRINGS AVE STE 303, (800) 679-4642 HEALTH CARE - UROLOGY BEAUMONT, CA 92223 DEPARTMENT FP&S LUK, CARMEN - PT SAN DIEGO POSTACUTE PHYSICAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 LUKE'S YREKA DRUG PHARMACY 829 S MAIN ST, YREKA, CA 96097 (530) 842-2600 LUKE, JANIENE D - MD (BCC) LOMA LINDA UNIVERSITY DERMATOLOGY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 DERMATOLOGY DEPT LUM, SHARON SHOU J - MD LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 (BCC) HEALTH CARE - GENERAL CA 92563 SURGERY FP&S LUNA, ALISON - PT SYNERGY PHYSICAL THERAPY PHYSICAL THERAPY 7451 WARNER AVE STE A, (714) 596-0700 HUNTINGTON BEACH, CA 92647 LUNA, JUSTIN - PT PRIME THERAPY AND PAIN PHYSICAL THERAPY 3421 ARLINGTON AVE STE 105, (951) 684-2865 CENTER RIVERSIDE, CA 92506 LUND, KATHLEEN, KNOX - PTA JARRETT ORTHOPAEDIC PHYSICAL THERAPY 2651 IRVINE AVE STE 128, COSTA (949) 722-8811 REHABILITATION MESA, CA 92627 LUNDGREN, LEANNE - PT WPOHS A MEDICAL PHYSICAL THERAPY 2365 S MELROSE DR, VISTA, CA 92081 (760) 571-5910 CORPORATIONMAIN LUNDGREN, LEANNE - PT WPOHS A MEDICAL PHYSICAL THERAPY 3156 VISTA WAY STE 100, OCEANSIDE, (760) 681-5222 CORPORATION CA 92056 LUNDY, JAMES - PT HEAD 2 TOE PHYSICAL PHYSICAL THERAPY 210 N AVIATION BLVD STE B, (310) 376-9200 THERAPY MANHATTAN BEACH, CA 90266 LUNG, DAVID Y - DO CONCENTRA MEDICAL PRIMARY TREATING 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO PHYSICIAN ONTARIO, CA 91761 LUNG, DAVID Y - DO CONCENTRA MEDICAL FAMILY MEDICINE 1101 SOUTH MILLIKEN AVE STE C, (909) 390-2799 CENTER - ONTARIO ONTARIO, CA 91761 LUNGREN, MARK - DC TOTAL CARE MEDICAL GROUP CHIROPRACTIC MEDICINE 1901 E TULARE AVE, TULARE, CA 93274 (559) 688-8080 INC LUNGREN, MARK - DC TOTAL CARE MEDICAL GROUP CHIROPRACTIC MEDICINE 4678 N 1ST ST, FRESNO, CA 93726 (559) 438-8900 INC LUNSFORD, LEIF - MD (BCC) EMERGENCY MEDICINE 19346 NORDHOFF ST, NORTHRIDGE, (818) 880-2225 CA 91324 LUNSFORD, LEIF - MD (BCC) EMERGENCY MEDICINE 239 S LA CIENEGA BLVD STE 100, (626) 270-2240 BEVERLY HILLS, CA 90211 LUNSFORD, LEIF - MD (BCC) EMERGENCY MEDICINE 26777 AGOURA RD STE 4, CALABASAS, (818) 727-2040 CA 91302

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 385 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LUNSFORD, LEIF - MD (BCC) EMERGENCY MEDICINE 3160 E DEL MAR BLVD STE 110, (424) 296-3100 PASADENA, CA 91107 LUNSFORD, LEIF - MD (BCC) EMERGENCY MEDICINE 3215 N SEPULVEDA BLVD, MANHATTAN (310) 360-0960 BEACH, CA 90266 LUNSFORD, LEIF - MD (BCC) EMERGENCY MEDICINE 725 S PACIFIC COAST HWY, REDONDO (424) 295-0540 BEACH, CA 90277 LUO, DANIEL - OT SANTA MONICA HAND OCCUPATIONAL THERAPY 2001 WILSHIRE BLVD STE 310, SANTA (310) 829-3320 THERAPY INC MONICA, CA 90403 LUO, HONG - LAC EL DORADO PAIN ACUPUNCTURE 1208 SUNCAST LN STE 4, EL DORADO (530) 672-1311 MANAGEMENT HILLS, CA 95762 LUONG, ELI - MD (BCC) ANESTHESIOLOGY 13100 STUDEBAKER RD, NORWALK, CA (626) 570-9000 90650 LUONG, ELI - MD (BCC) ANESTHESIOLOGY 4060 WHITTIER BLVD, LOS ANGELES, (213) 624-8411 CA 90023 LUONG, ELI - MD (BCC) ANESTHESIOLOGY 531 W COLLEGE ST, LOS ANGELES, CA (323) 268-5514 90012 LUONG, ELI - MD (BCC) ANESTHESIOLOGY 900 S ATLANTIC BLVD, MONTEREY, CA (562) 868-3751 91754 LUONG, KYLE - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 800 S RAYMOND AVE FL 3, PASADENA, (626) 795-0800 ASSOCIATES DBA ELITE CA 91105 MOTION LUPO, DANIEL - CHT CALIFORNIA HAND PHYSICAL HAND THERAPY 2001 SOLAR DR STE 150, OXNARD, CA (805) 604-1924 THERAPY 93036 LUPO, DANIEL - CHT CALIFORNIA HAND PHYSICAL HAND THERAPY 375 ROLLING OAKS DR STE 110, (805) 494-4145 THERAPY THOUSAND OAKS, CA 91361 LUPO, DANIEL - OT CALIFORNIA HAND PHYSICAL OCCUPATIONAL THERAPY 2001 SOLAR DR STE 150, OXNARD, CA (805) 604-1924 THERAPY 93036 LUQUE, FERNANDO - DC FERNANDO LUQUE DC CHIROPRACTIC MEDICINE 622 E ALISAL ST STE 1, SALINAS, CA (831) 757-6191 93905 LURIE, EVAN - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 LURIE, EVAN - PT CALIFORNIA HAND THERAPY PHYSICAL THERAPY 8641 WILSHIRE BLVD STE 200, (310) 854-0529 BEVERLY HILLS, CA 90211 LUU, JESSIC - LAC REHABONE MEDICAL GROUP ACUPUNCTURE 13980 BLOSSOM HILL RD STE B, LOS (408) 445-8400 INC GATOS, CA 95032 LUZ, BERNADETTE - PT PHYSICAL MEDICINE PHYSICAL THERAPY 14925 BURBANK BLVD, SHERMAN (818) 905-3355 INSTITUTE OAKS, CA 91411 LY, BINH - PT HARBOR PHYSICAL THERAPY PHYSICAL THERAPY 1294 W 6TH ST STE 101, SAN PEDRO, (310) 547-1850 SPORTS MEDICINE CA 90731 LY, JOHNNY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 LY, KHEANG, CHY - DC RED HILL SPINE K LY CHIROPRACTIC MEDICINE 8977 FOOTHILL BLVD STE E, RANCHO (909) 466-5101 CHIROPRACTIC CORPORATION CUCAMONGA, CA 91730

LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 1081 N CHINA LAKE BLVD, (818) 435-1400 RIDGECREST, CA 93555 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 1120 W LA VETA AVE, ORANGE, CA (818) 200-4330 92868 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 1225 WILSHIRE BLVD, LOS ANGELES, (951) 352-5397 CA 90017 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 1245 WILSHIRE BLVD STE 205, LOS (818) 981-7111 ANGELES, CA 90017 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 1300 N VERMONT AVE, LOS ANGELES, (818) 843-5111 CA 90027 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 14662 NEWPORT AVE, TUSTIN, CA (619) 470-4321 92780 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 15107 VANOWEN ST, VAN NUYS, CA (760) 241-8000 91405 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 1600 W AVENUE J, LANCASTER, CA (760) 957-3224 93534 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 16237 VENTURA BLVD, ENCINO, CA (714) 634-4567 91436

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 386 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 16850 BEAR VALLEY RD, VICTORVILLE, (760) 446-3551 CA 92395 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 18300 ROSCOE BLVD, NORTHRIDGE, (661) 726-6050 CA 91325 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 18436 ROSCOE BLVD, NORTHRIDGE, (818) 575-8066 CA 91325 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 2 DOLE DR, WESTLAKE VILLAGE, CA (818) 995-5245 91362 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 2400 E 4TH ST, NATIONAL CITY, CA (661) 726-6050 91950 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 3291 LOMA VISTA RD, VENTURA, CA (213) 977-2121 93003 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 3828 DELMAS TERRACE, CULVER CITY, (805) 652-6075 CA 90232 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 3865 JACKSON ST, RIVERSIDE, CA (661) 949-5000 92503 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 38925 TRADE CENTER DR STE E, (213) 413-3000 PALMDALE, CA 93551 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 44105 W 15TH ST STE 100, LANCASTER, (323) 375-3950 CA 93534 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 4929 VAN NUYS BLVD, SHERMAN OAKS, (805) 933-8632 CA 91403 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 500 S VIRGIL AVE STE 102, LOS (213) 867-3270 ANGELES, CA 90020 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 501 E LOCUST ST, LONE PINE, CA 93545 (818) 885-8500 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 501 S BUENA VISTA ST, BURBANK, CA (760) 876-5501 91505 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 820 E MOUNTAIN VIEW ST, BARSTOW, (714) 619-7700 CA 92311 LYASS, OLGA - MD (BCC) NUCLEAR MEDICINE 825 N 10TH ST, SANTA PAULA, CA 93060 (310) 836-7000 LYDON, DEANNA - OT ARC PHYSICAL THERAPY OCCUPATIONAL THERAPY 1051 LAS TABLAS ROAD, TEMPLETON, (805) 434-4885 CA 93465 LYDON, DEANNA - OT BASIL R BESH MD INC OCCUPATIONAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 LYNCH, CHRISTINE - PT AMERICAN RIVER PHYSICAL THERAPY 12055 PERSIMMON TER STE 130, (530) 889-0478 REHABILITATION AUBURN, CA 95603 LYNETTE ROWE PHYSICAL PHYSICAL THERAPY 6454 PONY EXPRESS TRL STE 9, (530) 644-5225 THERAPY POLLOCK PINES, CA 95726-9630 LYNN OAKS COMPOUNDING PHARMACY 2220 LYNN RD STE 100, THOUSAND (805) 495-1015 PHARMACY OAKS, CA 91360 LYNWOOD COMMUNITY PHARMACY 3737 MARTIN LUTHER KING BLVD, (310) 438-2616 PHARMACY LYNWOOD, CA 90262 LYONS PHARMACY PHARMACY 23206 LYONS AVE STE 112, NEWHALL, (661) 777-7770 CA 91321 LYONS, JAMES P - MD KAISER PERMANENTE SAN ORTHOPEDICS 4650 PALM AVE 2ND FLOOR, SAN (833) 242-8500 DIEGO MEDICAL CENTER DIEGO, CA 92154 M AND M PHYSICAL THERAPY PHYSICAL THERAPY 800 CORPORATE DR STE 190, LADERA (949) 218-0790 RANCH, CA 92694-2162 M AND S PHARMACY PHARMACY 4561 S CENTINELA AVE, LOS ANGELES, (310) 822-6354 CA 90066 M U V PHYSICAL THERAPY INC PHYSICAL THERAPY 5650 EL CAMINO REAL STE 120, (760) 919-2688 CARLSBAD, CA 92008-7126 MAASUMI, KASRA - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S MABE, RONALD - DC ATKINSON DAVID L DC CHIROPRACTIC MEDICINE 2881 GEER RD STE B, TURLOCK, CA (209) 668-1051 95382 MACASAET, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD MACASAET, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 387 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MACASAET, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY MACASAET, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS MACASAET, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT MACDONALD, CHRISTIE - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 MACHADO, MELISSA - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 MACHIMURA, NAOMI - LAC NAOMI MACHIMURA LAC ACUPUNCTURE 4482 BARRANCA PKWY STE 248, (714) 865-7504 IRVINE, CA 92604 MACK, THOMAS - PT BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 689-5025 THERAPY MACKAY, COLIN - DC SOLEIMANI CHIROPRACTIC MEDICINE 9040 FRIARS RD STE 401, SAN DIEGO, (619) 280-0201 CHIROPRACTICMAIN CA 92108 MACKEY, KRISTEN - DO RELIANT URGENT CARE PRIMARY TREATING 2300 W BEVERLY BLVD, MONTEBELLO, (626) 646-5238 PHYSICIAN CA 90640 MACKEY, KRISTEN - DO RELIANT URGENT CARE FAMILY MEDICINE 2300 W BEVERLY BLVD, MONTEBELLO, (626) 646-5238 CA 90640 MACKEY, STEPHANIE - AUD ADVANCED HEARING AUDIOLOGY 1240 S WESTLAKE BLVD #113, (800) 598-5300 PROVIDERS LLC WESTLAKE VILLAGE , CA 91361 MACLACHLAN, CHAD E - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER MACLACHLAN, CHAD E - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 MACLEAN, KIMBERLY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 MACLEAN, KIMBERLY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 MACLEAN, KIMBERLY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 MACLEAN, KIMBERLY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 MACLEAN, KIMBERLY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 MACLEAN, KIMBERLY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 MACY, JONATHAN- MD MACY EYE CENTER OPHTHALMOLOGY 8635 W 3RD ST STE 360W, LOS (310) 657-2777 ANGELES, CA 90048 MACYSZYN, LUKE - MD (BCC) UCLA SPINE CENTER NEUROLOGICAL SURGERY 1131 WILSHIRE BLVD STE 100, SANTA (310) 794-9833 MONICA , CA 90401 MACYSZYN, LUKE - MD (BCC) UCLA SPINE CENTER SPINE SURGERY 1131 WILSHIRE BLVD STE 100, SANTA (310) 794-9833 MONICA , CA 90401 MAD RIVER COMMUNITY MAD RIVER COMMUNITY ACUTE CARE HOSPITAL 3800 JANES RD, ARCATA, CA 95521 (707) 822-3621 HOSPITAL (BCC) HOSPITAL MADANI, MICHAEL - MD UCSD - LA JOLLA JACOBS THORACIC AND CARDIAC 9300 CAMPUS POINT DR, LA JOLLA , CA (858) 657-7777 MEDICAL CENTER (BCC) SURGERY 92037 MADDOX, SHERYL - AUD ADVANCED HEARING AUDIOLOGY 4206 WOODRUFF AVE, LAKEWOOD, CA (800) 598-5300 PROVIDERS LLC 90713 MADDOX, TENAY - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 MADE TO MOVE PHYSICAL PHYSICAL THERAPY 615 N NASH ST STE 306, EL SEGUNDO, (310) 535-0008 THERAPY INC. CA 90245-2850 MADERA COMMUNITY MADERA COMMUNITY ACUTE CARE HOSPITAL 1250 E ALMOND AVE, MADERA, CA (559) 675-5555 HOSPITAL (BCC) HOSPITAL 93637 MADERA MEDICAL PHARMACY PHARMACY 402 S MADERA AVE STE A, MADERA, CA (559) 674-8553 93637 MADERA MEDICAL PHARMACY PHARMACY 402 S MADERA AVE STE A, MADERA, CA (559) 674-8553 93637

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 388 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MADISON AVENUE PHYSICAL PHYSICAL THERAPY 5411 MADISON AVE STE 1, (916) 332-6050 THERAPY SACRAMENTO, CA 95841-3151 MADISON HOME PHARMACY PHARMACY 1811 W KATELLA AVE STE 229, (714) 772-2453 ANAHEIM, CA 92804 MADISON VILLAGE PHARMACY PHARMACY 6716 MADISON AVE STE 11, FAIR OAKS, (916) 903-7949 CA 95628 MADORIN, CATHERINE A - MD ASSOCIATION OF SOUTH BAY GENERAL SURGERY 23451 MADISON ST STE 340, (310) 373-6864 (BCC) SURGEONS TORRANCE, CA 90505 MADRIAGA, ALMIN - DC SANTA ANA HEALTH GROUP CHIROPRACTIC MEDICINE 1206 E 17TH ST STE 205, SANTA ANA, (714) 835-3500 MEDICAL ASSOCIATES CA 92701 MADRID, RACHEL, NAZARENO - RACHEL MADRID DBA PHYSICAL THERAPY 910 CAMINO DEL MAR STE G, DEL MAR, (858) 792-1124 PT ZENERGY PHYSICAL THERAPY CA 92014 MADUKE, MUCHANETA - OT REHABILITATION STRATEGIES OCCUPATIONAL THERAPY 5360 JACKSON DR STE 110, LA MESA, (619) 667-7000 INC CA 91942 MAEDA, ATSUKI - LAC ACUPUNCTURE ASSOCIATES ACUPUNCTURE 3248 SEPULVEDA BLVD, TORRANCE, (310) 325-2280 CA 90505 MAGALLENES, MARLOWE B - CONCENTRA MEDICAL INTERNAL MEDICINE 1901 MONTEREY RD STE10, SAN JOSE, (408) 477-8080 MD CENTER - SAN JOSE CA 95112 STAUFFER MAGHEN, HOUSHMAND D - MD KAISER PERMANENTE WEST ORTHOPEDICS 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER MAGHSOUDY, FARZANEH - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 MAGHSOUDY, FARZANEH - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN MAGNANI, SAMANTHA - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 MAGNANI, SAMANTHA - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 MAGNO, PATRICK - PT PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 MAGO, AKANKSHA - PT OPTIMAL REHAB ABILITIES INC PHYSICAL THERAPY 7405 N CEDAR AVE STE 103, FRESNO, (559) 261-4100 CA 93720 MAGTOTO, MYLO - DC HEALING HANDS CHIROPRACTIC MEDICINE 494 HAWTHORNE AVE, OAKLAND, CA (510) 654-8547 CHIROPRACTIC DBA OAKBAY 94609 CHIROPRACTIC MAH, ARIANA - PT MOBILITY PHYSICAL THERAPY PHYSICAL THERAPY 3002 DOW AVE STE 318, TUSTIN, CA (714) 389-9306 INC 92780 MAH, ROGER - MD (BCC) ANESTHESIOLOGY 1301 20TH ST, SANTA MONICA, CA (626) 795-6596 90404 MAH, ROGER - MD (BCC) ANESTHESIOLOGY 1328 22ND ST, SANTA MONICA, CA (626) 795-6596 90404 MAH, ROGER - MD (BCC) ANESTHESIOLOGY 2121 WILSHIRE BLVD STE 201, SANTA (310) 576-7267 MONICA, CA 90403 MAHAFFEY, COURTNEY - PT SAN LUIS PHYSICAL THERAPY PHYSICAL THERAPY 1414 PARK ST, PASO ROBLES, CA (805) 226-0975 PASO ROBLES 93446 MAHAFFEY, COURTNEY, K - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 MAHAN, ALICIA - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 MAHBOUBIAN, SHAHAB - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA SHOULDER 90248 MAHBOUBIAN, SHAHAB - DO CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA 90248 MAHER, ASHLEY, CATHERINE - WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 PT THERAPY INC DIEGO, CA 92109 MAHER, W J KEVIN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 901 NEVIN AVE BLDG B 1ST FLR, (510) 307-1560 JOB OCCUPATIONAL HEALTH RICHMOND, CA 94801 CENTER MAHER, W J KEVIN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 901 NEVIN AVE BLDG B 1ST FLR, (510) 307-1560 JOB OCCUPATIONAL HEALTH PHYSICIAN RICHMOND, CA 94801 CENTER MAHGEREF, OMID - DC UNIVERSAL PAIN CHIROPRACTIC MEDICINE 28212 KELLY JOHNSON PKWY STE 155, (661) 367-9788 MANAGEMENT VALENCIA, CA 91355

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 389 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MAHGEREFTH, OMID - DC UNIVERSAL PAIN CHIROPRACTIC MEDICINE 16179 SISKIYOU RD, APPLE VALLEY, CA (760) 241-0350 MANAGEMENT 92307 MAHMOUDI, MONICA - DC LEE AND MAHMOUDI DC CHIROPRACTIC MEDICINE 29050 S WESTERN AVE STE 153, (310) 519-8877 RANCHO PALOS VERDES, CA 90275 MAHON, JOSEPH - PT MK PHYSICAL THERAPY MAIN PHYSICAL THERAPY 4411 30 TH ST, SAN DIEGO, CA 92116 (877) 827-8246 MAHON, JOSEPH - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 6699 ALVARADO RD STE 2101, SAN (619) 229-3909 FAMILY HEALTH CENTER DIEGO, CA 92120 MAHON, JOSEPH - PT MK PHYSICAL THERAPY PHYSICAL THERAPY 7924 RONSON RD STE J, SAN DIEGO, (877) 827-8246 CA 92111 MAHTAB, TANVIR - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES MAHTAB, TANVIR - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL PHYSICIAN FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES MAHTAB, TANVIR - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL ROOM 106, MORENO VALLEY, CA 92553 OFFICES MAHTAB, TANVIR - MD KAISER PERMANENTE ON THE PRIMARY TREATING 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL PHYSICIAN ROOM 106, MORENO VALLEY, CA 92553 OFFICES MAHTAB, TANVIR - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL 205, WILDOMAR, CA 92563 OFFICES MAHTAB, TANVIR - MD KAISER PERMANENTE ON THE PRIMARY TREATING 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL PHYSICIAN 205, WILDOMAR, CA 92563 OFFICES MAI, BRYAN - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 121 BERNAL RD STE 30, SAN JOSE, CA (408) 227-2141 PHYSICAL THERAPY 95119 MAI, BRYAN - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 4205 SAN FELIPE RD STE 100, SAN (408) 238-1552 PHYSICAL THERAPY JOSE, CA 95135 MAICO PHARMACY PHARMACY 10161 BOLSA AVE STE 105B, (714) 531-7000 WESTMINSTER, CA 92683 MAILAN HERITAGE PHARMACY PHARMACY 14441 BEACH BLVD STE 108, (714) 899-4960 WESTMINSTER, CA 92683 MAIN PHARMACY PHARMACY 103 N GARFIELD AVE STE D, (626) 576-0890 ALHAMBRA, CA 91801 MAIN STREET PHARMACY PHARMACY 823 S MAIN ST STE 102, CORONA, CA (951) 279-3125 92882 MAIN, DAVID - DC MAIN CHIROPRACTIC INC CHIROPRACTIC MEDICINE 1118 N AVALON BLVD STE 2, (310) 522-5811 WILMINGTON, CA 90744 MAJESTIC PHARMACY PHARMACY 7283 ENGINEER RD STE D, SAN DIEGO, (619) 280-1254 CA 92111 MAJITHIA, RISHI U - MD CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA MAJITHIA, RISHI U - MD CONCENTRA MEDICAL FAMILY MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA MAJZEL, MACIEJ - DC MACIEJ MAJZEL DC CHIROPRACTIC MEDICINE 12660 RIVERSIDE DR STE 205, VALLEY (323) 934-0423 CHIROPRACTIC CORP VILLAGE, CA 91607 MAJZEL, MACIEJ - DC MACIEJ MAJZEL DC CHIROPRACTIC MEDICINE 6200 WILSHIRE BLVD STE 910, LOS (323) 933-3434 CHIROPRACTIC CORP ANGELES, CA 90048 MAKEN, KAUR K - MD (BCC) LOMA LINDA UNIVERSITY PULMONARY DISEASE 11370 ANDERSON ST FMO 3300, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP MAKI, EMILY - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 14103 WINCHESTER BLVD STE F, LOS (408) 868-5577 THERAPY LOS GATOS GATOS, CA 95032 MAKKI, ALI - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 390 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MAKUCH, BONITA - LAC BONITA MAKUCH LAC ACUPUNCTURE 1346 FOOTHILL BLVD STE 104, LA (323) 333-3258 CANADA FLINTRIDGE, CA 91011 MALAN, JOHN - AUD ADVANCED HEARING AUDIOLOGY 1717 SIMI TOWN CENTER WAY, SIMI (800) 598-5300 PROVIDERS LLC VALLEY, CA 93065 MALAN, TRACY - PT CHAPARRAL PHYSICAL PHYSICAL THERAPY 15555 MAIN ST STE A15, HESPERIA, CA (760) 244-4288 THERAPY 92345 MALAN, TRACY - PT CHAPARRAL PHYSICAL PHYSICAL THERAPY 525 MELISSA AVE STE B, BARSTOW, CA (760) 256-1888 THERAPY 92311 MALEK, SARGON - DC MALEK CHIROPRACTIC CHIROPRACTIC MEDICINE 203 S GOLDEN STATE BLVD STE A, (209) 664-1200 TURLOCK, CA 95380 MALEKSALEHI, LEADA - PT ACTIVE CARE PHYSICAL PHYSICAL THERAPY 3019 GEARY BLVD, SAN FRANCISCO, (415) 387-6564 THERAPY CA 94118 MALETIS, GREGORY B - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER MALHOTRA, KAMINI - MD BIO-PATH MEDICAL GROUP PATHOLOGY 17150 NEWHOPE ST SUITE 117, (714) 433-1330 FOUNTAIN VALLEY, CA 92708 MALICKI, AMANDA - OT SAN DIEGO POSTACUTE OCCUPATIONAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 MALICKI, JAMES - OT SAN DIEGO POSTACUTE OCCUPATIONAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 MALIMBAN, JEROME - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 3130 BONITA RD STE 100, CHULA (619) 422-5315 VISTA, CA 91910 MALLA, SABITA - MD INTERNAL MEDICINE 25775 MCBEAN PKWY STE 107, (661) 799-7007 VALENCIA, CA 91355 MALLAVARAM, NAVIN A - MD CONCENTRA MEDICAL PAIN MEDICINE 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY CITY, CA 94587 MALLAVARAM, NAVIN A - MD CONCENTRA MEDICAL PAIN MEDICINE 1981 N BROADWAY STE 190, WALNUT (925) 932-7715 CENTER - WALNUT CREEK CREEK, CA 94596 MALONE, CHRISTINA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 MALONE, CHRISTINA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 3418 LOMA VISTA RD STE A, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 MALONE, CHRISTINA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 MALYGIN, ILLONA - LMT MANI SPORT CHIROPRACTIC MASSAGE THERAPIST 22110 ROSCOE BLVD 304, WEST HILLS, (818) 703-1511 INC CA 91304 MALYGIN, ILONA - LMT MANI SPORT CHIROPRACTIC MASSAGE THERAPIST 14423 HAMLIN ST, VAN NUYS, CA 91401 (818) 703-1511 INC MAMDANI, NIRAV M - MD (BCC) FACULTY PHYSICIANS AND CARDIOVASCULAR DISEASE 11234 ANDERSON ST STE 2426, LOMA (800) 679-4642 SURGEONS OF LLUSM (CARDIOLOGY) LINDA , CA 92354 MAMDANI, NIRAV M - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE MAMMOTH HOSPITAL (BCC) MAMMOTH HOSPITAL ACUTE CARE HOSPITAL 85 SIERRA PARK RD, MAMMOTH (760) 934-3311 LAKES, CA 93546 MANALE, ESTEBAN - OT DYNAMIX REHABILITATION OCCUPATIONAL THERAPY 17042 BELLFLOWER BLVD, (562) 991-1324 BELLFLOWER, CA 90706 MANALE, ESTEBAN, STEPHEN - DYNAMIX REHABILITATION OCCUPATIONAL THERAPY 7320 FIRESTONE BLVD STE 105, (323) 793-6931 OT DOWNEY, CA 90241 MANALO, JOALYN - PTA CALIFORNIA HAND PHYSICAL PHYSICAL THERAPY 2001 SOLAR DR STE 150, OXNARD, CA (805) 604-1924 THERAPY 93036 MANALO, LADY EINETTE - PT HEALTHPOINTE MEDICAL PHYSICAL THERAPY 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 (BCC) GROUP INC 92805 MANCHESTER PROFESSIONAL PHARMACY 600 W MANCHESTER AVE, LOS (323) 750-3523 PHCY ANGELES, CA 90044 MANCHESTER, WILLIAM - PT MARINA PHYSICAL THERAPY PHYSICAL THERAPY 292 RESERVATION RD, MARINA, CA (831) 883-8542 93933 MANCHEVA, MARGARITA - PT FORWARD MOTION PHYSICAL PHYSICAL THERAPY 7345 MEDICAL CTR STE 200, WEST 7479006362Lin THERAPY HILLS, CA 91307 e1

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 391 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MANDAPATI, RAVI - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE MANDEL, WILLIAM - MD CARDIOVASCULAR DISEASE 414 N CAMDEN DR #1100, BEVERLY (310) 278-3400 (CARDIOLOGY) HILLS, CA 90210 MANDELBAUM, BERT R - MD CEDARS SINAI KERLAN-JOBE ORTHOPEDIC SURGERY - 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 (BCC) CLINIC SHOULDER LOS ANGELES, CA 90404 MANDELBAUM, BERT R - MD CEDARS SINAI KERLAN-JOBE ORTHOPEDIC SURGERY - 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 (BCC) CLINIC ELBOW LOS ANGELES, CA 90404 MANDELBAUM, BERT R - MD CEDARS SINAI KERLAN-JOBE ORTHOPEDIC SURGERY - 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 (BCC) CLINIC KNEE LOS ANGELES, CA 90404 MANDELBAUM, BERT R - MD CEDARS SINAI KERLAN-JOBE ORTHOPEDICS - SHOULDER 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 (BCC) CLINIC LOS ANGELES, CA 90404 MANDELBAUM, BERT R - MD CEDARS SINAI KERLAN-JOBE ORTHOPEDICS - ELBOW 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 (BCC) CLINIC LOS ANGELES, CA 90404 MANDELBAUM, BERT R - MD CEDARS SINAI KERLAN-JOBE ORTHOPEDICS - KNEE 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 (BCC) CLINIC LOS ANGELES, CA 90404 MANDELL, MELODY - PT LAGUNA PHYSICAL THERAPY PHYSICAL THERAPY 9563 LAGUNA SPRINGS DR, ELK (916) 691-9822 HAND REHABILITATION GROVE, CA 95758 MANDILAWI, SADIQ H - MD LAVERNE MEDICAL GROUP & ENDOCRINOLOGY, DIABETES 1234 FOOTHILL BLVD , LAVERNE, CA (909) 596-4879 (BCC) URGENT CARE AND METABOLISM 91750 MANECKE, KRISTEN - OT GIRARD ORTHOPAEDIC OCCUPATIONAL THERAPY 9333 GENESEE AVE 350B, SAN DIEGO, (858) 455-8584 SURGEONS CA 92121 MANFREDI, KATHERINE - DC LIGHTHOUSE WELLNESS CHIROPRACTIC MEDICINE 755 SUNRISE AVE STE 115, ROSEVILLE, (916) 786-6055 CENTER DR MANFREDI DC CA 95661 MANGAN PHYSICAL THERAPY PHYSICAL THERAPY 29377 RANCHO CALIFORNIA RD STE (951) 296-0400 100, TEMECULA, CA 92591-5206 MANGAN, DANIEL - PT MANGAN PHYSICAL THERAPY PHYSICAL THERAPY 29377 RANCHO CALIFORNIA RD STE (951) 296-0400 100, TEMECULA, CA 92591 MANGANIELLO, ANDREA - PT MOTION MATTERS PT PHYSICAL THERAPY 1132 ACADEMY AVE STE 101, SANGER, (559) 876-1191 CA 93657 MANGAT, AMARJIT S - MD CONCENTRA MEDICAL PRIMARY TREATING 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN PHYSICIAN 93706 MANGAT, AMARJIT S - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2555 SOUTH EAST AVE , FRESNO, CA (559) 499-2400 CENTER - FRESNO JENSEN 93706 MANGROVE PHYSICAL PHYSICAL THERAPY 1044 MANGROVE AVE, CHICO, CA 95926 (530) 892-2966 THERAPY MANGUNE, UNNA - PT GATEWAY THERAPY CENTER PHYSICAL THERAPY 15725 POMERADO RD STE 115, POWAY, (858) 675-7766 CA 92064 MANIFEST RECOVERY MANIFEST RECOVERY CHEMICAL DEPENDENCY 22209 DOLOROSA ST, WOODLAND (818) 963-9319 CENTERS (BCC) CENTERS REHABILITATION CENTER HILLS, CA 91367 (OUTPATIENT) MANIFEST RECOVERY MANIFEST RECOVERY CHEMICAL DEPENDENCY 18663 VENTURA BLVD STE 300, (800) 376-8402 CENTERS (BCC) CENTERS REHABILITATION CENTER TARZANA, CA 91356 (OUTPATIENT) MANN, NEEL K - MD (BCC) LOMA LINDA UNVIVERSITY GASTROENTEROLOGY 11372 ANDERSON ST FMO #3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP MANNA PHARMACY PHARMACY 10402 WESTMINSTER AVE STE 102, (714) 534-4133 GARDEN GROVE, CA 92843 MANNINA, AMY - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 MANNING PHARMACY PHARMACY 1724 NOGALES ST, ROWLAND (626) 810-8211 HEIGHTS, CA 91748 MANNOIA, KRISTYN A - MD LOMA LINDA UNIVERSITY VASCULAR SURGERY 11234 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - VASCULAR LINDA , CA 92354 SURGERY MANOHARAN, SANGARAPILLA - KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 MD JOB DOWNEY MEDICAL DOWNEY, CA 90242 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 392 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MANOHARAN, SANGARAPILLA - KAISER PERMANENTE ON THE PRIMARY TREATING 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 MD JOB DOWNEY MEDICAL PHYSICIAN DOWNEY, CA 90242 CENTER MANOOGIAN, CARY M - MD CONCENTRA MEDICAL INTERNAL MEDICINE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 MANOR DRUG PHARMACY 5795 N 1ST ST, FRESNO, CA 93710 (559) 431-4142 MANORCARE HEALTH MANORCARE HEALTH SKILLED NURSING FACILITY 11680 WARNER AVE , FOUNTAIN (714) 241-9800 SERVICES - FOUNTAIN VALLEY SERVICES - FOUNTAIN VALLEY VALLEY , CA 92708 (BCC) MANRIQUE, JULIAN - PT HANDS ON PHYSICAL PHYSICAL THERAPY 30212 TOMAS STE 120, RANCHO SANTA (949) 709-8770 THERAPY MARGARITA, CA 92688 MANSELL, SARAH A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 901 NEVIN AVE BLDG B 1ST FLR, (510) 307-1560 JOB OCCUPATIONAL HEALTH RICHMOND, CA 94801 CENTER MANSELL, SARAH A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 901 NEVIN AVE BLDG B 1ST FLR, (510) 307-1560 JOB OCCUPATIONAL HEALTH PHYSICIAN RICHMOND, CA 94801 CENTER MANSOOR, AL, AMERI - PT BROCKTON PHYSICAL PHYSICAL THERAPY 3908 10TH ST, RIVERSIDE, CA 92501 (951) 274-7744 THERAPY MANSOUR, ALBERT - DC MANSOUR CHIROPRACTIC INC CHIROPRACTIC MEDICINE 14740 PIPELINE AVE STE A, CHINO (909) 393-4545 HILLS, CA 91709 MANSOUR, JOHNNY - DC PROACTIVE WORK HEALTH CHIROPRACTIC MEDICINE 502 S GAREY AVE, POMONA, CA 91766 (909) 390-3400 SERVICES MANSOUR, JONATHON - DO ANESTHESIOLOGY 263 W OLIVE AVE STE 213, BURBANK, (818) 929-8130 (BCC) CA 91502 MANSOURI, MARYAM - LAC MARYAM ACUPUNCTURE 4000 BARRANCA PKWY STE 250, (949) 302-5921 MANSOURIACUPUNCTURE IRVINE, CA 92604 MANSURIPUR, PETER K - MD KAISER PERMANENTE ORTHOPEDICS 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER MANSURY, AHMAD M - MD RIVERSIDE MEDICAL CLINIC - OPHTHALMOLOGY 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 (BCC) TEMESCAL VALLEY 92883 MANTECA PHYSICAL THERAPY PHYSICAL THERAPY 1041 N MAIN ST STE A, MANTECA, CA (209) 239-4325 95336-3988 MANTEY, DEREK - PTA FULL MOTION PHYSICAL PHYSICAL THERAPY 31461 RANCHO VIEJO RD, SAN JUAN (949) 542-5000 THERAPY CAPISTRANO, CA 92675 MANUAL ORTHOPEDIC PHYSICAL THERAPY 885 CANARIOS CT STE 110, CHULA (619) 656-5102 PHYSICAL THERAPY INC. VISTA, CA 91910-7877 MANUAL ORTHOPEDIC PHYSICAL THERAPY 955 LANE AVE STE 201, CHULA VISTA, (619) 421-9521 PHYSICAL THERAPY INC. CA 91914-4525 MANVELYAN, KAROLINA - DC THE PHYSICAL THERAPY CHIROPRACTIC MEDICINE 124 N LA BREA AVE, LOS ANGELES, CA (818) 623-3100 ACUPUNCTURE REHAB 90036 CENTER MANVELYAN, KAROLINA - DC THE PHYSICAL THERAPY CHIROPRACTIC MEDICINE 13746 VICTORY BLVD STE 106, VAN (818) 623-8100 ACUPUNCTURE REHAB NUYS, CA 91401 CENTER MANVELYAN, KAROLINA - DC THE PHYSICAL THERAPY CHIROPRACTIC MEDICINE 6344 LAUREL CANYON BLVD, NORTH (818) 623-8100 ACUPUNCTURE REHAB HOLLYWOOD, CA 91606 CENTER MANZI, JUDITH A - DPM KAISER PERMANENTE SANTA PODIATRY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 140 1ST FLR, SANTA CLARA, CA 95051 MAO, CHICHEN - MD KAISER PERMANENTE SO SAN NEUROLOGY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 1 DANIEL BURNHAM CT STE 365C, SAN (925) 697-9806 MANAGEMENT FRANCISCO, CA 94109 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 1125 MISSOURI ST STE 203, FAIRFIELD, (925) 691-9806 MANAGEMENT CA 94533 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 1144 SONOMA AVE STE 105, SANTA (925) 691-9806 MANAGEMENT ROSA, CA 95405 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 1500 SOUTHGATE AVE STE 202, DALY (925) 691-9806 MANAGEMENT CITY, CA 94015 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 170 SANTA CLARA AVE STE 01, (925) 691-9806 MANAGEMENT OAKLAND, CA 94610

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 393 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 2923 WEBSTER ST STE 202, OAKLAND, (925) 691-9806 MANAGEMENT CA 94609 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 450 N WIGET LN, WALNUT CREEK, CA (925) 691-9806 MANAGEMENT MAIN 94598 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 4530 BALFOUR RD STE E, (925) 691-9806 MANAGEMENT BRENTWOOD, CA 94513 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 5401 NORRIS CANYON RD STE 102, (925) 691-9806 MANAGEMENT SAN RAMON, CA 94583 MAOZ, IRIS - PT INTEGRATED PAIN PHYSICAL THERAPY 999 N TUSTIN AVE STE 201, SANTA (925) 691-9806 MANAGEMENT ANA, CA 92705 MAPP, STEPHANIE - PTA BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 MAPP, STEPHANIE - PTA BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 MAR, NICOLE - PT SPORTS AND SPINE PHYSICAL THERAPY 23456 HAWTHORNE BLVD STE 205, (424) 201-0542 ORTHOPAEDICS TORRANCE, CA 90505 MAR, NICOLE - PT SPORTS AND SPINE PHYSICAL THERAPY 2361 ROSEGRANS AVENUE SUITE 165, (310) 626-4806 ORTHOPAEDICS EL SEGUNDO, ca 90245 MARANO, LAURA - PT SCOR SAN CLEMENTE PHYSICAL THERAPY 653 CAMINO DE LOS MARES STE 110, (949) 496-0122 ORTHOPAEDIC SAN CLEMENTE, CA 92673 REHABILITATION PHYSICAL THERAPY MARAT DINER PHYSICAL PHYSICAL THERAPY 2299 POST ST STE LL8, SAN (415) 929-7677 THERAPY FRANCISCO, CA 94115-3472 MARAT DINER PHYSICAL PHYSICAL THERAPY 2480 MISSION ST STE 217, SAN (415) 282-3700 THERAPY FRANCISCO, CA 94110-2485 MARBELLA PHARMACY PHARMACY 31103 RANCHO VIEJO RD, SAN JUAN (949) 388-2364 CAPISTRANO, CA 92675 MARCH LANE MEDICAL PHARMACY 89 W MARCH LN STE 2, STOCKTON, CA (209) 870-2760 PHARMACY 95207 MARCINKOWSKI, ALISON - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 MARCO'S FARMACIA PHARMACY 4762 WHITTIER BLVD, LOS ANGELES, (323) 269-7958 CA 90022 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 1171 RAILROAD ST, CORONA, CA 92882 (951) 699-5282 GROUP MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 2226 MEDICAL CENTER DR STE 102, (909) 264-2500 GROUP PERRIS, CA 92571 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 27455 TIERRA ALTA WAY STE A, (951) 272-1400 GROUP TEMECULA, CA 92590 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 290 N 10TH ST STE 100, COLTON, CA (951) 657-1400 GROUP 92324 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1171 RAILROAD ST, CORONA, CA 92882 (951) 699-5282 GROUP LOWER EXTREMITIES MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 2226 MEDICAL CENTER DR STE 102, (909) 264-2500 GROUP LOWER EXTREMITIES PERRIS, CA 92571 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 27455 TIERRA ALTA WAY STE A, (951) 272-1400 GROUP LOWER EXTREMITIES TEMECULA, CA 92590 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST STE 100, COLTON, CA (951) 657-1400 GROUP LOWER EXTREMITIES 92324 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1171 RAILROAD ST, CORONA, CA 92882 (951) 699-5282 GROUP UPPER EXTREMITIES MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 2226 MEDICAL CENTER DR STE 102, (909) 264-2500 GROUP UPPER EXTREMITIES PERRIS, CA 92571 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 27455 TIERRA ALTA WAY STE A, (951) 272-1400 GROUP UPPER EXTREMITIES TEMECULA, CA 92590 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST STE 100, COLTON, CA (951) 657-1400 GROUP UPPER EXTREMITIES 92324 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 1171 RAILROAD ST, CORONA, CA 92882 (951) 699-5282 GROUP MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 2226 MEDICAL CENTER DR STE 102, (909) 264-2500 GROUP PERRIS, CA 92571 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 27455 TIERRA ALTA WAY STE A, (951) 272-1400 GROUP TEMECULA, CA 92590

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 394 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 290 N 10TH ST STE 100, COLTON, CA (951) 657-1400 GROUP 92324 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 1171 RAILROAD ST, CORONA, CA 92882 (951) 699-5282 GROUP EXTREMITIES MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 2226 MEDICAL CENTER DR STE 102, (909) 264-2500 GROUP EXTREMITIES PERRIS, CA 92571 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 27455 TIERRA ALTA WAY STE A, (951) 272-1400 GROUP EXTREMITIES TEMECULA, CA 92590 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 290 N 10TH ST STE 100, COLTON, CA (951) 657-1400 GROUP EXTREMITIES 92324 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 1171 RAILROAD ST, CORONA, CA 92882 (951) 699-5282 GROUP EXTREMITIES MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 2226 MEDICAL CENTER DR STE 102, (909) 264-2500 GROUP EXTREMITIES PERRIS, CA 92571 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 27455 TIERRA ALTA WAY STE A, (951) 272-1400 GROUP EXTREMITIES TEMECULA, CA 92590 MARGER, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 290 N 10TH ST STE 100, COLTON, CA (951) 657-1400 GROUP EXTREMITIES 92324 MARGOLIN, LEVON - PHD HEALTHPOINTE MEDICAL PSYCHOLOGY 6820 LA TIJERA BLVD STE 217, LOS (310) 218-4300 GROUP INC ANGELES, CA 90045 MARIA PHARMACY PHARMACY 13872 HARBOR BLVD # 1A, GARDEN (714) 554-4754 GROVE, CA 92843 MARIAN MEDICAL CENTER MARIAN MEDICAL CENTER ACUTE CARE HOSPITAL 1400 E CHURCH ST, SANTA MARIA, CA (805) 739-3000 (BCC) 93454 MARIAN REGIONAL MEDICAL MARIAN REGIONAL MEDICAL ACUTE CARE HOSPITAL 345 S HALCYON RD, ARROYO GRANDE, (805) 489-4261 CENTER ARROYO GRANDE CENTER ARROYO GRANDE CA 93420 (BCC) MARIANO, JULIUS - AUD ADVANCED HEARING AUDIOLOGY 1672 W AVE J STE 107, LANCASTER, CA (800) 598-5300 PROVIDERS LLC 93534 MARIN HEALTH MEDICAL MARIN HEALTH MEDICAL ACUTE CARE HOSPITAL 250 BON AIR RD, GREENBRAE, CA (415) 925-7000 CENTER (BCC) CENTER 94904 MARIN HEALTH MEDICAL MARIN HEALTH MEDICAL MENTAL HEALTH/PSYCHIATRIC 250 BON AIR RD, GREENBRAE, CA (415) 925-7000 CENTER PSYCH UNIT (BCC) CENTER PSYCH UNIT HOSPITAL (INPATIENT) 94904 MARIN MEDICAL PHARMACY PHARMACY 750 LAS GALLINAS AVE, SAN RAFAEL, (415) 479-1930 CA 94903 MARIN OUTPATIENT AND MARIN OUTPATIENT AND CHEMICAL DEPENDENCY 710 C ST STE 8, SAN RAFAEL, CA 94901 (415) 485-6736 RECOVERY SERVICES (BCC) RECOVERY SERVICES REHABILITATION CENTER (OUTPATIENT) MARIN TREATMENT CENTER MARIN TREATMENT CENTER CHEMICAL DEPENDENCY 1466 LINCOLN AVE, SAN RAFAEL, CA (415) 457-3755 (BCC) REHABILITATION CENTER 94901 (OUTPATIENT) MARIN, MARCELA - DDS ABRI DENTAL CORP DENTIST 50 N LA CIENEGA BLVD STE 217, (800) 704-7122 BEVERLY HILLS, CA 90211 MARIN, MARCELA - DDS ABRI DENTAL CORP DENTIST 23333 CINEMA DR STE 190, VALENCIA, (800) 704-7122 CA 91355 MARIN, MARCELA - DDS ABRI DENTAL CORP DENTIST 3808 RIVERSIDE DR STE 501, (800) 704-7122 BURBANK, CA 91505 MARINA DEL REY HOSPITAL MARINA DEL REY HOSPITAL ACUTE CARE HOSPITAL 4650 LINCOLN BLVD, MARINA DEL REY, (310) 823-8911 (BCC) CA 90292 MARINA DEL REY PHARMACY PHARMACY 4558 ADMIRALTY WAY, MARINA DEL (310) 823-5311 REY, CA 90292 MARINA PHARMACY PHARMACY 4644 LINCOLN BLVD STE 103&110, (310) 577-5536 MARINA DEL REY, CA 90292 MARINARO, RONALD - DC PAIN RELIEF CENTER CHIROPRACTIC MEDICINE 12215 VENTURA BLVD STE 208, STUDIO (818) 505-0816 CITY, CA 91604 MARINARO, RONALD - DC PAIN RELIEF CENTER CHIROPRACTIC MEDICINE 20620 LEAPWOOD AVE STE H, (424) 329-2530 CARSON, CA 90746 MARINER'S PHARMACY PHARMACY 320 SUPERIOR AVE STE 120, NEWPORT (949) 645-7200 BEACH, CA 92663 MARINKOVICH, YVONNE - DC MARINKOVICH YVONNE DC CHIROPRACTIC MEDICINE 1851 N GAFFEY ST STE B, SAN PEDRO, (310) 548-3172 CA 90731 MARIO'S PHARMACY PHARMACY 1215 PLUMAS ST STE 1201, YUBA CITY, (530) 443-2055 CA 95991

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 395 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MARIPOSA PHARMACY PHARMACY 2970 W OLYMPIC BLVD, LOS ANGELES, (213) 365-5067 CA 90006 MARIPOSA PHYSICAL PHYSICAL THERAPY 5072 BULLION STREET, MARIPOSA, CA (209) 742-7272 THERAPY 95338 MARK ALLEN PHYSICAL PHYSICAL THERAPY 20515 YORBA LINDA BLVD STE D10, (714) 340-3035 THERAPY YORBA LINDA, CA 92886-7109 MARK TWAIN ST JOSEPHS MARK TWAIN ST JOSEPHS ACUTE CARE HOSPITAL 768 MOUNTAIN RANCH RD, SAN (209) 754-3521 HOSPITAL (BCC) HOSPITAL ANDREAS, CA 95249 MARKARIAN, KARINA - LAC KARINA MARKARIAN ACUPUNCTURE 321 S BRAND BLVD, GLENDALE, CA (818) 507-0125 ACUPUNCTURE 91204 MARKARIAN, POLET - LAC POLET MARKARIAN ACUPUNCTURE 2513 COLORADO BLVD, LOS ANGELES, (323) 254-0917 CA 90041 MARKARIAN, POLET - LAC YUEN ACUPUNCTURE ACUPUNCTURE 112 E OLIVE AVE STE C, REDLANDS, CA (909) 792-1003 92373 MARKET PHARMACY PHARMACY 9250 RESEDA BLVD STE 2C, (818) 701-7777 NORTHRIDGE, CA 91324 MARKET PHARMACY LTC PHARMACY 9250 RESEDA BLVD # 2D, (818) 349-9795 NORTHRIDGE, CA 91324 MARKET PLACE PHYSICAL PHYSICAL THERAPY 14682 CENTRAL AVE, CHINO, CA (951) 684-2874 THERAPY 91710-9505 MARKET PLACE PHYSICAL PHYSICAL THERAPY 4270 RIVERWALK PKWY STE 114, (951) 684-2874 THERAPY RIVERSIDE, CA 92505-3374 MARKET PLACE PHYSICAL PHYSICAL THERAPY 500 ORANGE ST, REDLANDS, CA (951) 684-2874 THERAPY 92374-3208 MARKETPLACE PHYSICAL PHYSICAL THERAPY 1620 E SECOND ST STE K, BEAUMONT, (951) 684-2874 THERAPY CA 92223-3172 MARKETPLACE PHYSICAL PHYSICAL THERAPY 3191 MISSION INN AVE STE B, (951) 684-2874 THERAPY RIVERSIDE, CA 92507-4188 MARKMAN, ARNOLD G - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER MARKMAN, ARNOLD G - MD KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER MARKMAN, ARNOLD G - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER MARKMAN, ARNOLD G - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER MARKOSIAN, ALISS - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1526 N EDGEMONT ST 1ST FLR, LOS (800) 954-8000 JOB LOS ANGELES MEDICAL ANGELES, CA 90027 CENTER MARKOSIAN, ALISS - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1526 N EDGEMONT ST 1ST FLR, LOS (800) 954-8000 JOB LOS ANGELES MEDICAL PHYSICIAN ANGELES, CA 90027 CENTER MARRIOTT, ROBERT J - MD ADVANTAGE SURGICAL & PLASTIC & RECONSTRUCTIVE 222 N PACIFIC COAST HWY STE 2175 , (877) 878-3289 (BCC) WOUND CARE SURGERY EL SEGUNDO , CA 90245 MARSDEN, TYLER - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 MARSH, MICHAEL - MD INTERNAL MEDICINE 4418 VINE LAND AVE STE 102, TOLUCA (818) 842-7145 LAKE, CA 91602 MARSH, MIKE - OT EAST BAY HAND MEDICAL OCCUPATIONAL THERAPY 13690 E 14TH ST STE 210, SAN 5102970550Mai CENTER INC LEANDRO, CA 94578 n MARSHALL MEDICAL CENTER MARSHALL MEDICAL CENTER ACUTE CARE HOSPITAL 1100 MARSHALL WAY, PLACERVILLE, (530) 622-1441 (BCC) CA 95667 MARSHALL, ARI - DO (BCC) PHYSICAL MEDICINE AND 3901 E 4TH ST, LONG BEACH, CA 90814 (949) 362-9503 REHABILITATION MARSHALL, NATASHA - DPM KAISER PERMANENTE PODIATRY 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 MARSHALL, WILLIAM E - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS NUYS , CA 91406

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 396 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MARSHALL, WILLIAM E - DO CONCENTRA MEDICAL PRIMARY TREATING 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS PHYSICIAN NUYS , CA 91406 MARSICO, NICOLAS P - MD EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 1045 W REDONDO BEACH BLVD STE (310) 329-9975 (BCC) 400, GARDENA, CA 90047 MARSICO, NICOLAS P - MD EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 23441 MADISON ST STE 120, (310) 373-6708 (BCC) TORRANCE, CA 90025 MARSICO, NICOLAS P - MD EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 1950 SAWTELLE BLVD STE 240, LOS (310) 453-0489 (BCC) ANGELES, CA 90025 MARSOLINI, KAYLEIGH - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 VISTA, CA 91910 MARTIN DEL CAMPO, GABRIEL HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 - MD (BCC) GROUP 92324 MARTIN DEL CAMPO, GABRIEL HEALTHPOINTE MEDICAL PRIMARY TREATING 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 - MD (BCC) GROUP PHYSICIAN 92324 MARTIN DEL CAMPO, GABRIEL HEALTHPOINTE MEDICAL FAMILY MEDICINE 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 - MD (BCC) GROUP 92324 MARTIN DEL CAMPO, GABRIEL HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 - MD (BCC) GROUP PERRIS, CA 92571 MARTIN DEL CAMPO, GABRIEL HEALTHPOINTE MEDICAL PRIMARY TREATING 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 - MD (BCC) GROUP PHYSICIAN PERRIS, CA 92571 MARTIN DEL CAMPO, GABRIEL HEALTHPOINTE MEDICAL FAMILY MEDICINE 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 - MD (BCC) GROUP PERRIS, CA 92571 MARTIN PHARMACY PHARMACY 801 S VERMONT AVE STE 104, LOS (213) 382-9718 ANGELES, CA 90005 MARTIN, CHARMAINE - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 285-0443 MAIN ACCOUNT ANGELES, CA 90066 MARTIN, COLLIN M - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 25805 BARTON RD STE 101, LOMA (800) 679-4642 HEALTH CARE - PLASTIC & SURGERY LINDA , CA 92354 RECONSTRUCTIVE SURGERY FP&S MARTIN, DANIEL E - MD KAISER PERMANENTE HAND SURGERY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER MARTIN, DANIEL E - MD KAISER PERMANENTE ORTHOPEDICS 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER MARTIN, DANIEL E - MD KAISER PERMANENTE HAND SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 MARTIN, DANIEL E - MD KAISER PERMANENTE ORTHOPEDICS 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 MARTIN, JENNIFER - PHD (BCC) PSYCHOLOGY 17777 CENTER COURT DR N STE 600, (310) 837-2444 CERRITOS, CA 90703 MARTIN, JENNIFER - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 17777 CENTER COURT DR N STE 600, (800) 803-2086 GROUP INC CERRITOS, CA 90703 MARTIN, JOHN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 MARTIN, KEVIN - DC POLET MARKARIAN CHIROPRACTIC MEDICINE 2513 COLORADO BLVD, LOS ANGELES, (323) 254-0917 CA 90041 MARTIN, RANDY - LAC DR RANDY MARTIN ACUPUNCTURE 17000 VENTURA BLVD STE 220, (818) 905-6171 ENCINO, CA 91316 MARTIN, TRAVIS - PT BECK AND CALE PHYSICAL PHYSICAL THERAPY 201 N COLLEGE DR STE 203, SANTA (805) 922-1724 THERAPY OF SANTA MARIA MARIA, CA 93454 MARTINES, PAUL - PT PRECISION REHABILITATION PHYSICAL THERAPY 323 N 11TH AVE STE 107, HANFORD, CA (559) 772-8304 AND ORTHOPEDIC PHYSICAL 93230 THERAPY DBA PROPT MARTINES, PAUL - PT PHYSIOMOTION PHYSICAL PHYSICAL THERAPY 4080 N CEDAR AVE, FRESNO, CA 93726 (559) 222-7497 THERAPY INC MARTINEZ, ABIGAIL - LMT BLESSED ORTHOPEDIC MASSAGE THERAPIST 3916 SEPULVEDA BLVD STE 204, (310) 945-5705 PHYSICAL THERAPY INC CULVER CITY, CA 90230 MARTINEZ, DENISE - AUD ADVANCED HEARING AUDIOLOGY 1313 TRAVIS BLVD , FAIRFIELD, CA (800) 598-5300 PROVIDERS LLC 94533 MARTINEZ, EVE - PT ALVES AND MARTINEZ PHYSICAL THERAPY 708 57TH ST, SACRAMENTO, CA 95819 (916) 457-7427 PHYSICAL THERAPY AND ATHLETIC PERFORMANCE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 397 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MARTINEZ, EVE - PT ALVES AND MARTINEZ PHYSICAL THERAPY 9381 E STOCKTON BLVD STE 108, ELK (916) 686-5070 PHYSICAL THERAPY AND GROVE, CA 95624 ATHLETIC PERFORMANCE MARTINEZ, FERNANDO - AUD ADVANCED HEARING AUDIOLOGY 13512 WHITTIER BLVD STE G-3, (800) 598-5300 PROVIDERS LLC WHITTIER, CA 90605 MARTINEZ, FRANCISCO - PT DYNAMIC REHAB CENTER PHYSICAL THERAPY 1935 W AVENUE L, LANCASTER, CA (661) 948-1999 93534 MARTINEZ, GERARDO - MD ANESTHESIOLOGY 436 N BEDFORD DR STE 101, BEVERLY (310) 409-2300 (BCC) HILLS, CA 90210 MARTINEZ, GERARDO - MD ANESTHESIOLOGY 5651 SEPULVEDA BLVD STE 101, (848) 442-9696 (BCC) SHERMAN OAKS, CA 91411 MARTINEZ, GERARDO - MD ANESTHESIOLOGY 5901 W OLYMPIC BLVD STE 503, LOS (323) 934-8877 (BCC) ANGELES, CA 90036 MARTINEZ, GERARDO - MD ANESTHESIOLOGY 8670 WILSHIRE BLVD STE 300, (310) 275-1646 (BCC) BEVERLY HILLS, CA 90211 MARTINEZ, GERARDO - MD ANESTHESIOLOGY 9001 WILSHIRE BLVD STE 100, (310) 275-2339 (BCC) BEVERLY HILLS, CA 90211 MARTINEZ, HEATHER - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 289 W HUNTINGTON DR STE 103, (626) 396-8150 ASSOCIATES DBA ELITE ARCADIA, CA 91007 MOTION MARTINEZ, JASON - PT CAREONSITE MEDICAL PHYSICAL THERAPY 1250 PACIFIC AVE STE 101, LONG (562) 437-0831 SERVICES BEACH, CA 90813 MARTINEZ, JOHN - MD (BCC) DERMATOLOGY 3801 KATELLA AVE STE 425, LOS (562) 598-8593 ALAMITOS, CA 90720 MARTINEZ, MARC - MD ANAHEIM URGENT CARE EMERGENCY MEDICINE 2100 EUCLID ST STE 102, ANAHEIM, CA (714) 644-9100 92802 MARTINEZ, MARIELA - PTA LAGUNA PHYSICAL THERAPY PHYSICAL THERAPY 9563 LAGUNA SPRINGS DR, ELK (916) 691-9822 HAND REHABILITATION GROVE, CA 95758 MARTINEZ, MARY, ANN - CHT CALIFORNIA HAND HAND THERAPY 3273 CLAREMONT WAY STE 204, NAPA, (707) 259-1152 REHABILITATION CA 94558 MARTINEZ, MARY, ANN - OT CALIFORNIA HAND OCCUPATIONAL THERAPY 3273 CLAREMONT WAY STE 204, NAPA, (707) 259-1152 REHABILITATION CA 94558 MARTINEZ, ROLANDO - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 999 N TUSTIN AVE STE 201, SANTA (925) 691-9806 MANAGEMENT ANA, CA 92705 MARTINEZ, RONALDO - DC INTEGRATED PAIN CHIROPRACTIC MEDICINE 2923 WEBSTER ST STE 202, OAKLAND, (925) 627-5000 MANAGEMENT CA 94609 MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 398 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 6221 METROPOLITAN ST STE 201, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 6221 METROPOLITAN ST STE 201, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC MARTINEZ, SANDRA Y - PSYD INSTITUTES OF HEALTH NEUROPSYCHOLOGY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC MARTINEZ, STEPHEN - AUD ADVANCED HEARING AUDIOLOGY 3605 LONG BEACH BLVD , LONG (800) 598-5300 PROVIDERS LLC BEACH, CA 90807 MARTINEZ, STEPHENS - AUD ADVANCED HEARING AUDIOLOGY 4218 KATELLA AVE , LOS ALAMITOS, CA (800) 598-5300 PROVIDERS LLC 90720 MARTINEZ, THEODORE - DC INTEGRITY CHIROPRACTIC CHIROPRACTIC MEDICINE 1782 E BULLARD AVE STE 102, (559) 439-9001 FRESNO, CA 93710

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 399 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MARTINEZ, WILLIAM - PT ALVES AND MARTINEZ PHYSICAL THERAPY 708 57TH ST, SACRAMENTO, CA 95819 (916) 457-7427 PHYSICAL THERAPY AND ATHLETIC PERFORMANCE MARTINEZ, WILLIAM - PT ALVES AND MARTINEZ PHYSICAL THERAPY 9381 E STOCKTON BLVD STE 108, ELK (916) 686-5070 PHYSICAL THERAPY AND GROVE, CA 95624 ATHLETIC PERFORMANCE MARTINEZYODER, ANJELICA - GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 PT INJURY CTR BANOS, CA 93635 MARTINI, AMANDA - OT THERASENS INC OCCUPATIONAL THERAPY 1900 GARDEN RD STE 200, MONTEREY, (831) 250-6770 CA 93940 MARY KATE SAUNDERS PHYSICAL THERAPY 1285 GLENNEYRE ST, LAGUNA BEACH, (949) 494-2046 PHYSICAL THERAPY CA 92651-3102 MARZOCCHETTI, EZEQUIEL - WEST POINT PHYSICIAL PHYSICAL THERAPY 1115 W AVENUE M14, PALMDALE, CA (661) 265-0060 PT THERAPY CENTER 93551 MARZOCCHETTI, EZEQUIEL - WEST POINT PHYSICIAL PHYSICAL THERAPY 1431 W ROSAMOND BLVD STE 11, (661) 256-2700 PT THERAPY CENTER ROSAMOND, CA 93560 MARZOCCHETTI, EZEQUIEL - WEST POINT PHYSICIAL PHYSICAL THERAPY 9300 N LOOP BLVD, CALIFORNIA CITY, (760) 373-7338 PT THERAPY CENTER CA 93505 MARZOCCHETTI, GRACIELA - WEST POINT PHYSICIAL PHYSICAL THERAPY 1115 W AVENUE M14, PALMDALE, CA (661) 265-0060 PT THERAPY CENTER 93551 MARZOCCHETTI, GRACIELA - WEST POINT PHYSICIAL PHYSICAL THERAPY 9300 N LOOP BLVD, CALIFORNIA CITY, (760) 373-7338 PT THERAPY CENTER CA 93505 MASANGKAY, EDGAR - DC MASANGKAY EDGAR DC CHIROPRACTIC MEDICINE 16260 VENTURA BLVD STE LL16, (818) 901-0405 ENCINO, CA 91436 MASCAROTTI, RICHARD - DC WEI HSU LAC CHIROPRACTIC MEDICINE 1058 LINCOLN AVE, SAN JOSE, CA (408) 275-6622 95125 MASHOOF, AFSHIN A - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 MASHOOF, AFSHIN A - MD CONCENTRA MEDICAL ORTHOPEDICS - NECK 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 MASHOOF, AFSHIN A - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 MASHOOF, AFSHIN A - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 MASHOOF, AFSHIN A - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 MASHOOF, AFSHIN A - MD CONCENTRA MEDICAL ORTHOPEDICS - NECK 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 MASHOOF, AFSHIN A - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 MASHOOF, AFSHIN A - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 MASON, SOMMER - PTA DERYKE ASSOCIATES DBA PHYSICAL THERAPY 201 E HAMILTON AVE, CAMPBELL, CA (408) 376-0900 FYZICAL CAMPBELL 95008 MASONIC HOME PHARMACY PHARMACY 34400 MISSION BLVD, UNION CITY, CA (510) 429-6426 94587 MASSARELLI, ERMINIA - MD CITY OF HOPE MEDICAL ONCOLOGY 1500 DUARTE RD, DUARTE, CA 91007 (626) 218-9840 (BCC) FOUNDATION MASSEY, KIMBERLY - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 11276 5TH ST STE 400, RANCHO (909) 481-0437 MAIN CUCAMONGA, CA 91730 MASSOUD, NASSIRI - DC BACK SPECIALIST CHIROPRACTIC MEDICINE 920 SARATOGA AVE STE 215, SAN (408) 247-4401 JOSE, CA 95129 MASTERS, GREGORY W - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 MASTERS, GREGORY W - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 MAT'S PHARMACY PHARMACY 2264 LINCOLN AVE, ALTADENA, CA (626) 794-7197 91001 MATAN, ANTHONY J - MD KAISER PERMANENTE SAN SPINE SURGERY 275 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 MATARIS, IDA - LAC HEALING CIRCLE COMMUNITY ACUPUNCTURE 12598 CENTRAL AVE STE 113, CHINO, (909) 590-4183 ACUPUNCTURE CA 91710

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 400 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MATHER, LINDA - OT PAIR MAROTTA PHYSICAL OCCUPATIONAL THERAPY 2603 G STREET, BAKERSFIELD, CA (661) 634-9440 THERAPY 93301 MATHEW, SARAH - PT SEVEN TO 7 PHYSICAL HAND PHYSICAL THERAPY 22 ODYSSEY STE 165, IRVINE, CA 92618 (949) 727-2192 THERAPY MATHEW, SARAH - PT SEVEN TO 7 PHYSICAL HAND PHYSICAL THERAPY 2700 N MAIN ST STE 340, SANTA ANA, (714) 953-7330 THERAPY CA 92705 MATHEW, SARAH - PT SEVEN TO 7 PHYSICAL HAND PHYSICAL THERAPY 401 N BROOKHURST ST STE 100, (949) 727-2192 THERAPY ANAHEIM, CA 92801 MATHIS, CYNTHIA - MD (BCC) PHYSICAL MEDICINE AND 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 REHABILITATION ANGELES, CA 90045 MATHIS, PHILIP C - MD (BCC) RESTORATIVE WOUND EMERGENCY MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED POWAY, CA 92064 GRP MATHIS, PHILIP C - MD (BCC) RESTORATIVE WOUND INTERNAL MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED POWAY, CA 92064 GRP MATIKO, JAMES D - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS, CA 92374 MATIKO, JAMES D - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 240, (909) 557-1600 SHOULDER REDLANDS, CA 92374 MATIKO, JAMES D - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 240, (909) 557-1600 WRIST REDLANDS, CA 92374 MATIKO, JAMES D - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 240, (909) 557-1600 ELBOW REDLANDS, CA 92374 MATIKO, JAMES D - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS, CA 92374 MATIKO, JAMES D - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS, CA 92374 MATIKO, JAMES D - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - WRIST 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS, CA 92374 MATIKO, JAMES D - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HAND 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS, CA 92374 MATIN, ALIASGHAR - PT TOTAL REHABILITATION PHYSICAL THERAPY 5635 CAHUENGA BLVD, NORTH (818) 308-7450 MEDICINE INC HOLLYWOOD, CA 91601 MATOS, LISA - MD (BCC) ANESTHESIOLOGY 5700 SAN FERNANDO RD, GLENDALE, (818) 637-7766 CA 91202 MATSUBA, HOWARD M - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 MATSUBA, HOWARD M - MD KAISER PERMANENTE HAND SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 MATTAR, RAAFAT - MD PAIN MANAGEMENT 850 E WASHINGTON ST STE 100, (909) 370-0572 COLTON, CA 92324 MATTAR, RAAFAT N - MD CONCENTRA MEDICAL ANESTHESIOLOGY 850 EAST WASHINGTON ST , COLTON, (909) 370-0572 CENTER - COLTON CA 92324 MATTAR, RAAFAT N - MD CONCENTRA MEDICAL ANESTHESIOLOGY 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE MATTAR, RAAFAT N - MD CONCENTRA MEDICAL ANESTHESIOLOGY 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 MATTAR, RAAFAT N - MD CONCENTRA MEDICAL ANESTHESIOLOGY 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA POMONA, CA 91768 MATTAR, RAAFAT N - MD CONCENTRA MEDICAL ANESTHESIOLOGY 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE MATTAR, RAAFAT N - MD CONCENTRA MEDICAL ANESTHESIOLOGY 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER MATTER, SALLY - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 1041 E YORBA LINDA BLVD STE 209, (714) 528-1000 SPORTS REHAB PLACENTIA, CA 92870 MATTER, SALLY - PT GOOD SHEPHERD REHAB PHYSICAL THERAPY 13701 BEACH BLVD STE A1, (714) 622-5311 AGENCY WESTMINSTER, CA 92683 MATTERSON, JEREMY - PT CPRX INC PHYSICAL THERAPY 3662 KATELLA AVE STE 105, LOS (562) 799-4494 ALAMITOS, CA 90720

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 401 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MATTHEWS, MARGARET, THRIVE NC PHYSICAL PHYSICAL THERAPY 569 SEARLS AVE STE B, NEVADA CITY, (530) 478-1933 YENCHUANG - PT THERAPY INC DBA FIT FOR CA 95959 LIFE MATTMILLER, ARTHUR - PT WORKWELL MEDICAL GROUP PHYSICAL THERAPY 809 BROADWAY ST, KING CITY, CA (831) 422-3701 93930 MATYASSE, LAURA - PT WPOHS A MEDICAL PHYSICAL THERAPY 2365 S MELROSE DR, VISTA, CA 92081 (760) 571-5910 CORPORATIONMAIN MATYASSE, LAURA - PT WPOHS A MEDICAL PHYSICAL THERAPY 3156 VISTA WAY STE 100, OCEANSIDE, (760) 681-5222 CORPORATION CA 92056 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC LOWER EXTREMITIES MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC LOWER EXTREMITIES 92805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC LOWER EXTREMITIES 92324 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LOWER EXTREMITIES LONG BEACH, CA 90805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC LOWER EXTREMITIES GARDEN GROVE, CA 92841 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC UPPER EXTREMITIES MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC UPPER EXTREMITIES 92805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC UPPER EXTREMITIES 92324 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC UPPER EXTREMITIES LONG BEACH, CA 90805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC UPPER EXTREMITIES GARDEN GROVE, CA 92841 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC EXTREMITIES MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC EXTREMITIES 92805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC EXTREMITIES 92324 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC EXTREMITIES LONG BEACH, CA 90805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC EXTREMITIES GARDEN GROVE, CA 92841 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 402 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC EXTREMITIES MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC EXTREMITIES 92805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC EXTREMITIES 92324 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC EXTREMITIES LONG BEACH, CA 90805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC EXTREMITIES GARDEN GROVE, CA 92841 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 MAURO, MICHAEL - DO (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 MAURO, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - HIP 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 MAURO, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC LOWER EXTREMITIES CA 90638 MAURO, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDIC SURGERY - 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC UPPER EXTREMITIES CA 90638 MAURO, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HIP 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 MAURO, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - LOWER 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC EXTREMITIES CA 90638 MAURO, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - SPINE 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 MAURO, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - UPPER 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC EXTREMITIES CA 90638 MAURO, MICHAEL - MD (BCC) HEALTHPOINTE MEDICAL SPINE SURGERY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 MAUSER, DALE - DC LAKE MEDICAL CENTER CHIROPRACTIC MEDICINE 1146 SAN MARINO DR, SAN MARCOS, (760) 471-2033 CA 92078 MAUSER, JILL, ELLEN - DC LAKE MEDICAL CENTER CHIROPRACTIC MEDICINE 1146 SAN MARINO DR, SAN MARCOS, (760) 471-2033 CA 92078 MAX PHARMACY PHARMACY 333 S GARFIELD AVE STE C, (626) 281-1818 ALHAMBRA, CA 91801 MAXEY, LISA - PT CALIFORNIA HAND PHYSICAL PHYSICAL THERAPY 2001 SOLAR DR STE 150, OXNARD, CA (805) 604-1924 THERAPY 93036 MAXIM PHYSICAL THERAPY PHYSICAL THERAPY 2321 COURT ST, REDDING, CA (530) 242-8480 96001-2527 MAXIMART PHARMACY PHARMACY 240 CAMBRIDGE AVE, PALO ALTO, CA (650) 327-3922 94306 MAXIMUM PHYSICAL THERAPY PHYSICAL THERAPY 4173 E LIVE OAK AVE, ARCADIA, CA (626) 291-5025 91006-5828 MAXINE PHARMACY PHARMACY 10106 WESTMINSTER AVE, GARDEN (714) 590-6046 GROVE, CA 92843 MAXSON MEDICAL PHARMACY PHARMACY 933 S SUNSET AVE #107, WEST (626) 338-1143 COVINA, CA 91790 MAXSONS DRUGS PHARMACY 14070 VENTURA BLVD, SHERMAN (818) 789-0301 OAKS, CA 91423

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 403 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MAXUM PHYSICAL THERAPY MAXUM PHYSICAL THERAPY SPEECH THERAPY (FACILITY) 774 S PLACENTIA AVE FL 1, PLACENTIA (714) 646-8318 (BCC) , CA 92870 MAXUM PHYSICAL THERAPY, PHYSICAL THERAPY 740 S PLACENTIA AVE STE 100, (714) 646-8319 INC PLACENTIA, CA 92870-6832 MAY PHARMACY PHARMACY 14571 MAGNOLIA ST STE 104, (714) 893-2697 WESTMINSTER, CA 92683 MAY, MACKENZIE - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 MAYER, ERIC - AUD ADVANCED HEARING AUDIOLOGY 2149 E GARVEY AVE N STE A3, WEST (800) 598-5300 PROVIDERS LLC COVINA, CA 91791 MAYER, KRISTINA - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 31244 PALOS VERDES DR WEST STE (310) 544-7325 THERAPY 209, RANCHO PALOS VERDES, CA 90275 MAYER, KRISTINA - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 520 N PROSPECT AVE STE 100, (310) 376-9222 THERAPYMAIN REDONDO BEACH, CA 90277 MAYER, NOLAN - MD CARDIOVASCULAR DISEASE 100 N BRENT ST #301, VENTURA, CA (805) 648-2763 (CARDIOLOGY) 93003 MAYERLING PHARMACY PHARMACY 213 N ORANGE ST STE C, GLENDALE, (747) 221-7663 CA 91203 MAYERS MEMORIAL HOSPITAL PHARMACY 43563 STATE HIGHWAY 299 E, FALL (530) 336-5511 DIST RIVER MILLS, CA 96028 MAYERS MEMORIAL HOSPITAL MAYERS MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 43563 STATE HIGHWAY 299 E, FALL (530) 336-5511 DISTRICT (BCC) DISTRICT RIVER MILLS, CA 96028 MAYERS PHARMACY PHARMACY 43471 STATE HIGHWAY 299 E, FALL (530) 336-7558 RIVER MILLS, CA 96028 MAYERS, TERENCE M - MD KAISER PERMANENTE GENERAL SURGERY 3430 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 LAKEVIEW MEDICAL OFFICES 92806 MAYERS, TERENCE M - MD KAISER PERMANENTE GENERAL SURGERY 411 N LAKEVIEW AVE , ANAHEIM, CA (714) 644-6450 LAKEVIEW MEDICAL OFFICES 92807 MAYES, MURIEL - PT ADVANCED PHYSICAL PHYSICAL THERAPY 300 GRAND AVE, OAKLAND, CA 94610 (510) 465-3668 MEDICINE REHAB GROUP INC MAYFIELD, WHITNEY - OTA AUBURN OAKS CARE CENTER OCCUPATIONAL THERAPY 3400 BELL RD, AUBURN, CA 95603 (530) 888-6257 MAYNES, KRISTIN - PT G3 PHYSICAL THERAPY PHYSICAL THERAPY 227 N EL CAMINO REAL STE 100, (760) 230-2316 ENCINITAS, CA 92024 MAYNORDS C D R C (BCC) MAYNORDS C D R C CHEMICAL DEPENDENCY 19325 CHEROKEE RD, TUOLUMNE, CA (800) 228-8208 REHABILITATION CENTER 95379 (OUTPATIENT) MAYO, JORDAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 MAYO, JORDAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 MAYO, JORDAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 MAYO, JORDAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 MAYO, JORDAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 MAYO, JORDAN - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 MAYS, WHITNEY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY MAYS, WHITNEY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY MAYS, WHITNEY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY MAZALIAN, JOSHUA - PT JAM SPORTS AND SPINE PHYSICAL THERAPY 12813 VICTORY BLVD, NORTH (323) 935-3420 PHYSICAL THERAPY HOLLYWOOD, CA 91606 MAZALIAN, JOSHUA - PT LA ORTHOPEDIC AND PHYSICAL THERAPY 16055 VENTURA BLVD STE 825, (323) 680-5616 PEDIATRIC PHYSICAL ENCINO, CA 91436 THERAPY INC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 404 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MAZALIAN, JOSHUA - PT JAM SPORTS AND SPINE PHYSICAL THERAPY 6320 COMMODORE SLOAT DR, LOS (323) 935-3420 PHYSICAL THERAPY ANGELES, CA 90048 MAZENKO, EYDEE - PT GROVE PHYSICAL THERAPY 860 SOUTHAMPTON RD, BENICIA, CA (707) 745-6144 ANDERSENGHIRINGHELLI 94510 PHYSICAL THERAPY MAZER, ANNE Z - MD (BCC) RIVERSIDE MEDICAL CLINIC - OPHTHALMOLOGY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 MAZIN, JEFFREY B - MD (BCC) GENERAL SURGERY 3737 MORAGA AVE STE B412 , SAN (858) 272-9996 DIEGO , CA 92117 MB PHYSICAL THERAPY PHYSICAL THERAPY 125 WHEELER AVE STE C, ARCADIA, CA (562) 324-1339 91006-3240 MB PHYSICAL THERAPY PHYSICAL THERAPY 2010 WILSHIRE BLVD STE 809, LOS (213) 252-1985 ANGELES, CA 90057-3594 MBAGWU, CHUKWUDI - MD CONCENTRA MEDICAL PRIMARY TREATING 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY PHYSICIAN CITY, CA 94587 MBAGWU, CHUKWUDI - MD CONCENTRA MEDICAL FAMILY MEDICINE 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY CITY, CA 94587 MCADAMS, ALEXANDRA - PT PACIFIC WATER THERAPY PHYSICAL THERAPY 3156 SPORTS ARENA BLVD STE 104, (619) 523-6767 SAN DIEGO, CA 92110 MCAFEE, JAMES - PT ALVES AND MARTINEZ PHYSICAL THERAPY 708 57TH ST, SACRAMENTO, CA 95819 (916) 457-7427 PHYSICAL THERAPY AND ATHLETIC PERFORMANCE MCAFEE, JAMES - PT ALVES AND MARTINEZ PHYSICAL THERAPY 9381 E STOCKTON BLVD STE 108, ELK (916) 686-5070 PHYSICAL THERAPY AND GROVE, CA 95624 ATHLETIC PERFORMANCE MCBRIDE, MELINDA - AUD ADVANCED HEARING AUDIOLOGY 3734 SEPULVEDA BLVD, TORRANCE, (800) 598-5300 PROVIDERS LLC CA 90505 MCC NOVATO PHARMACY PHARMACY 6100 REDWOOD BLVD STE A, NOVATO, (415) 755-2545 CA 94945 MCC PHARMACY PHARMACY 3110 KERNER BLVD STE A, SAN (415) 755-2514 RAFAEL, CA 94901 MCCABE, ERIC - PT PROBODY PHYSICAL THERAPY PHYSICAL THERAPY 3110 CHINO AVE STE 130, CHINO HILLS, (909) 902-5049 CA 91709 MCCALLISTER, JR, JIMMIE - DC LIVERMORE CHIROPRACTIC CHIROPRACTIC MEDICINE 1010 MURRIETA BLVD, LIVERMORE, CA (925) 449-4884 94550 MCCARL, SAMANTHA - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 MCCARL, SAMANTHA - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 MCCARTHY PHARMACY PHARMACY 2601 LINCOLN BLVD, SANTA MONICA, (310) 452-1105 CA 90405 MCCLANAHAN, TROY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 MCCLAUGHERTY, CAROL - PTA WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 MCCLELLAN, CARI - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 MCCLINTOCK, FRANCENE - PT DOUGLAS INDUSTRIAL PHYSICAL THERAPY 19301 S SANTA FE AVE STE 120, (310) 631-5655 MEDICAL CLINIC COMPTON, CA 90221 MCCLURE, STEPHEN G - PHD SUNRISE COUNSELING GROUP PSYCHOLOGY 729 SUNRISE AVE STE 101, ROSEVILLE (916) 782-3800 (BCC) , CA 95661 MCCLURESMITH, MICHELLE - RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 27450 YNEZ RD STE 120, TEMECULA, (951) 695-5144 PT CA 92591 MCCLURG, JAMES R - MD ORTHOPEDIC SURGERY - 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) UPPER EXTREMITIES CA 92121 MCCLURG, JAMES R - MD ORTHOPEDIC SURGERY - 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) LOWER EXTREMITIES CA 92121 MCCLURG, JAMES R - MD ORTHOPEDIC SURGERY - HIP 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) CA 92121 MCCLURG, JAMES R - MD HAND SURGERY 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) CA 92121 MCCLURG, JAMES R - MD ORTHOPEDICS - UPPER 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) EXTREMITIES CA 92121

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 405 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MCCLURG, JAMES R - MD ORTHOPEDICS - LOWER 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) EXTREMITIES CA 92121 MCCLURG, JAMES R - MD ORTHOPEDICS - HIP 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) CA 92121 MCCLURG, JAMES R - MD ORTHOPEDICS - HAND 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) CA 92121 MCCLURG, JAMES R - MD SPORTS MEDICINE 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) CA 92121 MCCLURG, JAMES R - MD PRIMARY TREATING 5830 OBERLIN DR STE 102, SAN DIEGO, (619) 297-9500 (BCC) PHYSICIAN CA 92121 MCCONNEL, JOHN - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 MCCORMACK, ROSS - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 MCCORMICK, JILL - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 MCCORMICK, PHILLIP - DC CENTER FOR ORTHOPEDICS CHIROPRACTIC MEDICINE 1405 W RANCHO VISTA BLVD, (661) 274-8725 AND REHABILITATION MEDICAL PALMDALE, CA 93551

MCCORMICK, STEVEN D - PHD PSYCHOLOGY 2288 AUBURN BLVD STE 101, (916) 640-8161 (BCC) SACRAMENTO , CA 95821 MCCOWN, BARRY - DC THE CHIRO OFFICE CHIROPRACTIC MEDICINE 1055 TIERRA DEL REY STE A, CHULA 6194210444Mo VISTA, CA 91910 nique MCCOY, DEANNA - AUD ADVANCED HEARING AUDIOLOGY 1600 MANGROVE AVE , CHICO, CA (800) 598-5300 PROVIDERS LLC 95926 MCCULLAUGH, JOSEPH M - CONCENTRA MEDICAL PSYCHOLOGY 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 PHD CENTER - OCEANSIDE CA 92056 MCCUTCHEON, CHELSEA - OT VISTA PHYSICAL THERAPY OCCUPATIONAL THERAPY 115 MAIN ST, VISTA, CA 92084 (760) 726-9660 AND REHAB PC MCCUTCHEON, CHELSEA - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 8388 PARKWAY DR, LA MESA, CA 91942 (619) 797-1190 MEDICAL GROUP MCDANIEL, JENNIFER - OT PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 MCDERMOTT, DANIEL P - DPM KAISER PERMANENTE SAN PODIATRY 4650 PALM AVE 2ND FLOOR, SAN (833) 242-8500 DIEGO MEDICAL CENTER DIEGO, CA 92154 MCDONALD, BETTY - LAC ACUPUNCTURE PAIN CENTER ACUPUNCTURE 44100 MONTEREY AVE STE 215, PALM (760) 766-6223 DESERT, CA 92260 MCDONALD, DANIEL - MD ANESTHESIOLOGY 1328 22ND ST, SANTA MONICA, CA (626) 795-6596 (BCC) 90404 MCDONALD, DANIEL - MD ANESTHESIOLOGY 2121 WILSHIRE BLVD STE 201, SANTA (310) 576-7267 (BCC) MONICA, CA 90403 MCDONALD, GINA - PT SUNSET PHYSICAL THERAPY PHYSICAL THERAPY 18800 MAIN ST STE 104, HUNTINGTON (717) 843-9077 BEACH, CA 92648 MCDONALD, LINN - DC LINN S MCDONALDWALNUT CHIROPRACTIC MEDICINE 1528 SAN BERNARDINO AVE, POMONA, (909) 624-9016 CHIROPRACTIC CLINIC CA 91767 MCDONALD, LINN - DC WILLIAM A RAMIREZ CHIROPRACTIC MEDICINE 302 S LEMON AVE, WALNUT, CA 91789 (909) 468-1775 CHIROPRACTIC INC MCDONALD, SHANNON - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER MCDONALD, THOMAS - DC ADVANCED CARE CHIROPRACTIC MEDICINE 418 DAVIS STREET SUITE B, (707) 447-9278 CHIROPRACTIC VACAVILLE, CA 95688 MCDONELL, COLLIN - PT GEORGE ERB PHYSICAL PHYSICAL THERAPY 231 CAMARILLO RANCH RD, (805) 484-2026 THERAPY CAMARILLO, CA 93012 MCELVANY, MATTHEW D - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 401 BICENTENNIAL WAY , SANTA ROSA, (707) 566-5555 ROSA MEDICAL CENTER CA 95403 MCGINN, DANIEL - DO (BCC) EMERGENCY MEDICINE 1500 W WEST COVINA PKWY STE 102 (626) 856-2248 FL1, WEST COVINA, CA 91790 MCGINNIS, ERIN - PT CPRX INC PHYSICAL THERAPY 3662 KATELLA AVE STE 105, LOS (562) 799-4494 ALAMITOS, CA 90720 MCGINNIS, MICAELA - PT GATEWAY THERAPY CENTER PHYSICAL THERAPY 15725 POMERADO RD STE 115, POWAY, (858) 675-7766 CA 92064 MCGLYNN, KIRSTEN - LMT REHABONE MEDICAL GROUP MASSAGE THERAPIST 13980 BLOSSOM HILL RD STE B, LOS (408) 445-8400 INC GATOS, CA 95032

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 406 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MCGOWAN, KATHY - LAC HEALTHFIRST MEDICAL ACUPUNCTURE 11817 TELEGRAPH RD, SANTA FE (562) 949-9328 GROUP SPRINGS, CA 90670 MCGRATH, STEVEN J - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 MCGRATH, STEVEN J - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER MCGUIRE PHYSICAL THERAPY PHYSICAL THERAPY 1700 E BULLARD AVE STE 102, (559) 438-8531 INC FRESNO, CA 93710-5866 MCGUIRE, MELISSA - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 MCHUGH PHYSICAL THERAPY PHYSICAL THERAPY 8614 SARAN DR APT 103, PLAYA DEL (574) 551-1148 REY, CA 90293-8454 MCINTIRE PHYSICAL THERAPY PHYSICAL THERAPY 3443 STATE ST, SANTA BARBARA, CA (805) 682-7777 93105-2662 MCINTOSH, KAYLEE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 2180 W GRANT LINE RD, TRACY, CA (925) 463-0470 SPECIALISTS 95377 MCINTOSH, KAYLEE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 MCINTOSH, KAYLEE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 5601 NORRIS CANYON RD, SAN (925) 463-0470 SPECIALISTS RAMON, CA 94583 MCKEE MEDICAL PHARMACY PHARMACY 2350 MCKEE ROAD, STE A3, SAN JOSE, (408) 923-8871 CA 95116 MCKEEVER PHYSICAL PHYSICAL THERAPY 302 S LEXINGTON DR, FOLSOM, CA (916) 984-4430 THERAPY 95630 MCKENZIE, JOHN - MD (BCC) CARDIOVASCULAR DISEASE 660 W BROADWAY, GLENDALE, CA (818) 502-9420 (CARDIOLOGY) 91204 MCKEOWN, SEAN - PT EGGLETON LANGTON PHYSICAL THERAPY 2650 CAM DEL RIO N STE 200, SAN (619) 295-3000 PHYSICAL THERAPY DIEGO, CA 92108 MANAGEMENT SERVICES MCKEOWN, SEAN - PT PRN PHYSICAL THERAPY PHYSICAL THERAPY 317 N EL CAMINO REAL STE 210, (760) 634-0248 ENCINITAS, CA 92024 MCKINNEY, BRANDON - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 MCKISSOCK, JOHN K - MD TORRANCE MEDICAL CENTER - PLASTIC SURGERY 3325 MEDICAL CENTER DR - (310) 517-4736 (BCC) BURN CENTER TORRANCE WEST TOWER 4TH FLR, TORRANCE, CA 90505 MCKNIGHT, CHRISTINE - PT HANDSON PHYSICAL THERAPY PHYSICAL THERAPY 801 CRESCENT WAY STE 4, ARCATA, (707) 630-5252 CA 95521 MCLAUGHLIN, JASON - PT G3 PHYSICAL THERAPY PHYSICAL THERAPY 227 N EL CAMINO REAL STE 100, (760) 230-2316 ENCINITAS, CA 92024 MCLAUGHLIN, MICHAEL - PT THE REHAB GROUP PHYSICAL THERAPY 31741 TEMECULA PKWY STE C, (951) 719-8155 TEMECULA, CA 92592 MCLEAN, REBECCA - LAC PFC MEDICAL INC ACUPUNCTURE 14500 ROSCOE BLVD 201, PANORAMA (818) 891-4000 CITY, CA 91402 MCLEAN, REBECCA - LAC PFC MEDICAL INC ACUPUNCTURE 2001 NORTH SOLAR DR 165, OXNARD, (805) 485-0500 CA 93036 MCLENNAN, KIM - PT PENINSULA SPORTS MEDICINE PHYSICAL THERAPY 2945 JUNIPERO SERRA BLVD, DALY (650) 784-1349 AND REHAB CENTER CITY, CA 94014 MCMAHON, BETHANY - PT ORTHOSPORT HEALTH PHYSICAL THERAPY 3500 5TH AVE STE 102, SAN DIEGO, CA (619) 299-9481 CENTER 92103 MCMAHON, BRENT - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 MCMAHON, BRENT - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2701 OCEAN PARK BLVD STE 110, (310) 392-0025 SANTA MONICA, CA 90405 MCMAHON, BRIAN - PT PERFORMANCE THERAPY PHYSICAL THERAPY 450 ROSEWOOD AVE STE 105, (805) 389-4781 CENTER CAMARILLO, CA 93010 MCMAINS, TERRI - PT AQUA PHYSICAL PHYSICAL THERAPY 192 N PLAZA ST STE A, BRAWLEY, CA (760) 352-5582 THERAPYELITE PHYSICAL 92227 THERAPY MCMAINS, TERRI - PT AQUA PHYSICAL PHYSICAL THERAPY 221 CAMPILLO ST STE I, CALEXICO, CA (760) 352-5582 THERAPYELITE PHYSICAL 92231 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 407 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MCMAINS, TERRI - PT AQUA PHYSICAL PHYSICAL THERAPY 541 W MAIN ST, EL CENTRO, CA 92243 (760) 352-5582 THERAPYELITE PHYSICAL THERAPY MCMILLAN, ERIC R - MD (BCC) MCMILLAN INSTITUTE ORTHOPEDICS - ANKLE 1069 E HAWKEYE AVE STE C , (209) 272-7442 REGENERATIVE TURLOCK, CA 95380 ORTHOPEDICS MCMURRAY, GALE - MD (BCC) HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC MCMURRAY, GALE - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC PHYSICIAN MCMURTRY, STEVEN D - MD SANSUM CLINIC - OCCUPATIONAL MEDICINE 101 S PATTERSON AVE , SANTA (805) 898-3311 (BCC) OCCUPATIONAL MEDICINE BARBARA, CA 93111 MCNARNEY, JENNIFER - PT RICHARD P CARR PHYSICAL PHYSICAL THERAPY 605 TENNANT AVE STE F, MORGAN (408) 778-3434 THERAPY INC HILL, CA 95037 MCSWEENEY, JAMES E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA ANKLE CA 92123 MCSWEENEY, JAMES E - MD CONCENTRA MEDICAL ORTHOPEDICS - ANKLE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MCSWEENEY, JAMES E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MCSWEENEY, JAMES E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA KNEE CA 92123 MCSWEENEY, JAMES E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA SHOULDER CA 92123 MCSWEENEY, JAMES E - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MCSWEENEY, JAMES E - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MCSWEENEY, JAMES E - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MCVAY, CARIE L - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER MCWHORTER, LISA J - PT MEMORIAL ORTHOPAEDIC PHYSICAL THERAPY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 (BCC) SURGICAL GROUP 90806 MCWUOWN, BROOK - AUD ADVANCED HEARING AUDIOLOGY 555 S SUNRISE WAY STE 116, PALM (800) 598-5300 PROVIDERS LLC SPRINGS, CA 92264 MD ANAHEIM SURGERY AMBULATORY SURGERY 1000 S ANAHEIM BLVD STE 300, (714) 833-5558 CENTER CENTER ANAHEIM, CA 92805 MD MEDICAL CLINICS (BCC) MD MEDICAL CLINICS URGENT CARE FACILITY 1300 N KRAEMER BLVD, ANAHEIM, CA (714) 630-6363 92806 MD TODAY URGENT CARE MD TODAY URGENT CARE URGENT CARE FACILITY 3830 VALLEY CENTRE DR STE 702, SAN (858) 720-0554 (BCC) DIEGO, CA 92130 MD TODAY URGENT CARE MD TODAY URGENT CARE URGENT CARE FACILITY 10605 SCRIPPS POWAY PKWY STE C, (858) 622-0554 (BCC) SAN DIEGO, CA 92131 MEAD, CATHERINE - PT MARINERS PHYSICAL PHYSICAL THERAPY 201 SANDPOINTE AVE STE 130, SANTA (714) 557-9292 THERAPY ANA, CA 92707 MEAD, SHAWN, JEFFREY - PT ACCELERATE PHYSICAL PHYSICAL THERAPY 1600 DOVE ST STE 100, NEWPORT (949) 502-3388 THERAPY BEACH, CA 92660 MEADOWMONT PHARMACY PHARMACY 2182 HIGHWAY 4 UNIT C230, ARNOLD, (209) 795-1155 CA 95223 MEALER, WILLIAM J - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 & SPORTS MEDICINE KNEE CA 90505 MEALER, WILLIAM J - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 & SPORTS MEDICINE SHOULDER CA 90505 MEALER, WILLIAM J - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDICS - KNEE 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 & SPORTS MEDICINE CA 90505 MEALER, WILLIAM J - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDICS - SHOULDER 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 & SPORTS MEDICINE CA 90505 MEALER, WILLIAM J - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE KNEE MANHATTAN BEACH, CA 90266 MEALER, WILLIAM J - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE SHOULDER MANHATTAN BEACH, CA 90266

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 408 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MEALER, WILLIAM J - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDICS - KNEE 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 MEALER, WILLIAM J - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDICS - SHOULDER 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 MEAS, VANNARY - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 MED 7 URGENT CARE MED 7 URGENT CARE URGENT CARE FACILITY 4156 MANZANITA AVE, CARMICHAEL, (916) 488-6337 CENTERS (BCC) CENTERS CA 95608 MED 7 URGENT CARE MED 7 URGENT CARE URGENT CARE FACILITY 1201 E BIDWELL ST, FOLSOM, CA 95630 (916) 920-6337 CENTERS (BCC) CENTERS MED 7 URGENT CARE MED 7 URGENT CARE URGENT CARE FACILITY 701 SUNRISE AVE, ROSEVILLE, CA (916) 772-6337 CENTERS (BCC) CENTERS 95661 MED 7 URGENT CARE MED 7 URGENT CARE URGENT CARE FACILITY 4112 E COMMERCE WAY, (916) 447-6337 CENTERS (BCC) CENTERS SACRAMENTO, CA 95834 MED CARE PHARMACY PHARMACY 161 THUNDER DR STE 100, VISTA, CA (760) 758-7650 92083 MED CENTER PHARMACY PHARMACY 4950 BARRANCA PKWY STE 102, (949) 857-2141 IRVINE, CA 92604 MED CENTER PHARMACY PHARMACY 14624 SHERMAN WAY STE 104, VAN (818) 785-4944 NUYS, CA 91405 MED CHOICE PHARMACY PHARMACY 621 N EUCLID ST STE B, ANAHEIM, CA (714) 533-3080 92801 MED EXPRESS PHARMACY 425 W RIDER ST STE B2, PERRIS, CA (951) 639-3278 92571 MED QUICK PRESCRIPTION PHARMACY 546 W LAS TUNAS DR, SAN GABRIEL, (626) 281-2015 SHOPPE CA 91776 MED SPECIALTIES PHARMACY PHARMACY 4862 OLINDA ST, YORBA LINDA, CA (714) 572-2272 92886 MED ZONE PHARMACY PHARMACY 418 E GLENOAKS BLVD STE 102, (818) 243-6605 GLENDALE, CA 91207 MED ZONE PHARMACY PHARMACY 18251 ROSCOE BLVD STE 103, (818) 709-5200 NORTHRIDGE, CA 91325 MED-AID PHARMACY PHARMACY 3100 STOCKTON BLVD, SACRAMENTO, (916) 736-3188 CA 95820 MED-CARE PHARMACY PHARMACY 1285 N EUCLID ST, ANAHEIM, CA 92801 (714) 491-7472 MED-CARE PHARMACY PHARMACY 1048 S GARFIELD AVE STE 101, (626) 281-7870 ALHAMBRA, CA 91801 MED-CARE RX PHARMACY PHARMACY 14550 HAYNES ST STE 200A, VAN (818) 650-6799 NUYS, CA 91411 MED-LEGAL SAFAEIAN PHYSICAL THERAPY 426 E ARBOR VITAE ST, INGLEWOOD, (310) 672-4110 CHIROPRACTIC & PHYSICAL CA 90301-3450 THERAPY MED-PLACE PHARMACY PHARMACY 2101 FOREST AVE STE 122, SAN JOSE, (408) 564-6785 CA 95128 MED-PLUS PHARMACY PHARMACY 13220 EVENING CREEK DR S, SAN (833) 331-0228 DIEGO, CA 92128 MED-PLUS PHARMACY LTC PHARMACY 281 E ROWLAND ST, COVINA, CA 91723 (866) 463-3757 MED-PROS PHARMACY AND PHARMACY 12582 GARDEN GROVE BLVD, GARDEN (714) 638-4843 MED SPLY GROVE, CA 92843 MED-RX PHCY AND PHARMACY 1031 E VISTA WAY, VISTA, CA 92084 (760) 724-7125 COMPOUNDING MEDALLION PHARMACY PHARMACY 23101 SHERMAN PL STE 101, WEST (818) 340-0212 HILLS, CA 91307 MEDCALF AND SCHOMMER PHYSICAL THERAPY 3134 W CALDWELL AVE STE A, VISALIA, (559) 625-9930 PHYSICAL THERAPY CA 93277-7063 MEDCARE FAMILY PHARMACY PHARMACY 1710 S MAIN ST, SANTA ANA, CA 92707 (714) 953-7538 MEDCARE MEDICAL PHARMACY 3501 S HARBOR BLVD, SANTA ANA, CA (714) 557-2982 PHARMACY 92704 MEDCARE PHARMACY PHARMACY 4241 FLORIN RD STE 50A, (916) 706-2400 SACRAMENTO, CA 95823 MEDCENTA PHARMACY PHARMACY 6401 PLATT AVE STE 4, WEST HILLS, CA (818) 324-6480 91307

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 409 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MEDCOMPOUNDERS PHARMACY 3711 LONG BEACH BLVD, LONG BEACH, (562) 427-1999 PHARMACY CA 90807 MEDEIROS, JENA - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 MEDELLA PHARMACY PHARMACY 15578 E GALE AVE, HACIENDA (626) 333-1998 HEIGHTS, CA 91745 MEDEX DRUGS PHARMACY 405 E SANTA CLARA ST, SAN JOSE, CA (408) 292-8244 95113 MEDEX PHARMACIES PHARMACY 8441 FOOTHILL BLVD, SUNLAND, CA (818) 925-1321 91040 MEDI-EX PHARMACY PHARMACY 1067 N STATE COLLEGE BLVD, (714) 888-4867 ANAHEIM, CA 92806 MEDIATE, CHAD - PT GIRARD ORTHOPAEDIC PHYSICAL THERAPY 9333 GENESEE AVE 350B, SAN DIEGO, (858) 455-8584 SURGEONS CA 92121 MEDIC PHARMACY PHARMACY 16900 BELLFLOWER BLVD, (562) 925-6505 BELLFLOWER, CA 90706 MEDICAL ARTS PHARMACY PHARMACY 1320 MARICOPA HWY, OJAI, CA 93023 (805) 646-7211 MEDICAL ARTS PHARMACY PHARMACY 8851 CENTER DR STE 110, LA MESA, CA (619) 461-8551 91942 MEDICAL ARTS PHARMACY PHARMACY 5101 E FLORENCE AVE, BELL, CA 90201 (323) 771-1112 MEDICAL ARTS PHARMACY PHARMACY 13847 E 14TH ST STE 103, SAN (510) 357-1881 LEANDRO, CA 94578 MEDICAL ARTS REXALL PHARMACY 1120 W LA PALMA AAVE STE 1, (714) 776-2800 PHARMACY ANAHEIM, CA 92801 MEDICAL CENTER PHARMACY PHARMACY 340 4TH AVE STE 1, CHULA VISTA, CA (619) 422-9291 91910 MEDICAL CENTER PHARMACY PHARMACY 501 E HARDY ST STE 130, INGLEWOOD, (310) 671-7636 CA 90301 MEDICAL CENTER PHARMACY PHARMACY 18433 ROSCOE BLVD STE 110, (818) 993-7333 NORTHRIDGE, CA 91325 MEDICAL CENTER PHARMACY PHARMACY 4074 FAIRMOUNT AVE, SAN DIEGO, CA (619) 284-1141 92105 MEDICAL CENTER PHARMACY PHARMACY 3904 PARK BLVD, SAN DIEGO, CA 92103 (619) 295-3109 MEDICAL CENTER PHARMACY PHARMACY 2995 NATIONAL AVE, SAN DIEGO, CA (619) 525-1551 92113 MEDICAL CENTER PHARMACY PHARMACY 480 4TH AVE STE 100, CHULA VISTA, CA (619) 427-1444 91910 MEDICAL CENTER PHARMACY PHARMACY 286 EUCLID AVE STE 206, SAN DIEGO, (619) 819-2200 CA 92114 MEDICAL CLINIC PHARMACY PHARMACY 2025 SOQUEL AVE, SANTA CRUZ, CA (831) 426-0200 95062 MEDICAL GROUP PHARMACY PHARMACY 14860 ROSCOE BLVD STE 102, (818) 787-4490 PANORAMA CITY, CA 91402 MEDICAL MALL PHARMACY PHARMACY 1043 ELM AVE STE 305, LONG BEACH, (562) 491-9003 CA 90813 MEDICAL ONCOLOGY PHARMACY 3075 HEALTH CENTER DR, SAN DIEGO, (858) 637-7888 ASSOCIATES CA 92123 MEDICAL PAVILION PHARMACY PHARMACY 9460 N NAME UNO, GILROY, CA 95020 (408) 842-2001 MEDICAL PHARMACY PHARMACY 211 QUARRY RD STE 108, PALO ALTO, (650) 326-2300 CA 94304 MEDICAL PLAZA LEVEL I PHARMACY 200 UCLA MEDICAL PLZ, LOS ANGELES, (310) 794-1176 PHARMACY CA 90095 MEDICAL PLAZA LEVEL IV PHARMACY 200 UCLA MEDICAL PLZ, LOS ANGELES, (310) 794-7458 PHCY CA 90095 MEDICAL PLAZA PHARMACY PHARMACY 1700 N ROSE AVE STE 140, OXNARD, (805) 981-3366 CA 93030 MEDICAL PLAZA PHARMACY PHARMACY 12818 HEACOCK ST STE C5, MORENO (951) 247-3501 VALLEY, CA 92553 MEDICAL PLAZA PHARMACY PHARMACY 26750 TOWNE CENTRE DR STE C, (949) 586-6337 FOOTHILL RANCH, CA 92610 MEDICAL TERRACE PHARMACY 1505 WILSON TER STE 100, GLENDALE, (818) 409-8392 PHARMACY CA 91206

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 410 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MEDICAL TOWERS PHARMACY PHARMACY 17822 BEACH BLVD, HUNTINGTON (714) 847-6084 BEACH, CA 92647 MEDICINE CARE PHARMACY PHARMACY 1685 E MAIN ST STE 101, EL CAJON, CA (619) 383-2757 92021 MEDICINE CARE PHARMACY PHARMACY 1685 E MAIN ST STE 103, EL CAJON, CA (619) 401-7077 92021 MEDICINE LAND PHARMACY PHARMACY 7400 VAN NUYS BLVD, VAN NUYS, CA (818) 997-7000 91405 MEDICINE SHOPPE PHARMACY 11003 LAKEWOOD BLVD, DOWNEY, CA (562) 869-9200 90241 MEDICINE SHOPPE PHARMACY 1520 N MOUNTAIN AVE, ONTARIO, CA (909) 391-3542 91762 MEDICINE SHOPPE PHARMACY 1125 E 17TH ST STE N155, SANTA ANA, (714) 999-0075 CA 92701 MEDICINE SHOPPE PHARMACY PHARMACY 2100 MONUMENT BLVD, PLEASANT (925) 685-0147 HILL, CA 94523 MEDICINE SHOPPE PHARMACY PHARMACY 11126 PALMS BLVD, LOS ANGELES, CA (310) 837-1030 90034 MEDICINE SHOPPE PHARMACY PHARMACY 2241 MICHAEL DR, NEWBURY PARK, CA (805) 375-6650 91320 MEDICINE SHOPPE PHARMACY PHARMACY 3605 STATE ST, SANTA BARBARA, CA (805) 687-1376 93105 MEDICINE SHOPPE PHARMACY PHARMACY 9308 B TELEPHONE RD, VENTURA, CA (805) 647-1133 93004 MEDICINE SHOPPE PHARMACY PHARMACY 1250 LA VENTA DR STE 114, WESTLAKE (805) 497-3974 VILLAGE, CA 91361 MEDICINE SHOPPE PHARMACY PHARMACY 19225 VENTURA BLVD, TARZANA, CA (818) 996-2878 91356 MEDICINE SHOPPE PHARMACY PHARMACY 2196 S SAVIERS RD, OXNARD, CA 93033 (805) 487-6303 MEDICINE SHOPPE PHARMACY PHARMACY 227 W JANSS RD, THOUSAND OAKS, CA (805) 497-6113 91360 MEDICINE SHOPPE PHARMACY PHARMACY 1477 S SAN JACINTO AVE, SAN (951) 654-2791 JACINTO, CA 92583 MEDICINE SHOPPE PHARMACY PHARMACY 219 E OLIVE AVE, FRESNO, CA 93728 (559) 268-8258 MEDICINE SHOPPE PHARMACY PHARMACY 2611 E THOMPSON BLVD, VENTURA, CA (805) 648-2724 93003 MEDICINE SHOPPE PHARMACY PHARMACY 960 E OJAI AVE, OJAI, CA 93023 (805) 646-0106 MEDICINE SHOPPE PHARMACY PHARMACY 2484 E GETTYSBURG AVE, FRESNO, CA (559) 222-6276 93726 MEDICINE SHOPPE PHARMACY PHARMACY 3507 W WALNUT AVE, VISALIA, CA (559) 625-5015 93277 MEDICINE SHOPPE PHARMACY PHARMACY 2173 PICKWICK DR, CAMARILLO, CA (805) 389-5311 93010 MEDICINE SHOPPE PHARMACY PHARMACY 195 W SHAW AVE STE 101A, CLOVIS, (559) 297-0251 CA 93612 MEDICINE SHOPPE PHARMACY PHARMACY 4050 PHELAN RD STE 8, PHELAN, CA (760) 868-2800 92371 MEDICO PHARMACY PHARMACY 11779 SANTA MONICA BLVD, LOS (310) 444-9011 ANGELES, CA 90025 MEDICORX SPECIALTY PHARMACY 7039 VALJEAN AVE, VAN NUYS, CA (818) 390-9696 PHARMACY 91406 MEDINA, NICOLE - PT BELMONT SHORE PHYSICAL PHYSICAL THERAPY 4028 E BROADWAY, LONG BEACH, CA (562) 433-4331 THERAPY 90803 MEDLIFE PHCY AND PHARMACY 6644 IRVINE CENTER DR, IRVINE, CA (949) 502-7272 COMPOUNDING 92618 MEDPERX PHARMACY PHARMACY 24 S D ST, PERRIS, CA 92570 (951) 722-4383 MEDPILOT PHARMACY PHARMACY 9323 CHESAPEAKE DR STE C1, SAN (858) 278-7500 DIEGO, CA 92123 MEDPRO PHARMACY PHARMACY 3853 W STETSON AVE, HEMET, CA (951) 652-6300 92545 MEDRX INFUSION CLINICAL PHARMACY 415 417 N OAK STR, INGLEWOOD, CA (310) 671-2600 PHCY 90302

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 411 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MEDSHOP PHARMACY PHARMACY 7851 WALKER ST STE 102, LA PALMA, (714) 735-8859 CA 90623 MEDSHOP PHARMACY INC PHARMACY 17100 NORWALK BLVD, CERRITOS, CA (562) 210-8215 90703 MEDSRX PHARMACY 1011 CALLE RECODO, SAN CLEMENTE, (949) 303-1053 CA 92673 MEDSTAR PHYSICAL THERAPY PHYSICAL THERAPY 12115 PARAMOUNT BLVD, DOWNEY, CA (562) 250-2002 INC 90242-2309 MEDSTAR PHYSICAL THERAPY PHYSICAL THERAPY 1850 E PALMDALE BLVD, PALMDALE, (661) 224-1044 INC CA 93550-2026 MEDSTAR PHYSICAL THERAPY PHYSICAL THERAPY 275 W SAN BERNARDINO RD, COVINA, (626) 915-2992 INC CA 91723-1516 MEDSTAR PHYSICAL THERAPY PHYSICAL THERAPY 411 N CENTRAL AVE STE 610, (818) 244-0010 INC GLENDALE, CA 91203-2052 MEDSTAR PHYSICAL THERAPY PHYSICAL THERAPY 980 ATLANTIC AVE STE 200, LONG (562) 624-0766 INC BEACH, CA 90813-4572 MEDSTAR VALLEY PHYSICAL PHYSICAL THERAPY 261 W SAN BERNARDINO RD, COVINA, (626) 915-2992 THERAPY, INC. DBA COVINA A CA 91723-1516 MEDSTOP URGENT CARE MEDSTOP URGENT CARE URGENT CARE FACILITY 283 MADONNA RD STE B, SAN LUIS (805) 549-8880 CENTER (BCC) CENTER OBISPO, CA 93405 MEDTOWN RX PHARMACY 4128 W BURBANK BLVD, BURBANK, CA (818) 500-0079 91505 MEDVENE, JAIME E - PHD JAIME E MEDVENE & PSYCHOLOGY 30200 AGOURA RD , AGOURA HILLS , (818) 981-7845 (BCC) ASSOCIATES CA 91301 MEDVILLE PHARMACY PHARMACY 44150 TOWN CENTER WAY, PALM (760) 501-5287 DESERT, CA 92260 MEDX MEDICAL SUPPLY PHARMACY 3200 LOS FELIZ BLVD, LOS ANGELES, (323) 522-3795 PHARMACY CA 90039 MEDZONE PHARMACY PHARMACY 800 N TUSTIN AVE STE K, SANTA ANA, (714) 558-1900 CA 92705 MEEK, RACHEL - PT HAYASHIDA ASSOCIATES PHYSICAL THERAPY 5718 HOLLISTER AVE STE 105, GOLETA, (805) 685-1755 PHYSICAL THERAPY INC CA 93117 MEGA DRUGS PHARMACY PHARMACY 696 E SANTA CLARA ST, SAN JOSE, CA (408) 283-9518 95112 MEHIZADEGAN, SARA - LAC REPAIR NB PHYSICAL ACUPUNCTURE 2013 NEWPORT BLVD, COSTA MESA, (714) 377-4314 THERAPY CORP CA 92627 MEHTA, ASHISH - MD KAISER PERMANENTE YORBA OPHTHALMOLOGY 22550 SAVI RANCH PARKWAY , YORBA (714) 644-6450 LINDA MEDICAL OFFICES LINDA, CA 92887 MEHTA, RITVIK P - MD (BCC) OTOLARYNGOLOGY (ENT) 2390 FARADAY AVE , CARLSBAD, CA (858) 909-0770 92008 MEHTA, SIBYLLE - PT ATHLETIC CONDITIONING PHYSICAL THERAPY 111 PACIFICA STE 150, IRVINE, CA (949) 754-1344 INJURY CENTER ACIC 92618 MEHTA, SUNIL D - DPM KAISER PERMANENTE PODIATRY 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER MEHTA, TRUSHA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 312 W CERRITOS AVE BLDG 7, (714) 947-1213 CORP ANAHEIM, CA 92805 MEHTA, VIRAL Y - MD (BCC) COMPREHENSIVE CARDIOVASCULAR DISEASE 5945 TRUXTON AVE , BAKERSFIELD, CA (661) 323-4278 CARDIOVASCULAR MEDICAL (CARDIOLOGY) 93309 GROUP MEIJER SPECIALTY PHARMACY 2514 N ONTARIO ST STE 102, (800) 657-2212 PHARMACY BURBANK, CA 91504 MEIJI PHARMACY PHARMACY 1630 W REDONDO BEACH BLVD, (310) 538-2885 GARDENA, CA 90247 MEISSNER, CHERYL - PTA PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 121 BOATYARD DR SUITE A, FORT (707) 964-1208 BRAGG, CA 95437 MEISSNER, MELISSA - PT 360 SPORTS SPINE WELLNESS PHYSICAL THERAPY 18800 DELAWARE ST STE 1000, (714) 848-9319 INC HUNTINGTON BEACH, CA 92648 MEJIA, SHELLEY - PT WALKER PHYSICAL THERAPY PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (951) 672-0455 92586 MEKAGREEN PHARMACY PHARMACY 1373 W 29TH ST, LOS ANGELES, CA (323) 643-4240 90007

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 412 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MEKATA, DEANNA, LINTAG - PT HEALTHSUMMIT PHYSICAL PHYSICAL THERAPY 260 S SUNNYVALE AVE STE 2, (408) 329-9604 THERAPY SUNNYVALE, CA 94086 MELKONOVA, MARINA - PT WELLNESS PT AND REHAB INC PHYSICAL THERAPY 1577 E CHEVY CHASE DR 100, (818) 240-0049 GLENDALE, CA 91206 MELLO, THEODORE - PT CORNERSTONE PHYSICAL PHYSICAL THERAPY 7145 N CHESTNUT AVE STE 105, (559) 299-2244 THERAPY FRESNO, CA 93720 MELROSE, BRIAN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 MELROSE, ELLISON - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 MELSTROM, KURT - MD (BCC) CITY OF HOPE MEDICAL COLON AND RECTAL 412 W CARROLL AVE STE 200, (626) 218-0921 FOUNDATION SURGERY GLENDORA, CA 91741 MELTZER, PAUL - MD CARDIOVASCULAR DISEASE 700 N TUSTIN AVE, SANTA ANA, CA (714) 245-1444 (CARDIOLOGY) 92705 MEMORIAL HOSPITAL LOS PHARMACY 520 W I ST, LOS BANOS, CA 93635 (209) 826-0591 BANOS MEMORIAL HOSPITAL OF MEMORIAL HOSPITAL OF ACUTE CARE HOSPITAL 1145 W REDONDO BEACH BLVD, (310) 532-4200 GARDENA (BCC) GARDENA GARDENA, CA 90247 MEMORIAL MEDICAL CENTER PHARMACY 9806 VENICE BLVD, CULVER CITY, CA (310) 837-6158 PHCY 90232 MEMORIAL MEDICAL PHARMACY 1510 S CENTRAL AVE STE 110, (818) 247-0526 PHARMACY GLENDALE, CA 91204 MEMORIAL OCCUPATIONAL MEMORIAL OCCUPATIONAL URGENT CARE FACILITY 3838 SAN DIMAS ST STE B100, (661) 326-0088 MEDICINE (BCC) MEDICINE BAKERSFIELD, CA 93301 MEMORIAL ORTHOPAEDIC PHARMACY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 424-6666 SURGICAL 90806 MEMORIALCARE MEDICAL MEMORIALCARE MEDICAL URGENT CARE FACILITY 17762 BEACH BLVD STE 100, (714) 848-0800 GROUP (BCC) GROUP HUNTINGTON BEACH, CA 92647 MEMORIALCARE OUTPATIENT AMBULATORY SURGERY 3833 WORSHAM AVE STE 200, LONG (562) 426-2606 SURGICAL CTR LONG BEACH CENTER BEACH, CA 90808 AN AFFL OF SCA MENCHACA, DENISE, WEST LAKE PHYSICAL PHYSICAL THERAPY 110 JENSEN CT STE 2C, THOUSAND (805) 413-1070 CASTELLANOS - PT THERAPY INC MAIN OAKS, CA 91360 MENDEZ, ALLEN - PTA VILLA LAS PALMAS PHYSICAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 MENDEZ, JUNE - PT YOUNG PHYSICAL THERAPY PHYSICAL THERAPY 42301 10TH ST W, LANCASTER, CA (661) 942-2202 INC 93534 MENDOCINO COAST DISTRICT MENDOCINO COAST DISTRICT ACUTE CARE HOSPITAL 700 RIVER DR, FORT BRAGG, CA 95437 (707) 961-1234 HOSPITAL (BCC) HOSPITAL MENDOCINO COAST PHARMACY 350 CYPRESS ST, FORT BRAGG, CA (707) 962-0800 PHARMACY 95437 MENDOCINO VILLAGE PHARMACY 10501 LANSING ST, MENDOCINO, CA (707) 937-4800 PHARMACY 95460 MENDOZA, BRENDA - PTA PASO ROBLES PHYSICAL PHYSICAL THERAPY 2150 HERITAGE LOOP RD STE D, PASO (805) 369-2323 THERAPY ROBLES, CA 93446 MENDOZA, BRENDA - PTA PASO ROBLES PHYSICAL PHYSICAL THERAPY 2975 UNION RD, PASO ROBLES, CA (805) 237-0272 THERAPY 93446 MENDOZA, BRENDA - PTA PASO ROBLES PHYSICAL PHYSICAL THERAPY 5255 EL CAMINO REAL STE C, (805) 237-0272 THERAPY ATASCADERO, CA 93422 MENDOZA, ENRIQUE - PT ORTHOSPORT PHYSICAL PHYSICAL THERAPY 10190 CULVER BLVD, CULVER CITY, CA (310) 837-9700 THERAPY 90232 MENDOZA, KAREN - PTA MARKET PLACE PHYSICAL PHYSICAL THERAPY 14682 CENTRAL AVE, CHINO, CA 91710 (951) 684-2874 THERAPY MENDOZA, MICHAEL - PT COMPLETE CARE PHYSICAL PHYSICAL THERAPY 552 S PASEO DOROTEA STE 4, PALM (760) 325-5950 THERAPY SPRINGS, CA 92264 MENDOZA, MICHAEL - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 552 S PASEO DOROTEA STE 4, PALM (760) 325-5950 SPRINGS, CA 92064 MENEAR, GINA - AUD ADVANCED HEARING AUDIOLOGY 2200 HARBOR BLVD STE 203, COSTA (800) 598-5300 PROVIDERS LLC MESA, CA 92627 MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ORTHOPEDIC SURGERY - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL ANGELES, CA 90033 MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL LOWER EXTREMITIES ANGELES, CA 90033

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 413 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL UPPER EXTREMITIES ANGELES, CA 90033 MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL UPPER EXTREMITIES ANGELES, CA 90033 MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ORTHOPEDICS - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL ANGELES, CA 90033 MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ORTHOPEDICS - LOWER 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL EXTREMITIES ANGELES, CA 90033 MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ORTHOPEDICS - UPPER 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL EXTREMITIES ANGELES, CA 90033 MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ORTHOPEDICS - UPPER 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL EXTREMITIES ANGELES, CA 90033 MENENDEZ, LAWRENCE - MD USC KENNETH NORRIS JR ONCOLOGY 1520 SAN PABLO ST STE 2000, LOS (323) 442-5830 CANCER HOSPITAL ANGELES, CA 90033 MENESHIAN, LISA - PHD (BCC) PSYCHOLOGY 1261 W GONZALES RD, OXNARD, CA (818) 501-4700 93036 MENESHIAN, LISA - PHD (BCC) PSYCHOLOGY 155 W HOSPITALITY LN STE 110, SAN (818) 501-4700 BERNARDINO, CA 92408 MENESHIAN, LISA - PHD (BCC) PSYCHOLOGY 27201 TOURNEY RD STE 201, (818) 501-4700 VALENCIA, CA 91355 MENESHIAN, LISA - PHD (BCC) PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 SHERMAN OAKS, CA 91411 MENESHIAN, LISA - PHD (BCC) PSYCHOLOGY 6331 GREENLEAF AVE STE G, (818) 501-4700 WHITTIER, CA 90601 MENESHIAN, LISA - PHD (BCC) PSYCHOLOGY 900 E WASHINGTON ST STE 300, (818) 501-4700 COLTON, CA 92324 MENESHIAN, LISA - PHD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (562) 493-6799 SHERMAN OAKS , CA 91411 MENESHIAN, LISA - PHD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (562) 493-6799 SEAL BEACH, CA 90740 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 PSYCHOLOGICAL NETWORK CA 90242 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 300 E ESPLANADE DR STE 900 (818) 501-4700 PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 6331 GREENLEAF AVE STE G , (818) 501-4700 PSYCHOLOGICAL NETWORK WHITTIER, CA 90601 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 PSYCHOLOGICAL NETWORK 90601 MENESHIAN, LISA - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 900 E WASHINGTON ST STE 300, (818) 501-4700 PSYCHOLOGICAL NETWORK COLTON, CA 92324 MENG, FANJIE - LAC NEW LIFE ACUPUNCTURE ACUPUNCTURE 1414 FAIR OAKS AVE STE 1A, SOUTH (626) 340-1489 HERB CENTER PASADENA, CA 91030 MENGEL, KENNETH - PT FORTANASCE ASSOCIATES PHYSICAL THERAPY 671 W NAOMI AVE, ARCADIA, CA 91007 (626) 446-7027 PHYSICAL THERAPY MENIFEE VALLEY MEDICAL MENIFEE VALLEY MEDICAL ACUTE CARE HOSPITAL 28400 MCCALL BLVD, SUN CITY, CA (951) 679-8888 CENTER (BCC) CENTER 92585 MENOR, CHRISTINA - MD (BCC) ANESTHESIOLOGY 5700 SAN FERNANDO RD, GLENDALE, (818) 637-7766 CA 91202 MENS ANNEX (BCC) MENS ANNEX CHEMICAL DEPENDENCY 2759 ORANGE ST, RIVERSIDE, CA 92501 (951) 788-9515 REHABILITATION CENTER (OUTPATIENT) MENS SUBSTANCE ABUSE MENS SUBSTANCE ABUSE CHEMICAL DEPENDENCY 2743 ORANGE ST, RIVERSIDE, CA 92501 (951) 788-9515 RECOVERY HOME (BCC) RECOVERY HOME REHABILITATION CENTER (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 414 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MENS TREATMENT PROGRAM MENS TREATMENT PROGRAM CHEMICAL DEPENDENCY 907 PICO BLVD, SANTA MONICA, CA (310) 314-6200 (BCC) REHABILITATION HOSPITAL 90405 (INPATIENT) MERAV, YAEL - LAC ACUPUNCTURE HEALTH ACUPUNCTURE 16545 VENTURA BLVD STE 24, ENCINO, (818) 385-0775 SOLUTIONS SIGNAGE IS CA 91436 FAMILY URGENT CARE INDUSTRIAL MED MERAZ, CHRISTOPHER - PTA IMPERIAL PHYSICAL THERAPY PHYSICAL THERAPY 1698 CRUICKSHANK DR STE A, EL (760) 353-3422 CENTRO, CA 92243 MERCADO, RENEE - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 MERCED DRUG PHARMACY 35 E 16TH ST, MERCED, CA 95340 (209) 388-1080 MERCED MEDICAL PHARMACY PHARMACY 1515 W MERCED AVE, WEST COVINA, (626) 962-3685 CA 91790 MERCED PHYSICAL THERAPY PHYSICAL THERAPY 2908 G ST STE B, MERCED, CA (209) 812-1448 & SPORTS MEDICINE REHAB 95340-2106 MERCHANT, GAURAVI - PT PHYSICIAN'S CHOICE PHYSICAL THERAPY 12217 SANTA MONICA BLVD STE 209, (310) 309-3721 PHYSICAL THERAPY LOS ANGELES, CA 90025 MERCHANT, GAURAVI - PT PHYSICIAN'S CHOICE PHYSICAL THERAPY 17019 CHATSWORTH ST, GRANADA (818) 435-4455 PHYSICAL THERAPY HILLS, CA 91344 MERCILL, CHRISTIAN - PT KEVIN SNIDER PHYSICAL PHYSICAL THERAPY 1920 BARNEY RD, ANDERSON, CA (530) 365-2142 THERAPY 96007 MERCURY PHARMACY PHARMACY 480 REDWOOD ST STE 33, VALLEJO, CA (707) 200-4411 94590 MERCURY PHARMACY PHARMACY 480 CHADBOURNE RD STE 101, (707) 862-7300 FAIRFIELD, CA 94534 MERCY CARE PHARMACY PHARMACY 488 E VALLEY PKWY STE 101, (760) 294-0014 ESCONDIDO, CA 92025 MERCY GENERAL HOSPITAL MERCY GENERAL HOSPITAL ACUTE CARE HOSPITAL 4001 J ST, SACRAMENTO, CA 95819 (916) 453-4545 (BCC) MERCY HOSPITAL OF MERCY HOSPITAL OF ACUTE CARE HOSPITAL 2215 TRUXTUN AVE, BAKERSFIELD, CA (661) 632-5000 BAKERSFIELD (BCC) BAKERSFIELD 93301 MERCY HOSPITAL OF FOLSOM MERCY HOSPITAL OF FOLSOM ACUTE CARE HOSPITAL 1650 CREEKSIDE DR, FOLSOM, CA (916) 983-7400 (BCC) 95630 MERCY LTC AND SPECIALTY PHARMACY 17621 PIONEER BLVD, ARTESIA, CA (562) 402-0542 PHARMA 90701 MERCY MEDICAL CENTER MERCY MEDICAL CENTER ACUTE CARE HOSPITAL 333 MERCY AVE, MERCED, CA 95340 (209) 564-5000 MERCED (BCC) MERCED MERCY MEDICAL CENTER MT MERCY MEDICAL CENTER MT ACUTE CARE HOSPITAL 914 PINE ST, MOUNT SHASTA, CA 96067 (530) 926-6111 SHASTA (BCC) SHASTA MERCY MEDICAL CENTER PHARMACY 2621 S BRISTOL ST STE 100, SANTA (714) 754-1331 PHARMACY ANA, CA 92704 MERCY MEDICAL CENTER MERCY MEDICAL CENTER ACUTE CARE HOSPITAL 2175 ROSALINE AVE, REDDING, CA (530) 225-6000 REDDING (BCC) REDDING 96001 MERCY MEDICAL GROUP (BCC) MERCY MEDICAL GROUP URGENT CARE FACILITY 3000 Q ST, SACRAMENTO, CA 95816 (916) 733-3390 MERCY PLAZA PHARMACY PHARMACY 2336 EYE ST, BAKERSFIELD, CA 93301 (661) 323-2925 24TH ST MERCY SAN JUAN MEDICAL MERCY SAN JUAN MEDICAL ACUTE CARE HOSPITAL 6501 COYLE AVE, CARMICHAEL, CA (916) 537-5000 CENTER (BCC) CENTER 95608 MERCY SOUTH GATE PHARMACY 8116 CALIFORNIA AVE STE A, SOUTH (323) 206-4177 PHARMACY GATE, CA 90280 MERCY SURGERY CENTER MERCY SURGERY CENTER AMBULATORY SURGERY 2175 ROSALINE AVE STE A, REDDING, (530) 225-7400 (BCC) (BCC*) CENTER CA 96001 MERIDIAN HAND THERAPY INC PHYSICAL THERAPY 550 SAINT CHARLES DR STE 100, (805) 449-1125 THOUSAND OAKS, CA 91360-3969 MERIDIAN HAND THERAPY INC PHYSICAL THERAPY 696 HAMPSHIRE RD STE 180A, (805) 497-1700 WESTLAKE VILLAGE, CA 91361 MERIDIAN PHYSICAL THERAPY PHYSICAL THERAPY 3419 BROADWAY ST STE H 10, (707) 648-3144 AND REHABILITATION AMERICAN CANYON, CA 94503 MERIDIAN PHYSICAL THERAPY PHYSICAL THERAPY 5400 BALBOA BLVD STE 302, ENCINO, (818) 380-0199 AND WELLNESS CA 91316-5219 MERIDIAN URGENT CARE MERIDIAN URGENT CARE URGENT CARE FACILITY 18522 US HIGHWAY 18 STE 102, APPLE (760) 242-7707 (BCC) VALLEY, CA 92307

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 415 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MERIDIAN URGENT CARE MERIDIAN URGENT CARE URGENT CARE FACILITY 12821 MAIN ST STE 140, HESPERIA, CA (760) 949-2500 (BCC) 92345 MERIDIAN URGENT CARE MERIDIAN URGENT CARE URGENT CARE FACILITY 1301 E MAIN ST, BARSTOW, CA 92311 (760) 255-3200 (BCC) MERIN, NOAH - MD (BCC) CEDARS-SINAI MEDICAL HEMATOLOGY AND 8700 BEVERLY BLVD, LOS ANGELES, (310) 423-1160 CENTER - SAMUEL OSCHIN ONCOLOGY CA 90048 CANCER CENTER MERKL, CHRISTINA - PT GROVE PHYSICAL THERAPY 860 SOUTHAMPTON RD, BENICIA, CA (707) 745-6144 ANDERSENGHIRINGHELLI 94510 PHYSICAL THERAPY MERLA, RAMANNA - MD CARDIOVASCULAR DISEASE 1866 N ORANGE GROVE AVE SUITE (909) 623-5866 (CARDIOLOGY) 201, POMONA, CA 91767 MERLIN MEDICAL SUPPLY RX PHARMACY 699 MOBIL AVE, CAMARILLO, CA 93010 (805) 388-7669 MERMAN, JAN - MD NEUROLOGY 5901 W OLYMPIC BLVD STE 507, LOS (323) 917-5186 ANGELES, CA 90036 MERRILL, LAURIE - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 MERRILL, TODD - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE SHOULDER BAKERSFIELD, CA 93309 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE KNEE BAKERSFIELD, CA 93309 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ANKLE 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA PRIMARY TREATING 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN BAKERSFIELD, CA 93309 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE ANKLE BAKERSFIELD, CA 93309 MERRIMAN, JARRAD - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 MERRITT, ANDREW - MD (BCC) PHYSICAL MEDICINE AND 23141 MOULTON PKWY STE 201, (949) 900-1300 REHABILITATION LAGUNA HILLS, CA 92653 MERSCH, ALEX - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 MERSCH, ALEX - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 MERSCH, ALEX - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 MERSCH, ALEX - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 MERSCH, ALEX - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 MERSCH, ALEX - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 MERTZ, ZACHARY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 MESA CLINICAL PHARMACY PHARMACY 12608 MOUNTAIN MESA RD, LAKE (760) 379-6106 ISABELLA, CA 93240 MESA PHARMACY PHARMACY 7218 VAN NUYS BLVD STE B, VAN (818) 785-6049 NUYS, CA 91405 MESA PHYSICAL THERAPY PHYSICAL THERAPY 7510 CLAIREMONT MESA BLVD STE (858) 277-2277 103, SAN DIEGO, CA 92111-1539 MESA VERDE CONVALESCENT MESA VERDE CONVALESCENT SKILLED NURSING FACILITY 661 CENTER ST , COSTA MESA, CA (949) 548-5585 HOSPITAL (BCC) HOSPITAL 92627 MESA VERDE PHARMACY PHARMACY 1525 MESA VERDE DR E, COSTA MESA, (714) 884-3574 CA 92626

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 416 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MESNA, DAVID P - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER MESSIHA, ANDREW H - MD PAIN MANAGEMENT 23521 PASEO DE VALENCIA STE 204, (949) 458-2026 (BCC) LAGUNA HILLS , CA 92653 MESTER, ANDREW F - MD SANSUM CLINIC - FOOTHILL OTOLARYNGOLOGY (ENT) 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 (BCC) SURGERY CENTER CA 93110 METCALF, REED - DC GREGORY BROWN LAC CHIROPRACTIC MEDICINE 201 HARDING BLVD STE K, ROSEVILLE, (916) 784-2727 CA 95678 METHODIST HOSPITAL OF METHODIST HOSPITAL OF ACUTE CARE HOSPITAL 7500 HOSPITAL DR, SACRAMENTO, CA (916) 423-3000 SACRAMENTO (BCC) SACRAMENTO 95823 METHODIST HOSPITAL OF METHODIST HOSPITAL OF ACUTE CARE HOSPITAL 300 W HUNTINGTON DR, ARCADIA, CA (626) 898-8000 SOUTHERN CALIFORNIA (BCC) SOUTHERN CALIFORNIA 91007 METZGER, DANIEL - LAC DANIEL METZGER LAC ACUPUNCTURE 425 DIVISADERO ST STE 205, SAN (415) 845-2323 FRANCISCO, CA 94117 METZLER, ANDREW - PT PROPT PHYSICAL THERAPY 1870 S CENTRAL ST, VISALIA, CA 93277 (559) 636-1200 METZLER, JENNIFER - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 METZLER, JENNIFER - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 MEURER, GARY - MD (BCC) ANESTHESIOLOGY 2215 TRUXTUN AVE, BAKERSFIELD, CA (661) 632-5000 93301 MEXICARE PHARMACY PHARMACY 9670 MAGNOLIA AVE STE 107, (951) 588-6745 RIVERSIDE, CA 92503 MEYER, JUSTIN T - DPM (BCC) SANSUM CLINIC - FOOTHILL PODIATRY 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER CA 93110 MEYERS, SONYA LJ - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER MEYERS, SONYA LJ - MD KAISER PERMANENTE ON THE PRIMARY TREATING 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH PHYSICIAN JOSE, CA 95119 CENTER MEYERS, TONI (TAKIKO) - MD SANSUM CLINIC - FOOTHILL OPHTHALMOLOGY 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-8950 (BCC) EYE CENTER - BLDG B CA 93110 MFI RECOVERY CENTER (BCC) MFI RECOVERY CENTER CHEMICAL DEPENDENCY 4440 UNIVERSITY AVE, RIVERSIDE, CA (951) 683-6596 REHABILITATION CENTER 92501 (OUTPATIENT) MFI RECOVERY CENTER - MFI RECOVERY CENTER - CHEMICAL DEPENDENCY 1035 W RAMSEY ST STE A, BANNING, (866) 218-4697 BANNING (BCC) BANNING REHABILITATION CENTER CA 92220 (OUTPATIENT) MI FARMACIA SAN YSIDRO PHARMACY 4630 BORDER VILLAGE RD, SAN (619) 428-3760 YSIDRO, CA 92173 MI SUENO SPEECH THERAPY PHYSICAL THERAPY 114 N 2ND AVE, COVINA, CA 91723-2112 (626) 732-1111 INC MI SUENO SPEECH THERAPY PHYSICAL THERAPY 129 1/2 W BADILLO ST, COVINA, CA (626) 732-1111 INC 91723-2016 MI SUENO SPEECH THERAPY PHYSICAL THERAPY 292 E FOOTHILL BLVDSUITE A, (626) 732-1111 INC ARCADIA, CA 91006-2554 MICHAEL WONG PT APC PHYSICAL THERAPY 150 S RAYMOND AVE, ALHAMBRA, CA (626) 300-0008 91801-3166 MICHAEL WONG PT APC PHYSICAL THERAPY 206 E LAS TUNAS DR STE 5, SAN (626) 660-6080 GABRIEL, CA 91776-1411 MICHAEL'S HOUSE (BCC) MICHAEL'S HOUSE CHEMICAL DEPENDENCY 1910 S CAMINO REAL, PALM SPRINGS, (760) 416-7951 REHABILITATION CENTER CA 92264 (OUTPATIENT) MICHAEL'S PHARMACY PHARMACY 4955 VAN NUYS BLVD, SHERMAN OAKS, (818) 905-0669 CA 91403 MICHAEL'S PHARMACY PHARMACY 215 N CENTRAL AVE, GLENDALE, CA (626) 204-7420 91203 MICHAEL, CHRISTOPHER - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 1055 E COLORADO BLVD FL 5, (800) 803-2086 GROUP INC PASADENA, CA 91106 MICHAEL, CHRISTOPHER - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 117 EAST COLORADO BLVD STE 600 , (800) 803-2086 GROUP INC PASADENA, CA 91105

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 417 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MICHAEL, CHRISTOPHER - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 11801 PIERCE ST STE 200, RIVERSIDE, (800) 803-2086 GROUP INC CA 92505 MICHAEL, CHRISTOPHER - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 3200 GUASTI ROAD STE 100, ONTARIO, (800) 803-2086 GROUP INC CA 91761 MICHAEL, CHRISTOPHER - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 473 E CARNEGIE DR STE 200 , SAN (800) 803-2086 GROUP INC BERNARDINO, CA 92408 MICHAEL, CHRISTOPHER - PHD PSYCHOLOGY 11801 PIERCE ST STE 200, RIVERSIDE, (310) 837-2444 (BCC) CA 92505 MICHAEL, CHRISTOPHER - PHD PSYCHOLOGY 3200 E GUASTI RD STE 200, ONTARIO, (310) 837-2444 (BCC) CA 91761 MICHAEL, CHRISTOPHER - PHD PSYCHOLOGY 473 E CARNEGIE DR STE 200, SAN (310) 837-2444 (BCC) BERNARDINO, CA 92408 MICHAEL, STEPHANO - DC FAMILY CHIROPRACTIC CHIROPRACTIC MEDICINE 845 REDWOOD ST, VALLEJO, CA 94590 (707) 557-5000 SPORTS THERAPY MICHAELS HOUSE (BCC) MICHAELS HOUSE CHEMICAL DEPENDENCY 430 S CAHUILLA RD, PALM SPRINGS, (760) 416-7951 REHABILITATION CENTER CA 92262 (OUTPATIENT) MICHAELS HOUSE MICHAELS HOUSE CHEMICAL DEPENDENCY 515 N PALM CANYON DR BLDG H, PALM (760) 320-5486 OUTPATIENT CENTER (BCC) OUTPATIENT CENTER REHABILITATION CENTER SPRINGS, CA 92262 (OUTPATIENT) MICHAELS, KEITH - AUD ADVANCED HEARING AUDIOLOGY 230 N MARYLAND STREET STE 200, (800) 598-5300 PROVIDERS LLC GLENDALE, CA 91206 MICHAELS, KEITH - AUD ADVANCED HEARING AUDIOLOGY 6360 WISHIRE BLVD STE 270, LOS (800) 598-5300 PROVIDERS LLC ANGELES, CA 90048 MICHAELS, KEITH - AUD ADVANCED HEARING AUDIOLOGY 2809 N SEPULVEDA BLVD STE D, (800) 598-5300 PROVIDERS LLC MANHATTAN BEACH, CA 90266 MICHAELS, KEITH - AUD ADVANCED HEARING AUDIOLOGY 4560 ADMIRA HIGHWAY , MARINA DEL (800) 598-5300 PROVIDERS LLC REY, CA 90292 MICHAELS, KEITH - AUD ADVANCED HEARING AUDIOLOGY 20911 EARL STREET STE 100, (800) 598-5300 PROVIDERS LLC TORRANCE, CA 90503 MICHAELS, KEITH - AUD ADVANCED HEARING AUDIOLOGY 6229 W 87TH ST STE 100, (800) 598-5300 PROVIDERS LLC WESTCHESTER, CA 90045 MICHAELS, LAURI - OT VOSA HAND THERAPY OCCUPATIONAL THERAPY 14624 SHERMAN WAY STE 500, VAN (818) 902-2888 NUYS, CA 91405 MICHAELS, MATTHEW - AUD ADVANCED HEARING AUDIOLOGY 1911 WILSHIRE BLVD STE B, SANTA (800) 598-5300 PROVIDERS LLC MONICA, CA 90403 MICHELETTI, BRIAN - PT SPORTS AND SPINE PHYSICAL THERAPY 23456 HAWTHORNE BLVD STE 205, (424) 201-0542 ORTHOPAEDICS TORRANCE, CA 90505 MICHELETTI, BRIAN - PT SPORTS AND SPINE PHYSICAL THERAPY 2361 ROSEGRANS AVENUE SUITE 165, (310) 626-4806 ORTHOPAEDICS EL SEGUNDO, ca 90245 MICHELOTTI, MARCOS J - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S MICHELOTTI, MARCOS J - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 44274 GEORGE CUSHMAN CT STE 208, (800) 679-4642 (BCC) HEALTH CARE - GENERAL TEMECULA, CA 92592 SURGERY FP&S MICHELOTTI, MARCOS J - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 603 E LATHAM AVE , HEMET, CA 92543 (800) 679-4642 (BCC) HEALTH CARE - GENERAL SURGERY FP&S MICHITARO YAMAMOTO PHYSICAL THERAPY 18700 MAIN STSUITE 107, HUNTINGTON (714) 847-2501 PHYSICAL THERAPY INC BEACH, CA 92648-1713 MICHITARO YAMMAMOTO PHYSICAL THERAPY 18700 MAIN ST # 107, HUNTINGTON (714) 847-2501 PHYSICAL THERAPY I BEACH, CA 92648 MICIC, DANIELA - MD (BCC) ANESTHESIOLOGY 1301 20TH ST, SANTA MONICA, CA (626) 795-6596 90404 MICIC, DANIELA - MD (BCC) ANESTHESIOLOGY 2121 WILSHIRE BLVD STE 201, SANTA (310) 576-7267 MONICA, CA 90403 MICKEY FINE PHARMACY PHARMACY 433 N ROXBURY DR, BEVERLY HILLS, (310) 271-6123 CA 90210 MICKEY FINE PHARMACY AND PHARMACY 2000 AVE OF THE STARS QSR 54, LOS (310) 277-6123 SNACK ANGELES, CA 90067 MID VALLEY HEALTH PHARMACY 2800 MITCHELL RD STE S, CERES, CA (209) 531-1858 SERVICES 95307

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 418 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MID VALLEY HEALTH PHARMACY 602 SCENIC DR, MODESTO, CA 95350 (209) 552-7600 SERVICES LTC MID VALLEY RX PHARMACY PHARMACY 2519 ROYAL AVE, SIMI VALLEY, CA (805) 527-4013 93065 MID-WEST MEDICAL PHARMACY 8733 BEVERLY BLVD STE 100, WEST (310) 657-1635 PHARMACY HOLLYWOOD, CA 90048 MIDDLETON, DOUGLAS - MD CONCENTRA MEDICAL PRIMARY TREATING 7590 MIRAMAR RD STE C, SAN DIEGO, (858) 549-4225 CENTER - MIRAMAR PHYSICIAN CA 92126 MIDDLETON, DOUGLAS - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 7590 MIRAMAR RD STE C, SAN DIEGO, (858) 549-4225 CENTER - MIRAMAR CA 92126 MIDDLETON, GREG - DC DR MIDDLETON CHIROPRACTIC MEDICINE 15112 ROSECRANS AVE, LA MIRADA, (714) 522-2332 PROFESSIONAL SERVICES CA 90638 MIDTOWN PHARMACY PHARMACY 3701 J ST, SACRAMENTO, CA 95816 (916) 452-3454 MIDTOWN PHARMACY PHARMACY 2173 HARBOR BAY PKWY, ALAMEDA, (510) 864-4199 PROFESSIONAL CA 94502 MIDWAY DRUGS PHARMACY 10410 LOWER AZUSA RD, EL MONTE, (626) 448-7659 CA 91731 MIDWAY INDUSTRIAL MIDWAY INDUSTRIAL URGENT CARE FACILITY 5901 W OLYMPIC BLVD STE 203, LOS (323) 930-1331 HEALTHCARE SERVICES (BCC) HEALTHCARE SERVICES ANGELES, CA 90036 MIELAK, MATTHEW - PTA MARKETPLACE PHYSICAL PHYSICAL THERAPY 3191 MISSION INN AVE STE B, (951) 684-2874 THERAPY MAIN RIVERSIDE, CA 92507 MIESFELD, JULIE - PT SPORT REHAB PHYSICAL PHYSICAL THERAPY 81 CERNON ST, VACAVILLE, CA 95688 (707) 447-9750 THERAPY MIESKE, SAMUEL - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 MIGDALI, LESLEY - LAC ACUMEN HEALTH CLINICS ACUPUNCTURE 2045 ROYAL AVE, SIMI VALLEY, CA (805) 527-2754 93065 MIGLIORE, CHRISTIANE - PT WILLIAMSON HAHN PHYSICAL PHYSICAL THERAPY 1505 MERIDIAN AVE STE A, SAN JOSE, (408) 264-6643 THERAPY CA 95125 MIGNEA, DAVID - PT SAN DIEGO UPTOWN PHYSICAL THERAPY 4060 4TH AVE STE 206, SAN DIEGO, CA (619) 299-5246 PHYSICAL THERAPY 92103 MIKESELL, SARA - PT REDWOOD ORTHOPAEDIC PHYSICAL THERAPY 20211 PATIO DR STE 205, CASTRO (510) 537-3991 PHYSICAL THERAPY VALLEY, CA 94546 MIKHAEL, MARK - MD (BCC) ORTHOPEDIC SURGERY - 2625 W ALAMEDA AVE STE 116, (818) 841-3936 ANKLE BURBANK, CA 91505 MIKHAEL, MARK - MD (BCC) ORTHOPEDICS - ANKLE 2625 W ALAMEDA AVE STE 116, (818) 841-3936 BURBANK, CA 91505 MIKHAEL, MARK - MD (BCC) ORTHOPEDIC SURGERY - 2625 W ALAMEDA AVE STE 116, (818) 841-3936 FOOT BURBANK, CA 91505 MIKHAEL, MARK - MD (BCC) ORTHOPEDICS - FOOT 2625 W ALAMEDA AVE STE 116, (818) 841-3936 BURBANK, CA 91505 MIKHEYEV, LUDA - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 MIKLA, ANTHONY - PT KIME PHYSICAL THERAPY PHYSICAL THERAPY 1600 TRIBUTE RD, SACRAMENTO, CA (916) 905-6378 95815 MIKLA, ANTHONY - PT KIME PHYSICAL THERAPY PHYSICAL THERAPY 4990 HILLSDALE CIR STE 100, EL (916) 905-6378 DORADO HILLS, CA 95762 MIKULAK, STEPHEN - MD (BCC) ORTHOPEDIC SURGERY - HIP 360 SAN MIGUEL DR STE 701, (949) 759-3600 NEWPORT BEACH, CA 92660 MIKULAK, STEPHEN - MD (BCC) ORTHOPEDIC SURGERY - 360 SAN MIGUEL DR STE 701, (949) 759-3600 KNEE NEWPORT BEACH, CA 92660 MIKULAK, STEPHEN - MD (BCC) ORTHOPEDICS - HIP 360 SAN MIGUEL DR STE 701, (949) 759-3600 NEWPORT BEACH, CA 92660 MIKULAK, STEPHEN - MD (BCC) ORTHOPEDICS - KNEE 360 SAN MIGUEL DR STE 701, (949) 759-3600 NEWPORT BEACH, CA 92660 MILANESE, KRISTINA - PT LAGUNA PHYSICAL THERAPY PHYSICAL THERAPY 9563 LAGUNA SPRINGS DR, ELK (916) 691-9822 HAND REHABILITATION GROVE, CA 95758 MILART PRESCRIPTION PHARMACY 300 S BEVERLY DR STE 100, BEVERLY (310) 553-0225 PHARMACY HILLS, CA 90212 MILBURN, MICHAEL R - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 MILBURN, MICHAEL R - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 MILBURN, MICHAEL R - MD KAISER PERMANENTE SANTA PRIMARY TREATING 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER PHYSICIAN 148 1ST FLR, SANTA CLARA, CA 95051

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 419 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MILBURN, MICHAEL R - MD KAISER PERMANENTE SANTA SPORTS MEDICINE 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 MILEFCHIK, ERIC - MD (BCC) MILEFCHIK RAND MEDICAL INFECTIOUS DISEASE 2841 LOMITA BLVD STE 135, (310) 784-6954 GROUP TORRANCE, CA 90505 MILES, JANET - AUD ADVANCED HEARING AUDIOLOGY 14911 NATIONAL AVENUE STE 118, (800) 598-5300 PROVIDERS LLC LOS GATOS, CA 95032 MILES, STEVEN - DC MILES STEVEN DC CHIROPRACTIC MEDICINE 3675 RUFFIN RD STE 120, SAN DIEGO, (858) 569-4545 CA 92123 MILEVA, ELKA - PTA PHYSICIAN'S CHOICE PHYSICAL THERAPY 12217 SANTA MONICA BLVD STE 209, (310) 309-3721 PHYSICAL THERAPY LOS ANGELES, CA 90025 MILEVA, ELKA - PTA PHYSICIAN'S CHOICE PHYSICAL THERAPY 17019 CHATSWORTH ST, GRANADA (818) 435-4455 PHYSICAL THERAPY HILLS, CA 91344 MILICH PHYSICAL THERAPY PHYSICAL THERAPY 126 S 1ST AVE, ARCADIA, CA (626) 445-0236 INC 91006-3605 MILIUS, JOSHUA G - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER MILL VALLEY PHYSICAL PHYSICAL THERAPY 619 E BLITHEDALE AVESUITE B, MILL (415) 388-5223 THERAPY & SPORTS VALLEY, CA 94941-1482 REHABILITATI MILL VALLEY PHYSICAL PHYSICAL THERAPY 619 E BLITHEDALE AVE BLDG B, MILL (415) 388-5223 THERAPY AND SPORTS VALLEY, CA 94941 REHABILITA MILLANES, MICHAEL - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 289 W HUNTINGTON DR STE 103, (626) 396-8150 ASSOCIATES DBA ELITE ARCADIA, CA 91007 MOTION MILLENNIUM SURGERY AMBULATORY SURGERY 3850 SAN DIMAS ST, BAKERSFIELD, CA (661) 663-3700 CENTER INC CENTER 93301 MILLER CHILDRENS HOSPITAL SPECIALTY HOSPITAL - 2801 ATLANTIC AVE, LONG BEACH, CA (562) 933-2000 CHILDREN 90806 MILLER CHIROPRACTIC & PHYSICAL THERAPY 3638 DELTA FAIR BLVD, ANTIOCH, CA (925) 777-0808 SPORTS THERAPY INC. 94509-4006 MILLER, ANN - PT BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 MILLER, ANN - PT BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 MILLER, BRITT A - MD KAISER PERMANENTE ORTHOPEDICS 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 FONTANA MEDICAL CENTER LEVEL, FONTANA, CA 92335 MILLER, CHELSEA - PT BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 421-2959 THERAPY MILLER, COREY - LAC COREY MILLER LAC ACUPUNCTURE 930 MISSION ST STE 4, SANTA CRUZ, (831) 588-7914 CA 95060 MILLER, DEBRA - AUD ADVANCED HEARING AUDIOLOGY 4504 CLAIREMONT MESA BLVD STE (800) 598-5300 PROVIDERS LLC 104, SAN DIEGO, CA 92117 MILLER, DONALD - MD NEUROLOGICAL SURGERY 1141 W REDONDO BEACH BLVD #406, (310) 515-1055 GARDENA, CA 90247 MILLER, DONALD - MD (BCC) NEUROLOGICAL SURGERY 1127 WILSHIRE BLVD STE 1415, LOS (310) 515-1055 ANGELES, CA 90017 MILLER, DONALD - MD (BCC) NEUROLOGICAL SURGERY 1141 W REDONDO BEACH BLVD STE (310) 515-1055 406, GARDENA, CA 90247 MILLER, DONALD - MD (BCC) NEUROLOGICAL SURGERY 7851 WALKER ST STE 105, LA PALMA, (310) 515-1055 CA 90623 MILLER, ELANA - PT SIMMONS PHYSICAL THERAPY PHYSICAL THERAPY 191 N EL CAMINO REAL STE 204, (760) 633-1345 ENCINITAS, CA 92024 MILLER, JAMES - PT ACTIVE PHYSICAL THERAPY PHYSICAL THERAPY 101 S TRACY BLVD, TRACY, CA 95376 (209) 830-8855 ASSOCIATES MILLER, JAMES, ROBERT - DC ACTIVE PHYSICAL THERAPY CHIROPRACTIC MEDICINE 1423 N TRACY BLVD, TRACY, CA 95376 (209) 830-8855 ASSOCIATES MILLER, JENNIFER - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 2180 W GRANT LINE RD, TRACY, CA (925) 463-0470 SPECIALISTS 95377 MILLER, JENNIFER - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 MILLER, JENNIFER - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 5601 NORRIS CANYON RD, SAN (925) 463-0470 SPECIALISTS RAMON, CA 94583

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 420 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MILLER, JIMMIE - DC DR JIMMIE MILLER CHIROPRACTIC MEDICINE 8330 BRENTWOOD BLVD, (925) 634-2497 CHIROPRACTIC INC BRENTWOOD, CA 94513 MILLER, KEALOHA ALYCE - PT ACTIVE PHYSICAL THERAPY PHYSICAL THERAPY 101 S TRACY BLVD, TRACY, CA 95376 (209) 830-8855 ASSOCIATES MILLER, LAYN - DC THE HEAD NECK BACK PAIN CHIROPRACTIC MEDICINE 810 BOLSA AVE, MIDWAY, CA 92655 (714) 965-9999 CENTER MILLER, MADELINE A - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 MILLER, MEI-LING - AUD ADVANCED HEARING AUDIOLOGY 747 PLUMAS ST , YUBA CITY, CA 95991 (800) 598-5300 PROVIDERS LLC MILLER, MELVIN - DC MILLER MELVIN G DC CHIROPRACTIC MEDICINE 1183 E MAIN ST STE C, EL CAJON, CA (619) 579-8585 92021 MILLER, NATALIE E - SLP (BCC) MAXUM PHYSICAL THERAPY SPEECH THERAPIST 774 S PLACENTIA AVE FL 1, PLACENTIA, (714) 646-8318 CA 92870 MILLER, SONYA R - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1 QUALITY DR 1ST FLR MOB A, (707) 624-2480 JOB OCCUPATIONAL HEALTH VACAVILLE, CA 95688 CENTER MILLER, SONYA R - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1 QUALITY DR 1ST FLR MOB A, (707) 624-2480 JOB OCCUPATIONAL HEALTH PHYSICIAN VACAVILLE, CA 95688 CENTER MILLER, SOO, KIM - LAC MEDSTAR PHYSICAL THERAPY ACUPUNCTURE 411 N CENTRAL AVE STE 610, (818) 244-0010 INC GLENDALE, CA 91203 MILLER, TAMSYN - PT WILDWOOD PHYSICAL PHYSICAL THERAPY 11392 PLEASANT VALLEY RD, PENN (530) 277-9662 THERAPY VALLEY, CA 95946 MILLIGAN, HEATHER - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 MILLS, AARON - LAC MANCINI ACUPUNCTURE DBA ACUPUNCTURE 3547 CAMINO DEL RIO S STE C, SAN (619) 287-4005 CENTER FOR INTEGRATIVE DIEGO, CA 92108 CARE MILNER, FLOYD - AUD ADVANCED HEARING AUDIOLOGY 7001 INDIANA AVE , RIVERSIDE, CA (800) 598-5300 PROVIDERS LLC 92506 MIMAKI, KAY - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 100 OCEANGATE BLVD STE 1200, LONG (800) 803-2086 GROUP INC BEACH, CA 90802 MIMAKI, KAY - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 17777 CENTER COURT DR N STE 600, (800) 803-2086 GROUP INC CERRITOS, CA 90703 MIMAKI, KAY - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 333 CITY BLVD FL 17 , ORANGE, CA (800) 803-2086 GROUP INC 92868 MIMAKI, KAY - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 3611 MOTOR AVE STE 240, LOS (800) 803-2086 GROUP INC ANGELES, CA 90034 MIMAKI, KAY - PHD GENESIS PSYCHOLOGY PSYCHOLOGY 4199 CAMPUS DR STE 550, IRVINE, CA (800) 803-2086 GROUP INC 92612 MIN, KYUNG - DC PRIME CARE CHIROPRACTIC CHIROPRACTIC MEDICINE 17050 CHATSWORTH ST STE 115, (818) 832-0897 CLINIC GRANADA HILLS, CA 91344 MIN, SEMON, MELEKA - DC SPINE CARE ORTHOPEDIC CHIROPRACTIC MEDICINE 8610 S SEPULVEDA BLVD STE 109, LOS (310) 337-3700 PHYSICIANS ANGELES, CA 90045 MINASSIAN, ALLEN - PT HILLSIDE PHYSICAL THERAPY PHYSICAL THERAPY 1434 FOOTHILL BLVD STE D, LA (818) 864-6479 INC CANADA FLINTRIDGE, CA 91011 MINASSIAN, ARLEN - PT DISABILITY REHAB CENTER PHYSICAL THERAPY 23233 SATICOY ST STE 106, WEST (818) 887-9111 INC HILLS, CA 91304 MINASYAN, HAYK - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 91505 MIND BODY PHYSICAL PHYSICAL THERAPY 2877 LAKE TAHOE BLVD, SOUTH LAKE (530) 541-7133 THERAPY TAHOE, CA 96150 MIND BODY PHYSICAL PHYSICAL THERAPY 459 CHINA LAKE BLVD, RIDGECREST, (760) 371-1606 THERAPY CA 93555 MIND BODY PHYSICAL PHYSICAL THERAPY 812 EMERALD BAY RD, SOUTH LAKE (530) 542-2662 THERAPY TAHOE, CA 96150-6413 MINEHART, ISAAC - MD (BCC) ANESTHESIOLOGY 638 W DUARTE RD STE 18, ARCADIA, (626) 445-2371 CA 91007 MINERVINI, MAURICE - MD PROHEALTH - CENTRAL PRIMARY TREATING 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL PHYSICIAN BAKERSFIELD, CA 93311 MEDICAL GROUP

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 421 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MINERVINI, MAURICE - MD PROHEALTH - CENTRAL OCCUPATIONAL MEDICINE 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL BAKERSFIELD, CA 93311 MEDICAL GROUP MING AND H DRUGS PHARMACY 1717 MING AVE, BAKERSFIELD, CA (661) 831-4050 93304 MINH PHARMACY PHARMACY 5110 WESTMINSTER AVE STE B, SANTA (714) 530-0144 ANA, CA 92703 MINI PHARMACY PHARMACY 2425 PORTER ST, LOS ANGELES, CA (888) 545-6464 ENTERPRISES 90021 MINJOO, OH - LAC OH MINJOO ACUPUNCTURE ACUPUNCTURE 6918 VILLAGE PKWY, DUBLIN, CA 94568 (925) 336-7674 ALTERNATIVE MEDICINE CLINIC MINKOWITZ, REUVEN B - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 MINKOWITZ, REUVEN B - MD KAISER PERMANENTE ORTHOPEDICS 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 MINTUN, DARYL, TAMAYO - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 THERAPY RAMON, CA 94583 MINTUN, DARYL, TAMAYO - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 THERAPYMAIN 94526 MINTWOOD PHARMACY PHARMACY 455 N LAKE AVE, PASADENA, CA 91101 (626) 314-2945 MINTZ, ALAN C - MD (BCC) CENTER FOR ADVANCED VASCULAR SURGERY 2190 LYNN RD STE 320, THOUSAND (805) 370-4325 WOUND HEALING AT LOS OAKS , CA 91360 ROBLES HOSPITAL & MEDICAL CENTER MIR, HAMID - MD SPINE SURGERY 3501 JAMBOREE RD STE 1250, (949) 988-7848 NEWPORT BEACH, CA 92660 MIR, HAMID - MD SPINE SURGERY 900 E WASHINGTON ST STE 150-B, (949) 988-7848 COLTON, CA 92324 MIR, HAMID - MD ORTHOPEDICS - SPINE 3501 JAMBOREE RD STE 1250, (949) 988-7848 NEWPORT BEACH, CA 92660 MIR, HAMID - MD ORTHOPEDICS - SPINE 900 E WASHINGTON ST STE 150-B, (949) 988-7848 COLTON, CA 92324 MIR, HAMID - MD DISC SPORTS & ORTHOPEDICS ORTHOPEDICS - SPINE 13160 MINDANAO WAY STE 300, (949) 988-7848 - SPINE CENTER MARINA DEL REY, CA 90292 MIR, HAMID - MD DISC SPORTS & ORTHOPEDICS SPINE SURGERY 13160 MINDANAO WAY STE 300, (949) 988-7848 - SPINE CENTER MARINA DEL REY, CA 90292 MIR, HAMID R - MD (BCC) SPINE SURGERY 980 ATLANTIC AVE 3RD FLR, LONG (949) 988-7848 BEACH , CA 90813 MIR, HAMID R - MD (BCC) ORTHOPEDICS - SPINE 980 ATLANTIC AVE 3RD FLR, LONG (949) 988-7848 BEACH , CA 90813 MIRA MESA PHARMACY 10737 CAMINO RUIZ, SAN DIEGO, CA (888) 748-7526 92126 MIRACLE CARE PHARMACY PHARMACY 24355 LYONS AVE STE 110, SANTA (661) 222-2221 CLARITA, CA 91321 MIRACLE PHARMACY PHARMACY 7418 FOOTHILL BLVD STE 7420, (818) 273-4602 TUJUNGA, CA 91042 MIRAMONTES, MEGAN L - LAC SOUTHERN CALIFORNIA ACUPUNCTURE 16200 AMBER VALLEY DR, WHITTIER, (562) 943-7125 (BCC) UNIVERSITY HEALTH SYSTEM CA 90604 TACTICAL SPORTS MEDICINE MIRHASHEMI, SHAHRAM - MD VENICE URGENT CARE PRIMARY TREATING 2007 S LINCOLN BLVD, VENICE, CA (340) 208-2006 PHYSICIAN 90291 MIRHASHEMI, SHAHRAM - MD VENICE URGENT CARE FAMILY MEDICINE 2007 S LINCOLN BLVD, VENICE, CA (340) 208-2006 90291 MIRIC, ALEXANDER - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 MIRISCH, MARK, STEVEN - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD MIRISCH, MARK, STEVEN - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 422 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MIRISCH, MARK, STEVEN - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY MIRISCH, MARK, STEVEN - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS MIRISCH, MARK, STEVEN - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT MIRZAIANS, ARBI - DC PHYSICAL REHABILITATION CHIROPRACTIC MEDICINE 10510 VIC BLVD STE 101, NORTH (310) 537-7600 SERVICES HOLLYWOOD, CA 91606 MIRZATUNY, ARTASHES - LAC YINFINITE WELLNESS ACUPUNCTURE 10 EL CAMINO REAL STE 202, SAN (650) 596-5616 CARLOS, CA 94070 MIRZAYAN, NADINE - MD (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 256-2100 MISSION HILLS, CA 91345 MIRZAYAN, NADINE - MD (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 91345 MIRZAYAN, NADINE - MD (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 563-6757 BURBANK, CA 91505 MIRZAYAN, NADINE - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (661) 222-3100 91355 MIRZAYAN, NADINE - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 91505 MIRZAYAN, NADINE - MD (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 500-0523 91206 MIRZAYAN, RAFFY - MD KAISER PERMANENTE ORTHOPEDIC SURGERY - 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL SHOULDER PARK, CA 91706 CENTER MIRZAYAN, RAFFY - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER MISHKIND, MARK T - MD KAISER PERMANENTE GENERAL SURGERY 2531 CHESTER AVE , BAKERSFIELD, CA (661) 398-3813 STOCKDALE MEDICAL 93301 OFFICES MISHOULAM, DAVID - LAC DAVID MISHOULAM LAC ACUPUNCTURE 15644 POMERADO RD STE 304, POWAY, (858) 883-3867 CA 92064 MISHOULAM, DAVID - LAC DAVID MISHOULAM LAC ACUPUNCTURE 3990 OLD TOWN AVE STE B107, SAN (619) 952-3100 DIEGO, CA 92110 MISKIN, CRYSTAL - PT YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886 MISKIN, CRYSTAL - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 2888 LONG BEACH BLVD STE 405, (562) 595-4489 SPORTS THERAPY LONG BEACH, CA 90806 MISKIN, CRYSTAL - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 MISRA, ANURUDDH K - MD CONCENTRA MEDICAL INTERNAL MEDICINE 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO MISRA, ANURUDDH K - MD CONCENTRA MEDICAL INTERNAL MEDICINE 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO MISSION BAY PHARMACY 4501 MISSION BAY DR STE 1C, SAN (888) 748-7526 DIEGO, CA 92109 MISSION CENTER MISSION CENTER URGENT CARE FACILITY 2524 H DELA ROSA SR ST, SOLEDAD, (831) 678-8899 HEALTHCARE (BCC) HEALTHCARE CA 93960 MISSION COMMUNITY ACUTE CARE HOSPITAL 14850 ROSCOE BLVD , PANORAMA CITY (818) 787-2222 HOSPITAL , CA 91402 MISSION DISTRICT THERAPY & PHYSICAL THERAPY 3490 20TH ST STE 101, SAN (415) 824-4228 REHAB FRANCISCO, CA 94110-2581 MISSION HILLS PHARMACY PHARMACY 10630 SEPULVEDA BLVD, MISSION (818) 639-0108 HILLS, CA 91345 MISSION HOSPITAL REG MED MISSION HOSPITAL REG MED MENTAL HEALTH/PSYCHIATRIC 31872 COAST HWY, LAGUNA BEACH, (949) 499-1311 CTR PSYCH LAGUNA CAMPUS CTR PSYCH LAGUNA CAMPUS HOSPITAL (INPATIENT) CA 92651 (BCC)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 423 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MISSION HOSPITAL REGIONAL MISSION HOSPITAL REGIONAL ACUTE CARE HOSPITAL 27700 MEDICAL CENTER RD, MISSION (949) 364-1400 MEDICAL CENTER (BCC) MEDICAL CENTER VIEJO, CA 92691 MISSION HOSPITAL REGIONAL MISSION HOSPITAL REGIONAL ACUTE CARE HOSPITAL 31872 COAST HWY, LAGUNA BEACH, (949) 499-1311 MEDICAL CTR LAGUNA MEDICAL CTR LAGUNA CA 92651 CAMPUS (BCC) CAMPUS MISSION HOSPITAL REGIONAL MISSION HOSPITAL REGIONAL MENTAL HEALTH/PSYCHIATRIC 27700 MEDICAL CENTER RD, MISSION (949) 364-1400 MEDICAL CTR PSYCH (BCC) MEDICAL CTR PSYCH HOSPITAL (INPATIENT) VIEJO, CA 92691 MISSION MEDICAL PHARMACY PHARMACY 27800 MEDICAL CENTER RD, MISSION (949) 364-0122 VIEJO, CA 92691 MISSION NGHBRHD HLTH CTR PHARMACY 240 SHOTWELL ST, SAN FRANCISCO, (415) 552-7819 PHARM CA 94110 MISSION PHARMACY PHARMACY 1050 ATLANTIC AVE, LONG BEACH, CA (562) 436-7257 90813 MISSION PHARMACY PHARMACY 22138 MISSION BLVD, HAYWARD, CA (510) 581-8540 94541 MISSION PLAZA PHARMACY PHARMACY 28600 CROWN VALLEY PKWY, MISSION (949) 364-9009 VIEJO, CA 92691 MISSION WELLNESS PHARMACY 2424 MISSION ST, SAN FRANCISCO, CA (415) 826-3484 PHARMACY 94110 MISSION WELLNESS PHARMACY 350 PARNASSUS AVE STE 505, SAN (415) 926-6277 PHARMACY FRANCISCO, CA 94117 MISTRY, PRIYA - PTA PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 31244 PALOS VERDES DR WEST STE (310) 544-7325 THERAPY 209, RANCHO PALOS VERDES, CA 90275 MISTRY, PRIYA - PTA PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 520 N PROSPECT AVE STE 100, (310) 376-9222 THERAPYMAIN REDONDO BEACH, CA 90277 MITCHELL, JEFFREY - OTA GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 MITCHELL, JESSE D - MD (BCC) ADVANCED DERMATOLOGY DERMATOLOGY 31150 S TEMECULA PKWY STE 104, (951) 303-6900 AND SKIN CANCER TEMECULA, CA 92592 SPECIALISTS MITCHNER, JAMES J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 JOB BALDWIN PARK MEDICAL STE 150, CITY OF INDUSTRY, CA 91746 OFFICES MITCHNER, JAMES J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 JOB BALDWIN PARK MEDICAL PHYSICIAN STE 150, CITY OF INDUSTRY, CA 91746 OFFICES MITRY PHARMACY PHARMACY 145 E DUARTE RD STE D, ARCADIA, CA (626) 317-5052 91006 MITTAL, SHEILAJA - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 MITTAL, SHEILAJA - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN MITTAL, SHEILAJA - MD CONCENTRA MEDICAL INTERNAL MEDICINE 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND RICHMOND, CA 94806 MITTAL, SHEILAJA - MD CONCENTRA MEDICAL INTERNAL MEDICINE 2970 HILLTOP MALL RD STE 203, (510) 222-8000 CENTER - RICHMOND RICHMOND, CA 94806 MIXMED PHARMACY PHARMACY 2101 HERNDON AVE SUITE 102, (559) 298-0600 CLOVIS, CA 93611 MIYASAKI, GARY - AUD ADVANCED HEARING AUDIOLOGY 2 UPPER RAGSDALE DR , MONTEREY, (800) 598-5300 PROVIDERS LLC CA 93940 MIZBAN, NASSER - MD CONCENTRA MEDICAL PRIMARY TREATING 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS PHYSICIAN SAUGUS, CA 91350 MIZBAN, NASSER - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS SAUGUS, CA 91350 MIZUTANI, ALAN - MD ANESTHESIOLOGY 1525 SUPERIOR AVE STE 114, (949) 646-6999 NEWPORT BEACH, CA 92663 MJ PHYSICAL THERAPY, INC PHYSICAL THERAPY 1830 HACIENDA DR STE 2, VISTA, CA (760) 941-8600 92081-4544 MK PHYSICAL THERAPY PHYSICAL THERAPY 1926 VIA CENTRE B, VISTA, CA 92081 (877) 827-8246 MKT SPECIALTY PHARMACY PHARMACY 4153 UNIBVERSITY AVE SUITE B, SAN (908) 247-8160 DIEGO, CA 92105 MMC OUTPATIENT PHARMACY PHARMACY 1800 COFFEE RD STE 110, MODESTO, (209) 572-7132 CA 95355

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 424 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MO, ANDY - LAC GREENLIFE ACUPUNCTURE ACUPUNCTURE 1184 N EUCLID ST, ANAHEIM, CA 92801 (714) 312-5460 INC MOAREFI, REZ - DC PFC MEDICAL INC CHIROPRACTIC MEDICINE 14500 ROSCOE BLVD 201, PANORAMA (818) 891-4000 CITY, CA 91402 MOAREFI, REZA - DC PARAMOUNT FAMILY HEALTH CHIROPRACTIC MEDICINE 204 EAST CHEVY CHASE DRIVE, (818) 241-0055 CENTERS GLENDALE, CA 93036 MOAREFI, REZA - DC PFC MEDICAL INC CHIROPRACTIC MEDICINE 2001 NORTH SOLAR DR 165, OXNARD, (805) 485-0500 CA 93036 MOAYERI, HOUSHANG - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 18111 BROOKHURST ST STE 4300, (714) 378-7330 ONCOLOGY FOUNTAIN VALLEY , CA 92708 MOAYERI, HOUSHANG - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 24411 HEALTH CENTER DR STE 320, (714) 378-7330 ONCOLOGY LAGUNA HILLS , CA 92653 MOAYERI, NICOLE N - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER MOAZZAZ, PAYAM - MD (BCC) SPINE SURGERY 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 92056 MOAZZAZ, PAYAM - MD (BCC) SPINE SURGERY 6121 PASEO DEL NORTE STE 200, (760) 724-9000 CARLSBAD, CA 92011 MOBASSER, SARVENAZ - MD PRIMARY TREATING 1333 S HILL ST, LOS ANGELES, CA (213) 457-4000 PHYSICIAN 90015 MOBASSER, SARVENAZ - MD DERMATOLOGY 1333 S HILL ST, LOS ANGELES, CA (213) 457-4000 90015 MOBASSER, SARVENAZ - MD FAMILY MEDICINE 1333 S HILL ST, LOS ANGELES, CA (213) 457-4000 90015 MOBILITY PHYSICAL THERAPY PHYSICAL THERAPY 24551 RAYMOND WAY STE 125, LAKE (949) 540-0301 FOREST, CA 92630-4478 MOBILITY PHYSICAL THERAPY PHYSICAL THERAPY 3002 DOW AVE STE 318, TUSTIN, CA (714) 389-9306 92780-7234 MOCHIZUKI, CHRIS S - MD KAISER PERMANENTE ON THE ORTHOPEDIC SURGERY 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH REDWOOD CITY, CA 94063 CENTER MODEL DRUG PHARMACY 911 OAK PARK BLVD STE 101, PISMO (805) 481-5111 BEACH, CA 93449 MODEL DRUG PHARMACY 1506 DRAPER ST, KINGSBURG, CA (559) 897-5111 93631 MODERN DRUG PHARMACY 3044 TULARE ST, FRESNO, CA 93721 (559) 266-0701 MODERN DRUG PHARMACY 3250 E OLIVE AVE STE B, FRESNO, CA (559) 268-2547 93702 MODI, NIDHI - PT GOLDEN HILLS ORTHOPEDIC PHYSICAL THERAPY 2680 S WHITE RD STE 200, SAN JOSE, (408) 274-0888 SPORTS PT INC CA 95148 MODOC MEDICAL CENTER MODOC MEDICAL CENTER ACUTE CARE HOSPITAL 1111 N NAGLE ST, ALTURAS, CA 96101 (530) 708-8800 (BCC) MODY, NEESHA C - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 CENTER - AIRPORT LAX ANGELES, CA 90045 MODY, NEESHA C - MD CONCENTRA MEDICAL PRIMARY TREATING 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 CENTER - AIRPORT LAX PHYSICIAN ANGELES, CA 90045 MODY, SAPAN V - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH REDWOOD CITY, CA 94063 CENTER MODY, SAPAN V - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH PHYSICIAN REDWOOD CITY, CA 94063 CENTER MOE, JOHN - MD (BCC) INTERNAL MEDICINE 6801 PARK TER STE 130, LOS (310) 673-2100 ANGELES, CA 90045 MOELLEKEN, ALAN P - MD THE SPINE AND ORTHOPEDIC ORTHOPEDICS - SPINE 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 (BCC) CENTER MOELLEKEN, ALAN P - MD THE SPINE AND ORTHOPEDIC SPINE SURGERY 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 (BCC) CENTER MOELLEKEN, ALAN P - MD THE SPINE AND ORTHOPEDIC ORTHOPEDICS - SPINE 326 W MAIN ST STE 120, SANTA MARIA, (805) 925-9997 (BCC) CENTER CA 93458 MOELLEKEN, ALAN P - MD THE SPINE AND ORTHOPEDIC SPINE SURGERY 326 W MAIN ST STE 120, SANTA MARIA, (805) 925-9997 (BCC) CENTER CA 93458

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 425 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MOELLEKEN, ALAN P - MD THE SPINE AND ORTHOPEDIC ORTHOPEDICS - SPINE 401 E CARRILLO ST , SANTA BARBARA , (805) 563-3307 (BCC) CENTER CA 93101 MOELLEKEN, ALAN P - MD THE SPINE AND ORTHOPEDIC SPINE SURGERY 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 (BCC) CENTER CA 93101 MOELLEKEN, ALAN P - MD THE SPINE AND ORTHOPEDIC ORTHOPEDICS - SPINE 640 S B ST, OXNARD, CA 93030 (805) 485-7042 (BCC) CENTER MOELLEKEN, ALAN P - MD THE SPINE AND ORTHOPEDIC SPINE SURGERY 640 S B ST, OXNARD, CA 93030 (805) 485-7042 (BCC) CENTER MOEN, JULIA, RACHEL - DC BEACH CITIES ORTHOPEDIC CHIROPRACTIC MEDICINE 400 S SEPULVEDA BLVD STE 247, (310) 546-3461 SPORTS MEDICINEMAIN MANHATTAN BEACH, CA 90266 MOFFAT, MICHAEL - DC FOOTHILL CHIROPRACTIC/ CHIROPRACTIC MEDICINE 13955 MONO WAY STE A, SONORA, CA (209) 532-3700 ROBERT KLEINHANS DC 95370 MOFFETT, SEAN - DC VACA VALLEY CHIROPRACTIC CHIROPRACTIC MEDICINE 97 DOBBINS ST STE A, VACAVILLE, CA (707) 447-9885 95688 MOGENSEN, THOMAS K - MD CONCENTRA MEDICAL SURGERY 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408 MOGHADAM, ROYA - DC ROYA RAHIMZADEH CHIROPRACTIC MEDICINE 14623 HAWTHORNE BLVD STE 307, (818) 344-7000 MOGHADAM DC LAWNDALE, CA 90260 MOGHADAM, SAM - AUD ADVANCED HEARING AUDIOLOGY 19066 MAGNOLIA ST, HUNTINGTON (800) 598-5300 PROVIDERS LLC BEACH, CA 92646 MOGHADAM, SAM SOHEIL - ADVANCED HEARING AUDIOLOGY 16742 GOTHARD ST STE 102, (800) 598-5300 AUD PROVIDERS LLC HUNTINGTON BEACH, CA 92647 MOHAMMAD, RAFIFAR - DC RAFIFAR CHIROPRACTIC CHIROPRACTIC MEDICINE 1820 S CATALINA AVE STE 108, (310) 383-2330 REDONDO BEACH, CA 90277 MOHAMMAD, RUSALY - PTA ADVANCED ORTHOPEDIC PHYSICAL THERAPY 2501 CHERRY AVE STE 250, SIGNAL (562) 595-5159 PHYSICAL THERAPY HILL, CA 90755 MOHAMMED, IBRAHIM - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6700 INDIANA AVE STE 145, RIVERSIDE, (949) 975-1900 SPORTS REHABILITATION CA 92506 MOHAN, KRISHNA - MD (BCC) NEPHROLOGY 171 W COTTAGE DR , COVINA , CA (626) 331-0175 91723 MOHAN, VIVEK - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 MOHARRAMI, MOHAMMED A - KAISER PERMANENTE SO SAN PODIATRY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 DPM FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 MOHLER, RANDALL - MD CALIFORNIA ORTHOPAEDIC HAND SURGERY 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 MOHLER, RANDALL - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - HAND 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 MOHR, CHRISTOPHER - PT COMPASS PHYSICAL THERAPY PHYSICAL THERAPY 921 G ST, REEDLEY, CA 93654 (559) 638-9200

MOHR, LESTER L - MD (BCC) LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S MOHR, MINDI - PT COMPASS PHYSICAL THERAPY PHYSICAL THERAPY 921 G ST, REEDLEY, CA 93654 (559) 638-9200

MOJCA HERMAN, MA, OTR/L, PHYSICAL THERAPY 3475 TORRANCE BLVD STE B2, (310) 316-7748 CHT DBA ADVANCED THERAPY TORRANCE, CA 90503-5800

MOJTAHEDIAN, EMMANUEL - LOS ANGELES GARFIELD PRIMARY TREATING 6425 WHITTIER BLVD, LOS ANGELES, (323) 728-0101 MD MEDICAL CLINIC INC (BCC) PHYSICIAN CA 90022 MOJTAHEDIAN, EMMANUEL - LOS ANGELES GARFIELD GENERAL PRACTICE 6425 WHITTIER BLVD, LOS ANGELES, (323) 728-0101 MD MEDICAL CLINIC INC (BCC) CA 90022 MOK, DAVID - MD CARDIOVASCULAR DISEASE 201 S BUENA VISTA STREET SUITE 100, (818) 848-6404 (CARDIOLOGY) BURBANK, CA 91505 MOK, ERIC H - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 8250 WOODMAN AVE NORTH 2, (818) 375-2233 PANORAMA CITY MEDICAL REHABILITATION PANORAMA CITY, CA 91402 CENTER MOLDAWER, TODD D - MD SOUTHERN CALFORNIA SPINE SURGERY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE MOLENCUPP, DAVID - DC DAVID MOLENCUPP DC CHIROPRACTIC MEDICINE 868 GRAVENSTEIN HWY N, (707) 823-4511 SEBASTOPOL, CA 95472 MOLINA DPT PHYSICAL THERAPY 41951 REMINGTON AVE STE 120, (951) 296-3535 TEMECULA, CA 92590

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 426 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MOLINA DPT PHYSICAL THERAPY 8650 GENESEE AVE STE 314, SAN (858) 622-9266 DIEGO, CA 92122 MOLINA DPT PHYSICAL THERAPY 410 S SANTA FE AVE STE 202, VISTA, (760) 726-4275 CA 92084 MOLINA DPT PHYSICAL THERAPY 41951 REMINGTON AVE STE 120, (951) 296-3535 TEMECULA, CA 92590 MOLINA DPT PHYSICAL THERAPY 8650 GENESEE AVE STE 314, SAN (858) 622-9266 DIEGO, CA 92122 MOLINA'S PHARMACY PHARMACY 3746 E WHITTER BLVD, LOS ANGELES, (323) 261-3504 CA 90023 MOLINA, MANUEL A - MD (BCC) SANTA CLARITA URGENT FAMILY MEDICINE 24035 NEWHALL RANCH RD , SANTA (661) 291-3444 CARE AND FAMILY MEDICINE - CLARITA, CA 91355 PROVIDENCE MEDICAL INSTITUTE MOLINA, MANUEL A - MD (BCC) SANTA CLARITA URGENT PRIMARY TREATING 24035 NEWHALL RANCH RD , SANTA (661) 291-3444 CARE AND FAMILY MEDICINE - PHYSICIAN CLARITA, CA 91355 PROVIDENCE MEDICAL INSTITUTE MOLINA, RICHELLE - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 MOLLET, YVETTE - PTA PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 121 BOATYARD DR SUITE A, FORT (707) 964-1208 BRAGG, CA 95437 MOLNAR, TODD J - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE PHYSICIAN MOLNAR, TODD J - MD (BCC) SOUTHERN CALIFORNIA PHYSICAL MEDICINE AND 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE REHABILITATION MOLNAR, TODD J - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MOLNAR, TODD J - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS, CA 91361 MOLNAR, TODD J - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE PHYSICIAN THOUSAND OAKS, CA 91361 MOLNAR, TODD J - MD (BCC) SOUTHERN CALIFORNIA PHYSICAL MEDICINE AND 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE REHABILITATION THOUSAND OAKS, CA 91361 MOMENTUM PHYSICAL PHYSICAL THERAPY 11500 W OLYMPIC BLVD STE 350, LOS (310) 473-8287 THERAPY ANGELES, CA 90064-1565 MONAHAN, MICHAEL - DC LIFESTYLE CHIROPRACTIC CHIROPRACTIC MEDICINE 2091 W FLORIDA AVE STE 120, HEMET, (951) 929-0100 WELLNESS CA 92545 MONARCH PHARMACY PHARMACY 707 W ROUTE 66 STE 103, GLENDORA, (626) 335-0011 CA 91740 MONCAYO, JESSICA, CRISTINA SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 - PT ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD MONCAYO, JESSICA, CRISTINA SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 - PT ORTHOPEDIC CA 91354 INSTITUTEVALENCIA MONCAYO, JESSICA, CRISTINA SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 - PT ORTHOPEDIC INSTITUTESIMI 93065 VALLEY MONCAYO, JESSICA, CRISTINA SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 - PT ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS MONCAYO, JESSICA, CRISTINA SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 - PT ORTHOPEDIC INSTITUTE MAIN ACCOUNT MONEY, MICHELLE D - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 MONEYHON, MICHAEL - MD CONCENTRA MEDICAL SURGERY 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - AIRPORT LAX EL SEGUNDO, CA 90245 MONEYHON, MICHAEL P - MD CALIFORNIA HAND CENTER OF GENERAL SURGERY 10630 SEPULVEDA BLVD STE 100, (818) 361-3369 (BCC) LOS ANGELES MISSION HILLS , CA 91345 MONEYHON, MICHAEL P - MD CALIFORNIA HAND CENTER OF GENERAL SURGERY 16055 VENTURA BLVD STE 120, (818) 386-5575 (BCC) LOS ANGELES ENCINO, CA 91436

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 427 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MONGIANO, DANIEL - MD (BCC) PRIMARY TREATING 42220 10TH ST W STE 109, LANCASTER, (661) 951-9195 PHYSICIAN CA 93534 MONGIANO, DANIEL - MD (BCC) GENERAL PRACTICE 42220 10TH ST W STE 109, LANCASTER, (661) 951-9195 CA 93534 MONGIANO, PATRICIA - PT HEALING TOUCH REHAB PHYSICAL THERAPY 42220 10TH ST W STE 109, LANCASTER, (661) 729-4231 CA 93534 MONROE, MAX - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 8790 CUYAMACA ST STE A, SANTEE, CA (619) 596-5969 92071 MONTANA-COLLINS, CLAUDIA ATLANTIS EYECARE OPTOMETRY 947 S ANAHEIM BLVD STE 120, (714) 991-4100 R - OD (BCC) ANAHEIM, CA 92805 MONTANA-COLLINS, CLAUDIA ATLANTIS EYECARE OPTOMETRY 23521 PASEO DE VALENCIA STE 305, (949) 581-1770 R - OD (BCC) LAGUNA HILLS , CA 92653 MONTANA-COLLINS, CLAUDIA ATLANTIS EYECARE OPTOMETRY 1595 E 17TH ST , SANTA ANA , CA 92705 (714) 901-2007 R - OD (BCC) MONTCLAIR PHARMACY PHARMACY 5404 MORENO ST STE F, MONTCLAIR, (909) 920-0100 CA 91763 MONTCLAIR PHYSICAL PHYSICAL THERAPY 473 34TH ST, OAKLAND, CA 94609-2815 (510) 339-2116 THERAPY & WELLNESS MONTCLAIR PHYSICAL PHYSICAL THERAPY 6116 MEDAU PL, OAKLAND, CA (510) 339-2116 THERAPY & WELLNESS 94611-2809 MONTE VISTA PHARMACY PHARMACY 9635 MONTE VISTA AVE, MONTCLAIR, (909) 624-9633 CA 91763 MONTEBELLO PHARMACY PHARMACY 817 W WHITTIER BLVD, MONTEBELLO, (323) 722-3200 CA 90640 MONTEBELLO PROFESSIONAL PHARMACY 265 E BEVERLY BLVD STE B, (323) 722-1999 PHCY MONTEBELLO, CA 90640 MONTEBELLO THERAPY PHYSICAL THERAPY 433 N 4TH ST STE 102, MONTEBELLO, (323) 722-8280 CENTER CA 90640 MONTELL, THOMAS J - MD ORTHOPEDIC SURGERY - HIP 3475 TORRANCE BLVD STE F, (310) 316-5455 (BCC) TORRANCE, CA 90503 MONTELL, THOMAS J - MD ORTHOPEDIC SURGERY - 3475 TORRANCE BLVD STE F, (310) 316-5455 (BCC) LOWER EXTREMITIES TORRANCE, CA 90503 MONTELL, THOMAS J - MD ORTHOPEDIC SURGERY - 3475 TORRANCE BLVD STE F, (310) 316-5455 (BCC) UPPER EXTREMITIES TORRANCE, CA 90503 MONTELL, THOMAS J - MD ORTHOPEDICS - HIP 3475 TORRANCE BLVD STE F, (310) 316-5455 (BCC) TORRANCE, CA 90503 MONTELL, THOMAS J - MD ORTHOPEDICS - LOWER 3475 TORRANCE BLVD STE F, (310) 316-5455 (BCC) EXTREMITIES TORRANCE, CA 90503 MONTELL, THOMAS J - MD ORTHOPEDICS - UPPER 3475 TORRANCE BLVD STE F, (310) 316-5455 (BCC) EXTREMITIES TORRANCE, CA 90503 MONTELLESE, CHRISTOPHER, MONTELLESE FAMILY CHIROPRACTIC MEDICINE 550 CAMINO EL ESTERO STE 103, (831) 655-3255 GEORGE - DC CHIROPRACTIC INC RR MONTEREY, CA 93940 MONTELLESE, KRISTINA, MONTELLESE FAMILY CHIROPRACTIC MEDICINE 550 CAMINO EL ESTERO STE 103, (831) 655-3255 WOODHALL - DC CHIROPRACTIC INC RR MONTEREY, CA 93940 MONTEREY PARK PHARMACY 850 S ATLANTIC BLVD, MONTEREY (626) 308-9227 PROFESSIONAL PHY PARK, CA 91754 MONTEREY PHCY PRESIDIO PHARMACY 473 CABRILLO ST STE A1A, MONTEREY, (831) 375-5382 OF CA 93944 MONTEZ, JEREMY M - MD CITY OF HOPE MEDICAL UROLOGY 412 W CARROLL AVE STE 200, (626) 218-0921 (BCC) FOUNDATION GLENDORA, CA 91741 MONTGOMERY, SCOTT - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 534 E PINE ST STE A, STOCKTON, CA (209) 463-5800 PHYSICAL AND 95204 OCCUPATIONAL MONTIEL, MARCHAND - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 MONTOYA, CESAR - PTA MOTION PHYSICAL THERAPY PHYSICAL THERAPY 4339 E MORADA LN STE 150, (209) 888-6346 AND REHAB STOCKTON, CA 95212 MONTOYA, RICK - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 8800 STOCKDALE HWY STE 150, (661) 377-1700 BAKERSFIELD, CA 93311 MONTOYA, RICK C - PT (BCC) MONTOYA PHYSICAL THERAPY PHYSICAL THERAPY 8501 BRIMHALL RD STE 201, (661) 679-6238 & WELLNESS BAKERSFIELD, CA 93312 MONTY, BRIAN - OT VANCE PHYSICAL THERAPY OCCUPATIONAL THERAPY 511 W VISALIA RD, EXETER, CA 93221 (559) 592-7117

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 428 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MONTY, COLLIN - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 26302 LA PAZ RD STE 105, MISSION (949) 206-1700 SPORTS THERAPY VIEJO, CA 92691 MONTY, COLLIN - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 31105 RANCHO VIEJO RD STE C9, SAN (949) 496-4330 SPORTS THERAPY JUAN CAPISTRANO, CA 92675 MOON, HUNYOUNG - LAC NEW MEDICAL ACUPUNCTURE 2050 W CHAPMAN AVE STE 102, (714) 512-1978 ORANGE, CA 92868 MOON, LAUREN - PTA ADVANTAGE PHYSICAL PHYSICAL THERAPY 4572 TELEPHONE RD STE 903, (805) 654-8127 THERAPY VENTURA, CA 93003 MOONEYHAM PHYSICAL PHYSICAL THERAPY 1823 SHAW AVE STE 101, CLOVIS, CA (559) 298-9120 THERAPY 93611-4064 MOONEYHAM, RICHARD - PT MOONEYHAM PHYSICAL PHYSICAL THERAPY 1823 SHAW AVE STE 101, CLOVIS, CA (559) 298-9120 THERAPY 93611 MOONEYHAM, WILLIAM - PT ELITE PHYSICAL THERAPY PHYSICAL THERAPY 405 CRANE AVE, TURLOCK, CA 95380 (209) 250-2226 FITNESS MOORE, ALAN - PT WEST STAR PHYSICAL PHYSICAL THERAPY 10116 INDIANA AVE, RIVERSIDE, CA (951) 785-9900 THERAPY 92503 MOORE, ERIN - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 450-7118 MEDICAL GROUP MAIN DIEGO, CA 92121 MOORE, ERIN - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (619) 230-0855 MEDICAL GROUP CA 91910 MOORE, JOYCE - PTA WILDWOOD PHYSICAL PHYSICAL THERAPY 11392 PLEASANT VALLEY RD, PENN (530) 277-9662 THERAPY VALLEY, CA 95946 MOORE, KATHLEEN - PHD PSYCHOLOGY 2400 E KATELLA AVE #800, ANAHEIM, (310) 540-7342 CA 92806 MOORE, KATHLEEN - PHD PSYCHOLOGY 450 N BRAND BLVD #600, GLENDALE, (310) 540-7342 CA 91203 MOORE, KATHLEEN - PHD PSYCHOLOGY 714 W OLYMPIC BLVD #925, LOS (310) 540-7342 ANGELES, CA 90015 MOORE, KATHLEEN - PHD PSYCHOLOGY 879 W 190TH ST STE 400, GARDENA, CA (310) 540-7342 90248 MOORE, MICHAEL - LMT CANYON HEALTH CENTER MASSAGE THERAPIST 164 MAPLE ST STE 4, AUBURN, CA (530) 888-0842 95603 MOORE, ROBERT - DC MOORE SPINE CENTER CHIROPRACTIC MEDICINE 4950 BARRANCA PKWY STE 203, (949) 653-6777 IRVINE, CA 92604 MORA, STEVE - MD RESTORE ORTHOPEDICS AND PRIMARY TREATING 1120 LA VETA AVE STE 300, ORANGE, (714) 598-1745 SPINE CENTER PHYSICIAN CA 92868 MORA, STEVE - MD RESTORE ORTHOPEDICS AND SPORTS MEDICINE 1120 LA VETA AVE STE 300, ORANGE, (714) 598-1745 SPINE CENTER CA 92868 MORAES, ROBERTA - LMT BAAR CHIROPRACTIC MASSAGE THERAPIST 955 LANE AVE STE 101, CHULA VISTA, (619) 500-4615 CA 91914 MORALES, CAROLINA - DC MORALES ROBERTO P DC CHIROPRACTIC MEDICINE 935 E GREEN ST, PASADENA, CA 91106 (626) 796-4141 MORALES, JOSE R - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP PHYSICIAN PERRIS, CA 92571 MORALES, JOSE R - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 27455 TIERRA ALTA WAY STE A, (951) 699-5282 GROUP PHYSICIAN TEMECULA, CA 92590 MORALES, JOSE R - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 290 N 10TH ST STE 100, COLTON, CA (951) 272-1400 GROUP PHYSICIAN 92324 MORALES, JOSE R - MD (BCC) HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 2226 MEDICAL CENTER DR STE 102, (951) 657-1400 GROUP PERRIS, CA 92571 MORALES, JOSE R - MD (BCC) HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 27455 TIERRA ALTA WAY STE A, (951) 699-5282 GROUP TEMECULA, CA 92590 MORALES, JOSE R - MD (BCC) HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 290 N 10TH ST STE 100, COLTON, CA (951) 272-1400 GROUP 92324 MORALES, MELISSA - PTA ATHLETIC PHYSICAL THERAPY PHYSICAL THERAPY 30837 E THOUSAND OAKS BLVD, (818) 879-2091 MAIN ACCOUNT WESTLAKE VILLAGE, CA 91362 MORALES, ROBERTO - DC MORALES ROBERTO P DC CHIROPRACTIC MEDICINE 935 E GREEN ST, PASADENA, CA 91106 (626) 796-4141 MORALES, ROBERTO - DC MORALES ROBERTO P DCC CHIROPRACTIC MEDICINE 8358 FLORENCE AVE, DOWNEY, CA (562) 622-4444 90240 MORALES, TERESITA D - PHD - PERSONA NEUROBEHAVIOR PSYCHOLOGY 2 N LAKE AVE STE 800, PASADENA, CA (800) 314-7273 (BCC) GROUP 91101 MORAN'S PHARMACY PHARMACY 15175 LAKESHORE DR, CLEARLAKE, CA (707) 994-6440 95422

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 429 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MORCOS, ADAM - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 MORE PHYSICAL THERAPY PHYSICAL THERAPY 1241 E HILLSDAL BLVD STE 170, (650) 571-5185 FOSTER CITY, CA 94404-1259 MORE PHYSICAL THERAPY PHYSICAL THERAPY 1633 OLD BAYSHORE HWY STE 145, (650) 239-9075 BURLINGAME, CA 94010-1530 MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126-1141 MORE PHYSICAL THERAPY PHYSICAL THERAPY 5434 THORNWOOD DR, SAN JOSE, CA (408) 365-8396 95123-1214 MORE PHYSICAL THERAPY PHYSICAL THERAPY 800 EMBEDDED WAY STE 80, SAN (408) 362-4655 JOSE, CA 95138-1074 MORE PHYSICAL THERAPY PHYSICAL THERAPY 987 UNIVERSITY AVE STE 18, LOS (408) 356-2800 GATOS, CA 95032-7640 MORENO BEACH URGENT MORENO BEACH URGENT URGENT CARE FACILITY 27640 EUCALYPTUS AVE, MORENO (951) 243-2200 CARE CENTER (BCC) CARE CENTER VALLEY, CA 92555 MORENO VALLEY PHARMACY PHARMACY 12980 FREDERICK ST STE B, MORENO (951) 485-6500 VALLEY, CA 92553 MORETTA, DAFNE T - MD (BCC) LOMA LINDA UNIVERSITY PULMONARY DISEASE 11370 ANDERSON ST FMO 3300, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP MORGAN, TERRY - DC MORGAN CHIROPRACTIC CHIROPRACTIC MEDICINE 5558 CALIFORNIA AVE STE 420, (661) 633-2134 BAKERSFIELD, CA 93309 MORGANSTEIN, JASON - DC SPINE AND SPORTSCARE CHIROPRACTIC MEDICINE 585 DOWLING BLVD, SAN LEANDRO, CA (510) 346-0711 ASSOCIATES 94577 MORI, ROBERT - DC MORI CHIROPRACTIC CHIROPRACTIC MEDICINE 18952 BROOKHURST ST, FOUNTAIN (714) 378-4893 VALLEY, CA 92708 MORIGEAU, SAMANTHA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 11750 SORRENTO VALLEY RD STE 130, (858) 299-4684 SAN DIEGO, CA 92121 MORINELLI, ELISA N - MD KAISER PERMANENTE OPHTHALMOLOGY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 MORIS, ELIE - DC GLENDALE FIDELITY MEDICAL CHIROPRACTIC MEDICINE 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 MORISOLI, TRAVIS - PT HW PHYSICAL THERAPY DBA PHYSICAL THERAPY 250 EL CAMINO REAL STE 100, TUSTIN, (714) 838-6999 SPECIALIZED PHYSICAL CA 92780 THERAPY MORISOLI, TRAVIS - PT COSTA MESA PHYSICAL PHYSICAL THERAPY 2951 HARBOR BLVD, COSTA MESA, CA (714) 427-0803 THERAPY 92626 MORISON, HUGH - LAC HUGH G MORISON ACUPUNCTURE 3756 SANTA ROSALIA DR STE 211, LOS (323) 295-5965 ANGELES, CA 90008 MORITA, ERIKO - DC TOTAL HEALTH CHIRO CHIROPRACTIC MEDICINE 14650 AVIATION BLVD STE 100, (310) 616-3119 HAWTHORNE, CA 90250 MORITA, ERIKO - LAC TOTAL HEALTH CHIRO ACUPUNCTURE 14650 AVIATION BLVD STE 100, (310) 616-3119 HAWTHORNE, CA 90250 MORITZ, CRAIG - MD RADIOLOGY 1812 VERDUGO BLVD, GLENDALE, CA (818) 952-2266 91208 MORNINGSIDE MEDICAL PHARMACY 1704 W MANCHESTER AVE, LOS (323) 753-1333 PHARMACY ANGELES, CA 90047 MORONGO INDIAN CLINIC PHARMACY 11555 1/2 POTRERO RD, BANNING, CA (909) 849-4761 PHARMACY 92220 MORRIS, CARMEN - AUD ADVANCED HEARING AUDIOLOGY 2055 N GAREY AVE, POMONA, CA 91767 (800) 598-5300 PROVIDERS LLC MORRIS, CHAD - PT NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 12411 POWAY RD STE 202B, POWAY, (858) 312-6444 CA 92064 MORRIS, CHAD - PT NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 3191 SPORTS ARENA BLVD STE B, SAN (619) 226-4131 DIEGO, CA 92110 MORRIS, MARCUS - DC MARCUS MORRIS DC CHIROPRACTIC MEDICINE 25542 JERONIMO RD STE 8, MISSION (949) 855-6213 VIEJO, CA 92691 MORRIS, SCOTT - AUD ADVANCED HEARING AUDIOLOGY 1640 TEHAMA ST , REDDING, CA 96001 (800) 598-5300 PROVIDERS LLC MORRIS, SCOTT - AUD ADVANCED HEARING AUDIOLOGY 900 MAIN ST STE 11, SUSANVILLE, CA (800) 598-5300 PROVIDERS LLC 96130

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 430 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MORRIS, SCOTT - AUD ADVANCED HEARING AUDIOLOGY 216 SOUTH MINER ST STE B270, (800) 598-5300 PROVIDERS LLC WEAVERVILLE, CA 96093 MORRIS, SHELIA - OT SAN DIEGO SPINE SPORT INC OCCUPATIONAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 VISTA, CA 91910 MORRISON III, MARTIN J - MD LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 (BCC) HEALTH CARE - ORTHOPAEDIC LOWER EXTREMITIES LINDA , CA 92354 SURGERY FP&S MORRISON III, MARTIN J - MD LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 (BCC) HEALTH CARE - ORTHOPAEDIC LOWER EXTREMITIES LINDA , CA 92354 SURGERY FP&S MORRISON III, MARTIN J - MD LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 (BCC) HEALTH CARE - ORTHOPAEDIC KNEE LINDA , CA 92354 SURGERY FP&S MORRISON III, MARTIN J - MD LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 (BCC) HEALTH CARE - ORTHOPAEDIC FOOT LINDA , CA 92354 SURGERY FP&S MORRISON, BRADLEY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 MORRISON, NORRIS (BCC) PODIATRY 18225 OUTER HIGHWAY 18, APPLE (760) 242-5096 VALLEY , CA 92307 MORRO BAY DRUG AND GIFT PHARMACY 600 MORRO BAY BLVD STE B, MORRO (805) 909-9785 BAY, CA 93442 MORROW, MICHELLE - PT GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 MORTEN, RENE - AUD ADVANCED HEARING AUDIOLOGY 1844 SAN MIGUEL DR STE 302, WALNUT (800) 598-5300 PROVIDERS LLC CREEK, CA 94596 MORTENSEN, ERIC - DC ERIC G MORENTEN CHIROPRACTIC MEDICINE 4517 MARKET ST STE 1, VENTURA, CA (805) 650-5929 CHIROPRACTIC INC 93003 MORTIMER, JOANNE E - MD CITY OF HOPE ONCOLOGY 1500 EAST DUARTE RD, DUARTE , CA (626) 256-4673 (BCC) COMPREHENSIVE CANCER 91010 CENTER MORTON, BLAINE A - MD KAISER PERMANENTE SURGICAL ONCOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER MORTON, CHRISTOPHER - PT MARINERS PHYSICAL PHYSICAL THERAPY 201 SANDPOINTE AVE STE 130, SANTA (714) 557-9292 THERAPY ANA, CA 92707 MORTOTANI, MAIKO - PT CPRX INC PHYSICAL THERAPY 3662 KATELLA AVE STE 105, LOS (562) 799-4494 ALAMITOS, CA 90720 MORYL, COLLEEN - AUD ADVANCED HEARING AUDIOLOGY 437 S ROBERTSON BLVD STE 5A, (800) 598-5300 PROVIDERS LLC BEVERLY HILLS, CA 90211 MOSCARELLO, GARY - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES KNEE ARCADIA, CA 91007 MOSES, DAN - LMT THE PHYSICAL THERAPY MASSAGE THERAPIST 12813 VICTORY BLVD, NORTH (818) 623-8100 ACUPUNCTURE REHAB HOLLYWOOD, CA 91606 CENTER MOSES, DAN - LMT THE PHYSICAL THERAPY MASSAGE THERAPIST 13746 VICTORY BLVD STE 106, VAN (818) 623-8100 ACUPUNCTURE REHAB NUYS, CA 91401 CENTER MOSES, DAN - LMT THE PHYSICAL THERAPY MASSAGE THERAPIST 4418 VINELAND AVE STE 220, TOLUCA (818) 623-8100 ACUPUNCTURE REHAB LAKE, CA 91602 CENTER MAIN ACCOUNT MOSS, LEWIS K - MD (BCC) BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE KNEE MANHATTAN BEACH, CA 90266 MOSSBERG AMP; ASSOCIATES PHYSICAL THERAPY 9855 ERMA RD STE 106, SAN DIEGO, CA (858) 549-7111 PHYSICAL T 92131 MOSTOFI, AMIR H - MD (BCC) RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 2627 E WASHINGTON BLVD, (626) 797-2002 UPPER EXTREMITIES PASADENA, CA 91107 MOSTOFI, AMIR H - MD (BCC) RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - HAND 2627 E WASHINGTON BLVD, (626) 797-2002 PASADENA, CA 91107 MOSTOFI, AMIR H - MD (BCC) RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - UPPER 2627 E WASHINGTON BLVD, (626) 797-2002 EXTREMITIES PASADENA, CA 91107 MOSTOFI, AMIR H - MD (BCC) RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 797-2002 UPPER EXTREMITIES ARCADIA, CA 91007

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 431 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MOSTOFI, AMIR H - MD (BCC) RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - HAND 289 W HUNTINGTON DR STE 304, (626) 797-2002 ARCADIA, CA 91007 MOSTOFI, AMIR H - MD (BCC) RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - UPPER 289 W HUNTINGTON DR STE 304, (626) 797-2002 EXTREMITIES ARCADIA, CA 91007 MOSTOFI, AMIR H - MD (BCC) RISSER ORTHOPAEDIC GROUP HAND SURGERY 2627 E WASHINGTON BLVD, (626) 797-2002 PASADENA, CA 91107 MOSTOFI, AMIR H - MD (BCC) RISSER ORTHOPAEDIC GROUP HAND SURGERY 289 W HUNTINGTON DR STE 304, (626) 797-2002 ARCADIA, CA 91007 MOSTOWSKI, RONALD - DC MODESTO FAMILY CHIROPRACTIC MEDICINE 1500 STANDIFORD AVENUE BUILDING (209) 577-3300 CHIROPRACTIC B, MODESTO, CA 95350 MOSTYN, MICHAEL - MD (BCC) DESERT URGENT CARE PRIMARY TREATING 74990 COUNTRY CLUB DR STE 310 , (760) 341-8800 PHYSICIAN PALM DESERT, CA 92260 MOSTYN, MICHAEL - MD (BCC) DESERT URGENT CARE FAMILY MEDICINE 74990 COUNTRY CLUB DR STE 310 , (760) 341-8800 PALM DESERT, CA 92260 MOTHERSOLE, CYNTHIA - PHD PSYCHOLOGY 5455 WILSHIRE BLVD STE 2000, LOS (323) 934-3861 (BCC) ANGELES, CA 90036 MOTION MATTERS PT PHYSICAL THERAPY 1132 ACADEMY AVE STE 101, SANGER, (559) 876-1191 CA 93657-3195 MOTION PICTURE AND PHARMACY 23388 MULHOLLAND DR, WOODLAND (818) 876-1040 TELEVISION HILLS, CA 91364 MOTION PLUS AQUATIC & PHYSICAL THERAPY 14708 HAWTHORNE BLVD, LAWNDALE, (800) 659-9311 THERAPY CENTER CA 90260-1523 MOTION PLUS AQUATIC AND PHYSICAL THERAPY 14708 HAWTHORNE BLVD, LAWNDALE, (800) 659-9311 THERAPY CENTER CA 90260 MOTURI, KAVITHA - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER MOTURI, KAVITHA - MD KAISER PERMANENTE ON THE PRIMARY TREATING 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH PHYSICIAN JOSE, CA 95119 CENTER MOUA, PANHIA J - MD KAISER PERMANENTE SAN ANESTHESIOLOGY 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 MOUNT EDEN PHYSICAL PHYSICAL THERAPY 19845 LAKE CHABOT RDSUITE 205, (510) 538-9558 THERAPY CENTER CASTRO VALLEY, CA 94546-4055 MOUNTAIN PLAZA PHARMACY PHARMACY 1607 N MOUNTAIN AVE, UPLAND, CA (909) 985-0914 91784 MOUNTAIN VIEW PHARMACY 11255 MOUNTAIN VIEW AVE, LOMA (909) 558-3088 PHARMACEUTICALS LINDA, CA 92354 MOUNTAIN VISTA FARM (BCC) MOUNTAIN VISTA FARM CHEMICAL DEPENDENCY 3020 WARM SPRINGS RD, GLEN ELLEN, (707) 996-6716 REHABILITATION CENTER CA 95442 (OUTPATIENT) MOUNTAIN, KELLY, KELVIN - MISSION VALLEY CHIROPRACTIC MEDICINE 7801 MISSION CENTER CT STE 320, (619) 858-2005 DC REHABILITATION CENTER SAN DIEGO, CA 92108 MOUNTAINS COMMUNITY MOUNTAINS COMMUNITY ACUTE CARE HOSPITAL 29101 HOSPITAL RD, LAKE (909) 336-3651 HOSPITAL (BCC) HOSPITAL ARROWHEAD, CA 92352 MOUNTAINS COMMUNITY MOUNTAINS COMMUNITY ACUTE CARE HOSPITAL 29101 HOSPITAL RD, LAKE (909) 336-3651 HOSPITAL (BCC) HOSPITAL ARROWHEAD, CA 92352 MOUSSA, MOHAMED E - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 MOUSSA, MOHAMED E - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 MOVEMENT RX PHYSICAL PHYSICAL THERAPY 3146 TIGER RUN CT STE 120, (877) 854-1343 THERAPY CARLSBAD, CA 92010-6503 MOVEMENT RX PHYSICAL PHYSICAL THERAPY 32827 TEMECULA PKWY STE A, (877) 854-1343 THERAPY TEMECULA, CA 92592-7306 MOVEMENT RX PHYSICAL PHYSICAL THERAPY 838 G ST, SAN DIEGO, CA 92101-6421 (877) 854-1343 THERAPY MOVEMENT SPECIALISTS PHYSICAL THERAPY 1500 ADAMS AVE STE 104, COSTA (657) 600-8320 PHYSICAL THERAPY MESA, CA 92626-3864 MOWER, WILLIAM - MD (BCC) EMERGENCY MEDICINE 757 WESTWOOD PLZ STE 1419, LOS (310) 825-2111 ANGELES, CA 90095 MOWRY MEDICAL PHARMACY PHARMACY 1999 MOWRY AVE STE 2A, FREMONT, (510) 793-5011 CA 94538

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 432 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MOWRY PLAZA PHARMACY PHARMACY 668 MOWRY AVE, FREMONT, CA 94536 (510) 745-9900 MOYAD, THOMAS F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MOYAD, THOMAS F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA LOWER EXTREMITIES CA 92123 MOYAD, THOMAS F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA UPPER EXTREMITIES CA 92123 MOYAD, THOMAS F - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MOYAD, THOMAS F - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA EXTREMITIES CA 92123 MOYAD, THOMAS F - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MOYAD, THOMAS F - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA EXTREMITIES CA 92123 MOYAD, THOMAS F - MD CONCENTRA MEDICAL SPINE SURGERY 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 MOYINHAN, MARGARET - PT CARNAHAN THERAPY PHYSICAL THERAPY 805 E WALNUT AVE, LOMPOC, CA 93436 (805) 735-3714 REHABILITATION MP PHARMACY PHARMACY 4434 CERRITOS AVE, LOS ALAMITOS, (714) 733-2701 CA 90720 MT EDEN PHYSICAL THERAPY PHYSICAL THERAPY 19845 LAKE CHABOT RD STE 205, (510) 538-9558 CNTR CASTRO VALLEY, CA 94546 MTM PHARMACY PHARMACY 12666 BROOKHURST ST STE 110, (714) 705-6992 GARDEN GROVE, CA 92840 MTM PHARMACY PHARMACY 2339 W 1ST ST, SANTA ANA, CA 92703 (714) 278-4800 MTM PHARMACY PHARMACY 1172 N EUCLID ST, ANAHEIM, CA 92801 (714) 613-1971 MTM PHARMACY BOLSA PHARMACY 6552 BOLSA AVE STE A, HUNTINGTON (714) 916-5383 MEDICAL BEACH, CA 92647 MTM PHARMACY FAIRVIEW PHARMACY 1002 N FAIRVIEW ST, SANTA ANA, CA (714) 881-0012 92703 MU, CAROL - LAC ABLE PHYSICAL THERAPY ACUPUNCTURE 12562 GARDEN GROVE BLVD, GARDEN (714) 705-4027 CORP GROVE, CA 92843 MU, CAROL - LAC ABLE PHYSICAL THERAPY ACUPUNCTURE 1902 ROYALTY DR 170, POMONA, CA (909) 620-9700 CORP 91767 MU, CAROL - LAC ABLE PHYSICAL THERAPY ACUPUNCTURE 9470 FIRESTONE BLVD, DOWNEY, CA (562) 401-4094 CORP 90241 MU, CAROL - LAC ABLE PHYSICAL THERAPY ACUPUNCTURE 9530 IMPERIAL HWY STE N, DOWNEY, (562) 381-0877 CORP CA 90242 MUELLER, JANDRA - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 258-5987 MAIN ACCOUNT ANGELES, CA 90066 MUELLER, MARK - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER MUELLER, SARAH - PT CAMARILLO AQUATICS PHYSICAL THERAPY 4960 VERDUGO WAY, CAMARILLO, CA (805) 384-8050 REHABILITATION SERVICES 93012 MUIR WOOD ADOLESCENT MUIR WOOD ADOLESCENT CHEMICAL DEPENDENCY 938 B ST, SAN RAFAEL, CA 94901 (855) 684-7966 AND FAMILY SERVICES (BCC) AND FAMILY SERVICES REHABILITATION CENTER (OUTPATIENT) MUIR, DEBI - AUD ADVANCED HEARING AUDIOLOGY 41034 CALIFORNIA OAKS RD STE A, (800) 598-5300 PROVIDERS LLC MURRIETA, CA 92562 MUJAHED, TIFFANY - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 MUKHERJEE, KAUSHIK - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S MULHOLLAND, CELENE B - MD SOUTHERN CALIFORNIA NEUROLOGICAL SURGERY 630 S RAYMOND AVE STE 330, (626) 793-8194 (BCC) NEUROLOGICAL ASSOCIATES PASADENA, CA 91105 MULLEN PHYSICAL THERAPY PHYSICAL THERAPY 3530 LOCHINVAR AVE, SANTA CLARA, (408) 905-6483 CA 95051 MULLEN PHYSICAL THERAPY PHYSICAL THERAPY 3530 LOCHINVAR AVE, SANTA CLARA, (408) 905-6483 INC CA 95051-5108

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 433 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MULLER, DANIELLE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 2180 W GRANT LINE RD, TRACY, CA (925) 463-0470 SPECIALISTS 95377 MULLER, DANIELLE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 MULLER, DANIELLE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 5601 NORRIS CANYON RD, SAN (925) 463-0470 SPECIALISTS RAMON, CA 94583 MULMANEE, SIRIPORN - LMT ULLMAN AND SCHWARTZ MASSAGE THERAPIST 500 S SEPULVEDA BLVD STE 202, (310) 372-1141 CHIROPRACTIC GROUP MANHATTAN BEACH, CA 90266 MULTANI, GURPREET S - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 18111 BROOKHURST ST STE 4300, (714) 378-7330 ONCOLOGY FOUNTAIN VALLEY , CA 92708 MULTANI, GURPREET S - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 24411 HEALTH CENTER DR STE 320, (714) 378-7330 ONCOLOGY LAGUNA HILLS , CA 92653 MULTICARE PHARMACY PHARMACY 4849 VAN NUYS BLVD STE 101A, (818) 461-9600 SHERMAN OAKS, CA 91403 MULVEY, MARINA - AUD ADVANCED HEARING AUDIOLOGY 1260 HEALDSBURG AVE STE 202, (800) 598-5300 PROVIDERS LLC HEALDSBURG, CA 95448 MULVEY, MARINA - AUD ADVANCED HEARING AUDIOLOGY 4725 HOEN AVE STE B, SANTA ROSA, (800) 598-5300 PROVIDERS LLC CA 95405 MUNDAY, EMILY - PTA EL DORADO PHYSICAL PHYSICAL THERAPY 990 RILEY ST, FOLSOM, CA 95630 (916) 355-1250 THERAPY MUNOZ, DIANA - DO (BCC) PHYSICAL MEDICINE AND 1041 E YORBA LINDA BLVD STE 209, (949) 955-0022 REHABILITATION PLACENTIA, CA 92870 MUNOZ, DIANA - DO (BCC) PHYSICAL MEDICINE AND 11627 TELEGRAPH RD STE 105, SANTA (949) 955-0022 REHABILITATION FE SPRINGS, CA 90670 MUNOZ, DIANA - DO (BCC) PHYSICAL MEDICINE AND 1805 E DYER RD STE 110, SANTA ANA, (949) 955-0022 REHABILITATION CA 92705 MUNOZ, DIANA - DO (BCC) PHYSICAL MEDICINE AND 3000 W MACARTHUR BLVD STE 600, (949) 955-0022 REHABILITATION SANTA ANA, CA 92704 MUNOZ, DIANA - DO (BCC) PHYSICAL MEDICINE AND 6553 E PACIFIC COAST HWY STE H9, (949) 955-0022 REHABILITATION LONG BEACH, CA 90803 MUNOZ, MICHELLE - MD KAISER PERMANENTE OPHTHALMOLOGY 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL CA 91367 CENTER MUNOZ, RAFAEL - PT WEST STAR PHYSICAL PHYSICAL THERAPY 1625 W OLYMPIC BLVD STE 1045E, LOS (213) 632-0256 THERAPY ANGELES, CA 90015 MUNZ, STEPHEN - MD KAISER PERMANENTE YORBA OPHTHALMOLOGY 22550 SAVI RANCH PARKWAY , YORBA (714) 644-6450 LINDA MEDICAL OFFICES LINDA, CA 92887 MURALIRAJ, VIJAY - MD (BCC) ASSOCIATION OF SOUTH BAY COLON AND RECTAL 23451 MADISON ST STE 340, (310) 373-6864 SURGEONS SURGERY TORRANCE, CA 90505 MURAN, PETER - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER MURGA, GABRIEL A - MD (BCC) LOMA LINDA UNIVERSITY VASCULAR SURGERY 11234 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - VASCULAR LINDA , CA 92354 SURGERY MURGA, GABRIEL A - MD (BCC) LOMA LINDA UNIVERSITY VASCULAR SURGERY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 HEALTH CARE - VASCULAR CA 92563 SURGERY MURIETA PHYSICAL THERAPY PHYSICAL THERAPY 7281 LONE PINE DR STE D103, RANCHO (916) 354-0719 DBA RESULTS PHYSICAL THER MURIETA, CA 95683-9715 MURIETA PHYSICAL THERAPY PHYSICAL THERAPY 7281 LONE PINE DR STE D103, RANCHO (916) 354-0719 DBA RESULTS PHYSICAL THER MURIETA, CA 95683-9715 MURPHY, JENNIFER - DC A FAMILY CHIROPRACTIC CHIROPRACTIC MEDICINE 100 OCONNOR DR STE 25, SAN JOSE, (408) 271-2800 CA 95128 MURRAY, DOUGLAS - DC DOUGLAS R MURRAY DC CHIROPRACTIC MEDICINE 4995 GOLDEN FOOTHILL PKWY STE 5, (916) 792-2198 EL DORADO HILLS, CA 95762 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA 95050 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA ELBOW 95050

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 434 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA ELBOW 95050 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA SHOULDER 95050 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA 95050 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 CENTER - SANTA CLARA 95050 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE ELBOW 94085 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE ELBOW 94085 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE SHOULDER 94085 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 MURRAY, KEVIN R - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 MURTHY, VIMAL - MD GENERAL SURGERY 3330 LOMITA BLVD, TORRANCE, CA (310) 517-4736 90505 MURTHY, VIMAL K - MD BCC) TORRANCE MEDICAL CENTER - PLASTIC SURGERY 3325 MEDICAL CENTER DR - (310) 517-4736 BURN CENTER TORRANCE WEST TOWER 4TH FLR, TORRANCE, CA 90505 MURTHY, VIMAL K - MD BCC) TORRANCE MEDICAL CENTER - GENERAL SURGERY 3325 MEDICAL CENTER DR - (310) 517-4736 BURN CENTER TORRANCE WEST TOWER 4TH FLR, TORRANCE, CA 90505 MUSHER, GENNADY - MD PSYCHIATRY 6221 WILSHIRE BLVD #401, LOS (323) 655-3747 ANGELES, CA 90048 MUSICANT, MARK H - MD (BCC) SANSUM CLINIC - OCCUPATIONAL MEDICINE 101 S PATTERSON AVE , SANTA (805) 898-3311 OCCUPATIONAL MEDICINE BARBARA, CA 93111 MUSICANT, MARK H - MD (BCC) SANSUM CLINIC - PRIMARY TREATING 101 S PATTERSON AVE , SANTA (805) 898-3311 OCCUPATIONAL MEDICINE PHYSICIAN BARBARA, CA 93111 MUSICANT, SCOTT - MD (BCC) VASCULAR SURGERY 8860 CENTER DR STE 450, LA MESA, CA (619) 460-6200 91942 MY PHARMACIST ON CALL PHARMACY 3426 WHITTIER BLVD, LOS ANGELES, (323) 263-8617 CA 90023 MY TOWN PHARMACY PHARMACY 404 E 4TH ST, PERRIS, CA 92570 (951) 943-1575 MYERS MEDICAL PHARMACY PHARMACY 260 HOSPITAL DR STE 111, UKIAH, CA (707) 468-8991 95482 MYERS, ANYA R - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH MOB 2, ROSEVILLE, CA 95661 CENTER MYERS, ANYA R - DO KAISER PERMANENTE ON THE PRIMARY TREATING 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH PHYSICIAN MOB 2, ROSEVILLE, CA 95661 CENTER MYERS, JARED - DO (BCC) RISSER ORTHOPAEDIC GROUP PHYSICAL MEDICINE & 2627 E WASHINGTON BLVD, (626) 797-2002 REHABILITATION PASADENA, CA 91107 MYERS, JARED - DO (BCC) PHYSICAL MEDICINE AND 2627 E WASHINGTON BLVD, (626) 797-2002 REHABILITATION PASADENA, CA 91107 MYERS, JARED - DO (BCC) PHYSICAL MEDICINE AND 289 W HUNTINGTON DR STE 304, (626) 340-2686 REHABILITATION ARCADIA, CA 91007 MYERS, JARED - DO (BCC) RISSER ORTHOPAEDIC GROUP PHYSICAL MEDICINE & 289 W HUNTINGTON DR STE 304, (626) 797-2002 REHABILITATION ARCADIA, CA 91007 MYINT, ZAW W - MD (BCC) LOMA LINDA UNIVERSITY HEMATOLOGY AND 11234 ANDERSON ST SP RM A600, (800) 679-4642 HEALTH CARE - ONCOLOGY LOMA LINDA, CA 92354 HEMATOLOGY/ONCOLOGY DEPT FP&S MYMED PHARMACY PHARMACY 7141 N CEDAR AVE STE 104, FRESNO, (559) 325-6633 CA 93720 MYOFASCIAL THERAPIES PHYSICAL THERAPY 870 MARKET ST STE 883, SAN (415) 362-6274 CENTER FRANCISCO, CA 94102-2910 MYOFASCIAL THERAPIES PHYSICAL THERAPY 870 MARKET ST STE 883, SAN (415) 362-6274 CENTER (MATTHEW NGUYEN) FRANCISCO, CA 94102-2910

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 435 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone MYREN, DONALD - DC DONALD C MYREN JR DC CHIROPRACTIC MEDICINE 32245 MISSION TRL STE D6, LAKE (951) 674-8683 ELSINORE, CA 92530 MYREN, DONALD, C - DC DONALD C MYREN JR DC CHIROPRACTIC MEDICINE 27450 YNEZ RD STE 116, TEMECULA, (951) 694-9200 CA 92591 N CARE PHYSICAL THERAPY PHYSICAL THERAPY 15243 VANOWEN ST STE 107, VAN (818) 849-6613 NUYS, CA 91405-3633 N CARE PHYSICAL THERAPY PHYSICAL THERAPY 326 N SOTO ST, LOS ANGELES, CA (323) 261-6100 90033-1815 N HOLLYWOOD MED ARTS PHARMACY 4420 VINELAND AVE, NORTH (818) 766-3996 PHARMACY HOLLYWOOD, CA 91602 NA, CHANG R - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3501 STOCKDALE HWY , BAKERSFIELD, (661) 398-3813 JOB KERN COUNTY MEDICAL CA 93309 CENTER NA, CHANG R - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3501 STOCKDALE HWY , BAKERSFIELD, (661) 398-3813 JOB KERN COUNTY MEDICAL PHYSICIAN CA 93309 CENTER NA, WON, JOON - LAC OMNI WELLNESS ACUPUNCTURE 625 W COLLEGE ST STE 206, LOS (213) 617-8164 CLINICWONJOON NA ANGELES, CA 90012 ACUPUNCTURIST NABORS, KAMEESHA - PT BODY SYNC PHYSICAL PHYSICAL THERAPY 2313 WESTWOOD BLVD, LOS ANGELES, (310) 948-2061 THERAPY CA 90064 NACA, STEPHEN - LMT HEALTH PRO PHYSICAL MASSAGE THERAPIST 1333 WILLOW PASS RD STE 110, (925) 676-7431 THERAPY CONCORD, CA 94520 NACIONALES, DAVID - MD FIRST CALIF0RNIA PHYSICIAN NEUROLOGY 1180 N INDIAN CANYON DR STE W200, (714) 428-6711 (BCC) PARTNERS - DESERT CARE PALM SPRINGS , CA 92262 NETWORK NADEMANEE, AUYAPORN - MD HEMATOLOGY AND 1500 E DUARTE , DUARTE, CA 91010 (626) 359-8111 ONCOLOGY NADER, MANDY - PT HW PHYSICAL THERAPY DBA PHYSICAL THERAPY 250 EL CAMINO REAL STE 100, TUSTIN, (714) 838-6999 SPECIALIZED PHYSICAL CA 92780 THERAPY NADER, MICHAEL - OT SOHAIL SHAYFER MD INC OCCUPATIONAL THERAPY 16030 VENTURA BLVD STE 100, (818) 981-3688 ENCINO, CA 91436 NADKARNI, ANANDI - PT WHITE BLOSSOM CARE PHYSICAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 NAEGLE, DEREK W - DPM RIVERSIDE MEDICAL CLINIC - PODIATRY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 (BCC) RIVERSIDE 92506 NAEGLE, DEREK W - DPM RIVERSIDE MEDICAL CLINIC - PODATRIC SURGERY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 (BCC) RIVERSIDE 92506 NAFICY, KATHLEEN - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 NAFICY, KATHLEEN, MONAHAN REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 - PT 165, LAGUNA HILLS, CA 92653 NAGAPPAN, SUBBU - MD (BCC) RIVERSIDE MEDICAL CLINIC - GENERAL SURGERY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 NAGARAJ, GAYATHRI - MD LOMA LINDA UNIVERSITY HEMATOLOGY AND 11234 ANDERSON ST SP RM A600, (800) 679-4642 (BCC) HEALTH CARE - ONCOLOGY LOMA LINDA, CA 92354 HEMATOLOGY/ONCOLOGY DEPT FP&S NAGARAJ, GAYATHRI - MD LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11234 ANDERSON ST - SCHUMAN (800) 679-4642 (BCC) HEALTH CARE - MCHS CANCER PAVILLION A-220, LOMA LINDA , CA CENTER 92354 NAGARAJAH, SHERENE - MD CONCENTRA MEDICAL INTERNAL MEDICINE 315 SOUTH ABBOTT AVE, MILPITAS, CA (408) 790-2900 CENTER - MILPITAS ABBOTT 95035 NAGASAWA, DANIEL T - MD ACHIEVE BRAIN AND SPINE NEUROLOGICAL SURGERY 2811 WILSHIRE BLVD STE 930, SANTA (310) 710-1919 (BCC) MONICA, CA 90403 NAGHDI, JAKLIN - AUD ADVANCED HEARING AUDIOLOGY 16661 VENTURA BLVD STE 400 C, (800) 598-5300 PROVIDERS LLC ENCINO, CA 91436 NAGY III, STEPHEN M - MD KAISER PERMANENTE SO SAN ORTHOPEDIC SURGERY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 NAHMOULI, NINA - AUD ADVANCED HEARING AUDIOLOGY 1125 S BEVERLY DR , LOS ANGELES, (800) 598-5300 PROVIDERS LLC CA 90035

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 436 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NAIDS, STEVEN - MD (BCC) OPHTHALMOLOGY 2080 CENTURY PARK E STE 911, LOS (310) 229-1220 ANGELES, CA 90067 NAJAFABADI, SOROUSH - AUD ADVANCED HEARING AUDIOLOGY 3290 E GAGE AVE , HUNTINGTON PARK, (800) 598-5300 PROVIDERS LLC CA 90255 NAJAFABADI, SOROUSH - AUD ADVANCED HEARING AUDIOLOGY 5290 LONG BEACH BLVD , LONG (800) 598-5300 PROVIDERS LLC BEACH, CA 90805 NAJAFI, ALI - MD (BCC) NEUROLOGICAL SURGERY 1700 E CESAR E CHAVEZ AVE STE (818) 788-0101 2200, LOS ANGELES, CA 90033 NAKAGAWA, ANN - PT STATE COLLEGE PHYSICAL PHYSICAL THERAPY 215 N ST COLLEGE BLVD STE G, (714) 999-6596 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92806 HILLS PHYSICAL THERAPY REHAB NAKAGAWA, ANN - PT STATE COLLEGE PHYSICAL PHYSICAL THERAPY 500 S ANAHEIM HLS RD STE 106, (714) 685-0700 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92807 HILLS PHYSICAL THERAPY REHAB NAKANO, DARREN - DC GINOZA WAYNE DC CHIROPRACTIC MEDICINE 460 E CARSON PLAZA DR STE 116, (424) 266-9154 CARSON, CA 90746 NAKANO, KATHY J - MD KAISER PERMANENTE GENERAL SURGERY 3430 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 LAKEVIEW MEDICAL OFFICES 92806 NAKANO, KATHY J - MD KAISER PERMANENTE GENERAL SURGERY 411 N LAKEVIEW AVE , ANAHEIM, CA (714) 644-6450 LAKEVIEW MEDICAL OFFICES 92807 NAKASATO, KRISTINE - LAC REVIVE ACUPUNCTURE INC ACUPUNCTURE 43353 MISSION BLVD STE B, FREMONT, (510) 438-0128 CA 94539 NAKAZAKI, LIANNE - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 NAKAZAWA, LAUREN - MD ANESTHESIOLOGY 6801 PARK TERRACE STE 300, LOS (310) 665-7200 (BCC) ANGELES, CA 90045 NAKLA, MAMDOUH L - MD KAISER PERMANENTE SOUTH OPHTHALMOLOGY 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 NALOS, PETER C - MD (BCC) CENTRAL CARDIOLOGY CARDIOVASCULAR DISEASE 2901 SILLECT AVE STE 100, (661) 323-8384 MEDICAL CLINIC (CARDIOLOGY) BAKERSFIELD, CA 93308 NAM, KIM, SEON - LAC DAVID KIM'S ACUPUNCTURE ACUPUNCTURE 1140 W LA VETA AVE STE 580, (714) 486-2873 ORANGE, CA 92868 NAMAZIAN, MOHAMMAD - DO KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER NAMBA, ROBERT S - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 NAMM, JUKES P - MD (BCC) LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 HEALTH CARE - GENERAL CA 92563 SURGERY FP&S NAMM, JUKES P - MD (BCC) LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11234 ANDERSON ST - SCHUMAN (800) 679-4642 HEALTH CARE - WOMENS PAVILLION A-220, LOMA LINDA , CA CANCER & SURGICAL 92354 ONCOLOGY CENTER NAMMOUR, GLORIA M - MD CONCENTRA MEDICAL INTERNAL MEDICINE 6520 N IRWINDALE AVE STE 100, (626) 812-0366 CENTER - IRWINDALE IRWINDALE, CA 91702 NAN, BRANDON - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 NAN, BRANDON - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 NAPA VALLEY PT CENTER PHYSICAL THERAPY 1103 TRANCAS ST, NAPA, CA (707) 224-3131 94558-2962 NAPA VALLEY PT CENTER PHYSICAL THERAPY 3273 CLAREMONT WAY STE 101, NAPA, (707) 224-3131 CA 94558-3328 NAPA VALLEY PT CENTER PHYSICAL THERAPY 433 SOSCOL AVE STE B191, NAPA, CA (707) 224-3131 94559 NAPOLI, KARI, MARIE - LAC ENERGY MATTERS ACUPUNCTURE 4341 PIEDMONT AVE STE 202, (510) 597-9923 ACUPUNCTURE OAKLAND, CA 94611 NAQVI, SHOAIB U - MD CONCENTRA MEDICAL INTERNAL MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA NAQVI, SYED F - MD (BCC) FIRST HEALTH MEDICAL INTERNAL MEDICINE 7161 N HOWARD ST STE 100, FRESNO, (559) 227-2273 CENTER OF FRESNO INC CA 93720

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 437 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NAQVI, SYED F - MD (BCC) FIRST HEALTH MEDICAL PRIMARY TREATING 7161 N HOWARD ST STE 100, FRESNO, (559) 227-2273 CENTER OF FRESNO INC PHYSICIAN CA 93720 NARAYAN, MELIN J - MD (BCC) LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP NARIO, MARK - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC CA 90638 NARIO, MARK - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 NARIO, MARK - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 NARIO, MARK - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 7052 ORANGEWOOD AVE, STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 NARVEKAR, SACHIN - DC NARVEKAR CHIROPRACTIC CHIROPRACTIC MEDICINE 447 W ATEN RD STE E, IMPERIAL, CA (760) 592-4194 DBA DESERT CHIROPRACTIC 92251 NARVY, STEVEN J - MD (BCC) LA BONE AND JOINT INSTITUTE ORTHOPEDIC SURGERY - 16311 VENTURA BLVD STE 1150, (818) 477-0787 KNEE ENCINO, CA 91436 NARVY, STEVEN J - MD (BCC) LA BONE AND JOINT INSTITUTE ORTHOPEDIC SURGERY - 16311 VENTURA BLVD STE 1150, (818) 477-0787 ELBOW ENCINO, CA 91436 NARVY, STEVEN J - MD (BCC) LA BONE AND JOINT INSTITUTE SPORTS MEDICINE 16311 VENTURA BLVD STE 1150, (818) 477-0787 ENCINO, CA 91436 NARVY, STEVEN J - MD (BCC) LA BONE AND JOINT INSTITUTE PRIMARY TREATING 16311 VENTURA BLVD STE 1150, (818) 477-0787 PHYSICIAN ENCINO, CA 91436 NASHED, ASHRAF - MD (BCC) CARDIOVASCULAR DISEASE 2876 SYCAMORE DR STE 301, SIMI (805) 230-3112 (CARDIOLOGY) VALLEY, CA 93065 NASHED, ASHRAF - MD (BCC) CARDIOVASCULAR DISEASE 415 E ROLLING OAKS DR STE 250, (805) 230-3112 (CARDIOLOGY) THOUSAND OAKS, CA 91361 NASIKA, GEETA - PT BASIL R BESH MD INC PHYSICAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 NASIKA, GEETA - PT CALAVERAS PHYSICAL PHYSICAL THERAPY 500 E CALAVERAS BLVD STE 112, (408) 934-4700 THERAPY MILPITAS, CA 95035 NASON, DEE, ANN - DC NASON DEEANN DC CHIROPRACTIC MEDICINE 1306 W GLENOAKS BLVD, GLENDALE, (818) 247-4766 CA 91201 NASSIRI, MASSOUD - DC MASSOUD NASSIRI DC CHIROPRACTIC MEDICINE 2700 INTERNATIONAL BLVD STE 10, (510) 378-3715 OAKLAND, CA 94601 NAT, CHRISTINE - PT PERFORMANCE PHYSICAL PHYSICAL THERAPY 400 SUNRISE AVE STE 190, ROSEVILLE, (916) 771-3110 THERAPY ANTELOPE CA 95661 NATALI, ANN - PT GROVE PHYSICAL THERAPY 127 HOSPITAL DR STE 101, VALLEJO, (707) 552-8795 ANDERSENGHIRINGHELLI CA 94589 PHYSICAL THERAPY NATHAN, ELLAN - AUD ADVANCED HEARING AUDIOLOGY 1415 E COLORADO ST STE 201, (800) 598-5300 PROVIDERS LLC GLENDALE, CA 91205 NATHAN, ELLEN - AUD ADVANCED HEARING AUDIOLOGY 1045 W REDONDO BEACH BLVD STE (800) 598-5300 PROVIDERS LLC 575, GARDENA, CA 90247 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER ELBOW NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - HIP 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER KNEE NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER SHOULDER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - ELBOW 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - HIP 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - KNEE 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - SHOULDER 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC PRIMARY TREATING 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER PHYSICIAN

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 438 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC SPORTS MEDICINE 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER ELBOW CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - HIP 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER KNEE CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER SHOULDER CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - ELBOW 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - HIP 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - KNEE 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - SHOULDER 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC PRIMARY TREATING 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER PHYSICIAN CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC SPORTS MEDICINE 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER CA 93458 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 CENTER ELBOW CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - HIP 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 CENTER CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 CENTER KNEE CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 CENTER SHOULDER CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - ELBOW 401 E CARRILLO ST , SANTA BARBARA , (805) 563-3307 CENTER CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - HIP 401 E CARRILLO ST , SANTA BARBARA , (805) 563-3307 CENTER CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - KNEE 401 E CARRILLO ST , SANTA BARBARA , (805) 563-3307 CENTER CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - SHOULDER 401 E CARRILLO ST , SANTA BARBARA , (805) 563-3307 CENTER CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC PRIMARY TREATING 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 CENTER PHYSICIAN CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC SPORTS MEDICINE 401 E CARRILLO ST , SANTA BARBARA, (805) 563-3307 CENTER CA 93101 NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER ELBOW NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - HIP 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER KNEE NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDIC SURGERY - 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER SHOULDER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - ELBOW 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - HIP 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - KNEE 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC ORTHOPEDICS - SHOULDER 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC PRIMARY TREATING 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER PHYSICIAN NATHANI, AMIT - MD (BCC) THE SPINE AND ORTHOPEDIC SPORTS MEDICINE 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 439 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NATICO PHARMACY PHARMACY 10212 WESTMINSTER AVE, GARDEN (714) 534-1020 GROVE, CA 92843 NATION, MALCOLM, (DANIEL) - LOS BANOS PHYSICAL PHYSICAL THERAPY 820 2ND ST, LOS BANOS, CA 93635 (209) 826-8623 PT THERAPY NATIONAL COUNCIL ON NATIONAL COUNCIL ON CHEMICAL DEPENDENCY 1334 POST AVE, TORRANCE, CA 90501 (310) 328-1460 ALCOHOLISM AND DRUG ALCOHOLISM AND DRUG REHABILITATION CENTER DEPENDENCE OF THE SOUTH DEPENDENCE OF THE SOUTH (OUTPATIENT) BAY (BCC) BAY NATIONAL PHARMACY PHARMACY 7420 SANTA MONICA BLVD, WEST (323) 851-4444 HOLLYWOOD, CA 90046 NATIONAL SCRIPT PHARMACY PHARMACY 6944 RESEDA BLVD STE A, RESEDA, CA (888) 380-7528 91335 NATIONS, MARION - LAC NATIONS ACUPUNCTURE INC ACUPUNCTURE 7851 MISSION CENTER CT STE 324, (619) 665-8902 SAN DIEGO, CA 92108 NATIVIDAD MEDICAL CENTER NATIVIDAD MEDICAL CENTER ACUTE CARE HOSPITAL 1441 CONSTITUTION BLVD, SALINAS, (831) 755-4111 (BCC) CA 93906 NATOMAS PHYSICAL THERAPY PHYSICAL THERAPY 1948 DEL PASO RD STE 135, (916) 419-5202 SACRAMENTO, CA 95834-7721 NAUGHTON, MARY - OT GOLDEN GATE HAND THERAPY OCCUPATIONAL THERAPY 1700 CALIFORNIA ST STE 440, SAN (415) 359-1444 FRANCISCO, CA 94109 NAVA, MICHELLE - PT EMPOWER PHYSICAL PHYSICAL THERAPY 15944 LOS SERRANOS COUNTRY CLUB (909) 907-0805 THERAPY WELLNESS DR STE 250, CHINO HILLS, CA 91709 NAVARETE, ERIC - OTA REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 NAVARRO, JAYVEEH D - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES NAVARRO, JAYVEEH D - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL PHYSICIAN FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES NAVARRO, JAYVEEH D - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL ROOM 106, MORENO VALLEY, CA 92553 OFFICES NAVARRO, JAYVEEH D - MD KAISER PERMANENTE ON THE PRIMARY TREATING 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL PHYSICIAN ROOM 106, MORENO VALLEY, CA 92553 OFFICES NAVARRO, JAYVEEH D - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL 205, WILDOMAR, CA 92563 OFFICES NAVARRO, JAYVEEH D - MD KAISER PERMANENTE ON THE PRIMARY TREATING 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL PHYSICIAN 205, WILDOMAR, CA 92563 OFFICES NAVARRO, JOANNA - AUD ADVANCED HEARING AUDIOLOGY 301 E DEL MAR BLVD STE 110, (800) 598-5300 PROVIDERS LLC PASADENA, CA 91101 NAVARRO, MARIA - PTA GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 NAVARRO, RAFAEL A - MD KAISER PERMANENTE THORACIC SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER NAVARRO, RONALD A - MD KAISER PERMANENTE SOUTH ORTHOPEDIC SURGERY 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 NAVARRO, VICTOR - DC INTEGRATIVE INDUSTRIAL AND CHIROPRACTIC MEDICINE 1930 WILSHIRE BLVD STE 600, LOS (213) 483-9902 FAMILY CLINICS ANGELES, CA 90057 NAVARRO, VICTOR - DC INTEGRATIVE INDUSTRIAL AND CHIROPRACTIC MEDICINE 1701 W WHITTIER BLVD, MONTEBELLO, (323) 887-3577 FAMILY PRACTICE MEDICAL CA 90640 CLINICS NAVIDI, BIJAN - MD (BCC) ANESTHESIOLOGY 1301 20TH ST, SANTA MONICA, CA (626) 795-6596 90404 NAVIDI, BIJAN - MD (BCC) ANESTHESIOLOGY 1328 22ND ST, SANTA MONICA, CA (626) 795-6596 90404 NAVIDI, BIJAN - MD (BCC) ANESTHESIOLOGY 2121 WILSHIRE BLVD STE 201, SANTA (310) 576-7267 MONICA, CA 90403

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 440 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NAYES, ALAN W - MD CONCENTRA MEDICAL PRIMARY TREATING 1619 E EDINGER AVE, SANTA ANA, CA (714) 542-8904 CENTER - EAST EDINGER & PHYSICIAN 92705 LYON NAYES, ALAN W - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1619 E EDINGER AVE, SANTA ANA, CA (714) 542-8904 CENTER - EAST EDINGER & 92705 LYON NAYSAN, ELHUM - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 NAYSAN, ELHUM - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND ORTHOPEDIC SURGERY - 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC HAND VICTORVILLE , CA 92395 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND HAND SURGERY 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC VICTORVILLE , CA 92395 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND ORTHOPEDIC SURGERY - 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC WRIST VICTORVILLE , CA 92395 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND SPORTS MEDICINE 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC VICTORVILLE , CA 92395 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND PRIMARY TREATING 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC PHYSICIAN VICTORVILLE , CA 92395 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND ORTHOPEDICS - SHOULDER 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC VICTORVILLE , CA 92395 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND ORTHOPEDICS - KNEE 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC VICTORVILLE , CA 92395 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND ORTHOPEDICS - HAND 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC VICTORVILLE , CA 92395 NAYYAR, SAMIR - MD (BCC) SPORTS MEDICINE AND ORTHOPEDICS - WRIST 13010 HESPERIA RD STE 600, (760) 552-8585 ORTHOPAEDIC INSTITUTE INC VICTORVILLE , CA 92395 NAZARYAN, LAURA - PT IGN PHYSIOTHERAPY INC DBA PHYSICAL THERAPY 2123 FOOTHILL BLVD STE D, LA VERNE, (818) 415-1522 LA VERNE PHYSICAL THERAPY CA 91750

NAZERI, SAMIA - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 NEAGU, CRISTIAN - DPM KAISER PERMANENTE SANTA PODIATRY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 140 1ST FLR, SANTA CLARA, CA 95051 NEAL, ERIC W - PT (BCC) MEMORIAL ORTHOPAEDIC PHYSICAL THERAPY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 SURGICAL GROUP 90806 NEAL, JAMES - DC COMPREHENSIVE SPINAL CHIROPRACTIC MEDICINE 9449 BALBOA AVE STE 105, SAN DIEGO, (858) 569-4545 CARE CA 92123 NEAL, JAMILA - MD (BCC) ANESTHESIOLOGY 1050 LINDEN AVE, LONG BEACH, CA (562) 491-9000 90813 NEALE, MARIANNE - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 36 MAUCHLY STE A, IRVINE, CA 92618 (949) 727-3315 SPORTS THERAPY NEAMAFI, PARISSA - DC PARAMOUNT FAMILY HEALTH CHIROPRACTIC MEDICINE 204 EAST CHEVY CHASE DRIVE, (818) 241-0055 CENTERS GLENDALE, CA 93036 NEAMAFI, PARISSA - DC PFC MEDICAL INC CHIROPRACTIC MEDICINE 2001 NORTH SOLAR DR 165, OXNARD, (805) 485-0500 CA 93036 NEAMATI, PARISSA - DC PFC MEDICAL INC CHIROPRACTIC MEDICINE 14500 ROSCOE BLVD 201, PANORAMA (818) 891-4000 CITY, CA 91402 NECKIEN, JESSICA - PT WESTLAKE SPORTS THERAPY PHYSICAL THERAPY 4165 E THOUSAND OAKS BLVD STE (805) 371-9116 INC 150, WESTLAKE VILLAGE, CA 91362 NEDJATI, MITRA - PT MANAGED CARE REHAB DBA PHYSICAL THERAPY 23734 VALENCIA BLVD STE 201, (661) 253-3744 MIDVALLEY PHYSICAL VALENCIA, CA 91355 THERAPY NEER, BRENDA - PT CHOWCHILLA PHYSICAL PHYSICAL THERAPY 285 HOSPITAL DR STE 29, (559) 665-1709 THERAPY CHOWCHILLA, CA 93610 NEFKENS, JULIE M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 200 MUIR RD HACIENDA BLDG 1ST FLR, (925) 313-0301 JOB OCCUPATIONAL HEALTH MARTINEZ, CA 94553 CENTER NEFKENS, JULIE M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 200 MUIR RD HACIENDA BLDG 1ST FLR, (925) 313-0301 JOB OCCUPATIONAL HEALTH PHYSICIAN MARTINEZ, CA 94553 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 441 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NEGGO, MAXIM, O - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 NEGGO, MAXIM, O - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 NEGRONI, JOSEPH - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 NEIGHBORCARE SAN DIEGO PHARMACY 5601 OBERLIN DR STE 124, SAN DIEGO, (858) 453-8948 CA 92121 NEIGHBORHOOD PHARMACY PHARMACY 4557 PLEASANT VALLEY RD, (805) 388-0800 CAMARILLO, CA 93012 NELMS, TINA - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 5434 THORNWOOD DR, SAN JOSE, CA (408) 365-8396 95123 NELSON'S DRUG STORE PHARMACY 159 N GLENDORA AVE, GLENDORA, CA (626) 335-0221 91741 NELSON, ASHLEY - PT THERESA M LOCKE PHYSICAL PHYSICAL THERAPY 571 STANISLAUS AVE STE F, ANGELS (209) 736-0956 THERAPY INC DBA PINNACLE CAMP, CA 95222 PHYSICAL THERAPY NELSON, DANIEL - MD (BCC) ANESTHESIOLOGY 39000 BOB HOPE DR, RANCHO MIRAGE, (760) 340-3911 CA 92270 NELSON, GILLIAN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL ANGELES, CA 90027 CENTER NELSON, GILLIAN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 JOB LOS ANGELES MEDICAL PHYSICIAN ANGELES, CA 90027 CENTER NELSON, JAN - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 35023 MISSIONS HILLS DR BLDG A, (760) 699-7236 RANCHO MIRAGE, CA 92270 NELSON, JAN - PT COMPLETE CARE PHYSICAL PHYSICAL THERAPY 35900 BOB HOPE DR STE 115, RANCHO (760) 321-1315 THERAPY MIRAGE, CA 92270 NELSON, JAN - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 35900 BOB HOPE DR STE 115, RANCHO (760) 832-6569 MIRAGE, CA 92270 NELSON, JAN - PT COMPLETE CARE PHYSICAL PHYSICAL THERAPY 552 S PASEO DOROTEA STE 4, PALM (760) 325-5950 THERAPY SPRINGS, CA 92264 NELSON, JOHN - PT SACRAMENTO SPINE PHYSICAL THERAPY 700 OAK AVENUE PKWY STE B, (916) 932-1210 PHYSICAL THERAPYFOLSOM FOLSOM, CA 95630 NELSON, KATRINA - LMT YOSEMITE PHYSICAL MASSAGE THERAPIST 2609 1ST ST, ATWATER, CA 95301 (209) 356-1260 THERAPY INC NELSON, KYLE, BROCK - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 NELSON, LAMAR A - MD KAISER PERMANENTE WEST DERMATOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90054 CENTER NELSON, MARK C - MD (BCC) SPINE SURGERY 9834 GENESEE AVE STE 223, LA JOLLA (858) 703-5048 , CA 92307 NELSON, MARK C - MD (BCC) ORTHOPEDICS - SPINE 9834 GENESEE AVE STE 223, LA JOLLA (858) 703-5048 , CA 92307 NELSON, REBECCA - PT ORTHOPAEDIC SPECIALISTS PHYSICAL THERAPY 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 OF NORTH COUNTY 92056 OCEANSIDE NELSON, SCOTT C - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LOWER EXTREMITIES LINDA , CA 92354 SURGERY FP&S NELSON, SCOTT C - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC FOOT LINDA , CA 92354 SURGERY FP&S NELSON, STACE - LAC STACE NELSON HICKS ACUPUNCTURE 1732 PALMA DR STE 104, VENTURA, CA (805) 644-1064 93003 NEMS - CLEMENT PHARMACY PHARMACY 1019-1033 CLEMENT ST, SAN (415) 352-5182 FRANCISCO, CA 94118 NEMS - EASTMOOR PHARMACY 211 EASTMOOR AVE, DALY CITY, CA (650) 757-1431 PHARMACY 94015 NEMS - LUNDY PHARMACY PHARMACY 1870 LUNDY AVE, SAN JOSE, CA 95131 (408) 573-9696

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 442 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NEMS-NORIEGA PHARMACY PHARMACY 1400 NORIEGA ST, SAN FRANCISCO, CA (415) 352-5147 94122 NEMS-SAN BRUNO PHARMACY PHARMACY 2574 SAN BRUNO AVE, SAN (415) 391-9686 FRANCISCO, CA 94134 NESHAT, SUZANNE - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 3130 BONITA RD STE 100, CHULA (619) 422-5315 VISTA, CA 91910 NEVAREZ, ELIZABETH - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY NEW BRIDGE FOUNDATION NEW BRIDGE FOUNDATION CHEMICAL DEPENDENCY 2323 HEARST AVE, BERKELEY, CA (510) 548-7270 (BCC) REHABILITATION CENTER 94709 (OUTPATIENT) NEW BRIDGE FOUNDATION INC NEW BRIDGE FOUNDATION INC CHEMICAL DEPENDENCY 1816 SCENIC AVE, BERKELEY, CA 94709 (510) 548-7270 (BCC) REHABILITATION CENTER (OUTPATIENT) NEW CENTURY PHARMACY PHARMACY 8227 WOODMAN AVE, PANORAMA CITY, (818) 989-2333 CA 91402 NEW CHINATOWN PHARMACY PHARMACY 719 E 12TH ST, OAKLAND, CA 94606 (510) 839-8839 NEW DAWN RECOVERY NEW DAWN RECOVERY CHEMICAL DEPENDENCY 6039 ROLOFF WAY, ORANGEVALE, CA (916) 989-1675 CENTER (BCC) CENTER REHABILITATION CENTER 95662 (OUTPATIENT) NEW DAWN RECOVERY NEW DAWN RECOVERY CHEMICAL DEPENDENCY 6043 ROLOFF WAY, ORANGEVALE, CA (916) 989-1675 CENTER (BCC) CENTER REHABILITATION CENTER 95662 (OUTPATIENT) NEW DAWN RECOVERY NEW DAWN RECOVERY CHEMICAL DEPENDENCY 6045 ROLOFF WAY, ORANGEVALE, CA (916) 989-1675 CENTER (BCC) CENTER REHABILITATION CENTER 95662 (OUTPATIENT) NEW DAWN RECOVERY NEW DAWN RECOVERY CHEMICAL DEPENDENCY 6371 AUBURN BLVD STE AB, CITRUS (916) 723-1319 CENTER (BCC) CENTER REHABILITATION CENTER HEIGHTS, CA 95621 (OUTPATIENT) NEW DAWN RECOVERY NEW DAWN RECOVERY CHEMICAL DEPENDENCY 8780 SHERRY DR STE 8782, (916) 989-1675 CENTER (BCC) CENTER REHABILITATION CENTER ORANGEVALE, CA 95662 (OUTPATIENT) NEW DAWN RECOVERY NEW DAWN RECOVERY CHEMICAL DEPENDENCY 9960 BUSINESS PARK DR STE 160, (866) 969-4300 CENTER (BCC) CENTER REHABILITATION CENTER SACRAMENTO, CA 95827 (OUTPATIENT) NEW DAY PHARMACY PHARMACY 14211 N. EUCLID ST STE A, GARDEN (714) 530-3833 GROVE, CA 92843 NEW HOPE RECOVERY HOUSE NEW HOPE RECOVERY HOUSE CHEMICAL DEPENDENCY 823 E ORANGEBURG AVE, MODESTO, (209) 527-9797 (BCC) REHABILITATION CENTER CA 95350 (OUTPATIENT) NEW LEAF PHARMACY PHARMACY 4433 MING AVE, BAKERSFIELD, CA (661) 885-9707 93309 NEW LEAF PHARMACY 2 PHARMACY 2303 S UNION AVE UNIT E8, (661) 885-7611 BAKERSFIELD, CA 93307 NEW LIFE PHARMACY PHARMACY 1722 DESIRE AVE STE 103, ROWLAND (626) 839-3000 HEIGHTS, CA 91748 NEW LIFE PHYSICAL THERAPY PHYSICAL THERAPY 17122 BEACH BLVD STE 101, (714) 848-7191 SERVICES HUNTINGTON BEACH, CA 92647-5992 NEW LIFE RECOVERY NEW LIFE RECOVERY CHEMICAL DEPENDENCY 1101 PARK AVE, SAN JOSE, CA 95126 (408) 297-1182 CENTERS INC (BCC) CENTERS INC REHABILITATION CENTER (OUTPATIENT) NEW LIFE RECOVERY NEW LIFE RECOVERY CHEMICAL DEPENDENCY 166 CLAYTON AVE, SAN JOSE, CA (408) 297-1182 CENTERS INC (BCC) CENTERS INC REHABILITATION CENTER 95110 (OUTPATIENT) NEW LIFE RECOVERY NEW LIFE RECOVERY CHEMICAL DEPENDENCY 473 N SAN PEDRO ST, SAN JOSE, CA (408) 297-1182 CENTERS INC (BCC) CENTERS INC REHABILITATION CENTER 95110 (OUTPATIENT) NEW LIGHT PHYSICAL PHYSICAL THERAPY 62 CORPORATE PARK STE 235, IRVINE, (949) 207-7377 THERAPY & WELLNESS CA 92606-3123 CENTER NEW OAKLAND PHARMACY PHARMACY 333 9TH ST, OAKLAND, CA 94607 (510) 628-0368

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 443 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NEW OAKLAND PHARMACY PHARMACY 388 9TH ST STE 108, OAKLAND, CA (510) 763-3282 94607 NEW OAKLAND PHCY-LAKE PHARMACY 250 E 18TH ST FL 3, OAKLAND, CA (510) 628-0878 MERITT 94606 NEW PHARMACY PHARMACY 57725 29 PALMS HWY STE 209, YUCCA (760) 228-1600 VALLEY, CA 92284 NEW PHARMACY PHARMACY 72724 29 PALMS HWY STE 104, (760) 367-2000 TWENTYNINE PALMS, CA 92277 NEW PHNOM PICH PHARMACY PHARMACY 2100 E ANAHEIM ST STE A, LONG (562) 434-7559 BEACH, CA 90804 NEW TIBURCIO VASQUEZ HLTH PHARMACY 33255 9TH ST, UNION CITY, CA 94587 (510) 489-8088 CTR NEW VISTA PHARMACY PHARMACY 932 S EUCLID ST, ANAHEIM, CA 92802 (714) 603-7717 NEW-1 PHARMACY PHARMACY 808 E VALLEY BLVD, SAN GABRIEL, CA (626) 307-5517 91776 NEWBROUGH, JANET - OT TERRIO THERAPY FITNESS INC OCCUPATIONAL THERAPY 1800 WESTWIND DRIVE BUILDING 500, (661) 322-9411 BAKERSFIELD, CA 93301 NEWBURY PARK URGENT NEWBURY PARK URGENT URGENT CARE FACILITY 2080 NEWBURY RD STE B, NEWBURY (805) 499-0308 CARE (BCC) CARE PARK, CA 91320 NEWHALL PHARMACY PHARMACY 23768 NEWHALL AVE, NEWHALL, CA (661) 799-7017 91321 NEWMAN PIONEER DRUG PHARMACY 1261 MAIN ST, NEWMAN, CA 95360 (209) 862-2955 NEWMAN, GLENN - MD SANTA MONICA URGENT CARE PRIMARY TREATING 524 COLORADO AVE , SANTA MONICA, (310) 394-2273 PHYSICIAN CA 90401 NEWMAN, GLENN - MD SANTA MONICA URGENT CARE FAMILY MEDICINE 524 COLORADO AVE , SANTA MONICA, (310) 394-2273 CA 90401 NEWMAN, GREGG C - MD (BCC) SANSUM CLINIC - PUEBLO ONCOLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 NEWMAN, MARC - DC NEWMAN CHIROPRACTIC INC CHIROPRACTIC MEDICINE 19065 GOLDEN VALLEY RD UNIT 115, (661) 250-7574 CANYON COUNTRY, CA 91387 NEWMAN, MARK - DC ANAHEIM HEALTH CARE CHIROPRACTIC MEDICINE 1125 N MAGNOLIA AVE STE 115, (714) 220-0520 ANAHEIM, CA 92801 NEWMAN, MICHAEL - DC DE ANZA CHIROPRACTIC CHIROPRACTIC MEDICINE 1196 S DE ANZA BLVD, SAN JOSE, CA (408) 996-8717 95129 NEWMARK, DANIEL - AUD ADVANCED HEARING AUDIOLOGY 17135 VENTURA BLVD, ENCINO, CA (800) 598-5300 PROVIDERS LLC 91316 NEWMD URGENT CARE NEWMD URGENT CARE URGENT CARE FACILITY 10612 SAN PABLO AVE, EL CERRITO, (510) 529-4629 CENTER INC (BCC) CENTER INC CA 94530 NEWMD URGENT CARE NEWMD URGENT CARE URGENT CARE FACILITY 3431 BROADWAY ST STE A8, (707) 731-1108 CENTER INC (BCC) CENTER INC AMERICAN CANYON, CA 94503 NEWPORT CARE CENTER PHARMACY 1441 SUPERIOR AVE, SUITE G, (949) 515-0600 PHARMACY NEWPORT BEACH, CA 92663 NEWPORT CENTER PHARMACY 1401 AVOCADO AVE STE 104, (949) 640-1320 PHARMACY NEWPORT BEACH, CA 92660 NEWPORT COAST PHARMACY PHARMACY 400 NEWPORT CENTER DR, NEWPORT (949) 719-3707 BEACH, CA 92660 NEWPORT LIDO PHARMACY PHARMACY 351 HOSPITAL RD STE 107, NEWPORT (949) 764-6590 BEACH, CA 92663 NEWPORT NURSING AND NEWPORT NURSING AND SKILLED NURSING FACILITY 1555 SUPERIOR AVE , NEWPORT (949) 646-7764 REHABILITATION CENTER REHABILITATION CENTER BEACH, CA 92663 (BCC) NEWPORT PHYSICAL THERAPY PHYSICAL THERAPY 19732 MACARTHUR BLVD STE 125, (949) 644-2022 IRVINE, CA 92612 NEWPORT URGENT CARE INC NEWPORT URGENT CARE INC URGENT CARE FACILITY 1000 BRISTOL ST N STE 1B, NEWPORT (949) 752-6300 (BCC) BEACH, CA 92660 NEWTON, GREGORY - PT PAIR MAROTTA PHYSICAL PHYSICAL THERAPY 3400 PANAMA LANE, BAKERSFIELD, CA (661) 412-4667 THERAPY 93304 NEWTON, PAUL - DC NEWTON CHIROPRACTIC CHIROPRACTIC MEDICINE 2221 PALO VERDE AVE STE 1J, LONG (562) 795-7007 BEACH, CA 90815 NEWTON, STEVEN - PT PERFORMAX PHYSICAL THERAPY 2001 W ALAMEDA AVE, BURBANK, CA (818) 953-4444 91506 NEWTON, TAYLOR - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 26302 LA PAZ RD STE 105, MISSION (949) 206-1700 SPORTS THERAPY VIEJO, CA 92691

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 444 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NEXTGEN PHARMACY PHARMACY 1039 W FLORENCE AVE, LOS ANGELES, (323) 776-1508 CA 90044 NEXTRX PHARMACY PHARMACY 38900 TRADE CENTER DR, PALMDALE, (844) 763-9879 CA 93551 NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 12411 POWAY RD STE 202B, POWAY, (858) 312-6444 CA 92064 NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 12630 MONTE VISTA RD STE 201A, (858) 312-6444 POWAY, CA 92064-2527 NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 1310 3RD AVE STE 4-A, CHULA VISTA, (619) 420-0869 CA 91911-4371 NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 3191 SPORTS ARENA BLVD STE B, SAN (619) 226-4131 DIEGO, CA 92110-4569 NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 3200 FOURTH AVENUE SUITE 100, SAN (619) 297-4404 DIEGO, CA 92103 NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 365 S RANCHO SANTA FE RD STE 308, (760) 471-9953 SAN MARCOS, CA 92078-2338 NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 522 JAMACHA RD, EL CAJON, CA (619) 579-1625 92019-2448 NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 5353 MISSION CENTER RD STE 120, (619) 497-2836 SAN DIEGO, CA 92108-1304 NEY, THOMAS J - DPM KAISER PERMANENTE PODIATRY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER NG, DAVID S - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90035 CENTER NG, NANCY - PT MIND BODY PHYSICAL PHYSICAL THERAPY 2877 LAKE TAHOE BLVD, SOUTH LAKE (530) 541-7133 THERAPY TAHOE, CA 96150 NG, NANCY - PT MIND BODY PHYSICAL PHYSICAL THERAPY 459 S CHINA LAKE BLVD STE H, (760) 371-1606 THERAPY RIDGECREST, CA 93555 NG, NANCY - PT MIND BODY PHYSICAL PHYSICAL THERAPY 812 EMERALD BAY RD, SOUTH LAKE (530) 542-2662 THERAPY TAHOE, CA 96150 NGAH, RYAN - PTA PASO ROBLES PHYSICAL PHYSICAL THERAPY 2975 UNION RD, PASO ROBLES, CA (805) 237-0272 THERAPY 93446 NGAN, RYAN - PTA PASO ROBLES PHYSICAL PHYSICAL THERAPY 2150 HERITAGE LOOP RD STE D, PASO (805) 237-0272 THERAPY ROBLES, CA 93446 NGAN, RYAN - PTA PASO ROBLES PHYSICAL PHYSICAL THERAPY 5255 EL CAMINO REAL STE C, (805) 237-0272 THERAPY ATASCADERO, CA 93422 NGHIEM, SHUM, CATHERINE - KATZ ACCIDENT INJURY CHIROPRACTIC MEDICINE 4879 MISSION ST, SAN FRANCISCO, CA (415) 584-3042 DC CENTER 94112 NGO, CAN - MD (BCC) ANESTHESIOLOGY 1720 E CESAR E CHAVEZ AVE, LOS (323) 268-5000 ANGELES, CA 90033 NGO, DUC T - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 JOB BALDWIN PARK MEDICAL STE 150, CITY OF INDUSTRY, CA 91746 OFFICES NGO, DUC T - MD KAISER PERMANENTE ON THE PHYSICAL MEDICINE AND 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 JOB BALDWIN PARK MEDICAL REHABILITATION STE 150, CITY OF INDUSTRY, CA 91746 OFFICES NGO, DUC T - MD KAISER PERMANENTE ON THE PRIMARY TREATING 12801 CROSSROADS PARKWAY SOUTH (562) 463-4357 JOB BALDWIN PARK MEDICAL PHYSICIAN STE 150, CITY OF INDUSTRY, CA 91746 OFFICES NGOC MAI PHARMACY PHARMACY 9014 BOLSA AVE, WESTMINSTER, CA (714) 890-7112 92683 NGUYEN HIEN PHARMACY PHARMACY 4242 EL CAJON BLVD, SAN DIEGO, CA (619) 521-0013 92105 NGUYEN, ANH - OT HANDS ON REHAB INC OCCUPATIONAL THERAPY 7921 PROFESSIONAL CIR, (714) 847-8751 HUNTINGTON BEACH, CA 92648 NGUYEN, ANTHONY H - MD CONCENTRA MEDICAL OTOLARYNGOLOGY (ENT) 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO 94577 NGUYEN, ANTHONY H - MD CONCENTRA MEDICAL PLASTIC SURGERY WITHIN 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO THE HEAD AND NECK 94577 NGUYEN, BENJAMIN - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 445 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NGUYEN, BOB - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 NGUYEN, BOB - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 NGUYEN, BRANDON - MD ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 NGUYEN, BRIAN - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1902 ROYALTY DR 170, POMONA, CA (909) 620-9700 CORP 91767 NGUYEN, DAVID - MD KAISER PERMANENTE SOUTH PHYSICAL MEDICINE AND 25965 S NORMANDIE AVE , HARBOR (310) 527-5600 BAY MEDICAL CENTER REHABILITATION CITY, CA 90710 NGUYEN, DIEM - DC DIEM T NGUYEN DC CHIROPRACTIC MEDICINE 9299 LAGUNA SPRINGS DR STE 110, (916) 478-2634 ELK GROVE, CA 95758 NGUYEN, DIEP - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 NGUYEN, DUC M - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS CARLOS, CA 94070 NGUYEN, DUC M - MD CONCENTRA MEDICAL SPINE SURGERY 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS CARLOS, CA 94070 NGUYEN, DUC M - MD CONCENTRA MEDICAL SPINE SURGERY 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO NGUYEN, DUC M - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO NGUYEN, HENRY - PT MONTCLAIR PHYSICAL PHYSICAL THERAPY 6116 MEDAU PL, OAKLAND, CA 94611 (510) 339-2116 THERAPY WELLNESS NGUYEN, HIENVU C - DPM KAISER PERMANENTE SO PODIATRY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER NGUYEN, HUNG - LAC REVIVE ACUPUNCTURE INC ACUPUNCTURE 43353 MISSION BLVD STE B, FREMONT, (510) 438-0128 CA 94539 NGUYEN, JAMES - MD ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 NGUYEN, JULIETTE - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 NGUYEN, KHANH K - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 HEALTH CARE - HEAD & NECK CA 92563 SURGERY FP&S NGUYEN, KHANH K - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S NGUYEN, LOC H - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER NGUYEN, MARY, JANE - OT WHITE BLOSSOM CARE OCCUPATIONAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 NGUYEN, MIA F - PT (BCC) MEMORIAL ORTHOPAEDIC PHYSICAL THERAPY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 SURGICAL GROUP 90806 NGUYEN, MICHAEL - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 289 W HUNTINGTON DR STE 103, (626) 396-8150 ASSOCIATES DBA ELITE ARCADIA, CA 91007 MOTION NGUYEN, MINH Q - DO CONCENTRA MEDICAL PRIMARY TREATING 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST PHYSICIAN DIEGO, CA 92103 NGUYEN, MINH Q - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 NGUYEN, MINH Q - DO CONCENTRA MEDICAL PREVENTIVE MEDICINE 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 NGUYEN, NHAT Q - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER NGUYEN, PETER - PT HANDS ON REHAB INC PHYSICAL THERAPY 7921 PROFESSIONAL CIR, (714) 847-8751 HUNTINGTON BEACH, CA 92648 NGUYEN, SON X - MD (BCC) ASSOCIATION OF SOUTH BAY COLON AND RECTAL 23451 MADISON ST STE 340, (310) 373-6864 SURGEONS SURGERY TORRANCE, CA 90505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 446 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NGUYEN, TAN, TRI - DC TRITAN CHIROPRACTIC CHIROPRACTIC MEDICINE 18805 COX AVE STE 170, SARATOGA, (408) 364-6600 CA 95070 NGUYEN, THE, DUC - DC NGUYEN CHIROPRACTIC CHIROPRACTIC MEDICINE 1122 CORPORATE WAY STE 300, (916) 395-5804 SACRAMENTO, CA 95831 NGUYEN, THOMAS - MD ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 NGUYEN, THOMAS T - MD THE GASTRO GROUP GASTROENTEROLOGY 12595 HESPERIA RD STE 101, (760) 881-3377 (BCC) VICTORVILLE, CA 92395 NGUYEN, THY - DC ADVANCED CARE CHIROPRACTIC MEDICINE 1613 S RIVERSIDE AVE STE D, RIALTO, (909) 820-2220 CHIROPRACTIC CENTER CA 92376 NGUYEN, TINA - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 NGUYEN, TONY TUAN H - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90044 CENTER NGUYEN, TRI - MD (BCC) ANESTHESIOLOGY 11500 BROOKSHIRE AVE, DOWNEY, CA (562) 904-5300 90241 NGUYEN, TRI M - DO (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 NGUYEN, TRI M - DO (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE PHYSICIAN 92506 NGUYEN, TRUNG B - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 NGUYEN, TRUNG B - MD KAISER PERMANENTE PLASTIC SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 NGUYEN, TRUONG D - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER NGUYEN, TRUONG D - DO KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER NGUYEN, TRUONG D - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER NGUYEN, TRUONG D - DO KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER NGUYEN, TRUONG D - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER NGUYEN, TRUONG D - DO KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER NGUYEN, VI - DC SUNRISE MULTISPECIALISTS CHIROPRACTIC MEDICINE 867 S TUSTIN ST, ORANGE, CA 92866 (714) 771-1420 MEDICAL CENTER INC NGUYEN, YEN - MD (BCC) ANESTHESIOLOGY 23845 MCBEAN PKWY, VALENCIA, CA (661) 259-3937 91355 NGUYEN, YEN - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD STE 160, (310) 651-2050 VALENCIA, CA 91355 NGUYEN, YEN - MD (BCC) ANESTHESIOLOGY 465 N ROXBURY DR STE 1020, (661) 200-2000 BEVERLY HILLS, CA 90210 NGUYEN-STRONGIN, OPHTHALMOLOGY DEPT FP&S OPTOMETRY 2195 CLUB CENTER DR STE A-L, SAN (800) 679-4642 ROSALYNN H - OD (BCC) LLUSM BERNARDINO, CA 92408 NGYUEN, THAO - PT MEDCESSITY INC PHYSICAL THERAPY 4010 ORANGE AVE, LONG BEACH, CA (562) 428-3556 90807 NHAN HOA PHARMACY PHARMACY 7761 GARDEN GROVE BLVD, GARDEN (714) 248-9663 GROVE, CA 92841 NHAN, GIAN - MD (BCC) ANESTHESIOLOGY 1509 WILSON TERRACE, GLENDALE, CA (818) 409-8000 91206 NI, KAREN - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 NIA, AMIN - DC RMS MEDICAL GROUP CHIROPRACTIC MEDICINE 18062 IRVINE BLVD STE 206, TUSTIN, (714) 505-6030 CA 92780

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 447 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NIA, AMIN - DC SPECTRUM MEDICAL GROUP CHIROPRACTIC MEDICINE 5211 E WASHINGTON BLVD STE 18, LOS (323) 629-4445 ANGELES, CA 90040 NICCUM, TERESA - PT ACTION PHYSICAL THERAPY PHYSICAL THERAPY 680 E ROMIE LN, SALINAS, CA 93901 (831) 758-5338 NICHOLS HILL PRESCRIPTION PHARMACY 2844 SUMMIT ST, OAKLAND, CA 94609 (510) 893-8841 PHCY NICHTER, EDMUND - MD (BCC) EMERGENCY MEDICINE 101 E VALENCIA MESA DR, (714) 871-3280 FULLERTON, CA 92835 NICHWANDER, JENNIFER - PT GEORGE ERB PHYSICAL PHYSICAL THERAPY 231 CAMARILLO RANCH RD, (805) 484-2026 THERAPY CAMARILLO, CA 93012 NICK, SAEED - MD (BCC) HEALTHPOINTE MEDICAL NEUROLOGY 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP INC NICK, SAEED - MD (BCC) HEALTHPOINTE MEDICAL NEUROLOGY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 NICK, SAEED - MD (BCC) HEALTHPOINTE MEDICAL NEUROLOGY 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 NICK, SAEED - MD (BCC) HEALTHPOINTE MEDICAL NEUROLOGY 2226 MEDICAL CENTER DR, STE 102, (951) 657-1400 GROUP INC PERRIS, CA 92571 NICK, SAEED - MD (BCC) HEALTHPOINTE MEDICAL NEUROLOGY 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 NICK, SAEED - MD (BCC) HEALTHPOINTE MEDICAL NEUROLOGY 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 NICK, SAEED - MD (BCC) HEALTHPOINTE MEDICAL NEUROLOGY 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA (805) 641-6415 ANKLE , CA 93003 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3901 LAS POSAS RD STE 4, (805) 585-5166 ANKLE CAMARILLO, CA 93010 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - ANKLE 3525 LOMA VISTA RD STE A , VENTURA (805) 641-6415 , CA 93003 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - ANKLE 3901 LAS POSAS RD STE 4, (805) 585-5166 CAMARILLO, CA 93010 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA (805) 641-6415 FOOT , CA 93003 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A , VENTURA (805) 641-6415 UPPER EXTREMITIES , CA 93003 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - FOOT 3525 LOMA VISTA RD STE A , VENTURA (805) 641-6415 , CA 93003 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - UPPER 3525 LOMA VISTA RD STE A , VENTURA (805) 641-6415 EXTREMITIES , CA 93003 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3901 LAS POSAS RD STE 4, (805) 585-5166 FOOT CAMARILLO, CA 93010 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 3901 LAS POSAS RD STE 4, (805) 585-5166 UPPER EXTREMITIES CAMARILLO, CA 93010 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - FOOT 3901 LAS POSAS RD STE 4, (805) 585-5166 CAMARILLO, CA 93010 NICKEL, RAY F - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - UPPER 3901 LAS POSAS RD STE 4, (805) 585-5166 EXTREMITIES CAMARILLO, CA 93010 NICKERSON, EDWARD - PT ORTHOPEDIC SPECIALISTS OF PHYSICAL THERAPY 2801 K ST STE 310, SACRAMENTO, CA (916) 389-7977 SACRAMENTO 95816 NICKLES, JULIE P - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 5810 EL CAMINO REAL STE A , (760) 929-8269 CENTER - CARLSBAD CARSBAD, CA 92008 NICKLES, JULIE P - DO CONCENTRA MEDICAL PRIMARY TREATING 5810 EL CAMINO REAL STE A , (760) 929-8269 CENTER - CARLSBAD PHYSICIAN CARSBAD, CA 92008 NICKOLESCU, ADRIAN C - MD KAISER PERMANENTE IRVINE PHYSICAL MEDICINE AND 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER REHABILITATION CA 92618 NICKS, BRIAN - PT (BCC) SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE , VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE NICKS, BRIAN, CHARLES - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD NICKS, BRIAN, CHARLES - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 448 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NICKS, BRIAN, CHARLES - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY NICKS, BRIAN, CHARLES - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS NICKS, BRIAN, CHARLES - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT NICOLA, FREDERIC - MD (BCC) ORTHOPEDIC SURGERY - 13160 MINDANAO WAY STE 300, (310) 574-0487 KNEE MARINA DEL REY, CA 90292 NICOLA, FREDERIC - MD (BCC) ORTHOPEDIC SURGERY - 13160 MINDANAO WAY STE 300, (310) 574-0487 SHOULDER MARINA DEL REY, CA 90292 NICOLA, FREDERIC - MD (BCC) ORTHOPEDICS - KNEE 13160 MINDANAO WAY STE 300, (310) 574-0487 MARINA DEL REY, CA 90292 NICOLA, FREDERIC - MD (BCC) ORTHOPEDICS - SHOULDER 13160 MINDANAO WAY STE 300, (310) 574-0487 MARINA DEL REY, CA 90292 NIELSEN, MICHAEL W - DPM KAISER PERMANENTE PODIATRIC SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER NIELSON PHYSICAL THERAPY PHYSICAL THERAPY 2747 W BULLARD AVE STE 105, (559) 261-1425 FRESNO, CA 93711-2268 NIERAETH, MICHAEL - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230 NIIZAWA, CHARLENE - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3553 WHIPPLE RD BLDG B, UNION CITY, (510) 675-4807 JOB OCCUPATIONAL HEALTH CA 94587 CENTER NIIZAWA, CHARLENE - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3553 WHIPPLE RD BLDG B, UNION CITY, (510) 675-4807 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94587 CENTER NIKACHINA, ANNA - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 REHABILITATION CA 92545 NIKACHINA, ANNA - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 REHABILITATION CUCAMONGA, CA 91730 NIKACHINA, ANNA - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 1901 W LUGONIA AVE STE 230, (909) 557-1600 REHABILITATION REDLANDS, CA 92374 NIKACHINA, ANNA - MD (BCC) ARROWHEAD ORTHOPAEDICS PHYSICAL MEDICINE AND 15095 AMARGOSA RD STE 106 , (760) 245-6495 REHABILITATION VICTORVILLE , CA 92394 NIKRAVAN, KAMRAN - MD KAISER PERMANENTE WEST UROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER NIKROO, ALIREZA - DC ELITE SPORTS MEDICINE CHIROPRACTIC MEDICINE 6200 CANOGA AVE STE 105, (818) 222-1120 WOODLAND HILLS, CA 91367 NIKROO, ALIREZA - DC ELITE SPORTS MEDICINE CHIROPRACTIC MEDICINE 8610 S SEPULVEDA BLVD STE 205, LOS (310) 641-0222 ANGELES, CA 90045 NILKANTH, REJHA - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 4100 TRUXTUN AVE STE 200, (661) 632-1540 THERAPY CENTERS BAKERSFIELD, CA 93309 NILKANTH, REKHA - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 10630 SEPULVEDA BLVD, MISSION (818) 933-4440 THERAPY CENTERS HILLS, CA 91345 NIMBLE PHARMACY PHARMACY 900 WILLOW RD, MENLO PARK, CA (866) 966-4625 94025 NIMBLE PHARMACY PHARMACY 640 S GRAND AVE # 106107, SANTA (866) 966-4625 ANA, CA 92705 NIMICK, CRAIG J - DPM KAISER PERMANENTE PODIATRIC SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER NIPOMO REXALL DRUG PHARMACY 695 W TEFFT ST STE A, NIPOMO, CA (805) 929-1929 93444 NIRVANA DRUG AND ALCOHOL NIRVANA DRUG AND ALCOHOL CHEMICAL DEPENDENCY 1100 KANSAS AVE STE B, MODESTO, (209) 579-1151 TREATMENT INSTITUTE (BCC) TREATMENT INSTITUTE REHABILITATION CENTER CA 95351 (OUTPATIENT) NISHIMOTO, BRIAN - DC WESTWOOD VILLAGE CHIROPRACTIC MEDICINE 10850 WILSHIRE BLVD STE 560, LOS (310) 475-0444 CHIROPRACTIC ANGELES, CA 90024

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 449 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE ELBOW RANCH, CA 91326 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE WRIST RANCH, CA 91326 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE ELBOW VALENCIA, CA 91354 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE WRIST VALENCIA, CA 91354 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE ELBOW NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE WRIST NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA HAND SURGERY 19950 RINALDI ST STE 100, PORTER (818) 901-6600 ORTHOPEDIC INSTITUTE RANCH, CA 91326 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA HAND SURGERY 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 NISKA, JARED A - MD (BCC) SOUTHERN CALIFORNIA HAND SURGERY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE NISSEN, TEODORO - MD ORTHOPEDIC SURGERY - HIP 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 CA 94589 NISSEN, TEODORO - MD ORTHOPEDIC SURGERY - 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 LOWER EXTREMITIES CA 94589 NISSEN, TEODORO - MD ORTHOPEDIC SURGERY - 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 UPPER EXTREMITIES CA 94589 NISSEN, TEODORO - MD ORTHOPEDICS - BACK 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 CA 94589 NISSEN, TEODORO - MD ORTHOPEDICS - HIP 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 CA 94589 NISSEN, TEODORO - MD ORTHOPEDICS - LOWER 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 EXTREMITIES CA 94589 NISSEN, TEODORO - MD ORTHOPEDICS - UPPER 100 HOSPITAL DR STE 300, VALLEJO, (707) 645-7210 EXTREMITIES CA 94589 NISSEN, TEODORO - MD ORTHOPEDIC SURGERY - HIP 5789 STATE FARM DR STE 195, (707) 645-7210 ROHNERT PARK, CA 94928 NISSEN, TEODORO - MD ORTHOPEDIC SURGERY - 5789 STATE FARM DR STE 195, (707) 645-7210 LOWER EXTREMITIES ROHNERT PARK, CA 94928 NISSEN, TEODORO - MD ORTHOPEDIC SURGERY - 5789 STATE FARM DR STE 195, (707) 645-7210 UPPER EXTREMITIES ROHNERT PARK, CA 94928 NISSEN, TEODORO - MD ORTHOPEDICS - BACK 5789 STATE FARM DR STE 195, (707) 645-7210 ROHNERT PARK, CA 94928 NISSEN, TEODORO - MD ORTHOPEDICS - HIP 5789 STATE FARM DR STE 195, (707) 645-7210 ROHNERT PARK, CA 94928 NISSEN, TEODORO - MD ORTHOPEDICS - LOWER 5789 STATE FARM DR STE 195, (707) 645-7210 EXTREMITIES ROHNERT PARK, CA 94928

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 450 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NISSEN, TEODORO - MD ORTHOPEDICS - UPPER 5789 STATE FARM DR STE 195, (707) 645-7210 EXTREMITIES ROHNERT PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN ELBOW CA 94111 FRANCISCO NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN KNEE CA 94111 FRANCISCO NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN SHOULDER CA 94111 FRANCISCO NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK ELBOW PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK KNEE PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK SHOULDER PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 6174 STATE FARM DRIVE , ROHNERT (707) 586-4320 CENTER - ROHNERT PARK PARK, CA 94928 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ELBOW ROSA, CA 95401 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA KNEE ROSA, CA 95401 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA SHOULDER ROSA, CA 95401 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 NISSEN, TEODORO P - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1221 NORTH DUTTON AVE, SANTA (707) 543-8360 CENTER - SANTA ROSA ROSA, CA 95401 NIST, LAURA D - MD (BCC) LOMA LINDA UNIVERSITY - NEUROLOGY 11370 ANDERSON ST STE B100, LOMA (800) 679-4642 DEPT OF NEUROLOGY LINDA , CA 92354 NITTI, GARY - MD ANESTHESIOLOGY 18321 CLARK ST, TARZANA, CA 91356 (818) 708-5285 NITTI, GARY - MD (BCC) ANESTHESIOLOGY 18321 CLARK ST, TARZANA, CA 91356 (818) 708-5285

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 451 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NIXON, ANDREW - AUD ADVANCED HEARING AUDIOLOGY 127 N SAN FERNANDO BLVD , (800) 598-5300 PROVIDERS LLC BURBANK, CA 91502 NOAKES, ROBERT - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 14103 WINCHESTER BLVD STE F, LOS (408) 868-5577 THERAPY LOS GATOS GATOS, CA 95032 NOB HILL PHARMACY PHARMACY 1320 S MAIN ST, SALINAS, CA 93901 (831) 759-2163 NOB HILL PHARMACY PHARMACY 777 1ST ST, GILROY, CA 95020 (408) 847-6777 NOB HILL PHARMACY PHARMACY 270 REDWOOD SHORES PKWY, (650) 631-1685 REDWOOD CITY, CA 94065 NOB HILL PHARMACY PHARMACY 6061 SNELL AVE, SAN JOSE, CA 95123 (408) 224-6200 NOB HILL PHARMACY PHARMACY 1700 AIRLINE HWY, HOLLISTER, CA (831) 637-7423 95023 NOBLE COMMUNITY PHYSICAL THERAPY 11631 VICTORY BLVD STE 101, NORTH (323) 645-1871 OUTPATIENT PT HOLLYWOOD, CA 91606-3572 NOBLE PHARMACY PHARMACY 321 E ALAMEDA AVE STE L, BURBANK, (818) 563-6655 CA 91502 NOBLE, TIMOTHY R - DC ANAHEIM HILLS CHIROPRACTIC MEDICINE 500 S ANAHEIM HILLS RD STE 136, (714) 974-3700 CHIROPRACTIC CLINIC ANAHEIM, CA 92807 NOBUSADAFLYNN, MATTHEW - CENTRAL OCCUPATIONAL PHYSICAL THERAPY 4300 CENTRAL AVE, RIVERSIDE, CA 9512222208x19 PT MEDICINE PROVIDERS 92506 09 NOFEL PHARMACY PHARMACY 215 E 7TH ST STE A, LOS ANGELES, CA (213) 623-9171 90014 NOFZIGER, KURT - PT JARRETT ORTHOPAEDIC PHYSICAL THERAPY 2651 IRVINE AVE STE 128, COSTA (949) 722-8811 REHABILITATION MESA, CA 92627 NOGALES PHARMACY PHARMACY 18702 COLIMA RD STE 103, ROWLAND (626) 810-2240 HEIGHTS, CA 91748 NOGGLE, BRAD - AUD ADVANCED HEARING AUDIOLOGY 1101 WEST TOKAY ST , LODI , CA 95240 (800) 598-5300 PROVIDERS LLC NOIWANGMUANG, WANLOP - KAISER PERMANENTE PODIATRY 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 DPM WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER NOLEN JAMES R DC PHYSICAL THERAPY 729 SUNRISE AVE STE 606, ROSEVILLE, (916) 786-0111 CA 95661-4542 NOLTE, MARK - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 31105 RANCHO VIEJO RD STE C9, SAN (949) 496-4330 SPORTS THERAPY JUAN CAPISTRANO, CA 92675 NOLTE, WADE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 NOMOTO, EDWARD - MD (BCC) SPINE SURGERY 444 S SAN VICENTE BLVD STE 800, LOS (310) 423-9780 ANGELES, CA 90048 NOMOTO, EDWARD - MD (BCC) ORTHOPEDICS - SPINE 444 S SAN VICENTE BLVD STE 800, LOS (310) 423-9780 ANGELES, CA 90048 NOOL, VERONICA - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 NOOR PHARMACY PHARMACY 567 W GLENOAKS BLVD, GLENDALE, CA (818) 507-8756 91202 NOORI, ARSHIA M - MD (BCC) CARDIAC CARDIOVASCULAR DISEASE 8631 W 3RD ST #610-E, LOS ANGELES, (310) 746-5335 ELECTROPHYSIOLOGY (CARDIOLOGY) CA 90048 INSTITUTE NORA, DEAN T - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 4 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER NORDAHL PHARMACY PHARMACY 740 NORDAHL RD STE 120, SAN (760) 501-0030 MARCOS, CA 92069 NORELIUS, CLAYTON - PTA WEST LOS ANGELES URGENT PHYSICAL THERAPY 11560 W PICO BLVD, LOS ANGELES, CA (310) 477-8285 CARE 90064 NORELIUS, CLAYTON - PTA WEST HOLLYWOOD URGENT PHYSICAL THERAPY 1300 N LA BREA AVE, LOS ANGELES, (323) 464-1336 CARE CA 90028 NORM'S PHARMACY PHARMACY 18368 CLARK ST, TARZANA, CA 91356 (818) 881-5300 NORMANDY PHARMACY PHARMACY 5112 HOLLYWOOD BLVD STE 104, LOS (323) 913-3337 ANGELES, CA 90027 NORMANDY PHARMACY PHARMACY 3003 W OLYMPIC BLVD STE 101, LOS (213) 386-3001 ANGELES, CA 90006 NORMANDY PHARMACY PHARMACY 12914B SHERMAN WAY, NORTH (818) 358-4300 HOLLYWOOD, CA 91605

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 452 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NOROUZI, JAMAL - LMT MANI SPORT CHIROPRACTIC MASSAGE THERAPIST 22110 ROSCOE BLVD 304, WEST HILLS, (818) 703-1511 INC CA 91304 NOROUZI, SAYNA - MD (BCC) LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP NORQUIST, CHARLENE - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 NORRIS, MICHAEL - DC NORRIS CHIROPRACTIC CHIROPRACTIC MEDICINE 44432 10TH ST W, LANCASTER, CA (661) 435-7237 93534 NORTH CHESTER PHARMACY PHARMACY 1822 N CHESTER AVE, BAKERSFIELD, (661) 399-3337 CA 93308 NORTH COAST MEDICAL PHARMACY 477 N EL CAMINO REAL, ENCINITAS, CA (760) 943-1191 PHARMACY 92024 NORTH COAST MEDICAL PHARMACY 2544 CAMPBELL PL STE 150, (800) 730-9887 SUPPLY CARLSBAD, CA 92009 NORTH COAST PHYSICAL PHYSICAL THERAPY 3633 VISTA WAY STE 101, OCEANSIDE, (760) 729-7298 THERAPY CA 92056-4568 NORTH COUNTY & ESCONDIDO PHYSICAL THERAPY 457 N ELM ST, ESCONDIDO, CA (760) 489-1969 PT 92025-3086 NORTH COUNTY PHYSICAL PHYSICAL THERAPY 17815 COUNTRYSIDE CT, PRUNEDALE, (831) 444-5989 THERAPY CA 93907-8804 NORTH COUNTY PHYSICAL PHYSICAL THERAPY 17815 COUNTRYSIDE CT, SALINAS, CA (831) 444-5989 THERAPY 93907 NORTH COUNTY PHYSICAL PHYSICAL THERAPY 1191 CRESTON RD STE 115, PASO (805) 239-3696 THERAPY (MISSION PHYSICAL ROBLES, CA 93446-3033 TH NORTH COUNTY PHYSICAL PHYSICAL THERAPY 6713 MORRO RD, ATASCADERO, CA (805) 461-5514 THERAPY (MISSION PHYSICAL 93422-4137 TH NORTH COUNTY PHYSICAL PHYSICAL THERAPY 1545 HIGUERA ST, SAN LUIS OBISPO, (805) 543-5633 THERAPY DBA CREEKSIDE CA 93401-2917 PHYSIC NORTH COUNTY WATER AND PHYSICAL THERAPY 12171 WORLD TRADE DR, SAN DIEGO, (858) 675-1133 SPORTS THERAPY CENTER CA 92128-3709 NORTH COUNTY WATER AND PHYSICAL THERAPY 15373 INNOVATION DR STE 175, SAN (858) 675-1133 SPORTS THERAPY CENTER DIEGO, CA 92128-3427 NORTH EAST MEDICAL SVC PHARMACY 1520 STOCKTON ST, SAN FRANCISCO, (415) 391-9686 PHCY CA 94133 NORTH LAKE MEDICAL PHARMACY 347 LAKEPORT BLVD, LAKEPORT, CA (707) 263-1328 PHARMACY 95453 NORTH LAKE PHARMACY PHARMACY 5136 HILL RD E, LAKEPORT, CA 95453 (707) 263-6192 NORTH OAKS PHARMACY PHARMACY 1014 E AVENIDA DE LOS ARBOLES, (805) 241-0935 THOUSAND OAKS, CA 91360 NORTH ORANGE PHYSICAL PHYSICAL THERAPY 33 CREEK AVENUE SUITE 260 B, (949) 552-5572 THERAPY IRVINE, CA 92604 NORTH ORANGE PHYSICAL PHYSICAL THERAPY 33 CREEK AVENUE SUITE 260 B, (949) 552-5572 THERAPY IRVINE, CA 92604 NORTH RIALTO DRUG PHARMACY 531 E FOOTHILL BLVD, RIALTO, CA (909) 875-2131 92376 NORTH SALINAS PHYSICAL PHYSICAL THERAPY 1758 N MAIN ST, SALINAS, CA (831) 442-3700 THERAPY 93906-5103 NORTH VALLEY PHARMACY PHARMACY 11541 LAUREL CANYON BLVD, SAN (818) 365-5300 FERNANDO, CA 91340 NORTH VALLEY PHYSICAL PHYSICAL THERAPY 951 BUTTE ST, REDDING, CA (530) 241-9142 THERAPY 96001-0828 NORTH, WILL A - MD KAISER PERMANENTE SAN NEUROLOGY 2500 MERCED ST , SAN LEANDRO, CA (510) 675-4807 LEANDRO MEDICAL CENTER 94577 NORTHBAY CANCER CENTER PHARMACY 1020 NUT TREE RD, VACAVILLE, CA (707) 624-8066 PHARMAC 95687 NORTHBAY MEDICAL CENTER NORTHBAY MEDICAL CENTER ACUTE CARE HOSPITAL 1200 B GALE WILSON BLVD, FAIRFIELD, (707) 646-5000 (BCC) CA 94533

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 453 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NORTHEAST CLINIC PHARMACY 3309 N EASTERN AVE, LOS ANGELES, (323) 222-0181 PHARMACY CA 90032 NORTHEASTERN RURAL NORTHEASTERN RURAL URGENT CARE FACILITY 1850 SPRING RIDGE DR STE C, (530) 251-5000 HEALTH CLINICS (BCC) HEALTH CLINICS SUSANVILLE, CA 96130 NORTHERN CALIFORNIA NORTHERN CALIFORNIA SPECIALTY HOSPITAL - LONG 2801 EUREKA WAY, REDDING, CA 96001 (888) 294-3600 REHABILITATION HOSPITAL REHABILITATION HOSPITAL TERM (BCC) NORTHERN INYO HOSPITAL NORTHERN INYO HOSPITAL ACUTE CARE HOSPITAL 150 PIONEER LN, BISHOP, CA 93514 (760) 873-5811 (BCC) NORTHRIDGE CENTER PHARMACY 18250 ROSCOE BLVD STE 104, (818) 885-8191 PHARMACY NORTHRIDGE, CA 91325 NORTHRIDGE HOSPITAL NORTHRIDGE HOSPITAL ACUTE CARE HOSPITAL 18300 ROSCOE BLVD, NORTHRIDGE, (818) 885-8500 MEDICAL CENTER (BCC) MEDICAL CENTER CA 91325 NORTHRIDGE PHARMACY PHARMACY 19331 BUSINESS CENTER DR #100, (818) 882-8969 NORTHRIDGE, CA 91324 NORTHRIDGE PLAZA PHARMACY 18546 ROSCOE BLVD STE 102, (818) 998-8700 PHARMACY NORTHRIDGE, CA 91324 NORTHROP, GREGORY D - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 2627 E WASHINGTON BLVD , (626) 797-2002 (BCC) KNEE PASADENA, CA 91107 NORTHROP, GREGORY D - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 2627 E WASHINGTON BLVD , (626) 797-2002 (BCC) SHOULDER PASADENA, CA 91107 NORTHROP, GREGORY D - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - KNEE 2627 E WASHINGTON BLVD , (626) 797-2002 (BCC) PASADENA, CA 91107 NORTHROP, GREGORY D - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - SHOULDER 2627 E WASHINGTON BLVD , (626) 797-2002 (BCC) PASADENA, CA 91107 NORTHROP, GREGORY D - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) KNEE ARCADIA, CA 91007 NORTHROP, GREGORY D - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) SHOULDER ARCADIA, CA 91007 NORTHROP, GREGORY D - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - KNEE 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) ARCADIA, CA 91007 NORTHROP, GREGORY D - MD RISSER ORTHOPAEDIC GROUP ORTHOPEDICS - SHOULDER 289 W HUNTINGTON DR STE 304, (626) 797-2002 (BCC) ARCADIA, CA 91007 NORTHWEST MEDICAL PHARMACY 7355 N PALM AVE, FRESNO, CA 93711 (559) 271-6370 PHARMACY NORTON, JOHN C - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2200 E GONZALEZ RD FLR 1 STE 5, (805) 604-6055 JOB OXNARD MEDICAL OXNARD, CA 93036 OFFICES NORTON, JOHN C - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2200 E GONZALEZ RD FLR 1 STE 5, (805) 604-6055 JOB OXNARD MEDICAL PHYSICIAN OXNARD, CA 93036 OFFICES NORTON, JOHN C - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5601 DE SOTO AVE ENTRANCE 5, (818) 719-3006 JOB WOODLAND HILLS WOODLAND HILLS, CA 91367 MEDICAL CENTER NORTON, JOHN C - MD KAISER PERMANENTE ON THE PRIMARY TREATING 5601 DE SOTO AVE ENTRANCE 5, (818) 719-3006 JOB WOODLAND HILLS PHYSICIAN WOODLAND HILLS, CA 91367 MEDICAL CENTER NORTON, KYLE, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD NORTON, KYLE, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA NORTON, KYLE, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY NORTON, KYLE, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS NORTON, KYLE, ROBERT - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 454 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NORVILAS, SARAH - LAC NINE ACUPUNCTURESARAH ACUPUNCTURE 12304 STA MON BLVD STE 370, LOS (310) 612-8868 NORVILAS ANGELES, CA 90025 NOUBAR'S EL ADOBE PHARMACY 2010 WILSHIRE BLVD, LOS ANGELES, (213) 413-3999 PHARMACY CA 90057 NOUBAR'S EL ADOBE PHARMACY 5207 HOLLYWOOD BLVD, LOS (323) 461-9451 PHARMACY ANGELES, CA 90027 NOUR, MOHAMED - MD (BCC) ANESTHESIOLOGY 11234 ANDERSON ST MEDICAL CENTER (800) 679-4642 RM 2532, LOMA LINDA, CA 92354 NOURIAN, ARDALAN - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 NOURIAN, ARDALAN - MD CONCENTRA MEDICAL SPINE SURGERY 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 NOURIAN, KAMBIZ - DC MED NATION INCKAMBIZ CHIROPRACTIC MEDICINE 4021 LONG BEACH BLVD STE 403, (213) 389-2526 NOURIAN DC FARIVAR MOBIN LONG BEACH, CA 90807 DC NOURIAN, KAMBIZ - DC MED NATION INCKAMBIZ CHIROPRACTIC MEDICINE 7012 RESEDA BLVD STE D, RESEDA, CA (818) 776-1205 NOURIAN DC FARIVAR MOBIN 91335 DC NOVAK, STEVE - MD (BCC) NOVAK URGENT CARE INC PRIMARY TREATING 80545 US HIGHWAY 111 , INDIO , CA (760) 347-9221 PHYSICIAN 92201 NOVAK, STEVE - MD (BCC) NOVAK URGENT CARE INC FAMILY MEDICINE 80545 US HIGHWAY 111 , INDIO , CA (760) 347-9221 92201 NOVALL, GREGORY - AUD ADVANCED HEARING AUDIOLOGY 2465 EAST PALM CANYON DR BLDG 5 (800) 598-5300 PROVIDERS LLC STE 500, PALM SPRINGS, CA 92264 NOWACK, SUSAN - PT CALIENTE SPRINGS PHYSICAL PHYSICAL THERAPY 17350 VAILETTI DR, SONOMA, CA 95476 (707) 935-3230 THERAPY NOWAK, ALEXIS - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 2101 E 4TH ST STE 170B, SANTA ANA, (714) 558-3977 SPORTS THERAPY CA 92705 NOWROOZI, FRED - MD (BCC) PHYSICAL MEDICINE AND 101 E VALENCIA MESA DR, (714) 992-3000 REHABILITATION FULLERTON, CA 92835 NOWRX PHARMACY 2224 OLD MIDDLEFIELD WAY, (650) 386-5761 MOUNTAIN VIEW, CA 94043 NOWRX INC PHARMACY 1310 TULLY RD, SAN JOSE, CA 95122 (408) 882-3558 NTM PHARMACY PHARMACY 2317 E ANAHEIM ST, LONG BEACH, CA (562) 621-0838 90804 NUDLEMAN, KENNETH A - MD NEUROLOGY 801 N TUSTIN AVE STE 304, SANTA ANA (714) 542-7996 , CA 92705 NUDO'S PHARMACY PHARMACY 455 N MAGNOLIA AVE, EL CAJON, CA (619) 442-0303 92020 NUEVO PHARMACY PHARMACY 75 W NUEVO RD STE H, PERRIS, CA (951) 322-4700 92571 NUFACTOR PHARMACY 44900 WINCHESTER RD, TEMECULA, (800) 323-6832 CA 92590 NUFER, KYLIE - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 NUGENT, MARY JANE - AUD ADVANCED HEARING AUDIOLOGY 1965 FOOTHILL BLVD STE R, LA VERNE, (800) 598-5300 PROVIDERS LLC CA 91750 NUNEZ, EDITH - DC EDITH NUNEZ ACUPUNCTURE CHIROPRACTIC MEDICINE 638 STANYAN ST, SAN FRANCISCO, CA (415) 598-7589 94117 NURKOWSKI, CHRISTIE - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 NURKOWSKI, CHRISTIE - PT HI DESERT PHYSICAL PHYSICAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277 NUSSBAUM, RICHARD E - MD LOS ANGELES ORTHOPAEDIC SPINE SURGERY 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 (BCC) INSTITUTE PALMDALE, CA 93551 NUSSBAUM, RICHARD E - MD LOS ANGELES ORTHOPAEDIC SPINE SURGERY 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 (BCC) INSTITUTE SHERMAN OAKS , CA 91403 NYQUIST, JULIAN R - MD (BCC) CONCENTRA MEDICAL PRIMARY TREATING 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT PHYSICIAN 94538 NYQUIST, JULIAN R - MD (BCC) CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3161 WALNUT AVE , FREMONT, CA (510) 796-1000 CENTER - FREMONT 94538 NYSTROM, DREW - LMT PRECISION POINT WELLNESS MASSAGE THERAPIST 27450 YNEZ RD STE 110A, TEMECULA, (951) 387-4841 CA 92591

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 455 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone NYSTROM, DREW, WILLIAM - PRECISION POINT WELLNESS ACUPUNCTURE 27450 YNEZ RD STE 110A, TEMECULA, (951) 387-4841 LAC CA 92591 O'BRIEN, TARA - PT HARBOR PHYSICAL THERAPY PHYSICAL THERAPY 1294 W 6TH ST STE 101, SAN PEDRO, (310) 547-1850 SPORTS MEDICINE CA 90731 O'CALLAGHAN, WILLIAM K - MD SANSUM CLINIC - PESETAS INTERNAL MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) O'CALLAGHAN, WILLIAM K - MD SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) O'CONNELL, LYNN - LAC VITAL HEALTH ACUPUNCTURE ACUPUNCTURE 1635 1ST ST, NAPA, CA 94559 (707) 265-8350 MASSAGE HERBAL MEDICINE O'CONNOR HOSPITAL (BCC) O'CONNOR HOSPITAL ACUTE CARE HOSPITAL 2105 FOREST AVE, SAN JOSE, CA 95128 (408) 947-2500 O'DELL, KEVIN S - MD KAISER PERMANENTE NEUROLOGY 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE O'DELL, NICCOLE, MARIE - DC WAYNE M WHALEN DC CHIROPRACTIC MEDICINE 9570 CUYAMACA ST STE 101, SANTEE, (619) 258-1144 CA 92071 O'FALLON, JAMIE - PT MANGAN PHYSICAL THERAPY PHYSICAL THERAPY 29377 RANCHO CALIFORNIA RD STE (951) 296-0400 100, TEMECULA, CA 92591 O'HAGAN, DENISE - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 1945 GARNET AVE, SAN DIEGO, CA (858) 224-7977 FAMILY HEALTH CENTER 92109 O'HARA, STEPHEN L - MD KAISER PERMANENTE WEST NEUROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER O'LANNERGHTY, LAURA, BODY WORKS PHYSICAL PHYSICAL THERAPY 4080 LOMA VISTA RD STE H, VENTURA, (805) 535-4400 BRENNAN - PT THERAPY INC CA 93003 O'LEARY, COLMAN - PT ACTIVE CARE PHYSICAL PHYSICAL THERAPY 3019 GEARY BLVD, SAN FRANCISCO, (415) 387-6564 THERAPY CA 94118 O'LEARY, LINDY M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER O'LEARY, LINDY M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER O'LEARY, LINDY M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER O'LEARY, LINDY M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER O'LEARY, LINDY M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER O'LEARY, LINDY M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER O'LINN, MEGAN - PT MOTI PHYSIOTHERAPY PHYSICAL THERAPY 1965 HILLHURST AVE FL 1, LOS (323) 912-9166 ANGELES, CA 90027 O'NEILL, KELLY - PHD BARRINGTON PSYCHIATRIC PSYCHOLOGY 11693 SAN VICENTE BLVD # 830, LOS (800) 771-7955 CENTER ANGELES, CA 90049 O'NEILL, KENNETH - OT CALIFORNIA HAND OCCUPATIONAL THERAPY 3273 CLAREMONT WAY STE 204, NAPA, (707) 259-1152 REHABILITATION CA 94558 O'NEILL, TIMOTHY F - MD (BCC) LOS ALAMITOS CARDIOVASCULAR DISEASE 5300 KATELLA AVE , LOS ALAMITOS, CA (562) 446-2831 CARDIOVASCULAR (CARDIOLOGY) 90720 O'REILY, COLLEEN - LAC ACUPUNCTURE CHINESE ACUPUNCTURE 1590 EL CAMINO REAL STE G, SAN (650) 225-0808 HERBAL MEDICINE BRUNO, CA 94066 O'SHEA, MICHAEL K - DPM ARROWHEAD ORTHOPAEDICS PODIATRY 29099 HOSPITAL RD STE 114, LAKE (909) 336-3694 (BCC) ARROWHEAD , CA 92352 O, YOUNG - LAC FIVE ELEMENT CARE ACUPUNCTURE 16766 BERNARDO CENTER DR STE 111, (858) 658-9980 SAN DIEGO, CA 92128 O, YOUNG - LAC FIVE ELEMENT CARE ACUPUNCTURE 6540 LUSK BLVD STE C144, SAN DIEGO, (858) 658-9980 CA 92121

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 456 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone OAK GROVE INSTITUTE OAK GROVE INSTITUTE CHEMICAL DEPENDENCY 24275 JEFFERSON AVE, MURRIETA, CA (951) 677-5599 FOUNDATION INC (BCC) FOUNDATION INC REHABILITATION CENTER 92562 (OUTPATIENT) OAK GROVE PHARMACY PHARMACY 785 OAK GROVE RD STE E1, CONCORD, (925) 681-1823 CA 94518 OAK HILLS MEDICAL PHARMACY 7345 MEDICAL CENTER DR, WEST (818) 715-0070 PHARMACY HILLS, CA 91307 OAK VALLEY DISTRICT OAK VALLEY DISTRICT ACUTE CARE HOSPITAL 350 S OAK AVE, OAKDALE, CA 95361 (209) 847-3011 HOSPITAL (BCC) HOSPITAL OAKDALE PHARMACY PHARMACY 5400 BALBOA BLVD FL 1, ENCINO, CA (818) 788-0770 91316 OAKES, DANIEL A - MD (BCC) KECK HOSPITAL OF USC - ORTHOPEDIC SURGERY - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 ORTHOPEDIC SURGERY ANGELES , CA 90033 OAKES, DANIEL A - MD (BCC) KECK HOSPITAL OF USC - ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 ORTHOPEDIC SURGERY KNEE ANGELES , CA 90033 OAKES, DANIEL A - MD (BCC) KECK HOSPITAL OF USC - ORTHOPEDICS - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 ORTHOPEDIC SURGERY ANGELES , CA 90033 OAKES, DANIEL A - MD (BCC) KECK HOSPITAL OF USC - ORTHOPEDICS - KNEE 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 ORTHOPEDIC SURGERY ANGELES , CA 90033 OAKLAND CLINIC PHARMACY PHARMACY 5220 CLAREMONT AVE, OAKLAND, CA (510) 428-4088 94618 OAKLEY, WILLIAM - PT ALTA ORTHOPAEDIC MEDICAL PHYSICAL THERAPY 511 BATH ST, SANTA BARBARA, CA (805) 963-9377 GROUP INC 93101 OAKS COMMUNITY PHARMACY PHARMACY 13322 RIVERSIDE DR, SHERMAN OAKS, (818) 309-2233 CA 91423 OASIS SURGERY CENTER LP AMBULATORY SURGERY 815 AUTO CENTER DR, PALMDALE, CA (661) 206-6262 CENTER 93551 OBED, ESAM M - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 2241 WANKEL WAY STE C , OXNARD, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CA 93030 OBED, ESAM M - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 400 CAMARILLO RANCH RD STE 205, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CAMARILLO , CA 93010 OBRIEN, WALTER - MD SPINE SURGERY 11710 WILSHIRE BLVD, LOS ANGELES, (310) 477-7276 CA 90025 OBRIEN, WALTER - MD ORTHOPEDIC SURGERY - HIP 11710 WILSHIRE BLVD, LOS ANGELES, (310) 477-7276 CA 90025 OBRIEN, WALTER - MD ORTHOPEDIC SURGERY - 11710 WILSHIRE BLVD, LOS ANGELES, (310) 477-7276 LOWER EXTREMITIES CA 90025 OBRIEN, WALTER - MD ORTHOPEDIC SURGERY - 11710 WILSHIRE BLVD, LOS ANGELES, (310) 477-7276 UPPER EXTREMITIES CA 90025 OBRIEN, WALTER - MD ORTHOPEDICS - HIP 11710 WILSHIRE BLVD, LOS ANGELES, (310) 477-7276 CA 90025 OBRIEN, WALTER - MD ORTHOPEDICS - LOWER 11710 WILSHIRE BLVD, LOS ANGELES, (310) 477-7276 EXTREMITIES CA 90025 OBRIEN, WALTER - MD ORTHOPEDICS - SPINE 11710 WILSHIRE BLVD, LOS ANGELES, (310) 477-7276 CA 90025 OBRIEN, WALTER - MD ORTHOPEDICS - UPPER 11710 WILSHIRE BLVD, LOS ANGELES, (310) 477-7276 EXTREMITIES CA 90025 OC PHARMACY PHARMACY 31654 RANCHO VIEJO RD, SAN JUAN (949) 429-5326 CAPISTRANO, CA 92675 OC PHARMACY PHARMACY 14150 BROOKHURST ST, GARDEN (714) 590-9401 GROVE, CA 92843 OC WELLNESS AND PHARMACY 2617 E CHAPMAN AVE, ORANGE, CA (714) 602-8350 SPECIALTY PHCY 92869 OCCUPATIONAL & PHYSICAL PHYSICAL THERAPY 615 NEW YORK RANCH RDSUITE 2, (209) 223-5669 THERAPY ASSOCIATES INC A JACKSON, CA 95642-9355 OCCUPATIONAL HEALTH OCCUPATIONAL HEALTH URGENT CARE FACILITY 3628 E IMPERIAL HWY STE 103, (310) 900-2790 SERVICES MEDICAL GROUP SERVICES MEDICAL GROUP LYNWOOD, CA 90262 INC (BCC) INC OCEAN PARK PHARMACY PHARMACY 2731 OCEAN PARK BLVD, SANTA (310) 452-5705 MONICA, CA 90405 OCEAN PHYSICAL THERAPY PHYSICAL THERAPY 4501 MISSION BAY DR STE 3K, SAN (858) 866-0340 DIEGO, CA 92109-4926

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 457 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone OCEAN POINT PHYSICAL PHYSICAL THERAPY 234 S PACIFIC COAST HWY SUITE 206, (310) 659-2740 THERAPY REDONDO BEACH, CA 90277-7037 OCEAN VIEW PSYCHIATRIC OCEAN VIEW PSYCHIATRIC MENTAL HEALTH/PSYCHIATRIC 2600 REDONDO AVE 5 FL, LONG (844) 562-1212 HEALTH FACILITY (BCC) HEALTH FACILITY HOSPITAL (INPATIENT) BEACH, CA 90806 OCEANSIDE PHARMACY PHARMACY 3601 VISTA WAY STE 103, OCEANSIDE, (760) 231-5800 CA 92056 OCEANVIEW THERAPY PHYSICAL THERAPY 1451 CALLE MARBELLA, OCEANSIDE, (760) 635-3951 CENTER CA 92056-6963 OESTERLE, REBECCA - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 OFFENBERGER, JACOB - MD ALLERGY AND IMMUNOLOGY 10515 BALBOA BLVD #390, GRANADA (818) 366-8112 HILLS, CA 91344 OFFERMANN, ELLEN - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 OFFERMANN, ELLEN - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN OGATA, GREGORY - MD (BCC) EMERGENCY MEDICINE 13440 IMPERIAL HWY, SANTA FE (562) 926-3440 SPRINGS, CA 90670 OGAWA, BRENT K - MD KAISER PERMANENTE SOUTH ORTHOPEDICS 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 OGURA, HIROKO - LAC ACUPUNCTURE ACUPUNCTURE 1224 E GREEN ST STE 100, PASADENA, (626) 755-6260 THERAPEUTICS CA 91106 OH, ANDY - DC DROH CHIROPRACTIC CHIROPRACTIC MEDICINE 4972 W PICO BLVD 204A, LOS (213) 559-7911 ACUPUNCTURE ANGELES, CA 90019 OH, ANDY - DC DROH CHIROPRACTIC CHIROPRACTIC MEDICINE 930 N LONG BEACH BLVD STE 6, (310) 635-0270 ACUPUNCTURE COMPTON, CA 90221 OH, ANDY - LAC DROH CHIROPRACTIC ACUPUNCTURE 4972 W PICO BLVD 204A, LOS (213) 559-7911 ACUPUNCTURE ANGELES, CA 90019 OH, ANDY - LAC DROH CHIROPRACTIC ACUPUNCTURE 930 N LONG BEACH BLVD STE 6, (310) 635-0270 ACUPUNCTURE COMPTON, CA 90221 OH, BRIAN - LAC NEWPORT ACUPUNCTURE ACUPUNCTURE 2043 WESTCLIF DR, NEWPORT BEACH, (949) 244-8862 BRIAN OH CA 92660 OH, BRYAN C - MD (BCC) FIRST CALIFORNIA PHYSICIAN NEUROLOGICAL SURGERY 3650 E SOUTH ST STE 404, LAKEWOOD, (714) 428-6711 PARTNERS CA 90712 OH, CHULWON - ATC HOLISTIC HEALING HANDS INC ATHLETIC TRAINER 3153 LOS FELIZ BLVD, LOS ANGELES, (323) 913-0023 CA 90039 OH, DAE, SAN - LAC BALANCE HARMONY ACUPUNCTURE 899 W FOOTHILL BLVD STE D, (626) 359-8889 WELLNESS INC MONROVIA, CA 91016 OH, ERNEST J - MD (BCC) RIVERSIDE MEDICAL CLINIC - PAIN MANAGEMENT 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 OH, JEONG, GUK - LAC BALBOA ACUPUNCTURE ACUPUNCTURE 10515 BALBOA BLVD STE 175, (818) 368-3020 CLINIC GRANADA HILLS, CA 91344 OH, JOOSEOK - LAC RIVERSIDE ACUPUNCTURE ACUPUNCTURE 6717 INDIANA AVE, RIVERSIDE, CA (951) 680-0204 92506 OH, MEESUK - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1008 BROXTON AVE, LOS ANGELES, CA (213) 268-6092 90024 OH, MEESUK - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1940 W OLYMPIC BLVD, LOS ANGELES, (213) 389-3929 CA 90006 OH, MEESUK - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 2015 W REDONDO BEACH BLVD STE F, (424) 340-9357 GARDENA, CA 90247 OH, MEESUK - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 24881 AKURA PKWY STE N, LAGUNA (949) 707-7100 HILLS, CA 92653 OH, PAN, SOO - LAC FATA ACUPUNCTURE ACUPUNCTURE 18837 BROOKHURST ST STE 105, (213) 255-0897 FOUNTAIN VALLEY, CA 92708 OH, PAN, SOO - LAC FATA ACUPUNCTURE ACUPUNCTURE 9048 SLAUSON AVE, PICO RIVERA, CA (213) 255-0897 90660 OH, SE, YEONG - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1008 BROXTON AVE, LOS ANGELES, CA (213) 268-6092 90024 OH, SE, YEONG - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 1940 W OLYMPIC BLVD, LOS ANGELES, (213) 389-3929 CA 90006 OH, SE, YEONG - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 2015 W REDONDO BEACH BLVD STE F, (424) 340-9357 GARDENA, CA 90247 OH, SE, YEONG - LAC DANIEL MEDICAL GROUP ACUPUNCTURE 24881 AKURA PKWY STE N, LAGUNA (949) 707-7100 HILLS, CA 92653

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 458 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone OHAERI, CHINEDU - PT WEST STAR PHYSICAL PHYSICAL THERAPY 1255 E HIGHLAND AVE STE 108, SAN (909) 891-0891 THERAPY BERNARDINO, CA 92404 OHARA, WILLIAM M - MD KAISER PERMANENTE EL ORTHOPEDICS 250 TRAVELODGE DR , EL CAJON, CA (619) 528-5062 CAJON MEDICAL OFFICES 92020 OHNERSORGEN, ANDREW - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY OIKAWA, KENNETH - DC PINNACLE HEALTHCARE CHIROPRACTIC MEDICINE 1180 BROADWAY ST, KING CITY, CA (831) 385-8000 93930 OIKAWA, KENNETH - DC PINNACLE HEALTHCARE CHIROPRACTIC MEDICINE 99 AIRPORT BLVD, FREEDOM, CA 95019 (831) 728-1199 OJAI REXALL DRUG PHARMACY 1125 MARICOPA HWY, OJAI, CA 93023 (805) 646-4361 OJAI VALLEY COMMUNITY OJAI VALLEY COMMUNITY ACUTE CARE HOSPITAL 1306 MARICOPA HWY, OJAI, CA 93023 (805) 646-1401 HOSPITAL (BCC) HOSPITAL OJAI VALLEY COMMUNITY OJAI VALLEY COMMUNITY ACUTE CARE HOSPITAL 1306 MARICOPA HWY, OJAI, CA 93023 (805) 646-1401 HOSPITAL (BCC) HOSPITAL OJAI VILLAGE PHARMACY PHARMACY 202 E OJAI AVE, OJAI, CA 93023 (805) 646-7272 OJHA HAMMAD, ANITA R - MD RESTORATIVE WOUND INTERNAL MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 (BCC) HEALING & HYPERBARIC MED POWAY, CA 92064 GRP OKAI, TAKESHI - DC OKAI CHIROPRACTIC CHIROPRACTIC MEDICINE 100 S ELLSWORTH AVE STE 804, SAN (650) 344-8743 CORPORATION MATEO, CA 94401 OKHOVAT, MEHRAN - MD (BCC) PRIMARY TREATING 18350 ROSCOE BLVD STE 600, (818) 727-1515 PHYSICIAN NORTHRIDGE, CA 91325 OKHOVAT, MEHRAN - MD (BCC) FAMILY MEDICINE 18350 ROSCOE BLVD STE 600, (818) 727-1515 NORTHRIDGE, CA 91325 OLD PASADENA PHARMACY PHARMACY 155 S DELACEY AVE #1000, PASADENA, (626) 844-5000 CA 91105 OLD TIME DRUGS PHARMACY 1322 SOLANO ST, CORNING, CA 96021 (530) 824-0800 OLEGARIONEBEL, MARISSA A - KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3115 MD JOB OCCUPATIONAL HEALTH 95210 CENTER OLEGARIONEBEL, MARISSA A - KAISER PERMANENTE ON THE PRIMARY TREATING 7373 WEST LN 1ST FLR, STOCKTON, CA (209) 476-3115 MD JOB OCCUPATIONAL HEALTH PHYSICIAN 95210 CENTER OLEYNIKOV, YURI S - MD (BCC) OPHTHALMOLOGY 415 N CRESCENT DR STE 220, (323) 655-3772 BEVERLY HILLS , CA 90210 OLIN, KELLY - PT SPORTS AND SPINE PHYSICAL THERAPY 23456 HAWTHORNE BLVD STE 205, (424) 201-0542 ORTHOPAEDICS TORRANCE, CA 90505 OLIN, KELLY - PT SPORTS AND SPINE PHYSICAL THERAPY 2361 ROSEGRANS AVENUE SUITE 165, (310) 626-4806 ORTHOPAEDICS EL SEGUNDO, ca 90245 OLIVE BRANCH PHARMACY PHARMACY 2070 S CENTRAL AVE, LOS ANGELES, (213) 536-4888 CA 90011 OLIVE BRANCH PHARMACY PHARMACY 2811 S SAN PEDRO ST, LOS ANGELES, (323) 432-2131 CA 90011 OLIVE CITY PHARMACY PHARMACY 954 HIGHWAY 99W, CORNING, CA 96021 (530) 824-0954 OLIVE HILL PHARMACY PHARMACY 255 S HILL ST, LOS ANGELES, CA 90012 (213) 680-2000 OLIVE TREE PHARMACY PHARMACY 14124 FOOTHILL BLVD STE 102, (818) 364-5100 SYLMAR, CA 91342 OLIVEHURST DRUG STORE PHARMACY 4897 OLIVEHURST AVE, OLIVEHURST, (530) 743-5451 CA 95961 OLIVER, DAN - DC SACRAMENTO SPINAL CHIROPRACTIC MEDICINE 3000 ARDEN WAY STE 1A, (916) 488-5560 SPECIALISTS SACRAMENTO, CA 95825 OLIVER, LINDA - DC HEALTH POINT WELLNESS CHIROPRACTIC MEDICINE 9450 SCRANTON RD STE 101, SAN (858) 457-1925 CLINIC DIEGO, CA 92121 OLIVER, LINDSAY - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 OLIVER, MORGAN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 OLIVER, TONI - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 OLIVEROS, YUNNEN - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 VISTA, CA 91910

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 459 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone OLIVO, BEN - PT EL DORADO PHYSICAL PHYSICAL THERAPY 4052 MOTHER LODE DR, SHINGLE (530) 677-5092 THERAPY SPRINGS, CA 95682 OLSEN, CASEY - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 800 EMBEDDED WAY STE 80, SAN (650) 571-5185 JOSE, CA 95138 OLSEN, GREGORY - DC OLSEN CHIRO DBA LAGUNA CHIROPRACTIC MEDICINE 22691 LAMBERT ST STE 503, LAKE (949) 859-5192 HILLS CHIRO MED/GREG FOREST, CA 92630 OLSEN OLSEN, SPENCER S - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 OLSEN, SPENCER S - MD CONCENTRA MEDICAL PRIMARY TREATING 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA PHYSICIAN 91942 OLSON, BRUCE - DPM (BCC) PODIATRY 2035 SAVIERS RD STE 5, OXNARD, CA (805) 486-8710 93033 OLSON, RYAN - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 26302 LA PAZ RD STE 105, MISSION (949) 206-1700 SPORTS THERAPY VIEJO, CA 92691 OLSON, RYAN - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 36 MAUCHLY STE A, IRVINE, CA 92618 (949) 727-3315 SPORTS THERAPY OLUBI, OLUYEMISI A - MD CONCENTRA MEDICAL PRIMARY TREATING 850 EAST WASHINGTON ST , COLTON, (909) 370-0572 CENTER - COLTON PHYSICIAN CA 92324 OLUBI, OLUYEMISI A - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 850 EAST WASHINGTON ST , COLTON, (909) 370-0572 CENTER - COLTON CA 92324 OLUBI, OLUYEMISI A - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 850 EAST WASHINGTON ST , COLTON, (909) 370-0572 CENTER - COLTON CA 92324 OLUWATOSIN, ADENUGA S - CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 MD CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO OLUWATOSIN, ADENUGA S - CONCENTRA MEDICAL PRIMARY TREATING 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 MD CENTER - SOUTH SAN PHYSICIAN FRANCISCO, CA 94080 FRANCISCO OLYMPIA HOUSE (BCC) OLYMPIA HOUSE CHEMICAL DEPENDENCY 11207 VALLEY FORD RD, PETALUMA, (888) 795-1965 REHABILITATION CENTER CA 94952 (OUTPATIENT) OLYMPIA MEDICAL CENTER OLYMPIA MEDICAL CENTER ACUTE CARE HOSPITAL 5900 W OLYMPIC BLVD, LOS ANGELES, (310) 657-5900 (BCC) CA 90036 OLYMPIA PLAZA PHARMACY PHARMACY 5901 W OLYMPIC BLVD STE 103, LOS (323) 937-2590 ANGELES, CA 90036 OLYMPIC BOULEVARD PHARMACY 8950 W OLYMPIC BLVD, BEVERLY (310) 274-8080 PHARMACY HILLS, CA 90211 OLYMPIC GERHART PHARMACY 5724 E OLYMPIC BLVD, COMMERCE, CA (323) 722-1515 PHARMACY 90022 OLYMPICARE REHABILITATION PHYSICAL THERAPY 2707 W OLYMPIC BLVD STE 203, LOS (213) 739-6933 THERAPY ANGELES, CA 90006 OLYMPUS PHARMACY PHARMACY 14437 VENTRUA BLVD, SHERMAN (888) 670-9080 OAKS, CA 91423 OM, SUNGHWAN - LAC HANA WELLNESS CENTER ACUPUNCTURE 13305 ARTESIA BLVD, CERRITOS, CA (562) 926-0333 90703 OMAC PHARMACY PHARMACY 901 W 7TH ST, OXNARD, CA 93030 (805) 486-2688 OMARI, PHILLIP - PT SYNERGY SPECIALIST PHYSICAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 450-7118 MEDICAL GROUP MAIN DIEGO, CA 92121 OMARI, PHILLIP - PT SYNERGY SPECIALIST PHYSICAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (619) 230-0855 MEDICAL GROUP CA 91910 OMBOGO, EMILY - PT BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 OMBOGO, EMILY - PT BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 OMNICARE CANOGA PARK CA PHARMACY 8220 REMMET AVE, CANOGA PARK, CA (818) 746-9800 91304 OMNICARE OF LODI PHARMACY 850 S GUILD AVE, LODI, CA 95240 (209) 333-4900 OMNICARE REDDING CA PHARMACY 5200 CHURN CREEK RD STE A, (530) 224-3373 REDDING, CA 96002 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1002 NUT TREE RD , VACAVILLE, CA (866) 557-8670 AND OR REPORTING ONLY 95687 DIAGNOSTICS DIAGNOSTIC INTERPRETING 101 S SAN MATEO DR STE 215, SAN (866) 557-8670 AND OR REPORTING ONLY MATEO, CA 94401

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 460 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 10101 RIVERSIDE DR , TOLUCA LAKE, (866) 557-8670 AND OR REPORTING ONLY CA 91602 DIAGNOSTICS DIAGNOSTIC INTERPRETING 10111 HOLE AVE , RIVERSIDE, CA 92503 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 1020 NUT TREE RD STE 150, (866) 557-8670 AND OR REPORTING ONLY VACAVILLE, CA 95687 DIAGNOSTICS DIAGNOSTIC INTERPRETING 10226 LAKEWOOD BLVD , DOWNEY, CA (866) 557-8670 AND OR REPORTING ONLY 90241 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1040 ELM AVE STE 102, LONG BEACH, (866) 557-8670 AND OR REPORTING ONLY CA 90813 DIAGNOSTICS DIAGNOSTIC INTERPRETING 105 SOUTH DR STE 110, MOUNTAIN (866) 557-8670 AND OR REPORTING ONLY VIEW, CA 94040 DIAGNOSTICS DIAGNOSTIC INTERPRETING 10767 RIVERSIDE DR , NORTH (866) 557-8670 AND OR REPORTING ONLY HOLLYWOOD, CA 91602 DIAGNOSTICS DIAGNOSTIC INTERPRETING 108 W SHAW AVE , FRESNO, CA 93704 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 1080 N INDIAN CANYON DR STE 104, (866) 557-8670 AND OR REPORTING ONLY PALM SPRINGS, CA 92262 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1081 N CHINA LAKE BLVD , (866) 557-8670 AND OR REPORTING ONLY RIDGECREST, CA 93555 DIAGNOSTICS DIAGNOSTIC INTERPRETING 108B GREEN VALLEY RD , FREEDOM, (866) 557-8670 AND OR REPORTING ONLY CA 95019 DIAGNOSTICS DIAGNOSTIC INTERPRETING 10921 WILSHIRE BLVD MEZZ LEVEL, (866) 557-8670 AND OR REPORTING ONLY LOS ANGELES, CA 90024 DIAGNOSTICS DIAGNOSTIC INTERPRETING 110 JENSEN CT STE 1A, THOUSAND (866) 557-8670 AND OR REPORTING ONLY OAKS, CA 91360 DIAGNOSTICS DIAGNOSTIC INTERPRETING 110 S LA BREA AVE STE 150, (866) 557-8670 AND OR REPORTING ONLY INGLEWOOD, CA 90301 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1100 B GALE WILSON BOULEVARD , (866) 557-8670 AND OR REPORTING ONLY FAIRFIELD, CA 94533 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1100 N TUSTIN AVE STE A, SANTA ANA, (866) 557-8670 AND OR REPORTING ONLY CA 92705 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1101 B GALE WILSON BLVD STE 100, (866) 557-8670 AND OR REPORTING ONLY FAIRFIELD, CA 94533 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1110 W LA PALMA AVE STE 3, ANAHEIM, (866) 557-8670 AND OR REPORTING ONLY CA 92801 DIAGNOSTICS DIAGNOSTIC INTERPRETING 11160 WARNER AVE STE 105, (866) 557-8670 AND OR REPORTING ONLY FOUNTAIN VALLEY, CA 92708 DIAGNOSTICS DIAGNOSTIC INTERPRETING 11190 WARNER AVE STE 110, (866) 557-8670 AND OR REPORTING ONLY FOUNTAIN VALLEY, CA 92708 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1125 E 17TH ST STE W125, SANTA ANA, (866) 557-8670 AND OR REPORTING ONLY CA 92701 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1127 WILSHIRE BLVD STE 100, LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90017 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1133 N PALM CANYON DR STE B, PALM (866) 557-8670 AND OR REPORTING ONLY SPRINGS, CA 92262 DIAGNOSTICS DIAGNOSTIC INTERPRETING 11360 MOUNTAIN VIEW AVE STE C, (866) 557-8670 AND OR REPORTING ONLY LOMA LINDA, CA 92354 DIAGNOSTICS DIAGNOSTIC INTERPRETING 114 LA CASA VIA STE 100, WALNUT (866) 557-8670 AND OR REPORTING ONLY CREEK, CA 945983087 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1141 W REDONDO BEACH BLVD STE (866) 557-8670 AND OR REPORTING ONLY 105, GARDENA, CA 90247 DIAGNOSTICS DIAGNOSTIC INTERPRETING 11411 BROOKSHIRE AVE STE 101, (866) 557-8670 AND OR REPORTING ONLY DOWNEY, CA 90241 DIAGNOSTICS DIAGNOSTIC INTERPRETING 11525 BROOKSHIRE AVE STE 111, (866) 557-8670 AND OR REPORTING ONLY DOWNEY, CA 90241 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1180 POST ST , SAN FRANCISCO, CA (866) 557-8670 AND OR REPORTING ONLY 94109 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1183 E FOOTHILL BLVD STE 235, (866) 557-8670 AND OR REPORTING ONLY UPLAND, CA 91786 DIAGNOSTICS DIAGNOSTIC INTERPRETING 120 WEST BEVERLY BOULEVARD , (866) 557-8670 AND OR REPORTING ONLY MONTEBELLO, CA 90640

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 461 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 12264 EL CAMINO REAL , SAN DIEGO, (866) 557-8670 AND OR REPORTING ONLY CA 92130 DIAGNOSTICS DIAGNOSTIC INTERPRETING 12276 HESPERIA RD STE 5, (866) 557-8670 AND OR REPORTING ONLY VICTORVILLE, CA 92395 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1239 MCHENRY AVE STE A, MODESTO, (866) 557-8670 AND OR REPORTING ONLY CA 953505330 DIAGNOSTICS DIAGNOSTIC INTERPRETING 125 CIRO AVE STE 220, SAN JOSE, CA (866) 557-8670 AND OR REPORTING ONLY 95128 DIAGNOSTICS DIAGNOSTIC INTERPRETING 12665 GARDEN GROVE BLVD STE 103, (866) 557-8670 AND OR REPORTING ONLY GARDEN GROVE, CA 92843 DIAGNOSTICS DIAGNOSTIC INTERPRETING 12818 HEACOCK ST STE C2, MORENO (866) 557-8670 AND OR REPORTING ONLY VALLEY, CA 92553 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1300 S CENTRAL AVE , GLENDALE, CA (866) 557-8670 AND OR REPORTING ONLY 91204 DIAGNOSTICS DIAGNOSTIC INTERPRETING 13091 KERRY ST , GARDEN GROVE, CA (866) 557-8670 AND OR REPORTING ONLY 92844 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1310 LAS TABLAS SUITE 103, (866) 557-8670 AND OR REPORTING ONLY TEMPLETON, CA 93465 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1311 JEFFERSON ST , DELANO, CA (866) 557-8670 AND OR REPORTING ONLY 93215 DIAGNOSTICS DIAGNOSTIC INTERPRETING 13160 MINDANAO WAY STE 175, (866) 557-8670 AND OR REPORTING ONLY MARINA DEL REY, CA 90292 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1325 N ROSE DR STE 101, PLACENTIA, (866) 557-8670 AND OR REPORTING ONLY CA 92870 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1350 EAST LOS ANGELES AVE , SIMI (866) 557-8670 AND OR REPORTING ONLY VALLEY, CA 93065 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1375 S ELISEO DR SUITE G, (866) 557-8670 AND OR REPORTING ONLY GREENBRAE, CA 94904 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1390 E YOSEMITE AVE STE A, MERCED, (866) 557-8670 AND OR REPORTING ONLY CA 95340 DIAGNOSTICS DIAGNOSTIC INTERPRETING 140 N GLENDALE AVE , GLENDALE, CA (866) 557-8670 AND OR REPORTING ONLY 91206 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1400 S GRAND AVE STE 608, LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90015 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1401 N TUSTIN AVE STE 170, SANTA (866) 557-8670 AND OR REPORTING ONLY ANA, CA 92705 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1401 W MERCED AVE STE 102, WEST (866) 557-8670 AND OR REPORTING ONLY COVINA, CA 91790 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1401 WILLOW PASS RD STE 110, (866) 557-8670 AND OR REPORTING ONLY CONCORD, CA 94520 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1403 LOMITA BLVD STE 107, HARBOR (866) 557-8670 AND OR REPORTING ONLY CITY, CA 90710 DIAGNOSTICS DIAGNOSTIC INTERPRETING 14150 CULVER DR STE 101, IRVINE, CA (866) 557-8670 AND OR REPORTING ONLY 92604 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1433 N HOLLENBECK AVE STE 105, (866) 557-8670 AND OR REPORTING ONLY COVINA, CA 91722 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1441 AVACADO AVENUE SUITE 301, (866) 557-8670 AND OR REPORTING ONLY NEWPORT BEACH, CA 92660 DIAGNOSTICS DIAGNOSTIC INTERPRETING 145 S DOHENY DR , BEVERLY HILLS, CA (866) 557-8670 AND OR REPORTING ONLY 902112509 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1450 E 17TH ST STE 100, SANTA ANA, (866) 557-8670 AND OR REPORTING ONLY CA 92705 DIAGNOSTICS DIAGNOSTIC INTERPRETING 14600 SHERMAN WAY STE 100C, VAN (866) 557-8670 AND OR REPORTING ONLY NUYS, CA 91405 DIAGNOSTICS DIAGNOSTIC INTERPRETING 14651 S BASCOM AVENUE SUITE 120, (866) 557-8670 AND OR REPORTING ONLY LOS GATOS, CA 95032 DIAGNOSTICS DIAGNOSTIC INTERPRETING 14860 ROSCOE BLVD STE 101, (866) 557-8670 AND OR REPORTING ONLY PANORAMA CITY, CA 91402 DIAGNOSTICS DIAGNOSTIC INTERPRETING 14915 BURBANK BLVD , SHERMAN (866) 557-8670 AND OR REPORTING ONLY OAKS, CA 91411 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1509 WEST CAMERON SUITE D, WEST (866) 557-8670 AND OR REPORTING ONLY COVINA, CA 91790

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 462 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 15107 VANOWEN ST , VAN NUYS, CA (866) 557-8670 AND OR REPORTING ONLY 914054542 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1516 COTNER AVENUE , WEST LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90025 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1524 MCHENRY AVE STE 100, (866) 557-8670 AND OR REPORTING ONLY MODESTO, CA 95350 DIAGNOSTICS DIAGNOSTIC INTERPRETING 15243 VANOWEN ST STE 106, VAN (866) 557-8670 AND OR REPORTING ONLY NUYS, CA 91405 DIAGNOSTICS DIAGNOSTIC INTERPRETING 15405 LOS GATOS BLVD STE 104, LOS (866) 557-8670 AND OR REPORTING ONLY GATOS, CA 95032 DIAGNOSTICS DIAGNOSTIC INTERPRETING 155 GLEN COVE MARINA RD #101, (866) 557-8670 AND OR REPORTING ONLY VALLEJO, CA 94591 DIAGNOSTICS DIAGNOSTIC INTERPRETING 155 N SAN VICENTE BLVD , BEVERLY (866) 557-8670 AND OR REPORTING ONLY HILLS, CA 90211 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1550 PEPPER DR STE G, EL CENTRO, (866) 557-8670 AND OR REPORTING ONLY CA 92243 DIAGNOSTICS DIAGNOSTIC INTERPRETING 15500 SAND CANYON AVE STE 120, (866) 557-8670 AND OR REPORTING ONLY IRVINE, CA 92618 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1555 N ORANGE GROVE AVE , (866) 557-8670 AND OR REPORTING ONLY POMONA, CA 91767 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1555 SPRINGFIELD DR , CHICO, CA (866) 557-8670 AND OR REPORTING ONLY 95928 DIAGNOSTICS DIAGNOSTIC INTERPRETING 15630 18TH AVE , CLEARLAKE, CA (866) 557-8670 AND OR REPORTING ONLY 95422 DIAGNOSTICS DIAGNOSTIC INTERPRETING 15651 IMPERIAL HWY STE 103, LA (866) 557-8670 AND OR REPORTING ONLY MIRADA, CA 90638 DIAGNOSTICS DIAGNOSTIC INTERPRETING 157 E COOLIDGE AVE , MODESTO, CA (866) 557-8670 AND OR REPORTING ONLY 95350 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1580 W EL CAMINO REAL STE 1, (866) 557-8670 AND OR REPORTING ONLY MOUNTAIN VIEW, CA 94040 DIAGNOSTICS DIAGNOSTIC INTERPRETING 15825 LAGUNA CANYON RD STE 101, (866) 557-8670 AND OR REPORTING ONLY IRVINE, CA 92618 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1605 AVOCADO AVE , NEWPORT (866) 557-8670 AND OR REPORTING ONLY BEACH, CA 92660 DIAGNOSTICS DIAGNOSTIC INTERPRETING 16130 JUAN HERNANDEZ DR SUITE 106, (866) 557-8670 AND OR REPORTING ONLY MORGAN HILL, CA 95037 DIAGNOSTICS DIAGNOSTIC INTERPRETING 16130 VENTURA BLVD STE 100, (866) 557-8670 AND OR REPORTING ONLY ENCINO, CA 91436 DIAGNOSTICS DIAGNOSTIC INTERPRETING 16161 GOTHARD ST STE C, (866) 557-8670 AND OR REPORTING ONLY HUNTINGTON BEACH, CA 92647 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1625 CREEKSIDE DR STE 101, FOLSOM, (866) 557-8670 AND OR REPORTING ONLY CA 95630 DIAGNOSTICS DIAGNOSTIC INTERPRETING 16300 SAND CANYON AVE STE 102, (866) 557-8670 AND OR REPORTING ONLY IRVINE, CA 92618 DIAGNOSTICS DIAGNOSTIC INTERPRETING 16300 SAND CANYON AVE STE 203, (866) 557-8670 AND OR REPORTING ONLY IRVINE, CA 92618 DIAGNOSTICS DIAGNOSTIC INTERPRETING 16311 VENTURA BLVD STE 120, (866) 557-8670 AND OR REPORTING ONLY ENCINO, CA 91436 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1635 CREEKSIDE DR STE 100, FOLSOM, (866) 557-8670 AND OR REPORTING ONLY CA 95630 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1661 SOQUEL DRIVE BLDG G, SANTA (866) 557-8670 AND OR REPORTING ONLY CRUZ, CA 95065 DIAGNOSTICS DIAGNOSTIC INTERPRETING 16661 VENTURA BLVD STE 100, (866) 557-8670 AND OR REPORTING ONLY ENCINO, CA 91436 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1685B COMMERCIAL WAY , SANTA (866) 557-8670 AND OR REPORTING ONLY CRUZ, CA 95065 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1687 ERRINGER RD STE 210, SIMI (866) 557-8670 AND OR REPORTING ONLY VALLEY, CA 93065 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1690 BARTON RD STE 108, REDLANDS, (866) 557-8670 AND OR REPORTING ONLY CA 92373 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1695 S SAN JACINTO AVE STE B, SAN (866) 557-8670 AND OR REPORTING ONLY JACINTO, CA 92583

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 463 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 1700 NORTH ROSE SUITE 110, (866) 557-8670 AND OR REPORTING ONLY OXNARD, CA 93030 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1700 S COURT ST STE A, VISALIA, CA (866) 557-8670 AND OR REPORTING ONLY 93277 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1700 W WEST COVINA PKWY , WEST (866) 557-8670 AND OR REPORTING ONLY COVINA, CA 91790 DIAGNOSTICS DIAGNOSTIC INTERPRETING 17150 EUCLID ST STE 101, FOUNTAIN (866) 557-8670 AND OR REPORTING ONLY VALLEY, CA 92708 DIAGNOSTICS DIAGNOSTIC INTERPRETING 17260 BEAR VALLEY RD STE 109, (866) 557-8670 AND OR REPORTING ONLY VICTORVILLE, CA 92395 DIAGNOSTICS DIAGNOSTIC INTERPRETING 175 E 9TH ST , CORONA, CA 92879 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 17530 VENTURA BLVD STE 105, (866) 557-8670 AND OR REPORTING ONLY ENCINO, CA 91316 DIAGNOSTICS DIAGNOSTIC INTERPRETING 17762 BEACH BLVD., #110 , (866) 557-8670 AND OR REPORTING ONLY HUNTINGTON BEACH, CA 92647 DIAGNOSTICS DIAGNOSTIC INTERPRETING 17822 BEACH BLVD STE 101, (866) 557-8670 AND OR REPORTING ONLY HUNTINGTON BEACH, CA 92647 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1801 E MARCH LN STE A130, (866) 557-8670 AND OR REPORTING ONLY STOCKTON, CA 95210 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1801 W ROMNEYA DR STE 104, (866) 557-8670 AND OR REPORTING ONLY ANAHEIM, CA 92801 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1809 VERDUGO BLVD STE 100, (866) 557-8670 AND OR REPORTING ONLY GLENDALE, CA 91208 DIAGNOSTICS DIAGNOSTIC INTERPRETING 18133 VENTURA BLVD SUITE 200, (866) 557-8670 AND OR REPORTING ONLY TARZANA, CA 91356 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1817 TRUXTUN AVE , BAKERSFIELD, CA (866) 557-8670 AND OR REPORTING ONLY 93301 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1818 16TH ST , BAKERSFIELD, CA 93301 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 1821 WEST OLIVE AVENUE , BURBANK, (866) 557-8670 AND OR REPORTING ONLY CA 91506 DIAGNOSTICS DIAGNOSTIC INTERPRETING 18250 ROSCOE BLVD STE 135, (866) 557-8670 AND OR REPORTING ONLY NORTHRIDGE, CA 91325 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1830 SIERRA GARDENS DR STE 30, (866) 557-8670 AND OR REPORTING ONLY ROSEVILLE, CA 95661 DIAGNOSTICS DIAGNOSTIC INTERPRETING 18388 CLARK ST STE 115, TARZANA, CA (866) 557-8670 AND OR REPORTING ONLY 91356 DIAGNOSTICS DIAGNOSTIC INTERPRETING 18436 ROSCOE BLVD , NORTHRIDGE, (866) 557-8670 AND OR REPORTING ONLY CA 91325 DIAGNOSTICS DIAGNOSTIC INTERPRETING 18495 CORWIN RD , APPLE VALLEY, CA (866) 557-8670 AND OR REPORTING ONLY 92307 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1850 N RIVERSIDE AVE STE 160, (866) 557-8670 AND OR REPORTING ONLY RIALTO, CA 92376 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1850 S WATERMAN AVE STE F, SAN (866) 557-8670 AND OR REPORTING ONLY BERNARDINO, CA 92408 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1851 HOLSER WALK STE 220, OXNARD, (866) 557-8670 AND OR REPORTING ONLY CA 93036 DIAGNOSTICS DIAGNOSTIC INTERPRETING 18523 CORWIN RD STE J, APPLE (866) 557-8670 AND OR REPORTING ONLY VALLEY, CA 92307 DIAGNOSTICS DIAGNOSTIC INTERPRETING 18560 VIA PRINCESSA STE 120, SANTA (866) 557-8670 AND OR REPORTING ONLY CLARITA, CA 91387 DIAGNOSTICS DIAGNOSTIC INTERPRETING 18785 BROOKHURST STREET # 102 , (866) 557-8670 AND OR REPORTING ONLY FOUNTAIN VALLEY, CA 92708 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1895 MOWRY AVENUE SUITE 118B, (866) 557-8670 AND OR REPORTING ONLY FREMONT, CA 94538 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1901 N RICE AVE STE 145, 155, (866) 557-8670 AND OR REPORTING ONLY OXNARD, CA 93030 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1901 OUTLET CENTER DR STE 120, (866) 557-8670 AND OR REPORTING ONLY OXNARD, CA 93036 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1901 W LUGONIA AVE STE 110, (866) 557-8670 AND OR REPORTING ONLY REDLANDS, CA 92374

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 464 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 1918 W BEVERLY BLVD , MONTEBELLO, (866) 557-8670 AND OR REPORTING ONLY CA 90640 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1955 CITRACADO PKWY STE 100, (866) 557-8670 AND OR REPORTING ONLY ESCONDIDO, CA 92029 DIAGNOSTICS DIAGNOSTIC INTERPRETING 1955 SUNNY CREST DR STE 110, (866) 557-8670 AND OR REPORTING ONLY FULLERTON, CA 92835 DIAGNOSTICS DIAGNOSTIC INTERPRETING 19871 NORDHOFF ST , LOS ANGELES, (866) 557-8670 AND OR REPORTING ONLY CA 91324 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2 DOLE DR , WESTLAKE VILLAGE, CA (866) 557-8670 AND OR REPORTING ONLY 91362 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2001 SOLAR DR STE 135, OXNARD, CA (866) 557-8670 AND OR REPORTING ONLY 93036 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2020 COURT STREET , REDDING, CA (866) 557-8670 AND OR REPORTING ONLY 96001 DIAGNOSTICS DIAGNOSTIC INTERPRETING 20251 VENTURA BLVD STE D, (866) 557-8670 AND OR REPORTING ONLY WOODLAND HILLS, CA 91364 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2080 CENTURY PARK E STE 104, LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90067 DIAGNOSTICS DIAGNOSTIC INTERPRETING 21030 REDWOOD RD STE B, CASTRO (866) 557-8670 AND OR REPORTING ONLY VALLEY, CA 94546 DIAGNOSTICS DIAGNOSTIC INTERPRETING 211 N PRAIRIE AVE STE E, (866) 557-8670 AND OR REPORTING ONLY INGLEWOOD, CA 90301 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2110 PROFESSIONAL DR STE 190, (866) 557-8670 AND OR REPORTING ONLY ROSEVILLE, CA 95661 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2149 APPIAN WAY , PINOLE, CA 94564 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 2151 E GONZALES RD STE 101, (866) 557-8670 AND OR REPORTING ONLY OXNARD, CA 93030 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2180 W GRANT LINE RD STE 100, (866) 557-8670 AND OR REPORTING ONLY TRACY, CA 95377 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2201 WALNUT AVE STE 150, FREMONT, (866) 557-8670 AND OR REPORTING ONLY CA 94538 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2202 WILSHIRE BLVD , SANTA MONICA, (866) 557-8670 AND OR REPORTING ONLY CA 90403 DIAGNOSTICS DIAGNOSTIC INTERPRETING 222 EAST MAIN ST STE 214, BARSTOW, (866) 557-8670 AND OR REPORTING ONLY CA 92311 DIAGNOSTICS DIAGNOSTIC INTERPRETING 222 W EULALIA ST , GLENDALE, CA (866) 557-8670 AND OR REPORTING ONLY 91204 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2242 CAMINO RAMON STE 100, SAN (866) 557-8670 AND OR REPORTING ONLY RAMON, CA 94583 DIAGNOSTICS DIAGNOSTIC INTERPRETING 225 W HOSPITALITY LN STE 100 & 102, (866) 557-8670 AND OR REPORTING ONLY SAN BERNARDINO, CA 92408 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2250 S MAIN ST STE 103, CORONA, CA (866) 557-8670 AND OR REPORTING ONLY 92882 DIAGNOSTICS DIAGNOSTIC INTERPRETING 230 S MAIN ST STE 100, ORANGE, CA (866) 557-8670 AND OR REPORTING ONLY 92868 DIAGNOSTICS DIAGNOSTIC INTERPRETING 230 S MAIN ST STE 101, ORANGE, CA (866) 557-8670 AND OR REPORTING ONLY 92868 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2300 CLAYTON RD STE 160, CONCORD, (866) 557-8670 AND OR REPORTING ONLY CA 94520 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2301 BAHAMAS DR , BAKERSFIELD, CA (866) 557-8670 AND OR REPORTING ONLY 93309 DIAGNOSTICS DIAGNOSTIC INTERPRETING 231 W FIR AVE , CLOVIS, CA 93611 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 23101 SHERMAN PL STE 210, WEST (866) 557-8670 AND OR REPORTING ONLY HILLS, CA 91307 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2320 BATH ST STE 113, SANTA (866) 557-8670 AND OR REPORTING ONLY BARBARA, CA 93105 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2320 N CALIFORNIA ST , STOCKTON, CA (866) 557-8670 AND OR REPORTING ONLY 95204 DIAGNOSTICS DIAGNOSTIC INTERPRETING 23441 MADISON ST BLDG 8, (866) 557-8670 AND OR REPORTING ONLY TORRANCE, CA 90505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 465 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 23521 PASEO DE VALENCIA STE 113, (866) 557-8670 AND OR REPORTING ONLY LAGUNA HILLS, CA 92653 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2365 QUIMBY RD STE 100, SAN JOSE, (866) 557-8670 AND OR REPORTING ONLY CA 95122 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2380 BECHELLI LN , REDDING, CA 96002 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 2385 MONTPELIER DR , SAN JOSE, CA (866) 557-8670 AND OR REPORTING ONLY 95116 DIAGNOSTICS DIAGNOSTIC INTERPRETING 23929 MCBEAN PKWY STE 109, (866) 557-8670 AND OR REPORTING ONLY VALENCIA, CA 91355 DIAGNOSTICS DIAGNOSTIC INTERPRETING 23961 CALLE DE LE MAGDALENA # 243 (866) 557-8670 AND OR REPORTING ONLY , LAGUNA HILLS, CA 92653 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2400 BAHAMAS DR , BAKERSFIELD, CA (866) 557-8670 AND OR REPORTING ONLY 93309 DIAGNOSTICS DIAGNOSTIC INTERPRETING 24036 LYONS AVE , SANTA CLARITA, CA (866) 557-8670 AND OR REPORTING ONLY 91321 DIAGNOSTICS DIAGNOSTIC INTERPRETING 24051 NEWHALL RANCH RD , (866) 557-8670 AND OR REPORTING ONLY VALENCIA, CA 913555707 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2414 S FAIRVIEW ST SUITE 202B, (866) 557-8670 AND OR REPORTING ONLY SANTA ANA, CA 92704 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2428 SANTA MONICA BLVD , SANTA (866) 557-8670 AND OR REPORTING ONLY MONICA, CA 90404 DIAGNOSTICS DIAGNOSTIC INTERPRETING 24301 PASEO DE VALENCIA STE 100, (866) 557-8670 AND OR REPORTING ONLY LAGUNA WOODS, CA 92637 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2450 WASHINGTON AVE STE 120, SAN (866) 557-8670 AND OR REPORTING ONLY LEANDRO, CA 94577 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2500 MOWRY AVE STE 170, FREMONT, (866) 557-8670 AND OR REPORTING ONLY CA 94538 DIAGNOSTICS DIAGNOSTIC INTERPRETING 25001 INDUSTRIAL BLVD STE A, (866) 557-8670 AND OR REPORTING ONLY HAYWARD, CA 94545 DIAGNOSTICS DIAGNOSTIC INTERPRETING 25395 HANCOCK AVE STE 110, (866) 557-8670 AND OR REPORTING ONLY MURRIETA, CA 92562 DIAGNOSTICS DIAGNOSTIC INTERPRETING 25455 MEDICAL CENTER DRIVE SUITE (866) 557-8670 AND OR REPORTING ONLY 210, MURRIETA, CA 92562 DIAGNOSTICS DIAGNOSTIC INTERPRETING 25470 MEDICAL CENTER DR STE 101, (866) 557-8670 AND OR REPORTING ONLY MURRIETA, CA 92562 DIAGNOSTICS DIAGNOSTIC INTERPRETING 255 N ELM ST STE 102, ESCONDIDO, CA (866) 557-8670 AND OR REPORTING ONLY 92025 DIAGNOSTICS DIAGNOSTIC INTERPRETING 25500 RANCHO NIGUEL RD , LAGUNA (866) 557-8670 AND OR REPORTING ONLY NIGUEL, CA 92677 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2581 SAMARITAN DR STE 100, SAN (866) 557-8670 AND OR REPORTING ONLY JOSE, CA 95124 DIAGNOSTICS DIAGNOSTIC INTERPRETING 25842 TOURNAMENT RD , VALENCIA, (866) 557-8670 AND OR REPORTING ONLY CA 91355 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2601 TAHQUITZ CANYON WAY , PALM (866) 557-8670 AND OR REPORTING ONLY SPRINGS, CA 92262 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2601 W ALAMEDA AVE STE 101, (866) 557-8670 AND OR REPORTING ONLY BURBANK, CA 91505 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2615 CHESTER AVE , BAKERSFIELD, CA (866) 557-8670 AND OR REPORTING ONLY 93301 DIAGNOSTICS DIAGNOSTIC INTERPRETING 26161 MARGUERITE PKWY STE A, (866) 557-8670 AND OR REPORTING ONLY MISSION VIEJO, CA 92692 DIAGNOSTICS DIAGNOSTIC INTERPRETING 262 POSADA LN STE C, TEMPLETON, (866) 557-8670 AND OR REPORTING ONLY CA 93465 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2620 S BRISTOL ST , SANTA ANA, CA (866) 557-8670 AND OR REPORTING ONLY 92704 DIAGNOSTICS DIAGNOSTIC INTERPRETING 26542 CARMEL RANCHO BLVD , (866) 557-8670 AND OR REPORTING ONLY CARMEL, CA 93923 DIAGNOSTICS DIAGNOSTIC INTERPRETING 266 S HARVARD BLVD STE 180, LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90004 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2679 ZOE AVE , HUNTINGTON PARK, CA (866) 557-8670 AND OR REPORTING ONLY 90255

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 466 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 2680 SATURN AVE STE 100, (866) 557-8670 AND OR REPORTING ONLY HUNTINGTON PARK, CA 90255 DIAGNOSTICS DIAGNOSTIC INTERPRETING 26870 CHERRY HILLS BLVD , SUN CITY, (866) 557-8670 AND OR REPORTING ONLY CA 92586 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2690 PACIFIC AVE STE 200, LONG (866) 557-8670 AND OR REPORTING ONLY BEACH, CA 90806 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2700 DOLBEER STREET , EUREKA, CA (866) 557-8670 AND OR REPORTING ONLY 95501 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2705 LOMA VISTA RD , VENTURA, CA (866) 557-8670 AND OR REPORTING ONLY 93003 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2708 E WILLOW ST , SIGNAL HILL, CA (866) 557-8670 AND OR REPORTING ONLY 90755 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2710 E WILLOW ST , SIGNAL HILL, CA (866) 557-8670 AND OR REPORTING ONLY 90755 DIAGNOSTICS DIAGNOSTIC INTERPRETING 27168 NEWPORT RD STE B, MENIFEE, (866) 557-8670 AND OR REPORTING ONLY CA 92584 DIAGNOSTICS DIAGNOSTIC INTERPRETING 27401 LOS ALTOS STE 150, MISSION (866) 557-8670 AND OR REPORTING ONLY VIEJO, CA 92691 DIAGNOSTICS DIAGNOSTIC INTERPRETING 275 N EL CIELO RD STE D418, PALM (866) 557-8670 AND OR REPORTING ONLY SPRINGS, CA 92262 DIAGNOSTICS DIAGNOSTIC INTERPRETING 27725 SANTA MARGARITA PKWY STE (866) 557-8670 AND OR REPORTING ONLY 101, MISSION VIEJO, CA 92691 DIAGNOSTICS DIAGNOSTIC INTERPRETING 27882 FORBES RD STE 120, LAGUNA (866) 557-8670 AND OR REPORTING ONLY NIGUEL, CA 92677 DIAGNOSTICS DIAGNOSTIC INTERPRETING 285 SOUTH DR STE 5, MOUNTAIN VIEW, (866) 557-8670 AND OR REPORTING ONLY CA 94040 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2855 TELEGRAPH AVE STE 100, (866) 557-8670 AND OR REPORTING ONLY BERKELEY, CA 94705 DIAGNOSTICS DIAGNOSTIC INTERPRETING 28780 SINGLE OAK DR STE 155, (866) 557-8670 AND OR REPORTING ONLY TEMECULA, CA 92590 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2970 HILLTOP MALL RD STE 103, (866) 557-8670 AND OR REPORTING ONLY RICHMOND, CA 94806 DIAGNOSTICS DIAGNOSTIC INTERPRETING 29798 HAUN RD STE 103, SUN CITY, CA (866) 557-8670 AND OR REPORTING ONLY 92586 DIAGNOSTICS DIAGNOSTIC INTERPRETING 2990 LAVA RIDGE CT STE 100, (866) 557-8670 AND OR REPORTING ONLY ROSEVILLE, CA 95661 DIAGNOSTICS DIAGNOSTIC INTERPRETING 300 LOMBARD ST , THOUSAND OAKS, (866) 557-8670 AND OR REPORTING ONLY CA 91360 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3000 OAK RD STE 111, WALNUT CREEK, (866) 557-8670 AND OR REPORTING ONLY CA 94597 DIAGNOSTICS DIAGNOSTIC INTERPRETING 301 W BASTANCHURY RD STE 130, (866) 557-8670 AND OR REPORTING ONLY FULLERTON, CA 92835 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3055 WILSHIRE BLVD STE 150, LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90010 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3115 E GUASTI RD , ONTARIO, CA 91761 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 3144 EL CAMINO REAL STE 107, (866) 557-8670 AND OR REPORTING ONLY CARLSBAD, CA 92008 DIAGNOSTICS DIAGNOSTIC INTERPRETING 31565 RANCHO PUEBLO RD STE 101, (866) 557-8670 AND OR REPORTING ONLY TEMECULA, CA 92592 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3195 FOLSOM BLVD , SACRAMENTO, (866) 557-8670 AND OR REPORTING ONLY CA 95816 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3200 TELEGRAPH AVE , OAKLAND, CA (866) 557-8670 AND OR REPORTING ONLY 94609 DIAGNOSTICS DIAGNOSTIC INTERPRETING 325 SACRAMENTO ST , SAN (866) 557-8670 AND OR REPORTING ONLY FRANCISCO, CA 94111 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3301 C ST STE 500, SACRAMENTO, CA (866) 557-8670 AND OR REPORTING ONLY 95816 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3320 N LOS COYOTES DIAGONAL STE (866) 557-8670 AND OR REPORTING ONLY 120, 112 & 260, LONG BEACH, CA 90808 DIAGNOSTICS DIAGNOSTIC INTERPRETING 333 E MAGNOLIA BLVD STE 104, (866) 557-8670 AND OR REPORTING ONLY BURBANK, CA 91502

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 467 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 336 OXFORD STREET SUITE 103, (866) 557-8670 AND OR REPORTING ONLY CHULA VISTA, CA 91911 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3365 G ST STE 100, MERCED, CA 95340 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 3440 CALIFORNIA ST , SAN FRANCISCO, (866) 557-8670 AND OR REPORTING ONLY CA 94118 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3440 LOMITA BLVD STE 151, (866) 557-8670 AND OR REPORTING ONLY TORRANCE, CA 90505 DIAGNOSTICS DIAGNOSTIC INTERPRETING 345 CONVENTION WAY STE D-1, (866) 557-8670 AND OR REPORTING ONLY REDWOOD CITY, CA 940631444 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3450 HILLCREST AVE , ANTIOCH, CA (866) 557-8670 AND OR REPORTING ONLY 94509 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3513 WHITTIER BLVD , LOS ANGELES, (866) 557-8670 AND OR REPORTING ONLY CA 90023 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3531 FASHION WAY , TORRANCE, CA (866) 557-8670 AND OR REPORTING ONLY 90503 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3536 MENDOCINO AVE STE 280, SANTA (866) 557-8670 AND OR REPORTING ONLY ROSA, CA 95403 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3545 WILSHIRE BLVD STE 102, LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90010 DIAGNOSTICS DIAGNOSTIC INTERPRETING 35800 BOB HOPE DR STE 150A, (866) 557-8670 AND OR REPORTING ONLY RANCHO MIRAGE, CA 92270 DIAGNOSTICS DIAGNOSTIC INTERPRETING 35800 BOB HOPE DR STE 150B, (866) 557-8670 AND OR REPORTING ONLY RANCHO MIRAGE, CA 92270 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3605 ALAMO STREET #200, SIMI (866) 557-8670 AND OR REPORTING ONLY VALLEY, CA 93063 DIAGNOSTICS DIAGNOSTIC INTERPRETING 36320 INLAND VALLEY DR STE 303, (866) 557-8670 AND OR REPORTING ONLY WILDOMAR, CA 92595 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3640 LOMITA BLVD STE 105, (866) 557-8670 AND OR REPORTING ONLY TORRANCE, CA 90505 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3655 ALAMO ST STE 101, SIMI VALLEY, (866) 557-8670 AND OR REPORTING ONLY CA 93063 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3731 S PLAZA DR , SANTA ANA, CA (866) 557-8670 AND OR REPORTING ONLY 92704 DIAGNOSTICS DIAGNOSTIC INTERPRETING 375 ROLLING OAKS DR STE 130, (866) 557-8670 AND OR REPORTING ONLY THOUSAND OAKS, CA 91361 DIAGNOSTICS DIAGNOSTIC INTERPRETING 375 W CENTRAL AVE STE A, BREA, CA (866) 557-8670 AND OR REPORTING ONLY 92821 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3801 LAS POSAS RD STE 111, (866) 557-8670 AND OR REPORTING ONLY CAMARILLO, CA 93010 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3808 W RIVERSIDE DR STE 120, (866) 557-8670 AND OR REPORTING ONLY BURBANK, CA 915054050 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3828 SCHAUFELE AVENUE , LONG (866) 557-8670 AND OR REPORTING ONLY BEACH, CA 90808 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3838 SAN DIMAS ST A 120, (866) 557-8670 AND OR REPORTING ONLY BAKERSFIELD, CA 93301 DIAGNOSTICS DIAGNOSTIC INTERPRETING 38925 TRADE CENTER DR UNIT E, (866) 557-8670 AND OR REPORTING ONLY PALMDALE, CA 93551 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3900 SHERMAN DR STE 100, (866) 557-8670 AND OR REPORTING ONLY RIVERSIDE, CA 92503 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3900 SHERMAN DR STE 110, (866) 557-8670 AND OR REPORTING ONLY RIVERSIDE, CA 92503 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3902 EL CAJON BLVD STE A, SAN (866) 557-8670 AND OR REPORTING ONLY DIEGO, CA 92105 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3905 WARING RD , OCEANSIDE, CA (866) 557-8670 AND OR REPORTING ONLY 92056 DIAGNOSTICS DIAGNOSTIC INTERPRETING 3909 WARING RD STE C, OCEANSIDE, (866) 557-8670 AND OR REPORTING ONLY CA 920564455 DIAGNOSTICS DIAGNOSTIC INTERPRETING 39465 PASEO PADRE PKWY STE 1000, (866) 557-8670 AND OR REPORTING ONLY FREMONT, CA 94538 DIAGNOSTICS DIAGNOSTIC INTERPRETING 399 E 21ST ST , SAN BERNARDINO, CA (866) 557-8670 AND OR REPORTING ONLY 92404

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 468 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 400 N MOUNTAIN AVE STE 310, (866) 557-8670 AND OR REPORTING ONLY UPLAND, CA 91786 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4000 EMPIRE DR STE 100, (866) 557-8670 AND OR REPORTING ONLY BAKERSFIELD, CA 93309 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4050 BARRANCA PKWY , IRVINE, CA (866) 557-8670 AND OR REPORTING ONLY 92604 DIAGNOSTICS DIAGNOSTIC INTERPRETING 40700 CALIFORNIA OAKS RD STE 103, (866) 557-8670 AND OR REPORTING ONLY MURRIETA, CA 92562 DIAGNOSTICS DIAGNOSTIC INTERPRETING 408 S BEACH BLVD STE 106, ANAHEIM, (866) 557-8670 AND OR REPORTING ONLY CA 92804 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4144 REDWOOD HWY STE B, SAN (866) 557-8670 AND OR REPORTING ONLY RAFAEL, CA 949032646 DIAGNOSTICS DIAGNOSTIC INTERPRETING 415 ROLLING OAKS DRIVE SUITE 125 & (866) 557-8670 AND OR REPORTING ONLY 160 & 230, THOUSAND OAKS, CA 91361 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4165 THOUSAND OAKS BOULEVARD (866) 557-8670 AND OR REPORTING ONLY SUITE 150, WESTLAKE VILLAGE, CA 91362 DIAGNOSTICS DIAGNOSTIC INTERPRETING 421 NUT TREE RD , VACAVILLE, CA (866) 557-8670 AND OR REPORTING ONLY 95687 DIAGNOSTICS DIAGNOSTIC INTERPRETING 425 DIAMOND DR STE 103, LAKE (866) 557-8670 AND OR REPORTING ONLY ELSINORE, CA 92530 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4316 EAST SLAUSON AVENUE , (866) 557-8670 AND OR REPORTING ONLY MAYWOOD, CA 90270 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4334 CENTRAL AVE , RIVERSIDE, CA (866) 557-8670 AND OR REPORTING ONLY 92506 DIAGNOSTICS DIAGNOSTIC INTERPRETING 43731 15TH ST W STE D, LANCASTER, (866) 557-8670 AND OR REPORTING ONLY CA 93534 DIAGNOSTICS DIAGNOSTIC INTERPRETING 44105 15TH WEST STE 100, (866) 557-8670 AND OR REPORTING ONLY LANCASTER, CA 93534 DIAGNOSTICS DIAGNOSTIC INTERPRETING 44274 GEORGE CUSHMAN CT STE 108, (866) 557-8670 AND OR REPORTING ONLY TEMECULA, CA 92590 DIAGNOSTICS DIAGNOSTIC INTERPRETING 444 EAST ROMIE LANE , SALINAS, CA (866) 557-8670 AND OR REPORTING ONLY 93901 DIAGNOSTICS DIAGNOSTIC INTERPRETING 44725 10TH ST WEST SUITE 140, (866) 557-8670 AND OR REPORTING ONLY LANCASTER, CA 93534 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4500 MORNING DR STE 202, (866) 557-8670 AND OR REPORTING ONLY BAKERSFIELD, CA 93306 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4516 MARKET STREET #1A, VENTURA, (866) 557-8670 AND OR REPORTING ONLY CA 93003 DIAGNOSTICS DIAGNOSTIC INTERPRETING 455 HICKEY BLVD STE 200, DALY CITY, (866) 557-8670 AND OR REPORTING ONLY CA 94015 DIAGNOSTICS DIAGNOSTIC INTERPRETING 457 GREENFIELD AVE STE 150, (866) 557-8670 AND OR REPORTING ONLY HANFORD, CA 93230 DIAGNOSTICS DIAGNOSTIC INTERPRETING 4640 ADMIRALTY WAY STE 102, MARINA (866) 557-8670 AND OR REPORTING ONLY DEL REY, CA 90292 DIAGNOSTICS DIAGNOSTIC INTERPRETING 465 N ROXBURY DR STE 101, BEVERLY (866) 557-8670 AND OR REPORTING ONLY HILLS, CA 902102713 DIAGNOSTICS DIAGNOSTIC INTERPRETING 500 S VIRGIL AVE SUITES 102 & 103, (866) 557-8670 AND OR REPORTING ONLY LOS ANGELES, CA 90020 DIAGNOSTICS DIAGNOSTIC INTERPRETING 500 UNIVERSITY AVE , SACRAMENTO, (866) 557-8670 AND OR REPORTING ONLY CA 958256504 DIAGNOSTICS DIAGNOSTIC INTERPRETING 506 W VALLEY BLVD STE 200, SAN (866) 557-8670 AND OR REPORTING ONLY GABRIEL, CA 91776 DIAGNOSTICS DIAGNOSTIC INTERPRETING 510 N PROSPECT AVE STE 101, (866) 557-8670 AND OR REPORTING ONLY REDONDO BEACH, CA 90277 DIAGNOSTICS DIAGNOSTIC INTERPRETING 520 SOUTH VIRGIL AVENUE SUITE 104, (866) 557-8670 AND OR REPORTING ONLY LOS ANGELES, CA 90020 DIAGNOSTICS DIAGNOSTIC INTERPRETING 521 E ELDER ST STE 101, FALLBROOK, (866) 557-8670 AND OR REPORTING ONLY CA 92028 DIAGNOSTICS DIAGNOSTIC INTERPRETING 522 EAST PLAZA DRIVE , SANTA MARIA, (866) 557-8670 AND OR REPORTING ONLY CA 93454 DIAGNOSTICS DIAGNOSTIC INTERPRETING 5363 BALBOA BLVD SUITE 100, ENCINO, (866) 557-8670 AND OR REPORTING ONLY CA 91316

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 469 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 54 N BASCOM AVE , SAN JOSE, CA (866) 557-8670 AND OR REPORTING ONLY 95128 DIAGNOSTICS DIAGNOSTIC INTERPRETING 5525 ETIWANDA STREET SUITE 311, (866) 557-8670 AND OR REPORTING ONLY LOS ANGELES, CA 91356 DIAGNOSTICS DIAGNOSTIC INTERPRETING 555 KNOWLES DR STE 116, LOS (866) 557-8670 AND OR REPORTING ONLY GATOS, CA 95032 DIAGNOSTICS DIAGNOSTIC INTERPRETING 559 ABBOTT ST , SALINAS, CA 93901 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 5620 WILBUR AVE STE 330, TARZANA, (866) 557-8670 AND OR REPORTING ONLY CA 91356 DIAGNOSTICS DIAGNOSTIC INTERPRETING 5630 E SANTA ANA CANYON RD STE (866) 557-8670 AND OR REPORTING ONLY 150, ANAHEIM, CA 92807 DIAGNOSTICS DIAGNOSTIC INTERPRETING 5707 N WEST AVE , FRESNO, CA 93711 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 5757 WILSHIRE BLVD SUITE 100, LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90036 DIAGNOSTICS DIAGNOSTIC INTERPRETING 57840 29 PALMS HWY , YUCCA VALLEY, (866) 557-8670 AND OR REPORTING ONLY CA 92284 DIAGNOSTICS DIAGNOSTIC INTERPRETING 5860 OWENS DR STE 150, (866) 557-8670 AND OR REPORTING ONLY PLEASANTON, CA 94588 DIAGNOSTICS DIAGNOSTIC INTERPRETING 5924 STONERIDGE DR STE 105 & 106, (866) 557-8670 AND OR REPORTING ONLY PLEASANTON, CA 94588 DIAGNOSTICS DIAGNOSTIC INTERPRETING 600 N TUSTIN AVE STE 100, SANTA (866) 557-8670 AND OR REPORTING ONLY ANA, CA 92705 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6001 NORRIS CANYON ROAD , SAN (866) 557-8670 AND OR REPORTING ONLY RAMON, CA 94583 DIAGNOSTICS DIAGNOSTIC INTERPRETING 607 W AVENUE Q , PALMDALE, CA (866) 557-8670 AND OR REPORTING ONLY 93551 DIAGNOSTICS DIAGNOSTIC INTERPRETING 612 W DUARTE RD STE 101, ARCADIA, (866) 557-8670 AND OR REPORTING ONLY CA 91007 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6121 HOLLIS ST STE 1, EMERYVILLE, (866) 557-8670 AND OR REPORTING ONLY CA 94608 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6121 PASEO DEL NORTE STE 105, (866) 557-8670 AND OR REPORTING ONLY CARLSBAD, CA 92011 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6131 ORANGETHORPE AVE STE 130, (866) 557-8670 AND OR REPORTING ONLY BUENA PARK, CA 90620 DIAGNOSTICS DIAGNOSTIC INTERPRETING 616 E ALVARADO ST STE D, (866) 557-8670 AND OR REPORTING ONLY FALLBROOK, CA 92028 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6185 PASEO DEL NORTE STE 110, (866) 557-8670 AND OR REPORTING ONLY CARLSBAD, CA 92011 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6191 N THESTA ST , FRESNO, CA 93710 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 6226 E SPRING ST STE 270, LONG (866) 557-8670 AND OR REPORTING ONLY BEACH, CA 90815 DIAGNOSTICS DIAGNOSTIC INTERPRETING 624 S CENTRAL AVE , GLENDALE, CA (866) 557-8670 AND OR REPORTING ONLY 91204 DIAGNOSTICS DIAGNOSTIC INTERPRETING 626 BRUNKEN AVE , SALINAS, CA 93901 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 6276 RIVER CREST DR STE A, (866) 557-8670 AND OR REPORTING ONLY RIVERSIDE, CA 92507 DIAGNOSTICS DIAGNOSTIC INTERPRETING 630 SOUTH RAYMOND AVENUE SUITE (866) 557-8670 AND OR REPORTING ONLY 210, PASADENA, CA 91105 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6305 COYLE AVE , CARMICHAEL, CA (866) 557-8670 AND OR REPORTING ONLY 95608 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6310 SAN VICENTE BLVD SUITE 102, (866) 557-8670 AND OR REPORTING ONLY LOS ANGELES, CA 90048 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6325 TOPANGA CANYON BLVD STE 1, (866) 557-8670 AND OR REPORTING ONLY WOODLAND HILLS, CA 91367 DIAGNOSTICS DIAGNOSTIC INTERPRETING 638 W DUARTE RD STE 2, ARCADIA, CA (866) 557-8670 AND OR REPORTING ONLY 91007 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6485 DAY ST STE 101, RIVERSIDE, CA (866) 557-8670 AND OR REPORTING ONLY 92507

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 470 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 65 NORTH MADISON AVENUE LOWER (866) 557-8670 AND OR REPORTING ONLY LEVEL, PASADENA, CA 91101 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6501 TRUXTUN AVE , BAKERSFIELD, CA (866) 557-8670 AND OR REPORTING ONLY 93309 DIAGNOSTICS DIAGNOSTIC INTERPRETING 665 MUNRAS AVE STE 109, MONTEREY, (866) 557-8670 AND OR REPORTING ONLY CA 93940 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6660 COYLE AVE STE 200, (866) 557-8670 AND OR REPORTING ONLY CARMICHAEL, CA 95608 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6660 COYLE AVENUE SUITE 360, (866) 557-8670 AND OR REPORTING ONLY CARMICHAEL, CA 95608 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6710 KESTER AVE STE 126, VAN NUYS, (866) 557-8670 AND OR REPORTING ONLY CA 91405 DIAGNOSTICS DIAGNOSTIC INTERPRETING 675 CAMINO DE LOS MARES # 101 , SAN (866) 557-8670 AND OR REPORTING ONLY CLEMENTE, CA 92673 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6801 PARK TER STE 100, LOS (866) 557-8670 AND OR REPORTING ONLY ANGELES, CA 90045 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6815 NOBLE AVE STE 100, VAN NUYS, (866) 557-8670 AND OR REPORTING ONLY CA 91405 DIAGNOSTICS DIAGNOSTIC INTERPRETING 6941 BROCKTON AVE , RIVERSIDE, CA (866) 557-8670 AND OR REPORTING ONLY 92506 DIAGNOSTICS DIAGNOSTIC INTERPRETING 700 NORTH CENTRAL AVENUE #100, (866) 557-8670 AND OR REPORTING ONLY GLENDALE, CA 91203 DIAGNOSTICS DIAGNOSTIC INTERPRETING 701 E 28TH ST STE 318, LONG BEACH, (866) 557-8670 AND OR REPORTING ONLY CA 90806 DIAGNOSTICS DIAGNOSTIC INTERPRETING 7051 ALVARADO RD STE 101, LA MESA, (866) 557-8670 AND OR REPORTING ONLY CA 91942 DIAGNOSTICS DIAGNOSTIC INTERPRETING 710 N EUCLID ST STE 102, ANAHEIM, CA (866) 557-8670 AND OR REPORTING ONLY 92801 DIAGNOSTICS DIAGNOSTIC INTERPRETING 72605 HIGHWAY 111 A-1, PALM (866) 557-8670 AND OR REPORTING ONLY DESERT, CA 92260 DIAGNOSTICS DIAGNOSTIC INTERPRETING 72855 FRED WARING DR STE C10, (866) 557-8670 AND OR REPORTING ONLY PALM DESERT, CA 92260 DIAGNOSTICS DIAGNOSTIC INTERPRETING 72980 FRED WARING DR STE A, PALM (866) 557-8670 AND OR REPORTING ONLY DESERT, CA 92260 DIAGNOSTICS DIAGNOSTIC INTERPRETING 7345 MEDICAL CENTER DR STE 130, (866) 557-8670 AND OR REPORTING ONLY WEST HILLS, CA 91307 DIAGNOSTICS DIAGNOSTIC INTERPRETING 74000 COUNTRY CLUB DR STE E1, (866) 557-8670 AND OR REPORTING ONLY PALM DESERT, CA 92260 DIAGNOSTICS DIAGNOSTIC INTERPRETING 747 E UNION ST , PASADENA, CA 91101 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 74-785 HWY 111 SUITE 101, INDIAN (866) 557-8670 AND OR REPORTING ONLY WELLS, CA 92210 DIAGNOSTICS DIAGNOSTIC INTERPRETING 74785 US HIGHWAY 111 STE 101, (866) 557-8670 AND OR REPORTING ONLY INDIAN WELLS, CA 92210 DIAGNOSTICS DIAGNOSTIC INTERPRETING 7485 MISSION VALLEY RD STE 101, SAN (866) 557-8670 AND OR REPORTING ONLY DIEGO, CA 92108 DIAGNOSTICS DIAGNOSTIC INTERPRETING 7625 MESA COLLEGE DR STE 110A, (866) 557-8670 AND OR REPORTING ONLY SAN DIEGO, CA 92111 DIAGNOSTICS DIAGNOSTIC INTERPRETING 77 CASA ST STE 102, SAN LUIS OBISPO, (866) 557-8670 AND OR REPORTING ONLY CA 93405 DIAGNOSTICS DIAGNOSTIC INTERPRETING 7711 AMIGOS AVENUE UNIT C, (866) 557-8670 AND OR REPORTING ONLY DOWNEY, CA 90241 DIAGNOSTICS DIAGNOSTIC INTERPRETING 7774 CHERRY AVE , FONTANA, CA (866) 557-8670 AND OR REPORTING ONLY 92336 DIAGNOSTICS DIAGNOSTIC INTERPRETING 7777 MILLIKEN AVE , RANCHO (866) 557-8670 AND OR REPORTING ONLY CUCAMONGA, CA 91730 DIAGNOSTICS DIAGNOSTIC INTERPRETING 79 SCRIPPS DR STE 100, (866) 557-8670 AND OR REPORTING ONLY SACRAMENTO, CA 95825 DIAGNOSTICS DIAGNOSTIC INTERPRETING 7911 LAGUNA BLVD , ELK GROVE, CA (866) 557-8670 AND OR REPORTING ONLY 95758 DIAGNOSTICS DIAGNOSTIC INTERPRETING 79440 CORPORATE CENTER DR STE (866) 557-8670 AND OR REPORTING ONLY 118, LA QUINTA, CA 92253

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 471 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 800 E HIGHLAND AVE , SAN (866) 557-8670 AND OR REPORTING ONLY BERNARDINO, CA 92404 DIAGNOSTICS DIAGNOSTIC INTERPRETING 800 HOWE AVE STE 250, SACRAMENTO, (866) 557-8670 AND OR REPORTING ONLY CA 95825 DIAGNOSTICS DIAGNOSTIC INTERPRETING 801 S CHEVY CHASE DR STE 60, (866) 557-8670 AND OR REPORTING ONLY GLENDALE, CA 91205 DIAGNOSTICS DIAGNOSTIC INTERPRETING 801 S HAM LN , LODI, CA 95242 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 801 S MAIN ST STE 101, CORONA, CA (866) 557-8670 AND OR REPORTING ONLY 92882 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8135 SOUTH PAINTER AVE STE 101, (866) 557-8670 AND OR REPORTING ONLY WHITTIER, CA 90602 DIAGNOSTICS DIAGNOSTIC INTERPRETING 81800 DR CARREON BLVD STE C, (866) 557-8670 AND OR REPORTING ONLY INDIO, CA 92201 DIAGNOSTICS DIAGNOSTIC INTERPRETING 81880 DR CARREON BLVD STE A102, (866) 557-8670 AND OR REPORTING ONLY INDIO, CA 92201 DIAGNOSTICS DIAGNOSTIC INTERPRETING 82013 DR CARREON BLVD STE G, (866) 557-8670 AND OR REPORTING ONLY INDIO, CA 92201 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8220 WYMARK DR STE 101, ELK (866) 557-8670 AND OR REPORTING ONLY GROVE, CA 95757 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8227 RESEDA BLVD , RESEDA, CA (866) 557-8670 AND OR REPORTING ONLY 91335 DIAGNOSTICS DIAGNOSTIC INTERPRETING 828 S BASCOM AVE STE 110, SAN (866) 557-8670 AND OR REPORTING ONLY JOSE, CA 95128 DIAGNOSTICS DIAGNOSTIC INTERPRETING 828 S GRAND AVE # 104 , GLENDORA, (866) 557-8670 AND OR REPORTING ONLY CA 91740 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8283 GROVE AVE STE 101, RANCHO (866) 557-8670 AND OR REPORTING ONLY CUCAMONGA, CA 917303138 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8327 RESEDA BLVD , NORTHRIDGE, CA (866) 557-8670 AND OR REPORTING ONLY 91324 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8359 CHURCH ST , GILROY, CA 95020 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 8370 WILSHIRE BLVD STE 110, (866) 557-8670 AND OR REPORTING ONLY BEVERLY HILLS, CA 902112334 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8436 W 3RD ST STE 600, LOS ANGELES, (866) 557-8670 AND OR REPORTING ONLY CA 90048 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8436 W 3RD ST STE 801, LOS ANGELES, (866) 557-8670 AND OR REPORTING ONLY CA 90048 DIAGNOSTICS DIAGNOSTIC INTERPRETING 850 E LATHAM AVE STE 101, HEMET, CA (866) 557-8670 AND OR REPORTING ONLY 92543 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8540 SOUTH SEPULVEDA BLVD. SUITE (866) 557-8670 AND OR REPORTING ONLY 111 & 112, LOS ANGELES, CA 90045 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8641 WILSHIRE BOULEVARD SUITE 200, (866) 557-8670 AND OR REPORTING ONLY BEVERLY HILLS, CA 90211 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8670 WILSHIRE BLVD STE 101, (866) 557-8670 AND OR REPORTING ONLY BEVERLY HILLS, CA 90211 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8710 MONROE CT STE 100, RANCHO (866) 557-8670 AND OR REPORTING ONLY CUCAMONGA, CA 91730 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8750 WILSHIRE BLVD SUITE 100, (866) 557-8670 AND OR REPORTING ONLY BEVERLY HILLS, CA 90211 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8805 HAVEN AVE STE 220, RANCHO (866) 557-8670 AND OR REPORTING ONLY CUCAMONGA, CA 91730 DIAGNOSTICS DIAGNOSTIC INTERPRETING 886 MAGNOLIA AVE STE 101, CORONA, (866) 557-8670 AND OR REPORTING ONLY CA 92879 DIAGNOSTICS DIAGNOSTIC INTERPRETING 8881 FLETCHER PKWY STE 102, LA (866) 557-8670 AND OR REPORTING ONLY MESA, CA 91942 DIAGNOSTICS DIAGNOSTIC INTERPRETING 900 E WASHINGTON ST STE 150, (866) 557-8670 AND OR REPORTING ONLY COLTON, CA 92324 DIAGNOSTICS DIAGNOSTIC INTERPRETING 900 N HERITAGE RD BUILDING B, (866) 557-8670 AND OR REPORTING ONLY RIDGECREST, CA 93555 DIAGNOSTICS DIAGNOSTIC INTERPRETING 902 SYCAMORE AVENUE SUITE 120, (866) 557-8670 AND OR REPORTING ONLY VISTA, CA 92081

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 472 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS DIAGNOSTIC INTERPRETING 9134 OLYMPIC BLVD , BEVERLY HILLS, (866) 557-8670 AND OR REPORTING ONLY CA 90212 DIAGNOSTICS DIAGNOSTIC INTERPRETING 9191 WESTMINSTER AVENUE #210, (866) 557-8670 AND OR REPORTING ONLY GARDEN GROVE, CA 92844 DIAGNOSTICS DIAGNOSTIC INTERPRETING 9191 WESTMINSTER AVENUE SUITE (866) 557-8670 AND OR REPORTING ONLY 105, GARDEN GROVE, CA 91189 DIAGNOSTICS DIAGNOSTIC INTERPRETING 921 OAK PARK BLVD STE 102, PISMO (866) 557-8670 AND OR REPORTING ONLY BEACH, CA 93449 DIAGNOSTICS DIAGNOSTIC INTERPRETING 9281 OFFICE PARK CIR STE 115, ELK (866) 557-8670 AND OR REPORTING ONLY GROVE, CA 95758 DIAGNOSTICS DIAGNOSTIC INTERPRETING 9330 STOCKDALE HWY STE 100, (866) 557-8670 AND OR REPORTING ONLY BAKERSFIELD, CA 93311 DIAGNOSTICS DIAGNOSTIC INTERPRETING 945 SHASTA ST , YUBA CITY, CA 95991 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS DIAGNOSTIC INTERPRETING 947 S ANAHEIM BLVD STE 130, (866) 557-8670 AND OR REPORTING ONLY ANAHEIM, CA 92805 DIAGNOSTICS DIAGNOSTIC INTERPRETING 9602 STOCKDALE HWY , BAKERSFIELD, (866) 557-8670 AND OR REPORTING ONLY CA 93311 DIAGNOSTICS DIAGNOSTIC INTERPRETING 9640-H MISSION GORGE ROAD , (866) 557-8670 AND OR REPORTING ONLY SANTEE, CA 92071 DIAGNOSTICS DIAGNOSTIC INTERPRETING 970 DEWING AVE STE 100, LAFAYETTE, (866) 557-8670 AND OR REPORTING ONLY CA 94549 DIAGNOSTICS DIAGNOSTIC INTERPRETING 9808 VENICE BLVD STE 604, CULVER (866) 557-8670 AND OR REPORTING ONLY CITY, CA 90232 DIAGNOSTICS DIAGNOSTIC INTERPRETING 9900 STOCKDALE HWY STE 100, (866) 557-8670 AND OR REPORTING ONLY BAKERSFIELD, CA 93312 DIAGNOSTICS DIAGNOSTIC INTERPRETING 999 N TUSTIN AVE STE 5, SANTA ANA, (866) 557-8670 AND OR REPORTING ONLY CA 92705 DIAGNOSTICS DIAGNOSTIC INTERPRETING 999 NORTH TUSTIN AVENUE SUITE 13, (866) 557-8670 AND OR REPORTING ONLY SANTA ANA, CA 92735 DIAGNOSTICS DIAGNOSTIC INTERPRETING 10 POINTE DR STE 110, BREA, CA 92821 (866) 557-8670 AND OR REPORTING ONLY DIAGNOSTICS EMG 1 DANIEL BURNHAM CT STE 365C , SAN (866) 557-8670 FRANCISCO, CA 94109 DIAGNOSTICS EMG 1 DANIEL BURNHAM CT STE 365C , SAN (866) 557-8670 FRANCISCO, CA 94109 DIAGNOSTICS EMG 10 SANTA ROSA ST STE 201, SAN LUIS (866) 557-8670 OBISPO, CA 93405 DIAGNOSTICS EMG 101 N EL CAMINO REAL STE 5, SAN (866) 557-8670 MATEO, CA 94401 DIAGNOSTICS EMG 10200 TRINITY PKWY STE 207, (866) 557-8670 STOCKTON, CA 95219 DIAGNOSTICS EMG 1040 ELM AVE STE 100, LONG BEACH, (866) 557-8670 CA 90813 DIAGNOSTICS EMG 1041 E. YORBA LINDA BLVD SUITE 209, (866) 557-8670 PLACENTIA, CA 92870 DIAGNOSTICS EMG 10420 ELCAMINO REAL STE 2, (866) 557-8670 ATASCADERO, CA 93422 DIAGNOSTICS EMG 1050 LAS TABLAS RD STE 14,, (866) 557-8670 TEMPLETON, CA 93465 DIAGNOSTICS EMG 10630 SEPULVEDA BLVD STE 100, (866) 557-8670 MISSION HILLS, CA 91345 DIAGNOSTICS EMG 10640 RIVERSIDE DR STE B, NORTH (866) 557-8670 HOLLYWOOD, CA 91602 DIAGNOSTICS EMG 1101 S ANAHEIM BLVD , ANAHEIM, CA (866) 557-8670 92805 DIAGNOSTICS EMG 1106 N LA CIENEGA BLVD STE 207, (866) 557-8670 WEST HOLLYWOOD, CA 90069 DIAGNOSTICS EMG 1110 COAST VILLAGE CIR , SANTA (866) 557-8670 BARBARA, CA 93108 DIAGNOSTICS EMG 1110 CRENSHAL BLVD , TORRANCE, CA (866) 557-8670 90501

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 473 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 1111 W TOWN AND COUNTRY RD STE (866) 557-8670 6, ORANGE, CA 92868 DIAGNOSTICS EMG 1117 W MANCHESTER BLVD STE K, (866) 557-8670 INGLEWOOD, CA 90301 DIAGNOSTICS EMG 1121 MAIDU DR , AUBURN, CA 95603 (866) 557-8670 DIAGNOSTICS EMG 1135 S. GRAND AVE , DIAMOND BAR, (866) 557-8670 CA 91765 DIAGNOSTICS EMG 11370 ANDERSON ST SUITE B 100, (866) 557-8670 LOMA LINDA, CA 92354 DIAGNOSTICS EMG 1144 SONOMA AVE STE 115 , SANTA (866) 557-8670 ROSA, CA 95405 DIAGNOSTICS EMG 11481 HEACOCK ST STE 120, MORENO (866) 557-8670 VALLEY, CA 92557 DIAGNOSTICS EMG 116 SOUTH PALISADE DRIVE SUITE 200, (866) 557-8670 SANTA MARIA, CA 93454 DIAGNOSTICS EMG 11627 TELEGRAPH RD STE 105, SANTA (866) 557-8670 FE SPRINGS, CA 90670 DIAGNOSTICS EMG 11627 TELEGRAPH ROAD SUITE 105, (866) 557-8670 SANTA FE SPRINGS, CA 90670 DIAGNOSTICS EMG 1171 RAILROAD ST STE 101, CORONA, (866) 557-8670 CA 92882 DIAGNOSTICS EMG 1195 ROADRUNNER WAY , SIMI (866) 557-8670 VALLEY, CA 93065 DIAGNOSTICS EMG 120 BROADWAY STE 23, RICHMOND, CA (866) 557-8670 94804 DIAGNOSTICS EMG 120 S SPALDING DR STE 400, BEVERLY (866) 557-8670 HILLS, CA 90212 DIAGNOSTICS EMG 1200 ROSECRANS AVE STE 208, (866) 557-8670 MANHATTAN BEACH, CA 90266 DIAGNOSTICS EMG 1207 N EUCLID ST , ANAHEIM, CA 92801 (866) 557-8670 DIAGNOSTICS EMG 1210 E ARQUES AVE STE 209, (866) 557-8670 SUNNYVALE, CA 94085 DIAGNOSTICS EMG 12115 PARAMOUNT BLVD , DOWNEY, (866) 557-8670 CA 90242 DIAGNOSTICS EMG 1213 EATON AVENUE #6, SAN CARLOS, (866) 557-8670 CA 94070 DIAGNOSTICS EMG 1220 HEMLOCK WAY STE 108, SANTA (866) 557-8670 ANA, CA 92707 DIAGNOSTICS EMG 1220 LA VENTA SUITE 205-B, (866) 557-8670 WESTLAKE VILLAGE, CA 91361 DIAGNOSTICS EMG 1220 W OLIVE AVENUE , BURBANK, CA (866) 557-8670 91506 DIAGNOSTICS EMG 1221 NORTH DULTON AVE , SANTA (866) 557-8670 ROSA, CA 95401 DIAGNOSTICS EMG 1225 W 190TH ST STE 425, GARDENA, (866) 557-8670 CA 90248 DIAGNOSTICS EMG 12340 SANTA MONICA BLVD STE 130, (866) 557-8670 LOS ANGELES, CA 90025 DIAGNOSTICS EMG 1245 WILSHIRE BLVD STE 403, LOS (866) 557-8670 ANGELES, CA 90017 DIAGNOSTICS EMG 125 SHOREWAY RD STE A , SAN (866) 557-8670 CARLOS, CA 94070 DIAGNOSTICS EMG 1250 SOUTH SUNSET AVENUE SUITE (866) 557-8670 350, WEST COVINA, CA 91790 DIAGNOSTICS EMG 1255 LIBERTY STREET , REDDING, CA (866) 557-8670 96001 DIAGNOSTICS EMG 12556 VALLEY VIEW ST , GARDEN (866) 557-8670 GROVE, CA 92845 DIAGNOSTICS EMG 1261 TRAVIS BLVD STE 170, FAIRFIELD, (866) 557-8670 CA 94533 DIAGNOSTICS EMG 1261 TRAVIS BLVD STE 230 , FAIRFIELD, (866) 557-8670 CA 94533

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 474 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 1290 LINCOLN ROAD SUITE 2, YUBA (866) 557-8670 CITY, CA 959916553 DIAGNOSTICS EMG 1304 ELLA STREET SUITE B1, SAN LUIS (866) 557-8670 OBISPO, CA 93401 DIAGNOSTICS EMG 1313 E HERNDON AVE STE 205, (866) 557-8670 FRESNO, CA 93720 DIAGNOSTICS EMG 13160 MINDANAO WAY , MARINA DEL (866) 557-8670 REY, CA 90292 DIAGNOSTICS EMG 1317 OAKDALE ROAD SITE 800, (866) 557-8670 MODESTO, CA 95355 DIAGNOSTICS EMG 1321 W GARVEY AVE N , WEST COVINA, (866) 557-8670 CA 91790 DIAGNOSTICS EMG 1360 W 6TH ST STE 245, SAN PEDRO, (866) 557-8670 CA 90732 DIAGNOSTICS EMG 13939 E 14TH ST , SAN LEANDRO, CA (866) 557-8670 94578 DIAGNOSTICS EMG 13980 BLOSSOM HILL ROAD SUITE D, (866) 557-8670 LOS GATOS, CA 95032 DIAGNOSTICS EMG 1400 S GRAND AVE STE 611 , LOS (866) 557-8670 ANGELES, CA 90015 DIAGNOSTICS EMG 1401 AVOCADO AVE STE 105 , (866) 557-8670 NEWPORT BEACH, CA 92660 DIAGNOSTICS EMG 14124 FOOTHILL BLVD # 200 , SYLMAR, (866) 557-8670 CA 91342 DIAGNOSTICS EMG 14127 CAPRI DR STE 9, LOS GATOS, CA (866) 557-8670 95032 DIAGNOSTICS EMG 1421 SECRET RAVINE PKWY STE 111, (866) 557-8670 ROSEVILLE, CA 95661 DIAGNOSTICS EMG 14298 ST ANDREWS DR , VICTORVILLE, (866) 557-8670 CA 92395 DIAGNOSTICS EMG 14298 ST ANDREWS DR STE 11, (866) 557-8670 VICTORVILLE, CA 92395 DIAGNOSTICS EMG 14350 E WHITTIER BOULEVARD SUITE (866) 557-8670 320, WHITTIER, CA 90605 DIAGNOSTICS EMG 14350 WHITTIER BLVD STE 102 , (866) 557-8670 WHITTIER, CA 90605 DIAGNOSTICS EMG 14365 PIPELINE AVE , CHINO HILLS, CA (866) 557-8670 91710 DIAGNOSTICS EMG 14410 BIG BASIN WAY STE B, (866) 557-8670 SARATOGA, CA 95070 DIAGNOSTICS EMG 1450 CLOVERFIELD BLVD , SANTA (866) 557-8670 MONICA, CA 90404 DIAGNOSTICS EMG 14777 LOS GATOS BLVD STE 202, LOS (866) 557-8670 GATOS, CA 95032 DIAGNOSTICS EMG 14925 BURBANK BLVD , VAN NUYS, CA (866) 557-8670 91411 DIAGNOSTICS EMG 1501 COLORADO BLVD , LOS ANGELES, (866) 557-8670 CA 90041 DIAGNOSTICS EMG 1505 WILSON TER STE 310, GLENDALE, (866) 557-8670 CA 91206 DIAGNOSTICS EMG 1513 S GRAND AVE STE 208, LOS (866) 557-8670 ANGELES, CA 90015 DIAGNOSTICS EMG 1521 NORTH CARPENTER RD SUITE (866) 557-8670 D-1, MODESTO, CA 95351 DIAGNOSTICS EMG 1528 EUREKA ROAD SUITE 103, (866) 557-8670 ROSEVILLE, CA 95661 DIAGNOSTICS EMG 15644 POMERADO RD STE 204, POWAY, (866) 557-8670 CA 92064 DIAGNOSTICS EMG 15785 LAGUNA CANYON RD STE 255 , (866) 557-8670 IRVINE, CA 92618 DIAGNOSTICS EMG 1580 VALENCIA ST STE 210, SAN (866) 557-8670 FRANCISCO, CA 94110

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 475 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 1580 VALENCIA ST STE 703, SAN (866) 557-8670 FRANCISCO, CA 94110 DIAGNOSTICS EMG 16025 GALE AVE STE B10, CITY OF (866) 557-8670 INDUSTRY, CA 91745 DIAGNOSTICS EMG 1604 BLOSSOM HILL RD SUITE 10, SAN (866) 557-8670 JOSE, CA 95124 DIAGNOSTICS EMG 16055 VENTURA BLVD STE 120, (866) 557-8670 ENCINO, CA 91436 DIAGNOSTICS EMG 1615 CREEKSIDE DR STE 101, FOLSOM, (866) 557-8670 CA 95630 DIAGNOSTICS EMG 16300 ROSCOE BLVD , VAN NUYS, CA (866) 557-8670 91406 DIAGNOSTICS EMG 16311 VENTURA BLVD STE 1150, (866) 557-8670 ENCINO, CA 91436 DIAGNOSTICS EMG 16311 VENTURA BOULEVARD #1000, (866) 557-8670 ENCINO, CA 91436 DIAGNOSTICS EMG 164 W HOSPITALITY LN STE 8, SAN (866) 557-8670 BERNARDINO, CA 92408 DIAGNOSTICS EMG 16530 VENTURA BLVD STE 100, (866) 557-8670 ENCINO, CA 91436 DIAGNOSTICS EMG 16661 VENTURA BLVD STE 108, (866) 557-8670 ENCINO, CA 91436 DIAGNOSTICS EMG 16661 VENTURA BLVD STE 714 , (866) 557-8670 ENCINO, CA 91436 DIAGNOSTICS EMG 16702 VALLEY VIEW AVE , LA MIRADA, (866) 557-8670 CA 90638 DIAGNOSTICS EMG 1681 N WATERMAN AVE , SAN (866) 557-8670 BERNARDINO, CA 92404 DIAGNOSTICS EMG 1687 ERRINGER RD STE 205, SIMI (866) 557-8670 VALLEY, CA 93065 DIAGNOSTICS EMG 1690 W 6TH ST STE K, CORONA, CA (866) 557-8670 92882 DIAGNOSTICS EMG 1701 E CESAR E CHAVEZ AVE STE 308, (866) 557-8670 LOS ANGELES, CA 90033 DIAGNOSTICS EMG 171 BUTCHER RD STE A, VACAVILLE, (866) 557-8670 CA 95687 DIAGNOSTICS EMG 1717 EAST LINCOLN AVE , ANAHEIM, CA (866) 557-8670 92805 DIAGNOSTICS EMG 1720 RINGWOOD AVE , SAN JOSE, CA (866) 557-8670 95131 DIAGNOSTICS EMG 17264 RED HILL AVE , IRVINE, CA 92614 (866) 557-8670 DIAGNOSTICS EMG 1745 S IMPERIAL AVE STE 103, EL (866) 557-8670 CENTRO, CA 92243 DIAGNOSTICS EMG 17487 HURLEY ST , CITY OF INDUSTRY, (866) 557-8670 CA 91744 DIAGNOSTICS EMG 17487 HURLEY ST , CITY OF INDUSTRY, (866) 557-8670 CA 91744 DIAGNOSTICS EMG 1750 EL CAMINO REAL #102, (866) 557-8670 BURLINGAME, CA 94010 DIAGNOSTICS EMG 1760 W 16TH ST , SAN BERNARDINO, (866) 557-8670 CA 92411 DIAGNOSTICS EMG 1771 W ROMNEYA DR STE E, ANAHEIM, (866) 557-8670 CA 92801 DIAGNOSTICS EMG 17777 VENTURA BLVD STE 120, (866) 557-8670 ENCINO, CA 91316 DIAGNOSTICS EMG 1782 W HAMMER LN , STOCKTON, CA (866) 557-8670 95209 DIAGNOSTICS EMG 18 ENDEAVOR STE 200, IRVINE, CA (866) 557-8670 92618 DIAGNOSTICS EMG 1800 SULLIVAN AVENUE #602, DALY (866) 557-8670 CITY, CA 94015 DIAGNOSTICS EMG 1805 E DYER RD STE 110, SANTA ANA, (866) 557-8670 CA 92705

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 476 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 1809 E DYER RD SUITE 600, SANTA (866) 557-8670 ANA, CA 92705 DIAGNOSTICS EMG 18141 BEACH BLVD STE 100, (866) 557-8670 HUNTINGTON BEACH, CA 92648 DIAGNOSTICS EMG 18344 OXNARD ST STE 104, TARZANA, (866) 557-8670 CA 91356 DIAGNOSTICS EMG 1835 S LA CIENEGA BLVD STE A, LOS (866) 557-8670 ANGELES, CA 90035 DIAGNOSTICS EMG 1835 S LA CIENEGA BOULEVARD SUITE (866) 557-8670 A, LOS ANGELES, CA 90035 DIAGNOSTICS EMG 1835 W REDLANDS BLVD , REDLANDS, (866) 557-8670 CA 92373 DIAGNOSTICS EMG 18351 BEACH BOULEVARD SUITE G, (866) 557-8670 HUNTINGTON BEACH, CA 92648 DIAGNOSTICS EMG 1850 EAST PALMDALE BOULEVARD , (866) 557-8670 PALMDALE, CA 93550 DIAGNOSTICS EMG 1855 1ST AVE STE 200, SAN DIEGO, CA (866) 557-8670 92101 DIAGNOSTICS EMG 1866 TICE VALLEY BLVD , WALNUT (866) 557-8670 CREEK, CA 94595 DIAGNOSTICS EMG 18800 DELAWARE ST STE 670, (866) 557-8670 HUNTINGTON BEACH, CA 92648 DIAGNOSTICS EMG 1881 COMMERCENTER E STE 112, SAN (866) 557-8670 BERNARDINO, CA 92408 DIAGNOSTICS EMG 1893 MONTEREY HWY STE 200 , SAN (866) 557-8670 JOSE, CA 95112 DIAGNOSTICS EMG 190 LEAVESLEY ROAD , GILROY, CA (866) 557-8670 95020 DIAGNOSTICS EMG 1900 E TAHQUITZ CANYON WAY STE (866) 557-8670 C1, PALM SPRINGS, CA 92262 DIAGNOSTICS EMG 1900 ROYALTY DR STE160, POMONA, (866) 557-8670 CA 91767 DIAGNOSTICS EMG 1901 MONTEREY HWY , SAN JOSE, CA (866) 557-8670 95112 DIAGNOSTICS EMG 1901 OUTLET CENTER DR STE 100, (866) 557-8670 OXNARD, CA 93036 DIAGNOSTICS EMG 1902 ROYALTY DR STE 170, POMONA, (866) 557-8670 CA 91767 DIAGNOSTICS EMG 1911 N. BROADWAY #C, SANTA ANA, CA (866) 557-8670 92706 DIAGNOSTICS EMG 192 BEACON ST , SOUTH SAN (866) 557-8670 FRANCISCO, CA 94080 DIAGNOSTICS EMG 1940 WEBSTER ST STE 200, OAKLAND, (866) 557-8670 CA 94612 DIAGNOSTICS EMG 1945 SHASTA ST , REDDING, CA 96001 (866) 557-8670 DIAGNOSTICS EMG 1955 CITRACADO PARKWAY SUITE 102, (866) 557-8670 ESCONDIDO, CA 92029 DIAGNOSTICS EMG 1970 S PROSPECT AVE STE 7, (866) 557-8670 REDONDO BEACH, CA 90277 DIAGNOSTICS EMG 2 BON AIR RD STE 120, LARKSPUR, CA (866) 557-8670 94939 DIAGNOSTICS EMG 2 CONNECTICUT ST , SAN FRANCISCO, (866) 557-8670 CA 94107 DIAGNOSTICS EMG 2 ROSSI CIR , SALINAS, CA 93907 (866) 557-8670 DIAGNOSTICS EMG 20055 LAKE CHABOT RD STE 250 , (866) 557-8670 CASTRO VALLEY, CA 94546 DIAGNOSTICS EMG 20072 SW BIRCH STREET SUITE 170, (866) 557-8670 NEWPORT BEACH, CA 92660 DIAGNOSTICS EMG 201 N COLLEGE DR STE 101, SANTA (866) 557-8670 MARIA, CA 93454 DIAGNOSTICS EMG 2010 E 1ST ST STE 200, SANTA ANA, CA (866) 557-8670 92705

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 477 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 2013 NEWPORT BLVD , COSTA MESA, (866) 557-8670 CA 92627 DIAGNOSTICS EMG 2020 17TH STREET SUITE 2016, (866) 557-8670 BAKERSFIELD, CA 93301 DIAGNOSTICS EMG 2027 VILLAGE LN , SOLVANG, CA 93463 (866) 557-8670 DIAGNOSTICS EMG 20700 VENTURA BLVD STE# 100, (866) 557-8670 WOODLAND HILLS, CA 91364 DIAGNOSTICS EMG 2080 CENTURY PARK EAST SUITE 500, (866) 557-8670 LOS ANGELES, CA 90067 DIAGNOSTICS EMG 2087 GRAND CANAL BLVD STE 12, (866) 557-8670 STOCKTON, CA 95207 DIAGNOSTICS EMG 2095 S. ATLANTIC BLVD 2ND FLOOR, (866) 557-8670 MONTEREY PARK, CA 91754 DIAGNOSTICS EMG 210 S PALISADE DR STE 203, SANTA (866) 557-8670 MARIA, CA 93454 DIAGNOSTICS EMG 2100 OTIS DR STE B, ALAMEDA, CA (866) 557-8670 94501 DIAGNOSTICS EMG 2100 S EUCLID ST , ANAHEIM, CA 92802 (866) 557-8670 DIAGNOSTICS EMG 2121 TOWNE CENTRE PLACE SUITE (866) 557-8670 100, ANAHEIM, CA 92806 DIAGNOSTICS EMG 2123 YGNACIO VALLEY RD STE 200, (866) 557-8670 WALNUT CREEK, CA 94598 DIAGNOSTICS EMG 216 N AZUSA AVE , AZUSA, CA 91702 (866) 557-8670 DIAGNOSTICS EMG 2160 APPIAN WAY #205, PINOLE, CA (866) 557-8670 94564 DIAGNOSTICS EMG 2160 W GRANT LINE RD STE 110, (866) 557-8670 TRACY, CA 95377 DIAGNOSTICS EMG 2171 JUNIPERO SERRA BLVD STE 370, (866) 557-8670 DALY CITY, CA 94014 DIAGNOSTICS EMG 2171 S GROVE AVE SUITE A (SOUTH), (866) 557-8670 ONTARIO, CA 91761 DIAGNOSTICS EMG 219 NOGALES AVE STE F , SANTA (866) 557-8670 BARBARA, CA 93105 DIAGNOSTICS EMG 221 E HACIENDA AVE STE D, (866) 557-8670 CAMPBELL, CA 95008 DIAGNOSTICS EMG 221 W E ST STE 2, BRAWLEY, CA 92227 (866) 557-8670 DIAGNOSTICS EMG 222 W EULALIA ST STE 101, GLENDALE, (866) 557-8670 CA 91204 DIAGNOSTICS EMG 2220 E FRUIT ST STE 217 , SANTA ANA, (866) 557-8670 CA 92701 DIAGNOSTICS EMG 2221 WANKEL WAY , OXNARD, CA 93030 (866) 557-8670 DIAGNOSTICS EMG 2226 MEDICAL CENTER DR STE 102, (866) 557-8670 PERRIS, CA 92571 DIAGNOSTICS EMG 223 N GARFIELD AVE STE 302, (866) 557-8670 MONTEREY PARK, CA 91754 DIAGNOSTICS EMG 225 EAST AIRPORT DRIVE SUITE 140, (866) 557-8670 SAN BERNARDINO, CA 92408 DIAGNOSTICS EMG 227 W JANSS RD STE 345, THOUSAND (866) 557-8670 OAKS, CA 91361 DIAGNOSTICS EMG 2305 SUNSET BLVD , ROCKLIN, CA (866) 557-8670 95765 DIAGNOSTICS EMG 2320 SUTTER ST STE 202, SAN (866) 557-8670 FRANCISCO, CA 94115 DIAGNOSTICS EMG 2323 16TH ST SUITE 400, BAKERSFIELD, (866) 557-8670 CA 93301 DIAGNOSTICS EMG 2323 DE LA VINA ST STE 208, SANTA (866) 557-8670 BARBARA, CA 93105 DIAGNOSTICS EMG 2324 MONTPELIER DR , SAN JOSE, CA (866) 557-8670 95116 DIAGNOSTICS EMG 2336 COURT STREET , REDDING, CA (866) 557-8670 96001 DIAGNOSTICS EMG 23456 HAWTHORNE BLVD STE 200, (866) 557-8670 TORRANCE, CA 90505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 478 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 2350 W WHITENDALE AVE , VISALIA, CA (866) 557-8670 93277 DIAGNOSTICS EMG 2362 MORSE AVE , IRVINE, CA 92614 (866) 557-8670 DIAGNOSTICS EMG 2362 N OXNARD BLVD STE 102, (866) 557-8670 OXNARD, CA 93036 DIAGNOSTICS EMG 24051 NEWHALL RANCH RD BLDG C, (866) 557-8670 VALENCIA, CA 91354 DIAGNOSTICS EMG 2407 EAST SUSSEX WAY #107, (866) 557-8670 FRESNO, CA 93726 DIAGNOSTICS EMG 2418 S AZUSA AVE STE A, WEST (866) 557-8670 COVINA, CA 91792 DIAGNOSTICS EMG 24301 SOUTHLAND DT STE 609, (866) 557-8670 HAYWARD, CA 94545 DIAGNOSTICS EMG 2440 HOTEL CIR N STE 220, SAN DIEGO, (866) 557-8670 CA 92108 DIAGNOSTICS EMG 24700 CALAROGA AVE STE 103, (866) 557-8670 HAYWARD, CA 94545 DIAGNOSTICS EMG 2499 S WILMINGTON AVE , COMPTON, (866) 557-8670 CA 90220 DIAGNOSTICS EMG 25 N 14TH ST STE STE 940, SAN JOSE, (866) 557-8670 CA 95112 DIAGNOSTICS EMG 2500 EAST BALL ROAD SUITE 200, (866) 557-8670 ANAHEIM, CA 90806 DIAGNOSTICS EMG 25405 HANCOCK AVENUE SUITE 202, (866) 557-8670 MURRIETA, CA 92562 DIAGNOSTICS EMG 25431 CABOT ROAD SUITE 118, (866) 557-8670 LAGUNA HILLS, CA 92653 DIAGNOSTICS EMG 25495 MEDICAL CENTER DR STE 303, (866) 557-8670 MURRIETA, CA 92562 DIAGNOSTICS EMG 256 SAN JOSE ST STE A, SALINAS, CA (866) 557-8670 93901 DIAGNOSTICS EMG 25733 RYE CANYON ROAD , VALENCIA, (866) 557-8670 CA 91355 DIAGNOSTICS EMG 2587 MERCED ST , SAN LEANDRO, CA (866) 557-8670 94577 DIAGNOSTICS EMG 25982 PALA STE 150, MISSION VIEJO, (866) 557-8670 CA 92691 DIAGNOSTICS EMG 26 CALIFORNIA ST , SAN FRANCISCO, (866) 557-8670 CA 94111 DIAGNOSTICS EMG 263 S EUCLID AVE , PASADENA, CA (866) 557-8670 91101 DIAGNOSTICS EMG 264 N HIGHLAND SPRINGS AVE STE 2A, (866) 557-8670 BANNING, CA 92220 DIAGNOSTICS EMG 2648 INTERNATIONAL BLVD # 301 , (866) 557-8670 OAKLAND, CA 94601 DIAGNOSTICS EMG 2677 ZOE SUITE 305, HUNTINGTON (866) 557-8670 PARK, CA 90255 DIAGNOSTICS EMG 270 E 7TH ST STE SUITE 1C, UPLAND, (866) 557-8670 CA 91786 DIAGNOSTICS EMG 27131 CALLE ARROYO , SAN JUAN (866) 557-8670 CAPISTRANO, CA 92675 DIAGNOSTICS EMG 27206 CALAROGA AVE STE 104, (866) 557-8670 HAYWARD, CA 94545 DIAGNOSTICS EMG 2724 ABORN RD. , SAN JOSE, CA 95032 (866) 557-8670 DIAGNOSTICS EMG 2737 WALSH AVE , SANTA CLARA, CA (866) 557-8670 95051 DIAGNOSTICS EMG 2737 WALSH AVE , SANTA CLARA, CA (866) 557-8670 95051 DIAGNOSTICS EMG 27455 TIERRA ALTA WAY STE A, (866) 557-8670 TEMECULA, CA 92590 DIAGNOSTICS EMG 275 W SAN BERNARDINO RD , COVINA, (866) 557-8670 CA 91723

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 479 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 27800 MEDICAL CENTER RD STE 116, (866) 557-8670 MISSION VIEJO, CA 92691 DIAGNOSTICS EMG 2801 K STREET SUITE 410 , (866) 557-8670 SACRAMENTO, CA 95816 DIAGNOSTICS EMG 28078 BAXTER ROAD SUITE 128, (866) 557-8670 MURRIETA, CA 92563 DIAGNOSTICS EMG 285 MERCEY SPRINGS RD STE A, LOS (866) 557-8670 BANOS, CA 93635 DIAGNOSTICS EMG 2850 ARTESIA BLVD STE 207, (866) 557-8670 REDONDO BEACH, CA 90278 DIAGNOSTICS EMG 28975 OLD TOWN FRONT ST STE 200, (866) 557-8670 TEMECULA, CA 92590 DIAGNOSTICS EMG 290 NORTH 10TH STREET SUITE 100, (866) 557-8670 COLTON, CA 92324 DIAGNOSTICS EMG 2901 K ST STE 120, SACRAMENTO, CA (866) 557-8670 95816 DIAGNOSTICS EMG 2923 WEBSTER ST STE 230 , OAKLAND, (866) 557-8670 CA 94533 DIAGNOSTICS EMG 2963 MOWRY AVENUE , FREMONT, CA (866) 557-8670 94538 DIAGNOSTICS EMG 2970 HILLTOP MALL RD STE 203, (866) 557-8670 RICHMOND, CA 94806 DIAGNOSTICS EMG 2970 HILLTOP MALL ROAD , SAN (866) 557-8670 PABLO, CA 94806 DIAGNOSTICS EMG 300 EAST MINERAL KING AVE , VISALIA, (866) 557-8670 CA 93291 DIAGNOSTICS EMG 3000 W MACARTHUR BLVD STE 600, (866) 557-8670 SANTA ANA, CA 92704 DIAGNOSTICS EMG 3000 W. MACARTHUR BLVD SUITE 600, (866) 557-8670 SANTA ANA, CA 92704 DIAGNOSTICS EMG 302 S. LENNON AVENUE , WALNUT, CA (866) 557-8670 91789 DIAGNOSTICS EMG 302 WEST LA VETA AVENUE #101, (866) 557-8670 ORANGE, CA 92866 DIAGNOSTICS EMG 3120 WEBSTER ST , OAKLAND, CA (866) 557-8670 94609 DIAGNOSTICS EMG 320 SANTA FE DRIVE SUITE 108, (866) 557-8670 ENCINITAS, CA 92024 DIAGNOSTICS EMG 3200 4TH AVE STE 100, SAN DIEGO, CA (866) 557-8670 92103 DIAGNOSTICS EMG 3200 INLAND EMPIRE BLVD STE 240, (866) 557-8670 ONTARIO, CA 91764 DIAGNOSTICS EMG 323 N PRAIRIE AVE STE 200, (866) 557-8670 INGLEWOOD, CA 90301 DIAGNOSTICS EMG 325 ROLLING OAKS DR STE 220, (866) 557-8670 THOUSAND OAKS, CA 91361 DIAGNOSTICS EMG 3320 S HILL ST , LOS ANGELES, CA (866) 557-8670 90007 DIAGNOSTICS EMG 3320 S HILL ST , LOS ANGELES, CA (866) 557-8670 90007 DIAGNOSTICS EMG 333 NORTH SAN MATEO DRIVE , SAN (866) 557-8670 MATEO, CA 94401 DIAGNOSTICS EMG 33560 ALVARADO NILES RD , UNION (866) 557-8670 CITY, CA 94587 DIAGNOSTICS EMG 337 EL DORADO ST STE B1, (866) 557-8670 MONTEREY, CA 939404638 DIAGNOSTICS EMG 3430 GARFIELD AVE , COMMERCE, CA (866) 557-8670 90040 DIAGNOSTICS EMG 3434 MIDWAY DRIVE , SAN DIEGO, CA (866) 557-8670 92110 DIAGNOSTICS EMG 344 F ST STE 100, CHULA VISTA, CA (866) 557-8670 91910

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 480 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 3475 TORRANCE BLVD STE F, (866) 557-8670 TORRANCE, CA 90503 DIAGNOSTICS EMG 348 E OLIVE AVE STE B, BURBANK, CA (866) 557-8670 91502 DIAGNOSTICS EMG 351 ROLLING OAKS DRIVE , WESTLAKE (866) 557-8670 VILLAGE, CA 91361 DIAGNOSTICS EMG 35200 BOB HOPE DRIVE , RANCHO (866) 557-8670 MIRAGE, CA 92270 DIAGNOSTICS EMG 3525 LOMA VISTA RD , VENTURA, CA (866) 557-8670 93003 DIAGNOSTICS EMG 3530 ATLANTIC AVENUE SUITE 101, (866) 557-8670 LONG BEACH, CA 90807 DIAGNOSTICS EMG 3579 ARLINGTON AVE STE 300, (866) 557-8670 RIVERSIDE, CA 92506 DIAGNOSTICS EMG 360 S CLOVER AVE , SAN JOSE, CA (866) 557-8670 95128 DIAGNOSTICS EMG 3620 S BRISTOL ST STE 204 , SANTA (866) 557-8670 ANA, CA 92704 DIAGNOSTICS EMG 363 MAIN STREET , REDWOOD CITY, CA (866) 557-8670 94063 DIAGNOSTICS EMG 365 S RANCHO SANTA FE RD STE 103, (866) 557-8670 SAN MARCOS, CA 92078 DIAGNOSTICS EMG 3737 MORAGA AVENUE STE A5, SAN (866) 557-8670 DIEGO, CA 92117 DIAGNOSTICS EMG 375 ROLLING OAKS AVENUE #210, (866) 557-8670 THOUSAND OAKS, CA 91361 DIAGNOSTICS EMG 375 ROLLING OAKS AVENUE #210, (866) 557-8670 THOUSAND OAKS, CA 91361 DIAGNOSTICS EMG 3755 ALHAMBRA AVE SUTE 5, (866) 557-8670 MARTINEZ, CA 94553 DIAGNOSTICS EMG 3798 JANES RD STE 9, ARCATA, CA (866) 557-8670 95521 DIAGNOSTICS EMG 381 EAST IMPERIAL HIGHWAY , (866) 557-8670 FULLERTON, CA 92835 DIAGNOSTICS EMG 3831 HUGHES AVE STE 509, CULVER (866) 557-8670 CITY, CA 90232 DIAGNOSTICS EMG 3831 N FREEWAY BLVD SUITE 105, (866) 557-8670 SACRAMENTO, CA 95834 DIAGNOSTICS EMG 3838 JACKSON ST STE B, RIVERSIDE, (866) 557-8670 CA 92504 DIAGNOSTICS EMG 3838 SAN DIMAS ST SUITE A140, (866) 557-8670 BAKERSFIELD, CA 93301 DIAGNOSTICS EMG 384 EMBARCADERO W , OAKLAND, CA (866) 557-8670 94607 DIAGNOSTICS EMG 390 LOMBARD ST , THOUSAND OAKS, (866) 557-8670 CA 91360 DIAGNOSTICS EMG 390 LOMBARD ST , THOUSAND OAKS, (866) 557-8670 CA 91360 DIAGNOSTICS EMG 390 LOMBARD ST , THOUSAND OAKS, (866) 557-8670 CA 91360 DIAGNOSTICS EMG 390 LOMBARD ST , THOUSAND OAKS, (866) 557-8670 CA 91360 DIAGNOSTICS EMG 390 LOMBARD ST , THOUSAND OAKS, (866) 557-8670 CA 91360 DIAGNOSTICS EMG 390 N SEPULVEDA BLVD STE 1000, EL (866) 557-8670 SEGUNDO, CA 90245 DIAGNOSTICS EMG 390 N SEPULVEDA BLVD STE 1000, EL (866) 557-8670 SEGUNDO, CA 90245 DIAGNOSTICS EMG 3901 LONE TREE WAY , ANTIOCH, CA (866) 557-8670 94509 DIAGNOSTICS EMG 3905 WARING RD , OCEANSIDE, CA (866) 557-8670 92056

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 481 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 3907 WARING ROAD SUITE 2, (866) 557-8670 OCEANSIDE, CA 92056 DIAGNOSTICS EMG 395 N SAN JACINTO ST STE A, HEMET, (866) 557-8670 CA 92543 DIAGNOSTICS EMG 4 FLORIDA ST , VALLEJO, CA 94590 (866) 557-8670 DIAGNOSTICS EMG 40 CENTER POINTE DR STE 115, LA (866) 557-8670 PALMA, CA 90623 DIAGNOSTICS EMG 400 NORTH TUSTIN AVENUE SUITE 475, (866) 557-8670 SANTA ANA, CA 92705 DIAGNOSTICS EMG 400 S SEPULVEDA BLVD STE 200, (866) 557-8670 MANHATTAN BEACH, CA 90266 DIAGNOSTICS EMG 40005 10TH STREET WEST SUITE 213, (866) 557-8670 PALMDALE, CA 93551 DIAGNOSTICS EMG 406 SUNRISE AVE STE 220, ROSEVILLE, (866) 557-8670 CA 95661 DIAGNOSTICS EMG 4060 4TH AVE STE 650 , SAN DIEGO, CA (866) 557-8670 92103 DIAGNOSTICS EMG 4085 BROCKTON AVENUE , RIVERSIDE, (866) 557-8670 CA 92501 DIAGNOSTICS EMG 4100 TRUXTUN AVE STE 220, (866) 557-8670 BAKERSFIELD, CA 93309 DIAGNOSTICS EMG 411 GRAND AVENUE , OAKLAND, CA (866) 557-8670 94610 DIAGNOSTICS EMG 411 N CENTRAL AVE STE 610 , (866) 557-8670 GLENDALE, CA 91203 DIAGNOSTICS EMG 412 W AVENUE J STE D, LANCASTER, (866) 557-8670 CA 93534 DIAGNOSTICS EMG 4224 SAVIERS RD STE 3, OXNARD, CA (866) 557-8670 93033 DIAGNOSTICS EMG 4281 KATELLA AVE STE 100, LOS (866) 557-8670 ALAMITOS, CA 90720 DIAGNOSTICS EMG 429 LLEWELLYN AVE , CAMPBELL, CA (866) 557-8670 95008 DIAGNOSTICS EMG 444 SOUTH SAN VICENTE BLVD SUITE (866) 557-8670 800, LOS ANGELES, CA 90047 DIAGNOSTICS EMG 444 SOUTH SAN VICENTER BLVD , LOS (866) 557-8670 ANGELES, CA 90048 DIAGNOSTICS EMG 444 SOUTH SAN VICENTER BLVD , LOS (866) 557-8670 ANGELES, CA 90048 DIAGNOSTICS EMG 4445 EASTGATE MALL STE 120, SAN (866) 557-8670 DIEGO, CA 92121 DIAGNOSTICS EMG 450 N WIGET LN , WALNUT CREEK, CA (866) 557-8670 94598 DIAGNOSTICS EMG 450 N WIGET LN , WALNUT CREEK, CA (866) 557-8670 94598 DIAGNOSTICS EMG 4511 ROSEMEAD BLVD , PICO RIVERA, (866) 557-8670 CA 90660 DIAGNOSTICS EMG 4700 NORTHGATE BLVD STE 100 , (866) 557-8670 SACRAMENTO, CA 95834 DIAGNOSTICS EMG 4849 VAN NUYS BLVD STE 217, (866) 557-8670 SHERMAN OAKS, CA 91403 DIAGNOSTICS EMG 4940 VAN NUYS BOULEVARD SUITE (866) 557-8670 301, SHERMAN OAKS, CA 91403 DIAGNOSTICS EMG 50 N LA CIENEGA BLVD STE 219 , (866) 557-8670 BEVERLY HILLS, CA 90211 DIAGNOSTICS EMG 500 S VIRGIL AVE STE 505 , LOS (866) 557-8670 ANGELES, CA 90020 DIAGNOSTICS EMG 500 SUTTER ST STE 322, SAN (866) 557-8670 FRANCISCO, CA 94102 DIAGNOSTICS EMG 511 BATH ST , SANTA BARBARA, CA (866) 557-8670 93101 DIAGNOSTICS EMG 511 E MANCHESTER BLVD , (866) 557-8670 INGLEWOOD, CA 90301

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 482 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 5170 SEPULVEDA BLVD STE 100, (866) 557-8670 SHERMAN OAKS, CA 91403 DIAGNOSTICS EMG 5170 SEPULVEDA BLVD STE 100 , (866) 557-8670 SHERMAN OAKS, CA 91403 DIAGNOSTICS EMG 5201 NORRIS CANYON ROAD SUITE (866) 557-8670 320, SAN RAMON, CA 94583 DIAGNOSTICS EMG 5203 LAKEWOOD BLVD , LAKEWOOD, (866) 557-8670 CA 90712 DIAGNOSTICS EMG 5325 W HILLSDALE AVE , VISALIA, CA (866) 557-8670 93291 DIAGNOSTICS EMG 535 E ROMIE LN STE 12, SALINAS, CA (866) 557-8670 93901 DIAGNOSTICS EMG 552 VALLOMBROSA AVE , CHICO, CA (866) 557-8670 95926 DIAGNOSTICS EMG 555 KNOWLES DR STE 207, LOS (866) 557-8670 GATOS, CA 95032 DIAGNOSTICS EMG 5584 NORTH PARAMOUNT BOULEVARD (866) 557-8670 SUITE 100, LONG BEACH, CA 908055133 DIAGNOSTICS EMG 5584 NORTH PARAMOUNT BOULEVARD (866) 557-8670 SUITE 100, LONG BEACH, CA 908055133 DIAGNOSTICS EMG 5584 NORTH PARAMOUNT BOULEVARD (866) 557-8670 SUITE 100, LONG BEACH, CA 908055133 DIAGNOSTICS EMG 5651 SEPULVEDA BLVD FL 2 SUITE 201, (866) 557-8670 VAN NUYS, CA 91411 DIAGNOSTICS EMG 577 EAST ELDER STREET SUITE E, (866) 557-8670 FALLBROOK, CA 920281767 DIAGNOSTICS EMG 5901 W OLYMPIC BLVD STE 309, LOS (866) 557-8670 ANGELES, CA 90036 DIAGNOSTICS EMG 591 MCCRAY ST SUUITE 101, (866) 557-8670 HOLLISTER, CA 95023 DIAGNOSTICS EMG 599 INLAND CENTER DRIVE #108, SAN (866) 557-8670 BERNARDINO, CA 92408 DIAGNOSTICS EMG 600 NORTH GARFIELD AVENUE SUITE (866) 557-8670 303, MONTEREY PARK, CA 91754 DIAGNOSTICS EMG 6000 SAN VICENTE BLVD , LOS (866) 557-8670 ANGELES, CA 90036 DIAGNOSTICS EMG 6033 WEST CENTURY BLVD SUITE 200, (866) 557-8670 LOS ANGELES, CA 90045 DIAGNOSTICS EMG 6057 N 1ST ST STE 101, FRESNO, CA (866) 557-8670 93710 DIAGNOSTICS EMG 612 W DUARTE RD STE 504, ARCADIA, (866) 557-8670 CA 91007 DIAGNOSTICS EMG 6121 PASEO DEL NORTE SUITE 200, (866) 557-8670 CARLSBAD, CA 92011 DIAGNOSTICS EMG 6155 STONERIDGE DR STE 101, (866) 557-8670 PLEASANTON, CA 94588 DIAGNOSTICS EMG 6174 STATE FARM DR , ROHNERT (866) 557-8670 PARK, CA 94928 DIAGNOSTICS EMG 6174 STATE FARM DR , ROHNERT (866) 557-8670 PARK, CA 94928 DIAGNOSTICS EMG 6174 STATE FARM DR , ROHNERT (866) 557-8670 PARK, CA 94928 DIAGNOSTICS EMG 621 14TH ST , MODESTO, CA 95354 (866) 557-8670 DIAGNOSTICS EMG 6221 WILSHIRE BOULEVARD SUITE 620, (866) 557-8670 LOS ANGELES, CA 90048 DIAGNOSTICS EMG 630 ALHAMBRA BLVD , SACRAMENTO, (866) 557-8670 CA 95816 DIAGNOSTICS EMG 64 ASPEN WAY STE 101, (866) 557-8670 WATSONVILLE, CA 95076 DIAGNOSTICS EMG 640 SOUTH PLACENTIA AVE , (866) 557-8670 PLACENTIA, CA 92870 DIAGNOSTICS EMG 640 SOUTH PLACENTIA AVE , (866) 557-8670 PLACENTIA, CA 92870

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 483 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 6520 N IRWINDALE AVE , IRWINDALE, (866) 557-8670 CA 91702 DIAGNOSTICS EMG 6553 E PACIFIC COAST HWY STE H9, (866) 557-8670 LONG BEACH, CA 90803 DIAGNOSTICS EMG 6699 ALVARADO RD STE 2301, SAN (866) 557-8670 DIEGO, CA 92120 DIAGNOSTICS EMG 6700 INDIANA AVE STE 145, (866) 557-8670 RIVERSIDE, CA 92506 DIAGNOSTICS EMG 6700 INDIANA AVE SUITE 145 , (866) 557-8670 RIVERSIDE, CA 92506 DIAGNOSTICS EMG 675 CAMINO DE LOS MARES STE 200, (866) 557-8670 SAN CLEMENTE, CA 92673 DIAGNOSTICS EMG 675 N PARK AVE , POMONA, CA 91768 (866) 557-8670 DIAGNOSTICS EMG 6800 BROCKTON AVE SUITE 2, (866) 557-8670 RIVERSIDE, CA 92506 DIAGNOSTICS EMG 6815 NOBLE AVE , VAN NUYS, CA 91405 (866) 557-8670 DIAGNOSTICS EMG 696 HAMPSHIRE RD STE 180, (866) 557-8670 WESTLAKE VILLAGE, CA 91361 DIAGNOSTICS EMG 701 E 28TH ST STE 116, LONG BEACH, (866) 557-8670 CA 90806 DIAGNOSTICS EMG 7033 NORTH FRESNO STREET SUITE (866) 557-8670 201, FRESNO, CA 93720 DIAGNOSTICS EMG 7052 ORANGEWOOD AVE STE 6, (866) 557-8670 GARDEN GROVE, CA 92841 DIAGNOSTICS EMG 715 SOUTHPOINT BLVD STE C, (866) 557-8670 PETALUMA, CA 94954 DIAGNOSTICS EMG 7217 PAINTER AVE , WHITTIER, CA (866) 557-8670 90602 DIAGNOSTICS EMG 724 CORPORATE CENTER DR # 2, (866) 557-8670 POMONA, CA 91768 DIAGNOSTICS EMG 7250 REDWOOD BLVD , NOVATO, CA (866) 557-8670 94945 DIAGNOSTICS EMG 7265 NORTH FIRST STREET SUITE 105, (866) 557-8670 FRESNO, CA 93720 DIAGNOSTICS EMG 729 SUNRISE AVE STE 602, ROSEVILLE, (866) 557-8670 CA 95661 DIAGNOSTICS EMG 730 HOWE AVE STE 400, SACRAMENTO, (866) 557-8670 CA 95825 DIAGNOSTICS EMG 73271 FRED WARING DR STE 102, PALM (866) 557-8670 DESERT, CA 92260 DIAGNOSTICS EMG 740 NORDAHL RD STE 117, SAN (866) 557-8670 MARCOS, CA 92069 DIAGNOSTICS EMG 740 NORDAHL RD STE 117, SAN (866) 557-8670 MARCOS, CA 92069 DIAGNOSTICS EMG 740 NORDAHL RD STE 117, SAN (866) 557-8670 MARCOS, CA 92069 DIAGNOSTICS EMG 754 NORTH MOUNTAIN AVE , ONTARIO, (866) 557-8670 CA 91762 DIAGNOSTICS EMG 756 W TOWN AND COUNTRY RD , (866) 557-8670 ORANGE, CA 92868 DIAGNOSTICS EMG 7585 N. CEDAR AVE STE 102, FRESNO, (866) 557-8670 CA 93720 DIAGNOSTICS EMG 7817 OAKPORT ST STE 140 , OAKLAND, (866) 557-8670 CA 94621 DIAGNOSTICS EMG 7880 WREN AVE STE F163, GILROY, CA (866) 557-8670 95020 DIAGNOSTICS EMG 801 BREWSTER AVE STE 195, (866) 557-8670 REDWOOD CITY, CA 94063 DIAGNOSTICS EMG 801 E BIRCH ST STE 2, CALEXICO, CA (866) 557-8670 92231 DIAGNOSTICS EMG 801 E CHAPEL ST STE 1 , SANTA MARIA, (866) 557-8670 CA 93454 DIAGNOSTICS EMG 801 S HAM LN STE J, LODI, CA 95242 (866) 557-8670

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 484 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 8036 3RD ST STE 103, DOWNEY, CA (866) 557-8670 90241 DIAGNOSTICS EMG 805 SAINT CHARLES DR STE 111, (866) 557-8670 THOUSAND OAKS, CA 91360 DIAGNOSTICS EMG 809 SYLVAN AVE STE 400, MODESTO, (866) 557-8670 CA 95350 DIAGNOSTICS EMG 8100 TIMBERLAKE WAY SUITE E, (866) 557-8670 SACRAMENTO, CA 95823 DIAGNOSTICS EMG 816 W YOSEMITE AVE STE 102, (866) 557-8670 MADERA, CA 93637 DIAGNOSTICS EMG 82013 DR CARREON BLVD #A-B, INDIO, (866) 557-8670 CA 92201 DIAGNOSTICS EMG 8222 VICKERS ST STE 108, SAN DIEGO, (866) 557-8670 CA 92111 DIAGNOSTICS EMG 831 SOUTH MAIN STREET , SALINAS, (866) 557-8670 CA 93907 DIAGNOSTICS EMG 833 BROADWAY STE 101, EL CAJON, CA (866) 557-8670 92021 DIAGNOSTICS EMG 854 MAGNOLIA AVE STE 202, CORONA, (866) 557-8670 CA 92879 DIAGNOSTICS EMG 860 E LA HABRA BOULEVARD SUITE (866) 557-8670 120, LA HABRA, CA 90631 DIAGNOSTICS EMG 8624 SIERRA AVE , FONTANA, CA 92336 (866) 557-8670 DIAGNOSTICS EMG 87 SCRIPPS DRIVE STE 216, (866) 557-8670 SACRAMENTO, CA 95825 DIAGNOSTICS EMG 880 OAK PARK BOULEVARD , ARROYO (866) 557-8670 GRANDE, CA 93420 DIAGNOSTICS EMG 8920 WILSHIRE BLVD STE 548, (866) 557-8670 BEVERLY HILLS, CA 90211 DIAGNOSTICS EMG 8929 UNIVERSITY CENTER LANE STE (866) 557-8670 207, SAN DIEGO, CA 92122 DIAGNOSTICS EMG 900 E WASHINGTON ST SUITE 300, (866) 557-8670 COLTON, CA 92324 DIAGNOSTICS EMG 900 E. WASHINGTON ST # 300 , (866) 557-8670 COLTON, CA 92324 DIAGNOSTICS EMG 902 NEW HALL STREET , SAN JOSE, CA (866) 557-8670 95126 DIAGNOSTICS EMG 909 HYDE ST. STE 210, SAN (866) 557-8670 FRANCISCO, CA 94109 DIAGNOSTICS EMG 9100 WILSHIRE BLVD STE 245, (866) 557-8670 BEVERLY HILLS, CA 90212 DIAGNOSTICS EMG 933 SOUTH SUNSET AVE SUITE 306, (866) 557-8670 WEST COVINA, CA 91790 DIAGNOSTICS EMG 9350 FLAIR DR STE 102, EL MONTE, CA (866) 557-8670 91731 DIAGNOSTICS EMG 9405 FAIRWAY VIEW PL , RANCHO (866) 557-8670 CUCAMONGA, CA 91730 DIAGNOSTICS EMG 945 BLANCO CIR STE A , SALINAS, CA (866) 557-8670 93901 DIAGNOSTICS EMG 9500 ARTESIA BLVD , BELLFLOWER, CA (866) 557-8670 90706 DIAGNOSTICS EMG 9555 FOOTHILL BLVD STE B, RANCHO (866) 557-8670 CUCAMONGA, CA 91730 DIAGNOSTICS EMG 960 E GREEN ST STE 208 , PASADENA, (866) 557-8670 CA 91101 DIAGNOSTICS EMG 9635 MONTE VISTA AVENUE , (866) 557-8670 MONTCLAIR, CA 91763 DIAGNOSTICS EMG 9700 DE SOTO AVE , CHATSWORTH, CA (866) 557-8670 91311 DIAGNOSTICS EMG 9700 DE SOTO AVE , CHATSWORTH, CA (866) 557-8670 91311 DIAGNOSTICS EMG 9730 WILSHIRE BOULEVARD SUITE 110, (866) 557-8670 BEVERLY HILLS, CA 90212

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 485 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone DIAGNOSTICS EMG 980 ATLANTIC AVE STE 350 , LONG (866) 557-8670 BEACH, CA 90813 DIAGNOSTICS EMG 9834 GENESEE AVE STE 223B, LA (866) 557-8670 JOLLA, CA 92037 DIAGNOSTICS EMG 984 W FOOTHILL BLVD , UPLAND, CA (866) 557-8670 91786 DIAGNOSTICS EMG 9850 GENESEE AVE STE 750 , LA (866) 557-8670 JOLLA, CA 92037 DIAGNOSTICS EMG 988 WALSH AVE , SANTA CLARA, CA (866) 557-8670 95050 DIAGNOSTICS EMG 999 N TUSTIN AVE STE 114, SANTA (866) 557-8670 ANA, CA 92701 ONE COMMUNITY HEALTH PHARMACY 1500 21ST ST, SACRAMENTO, CA 95811 (916) 914-6256 PHARMACY ONE PHARMACY PHARMACY 18049 MAGNOLIA ST, FOUNTAIN (714) 587-9786 VALLEY, CA 92708 ONEILL, CONOR - MD (BCC) ANESTHESIOLOGY 2801 K ST STE 410, SACRAMENTO, CA (916) 389-7100 95816 ONG, JANE C - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER ONG, JUSTIN - PTA ACCESS REHAB PHYSICAL PHYSICAL THERAPY 630 W ARROW HWY, SAN DIMAS, CA (909) 592-2778 THERAPY PC 91773 ONG, NELSON - DC LEMIRE CHIROPRACTIC SPINE CHIROPRACTIC MEDICINE 2354 MARITIME DR S100, ELK GROVE, (916) 683-3900 SPORT CA 95758 ONGSINGCO, GAVIN - PT NORTH COUNTY PHYSICAL PHYSICAL THERAPY 1545 HIGUERA ST, SAN LUIS OBISPO, (805) 543-5633 THERAPY DBA CREEKSIDE CA 93401 PHYSICAL THERAPY ONTARIO PHARMACY PHARMACY 666 E E ST, ONTARIO, CA 91764 (909) 986-8161 ONTARIO PHYSICAL THERAPY PHYSICAL THERAPY 3602 INLAND EMPIRE BLVD STE B140, (909) 941-3986 ONTARIO, CA 91764-4931 ONTIVEROS, ERIC - MD (BCC) ANESTHESIOLOGY 1100 W STEWART DR, ORANGE, CA (714) 633-9111 92868 OPDENHOFF, BRIAN - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 12402 INDUSTRIAL BLVD STE B2, (760) 955-6061 VICTORVILLE, CA 92395 OPOKU, ABENA A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PLAZA, SAN FRANCISCO, CA 94102 CENTER OPOKU, ABENA A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PHYSICIAN PLAZA, SAN FRANCISCO, CA 94102 CENTER OPTIMA CARE PHARMACY PHARMACY 1755 W GLENOAKS BLVD UNIT E, (818) 548-5488 GLENDALE, CA 91201 OPTIMAL HEALTH PHARMACY PHARMACY 700 AIRPORT DR APT C, BAKERSFIELD, (661) 479-0150 CA 93308 OPTIMAL PHARMACEUTICAL PHARMACY 6110 FAIR OAKS BLVD, CARMICHAEL, (916) 978-0866 MGMT CA 95608 OPTIMAL WELLNESS PHARMACY 4200 TRABUCO RD STE 190, IRVINE, CA (949) 861-3170 PHARMACY 92620 OPTIMUM CARE THERAPY PHYSICAL THERAPY 17906 PIONEER BLVD STE 101, (562) 865-2222 ARTESIA, CA 90701-4418 OPTIMUM CARE THERAPY PHYSICAL THERAPY 3816 WOODRUFF AVE STE 100, LONG (562) 938-8494 BEACH, CA 90808-2145 OPTIMUM PHYSICAL THERAPY PHYSICAL THERAPY 10601 WALKER ST STE 200, CYPRESS, (714) 229-3660 CA 90630 OPTIMUM SPORTS & PHYSICAL PHYSICAL THERAPY 1530 MERIDIAN AVESUITE 150, SAN (408) 979-2300 THERAPY INCORPORATED JOSE, CA 95125-5352 OPTIMUM SPORTS & PHYSICAL PHYSICAL THERAPY 291 E MAIN STSUITE E, LOS GATOS, CA (408) 354-2223 THERAPY INCORPORATED 95030-6137 OPTION CARE PHARMACY 5491 CARLSON DR, SACRAMENTO, CA (800) 253-3033 95819 ORANGE COAST CENTER FOR AMBULATORY SURGERY 18111 BROOKHURST ST STE 3200 , (714) 369-1100 SURGICAL CARE (BCC) CENTER FOUNTAIN VALLEY , CA 92708

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 486 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ORANGE COAST MEMORIAL ORANGE COAST MEMORIAL ACUTE CARE HOSPITAL 9920 TALBERT AVE, FOUNTAIN VALLEY, (714) 378-7000 MEDICAL CENTER (BCC) MEDICAL CENTER CA 92708 ORANGE COAST MEMORIAL PHARMACY 18035 BROOKHURST ST, FOUNTAIN (714) 378-5701 OP PHCY VALLEY, CA 92708 ORANGE COAST ORTHOPEDIC PHYSICAL THERAPY 1421 N WANDA RD STE 110, ORANGE, (714) 771-7047 AND SPORT PHYSICAL CA 92867-5343 THERAPY ORANGE COAST PHYSICAL PHYSICAL THERAPY 17456 BEACH BLVD, HUNTINGTON (714) 841-2688 THERAPY BEACH, CA 92647-5913 ORANGE COUNTY PHARMACY 6865 ALTON PKWY STE 120, IRVINE, CA (949) 612-6088 COMPOUNDING PHCY 92618 ORANGE COUNTY DOCTORS PHYSICAL THERAPY 12558 VALLEY VIEW ST, GARDEN (714) 901-7800 OF PHYSICAL THERAPY GROVE, CA 92845-2006 ORANGE COUNTY GLOBAL ORANGE COUNTY GLOBAL ACUTE CARE HOSPITAL 1001 N TUSTIN AVE, SANTA ANA, CA (714) 953-3500 MEDICAL CENTER (BCC) MEDICAL CENTER 92705 ORANGE EXPRESS PHARMACY PHARMACY 1233 N TUSTIN AVE, ORANGE, CA 92867 (714) 228-1720 ORANGE EXPRESS PHARMACY PHARMACY 12730 HEACOCK ST STE 1, MORENO (951) 924-4999 VALLEY, CA 92553 ORANGE GROVE PHARMACY PHARMACY 1770 N ORANGE GROVE AVE, POMONA, (909) 623-6429 CA 91767 ORANGE PLAZA PHARMACY PHARMACY 1010 W LA VETA AVE STE 130, (714) 550-9798 ORANGE, CA 92868 ORAVEC, RICHARD - MD (BCC) SAINT AGNES CARE SPORTS MEDICINE 1510 E HERNDON AVE STE 230, (559) 450-2663 ORTHOPAEDIC INSTITUTE FRESNO, CA 93720 ORAVEC, RICHARD - MD (BCC) SAINT AGNES CARE PRIMARY TREATING 1510 E HERNDON AVE STE 230, (559) 450-2663 ORTHOPAEDIC INSTITUTE PHYSICIAN FRESNO, CA 93720 ORAVEC, RICHARD - MD (BCC) SAINT AGNES CARE ORTHOPEDICS - SPINE 1510 E HERNDON AVE STE 230, (559) 450-2663 ORTHOPAEDIC INSTITUTE FRESNO, CA 93720 ORAVEC, RICHARD - MD (BCC) SAINT AGNES CARE ORTHOPEDICS - UPPER 1510 E HERNDON AVE STE 230, (559) 450-2663 ORTHOPAEDIC INSTITUTE EXTREMITIES FRESNO, CA 93720 ORAVEC, RICHARD - MD (BCC) SAINT AGNES CARE ORTHOPEDICS - LOWER 1510 E HERNDON AVE STE 230, (559) 450-2663 ORTHOPAEDIC INSTITUTE EXTREMITIES FRESNO, CA 93720 ORAVEC, RICHARD - MD (BCC) SAINT AGNES CARE ORTHOPEDICS - HIP 1510 E HERNDON AVE STE 230, (559) 450-2663 ORTHOPAEDIC INSTITUTE FRESNO, CA 93720 ORCHARD HOSPITAL (BCC) ORCHARD HOSPITAL ACUTE CARE HOSPITAL 240 SPRUCE ST, GRIDLEY, CA 95948 (530) 846-5671 ORDORICA, ERIC, PAUL - PT BEACH CITIES ORTHOPEDIC PHYSICAL THERAPY 400 S SEPULVEDA BLVD STE 247, (310) 546-3461 SPORTS MEDICINEMAIN MANHATTAN BEACH, CA 90266 OREIZY, PARIVASH - PT STATE COLLEGE PHYSICAL PHYSICAL THERAPY 215 N ST COLLEGE BLVD STE G, (714) 999-6596 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92806 HILLS PHYSICAL THERAPY REHAB OREIZY, PARIVASH - PT STATE COLLEGE PHYSICAL PHYSICAL THERAPY 500 S ANAHEIM HLS RD STE 106, (714) 685-0700 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92807 HILLS PHYSICAL THERAPY REHAB ORGLIFE PHARMACY PHARMACY 12038 VENTURA BLVD, STUDIO CITY, (818) 508-0800 CA 91604 ORIBA, HOWARD A - MD MONTEREY SKIN CANCER DERMATOLOGY 798 CASS ST STE 204, MONTEREY, CA (831) 233-6474 INSTITUTE 93940 ORLANDCARE PHCY AND MED PHARMACY 61 E WALKER ST, ORLAND, CA 95963 (530) 865-4688 SUPPLY ORMAN, JAMES J - MD KAISER PERMANENTE SANTA GENERAL SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 ORMAN, JAMES J - MD KAISER PERMANENTE SANTA PLASTIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 ORMOND, MATTHEW - DC PAIN RELIEF CHIROPRACTIC CHIROPRACTIC MEDICINE 17682 BEACH BLVD STE 203, (714) 745-7643 HUNTINGTON BEACH, CA 92647 OROFINO, CHARLES - PT COMPREHENSIVE PHYSICAL THERAPY 3106 PONTE MORINO DR STE A, (530) 677-7565 ORTHOPEDIC REHABILITATION CAMERON PARK, CA 95682 EXERCISE PT/DBA CORE PHYSICAL THERAPY OROVILLE CARE PHARMACY PHARMACY 2780 OLIVE HWY, OROVILLE, CA 95966 (530) 730-5265 OROVILLE HOSPITAL (BCC) OROVILLE HOSPITAL ACUTE CARE HOSPITAL 2767 OLIVE HWY, OROVILLE, CA 95966 (530) 533-8500

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 487 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ORR, JENNIFER - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 28780 SINGLE OAK DR STE 295, (951) 693-5871 TEMECULA, CA 92590 ORR, JENNIFER - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 31720 TEMECULA PKWY STE 101, (951) 303-3566 TEMECULA, CA 92592 ORTEGA, CHELSEA - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11600 WILSHIRE BLVD STE 205, LOS (424) 248-0100 THERAPY AND FITNESS ANGELES, CA 90025 ORTEGA, CHELSEA - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230 ORTHO PRO PHYSICAL PHYSICAL THERAPY 1145 LINDERO CANYON RD STE D 7, (818) 865-9800 THERAPY THOUSAND OAKS, CA 91362 ORTHO PRO PHYSICAL PHYSICAL THERAPY 1145 LINDERO CANYON RDSUITE D7, (818) 865-9800 THERAPY WESTLAKE VILLAGE, CA 91362-5475 ORTHOPAEDIC & SPORTS PHYSICAL THERAPY 19742 MACARTHUR BLVD STE 110, (949) 825-6928 PHYSICAL THERAPY IRVINE, CA 92612-2408 ORTHOPAEDIC & SPORTS PHYSICAL THERAPY 710 SOLANO ST, CORNING, CA (530) 824-9355 PHYSICAL THERAPY PC 96021-3352 ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY 795 FARMERS LN STE 10, SANTA ROSA, (707) 571-7615 PT CA 95405 ORTHOPAEDIC PT INSTITUTE PHYSICAL THERAPY 5053 LAMART DR STE 101, RIVERSIDE, (951) 683-3309 CA 92507 ORTHOPEADIC HOSP OP PHARMACY 403 W ADAMS BLVD, LOS ANGELES, CA (213) 742-1128 PHARMACY 90007 ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 4028 DALE RD STE 101, MODESTO, CA (209) 312-9739 THERAPY INSTITUTE 95356 ORTHOSPORT PHYSICAL PHYSICAL THERAPY 20101 SW BIRCH ST STE 140, (949) 721-9400 THERAPY NEWPORT BEACH, CA 92660-1749 ORTHOSPORT PHYSICAL PHYSICAL THERAPY 10190 CULVER BLVD, CULVER CITY, CA (310) 837-9700 THERAPY 90232-3152 ORTIZ, CARA - LAC REVIVE ACUPUNCTURE INC ACUPUNCTURE 43353 MISSION BLVD STE B, FREMONT, (510) 438-0128 CA 94539 ORTIZ, STACEY - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 ORTMAYER, ROBERT - PT YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886 OSBERG, NICHOLAS - OT CARNAHAN THERAPY OCCUPATIONAL THERAPY 805 E WALNUT AVE, LOMPOC, CA 93436 (805) 735-3714 REHABILITATION OSBERG, NICHOLAS - PT CARNAHAN THERAPY PHYSICAL THERAPY 805 E WALNUT AVE, LOMPOC, CA 93436 (805) 735-3714 REHABILITATION OSBON, DANIELLE - DC ALIGN AND THRIVE FAMILY CHIROPRACTIC MEDICINE 27645 JEFFERSON AVE STE 108, (951) 249-3369 CHIROPRACTIC TEMECULA, CA 92590 OSBORNE, VIC A - MD (BCC) ORTHOPAEDIC MEDICAL ORTHOPEDIC SURGERY - HIP 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 GROUP COVINA , CA 91790 OSBORNE, VIC A - MD (BCC) ORTHOPAEDIC MEDICAL ORTHOPEDIC SURGERY - 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 GROUP LOWER EXTREMITIES COVINA , CA 91790 OSBORNE, VIC A - MD (BCC) ORTHOPAEDIC MEDICAL ORTHOPEDIC SURGERY - 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 GROUP UPPER EXTREMITIES COVINA , CA 91790 OSBORNE, VIC A - MD (BCC) ORTHOPAEDIC MEDICAL ORTHOPEDICS - HIP 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 GROUP COVINA , CA 91790 OSBORNE, VIC A - MD (BCC) ORTHOPAEDIC MEDICAL ORTHOPEDICS - LOWER 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 GROUP EXTREMITIES COVINA , CA 91790 OSBORNE, VIC A - MD (BCC) ORTHOPAEDIC MEDICAL ORTHOPEDICS - SPINE 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 GROUP COVINA , CA 91790 OSBORNE, VIC A - MD (BCC) ORTHOPAEDIC MEDICAL ORTHOPEDICS - UPPER 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 GROUP EXTREMITIES COVINA , CA 91790 OSBORNE, VIC A - MD (BCC) ORTHOPAEDIC MEDICAL SPINE SURGERY 1135 S SUNSET AVE STE 200, WEST (626) 918-6655 GROUP COVINA , CA 91790 OSGOOD, SCOTT - PTA GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 OSHIRO, ADA - OT CONGRESS ORTHOPAEDIC OCCUPATIONAL THERAPY 800 S RAYMOND AVE FL 3, PASADENA, (626) 795-0800 ASSOCIATES DBA ELITE CA 91105 MOTION OSIBAMIRO, ADEBAMBO - MD ANESTHESIOLOGY 2637 E CARSON ST, CARSON, CA 90810 (310) 847-1321

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 488 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone OSKIE, SETH - MD (BCC) EMERGENCY MEDICINE 4650 LINCOLN BLVD, MARINA DEL REY, (810) 823-8911 CA 90292 OSLANCE, JEFFREY - DC BERNARDO WEST CHIROPRACTIC MEDICINE 16766 BERNARDO CENTER DR STE 111, (858) 673-1733 CHIROPRACTIC SAN DIEGO, CA 92128 OSO HOME CARE PHARMACY PHARMACY 17175 GILLETTE AVE, IRVINE, CA 92614 (949) 660-7126 OSO MEDICAL PHARMACY PHARMACY 26902 OSO PKWY STE 160, MISSION (949) 582-3633 VIEJO, CA 92691 OSTROM, JOSHUA - PT PRN POWAY THE TRAINING PHYSICAL THERAPY 15725 POMERADO RD STE 106, POWAY, (858) 592-8855 ROOM CA 92064 OSTROM, JOSHUA - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 OSWALD, STEVEN - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 7900 DISTRICT BLVD UNIT A, (661) 377-1700 BAKERSFIELD, CA 93313 OTARODIFARD, AMIR - MD KAISER PERMANENTE SAN ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 DIEGO MEDICAL CENTER 92111 OTAY PHARMACY PHARMACY 1637 THIRD AVE # A, CHULA VISTA, CA (619) 934-9999 91911 OTT, LORI - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 36 MAUCHLY STE A, IRVINE, CA 92618 (949) 727-3315 SPORTS THERAPY OTTE, KELLEN - DC (BCC) SOUTHERN CALIFORNIA CHIROPRACTIC MEDICINE 16200 AMBER VALLEY DR, WHITTIER, (562) 943-7125 UNIVERSITY HEALTH SYSTEM CA 90604 TACTICAL SPORTS MEDICINE OU, TING-WEI - MD (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 12742 LIMONITE AVE , EASTVALE, CA (951) 739-2746 EASTVALE 92880 OU, TING-WEI - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 12742 LIMONITE AVE , EASTVALE, CA (951) 739-2746 EASTVALE PHYSICIAN 92880 OUTCOMES PHYSICAL PHYSICAL THERAPY 760 WASHBURN AVESUITE 2, CORONA, (760) 687-3541 THERAPY CA 92882-3303 OUWELEEN, ROXANNE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 OUYANG, CONGJUN - LAC CONNIE'S ACUPUNCTURE ACUPUNCTURE 1811 SANTA RITA RD STE 108, (925) 462-1299 CLINIC PLEASANTON, CA 94566 OUZOUNIAN, NOUBAR K - MD KAISER PERMANENTE IRVINE SURGERY - HEAD AND NECK 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 OUZOUNIAN, TYE J - MD (BCC) ORTHOPEDIC SURGERY - 5620 WILBUR AVE STE 216, TARZANA , (818) 343-3668 ANKLE CA 91356 OUZOUNIAN, TYE J - MD (BCC) ORTHOPEDICS - ANKLE 5620 WILBUR AVE STE 216, TARZANA , (818) 343-3668 CA 91356 OUZOUNIAN, TYE J - MD (BCC) ORTHOPEDIC SURGERY - 5620 WILBUR AVE STE 216, TARZANA , (818) 343-3668 FOOT CA 91356 OUZOUNIAN, TYE J - MD (BCC) ORTHOPEDICS - FOOT 5620 WILBUR AVE STE 216, TARZANA , (818) 343-3668 CA 91356 OVERSTREET, MICHAEL - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 OWEN, CHRISTOPHER M - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 OWEN, JASMYNE - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2838 OSWELL ST, BAKERSFIELD, CA (661) 873-7100 93306 OWENJABS, CAROL - LMT DERYKE ASSOCIATES DBA MASSAGE THERAPIST 201 E HAMILTON AVE, CAMPBELL, CA (408) 376-0900 FYZICAL CAMPBELL 95008 OWENS PHARMACY PHARMACY 434 WALNUT ST, RED BLUFF, CA 96080 (530) 527-4275 OWENS PHARMACY PHARMACY 2025 COURT ST STE B, REDDING, CA (530) 244-8669 96001 OWENS PHARMACY PHARMACY 2025 COURT ST STE D, REDDING, CA (530) 225-8898 96001 OWENS PHARMACY PHARMACY 2880 CHURN CREEK RD STE A, (530) 226-5530 REDDING, CA 96002 OWENS PHARMACY PHARMACY 2025 COURT ST STE A, REDDING, CA (530) 243-4336 96001 OWENS PHARMACY PHARMACY 1035 PLACER ST STE 110, REDDING, CA (530) 244-8600 96001 OWENS PHARMACY PHARMACY 1050 S MAIN ST, RED BLUFF, CA 96080 (530) 528-7690 OWENS PHARMACY PHARMACY 2920 MAIN ST STE A, SUSANVILLE, CA (530) 252-4315 96130

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 489 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone OWENS PHARMACY PHARMACY 317 LAKE BLVD STE B, REDDING, CA (530) 351-7050 96003 OWENS PHARMACY PHARMACY 50 NUGGET LANE STE C, (530) 623-1632 WEAVERVILLE, CA 96093 OWENS PHARMACY PHARMACY 101 W LAKE ST, MOUNT SHASTA, CA (530) 926-2069 96067 OWENS PHARMACY PHARMACY 9387 DESCHUTES RD STE 1, PALO (530) 547-0936 CEDRO, CA 96073 OWENS PHARMACY PHARMACY 2975 EAST ST, ANDERSON, CA 96007 (530) 365-2778 OWENS PHARMACY #25 PHARMACY 582 MAIN ST, WEED, CA 96094 (530) 938-4135 OWENS PHARMACY #26 PHARMACY 2025 COURT ST STE E, REDDING, CA (530) 241-3550 96001 OWENS, JADRIANE - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 585 SATURN BLVD STE A, SAN DIEGO, (619) 591-1990 CA 92154 OWENS, SCOTT - DC GREGORY BROWN LAC CHIROPRACTIC MEDICINE 201 HARDING BLVD STE K, ROSEVILLE, (916) 784-2727 CA 95678 OWH, SOO, HOON - LAC GARDEN GROVE ACUPUNCTURE 9618 GARDEN GROVE BLVD STE 107, (714) 539-6562 ACUPUNCTURE CLINIC GARDEN GROVE, CA 92844 OWL DRUG PHARMACY 728 FAIRPLEX DR, POMONA, CA 91768 (909) 623-0563 OWL REXALL DRUGS PHARMACY 837 W ARROW HWY, GLENDORA, CA (626) 962-1061 91740 OWL SPECIALTY PHARMACY PHARMACY 1010 E ARROW HWY, COVINA, CA 91724 (626) 209-8169 OWL WESTERN PHARMACY PHARMACY 1009 W SAN BERNARDINO RD, COVINA, (626) 209-8160 CA 91722 OWSLEY, KEVIN - MD (BCC) ORTHOPEDIC SURGERY - HIP 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 CA 92064 OWSLEY, KEVIN - MD (BCC) ORTHOPEDIC SURGERY - 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 KNEE CA 92064 OWSLEY, KEVIN - MD (BCC) ORTHOPEDICS - HIP 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 CA 92064 OWSLEY, KEVIN - MD (BCC) ORTHOPEDICS - KNEE 15611 POMERADO RD STE 525, POWAY, (858) 485-0050 CA 92064 OXNARD DRUG PHARMACY 105 W 5TH ST, OXNARD, CA 93030 (805) 483-2115 OYANAGI, MAYAMI - PT PT STOP PHYSICAL THERAPY PHYSICAL THERAPY 3407 W 6TH ST STE 514, LOS ANGELES, (888) 444-0091 WELLNESS INC CA 90020 OZA, NUPUR, NANDAN - PT PROACTIVE PHYSICAL PHYSICAL THERAPY 1208 E ARQUES AVE STE 115, (408) 720-1700 THERAPY INC SUNNYVALE, CA 94085 PACE, RACHEL - PTA KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 44501 16TH ST W STE 107, LANCASTER, (661) 974-7033 THERAPY INC CA 93534 PACE, ROBERT - PT AFFILIATED PHYSICAL PHYSICAL THERAPY 10225 AUSTIN DR STE 204, SPRING (619) 670-4567 THERAPY VALLEY, CA 91978 PACE, ROBERT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 PACE, ROBERT - PT PRN POWAY THE TRAINING PHYSICAL THERAPY 15725 POMERADO RD STE 106, POWAY, (858) 592-8855 ROOM CA 92064 PACE, ROBERT - PT PRN DESERT REHABILITATION PHYSICAL THERAPY 1611 W MAIN ST, EL CENTRO, CA 92243 (760) 337-1144 INSTITUTE PACE, ROBERT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 1632 PUENTE AVE, BALDWIN PARK, CA (626) 430-2300 SPORTS THERAPY 91706 PACE, ROBERT - PT PRN AQUATIC PHYSICAL PHYSICAL THERAPY 1663 GREENFIELD DR, EL CAJON, CA (619) 440-5752 REHABILITATION 92021 PACE, ROBERT - PT DESERT REHABILITATION PHYSICAL THERAPY 180 W LEGION RD, BRAWLEY, CA 92227 (760) 351-7125 INSTITUTE PACE, ROBERT - PT TORRANCE PHYSICAL PHYSICAL THERAPY 19000 HAWTHORNE BLVD STE 300, (310) 793-1800 THERAPY TORRANCE, CA 90503 PACE, ROBERT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 200 NEWPORT CENTER DR STE 213, (949) 644-1322 SPORTS THERAPY NEWPORT BEACH, CA 92660 PACE, ROBERT - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 2437 FENTON ST STE B, CHULA VISTA, (619) 656-5176 CA 91914 PACE, ROBERT - PT PRN DESERT REHABILITATION PHYSICAL THERAPY 2536 ROCKWOOD AVENUE STE 107, (760) 768-3422 INSTITUTE SOUTH CALEXICO, CA 92231

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 490 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PACE, ROBERT - PT EGGLETON LANGTON PHYSICAL THERAPY 2650 CAM DEL RIO N STE 200, SAN (619) 295-3000 PHYSICAL THERAPY DIEGO, CA 92108 MANAGEMENT SERVICES PACE, ROBERT - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 3130 BONITA RD STE 100, CHULA (619) 422-5315 VISTA, CA 91910 PACE, ROBERT - PT PRN PHYSICAL THERAPY PHYSICAL THERAPY 317 N EL CAMINO REAL STE 210, (760) 634-0248 ENCINITAS, CA 92024 PACE, ROBERT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 36 MAUCHLY STE A, IRVINE, CA 92618 (949) 727-3315 SPORTS THERAPY PACE, ROBERT - PT SAN DIEGO UPTOWN PHYSICAL THERAPY 4060 4TH AVE STE 206, SAN DIEGO, CA (619) 299-5246 PHYSICAL THERAPY 92103 PACE, ROBERT - PT SPINE AND JOINT PHYSICAL THERAPY 4435 EASTGATE MALL STE 120, SAN (858) 587-8669 CONDITIONING CENTER DIEGO, CA 92121 PACE, ROBERT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 471 W LAMBERT RD STE 106, BREA, CA (714) 255-8877 SPORTS THERAPY 92821 PACE, ROBERT - PT E L PHYSICAL THERAPY PHYSICAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606 PACE, ROBERT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 PACE, ROBERT - PT CALIFORNIA HAND THERAPY PHYSICAL THERAPY 8641 WILSHIRE BLVD STE 200, (310) 854-0529 BEVERLY HILLS, CA 90211 PACELLI, JOSEPH - DC NEWPORT CARE MEDICAL CHIROPRACTIC MEDICINE 3300 W COAST HWY STE A, NEWPORT (949) 949-9991 GROUP BEACH, CA 92663 PACELLI, JOSEPH - DC NEWPORT CARE MEDICAL CHIROPRACTIC MEDICINE 3490 LINDEN AVE STE 2, LONG BEACH, (949) 491-9991 GROUP CA 90807 PACER PHYSICAL THERAPY PHYSICAL THERAPY 2255 YGNACIO VALLEY RD STE E, (925) 930-6680 WALNUT CREEK, CA 94598-3349 PACER PHYSICAL THERAPY PHYSICAL THERAPY 2330 SAN RAMON VALLEY BLVD STE (925) 855-1733 INC 240, SAN RAMON, CA 94583-1608 PACHECO, DINAH - AUD ADVANCED HEARING AUDIOLOGY 974 KENDALL DR STE 1, SAN (800) 598-5300 PROVIDERS LLC BERNARDINO, CA 92407 PACIFIC CANCER MEDICAL PHARMACY 1801 W ROMNEYA DR STE 203, (714) 999-1465 CENTER ANAHEIM, CA 92801 PACIFIC COAST PHARMACY PHARMACY 10515 MCFADDEN AVE, GARDEN (714) 260-9094 GROVE, CA 92843 PACIFIC COAST PHYSICAL PHYSICAL THERAPY 20151 SW BIRCH ST STE 200, (949) 475-5777 THERAPY NEWPORT BEACH, CA 92660-0776 PACIFIC DRUGS PHARMACY 1047 N STATE ST, LOS ANGELES, CA (323) 226-0237 90033 PACIFIC GROVE HOSPITAL PACIFIC GROVE HOSPITAL CHEMICAL DEPENDENCY 5900 BROCKTON AVE, RIVERSIDE, CA (951) 275-8400 (BCC) REHABILITATION CENTER 92506 (OUTPATIENT) PACIFIC GROVE PHYSICAL PHYSICAL THERAPY 786 LIGHTHOUSE AVE, MONTEREY, CA (831) 645-9996 THERAPY 93940-1010 PACIFIC HEMATOLOGY PHARMACY 2100 WEBSTER ST STE 225, SAN (415) 923-3012 ONCOLOGY FRANCISCO, CA 94115 PACIFIC MEDICAL CLINIC (BCC) PACIFIC MEDICAL CLINIC URGENT CARE FACILITY 1534 E WARNER AVE STE A, SANTA (714) 557-5599 ANA, CA 92705 PACIFIC MEDICAL PHARMACY PHARMACY 1101 N PACIFIC AVE STE 101, (818) 548-1330 GLENDALE, CA 91202 PACIFIC MEDICAL PHARMACY PHARMACY 808 E CALIFORNIA AVE, GLENDALE, CA (818) 696-2213 91206 PACIFIC PHARMACY PHARMACY 11525 BROOKSHIRE AVE, DOWNEY, CA (562) 862-1302 90241 PACIFIC PHARMACY PHARMACY 207 S SANTA ANITA ST, SAN GABRIEL, (626) 281-6800 CA 91776 PACIFIC PHARMACY PHARMACY 650 INTERNATIONAL BLVD, OAKLAND, (510) 451-3234 CA 94606 PACIFIC REJUVENATION PHARMACY 7230 MEDICAL CENTER DR, WEST (818) 518-5980 HILLS, CA 91307 PACIFIC SIDE PHARMACY PHARMACY 19582 BEACH BLVD STE 118, (714) 965-5203 HUNTINGTON BEACH, CA 92648 PACIFIC SURGERY CENTER OF AMBULATORY SURGERY 2021 SANTA MONICA BLVD STE 724E, (310) 829-9060 SANTA MONICA CENTER SANTA MONICA, CA 90404

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 491 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PACIFIC THERAPY & REHAB PHYSICAL THERAPY 39159 PASEO PADRE PKWY., (510) 505-9800 INC. FREMONT, CA 94538 PACIFIC THERAPY AND REHAB PHYSICAL THERAPY 696 E SANTA CLARA ST STE 209, SAN (408) 993-9200 INC. JOSE, CA 95112-1911 PACIFIC THERAPY SERVICES PHYSICAL THERAPY 400 E SANTA BARBARA ST STE B, (805) 525-6402 SANTA PAULA, CA 93060-2675 PACIFIC THERAPY SERVICES PHYSICAL THERAPY 5550 TELEGRAPH RD STE A, VENTURA, (805) 850-0525 CA 93003-4256 PACIFIC URGENT CARE (BCC) PACIFIC URGENT CARE URGENT CARE FACILITY 1782 W HAMMER LN, STOCKTON, CA (209) 475-9500 95209 PACIFIC VIEW PHARMACY PHARMACY 2491 PACIFIC AVE STE 1, LONG BEACH, (562) 595-9333 CA 90806 PACIFIC VIEW RECOVERY PACIFIC VIEW RECOVERY CHEMICAL DEPENDENCY 643 PACIFIC ST, SANTA MONICA, CA (866) 737-4962 CENTER LLC (BCC) CENTER LLC REHABILITATION CENTER 90405 (OUTPATIENT) PACIFIC WATER THERAPY PHYSICAL THERAPY 3156 SPORTS ARENA BLVD STE 104, (619) 523-6767 SAN DIEGO, CA 92110-4524 PACIFIC WEST PHARMACY PHARMACY 4363 PACIFIC ST, ROCKLIN, CA 95677 (800) 282-7844 PACIFICA PHARMACY PHARMACY 23560 MADISON ST STE 112, (310) 530-0831 TORRANCE, CA 90505 PACIFICA RECOVERY CENTER PACIFICA RECOVERY CENTER CHEMICAL DEPENDENCY 415 W FOOTHILL BLVD STE 210, (909) 447-5081 (BCC) REHABILITATION CENTER CLAREMONT, CA 91711 (OUTPATIENT) PACIFICPRO PHYSICAL PHYSICAL THERAPY 1 PETERS CANYON RD STE 120, (951) 929-9890 THERAPY & SPORTS MEDICINE IRVINE, CA 92606-1748 PACIFICPRO PHYSICAL PHYSICAL THERAPY 14252 CULVER DR STE A910, IRVINE, (951) 929-9890 THERAPY & SPORTS MEDICINE CA 92604 PACIFICPRO PHYSICAL PHYSICAL THERAPY 25251 PASEO DE ALICIA STE 201, (949) 716-2730 THERAPY & SPORTS MEDICINE LAGUNA HILLS, CA 92653-4616 PACILLAS, BRYAN - PT CORE PHYSICAL THERAPY BY PHYSICAL THERAPY 1136 N CHINOWTH ST, VISALIA, CA (559) 671-0101 BRIAN PACILLAS PC 93291 PACINI, DONALD - DC DONALD PACINI DC CHIROPRACTIC MEDICINE 4060 CAMPUS DR STE 130, NEWPORT (949) 724-1400 BEACH, CA 92660 PACK PHYSICAL THERAPY, PHYSICAL THERAPY 24582 DEL PRADO STE C, DANA POINT, (949) 443-0713 INC. DBA FYZICAL THERAPY CA 92629-3820 AN PACK, BRODIE - PT PACK PHYSICAL THERAPY INC PHYSICAL THERAPY 24582 DEL PRADO STE C, DANA POINT, (949) 443-0713 DBA FYZICAL THERAPY AND CA 92629 BALANCE CENTERS PADEN, JONATHAN - PT GATEWAY THERAPY CENTER PHYSICAL THERAPY 15725 POMERADO RD STE 115, POWAY, (858) 675-7766 CA 92064 PADILLA, JIMMY - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1526 N EDGEMONT ST 1ST FLR, LOS (800) 954-8000 JOB LOS ANGELES MEDICAL ANGELES, CA 90027 CENTER PADILLA, JIMMY - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1526 N EDGEMONT ST 1ST FLR, LOS (800) 954-8000 JOB LOS ANGELES MEDICAL PHYSICIAN ANGELES, CA 90027 CENTER PADILLA, JIMMY - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 JOB LOS ANGELES MEDICAL CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 PADILLA, JIMMY - MD KAISER PERMANENTE ON THE PRIMARY TREATING 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 JOB LOS ANGELES MEDICAL PHYSICIAN CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 PADILLO, PIA - PT MEDLEGAL SAFAEIAN PHYSICAL THERAPY 808 E MANCHESTER BLVD STE 5, (310) 672-4100 CHIROPRACTIC PHYSICAL INGLEWOOD, CA 90301 THERAPY PADRON, VOS, ELIZABETH - ELIZABETH PADRON VOS ACUPUNCTURE 1720 BANCROFT WAY, BERKELEY, CA (510) 480-2200 LAC 94703 PADUA, CHERRY - PT REHABCARE UNLIMITED PHYSICAL THERAPY 1125 N MAGNOLIA AVE STE 120, (714) 581-5971 ANAHEIM, CA 92801 PADUA, CHERRY - PT REHABCARE UNLIMITED PHYSICAL THERAPY 16025 GALE AVE STE B8, CITY OF (626) 333-3172 INDUSTRY, CA 91745 PADUA, CHERRY - PT REHABCARE UNLIMITED PHYSICAL THERAPY 510 N MAIN ST, SANTA ANA, CA 92701 (714) 679-7736

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 492 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PAEK, JUN, HYUK - LAC JUN PAEK ACUPUNCTURE ACUPUNCTURE 304 N HARBOR BLVD, LA HABRA, CA (562) 694-2878 90631 PAGANO, JESSICA A - MD SHORELINE MENTAL HEALTH PSYCHIATRY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 SEAL BEACH, CA 90740 PAGANO, JESSICA A - MD WESTERN PACIFIC PSYCHIATRY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 PAGANO-BROOKS, JESSICA A - WESTERN PACIFIC PSYCHIATRY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 MD (BCC) PSYCHOLOGICAL NETWORK CA 90242 PAGANO-BROOKS, JESSICA A - WESTERN PACIFIC PSYCHIATRY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 MD (BCC) PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 PAGANO-BROOKS, JESSICA A - WESTERN PACIFIC PSYCHIATRY 300 E ESPLANADE DR STE 900 (818) 501-4700 MD (BCC) PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 PAGANO-BROOKS, JESSICA A - WESTERN PACIFIC PSYCHIATRY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 MD (BCC) PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 PAGANO-BROOKS, JESSICA A - WESTERN PACIFIC PSYCHIATRY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 MD (BCC) PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 PAGANO-BROOKS, JESSICA A - WESTERN PACIFIC PSYCHIATRY 6331 GREENLEAF AVE STE G , (818) 501-4700 MD (BCC) PSYCHOLOGICAL NETWORK WHITTIER, CA 90601 PAGANO-BROOKS, JESSICA A - WESTERN PACIFIC PSYCHIATRY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 MD (BCC) PSYCHOLOGICAL NETWORK 90601 PAGANO-BROOKS, JESSICA A - WESTERN PACIFIC PSYCHIATRY 900 E WASHINGTON ST STE 300, (818) 501-4700 MD (BCC) PSYCHOLOGICAL NETWORK COLTON, CA 92324 PAGANO-BROOKS, JESSICA A - SHORELINE MENTAL HEALTH MARRIAGE FAMILY THERAPY 5900 SEPULVEDA BLVD STE 370, (562) 493-6799 MFT (BCC) SHERMAN OAKS , CA 91411 PAGCU, ROWENA - OTA REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 PAGDAN, REBECCA - CHT EGGLETON LANGTON HAND THERAPY 2650 CAM DEL RIO N STE 200, SAN (619) 295-3000 PHYSICAL THERAPY DIEGO, CA 92108 MANAGEMENT SERVICES PAGDAN, REBECCA - PT PRN DESERT REHABILITATION PHYSICAL THERAPY 1611 W MAIN ST, EL CENTRO, CA 92243 (760) 337-1144 INSTITUTE PAGDAN, REBECCA - PT EGGLETON LANGTON PHYSICAL THERAPY 2650 CAM DEL RIO N STE 200, SAN (619) 295-3000 PHYSICAL THERAPY DIEGO, CA 92108 MANAGEMENT SERVICES PAGDAN, REBECCA - PT NEXUS PHYSICAL THERAPY PHYSICAL THERAPY 3191 SPORTS ARENA BLVD STE B, SAN (619) 226-4131 DIEGO, CA 92110 PAGE, ALICIA GUEVERA A - MD SANSUM CLINIC - PESETAS FAMILY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) PAGE, ALICIA GUEVERA A - MD SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) PAGE, DAYNA - LMT LEE ACUPUNCTURE MAIN SITE MASSAGE THERAPIST 425 OLD NEWPORT BLVD STE E, (949) 723-0054 NEWPORT BEACH, CA 92663 PAHK, RAYMOND B - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 PAHLAVAN, SOHRAB - MD SPINE SURGERY 3525 LOMA VISTA RD STE A, VENTURA, (805) 641-6415 (BCC) CA 93003 PAHLAVAN, SOHRAB - MD VENTURA ORTHOPEDICS SPINE SURGERY 3901 LAS POSAS RD STE 4, CAMARILLO (805) 585-5166 (BCC) , CA 93010 PAHLAVAN, SOHRAB - MD ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A, VENTURA, (805) 641-6415 (BCC) LOWER EXTREMITIES CA 93003 PAHLAVAN, SOHRAB - MD ORTHOPEDIC SURGERY - 3525 LOMA VISTA RD STE A, VENTURA, (805) 641-6415 (BCC) UPPER EXTREMITIES CA 93003 PAHLAVAN, SOHRAB - MD ORTHOPEDICS - LOWER 3525 LOMA VISTA RD STE A, VENTURA, (805) 641-6415 (BCC) EXTREMITIES CA 93003 PAHLAVAN, SOHRAB - MD ORTHOPEDICS - SPINE 3525 LOMA VISTA RD STE A, VENTURA, (805) 641-6415 (BCC) CA 93003 PAHLAVAN, SOHRAB - MD ORTHOPEDICS - UPPER 3525 LOMA VISTA RD STE A, VENTURA, (805) 641-6415 (BCC) EXTREMITIES CA 93003 PAHLAVAN, SOHRAB - MD VENTURA ORTHOPEDICS ORTHOPEDICS - SPINE 3901 LAS POSAS RD STE 4, CAMARILLO (805) 585-5166 (BCC) , CA 93010

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 493 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PAI, NIKHILA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 PAI, SUDHA M - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE PAIN MANAGEMENT PAIN MANAGEMENT PAIN MANAGEMENT 10 SANTA ROSA ST STE 201, SAN LUIS (805) 470-1700 SPECIALISTS (BCC) SPECIALISTS OBISPO, CA 93405 PAIR & MAROTTA PHYSICAL PHYSICAL THERAPY 2601 OSWELL ST STE 105, (661) 871-5908 THERAPY BAKERSFIELD, CA 93306-3101 PAIR & MAROTTA PHYSICAL PHYSICAL THERAPY 2603 G STREET, BAKERSFIELD, CA (661) 634-9440 THERAPY 93301-2807 PAIR & MAROTTA PHYSICAL PHYSICAL THERAPY 3400 PANAMA LANE, BAKERSFIELD, CA (661) 412-4667 THERAPY 93304 PAIR & MAROTTA PHYSICAL PHYSICAL THERAPY 5337 TRUXTUN AVE, BAKERSFIELD, CA (661) 324-0122 THERAPY 93309-0641 PAK, EUGENE - MD (BCC) LOMA LINDA UNIVERSITY PAIN MANAGEMENT 11406 LOMA LINDA DR #300, LOMA (800) 679-4642 HEALTH CARE - PHYSICAL MED LINDA , CA 92354 & REHAB/PAIN MGMT FP&S PAK, GRACE - LAC GRACE PAK ACUPUNCTURE ACUPUNCTURE 1809 E DYER RD STE 313, SANTA ANA, (949) 975-1900 LYG CA 92705 PAK, GRACE - LAC GRACE PAK ACUPUNCTURE ACUPUNCTURE 1835 S LA CIENEGA BLVD STE A, LOS (310) 287-3711 LYG ANGELES, CA 90035 PAK, JOSHUA, SANG - LAC JP ACUPUNCTURE WELLNESS ACUPUNCTURE 339 S MAGNOLIA AVE, ANAHEIM, CA (714) 714-6632 92804 PAL, JOSHUA S - MD CONCENTRA MEDICAL PAIN MEDICINE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 PAL, JOSHUA S - MD CONCENTRA MEDICAL PAIN MEDICINE 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY CITY, CA 91950 PAL, JOSHUA S - MD CONCENTRA MEDICAL PAIN MEDICINE 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071 PALCO PHARMACY PHARMACY 113 MAIN ST STE D, SCOTIA, CA 95565 (707) 764-3591 PALI RX PHARMACY 900 VIA DE LA PAZ, PACIFIC (310) 454-0377 PALISADES, CA 90272 PALISADES COMPOUNDING PHARMACY 540 PALISADES DR, PACIFIC (310) 454-4848 PHARMACY PALISADES, CA 90272 PALLIA, CHRISTOPHER S - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 PALLIA, CHRISTOPHER S - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA LOWER EXTREMITIES 91942 PALLIA, CHRISTOPHER S - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA UPPER EXTREMITIES 91942 PALLIA, CHRISTOPHER S - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 PALLIA, CHRISTOPHER S - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA EXTREMITIES 91942 PALLIA, CHRISTOPHER S - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 PALLIA, CHRISTOPHER S - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA EXTREMITIES 91942 PALLIA, CHRISTOPHER S - MD CONCENTRA MEDICAL SPINE SURGERY 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 PALM AVENUE WOMEN'S PALM AVENUE WOMEN'S CHEMICAL DEPENDENCY 4570 PALM AVE, RIVERSIDE, CA 92501 (951) 788-9515 PROGRAM (BCC) PROGRAM REHABILITATION CENTER (OUTPATIENT) PALM CARE PHARMACY PHARMACY 505 N MOLLISON AVE STE 102, EL (619) 457-0545 CAJON, CA 92021 PALM CARE PHARMACY PHARMACY 101 N HIGHLAND AVE, NATIONAL CITY, (619) 434-8338 CA 91950 PALM DESERT DRUGS PHARMACY 73261 HIGHWAY 111 STE 101, PALM (760) 636-5587 DESERT, CA 92260 PALM DESERT PHYSICAL PHYSICAL THERAPY 77682 COUNTRY CLUB DR STE B, PALM (760) 345-3087 THERAPY DESERT, CA 92211-0451

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 494 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PALM PHARMACY PHARMACY 254 E HARVARD BLVD, SANTA PAULA, (805) 525-8700 CA 93060 PALM SPRINGS SERENITY PALM SPRINGS SERENITY CHEMICAL DEPENDENCY 2095 N INDIAN CANYON DR, PALM (877) 345-8494 RETREAT (BCC) RETREAT REHABILITATION CENTER SPRINGS, CA 92262 (OUTPATIENT) PALMDALE MEDICAL PHARMACY 540 W PALMDALE BLVD UNIT A, (661) 267-2638 PHARMACY PALMDALE, CA 93551 PALMDALE REGIONAL PALMDALE REGIONAL ACUTE CARE HOSPITAL 38600 MEDICAL CENTER DR, (661) 382-5000 MEDICAL CENTER (BCC) MEDICAL CENTER PALMDALE, CA 93551 PALMIERI PHARMACY PHARMACY 800 MAGNOLIA AVE STE 116, CORONA, (951) 737-3511 CA 92879 PALO VERDE HOSPITAL (BCC) PALO VERDE HOSPITAL ACUTE CARE HOSPITAL 250 N 1ST ST, BLYTHE, CA 92225 (760) 922-4115 PALOMAR BEHAVIORAL PALOMAR BEHAVIORAL MENTAL HEALTH/PSYCHIATRIC 555 E VALLEY PKWY, ESCONDIDO, CA (760) 739-3000 HEALTH (BCC) HEALTH HOSPITAL (INPATIENT) 92025 PALOMAR MEDICAL CENTER PALOMAR MEDICAL CENTER ACUTE CARE HOSPITAL 2185 CITRACADO PKWY, ESCONDIDO, (442) 281-5000 (BCC) CA 92029 PALOMAR MEDICAL PALOMAR MEDICAL ACUTE CARE HOSPITAL 15615 POMERADO RD, POWAY, CA (858) 613-4000 CENTER-POWAY (BCC) CENTER-POWAY 92064 PALVOLGYI, MICHELLE P - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH SACRAMENTO, CA 95823 CENTER PALVOLGYI, MICHELLE P - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH PHYSICIAN SACRAMENTO, CA 95823 CENTER PAMPLONA, EUNICE - OT REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 PAN, HAROLD - PT CORE TOTAL BODY PHYSICAL PHYSICAL THERAPY 120 S CHAPARRAL CT STE 150, (714) 998-9580 THERAPY PC ANAHEIM, CA 92808 PANDYA, BHAVESH ROBERT J - KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 MD JOB LOS ANGELES MEDICAL ANGELES, CA 90027 CENTER PANDYA, BHAVESH ROBERT J - KAISER PERMANENTE ON THE PRIMARY TREATING 1526 N EDGEMONT ST 1ST FLR, LOS (323) 783-6621 MD JOB LOS ANGELES MEDICAL PHYSICIAN ANGELES, CA 90027 CENTER PANDYA, BHAVESH ROBERT J - KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 MD JOB LOS ANGELES MEDICAL CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 PANDYA, BHAVESH ROBERT J - KAISER PERMANENTE ON THE PRIMARY TREATING 333 SOUTH HOPE STREET SUITE C130 (213) 217-2928 MD JOB LOS ANGELES MEDICAL PHYSICIAN CONCOURSE LEVEL, LOS ANGELES, CA OFFICES 90071 PANG, ERIC - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 PANHWAR, SUMERA - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER PANOSSIAN, VAHE - MD (BCC) HUNTINGTON ORTHOPEDICS PRIMARY TREATING 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 PHYSICIAN CA 91105 PANOSSIAN, VAHE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 CA 91105 PANOSSIAN, VAHE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 LOWER EXTREMITIES CA 91105 PANOSSIAN, VAHE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 UPPER EXTREMITIES CA 91105 PANOSSIAN, VAHE - MD (BCC) HUNTINGTON ORTHOPEDICS SPINE SURGERY 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 CA 91105 PANOSSIAN, VAHE - MD (BCC) HUNTINGTON ORTHOPEDICS SPORTS MEDICINE 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 CA 91105 PANSCIK, MAGDALENA - CHT JBJC INC DBA PINE STREET HAND THERAPY 2488 N CALIFORNIA ST, STOCKTON, CA (209) 981-7390 PHYSICAL AND 95204 OCCUPATIONAL PANSCIK, MAGDALENA - CHT JBJC INC DBA PINE STREET HAND THERAPY 840 S FAIRMONT AVE STE 5, LODI, CA (209) 339-1690 PHYSICAL AND 95240 OCCUPATIONAL

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 495 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PANSCIK, MAGDALENA - OT JBJC INC DBA PINE STREET OCCUPATIONAL THERAPY 2488 N CALIFORNIA ST, STOCKTON, CA (209) 981-7390 PHYSICAL AND 95204 OCCUPATIONAL PANSCIK, MAGDALENA - OT JBJC INC DBA PINE STREET OCCUPATIONAL THERAPY 840 S FAIRMONT AVE STE 5, LODI, CA (209) 339-1690 PHYSICAL AND 95240 OCCUPATIONAL PANTEA, NIKAEEN - DC F M RADIOLOGY MEDICAL CHIROPRACTIC MEDICINE 20011 VENTURA BLVD STE 1002, (818) 708-6163 CENTER INC WOODLAND HILLS, CA 91364 PANUSKA, JOHN M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH SACRAMENTO, CA 95823 CENTER PANUSKA, JOHN M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH PHYSICIAN SACRAMENTO, CA 95823 CENTER PAQUETTE, JUSTIN D - MD NEUROLOGICAL SURGERY 20620 LEAPWOOD AVE UNIT H , (310) 294-9027 (BCC) CARSON, CA 90746 PAQUETTE, JUSTIN D - MD SPINE SURGERY 20620 LEAPWOOD AVE UNIT H , (310) 294-9027 (BCC) CARSON, CA 90746 PAQUETTE, JUSTIN D - MD NEUROLOGICAL SURGERY 1900 W GARVEY AVE S STE 223, WEST (310) 294-9027 (BCC) COVINA, CA 91790 PAQUETTE, JUSTIN D - MD SPINE SURGERY 1900 W GARVEY AVE S STE 223, WEST (310) 294-9027 (BCC) COVINA, CA 91790 PAQUETTE, RONALD - MD CEDARS-SINAI MEDICAL HEMATOLOGY AND 8700 BEVERLY BLVD, LOS ANGELES, (310) 423-1160 (BCC) CENTER - SAMUEL OSCHIN ONCOLOGY CA 90048 CANCER CENTER PARADISE DRUG PHARMACY 6240 CLARK RD STE B, PARADISE, CA (530) 877-4981 95969 PARADISE HILLS PHARMACY PHARMACY 2366 REO DR, SAN DIEGO, CA 92139 (619) 470-3710 PARADISE PHARMACY PHARMACY 502 EUCLID AVE STE 100, NATIONAL (619) 399-7581 CITY, CA 91950 PARADIZ, GUSTAVO - PT SAN JOSE PHYSICAL THERAPY PHYSICAL THERAPY 125 N JACKSON AVE STE 201, SAN (408) 254-7722 JOSE, CA 95116 PARAGON COMPOUNDING PHARMACY 1585 W BROADWAY SUITE A, ANAHEIM, (714) 707-5099 PHARMACY CA 92802 PARAMANADAM, SHELLEY - PT DOS CAMINOS PT SPORTS PHYSICAL THERAPY 2486 N PONDEROSA DR STE D106, (805) 484-5447 REHAB CAMARILLO, CA 93010 PARAMOUNT FAMILY PHARMACY 8010 2ND ST, PARAMOUNT, CA 90723 (562) 531-1313 PHARMACY PARAYNO, MARIA L - MD (BCC) CITY OF HOPE NUCLEAR MEDICINE 1500 E DUARTE RD, DUARTE, CA 91010 (626) 256-4373 COMPREHENSIVE CANCER CENTER PARAYNO, MARIA L - MD (BCC) CITY OF HOPE RADIOLOGY 1500 E DUARTE RD, DUARTE, CA 91010 (626) 256-4373 COMPREHENSIVE CANCER CENTER PARCELL, MICHELLE - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 PARCELLI, JOSEPH - DC MARK JOHNSON DC CHIROPRACTIC MEDICINE 2617 E CHAPMAN AVE STE 105, (714) 771-5363 ORANGE, CA 92869 PAREDES, JOSE - MD (BCC) ANESTHESIOLOGY 1500 E DUARTE RD, DUARTE, CA 91010 (626) 256-4673 PAREKH, ASHISH R - MD KAISER PERMANENTE WEST UROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER PAREKH, NIRAJ V - MD (BCC) CARDIOLOGY SPECIALISTS CARDIOVASCULAR DISEASE 264 N HIGHLAND SPRINGS AVEW STE (951) 352-3937 MEDICAL GROUP (CARDIOLOGY) 2D, BANNING , CA 92220 PAREKH, NIRAJ V - MD (BCC) CARDIOLOGY SPECIALISTS CARDIOVASCULAR DISEASE 39755 MURRIETA HOT SPRINGS RD (951) 352-3937 MEDICAL GROUP (CARDIOLOGY) BLDG G, MURRIETA , CA 92563 PARENT, MEGAN - PT HANDS ON REHAB INC PHYSICAL THERAPY 1601 DOVE ST STE 242, NEWPORT (949) 222-6444 EASTBLUFF BEACH, CA 92660 PARENT, MEGAN - PT HANDS ON REHAB INC PHYSICAL THERAPY 7921 PROFESSIONAL CIR, (714) 847-8751 HUNTINGTON BEACH, CA 92648 PARFITT, LAUREN - PT CHULA VISTA PHYSICIANS PHYSICAL THERAPY 1055 TIERRA DEL REY STE A, CHULA (619) 421-0444 GROUP VISTA, CA 91910

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 496 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PARIKH, BOSKEY - PT MOUNTAIN VIEW PHYSICAL PHYSICAL THERAPY 490 W EL CAMINO REAL, MOUNTAIN (650) 961-7370 THERAPY VIEW, CA 94040 PARIKH, PINKY - PT MERCED PHYSICAL THERAPY PHYSICAL THERAPY 2908 G ST STE B, MERCED, CA 95340 (209) 812-1448 SPORTS MEDICINE REHAB PARIKH, SALONI - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 PARINAS, ANSELMO - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 10630 SEPULVEDA BLVD, MISSION (818) 361-3369 THERAPY CENTERS HILLS, CA 91345 PARINAS, ANSELMO - PT CALIFORNIA PHYSICAL PHYSICAL THERAPY 4100 TRUXTUN AVE STE 200, (661) 632-1540 THERAPY CENTERS BAKERSFIELD, CA 93309 PARK AVENUE PHYSICAL PHYSICAL THERAPY 2808 PARK AVE STE B, MERCED, CA (209) 723-8144 THERAPY 95348-3392 PARK COMPOUNDING PHARMACY 9257 RESEARCH DR, IRVINE, CA 92618 (844) 446-6979 PARK, ABRAHAM J - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 PARK, ABRAHAM J - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 2900, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 PARK, ABRAHAM J - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 PARK, ANDREW Y - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 PARK, BYEONG, HO - LAC ANTELOPE VALLEY ACUPUNCTURE 1529 E PALMDALE BLVD STE 204, (661) 974-0577 ACUPUNCTURE HERBS CLINIC PALMDALE, CA 93550

PARK, CLIFF - LAC GOLD MOUNTAIN ACUPUNCTURE 1565 S HARBOR BLVD, FULLERTON, CA (213) 327-5474 ACUPUNCTURE 92832 PARK, CLIFF - LAC GOLD MOUNTAIN ACUPUNCTURE 3407 W 6TH ST STE 410, LOS ANGELES, (213) 327-5474 ACUPUNCTURE CA 90020 PARK, DONG - LAC SOUTHERN CALIFORNIA ACUPUNCTURE 1321 W GARVEY AVE N, WEST COVINA, (626) 337-6335 SPORTS REHAB CA 91790 PARK, EDWARD JY - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER PARK, EDWARD JY - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER PARK, EUN - LAC APRICOT GROVE ACUPUNCTURE 2920 F ST STE F11, BAKERSFIELD, CA (661) 434-3415 ACUPUNCTURE 93301 PARK, EUNJIN - LAC APRICOT GROVE ACUPUNCTURE 3321 W PICO BLVD, LOS ANGELES, CA (323) 733-9275 ACUPUNCTURE 90019 PARK, EUNJIN - LAC APRICOT GROVE ACUPUNCTURE 5953 LAUREL CANYON BLVD, NORTH (213) 249-1298 ACUPUNCTURE HOLLYWOOD, CA 91607 PARK, EUNJU - LAC PARK'S ACUPUNCTURE ACUPUNCTURE 5924 STONERIDGE DR STE 204A, (925) 600-9692 PLEASANTON, CA 94588 PARK, GUN, HWA - LAC BALANX ACUPUNCTURE ACUPUNCTURE 4020 BIRCH ST STE 107, NEWPORT (714) 392-5363 BEACH, CA 92660 PARK, HYUN, HO - LAC FAMILY ACUPUNCTURE ACUPUNCTURE 10717 CAMINO RUIZ SUITE 234, SAN (858) 527-8278 DIEGO, CA 92126 PARK, HYUNGWOOK - LAC NEW MEDICAL ACUPUNCTURE 2050 W CHAPMAN AVE STE 102, (714) 512-1978 ORANGE, CA 92868 PARK, IL - DC BEST SPINE CHIROPRACTIC CHIROPRACTIC MEDICINE 3300 WEBSTER ST STE 505, OAKLAND, (510) 832-6898 CLINIC CA 94609 PARK, IL - DC BEST SPINE CHIROPRACTIC CHIROPRACTIC MEDICINE 4155 MOORPARK AVE STE 1, SAN (408) 249-0422 CLINIC JOSE, CA 95117 PARK, JAE - LAC GREEN ACUPUNCTURE CLINIC ACUPUNCTURE 3020 WLSHRE BLVD STE 222, LOS (213) 389-3003 ANGELES, CA 90010 PARK, JAE - LAC GREEN ACUPUNCTURE CLINIC ACUPUNCTURE 8727 LA TIJERA BLVD, LOS ANGELES, (424) 341-3003 CA 90045 PARK, JAE, CHANG - LAC SEVEN OAKS WELLNESS ACUPUNCTURE 2 JAMES WAY 108, PISMO BEACH, CA (805) 925-2395 CENTER 93449 PARK, JAE, CHANG - LAC SEVEN OAKS WELLNESS ACUPUNCTURE 940 E MAIN ST, SANTA MARIA, CA 93454 (805) 925-2395 CENTER MAIN PARK, JAE, SEOG - LAC NEO ACUPUNCTURE CENTER ACUPUNCTURE 4121 10TH ST, RIVERSIDE, CA 92501 (714) 875-5533

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 497 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PARK, JAESEOG - LAC NEO ACUPUNCTURE CENTER ACUPUNCTURE 5836 BELLFLOWER BLVD, LAKEWOOD, (714) 875-5533 CA 90713 PARK, JEONG, AE - LAC JAEIN ACUPUNCTURE HERBAL ACUPUNCTURE 3441 W BALL RD STE E, ANAHEIM, CA (714) 732-1035 MEDICINE INC 92804 PARK, JHEEN - LAC PARK'S ACUPUNCTURE ACUPUNCTURE 5924 STONERIDGE DR STE 204A, (925) 600-9692 PLEASANTON, CA 94588 PARK, JIN, WOO - LAC DAN B ACUPUNCTURE INC ACUPUNCTURE 13252 HAWTHORNE BLVD STE 104, (310) 464-1167 HAWTHORNE, CA 90250 PARK, JIYEON - LAC ASIANA WELLNESS ACUPUNCTURE 366 SAN MIGUEL DR STE 300, (949) 400-8057 NEWPORT BEACH, CA 92660 PARK, KYLE - DC HEHWA CLINIC INC CHIROPRACTIC MEDICINE 1208 E ARQUES AVE STE 109, (408) 530-9115 SUNNYVALE, CA 94085 PARK, KYLE - DC OPTIMAL BALANCE CHIROPRACTIC MEDICINE 5540 ALMADEN EXPRESSWAY, SAN (408) 478-8555 CHIROPRACTIC JOSE, CA 95118 PARK, MAXWELL C - MD KAISER PERMANENTE ON THE ORTHOPEDICS 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 JOB WOODLAND HILLS CA 91367 MEDICAL CENTER PARK, MIERO - LAC WEST BERKELEY WELLNESS ACUPUNCTURE 2831 7TH ST, BERKELEY, CA 94710 (510) 863-0333 PARK, MIN J - MD KAISER PERMANENTE ORTHOPEDICS 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 PARK, MYUNGREA - ATC INTEGRATED MEDICAL ATHLETIC TRAINER 2250 S MAIN ST STE 203, CORONA, CA (951) 737-1252 CENTER OF CORONA 92882 PARK, NAOMI - LAC NAOMI PARK D/B/A MIKAEL ACUPUNCTURE 3030 W 6TH ST STE 100, LOS ANGELES, (213) 381-6882 ACUPUNCTURE CA 90020 PARK, ON, JUNG - LAC HAESEONG INTEGRATIVE ACUPUNCTURE 505 S VIRGIL AVE STE 306, LOS (213) 944-0214 MEDICINE CENTER ANGELES, CA 90020 PARK, PRISCILLA - PT SOMATIC NATURE PHYSICAL PHYSICAL THERAPY 3150 18TH ST STE 438, SAN (415) 636-7696 THERAPY AND WELLNESS FRANCISCO, CA 94110 PARK, SEUNG - PT PRIME REHAB CENTER PHYSICAL THERAPY 527 N PALM AVE STE 101, ONTARIO, CA (909) 983-3557 91762 PARK, SEUNG - PT PRIME REHAB CENTER PHYSICAL THERAPY 8545 SIERRA AVE, FONTANA, CA 92335 (909) 365-3557 PARK, SHIN - LAC WOORI CLINIC INC ACUPUNCTURE 1385 S DIAMOND BAR BLVD, DIAMOND (909) 861-1015 BAR, CA 91765 PARK, WONSANG - LAC WONSANG PARK ACUPUNCTURE 14785 JEFFREY RD STE 210, IRVINE, CA (949) 829-2580 ACUPUNCTURIST 92618 PARK, YIJIN - LAC APRICOT GROVE ACUPUNCTURE 3321 W PICO BLVD, LOS ANGELES, CA (323) 733-9275 ACUPUNCTURE 90019 PARK, YONG - LAC ACUPUNCTURE GLOBAL ACUPUNCTURE 1520 N MOUNTAIN AVE STE 138, (909) 890-0401 SYSTEMS ONTARIO, CA 91762 PARK, YOOYUEN - LAC BETHESDA ACUPUNCTURE ACUPUNCTURE 9260 ALCOSTA BLVD STE A1, SAN (925) 999-9676 CHIROPRACTIC AND SKIN SPA RAMON, CA 94583 PARKE VISTA PHARMACY PHARMACY 3838 SHERMAN DR STE 1, RIVERSIDE, (951) 687-4203 CA 92503 PARKER'S PHARMACY PHARMACY 102 W 5TH ST, HOLTVILLE, CA 92250 (760) 356-2826 PARKER, REINEE - OT AUBURN OAKS CARE CENTER OCCUPATIONAL THERAPY 3400 BELL RD, AUBURN, CA 95603 (530) 888-6257 PARKER, WILLIAM - AUD ADVANCED HEARING AUDIOLOGY 4201 TORRANCE BLVD STE 140, (800) 598-5300 PROVIDERS LLC TORRANCE, CA 90503 PARKS, PAUL F - MD KAISER PERMANENTE LOS NEUROLOGICAL SURGERY 1505 N EDGEMONT ST , LOS ANGELES, (323) 783-6621 ANGELES MEDICAL CENTER CA 90027 PARKS, PAUL F - MD KAISER PERMANENTE LOS NEUROLOGY 1505 N EDGEMONT ST , LOS ANGELES, (323) 783-6621 ANGELES MEDICAL CENTER CA 90027 PARKSIDE PHARMACY PHARMACY 2428 SANTA MONICA BLVD, SANTA (310) 453-7843 MONICA, CA 90404 PARKSIDE PHARMACY PHARMACY 4404 DEL RIO RD, SACRAMENTO, CA (916) 452-2200 95822 PARKVIEW COMMUNITY PARKVIEW COMMUNITY ACUTE CARE HOSPITAL 3865 JACKSON ST, RIVERSIDE, CA (951) 688-2211 HOSPITAL MEDICAL CENTER HOSPITAL MEDICAL CENTER 92503 (BCC) PARKVIEW MED PLAZA PHARMACY 3975 JACKSON ST STE 109, RIVERSIDE, (951) 637-0180 PHARMAC CA 92503 PARKVIEW MEDICAL PLZA PHARMACY 3975 JACKSON ST STE 111, RIVERSIDE, (951) 637-7054 PHCY LTC CA 92503

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 498 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PARNASSUS HEIGHTS PHARMACY 350 PARNASSUS AVE STE 100, SAN (415) 564-9191 PHARMACY FRANCISCO, CA 94117 PARNELL, STEPHEN A - MD COAST GASTROENTEROLOGY GASTROENTEROLOGY 502 E HARDY ST STE 430, INGLEWOOD, (310) 671-7010 (BCC) MEDICAL GROUP CA 90301 PAROLISE, ANTHONY - DC PAROLISE CHIROPRACTIC CHIROPRACTIC MEDICINE 515 J ST, LOS BANOS, CA 93635 (209) 826-9484 PARSA, RONNA - DO (BCC) ORTHOPEDIC SURGERY - HIP 11525 BROOKSHIRE AVE STE 405, (424) 220-4400 DOWNEY, CA 90241 PARSA, RONNA - DO (BCC) ORTHOPEDIC SURGERY - 11525 BROOKSHIRE AVE STE 405, (424) 220-4400 LOWER EXTREMITIES DOWNEY, CA 90241 PARSA, RONNA - DO (BCC) ORTHOPEDIC SURGERY - 11525 BROOKSHIRE AVE STE 405, (424) 220-4400 UPPER EXTREMITIES DOWNEY, CA 90241 PARSA, RONNA - DO (BCC) ORTHOPEDICS - HIP 11525 BROOKSHIRE AVE STE 405, (424) 220-4400 DOWNEY, CA 90241 PARSA, RONNA - DO (BCC) ORTHOPEDICS - LOWER 11525 BROOKSHIRE AVE STE 405, (424) 220-4400 EXTREMITIES DOWNEY, CA 90241 PARSA, RONNA - DO (BCC) ORTHOPEDICS - UPPER 11525 BROOKSHIRE AVE STE 405, (424) 220-4400 EXTREMITIES DOWNEY, CA 90241 PARSA, RONNA - DO (BCC) ORTHOPEDIC SURGERY - HIP 4014 LONG BEACH BLVD STE 210, (562) 997-7100 LONG BEACH, CA 90807 PARSA, RONNA - DO (BCC) ORTHOPEDIC SURGERY - 4014 LONG BEACH BLVD STE 210, (562) 997-7100 LOWER EXTREMITIES LONG BEACH, CA 90807 PARSA, RONNA - DO (BCC) ORTHOPEDIC SURGERY - 4014 LONG BEACH BLVD STE 210, (562) 997-7100 UPPER EXTREMITIES LONG BEACH, CA 90807 PARSA, RONNA - DO (BCC) ORTHOPEDICS - HIP 4014 LONG BEACH BLVD STE 210, (562) 997-7100 LONG BEACH, CA 90807 PARSA, RONNA - DO (BCC) ORTHOPEDICS - LOWER 4014 LONG BEACH BLVD STE 210, (562) 997-7100 EXTREMITIES LONG BEACH, CA 90807 PARSA, RONNA - DO (BCC) ORTHOPEDICS - UPPER 4014 LONG BEACH BLVD STE 210, (562) 997-7100 EXTREMITIES LONG BEACH, CA 90807 PARSA, RONNA - DO (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - HIP 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 PARSA, RONNA - DO (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC LOWER EXTREMITIES GLENDALE, CA 91205 PARSA, RONNA - DO (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC UPPER EXTREMITIES GLENDALE, CA 91205 PARSA, RONNA - DO (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDICS - HIP 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 PARSA, RONNA - DO (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDICS - LOWER 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC EXTREMITIES GLENDALE, CA 91205 PARSA, RONNA - DO (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDICS - UPPER 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC EXTREMITIES GLENDALE, CA 91205 PARSA, RONNA - DO (BCC) MANHATTAN BEACH SURGERY ORTHOPEDIC SURGERY - HIP 1200 ROSECRANS AVE STE 110, (424) 220-4400 CENTER MANHATTAN BEACH, CA 90266 PARSA, RONNA - DO (BCC) MANHATTAN BEACH SURGERY ORTHOPEDIC SURGERY - 1200 ROSECRANS AVE STE 110, (424) 220-4400 CENTER LOWER EXTREMITIES MANHATTAN BEACH, CA 90266 PARSA, RONNA - DO (BCC) MANHATTAN BEACH SURGERY ORTHOPEDIC SURGERY - 1200 ROSECRANS AVE STE 110, (424) 220-4400 CENTER UPPER EXTREMITIES MANHATTAN BEACH, CA 90266 PARSA, RONNA - DO (BCC) MANHATTAN BEACH SURGERY ORTHOPEDICS - HIP 1200 ROSECRANS AVE STE 110, (424) 220-4400 CENTER MANHATTAN BEACH, CA 90266 PARSA, RONNA - DO (BCC) MANHATTAN BEACH SURGERY ORTHOPEDICS - LOWER 1200 ROSECRANS AVE STE 110, (424) 220-4400 CENTER EXTREMITIES MANHATTAN BEACH, CA 90266 PARSA, RONNA - DO (BCC) MANHATTAN BEACH SURGERY ORTHOPEDICS - UPPER 1200 ROSECRANS AVE STE 110, (424) 220-4400 CENTER EXTREMITIES MANHATTAN BEACH, CA 90266 PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOWER EXTREMITIES LOS ANGELES, CA 90045 PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX UPPER EXTREMITIES LOS ANGELES, CA 90045 PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDICS - HIP 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDICS - LOWER 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX EXTREMITIES LOS ANGELES, CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 499 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDICS - UPPER 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX EXTREMITIES LOS ANGELES, CA 90045 PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE LOWER EXTREMITIES PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE UPPER EXTREMITIES PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDICS - HIP 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDICS - LOWER 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE EXTREMITIES PARSA, RONNA S - DO CONCENTRA MEDICAL ORTHOPEDICS - UPPER 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE EXTREMITIES PARSI, KANEMOTO, MARYAM - PARSI ACUPUNCTURE CLINIC ACUPUNCTURE 2700 N MAIN ST STE 340, SANTA ANA, (949) 216-0960 LAC MAIN CA 92705 PARSON, BLAKE - PT ORTHOSPORT PHYSICAL PHYSICAL THERAPY 10190 CULVER BLVD, CULVER CITY, CA (310) 837-9700 THERAPY 90232 PARTNER HEALTHCARE PHARMACY 2035 S MYRTLE AVE, MONROVIA, CA (626) 448-4085 91016 PARTOWNAVID, PARISA - MD ANESTHESIOLOGY 757 WESTWOOD PLZ STE 3325, LOS (310) 267-8679 (BCC) ANGELES, CA 90095 PARWANI, PURVI J - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE PASADENA CITY PHARMACY PHARMACY 1684 E WASHINGTON BLVD, (626) 797-6661 PASADENA, CA 91104 PASADENA COUNCIL ON PASADENA COUNCIL ON CHEMICAL DEPENDENCY 1245 E WALNUT ST STE 117, (626) 795-9127 ALCOHOLISM AND DRUG ALCOHOLISM AND DRUG REHABILITATION CENTER PASADENA, CA 91106 DEPENDENCE (BCC) DEPENDENCE (OUTPATIENT) PASADENA RECOVERY PASADENA RECOVERY CHEMICAL DEPENDENCY 1811 N RAYMOND AVE, PASADENA, CA (626) 345-9992 CENTER (BCC) CENTER REHABILITATION CENTER 91103 (OUTPATIENT) PASADENA SURGERY CENTER AMBULATORY SURGERY 1035 S FAIR OAKS AVE STE 101, (626) 403-6488 CENTER PASADENA, CA 91105 PASADENA SURGERY CENTER PASADENA SURGERY CENTER AMBULATORY SURGERY 1035 S FAIR OAKS AVE STE 101, (626) 403-6488 (BCC) (BCC*) CENTER PASADENA, CA 91105 PASADENA SURGERY CENTER AMBULATORY SURGERY 31 W BELLEVUE DR, PASADENA, CA (626) 584-6116 LLC CENTER 91105 PASCA, IOANA - MD (BCC) ANESTHESIOLOGY 11234 ANDERSON ST RM 2352, LOMA (800) 679-4642 LINDA, CA 92354 PASCOE, JAMES - DC PASCOE CHIROPRACTIC CHIROPRACTIC MEDICINE 1011 CAMINO DEL MAR STE 234, DEL (858) 481-7763 MAR, CA 92014 PASCUAL, NADINE - AUD ADVANCED HEARING AUDIOLOGY 1725 ORANGE TREE LN STE B, (800) 598-5300 PROVIDERS LLC REDLANDS, CA 92374 PASEK, ADRIENNE - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 100 OCEANGATE BLVD STE 1200, LONG (800) 803-2086 GROUP INC BEACH, CA 90802 PASEK, ADRIENNE - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 30021 TOMAS ST STE 300, RANCHO (800) 803-2086 GROUP INC SANTA MARGARITA, CA 92688 PASEK, ADRIENNE - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 333 CITY BLVD FL 17 , ORANGE, CA (800) 803-2086 GROUP INC 92868 PASEK, ADRIENNE - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 4199 CAMPUS DR STE 550, IRVINE, CA (800) 803-2086 GROUP INC 92612 PASEO OAKS PHARMACY PHARMACY 3701 E THOUSAND OAKS BLVD, (805) 379-4110 THOUSAND OAKS, CA 91362 PASKIL, JEFFREY - MD ANESTHESIOLOGY 1111 W LA PALMA AVE, ANAHEIM, CA (714) 710-7731 92801 PASO ROBLES PHYSICAL PHYSICAL THERAPY 1414 PARK ST, PASO ROBLES, CA (805) 237-0272 THERAPY 93446-2160 PASO ROBLES PHYSICAL PHYSICAL THERAPY 2150 HERITAGE LOOP RD STE D, PASO (805) 369-2323 THERAPY ROBLES, CA 93446-7802

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 500 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PASSAGES VENTURA (BCC) PASSAGES VENTURA CHEMICAL DEPENDENCY 224 E CLARA ST, PORT HUENEME, CA (805) 283-4737 REHABILITATION HOSPITAL 93041 (INPATIENT) PATANKAR, KAUSTABH V - MD CARDIOLOGY SPECIALISTS CARDIOVASCULAR DISEASE 264 N HIGHLAND SPRINGS AVEW STE (951) 352-3937 (BCC) MEDICAL GROUP (CARDIOLOGY) 2D, BANNING , CA 92220 PATEL, ASHWINKUMAR - PT HELSE PHYSICAL THERAPY PHYSICAL THERAPY 1830 HACIENDA DR STE 2, VISTA, CA (760) 941-8600 DBA MJ PHYSICAL THERAPY 92081 PATEL, BIJAL - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 PATEL, DARSHAN - MD KAISER PERMANENTE SAN ANESTHESIOLOGY 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 PATEL, JAY J - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - HIP 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY PATEL, JAY J - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP KNEE IRVINE, CA 92618 OF ORANGE COUNTY PATEL, JAY J - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - HIP 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY PATEL, JAY J - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP KNEE 92868 OF ORANGE COUNTY PATEL, KETAN M - MD (BCC) KECK MEDICINE OF USC PLASTIC & RECONSTRUCTIVE 1510 SAN PABLO ST STE 6200, LOS (323) 442-7920 SURGERY ANGELES, CA 90033 PATEL, KEVAL D - MD CONCENTRA MEDICAL INTERNAL MEDICINE 190 LEAVESLEY RD STE 102, GILROY, (408) 848-0444 CENTER - GILROY CA 95020 PATEL, MANJARI K - MD KAISER PERMANENTE SANTA NEUROLOGY 710 LAWRENCE EXPRESSWAY , SANTA (408) 236-6160 CLARA MEDICAL CENTER CLARA, CA 95051 PATEL, MANOJ K - MD (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 PATEL, MANOJ K - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE PHYSICIAN 92506 PATEL, MIRAL - PT NORALAHI MEDICAL CLINICS PHYSICAL THERAPY 1720 RINGWOOD AVE, SAN JOSE, CA (408) 988-8581 INCORPORATED 95131 PATEL, MIRAL - PT NORALAHI MEDICAL CLINICS PHYSICAL THERAPY 2901 K ST STE 120C, SACRAMENTO, CA (916) 448-1770 INCORPORATED 95816 PATEL, NAEEM, MOHAMED - PATEL CHIROPRACTIC CHIROPRACTIC MEDICINE 100 HAZELWOOD DR, SOUTH SAN (650) 588-4000 DC FRANCISCO, CA 94080 PATEL, NAOMI - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 2180 W GRANT LINE RD, TRACY, CA (925) 463-0470 SPECIALISTS 95377 PATEL, NAOMI - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 PATEL, NAOMI - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 5601 NORRIS CANYON RD, SAN (925) 463-0470 SPECIALISTS RAMON, CA 94583 PATEL, NIRALI - LAC UNIQUE REMEDY ACUPUNCTURE 1098 FOSTER CITY BLVD STE 204, (206) 330-1548 ACUPUNCTURE FOSTER CITY, CA 94404 PATEL, NIRAV - DPM KAISER PERMANENTE SAN PODIATRY 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 PATEL, NIYATI - PT VILLA LAS PALMAS PHYSICAL THERAPY 622 S ANZA ST, EL CAJON, CA 92020 (619) 442-0544 PATEL, PANNA - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 2101 E 4TH ST STE 170B, SANTA ANA, (714) 558-3977 SPORTS THERAPY CA 92705 PATEL, PANNA - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 36 MAUCHLY STE A, IRVINE, CA 92618 (949) 727-3315 SPORTS THERAPY PATEL, PANNA - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 5630 E SANTA ANA CANYON RD STE (714) 282-7701 SPORTS THERAPY 150, ANAHEIM, CA 92807 PATEL, PRANAY B - MD (BCC) BEACH CITIES ORTHOPEDICS SPINE SURGERY 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 & SPORTS MEDICINE CA 90505 PATEL, PRANAY B - MD (BCC) BEACH CITIES ORTHOPEDICS SPINE SURGERY 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 PATEL, RADHIKA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 501 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PATEL, RADHIKA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 PATEL, ROHINI A - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 801 CORPORATE CENTER DR STE130, (909) 623-1954 CENTER - POMONA REHABILITATION POMONA, CA 91768 PATEL, RUPESHBHAI, RUPESHBHAI A PATEL DC CHIROPRACTIC MEDICINE 372 ARDEN AVE STE 202, GLENDALE, (818) 543-1544 ARVINBHAI - DC CA 91203 PATEL, SANDHYA - MD CONCENTRA MEDICAL PRIMARY TREATING 7590 MIRAMAR RD STE C, SAN DIEGO, (858) 549-4255 CENTER - MIRAMAR PHYSICIAN CA 92126 PATEL, SANDHYA - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 7590 MIRAMAR RD STE C, SAN DIEGO, (858) 549-4255 CENTER - MIRAMAR CA 92126 PATEL, SEEMA - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 31244 PALOS VERDES DR WEST STE (310) 544-7325 THERAPY 209, RANCHO PALOS VERDES, CA 90275 PATEL, SEEMA - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 520 N PROSPECT AVE STE 100, (310) 376-9222 THERAPYMAIN REDONDO BEACH, CA 90277 PATEL, SUMER - DPM KAISER PERMANENTE SANTA PODIATRY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 140 1ST FLR, SANTA CLARA, CA 95051 PATEL, SWATI - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 PATERNO, RONALD D - DPM KAISER PERMANENTE PODIATRY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER PATERSON, JAMES - PT ORTHOSPORT PHYSICAL PHYSICAL THERAPY 10190 CULVER BLVD, CULVER CITY, CA (310) 837-9700 THERAPY 90232 PATHAK, APURBA S - MD KAISER PERMANENTE WEST UROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER PATHWAYS (BCC) PATHWAYS CHEMICAL DEPENDENCY 2 9TH ST, MARYSVILLE, CA 95901 (530) 742-6670 REHABILITATION CENTER (OUTPATIENT) PATIENTS FIRST MEDICAL PATIENTS FIRST MEDICAL URGENT CARE FACILITY 394 E YOSEMITE AVE, MERCED, CA (209) 383-3990 CENTER (BCC) CENTER 95340 PATIENTS HOSPITAL OF PATIENTS HOSPITAL OF ACUTE CARE HOSPITAL 2900 EUREKA WAY, REDDING, CA 96001 (530) 225-8715 REDDING (BCC) REDDING PATIL, TRISHA - OT SANTA CLARA PHYSICAL OCCUPATIONAL THERAPY 2488 DE LA CRUZ BLVD, SANTA CLARA, (408) 247-7278 THERAPY CA 95050 PATIL, TRISHA - OT CALAVERAS PHYSICAL OCCUPATIONAL THERAPY 500 E CALAVERAS BLVD STE 112, (408) 934-4700 THERAPY MILPITAS, CA 95035 PATON, HOLLY - PT REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 741 S ORANGE AVE STE 200, WEST (626) 338-7392 DBA SAMIMI ORTHOPAEDIC COVINA, CA 91790 GROUP PATRICK, TAMMY - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 121 BOATYARD DR SUITE A, FORT (707) 964-1208 BRAGG, CA 95437 PATTERSON FAMILY PHARMACY 47 S DEL PUERTO AVE, PATTERSON, (209) 892-8444 PHARMACY CA 95363 PATTERSON, PAULA - PT DONIA CHIROPRACTIC PHYSICAL THERAPY 1455 W PARK AVE, REDLANDS, CA (909) 793-2225 92373 PATTON, DANIEL - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, (760) 245-6495 ANKLE VICTORVILLE, CA 92394 PATTON, DANIEL - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 ANKLE REDLANDS, CA 92374 PATTON, DANIEL - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 ANKLE CA 92545 PATTON, DANIEL - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 ANKLE CUCAMONGA, CA 91730 PATTON, DANIEL - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, (760) 245-6495 FOOT VICTORVILLE, CA 92394 PATTON, DANIEL - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 FOOT REDLANDS, CA 92374 PATTON, DANIEL - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 FOOT CA 92545 PATTON, DANIEL - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 FOOT CUCAMONGA, CA 91730

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 502 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PATTON, DANIEL J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 ANKLE RIVERSIDE , CA 92505 PATTON, DANIEL J - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 FOOT RIVERSIDE , CA 92505 PAUL, MICHELLE - PTA STATE COLLEGE PHYSICAL PHYSICAL THERAPY 215 N ST COLLEGE BLVD STE G, (714) 999-6596 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92806 HILLS PHYSICAL THERAPY REHAB PAUL, MICHELLE - PTA STATE COLLEGE PHYSICAL PHYSICAL THERAPY 500 S ANAHEIM HLS RD STE 106, (714) 685-0700 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92807 HILLS PHYSICAL THERAPY REHAB PAUL, ZACHARY J - MD CONCENTRA MEDICAL PRIMARY TREATING 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO PHYSICIAN SAN BERNARDINO, CA 92408 PAUL, ZACHARY J - MD CONCENTRA MEDICAL GENERAL PRACTICE 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408 PAULO, JERROD - OT EAST BAY HAND MEDICAL OCCUPATIONAL THERAPY 13690 E 14TH ST STE 210, SAN 5102970550Mai CENTER INC LEANDRO, CA 94578 n PAULSON, RYAN, GLENN - PT JARRETT ORTHOPAEDIC PHYSICAL THERAPY 2651 IRVINE AVE STE 128, COSTA (949) 722-8811 REHABILITATION MESA, CA 92627 PAUR, KERI - AUD ADVANCED HEARING AUDIOLOGY 2409 HONOLULU AVE , GLENDALE, CA (800) 598-5300 PROVIDERS LLC 91020 PAUTZ, MATTHEW J - DO (BCC) ORTHOPAEDIC INSTITUTE OF ORTHOPEDICS - HAND 18031 US HWY 18 STE A , APPLE (760) 245-2663 CALIFORNIA VALLEY , CA 92307 PAUTZ, MATTHEW J - DO (BCC) ORTHOPAEDIC INSTITUTE OF ORTHOPEDICS - SPINE 18031 US HWY 18 STE A , APPLE (760) 245-2663 CALIFORNIA VALLEY , CA 92307 PAUTZ, MATTHEW J - DO (BCC) ORTHOPAEDIC INSTITUTE OF ORTHOPEDICS - WRIST 18031 US HWY 18 STE A , APPLE (760) 245-2663 CALIFORNIA VALLEY , CA 92307 PAVILIONS PHARMACY PHARMACY 8010 E SANTA ANA CANYON RD, (714) 282-7056 ANAHEIM HILLS, CA 92808 PAVILIONS PHARMACY PHARMACY 600 N COAST HWY, LAGUNA BEACH, CA (949) 376-3383 92651 PAVILIONS PHARMACY PHARMACY 1110 ALAMEDA AVE, BURBANK, CA (818) 567-0086 91506 PAVILIONS PHARMACY PHARMACY 22451 ANTONIO PKWY, RANCHO SANTA (949) 858-0670 MARGARITA, CA 92688 PAVILIONS PHARMACY PHARMACY 21181 NEWPORT COAST DR, NEWPORT (949) 718-4986 COAST, CA 92657 PAVILIONS PHARMACY PHARMACY 16450 BEACH BLVD, WESTMINSTER, CA (714) 847-5696 92683 PAVILIONS PHARMACY PHARMACY 745 WEST NAOMI AVE, ARCADIA, CA (626) 446-9261 91006 PAVILIONS PHARMACY PHARMACY 5500 WOODRUFF AVE, LAKEWOOD, CA (562) 866-7083 90713 PAVILIONS PHARMACY PHARMACY 5949 E SPRING ST, LONG BEACH, CA (562) 496-1851 90808 PAVILIONS PHARMACY PHARMACY 26022 MARGUERITE PKWY, MISSION (949) 582-3294 VIEJO, CA 92692 PAVILIONS PHARMACY PHARMACY 727 N VINE ST, LOS ANGELES, CA 90038 (323) 466-7158 PAVILIONS PHARMACY PHARMACY 1213 FAIR OAKS AVE, SOUTH (626) 799-4156 PASADENA, CA 91030 PAVILIONS PHARMACY PHARMACY 11030 W JEFFERSON BLVD, CULVER (310) 398-8044 CITY, CA 90230 PAVILIONS PHARMACY PHARMACY 7 PENINSULA CTR, ROLLING HILLS, CA (310) 541-1915 90274 PAVILIONS PHARMACY PHARMACY 1135 LINDERO CANYON RD, THOUSAND (818) 597-1370 OAKS, CA 91362 PAX PHARMACY PHARMACY 931 BUENA VISTA ST STE 104, DUARTE, (626) 357-8500 CA 91010 PAX PHARMACY PHARMACY 931 BUENA VISTA ST, DUARTE, CA (626) 531-7552 91010 PAYLESS PHARMACY PHARMACY 2303 NORTHGATE BLVD, (916) 624-9900 SACRAMENTO, CA 95833

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 503 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PAYLESS PHARMACY PHARMACY 3109 DEL MAR AVE, ROSEMEAD, CA (626) 288-2878 91770 PAYLESS PHARMACY PHARMACY 2303 NORTHGATE BLVD, (916) 624-9900 SACRAMENTO, CA 95833 PAYNE, TAMI - PT CPRX INC PHYSICAL THERAPY 3662 KATELLA AVE STE 105, LOS (562) 799-4494 ALAMITOS, CA 90720 PAZ, JESSICA E - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 26 CALIFORNIA ST , SAN FRANCISCO, (415) 781-7077 CENTER - DOWNTOWN SAN CA 94111 FRANCISCO PAZMINO, PABLO - MD (BCC) SPINE SURGERY 4014 LONG BEACH BLVD STE 210, (562) 997-7100 LONG BEACH, CA 90807 PAZMINO, PABLO - MD (BCC) ORTHOPEDICS - SPINE 4014 LONG BEACH BLVD STE 210, (562) 997-7100 LONG BEACH, CA 90807 PAZMINO, PABLO - MD (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDICS - SPINE 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 PAZMINO, PABLO - MD (BCC) GLENDALE FIDELITY MEDICAL SPINE SURGERY 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 PC AND MZ SAN FRANCISCO PHARMACY 1001 POTRERO AVE, SAN FRANCISCO, (415) 206-8107 GEN HO CA 94110 PCH MEDICAL PHARMACY PHARMACY 306 E PACIFIC COAST HWY, LONG (562) 591-7655 BEACH, CA 90806 PEACE, RUTH A - DPM KAISER PERMANENTE PODIATRY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 PEACH TREE PHARMACY PHARMACY 5730 PACKARD AVE STE 620, (530) 741-9800 MARYSVILLE, CA 95901 PEAK PERFORMANCE PHYSICAL THERAPY 31228 PALOS VERDES DR W, RANCHO (310) 544-7325 PHYSICAL THERAPY PALOS VERDES, CA 90275-5361 PEAK PERFORMANCE PHYSICAL THERAPY 31228 PALOS VERDES DR W, RANCHO (310) 544-7325 PHYSICAL THERAPY AND PALOS VERDES, CA 90275 SPORTS REHAB PEAK PHYSICAL THERAPY PHYSICAL THERAPY 10580 S DE ANZA BLVD, CUPERTINO, (408) 366-1735 CA 95014-4450 PEAK PHYSICAL THERAPY PHYSICAL THERAPY 525 SOUTH DR STE 211, MOUNTAIN (650) 934-0455 VIEW, CA 94040-4211 PEAK PHYSICAL THERAPY PC PHYSICAL THERAPY 1532 AVENIDA DE LAS ADELSAS, (760) 230-5432 ENCINITAS, CA 92024-4714 PEARL, MICHAEL L - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 PEARL, STACY - PT ATHLETIC CONDITIONING PHYSICAL THERAPY 111 PACIFICA STE 150, IRVINE, CA (949) 754-1344 INJURY CENTER ACIC 92618 PEARLE, JAMES L - MD PULMONARY DISEASE 19742 MACARTHUR BLVD STE 100, (714) 446-8702 IRVINE, CA 92612 PEARSON, PHILLIP G - MD CITY OF HOPE MEDICAL ONCOLOGY 301 W HUNTINGTON DR STE 120, (626) 218-9840 (BCC) FOUNDATION ARCADIA, CA 91007 PEARSON, PHILLIP G - MD CITY OF HOPE MEDICAL UROLOGICAL SURGERY 301 W HUNTINGTON DR STE 120, (626) 218-9840 (BCC) FOUNDATION ARCADIA, CA 91007 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - 116 S PALISADE DR STE 301, SANTA (805) 964-5111 (BCC) ANKLE MARIA , CA 93454 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - 5333 HOLLISTER AVE STE 160, SANTA (805) 964-2300 (BCC) ANKLE BARBARA , CA 93111 PEARSON, STEVEN W - MD SPINE SURGERY 116 S PALISADE DR STE 301, SANTA (805) 964-5111 (BCC) MARIA , CA 93454 PEARSON, STEVEN W - MD SPINE SURGERY 5333 HOLLISTER AVE STE 160, SANTA (805) 964-2300 (BCC) BARBARA , CA 93111 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - 116 S PALISADE DR STE 301, SANTA (805) 964-5111 (BCC) FOOT MARIA , CA 93454 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - HIP 116 S PALISADE DR STE 301, SANTA (805) 964-5111 (BCC) MARIA , CA 93454 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - 116 S PALISADE DR STE 301, SANTA (805) 964-5111 (BCC) LOWER EXTREMITIES MARIA , CA 93454 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - 116 S PALISADE DR STE 301, SANTA (805) 964-5111 (BCC) UPPER EXTREMITIES MARIA , CA 93454

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 504 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - 5333 HOLLISTER AVE STE 160, SANTA (805) 964-2300 (BCC) FOOT BARBARA , CA 93111 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - HIP 5333 HOLLISTER AVE STE 160, SANTA (805) 964-2300 (BCC) BARBARA , CA 93111 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - 5333 HOLLISTER AVE STE 160, SANTA (805) 964-2300 (BCC) LOWER EXTREMITIES BARBARA , CA 93111 PEARSON, STEVEN W - MD ORTHOPEDIC SURGERY - 5333 HOLLISTER AVE STE 160, SANTA (805) 964-2300 (BCC) UPPER EXTREMITIES BARBARA , CA 93111 PEARSONCODY, MEGAN - DO KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER PEARSONS MEDICAL GROUP PHARMACY 1700 N WATERMAN AVE, SAN (909) 883-3088 PHCY BERNARDINO, CA 92404 PEASE, ANTHONY - PT CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 2288 AUBURN BLVD STE 107, (916) 446-1497 SACRAMENTO, CA 95821 PEAVY, TAMI - PT LA MESA REHAB PHYSICAL THERAPY 8380 CENTER DR STE E, LA MESA, CA (619) 466-6077 91942 PECHANGA INDIAN HEALTH PHARMACY 12784 PECHANGA RD, TEMECULA, CA (951) 676-6810 CLINIC 92592 PECK, HICKS, KATHLEEN - PT LAGUNA PHYSICAL THERAPY PHYSICAL THERAPY 9563 LAGUNA SPRINGS DR, ELK (916) 691-9822 HAND REHABILITATION GROVE, CA 95758 PECK, JOSEPH - MD (BCC) PAIN MANAGEMENT 2808 COLUMBIA ST, TORRANCE, CA (310) 618-9922 90503 PEDOUIM, FARZIN B - MD (BCC) NEUROLOGY 2080 CENTURY PARK E STE 1403, LOS (949) 239-4410 ANGELES, CA 90067 PEDOUIM, FARZIN B - MD (BCC) NEUROLOGY 18377 BEACH BLVD STE 330, (949) 239-4410 HUNTINGTON BEACH, CA 92648 PEDRAM, ENAYATI - MD (BCC) GASTROENTEROLOGY GASTROENTEROLOGY 8631 W 3RD ST STE 815E, LOS (310) 858-2224 ASSOCIATES OF BEVERLY ANGELES , CA 90048 HILLS PEDREIRO, JAMES - DC OPTIMAL HEALTH CHIROPRACTIC MEDICINE 1055 LINCOLN AVE, SAN JOSE, CA (408) 371-6003 CHIROPRACTIC 95125 PEDRONCELLI, MARK, ROBERT PEDRONCELLI CHIROPRACTIC CHIROPRACTIC MEDICINE 3908 J ST STE 1, SACRAMENTO, CA (916) 443-0111 - DC 95819 PEDROZA, MIGUEL A - MD SANSUM CLINIC - PESETAS EMERGENCY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 (BCC) URGENT CARE (SANTA 93110 BARBARA) PEELER, AMANDA - PT AFFILIATED PHYSICAL PHYSICAL THERAPY 10225 AUSTIN DR STE 204, SPRING (619) 670-4567 THERAPY VALLEY, CA 91978 PEELER, AMANDA - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 26302 LA PAZ RD STE 105, MISSION (949) 206-1700 SPORTS THERAPY VIEJO, CA 92691 PEFFERS, CYNTHIA - AUD ADVANCED HEARING AUDIOLOGY 600 NUT TREE RD STE 206, (800) 598-5300 PROVIDERS LLC VACAVILLE, CA 95687 PEGASUS PHYSICAL THERAPY PHYSICAL THERAPY 1419 SUPERIOR AVE STE 4, NEWPORT (949) 216-3030 BEACH, CA 92663-2723 PEGASUS PHYSICAL THERAPY PHYSICAL THERAPY 23221 S POINTE DR STE 101, LAGUNA (949) 206-9501 HILLS, CA 92653-1400 PELAYO, ROZALYN - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 121 BERNAL RD STE 30, SAN JOSE, CA (408) 227-2141 PHYSICAL THERAPY 95119 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 16530 VENTURA BLVD STE 100, (818) 788-0101 ENCINO, CA 91436 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDIC SURGERY - 16530 VENTURA BLVD STE 100, (818) 788-0101 KNEE ENCINO, CA 91436 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDICS - HIP 16530 VENTURA BLVD STE 100, (818) 788-0101 ENCINO, CA 91436 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDICS - KNEE 16530 VENTURA BLVD STE 100, (818) 788-0101 ENCINO, CA 91436 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 1700 E CESAR CHAVEZ AVE STE 2200, (818) 788-0101 LOS ANGELES, CA 90033 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDIC SURGERY - 1700 E CESAR CHAVEZ AVE STE 2200, (818) 788-0101 KNEE LOS ANGELES, CA 90033 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDICS - HIP 1700 E CESAR CHAVEZ AVE STE 2200, (818) 788-0101 LOS ANGELES, CA 90033

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 505 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDICS - KNEE 1700 E CESAR CHAVEZ AVE STE 2200, (818) 788-0101 LOS ANGELES, CA 90033 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 23502 LYONS AVE STE 202A, SANTA (818) 788-0101 CLARITA, CA 91321 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDIC SURGERY - 23502 LYONS AVE STE 202A, SANTA (818) 788-0101 KNEE CLARITA, CA 91321 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDICS - HIP 23502 LYONS AVE STE 202A, SANTA (818) 788-0101 CLARITA, CA 91321 PELTON, KEVIN J - MD (BCC) ADVANCED ORTHOPEDICS ORTHOPEDICS - KNEE 23502 LYONS AVE STE 202A, SANTA (818) 788-0101 CLARITA, CA 91321 PELZER, HIDEKO - LAC SUISUN ORIENTAL MEDICINE ACUPUNCTURE 1652 TUCSON CIR, SUISUN CITY, CA (707) 426-0615 94585 PENDLETON, ERICA - PTA YOSEMITE PHYSICAL PHYSICAL THERAPY 2609 1ST ST, ATWATER, CA 95301 (209) 356-1260 THERAPY INC PENDLETON, ERICA - PTA YOSEMITE PHYSICAL PHYSICAL THERAPY 786 LOUGHBOROUGH DR, MERCED, CA (209) 725-8680 THERAPY INC 95348 PENG, PAI, HSIANG - LAC P C DRAGON ACUPUNCTURE ACUPUNCTURE 22917 SOLEDAD CANYON RD, SANTA (661) 255-1898 HERB CENTER INC CLARITA, CA 91350 PENINSULA CHIROPRACTIC PHYSICAL THERAPY 1870 EL CAMINO REAL STE 106, (650) 692-9899 CENTER BURLINGAME, CA 94010-3107 PENINSULA PHARMACY PHARMACY 1294 W 6TH ST STE 100, SAN PEDRO, (310) 833-3535 CA 90731 PENN, JULIET M - MD (BCC) SANSUM CLINIC - RIDLEY-TREE HEMATOLOGY AND 540 W PUEBLO ST , SANTA BARBARA, (805) 681-7858 CANCER CENTER ONCOLOGY CA 93105 PEOPLE'S PHARMACY PHARMACY 5913 NILES ST STE 2, BAKERSFIELD, CA (661) 493-0408 93306 PEOPLE'S PHARMACY PHARMACY 2019 21ST ST STE B, BAKERSFIELD, CA (661) 843-7270 93301 PEOPLE'S PHARMACY # 3 PHARMACY 4813 COFFEE RD STE 300, (661) 679-7363 BAKERSFIELD, CA 93308 PERAKIS, JACLYN - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1501 OCOTILLO DR STE B, EL CENTRO, (760) 679-0210 CA 92243 PERALTA OUTPATIENT PHARMACY 3300 WEBSTER ST STE 101, OAKLAND, (510) 869-8835 PHARMACY CA 94609 PEREA, SAMANTHA E - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 (BCC) LLUSM RIVERSIDE, CA 92505 PEREA, SAMANTHA E - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 (BCC) LLUSM LOMA LINDA, CA 92354 PEREZ, ABRALDO - PT MONTCLAIR PHYSICAL PHYSICAL THERAPY 473 34TH ST, OAKLAND, CA 94609 (510) 339-2116 THERAPY WELLNESS PEREZ, ANDREYNA - PTA TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 PEREZ, ANDREYNA - PTA TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 PEREZ, ARTHUR - PTA SG MIKITA RPT INC PHYSICAL THERAPY 10667 WHITE OAK AVE, GRANADA (818) 368-9484 HILLS, CA 91344 PEREZ, DONALD - MD KAISER PERMANENTE GENERAL SURGERY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 PEREZ, DONALD - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 PEREZ, EMILY N - MD (BCC) HEALTHPOINTE MEDICAL HAND SURGERY 1171 RAILROAD ST STE 101, CORONA , (951) 272-1400 GROUP CA 92882 PEREZ, EMILY N - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 1171 RAILROAD ST STE 101, CORONA , (951) 272-1400 GROUP CA 92882 PEREZ, EMILY N - MD (BCC) HEALTHPOINTE MEDICAL HAND SURGERY 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 PEREZ, EMILY N - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 290 N 10TH ST STE 100, COLTON, CA (909) 264-2500 GROUP 92324 PEREZ, ERICK - DC FITNESS CHIROPRACTIC AND CHIROPRACTIC MEDICINE 100 OCEANGATE STE P280, LONG (562) 590-7349 MASSAGE THERAPY BEACH, CA 90802 PEREZ, ILENIA - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 4025 W FIGARDEN DR STE 105, (661) 873-7975 FRESNO, CA 93720

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 506 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PEREZ, JOHN - PTA CHAPARRAL PHYSICAL PHYSICAL THERAPY 525 MELISSA AVE STE B, BARSTOW, CA (760) 256-1888 THERAPY 92311 PEREZ, MARIO - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 5601 DE SOTO AVE ENTRANCE 5 5TH (818) 719-3006 WOODLAND HILLS MEDICAL REHABILITATION FLR, WOODLAND HILLS, CA 91367 CENTER PEREZ, MONA - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 121 BOATYARD DR SUITE A, FORT (707) 964-1208 BRAGG, CA 95437 PEREZ, RAYNA - LMT CHULA VISTA PHYSICIANS MASSAGE THERAPIST 1055 TIERRA DEL REY STE A, CHULA (619) 421-0444 GROUP VISTA, CA 91910 PERFORMANCE HEALTH PERFORMANCE HEALTH URGENT CARE FACILITY 25431 CABOT RD STE 118, LAGUNA (949) 362-8877 MEDICAL GROUP INC (BCC) MEDICAL GROUP INC HILLS, CA 92653 PERFORMANCE PHYSICAL PHYSICAL THERAPY 2575 E BIDWELL ST STE 150, FOLSOM, (916) 986-9068 THERAPY CA 95630-6446 PERFORMANCE PHYSICAL PHYSICAL THERAPY 5207 J ST, SACRAMENTO, CA (916) 277-8269 THERAPY 95819-3941 PERFORMANCE PHYSICAL PHYSICAL THERAPY 394 COMMERCIAL RD, SAN (909) 796-7700 THERAPY BERNARDINO, CA 92408-3708 PERFORMANCE PHYSICAL PHYSICAL THERAPY 15215 NATIONAL AVE STE 100A, LOS (408) 358-7326 THERAPY GATOS, CA 95032-2425 PERFORMANCE PHYSICAL PHYSICAL THERAPY 400 SUNRISE AVE STE 190, ROSEVILLE, (916) 771-3110 THERAPY (ANTELOPE) CA 95661-4106 PERFORMANCE PHYSICAL PHYSICAL THERAPY 10390 COLOMA RD STE 7, RANCHO (916) 858-0950 THERAPY (MAIN) CORDOVA, CA 95670-2152 PERFORMANCE PHYSICAL PHYSICAL THERAPY 25231 PASEO DE ALICIA STE 110, (949) 716-4889 THERAPY AND SPORTS LAB LAGUNA HILLS, CA 92653-4615 PERFORMANCE PHYSICAL PHYSICAL THERAPY 25231 PASEO DE ALICIA STE 110, (949) 716-4889 THERAPY AND SPORTS LAB LAGUNA HILLS, CA 92653-4615 PERFORMANCE PLUS PHYSICAL THERAPY 1392 E PALOMAR ST STE 503, CHULA (619) 482-3000 PHYSICAL THERAPY VISTA, CA 91913-1895 PERFORMANCE THERAPY PHYSICAL THERAPY 1633 PACIFIC AVE STE 142, OXNARD, (805) 240-3373 CENTER CA 93033-1858 PERFORMANCE THERAPY PHYSICAL THERAPY 450 ROSEWOOD AVE STE 105, (805) 389-4781 CENTER CAMARILLO, CA 93010-5914 PERFORMANCE THERAPY PHYSICAL THERAPY 1901 OUTLET CENTER DR STE 110, (805) 981-9797 CENTER-CA OXNARD, CA 93036-0664 PERLEE, MELISSA - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 PERLMUTTER, AARON - MD INFECTIOUS DISEASE 8641 WILSHIRE BLVD #100, BEVERLY (310) 657-0367 HILLS , CA 90211 PERPETUAL MOTION PHYSICAL THERAPY 28975 OLD TOWN FRONT ST STE 201, (951) 595-1738 PHYSICAL THERAPY TEMECULA, CA 92590-2863 PERRIN, MEREDITH A - MD SANSUM CLINIC - PUEBLO DERMATOLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC CA 93105 PERRIS HILLS PHARMACY PHARMACY 524 W 4TH ST STE A, PERRIS, CA 92570 (951) 657-9511 PERRONE, AIMEE - PT RESTOR PHYSICAL THERAPY PHYSICAL THERAPY 22600 C LAMBERT ST STE 905, LAKE (949) 727-1858 FOREST, CA 92630 PERRY PHYSICAL THERAPY PHYSICAL THERAPY 44025 JEFFERSON ST STE 104, LA (760) 345-5453 QUINTA, CA 92253-4874 PERRY PHYSICAL THERAPY PHYSICAL THERAPY 44025 JEFFERSON ST STE 104, LA (760) 345-5453 QUINTA, CA 92253-4874 PERRY, JENNIFER - AUD ADVANCED HEARING AUDIOLOGY 116 S PALISADE DR STE 206, SANTA (800) 598-5300 PROVIDERS LLC MARIA, CA 93454 PERRY, KIRSTEN - PT THE REHAB GROUP PHYSICAL THERAPY 38860A SKY CANYON DR, MURRIETA, (951) 304-1100 CA 92563 PERRY, TIFFANY - MD (BCC) NEUROLOGICAL SURGERY 127 S SAN VICENTE BLVD STE A6600, (310) 423-9612 LOS ANGELES, CA 90048 PERSICHINO, JON G - DO (BCC) RIVERSIDE MEDICAL CLINIC - INTERNAL MEDICINE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 PERSICHINO, JON G - DO (BCC) RIVERSIDE MEDICAL CLINIC - INFECTIOUS DISEASE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 PERSONAL BEST PHYSICAL PHYSICAL THERAPY 11911 ARTESIA BLVD STE 207, (562) 402-8389 THERAPY CERRITOS, CA 90701-4060

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 507 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PERSONAL BEST PHYSICAL PHYSICAL THERAPY 11911 ARTESIA BLVD STE 207, (562) 402-8389 THERAPY CERRITOS, CA 90701-4060 PERSONAL EDGE PT PHYSICAL THERAPY 7080 DONLON WAY STE 108, DUBLIN, (925) 556-4310 CA 94568-2788 PESSIN, TAMARA - PT SAN DIEGO UPTOWN PHYSICAL THERAPY 4060 4TH AVE STE 206, SAN DIEGO, CA (619) 299-5246 PHYSICAL THERAPY 92103 PETALUMA VALLEY HOSPITAL PETALUMA VALLEY HOSPITAL ACUTE CARE HOSPITAL 400 N MCDOWELL BLVD, PETALUMA, (707) 778-1111 (BCC) CA 94954 PETER KWOK PHARMACY 4845 E BUTLER AVE, FRESNO, CA 93727 (559) 255-3301 PETERS STARKEY & TODRANK PHYSICAL THERAPY 250 ELM AVE, AUBURN, CA 95603 (530) 889-2411 P T PETERS, JOHN A - MD KAISER PERMANENTE SOUTH ORTHOPEDICS 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 PETERS, STEPHEN R - MD ROSEVILLE CARDIOLOGY CARDIOVASCULAR DISEASE 2 MEDICAL PLAZA DR STE 175, (916) 782-2146 (BCC) MEDICAL ASSOCIATES (CARDIOLOGY) ROSEVILLE , CA 95661 PETERSEN, CHRISTOPHER - ACTIVE LIFE CHIROPRACTIC CHIROPRACTIC MEDICINE 839 W PALMDALE BLVD, PALMDALE, CA (661) 947-7993 DC 93551 PETERSEN, SCOTT J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER PETERSEN, SCOTT J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER PETERSON, ADRIENNE - PT HARBOR PHYSICAL THERAPY PHYSICAL THERAPY 1294 W 6TH ST STE 101, SAN PEDRO, (310) 547-1850 SPORTS MEDICINE CA 90731 PETERSON, BRETT - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 PETERSON, DREW - MD CALIFORNIA ORTHOPAEDIC HAND SURGERY 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 PETERSON, DREW - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE LOWER EXTREMITIES SAN DIEGO, CA 92108 PETERSON, DREW - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE LOWER EXTREMITIES SAN DIEGO, CA 92108 PETERSON, DREW - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - HAND 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 PETERSON, DREW - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - LOWER 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE EXTREMITIES SAN DIEGO, CA 92108 PETERSON, DREW - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - LOWER 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE EXTREMITIES SAN DIEGO, CA 92108 PETERSON, DREW - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - UPPER 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE EXTREMITIES SAN DIEGO, CA 92108 PETERSON, KATHERINE - PT CAPUCHINO THERAPY GROUP PHYSICAL THERAPY 3601 MARCONI AVE, SACRAMENTO, CA (916) 481-1300 95821 PETERSON, KRISTINA - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 PETERSON, NATHANIEL R - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S PETERSON, RICARDO - LAC RICK PETERSON LAC ACUPUNCTURE 6986 EL CAMINO REAL STE F, (760) 438-9548 CARLSBAD, CA 92009 PETERSON, SARA - PT CAMPUS COMMONS P T INC PHYSICAL THERAPY 601 UNIVERSITY AVE STE 185, (916) 927-1333 SACRAMENTO, CA 95825 PETRIELLO, ANGELO - PT FITZPATRICK PHYSICAL PHYSICAL THERAPY 1252 BROADWAY STE B, PLACERVILLE, (530) 622-9410 THERAPY CA 95667 PETRIGLIANO, FRANK A - MD KECK MEDICINE OF USC - PRIMARY TREATING 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 (BCC) ORTHOPAEDIC SURGERY PHYSICIAN CA 90245 PETRIGLIANO, FRANK A - MD KECK MEDICINE OF USC - ORTHOPEDICS - ELBOW 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 (BCC) ORTHOPAEDIC SURGERY CA 90245 PETRIGLIANO, FRANK A - MD KECK MEDICINE OF USC - ORTHOPEDIC SURGERY - 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 (BCC) ORTHOPAEDIC SURGERY ELBOW CA 90245 PETRIGLIANO, FRANK A - MD KECK MEDICINE OF USC - ORTHOPEDIC SURGERY - 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 (BCC) ORTHOPAEDIC SURGERY KNEE CA 90245

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 508 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PETRIGLIANO, FRANK A - MD KECK MEDICINE OF USC - ORTHOPEDIC SURGERY - 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 (BCC) ORTHOPAEDIC SURGERY SHOULDER CA 90245 PETRIGLIANO, FRANK A - MD KECK MEDICINE OF USC - ORTHOPEDICS - KNEE 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 (BCC) ORTHOPAEDIC SURGERY CA 90245 PETRIGLIANO, FRANK A - MD KECK MEDICINE OF USC - ORTHOPEDICS - SHOULDER 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 (BCC) ORTHOPAEDIC SURGERY CA 90245 PETRIGLIANO, FRANK A - MD KECK MEDICINE OF USC - SPORTS MEDICINE 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 (BCC) ORTHOPAEDIC SURGERY CA 90245 PETROS, JAMES - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 190 LEAVESLEY RD STE 102, GILROY, (408) 848-0444 CENTER - GILROY REHABILITATION CA 95020 PETROS, JAMES - MD (BCC) ALILED PAIN & SPINE PAIN MANAGEMENT 14777 LOS GATOS BLVD STE 202, LOS (408) 528-8833 INSTITUTE GATOS , CA 95032 PETTEGREW, JONATHAN M - STANISLAUS ORTHOPEDIC & ORTHOPEDICS - ANKLE 609 E ORANGEBURG AVE , MODESTO, (209) 572-3224 DO (BCC) SPORTS MEDICINE CLINIC CA 95350 PETULLA, ANDREW - PT CALIFORNIA EMERGENCY PHYSICAL THERAPY 554 BLOSSOM HILL RD, SAN JOSE, CA (408) 281-2772 PHYSICIANS DBA SAMARITAN 95123 MEDICAL CARE CENTER PFEFFER, GLENN - MD (BCC) ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603, LOS (310) 423-9736 ANKLE ANGELES, CA 90048 PFEFFER, GLENN - MD (BCC) ORTHOPEDICS - ANKLE 444 S SAN VICENTE BLVD STE 603, LOS (310) 423-9736 ANGELES, CA 90048 PFEFFER, GLENN - MD (BCC) ORTHOPEDIC SURGERY - 444 S SAN VICENTE BLVD STE 603, LOS (310) 423-9736 FOOT ANGELES, CA 90048 PFEFFER, GLENN - MD (BCC) ORTHOPEDICS - FOOT 444 S SAN VICENTE BLVD STE 603, LOS (310) 423-9736 ANGELES, CA 90048 PFEIFFER, STEPHEN M - MD PSYCHOLOGY 3325 4TH AVE, SAN DIEGO, CA 92103 (858) 784-1960 (BCC) PHAM, AMYTRINH - DC GRACE CHIROPRACTIC CHIROPRACTIC MEDICINE 1257 LAKESIDE DRIVE SUITE 400, (408) 733-5933 SUNNYVALE, CA 94085 PHAM, ANN - LAC ACUPUNCTURE AND ACUPUNCTURE 671 W NAOMI AVE, ARCADIA, CA 91007 (626) 254-9171 ALTERNATIVE MEDICINE PHAM, ERIC H - MD NATIONAL AMBULATORY GENERAL SURGERY 1010 LA VETA AVE STE 775, ORANGE , (714) 446-6670 HERNIA INSTITUTE CA 92869 PHAM, EVAN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 PHAM, EVAN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2701 OCEAN PARK BLVD STE 110, (310) 392-0025 SANTA MONICA, CA 90405 PHAM, EVAN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 7941 BEACH BLVD STE J, BUENA PARK, (714) 736-6855 CA 90620 PHAM, JOSEPH - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL REHABILITATION PARK, CA 91706 CENTER PHAM, KEVIN - PT CORE TOTAL BODY PHYSICAL PHYSICAL THERAPY 120 S CHAPARRAL CT STE 150, (714) 998-9580 THERAPY PC ANAHEIM, CA 92808 PHAM, MINH - PT TOTAL REHAB AND HEALTH PHYSICAL THERAPY 16401 MAGNOLIA STREET, (714) 968-8998 CENTER WESTMINSTER, CA 92683 PHAM, NGOC A - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER PHAM, SEAN - PT DYNAMIX PHYSICAL THERAPY PHYSICAL THERAPY 11190 WARNER AVE STE 309, (714) 716-4411 INC FOUNTAIN VALLEY, CA 92708 PHAM, SEAN - PT DYNAMIX PHYSICAL THERAPY PHYSICAL THERAPY 14221 N EUCLID ST STE F, GARDEN (714) 891-2739 INC GROVE, CA 92843 PHAM, THAO N - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER PHAM, THAO N - DO KAISER PERMANENTE ON THE PRIMARY TREATING 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH PHYSICIAN JOSE, CA 95119 CENTER PHAM, THOMAS T - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 JOB ONTARIO MEDICAL OFFICES

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 509 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PHAM, THOMAS T - DO KAISER PERMANENTE ON THE PRIMARY TREATING 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 JOB ONTARIO MEDICAL PHYSICIAN OFFICES PHAM, THOMAS T - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL LEVEL, FONTANA, CA 92335 CENTER PHAM, THOMAS T - DO KAISER PERMANENTE ON THE PRIMARY TREATING 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL PHYSICIAN LEVEL, FONTANA, CA 92335 CENTER PHAM, TUAN - MD CARDIOVASCULAR DISEASE 9333 BASELINE RD STE 160, RANCHO (909) 941-4777 (CARDIOLOGY) CUCAMONGA, CA 91730 PHAM-BAILEY, NICOLE - MD KAISER PERMANENTE ON THE PHYSICAL MEDICINE AND 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR REHABILITATION 92704 MEDICAL OFFICES PHAM-BAILEY, NICOLE - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR PHYSICIAN 92704 MEDICAL OFFICES PHAM-BAILEY, NICOLE - MD KAISER PERMANENTE OPHTHALMOLOGY 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 HARBOR MACARTHUR 92704 MEDICAL OFFICES PHAM-BAILEY, NICOLE - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES REHABILITATION 92806 PHAM-BAILEY, NICOLE - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL ANAHEIM, CA 92806 OFFICES PHAM-BAILEY, NICOLE - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3460 E LA PALMA AVE BLDG 1, 1ST FLR, (714) 644-6450 JOB ANAHEIM MEDICAL PHYSICIAN ANAHEIM, CA 92806 OFFICES PHAMBAILEY, NICOLE - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3401 S HARBOR BLVD , SANTA ANA, CA (714) 644-6450 JOB HARBOR MACARTHUR 92704 MEDICAL OFFICES PHAMBAILEY, NICOLE - MD KAISER PERMANENTE IRVINE PHYSICAL MEDICINE AND 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER REHABILITATION CA 92618 PHAMBAILEY, NICOLE - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER CA 92618 PHAMBAILEY, NICOLE - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 JOB IRVINE MEDICAL CENTER PHYSICIAN CA 92618 PHAN, CHRISTINE M - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES REHABILITATION 90242 PHAN, WILLIAM - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 1632 PUENTE AVE, BALDWIN PARK, CA (626) 430-2300 SPORTS THERAPY 91706 PHANTASTIC PHARMACY PHARMACY 4347 VAN NUYS BLVD, SHERMAN OAKS, (818) 849-5992 CA 91403 PHARMA101 PHARMACY 243 GRANADA DR STE A, SAN LUIS (805) 540-2780 OBISPO, CA 93401 PHARMACA INTEGRATIVE PHARMACY 7650 GIRARD AVE, LA JOLLA, CA 92037 (858) 454-1337 PHARMACA INTEGRATIVE PHARMACY 5729 COLLEGE AVE, OAKLAND, CA (510) 740-1468 94618 PHARMACA INTEGRATIVE PHARMACY 303 W NAPA ST, SONOMA, CA 95476 (707) 938-1144 PHARMACY PHARMACA INTEGRATIVE PHARMACY 7514 REDWOOD BLVD STE 104, (415) 892-3722 PHARMACY NOVATO, CA 94945 PHARMACA INTEGRATIVE PHARMACY 734 MONTANA AVE, SANTA MONICA, CA (310) 451-1414 PHARMACY 90403 PHARMACA INTEGRATIVE PHARMACY 871 SANTA CRUZ AVE, MENLO PARK, (650) 618-6310 PHARMACY CA 94025 PHARMACA INTEGRATIVE PHARMACY 570 MUNRAS AVE STE 10, MONTEREY, (831) 333-0755 PHCY CA 93940 PHARMACA INTEGRATIVE PHARMACY 925 COLE ST, SAN FRANCISCO, CA (415) 661-3003 PHCY 94117 PHARMACA INTEGRATIVE PHARMACY 230 E BLITHEDALE AVE, MILL VALLEY, (415) 388-6354 PHCY CA 94941

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 510 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PHARMACA INTEGRATIVE PHARMACY 1744 SOLANO AVE, BERKELEY, CA (510) 526-2452 PHCY 94707 PHARMACA INTERGRATIVE PHARMACY 4020 BEL AIRE PLZ, NAPA, CA 94558 (707) 253-0970 PHARMACY PHARMACA INTERGRATIVE PHARMACY 6985 EL CAMINO REAL, CARLSBAD, CA (760) 444-3810 PHARMACY 92009 PHARMACA INTERGRATIVE PHARMACY 54 N SANTA CRUZ AVE, LOS GATOS, CA (408) 395-1231 PHCY #17 95030 PHARMACA SUNSET PHARMACY 15150 SUNSET BLVD, PACIFIC (310) 454-1345 PHARMACY PALISADES, CA 90272 PHARMACARE PHARMACY PHARMACY 12826 PHILADELPHIA ST STE C, (562) 846-1005 WHITTIER, CA 90601 PHARMACY 2000 PHARMACY 1646 WESTWOOD BLVD, LOS ANGELES, (310) 234-9991 CA 90024 PHARMACY EXPRESS PHARMACY 5575 MISSION BLVD, RIVERSIDE, CA (951) 683-2172 92509 PHARMACY OF OC PHARMACY 7772 WARNER AVE STE 102, (714) 587-9325 HUNTINGTON BEACH, CA 92647 PHARMACY OF THE DESERT PHARMACY 79440 HIGHWAY 111 STE 103, LA (760) 777-1115 QUINTA, CA 92253 PHARMACY OF THE STARS PHARMACY 1900 AVE OF THE STARS, LOS (310) 556-4682 ANGELES, CA 90067 PHARMACY OF THE WOODS PHARMACY 28200 HIGHWAY 189, LAKE (909) 336-3999 ARROWHEAD, CA 92352 PHARMACY PLUS PHARMACY 1012 N EUCLID ST, ANAHEIM, CA 92801 (714) 956-3741 PHARMACY SUPPORT PHARMACY 20967 CABOT BLVD, HAYWARD, CA (510) 265-0300 SERVICES 94545 PHARMACY SUPPORT PHARMACY 13825 CERRITOS CORP DR ST A, (562) 229-3500 SERVICES CERRITOS, CA 90703 PHARMCO PHARMACY 381 VAN NESS AVE STE 1506, (855) 672-4767 TORRANCE, CA 90501 PHARMCO DRUGS PHARMACY 2866 HAMNER AVE, NORCO, CA 92860 (951) 734-1668 PHARMEDQUEST PHARMACY PHARMACY 451 W LAMBERT RD STE 209, BREA, CA (714) 364-4008 92821 PHARMEDQUEST PHARMACY PHARMACY 451 W LAMBERT RD STE 208, BREA, CA (714) 364-4008 SERVICES 92821 PHARMERICA PHARMACY 5574 EVERGLADES ST STE A, (805) 642-0555 VENTURA, CA 93003 PHARMERICA PHARMACY 32980 ALVARADO NILES RD, UNION (800) 552-5520 CITY, CA 94587 PHARMERICA PHARMACY 1214 N MARKET BLVD STE C, (916) 928-3830 SACRAMENTO, CA 95834 PHARMERICA PHARMACY 8930 ACTIVITY RD STE K, SAN DIEGO, (858) 693-4123 CA 92126 PHARMERICA PHARMACY 873 RICARDO CT, SAN LUIS OBISPO, CA (805) 543-5981 93401 PHARMERICA PHARMACY 4910 E ASHLAN AVE STE 111, FRESNO, (800) 499-9079 CA 93726 PHARMERICA PHARMACY 11205 KNOTT AVE STE C, CYPRESS, CA (714) 891-6455 90630 PHARMERICA PHARMACY 20633 GAS POINT RD, COTTONWOOD, (530) 347-4288 CA 96022 PHARMERICA PHARMACY 833 MARLBOROUGH AVE STE 100, (951) 784-1616 RIVERSIDE, CA 92507 PHARMERICA PHARMACY 2940 E LA PALMA AVE, ANAHEIM, CA (714) 238-0010 92806 PHATAK, SNEHA - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 PHC PHARMACY PHARMACY 1179 N MCDOWELL BLVD, PETALUMA, (707) 559-7612 CA 94954 PHELAN FAMILY PHARMACY PHARMACY 3936 PHELAN RD STE A1, PHELAN, CA (760) 980-8089 92371

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 511 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PHELPS & KRISTL PHYSICAL PHYSICAL THERAPY 102 SAN MIGUEL AVENUE, SALINAS, CA (831) 757-6834 THERAPY 93901-3057 PHELPS & KRISTL PHYSICAL PHYSICAL THERAPY 321 E ROMIE LNSUITE B, SALINAS, CA (831) 757-6834 THERAPY 93901-3168 PHELPS & KRISTL PHYSICAL PHYSICAL THERAPY 17823 COUNTRYSIDE CT, PRUNEDALE, (831) 663-8819 THERAPY CA 93907-8804 PHELPS, BRANDON - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1501 OCOTILLO DR STE B, EL CENTRO, (760) 679-0210 CA 92243 PHELPS, BRANDON - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 411 W MAIN ST, BRAWLEY, CA 92227 (855) 344-5870 PHILIPP, SCOTT R - MD KAISER PERMANENTE GENERAL SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 PHILLIP PHARMACY PHARMACY 5507 EL CAJON BLVD # E, SAN DIEGO, (619) 458-9660 CA 92115 PHILLIPOSIAN, CAREY - AUD ADVANCED HEARING AUDIOLOGY 1 SHRADER ST , SAN FRANCISCO, CA (800) 598-5300 PROVIDERS LLC 94117 PHILLIPOSIAN, CAREY - AUD ADVANCED HEARING AUDIOLOGY 2100 WEBSTER ST STE 201, SAN (800) 598-5300 PROVIDERS LLC FRANCISCO, CA 94115 PHILLIPOSIAN, CAREY - AUD ADVANCED HEARING AUDIOLOGY 45 CASTRO ST STE B, SAN (800) 598-5300 PROVIDERS LLC FRANCISCO, CA 94114 PHILLIPOSIAN, CAREY - AUD ADVANCED HEARING AUDIOLOGY 450 SUTTER ST STE 120, SAN (800) 598-5300 PROVIDERS LLC FRANCISCO, CA 94108 PHILLIPS RANCH PHARMACY PHARMACY 3038 W TEMPLE AVE, POMONA, CA (909) 868-7363 91766 PHILLIPS RANCH PHARMACY PHARMACY 3040 W TEMPLE AVE, POMONA, CA (909) 766-8330 91766 PHILLIPS, BROOK - PT HAYASHIDA ASSOCIATES PHYSICAL THERAPY 5718 HOLLISTER AVE STE 105, GOLETA, (805) 685-1755 PHYSICAL THERAPY INC CA 93117 PHILLIPS, BRYAN - PT SACRAMENTO SPINE PHYSICAL THERAPY 1650 LEAD HILL BLVD STE 300, (916) 677-1210 PHYSICAL ROSEVILLE, CA 95661 THERAPYROSEVILLE PHILLIPS, CARTER - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 PHILLIPS, JUSTIN R - MD (BCC) CASA COLINA HOSPITAL FOR PHYSICAL MEDICINE & 255 E BONITA AVE , POMONA, CA (909) 450-0158 REHABILITATION REHABILITATION 91767 PHILLIPS, LUKE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 PHILLIPS, TANYANIKA L - MD CITY OF HOPE MEDICAL ONCOLOGY 44151 15TH ST WEST , LANCASTER, CA (877) 828-3627 (BCC) FOUNDATION 93534 PHILLIPS, THOMAS J - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 PHILLIPS, THOMAS J - MD CONCENTRA MEDICAL SPINE SURGERY 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 PHILLIPS, THOMAS J - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND PHILLIPS, THOMAS J - MD CONCENTRA MEDICAL SPINE SURGERY 420 E 3RD ST STE 600, LOS ANGELES, (213) 745-6106 CENTER - LOS ANGELES - CA 90013 GRAND PHIPATANAKUL, WESLEY P - LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 MD (BCC) HEALTH CARE - ORTHOPAEDIC SHOULDER LINDA , CA 92354 SURGERY FP&S PHNOM PICH PHARMACY PHARMACY 2338 E ANAHEIM ST STE 100, LONG (562) 438-3324 BEACH, CA 90804 PHOENIX PHARMACY PHARMACY 2523 E WASHINGTON BLVD, (626) 791-7600 PASADENA, CA 91104 PHOENIX PLAZA PHARMACY PHARMACY 800 FAIRMOUNT AVE STE 105, (626) 229-8918 PASADENA, CA 91105 PHOTOPOULOS, CHRISTOS - KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 MD (BCC) CLINIC ANGELES, CA 90045 PHOTOPOULOS, CHRISTOS - KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 MD (BCC) CLINIC ELBOW ANGELES, CA 90045 PHOTOPOULOS, CHRISTOS - KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 MD (BCC) CLINIC KNEE ANGELES, CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 512 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PHOTOPOULOS, CHRISTOS - KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 MD (BCC) CLINIC SHOULDER ANGELES, CA 90045 PHOTOPOULOS, CHRISTOS - KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 MD (BCC) CLINIC ANGELES, CA 90045 PHOTOPOULOS, CHRISTOS - KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 MD (BCC) CLINIC ANGELES, CA 90045 PHOTOPOULOS, CHRISTOS D - KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 MD (BCC) CLINIC ANGELES, CA 90045 PHOTOPOULOS, CHRISTOS D - KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 MD (BCC) CLINIC PHYSICIAN ANGELES, CA 90045 PHYS MED, A PHYSICAL PHYSICAL THERAPY 1237 O ST, FIREBAUGH, CA 93622-2317 (559) 659-2093 THERAPY CORPORATION PHYS MED, A PHYSICAL PHYSICAL THERAPY 201 S MADERA AVE STE 100, KERMAN, (559) 846-6336 THERAPY CORPORATION CA 93630-1129 PHYS MED, A PHYSICAL PHYSICAL THERAPY 7033 N FRESNO ST STE 202, FRESNO, (559) 438-4300 THERAPY CORPORATION CA 93720-2976 PHYSICAL THERAPY & ORTHO PHYSICAL THERAPY 9301 WILSHIRE BLVD, BEVERLY HILLS, (310) 275-2800 REHABILITATION CA 90210 PHYSICAL THERAPY & PHYSICAL THERAPY 2490 S MAIN ST, RED BLUFF, CA (530) 529-3636 WELLNESS CENTER, INC 96080-4337 PHYSICAL THERAPY AND PHYSICAL THERAPY 5565 GROSSMONT CTR DR BUILDING 3 (619) 589-0850 SPORTS MED STE 461, LA MESA, CA 91942 PHYSICAL THERAPY AROUND PHYSICAL THERAPY 1285 S MAIN ST, LAKEPORT, CA (707) 263-5163 THE LAKE 95453-5518 PHYSICAL THERAPY PHYSICAL THERAPY 2150 MAIN ST STE 14, RED BLUFF, CA (530) 529-7177 ASSOCIATES 96080-2372 PHYSICAL THERAPY CARE PHYSICAL THERAPY 8540 S SEPULVEDA BLVD STE 709, LOS (310) 348-8464 ANGELES, CA 90045 PHYSICAL THERAPY CARE PHYSICAL THERAPY 6214 W MANCHESTER AVE FL 2, LOS (310) 348-8464 ANGELES, CA 90045-3801 PHYSICAL THERAPY CARE PHYSICAL THERAPY 23271 VERDUGO DR #B, LAGUNA HILLS, (949) 707-5555 CENTER CA 92653 PHYSICAL THERAPY CENTER PHYSICAL THERAPY 18102 IRVINE BLVD STE 207, TUSTIN, (714) 505-2966 OF TUSTIN CA 92780-3424 PHYSICAL THERAPY PHYSICAL THERAPY 1653 N SCHNOOR ST STE 101, (559) 674-5100 DYNAMICS MADERA, CA 93637 PHYSICAL THERAPY PHYSICAL THERAPY 1653 N SCHNOOR STSUITE 101, (559) 674-5100 DYNAMICS MADERA, CA 93637-3613 PHYSICAL THERAPY PHYSICAL THERAPY 12630 MONTE VISTA RD STE 101, (858) 485-7103 INSTITUTE INC POWAY, CA 92064-2526 PHYSICAL THERAPY PHYSICAL THERAPY 12630 MONTE VISTA RDSUITE 204, (619) 485-7103 INSTITUTE INC POWAY, CA 92064-2527 PHYSICAL THERAPY OF PHYSICAL THERAPY 29826 HAUN RD STE 106, MENIFEE, CA (951) 281-2901 MENIFEE 92586-6547 PHYSICAL THERAPY ONLINE PHYSICAL THERAPY 3545 WILSHIRE BLVDSUITE 337, LOS (213) 738-9977 INC ANGELES, CA 90010-2388 PHYSICAL THERAPY PHYSICAL THERAPY 27701 SCOTT RD STE 106, MENIFEE, CA (951) 672-9300 PROFESSIONALS 92584-9434 PHYSICAL THERAPY SERVICES PHYSICAL THERAPY 1331 MEDICAL CENTER DR # A, (707) 584-3433 OF R ROHNERT PARK, CA 94928 PHYSICAL THERAPY PHYSICAL THERAPY 2320 WOOLSEY ST STE 111, BERKELEY, (510) 849-0327 SPECIALIST CLINIC CA 94705 PHYSICAL THERAPY PHYSICAL THERAPY 1804 N PLACENTIA AVE, PLACENTIA, CA (714) 528-9400 SPECIALISTS 92870-2303 PHYSICAL THERAPY PHYSICAL THERAPY 10515 BALBOA BLVD STE 140, (818) 363-0339 SPECIALISTS GRANADA HILLS, CA 91344-6350 PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVDSUITE 301, (310) 273-8256 SPECIALISTS PC BEVERLY HILLS, CA 90211-6001 PHYSICAL THERAPY PHYSICAL THERAPY 271 FIVE CITIES DR, PISMO BEACH, CA (805) 473-7499 SPECIALISTS, P.T.S 93449-3009 PHYSICAL THERAPY SPORTS PHYSICAL THERAPY 1515 W FLORIDA AVE STE E, HEMET, (951) 658-3121 INSTITUTE CA 92543-3817

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 513 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PHYSICAL THERAPY SPORTS PHYSICAL THERAPY 1515 W FLORIDA AVESUITE E, HEMET, (951) 658-3121 INSTITUTE CA 92543-3817 PHYSICAL THERAPY WEST PHYSICAL THERAPY 44303 LOWTREE AVE, LANCASTER, CA (661) 940-5494 DBA SOUTH PACIFIC PHSYICAL 93534-4149 T PHYSICAL THERAPY WEST PHYSICAL THERAPY 22554 VENTURA BLVD STE 130, (818) 222-1120 INC. WOODLAND HILLS, CA 91364-1435 PHYSICAL THERAPY WORKS PHYSICAL THERAPY 23734 VALENCIA BLVD STE 203, (661) 255-5150 VALENCIA, CA 91355 PHYSICIAN'S CHOICE PHYSICAL THERAPY 12217 SANTA MONICA BLVD STE 209, (310) 309-3721 PHYSICAL THERAPY LOS ANGELES, CA 90025-2589 PHYSICIAN'S CHOICE PHYSICAL THERAPY 17019 CHATSWORTH ST, GRANADA (818) 435-4455 PHYSICAL THERAPY HILLS, CA 91344-5845 PHYSICIANS CHOICE HOME PHYSICAL THERAPY 3220 SEPULVEDA BLVD STE 100, (310) 793-1616 HEALTH TORRANCE, CA 90505 PHYSICIANS MEDICAL URGENT PHYSICIANS MEDICAL URGENT URGENT CARE FACILITY 1060 SARATOGA AVE, SAN JOSE, CA (408) 243-6911 CARE (BCC) CARE 95129 PHYSICIANS MEDICAL URGENT PHYSICIANS MEDICAL URGENT URGENT CARE FACILITY 1910 N CAPITOL AVE, SAN JOSE, CA (888) 265-2120 CARE (BCC) CARE 95132 PHYSICIANS PHYSICAL PHYSICAL THERAPY 9735 WILSHIRE BLVD, BEVERLY HILLS, (310) 274-4137 THERAPY SERVICES CA 90212 PHYSICIANS SURGERY AMBULATORY SURGERY 12567 HESPERIA RD, VICTORVILLE, CA (760) 241-7754 CENTER CENTER 92395 PHYSICIANS SURGERY AMBULATORY SURGERY 8200 FIRESTONE BLVD, DOWNEY, CA (562) 869-0500 CENTER OF DOWNEY CENTER 90241 PHYSIOTHERAPY ASSOCIATES PHYSICAL THERAPY 400 29TH STSUITE 105, OAKLAND, CA (510) 451-4263 INCORPORATED 94609-3546 PHYSIOTHERAPY ASSOCIATES PHYSICAL THERAPY 81 GREGORY LNSUITE 100, PLEASANT (925) 682-4263 INCORPORATED HILL, CA 94523-4911 PHYSIUS PHYSICAL THERAPY PHYSICAL THERAPY 716 GARNER AVE # 103, HANFORD, CA (559) 772-1510 93230-4313 PIAZZA, JESSICA, LYNN - LAC EASTWEST NATURAL ACUPUNCTURE 2200 RANGE AVE STE 207, SANTA (707) 978-4293 MEDICINE INC ROSA, CA 95403 PICCIRILLO, KAYLEIGH - PT PRORESULTS PHYSICAL PHYSICAL THERAPY 137 S LAS POSAS RD STE 254, SAN (508) 789-9776 THERAPY INC MARCOS, CA 92078 PICCIUTO, JEFFERY - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 680 E ROMIE LN STE C, SALINAS, CA (831) 975-5902 INCORPORATED 93901 PICO CARE PHARMACY PHARMACY 6650 ROSEMEAD BLVD, PICO RIVERA, (562) 364-7922 CA 90660 PICO SQUARE PHARMACY RX PHARMACY 2334 W PICO BLVD, LOS ANGELES, CA (213) 385-0076 90006 PICO UNION PHARMACY PHARMACY 1273 S UNION AVE, LOS ANGELES, CA (213) 380-3124 90015 PICWOOD PHARMACY PHARMACY 2370 WESTWOOD BLVD, LOS ANGELES, (310) 475-6006 CA 90064 PIEPER, KOREY - PT GO BEYOND PHYSICAL PHYSICAL THERAPY 39 QUAIL CT STE 300, WALNUT CREEK, (925) 977-9300 THERAPY CA 94596 PIH HEALTH COMMUNITY PHARMACY 12462 PUTNAM ST STE 105, WHITTIER, (562) 789-5412 PHARMACY CA 90602 PIH HEALTH HOSPITAL PIH HEALTH HOSPITAL ACUTE CARE HOSPITAL 11500 BROOKSHIRE AVE, DOWNEY, CA (562) 904-5000 DOWNEY (BCC) DOWNEY 90241 PIH HEALTH HOSPITAL PIH HEALTH HOSPITAL ACUTE CARE HOSPITAL 12401 WASHINGTON BLVD, WHITTIER, (562) 698-0811 WHITTIER (BCC) WHITTIER CA 90602 PIH HEALTH PHARMACY PHARMACY 12400 BLOOMFIELD AVE, SANTA FE (562) 967-2810 SPRINGS, CA 90670 PIKE, ADAM - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 PIKE, ADAM - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 PIKE, ADAM - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 2908 E WHITMORE AVE STE E, CERES, (209) 622-4149 INJURY CTR CA 95307 PIKUL, BRIAN K - MD KAISER PERMANENTE LOS NEUROLOGICAL SURGERY 4867 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 514 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PILAVIAN, CHARLES - PHD NEUROPSYCHOLOGY 138 M BRAND BLVD STE 300, (818) 696-2704 (BCC) GLENDALE, CA 91203 PILL BOX DRUG PHARMACY 165 PALOS VERDES BLVD, REDONDO (310) 378-9487 BEACH, CA 90277 PILL BOX PHARMACY PHARMACY 317 W NOBLE AVE, VISALIA, CA 93277 (559) 734-6747 PILL BOX PHARMACY PHARMACY 2608 E ASHLAN AVE, FRESNO, CA (559) 492-2162 93726 PILLARS PHYSICAL THERAPY & PHYSICAL THERAPY 307 87TH ST STE D, DALY CITY, CA (650) 550-0050 WELLNESS CENTER 94015-1701 PILLOW, GWEN - DC GWEN PILLOW DC CHIROPRACTIC MEDICINE 1502 SPRING ST STE B, PASO ROBLES, (805) 237-2654 CA 93446 PILLSBURY PHYSICAL PHYSICAL THERAPY 14144 LAKERIDGE CIR, MAGALIA, CA (530) 873-2818 THERAPY 95954-9470 PILLSBURY PHYSICAL PHYSICAL THERAPY 2623 FOREST AVE STE 120, CHICO, CA (530) 343-2778 THERAPY 95928-4392 PILLSBURY PHYSICAL PHYSICAL THERAPY 2858 OLIVE HWY STE A, OROVILLE, CA (530) 533-4199 THERAPY 95966-6121 PILLSBURY PHYSICAL PHYSICAL THERAPY 6678 CLARK RD, PARADISE, CA (530) 876-1006 THERAPY 95969-2861 PILON, MATTHEW - PT SCORE PHYSICAL THERAPY PHYSICAL THERAPY 1350 41ST AVE STE 100, CAPITOLA, CA (831) 706-2085 95010 PILTCH, MICHELLE - AUD ADVANCED HEARING AUDIOLOGY 106 LYNCH CREEK WAY STE 200, (800) 598-5300 PROVIDERS LLC PETALUMA, CA 94954 PIMENTEL, JURIJIN - PT PACIFIC HILLS MANOR PHYSICAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 PIN, MICHAEL - MD (BCC) SANTA CLARITA URGENT FAMILY MEDICINE 24035 NEWHALL RANCH RD , SANTA (661) 291-3444 CARE AND FAMILY MEDICINE - CLARITA, CA 91355 PROVIDENCE MEDICAL INSTITUTE PIN, MICHAEL - MD (BCC) SANTA CLARITA URGENT PRIMARY TREATING 24035 NEWHALL RANCH RD , SANTA (661) 291-3444 CARE AND FAMILY MEDICINE - PHYSICIAN CLARITA, CA 91355 PROVIDENCE MEDICAL INSTITUTE PINCE, KEITH - MD KAISER PERMANENTE OPHTHALMOLOGY 23781 MAQUINA AVE , MISSION VIEJO, (949) 932-5899 MISSION VIEJO MEDICAL CA 92690 OFFICES PINE CONE DRUG PHARMACY 19660 STATE HIGHWAY 88, PINE (209) 296-8777 GROVE, CA 95665 PINE MOUNTAIN THERAPY PHYSICAL THERAPY 18800 MAIN ST, GROVELAND, CA (209) 962-4035 95321-9469 PINER, BRUCE - AUD ADVANCED HEARING AUDIOLOGY 16311 VENTURA BLVD , ENCINO, CA (800) 598-5300 PROVIDERS LLC 91436 PING ON MEDICAL PHARMACY PHARMACY 650 N BROADWAY STE B, LOS (213) 617-3322 ANGELES, CA 90012 PING ON PHARMACY PHARMACY 640 N BROADWAY STE 3, LOS (213) 617-3333 ANGELES, CA 90012 PINK, SHANNON - PT HANDS ON PHYSICAL PHYSICAL THERAPY 30212 TOMAS STE 120, RANCHO SANTA (949) 709-8770 THERAPY MARGARITA, CA 92688 PINKNEY, BRETT - PT FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 588 N SUNRISE AVE STE 100, (916) 782-7848 ROSEVILLE, CA 95661 PINNACLE HEALTHCARE (BCC) PINNACLE HEALTHCARE URGENT CARE FACILITY 1180 BROADWAY ST, KING CITY, CA (831) 385-8000 93930 PINNACLE HEALTHCARE (BCC) PINNACLE HEALTHCARE URGENT CARE FACILITY 947 BLANCO CIRCLE STE A, SALINAS, (831) 422-5555 CA 93901 PINNACLE HEALTHCARE (BCC) PINNACLE HEALTHCARE URGENT CARE FACILITY 2 ROSSI CIRCLE, SALINAS, CA 93907 (831) 770-0444 PINNACLE HEALTHCARE (BCC) PINNACLE HEALTHCARE URGENT CARE FACILITY 285 MERCEY SPRINGS RD STE A, LOS (209) 829-0444 BANOS, CA 93635 PINNACLE HEALTHCARE (BCC) PINNACLE HEALTHCARE URGENT CARE FACILITY 591 MCCRAY ST STE 101, HOLLISTER, (831) 634-4444 CA 95023 PINNACLE HEALTHCARE MED PINNACLE HEALTHCARE MED URGENT CARE FACILITY 99 AIRPORT BLVD, FREEDOM, CA 95019 (831) 728-1199 GROUP OF WATSONVILLE INC GROUP OF WATSONVILLE INC (BCC) PINNACLE PHYSICAL THERAPY PHYSICAL THERAPY 1040 N RENGSTORFF AVE, MOUNTAIN (650) 967-5100 VIEW, CA 94043

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 515 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PINNACLE PHYSICAL THERAPY PHYSICAL THERAPY 571 STANISLAUS AVE STE F, ANGELS (209) 736-0956 CAMP, CA 95222 PINNACLE PHYSICAL THERAPY PHYSICAL THERAPY 585 STANISLAUS AVE STE B, ANGELS (480) 921-8944 CAMP, CA 95222 PINTO, KATHLEEN - OT HORIZON THERAPY SERVICES OCCUPATIONAL THERAPY 8265 WHITE OAK AVE, RANCHO (909) 373-1641 CUCAMONGA, CA 91730 PIONEER DRUG PHARMACY 1428 CENTER AVE, DOS PALOS, CA (209) 392-1048 93620 PIONEER DRUG PHARMACY 397 5TH ST, GUSTINE, CA 95322 (209) 854-1007 PIONEER MARKET PHARMACY PHARMACY 5034 COAKLEY CIR, MARIPOSA, CA (209) 742-5550 95338 PIONEER PHARMACY PHARMACY 15917 PIONEER BLVD, NORWALK, CA (562) 402-6972 90650 PIONEER PHARMACY PHARMACY 10990 WARNER AVE STE A, FOUNTAIN (714) 962-7200 VALLEY, CA 92708 PIONEERS MEMORIAL PIONEERS MEMORIAL ACUTE CARE HOSPITAL 207 W LEGION RD, BRAWLEY, CA 92227 (760) 351-3333 HEALTHCARE DISTRICT (BCC) HEALTHCARE DISTRICT PIPELINE PHYSICAL THERAPY PHYSICAL THERAPY 713 MISSION AVE STE B, OCEANSIDE, (760) 453-7072 CA 92054-2852 PIRIE, LORIE - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 31244 PALOS VERDES DR WEST STE (310) 544-7325 THERAPY 209, RANCHO PALOS VERDES, CA 90275 PIRIE, LORIE - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 520 N PROSPECT AVE STE 100, (310) 376-9222 THERAPYMAIN REDONDO BEACH, CA 90277 PIRKLE, JARED - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 PIRKLE, JARED - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 PIRKLE, JARED - PT HI DESERT PHYSICAL PHYSICAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277 PIROUZ, SHAHRIAR - MD (BCC) PAIN MANAGEMENT ANESTHESIOLOGY 10 SANTA ROSA ST STE 201, SAN LUIS (805) 470-1700 SPECIALISTS OBISPO, CA 93405 PIROUZ, SHAHRIAR - MD (BCC) PAIN MANAGEMENT ANESTHESIOLOGY 1201 E OCEAN AVE STE B, LOMPOC, CA (805) 430-3104 SPECIALISTS 93436 PIROUZ, SHAHRIAR - MD (BCC) PAIN MANAGEMENT ANESTHESIOLOGY 314 S STRATFORD AVE, SANTA MARIA, (805) 922-5655 SPECIALISTS CA 93454 PIROUZ, SHAHRIAR - MD (BCC) PAIN MANAGEMENT ANESTHESIOLOGY 5000 SAN PALO RD, ATASCADERO, CA (805) 544-7246 SPECIALISTS 93422 PIROUZ, SHAHRIAR - MD (BCC) PAIN MANAGEMENT PAIN MANAGEMENT 10 SANTA ROSA ST STE 201, SAN LUIS (805) 470-1700 SPECIALISTS OBISPO, CA 93405 PIROUZ, SHAHRIAR - MD (BCC) PAIN MANAGEMENT PAIN MANAGEMENT 1201 E OCEAN AVE STE B, LOMPOC, CA (805) 430-3104 SPECIALISTS 93436 PIROUZ, SHAHRIAR - MD (BCC) PAIN MANAGEMENT PAIN MANAGEMENT 314 S STRATFORD AVE, SANTA MARIA, (805) 922-5655 SPECIALISTS CA 93454 PIROUZ, SHAHRIAR - MD (BCC) PAIN MANAGEMENT PAIN MANAGEMENT 5000 SAN PALO RD, ATASCADERO, CA (805) 544-7246 SPECIALISTS 93422 PIRRITANO, ANTHONY - DC INTEGRATED MEDICAL CHIROPRACTIC MEDICINE 2250 S MAIN ST STE 203, CORONA, CA (951) 737-1252 CENTER OF CORONA 92882 PISANELLI, MATTHEW - AUD ADVANCED HEARING AUDIOLOGY 7910 FROST STREET STE 420, SAN (800) 598-5300 PROVIDERS LLC DIEGO, CA 92123 PITTS, FREDERICK D - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 PLACENTIA LINDA HOSPITAL PLACENTIA LINDA HOSPITAL ACUTE CARE HOSPITAL 1301 N ROSE DR, PLACENTIA, CA 92870 (714) 993-2000 (BCC) PLACENTIA LINDA PHARMACY PHARMACY 1233 E YORBA LINDA BLVD, (714) 993-3345 PLACENTIA, CA 92870 PLAN PHYSICAL THERAPY PHYSICAL THERAPY 8525 N CEDAR AVE STE 109, FRESNO, (559) 440-9200 CA 93720-4833 PLANET PHARMACY PHARMACY 121 N ROBERTSON BLVD, BEVERLY (310) 657-7707 HILLS, CA 90211 PLANNED PARENTHOOD OF PHARMACY 518 GARDEN ST, SANTA BARBARA, CA (805) 722-1534 SANTA 93101

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 516 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PLASENCIA, ALEXIS N - MD LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S PLATA, DOUG S - MD CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA PLATA, DOUG S - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA PLATEROTI, CARMELO - DO DERMATOLOGY 1101 LAS TABLAS RD STE G, (805) 434-2821 (BCC) TEMPLETON, CA 93465 PLATINUM PHARMACY PHARMACY 1377 WESTWOOD BLVD, LOS ANGELES, (310) 444-7979 CA 90024 PLAY PHYSICAL THERAPY PHYSICAL THERAPY 2250 PARK PL, EL SEGUNDO, CA (310) 643-3400 90245-4908 PLAYA PHARMACY PHARMACY 8131 W MANCHESTER AVE, PLAYA DEL (310) 823-4500 REY, CA 90293 PLAYA VISTA MEDICAL PLAYA VISTA MEDICAL URGENT CARE FACILITY 6020 SEABLUFF DR STE 1, PLAYA (310) 862-0400 CENTER (BCC) CENTER VISTA, CA 90094 PLAZA PHARMACY PHARMACY 3400 LOMITA BLVD STE 102, (310) 530-3010 TORRANCE, CA 90505 PLAZA PHARMACY PHARMACY 2220 E PLAZA BLVD STE L, NATIONAL (619) 267-0768 CITY, CA 91950 PLAZA PHARMACY PHARMACY 430 E AVENIDA DE LOS, THOUSAND (805) 492-2451 OAKS, CA 91360 PLAZA WEST PHARMACY PHARMACY 8704 SEPULVEDA BLVD, NORTH HILLS, (818) 894-3333 CA 91343 PLAZA WEST PHARMACY PHARMACY 8540 S SEPULVEDA BLVD, LOS (310) 645-6422 ANGELES, CA 90045 PLEASANT CARE PHARMACY PHARMACY 1652 B ST, HAYWARD, CA 94541 (510) 200-9984 PLEASANT VALLEY PHARMACY PHARMACY 11260 PLEASANT VALLEY RD, PENN (530) 432-3921 VALLEY, CA 95946 PLEHN, CHARLES R - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER PLEW, MONICA - PT SAN LUIS PHYSICAL THERAPY PHYSICAL THERAPY 2011 S BROADWAY STE N, SANTA (805) 440-9318 SANTA MARIA 2 MARIA, CA 93454 PLOTKIN, NATALIA - LAC THE PHYSICAL THERAPY ACUPUNCTURE 124 N LA BREA AVE, LOS ANGELES, CA (818) 623-3100 ACUPUNCTURE REHAB 90036 CENTER PLOTKIN, NATALIA - LAC THE PHYSICAL THERAPY ACUPUNCTURE 13746 VICTORY BLVD STE 106, VAN (818) 623-8100 ACUPUNCTURE REHAB NUYS, CA 91401 CENTER PLOTKIN, NATALIA - LAC THE PHYSICAL THERAPY ACUPUNCTURE 6344 LAUREL CANYON BLVD, NORTH (818) 623-8100 ACUPUNCTURE REHAB HOLLYWOOD, CA 91606 CENTER PLUMAS DISTRICT HOSPITAL PLUMAS DISTRICT HOSPITAL ACUTE CARE HOSPITAL 1065 BUCKS LAKE RD, QUINCY, CA (530) 283-2121 (BCC) 95971 PLUMAS PHYSICAL THERAPY PHYSICAL THERAPY 78 E CENTRAL AVE STE 2, QUINCY, CA (530) 283-2202 95971-9779 PLUMAS PHYSICAL THERAPY PHYSICAL THERAPY 8989 HIGHWAY 89, BLAIRSDEN, CA (530) 836-1178 96103 PMC OUTPATIENT PHARMACY PHARMACY 2185 CITRACADO PKWY, ESCONDIDO, (442) 281-4000 CA 92029 PMC PHARMACY PHARMACY 843 MALCOLM RD, BURLINGAME, CA (650) 239-5282 94010 PMQ PHARMACY PHARMACY 8902 WOODMAN AVE, ARLETA, CA (818) 830-7398 91331 PMQ PHARMACY 1 PHARMACY 522 S SAN PEDRO ST STE 141, LOS (213) 486-4071 ANGELES, CA 90013 PMQ WINNETKA PHARMACY PHARMACY 20800 SHERMAN WAY, WINNETKA, CA (818) 710-5227 91306

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 517 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PODLENSKI, KENNETH - AUD ADVANCED HEARING AUDIOLOGY 12396 WORLD TRADE DRIVE STE 201, (800) 598-5300 PROVIDERS LLC SAN DIEGO, CA 92128 POH, MELISSA M - MD KAISER PERMANENTE WEST PLASTIC SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER POHL, LAWRENCE S - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 5333 MISSION CENTER RD , SAN (619) 295-3355 CENTER - MISSION VALLEY DIEGO, CA 92108 POINT LOMA CABRILLO DRUG PHARMACY 955 CATALINA BLVD STE 102A, SAN (619) 630-2710 DIEGO, CA 92106 POINT LOMA SHELTER ISLAND PHARMACY 1105 ROSECRANS ST, SAN DIEGO, CA (619) 223-7171 DRUG 92106 POINT RX PHARMACY 139 W RICHMOND AVE, RICHMOND, CA (844) 300-3244 94801 POKORSKI, KENDALL - PT RESTOR PHYSICAL PHYSICAL THERAPY 17272 NEWHOPE ST STE G, FOUNTAIN (714) 754-7268 THERAPYMAIN VALLEY, CA 92708 POLAN, INDIRA - OT PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 POLANCO, MARIO - PT ALAMEDA INDUSTRIAL PHYSICAL THERAPY 1907 E WASHINGTON BLVD, LOS (213) 747-7667 MEDICAL GROUP ANGELES, CA 90021 POLISKY, MICHAEL A - MD VANOWEN MEDICAL INTERNAL MEDICINE 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 (BCC) ASSOCIATES CA 91405 POLISKY, MICHAEL A - MD VANOWEN MEDICAL PRIMARY TREATING 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 (BCC) ASSOCIATES PHYSICIAN CA 91405 POLISKY, MICHAEL A - MD VANOWEN MEDICAL ENDOCRINOLOGY, DIABETES 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 (BCC) ASSOCIATES AND METABOLISM CA 91405 POLITIS, STEVE - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 POLITO, LAURA E - MD (BCC) SANSUM CLINIC - PESETAS FAMILY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 URGENT CARE (SANTA 93110 BARBARA) POLITO, LAURA E - MD (BCC) SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) POLITO, SARA - PT BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 689-5025 THERAPY POLITO, SARA - PT BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 222 ACACIA ST, FAIRFIELD, CA 94533 (707) 421-2095 THERAPY POLLICK, CHARLES - MD (BCC) CARDIOVASCULAR DISEASE 127 SOUTH SAN VICENTE BLVD STE A (310) 423-3843 (CARDIOLOGY) 3600, LOS ANGELES, CA 90048 POLLOCK PHYSICAL THERAPY PHYSICAL THERAPY 1238 E ARROW HWY 2ND FL, UPLAND, (909) 946-7658 & SPORTS CLINIC CA 91786-4951 POLOSAJIAN, LEO - MD CARDIOVASCULAR DISEASE 7640 TAMPA AVE STE 101, RESEDA, CA (818) 718-1600 (CARDIOLOGY) 91335 POLY-MED PHARMACY PHARMACY 17313 ROSCOE BLVD, NORTHRIDGE, (747) 235-3535 CA 91325 POMERADO HOSPITAL PSYCH POMERADO HOSPITAL PSYCH MENTAL HEALTH/PSYCHIATRIC 15615 POMERADO RD, POWAY, CA (760) 739-3000 UNIT (BCC) UNIT HOSPITAL (INPATIENT) 92064 POMONA VALLEY HOSPITAL POMONA VALLEY HOSPITAL ACUTE CARE HOSPITAL 1798 N GAREY AVE , POMONA , CA (909) 865-9803 MEDICAL CENTER MEDICAL CENTER 91767 PON, CARLY - PT MONTCLAIR PHYSICAL PHYSICAL THERAPY 6116 MEDAU PL, OAKLAND, CA 94611 (510) 339-2116 THERAPY WELLNESS PONCE, JOSE - DC HIDDEN VALLEY CHIROPRACTIC MEDICINE 1675 HAMNER AVE STE 2, NORCO, CA (951) 582-9387 CHIROPRACTIC 92860 PONCE, JUSTIN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 PONCE, REBECCA - PT KINETIX ADVANCED PHYSICAL PHYSICAL THERAPY 44501 16TH ST W STE 107, LANCASTER, (661) 974-7033 THERAPY INC CA 93534 PONG, CHIUWING - PT SILICON VALLEY HAND PHYSICAL THERAPY 1716 MIRAMONTE AVE, MOUNTAIN (650) 934-0455 THERAPY INC/ DBA PEAK VIEW, CA 94040 HAND THERAPY PONTE PHYSICAL THERAPY PHYSICAL THERAPY 2820 HARRIS ST, EUREKA, CA (707) 268-8219 95503-4809 PONTICELLO, RYAN - PTA HANDS ON PHYSICAL PHYSICAL THERAPY 30212 TOMAS STE 120, RANCHO SANTA (949) 709-8770 THERAPY MARGARITA, CA 92688

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 518 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PONTON, MARCEL - PHD (BCC) PSYCHOLOGY 2 N LAKE AVE STE 800, PASADENA, CA (800) 314-7273 91101 PONTON, MARCEL O - PHD PERSONA NEUROBEHAVIOR NEUROPSYCHOLOGY 2 N LAKE AVE STE 800, PASADENA, CA (800) 314-7273 (BCC) GROUP 91101 POOYANDEH, RASOUL - DC RITE MEDICAL CLINIC INC CHIROPRACTIC MEDICINE 502 W HOLT AVE, POMONA, CA 91768 (909) 620-8500 POP & SIS PHYSICAL THERAPY PHYSICAL THERAPY 5400 BALBOA BLVD # 222, ENCINO, CA (818) 380-0199 91316 POPA, BOGDAN - MD (BCC) ANESTHESIOLOGY 1111 W LA PALMA AVE, ANAHEIM, CA (714) 774-1450 92801 POPESCU, CRISTINA - PT STUDIO BRAVA PHYSICAL PHYSICAL THERAPY 11110 OHIO AVE STE 105, LOS (310) 775-1609 THERAPY ANGELES, CA 90025 PORTER RANCH PHARMACY PHARMACY 19950 RINALDI ST STE 102, PORTER (818) 360-1915 RANCH, CA 91326 PORTER, EILEEN - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 4445 EASTGATE MALL STE 103, SAN (858) 412-6080 MEDICAL GROUP MAIN DIEGO, CA 92121 PORTER, EILEEN - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 88 E BONITA RD STE C, CHULA VISTA, (858) 877-8163 MEDICAL GROUP CA 91910 PORTER, ELIEEN - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 8388 PARKWAY DR, LA MESA, CA 91942 (619) 797-1190 MEDICAL GROUP PORTERVILLE PHARMACY PHARMACY 1270 W HENDERSON AVE, (559) 793-4410 PORTERVILLE, CA 93257 PORTERVILLE PHARMACY#2 PHARMACY 1270 W HENDERSON AVE, (559) 615-1560 PORTERVILLE, CA 93257 PORTNOY, JANA L - MD (BCC) CITY OF HOPE ONCOLOGY 1500 DUARTE RD, DUARTE, CA 91010 (626) 218-9200 COMPREHENSIVE CANCER CENTER PORTOLA PHARMACY PHARMACY 3408 N EASTERN AVE, LOS ANGELES, (323) 222-2362 CA 90032 PORTOLA VILLAGE PHARMACY PHARMACY 157 COMMERCIAL ST, PORTOLA, CA (530) 832-4218 96122 POSEY, GRACIE - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 1800 WESTWIND DRIVE BUILDING 500, (661) 616-4006 BAKERSFIELD, CA 93301 POSLER, JOSEPH, SCOTT - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 POST AND DIVISADERO MED PHARMACY 2299 POST ST STE 109, SAN (415) 346-2664 PHCY FRANCISCO, CA 94115 POSTAJIAN, JON - DC BUDINCICH CHIROPRACTIC CHIROPRACTIC MEDICINE 140 N HILL AVE, PASADENA, CA 91106 (626) 792-3390 CLINIC POSTAJIAN, JON - DC DR JON M POSTAJIAN DC INC CHIROPRACTIC MEDICINE 716 S VICTORY BLVD, BURBANK, CA (818) 381-2065 91502 POSTIER, AARON - OTA PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 POSTMEDS PHARMACY 3121 DIABLO AVE, HAYWARD, CA 94545 (650) 353-5495 POSTOLOVA, LYUSYENA - LAC LUCY POSTOLOV LAC ACUPUNCTURE 1990 S BUNDY DR STE 790, LOS (310) 444-6212 ANGELES, CA 90025 POTTER, CHARLES A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER POTTER, CHARLES A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH PHYSICIAN JOSE, CA 95119 CENTER POTTER, SUZANNE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 POTTS, MARIANNIE - PT NORTH SANTA ROSA PHYSICAL THERAPY 1400 N DUTTON AVE STE 1, SANTA (707) 523-2848 PHYSICAL THERAPY ROSA, CA 95401 POTYK, LISA, JEANNE - LAC BALANCE CENTER ACUPUNCTURE 251 E MAIN ST, EL CAJON, CA 92020 (619) 440-4333 ACUPUNCTURE CLINIC POUILLOUX, PHILLIPE - PT BRIGHTON THERAPY PHYSICAL THERAPY 1125 S BEVERLY DR STE 500, LOS (310) 734-7771 ANGELES, CA 90035 POURHEIDARI, PARISA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 POURTEYMOOR, KOMBIZ, POURTEYMOOR CHIROPRACTIC MEDICINE 789 W 9TH ST, SAN PEDRO, CA 90731 (310) 519-1557 KLAM - DC CHIROPRACTIC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 519 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone POURTEYMOOR, NAHDIR, POURTEYMOOR CHIROPRACTIC MEDICINE 789 W 9TH ST, SAN PEDRO, CA 90731 (310) 519-1557 NOSRATOLAH - DC CHIROPRACTIC POWAY PHARMACY PHARMACY 14837 POMERADO RD, POWAY, CA (858) 842-4206 92064 POWAY SURGERY CENTER POWAY SURGERY CENTER AMBULATORY SURGERY 15525 POMERADO RD STE E2, POWAY, (858) 521-0031 (BCC) CENTER CA 92064 POWELL, CHARLENE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 POWELL, CHRISTIAN H - MD SANSUM CLINIC - PESETAS RHEUMATOLOGY 215 PESETAS LN, SANTA BARBARA, CA (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC 93110 POWELL, ELIZABETH - PT SOUTH BAY SPORTS PHYSICAL THERAPY 900 LAFAYETTE ST STE 105, SANTA (408) 293-7794 PREVENTATIVE MEDICINE CLARA, CA 95050 POWELL, ROBERT S - MD KAISER PERMAMENTE ORTHOPEDIC SURGERY - 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES KNEE 92111 POWELL, ROBERT S - MD KAISER PERMAMENTE ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES 92111 POWELL, SCOTT E MD (BCC) ORTHOPEDIC SURGERY - 2021 SANTA MONICA BLVD STE 700E, (310) 829-9060 ANKLE SANTA MONICA, CA 90404 POWELL, SCOTT E MD (BCC) ORTHOPEDIC SURGERY - 2701 W ALAMEDA AVE STE 200, (818) 570-5000 ANKLE BURBANK, CA 91505 POWELL, SCOTT E MD (BCC) ORTHOPEDICS - ANKLE 2021 SANTA MONICA BLVD STE 700E, (310) 829-9060 SANTA MONICA, CA 90404 POWELL, SCOTT E MD (BCC) ORTHOPEDICS - ANKLE 2701 W ALAMEDA AVE STE 200, (818) 570-5000 BURBANK, CA 91505 POWELL, SCOTT E MD (BCC) ORTHOPEDICS - ELBOW 2021 SANTA MONICA BLVD STE 700E, (310) 829-9060 SANTA MONICA, CA 90404 POWELL, SCOTT E MD (BCC) ORTHOPEDICS - ELBOW 2701 W ALAMEDA AVE STE 200, (818) 570-5000 BURBANK, CA 91505 POWELL, SCOTT E MD (BCC) ORTHOPEDIC SURGERY - 2021 SANTA MONICA BLVD STE 700E, (310) 829-9060 ELBOW SANTA MONICA, CA 90404 POWELL, SCOTT E MD (BCC) ORTHOPEDIC SURGERY - 2021 SANTA MONICA BLVD STE 700E, (310) 829-9060 KNEE SANTA MONICA, CA 90404 POWELL, SCOTT E MD (BCC) ORTHOPEDIC SURGERY - 2021 SANTA MONICA BLVD STE 700E, (310) 829-9060 SHOULDER SANTA MONICA, CA 90404 POWELL, SCOTT E MD (BCC) ORTHOPEDICS - KNEE 2021 SANTA MONICA BLVD STE 700E, (310) 829-9060 SANTA MONICA, CA 90404 POWELL, SCOTT E MD (BCC) ORTHOPEDICS - SHOULDER 2021 SANTA MONICA BLVD STE 700E, (310) 829-9060 SANTA MONICA, CA 90404 POWELL, SCOTT E MD (BCC) ORTHOPEDIC SURGERY - 2701 W ALAMEDA AVE STE 200, (818) 570-5000 ELBOW BURBANK, CA 91505 POWELL, SCOTT E MD (BCC) ORTHOPEDIC SURGERY - 2701 W ALAMEDA AVE STE 200, (818) 570-5000 KNEE BURBANK, CA 91505 POWELL, SCOTT E MD (BCC) ORTHOPEDIC SURGERY - 2701 W ALAMEDA AVE STE 200, (818) 570-5000 SHOULDER BURBANK, CA 91505 POWELL, SCOTT E MD (BCC) ORTHOPEDICS - KNEE 2701 W ALAMEDA AVE STE 200, (818) 570-5000 BURBANK, CA 91505 POWELL, SCOTT E MD (BCC) ORTHOPEDICS - SHOULDER 2701 W ALAMEDA AVE STE 200, (818) 570-5000 BURBANK, CA 91505 POWER CENTER PHYSICAL PHYSICAL THERAPY 17270 BEAR VALLEY RD STE 105, (760) 245-8828 THERAPY VICTORVILLE, CA 92395-7751 POWER PHYSICAL THERAPY PHYSICAL THERAPY 3140 RED HILL AVE STE 225, COSTA (714) 557-2100 AND SPORTS MEDICINE MESA, CA 92626-3440 POWER, PATRICIA - LAC PATRICIA POWER LAC ACUPUNCTURE 207 S HALCYON RD, ARROYO GRANDE, (805) 481-9696 CA 93420 POWERS, BRETT C - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 UPPER EXTREMITIES RIVERSIDE, CA 92505 POWERS, BRETT C - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 LOWER EXTREMITIES RIVERSIDE, CA 92505 POWERS, BRETT C - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 POWERS, BRETT C - DO (BCC) ARROWHEAD ORTHOPAEDICS SPORTS MEDICINE 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 520 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone POWERS, BRETT C - DO (BCC) ARROWHEAD ORTHOPAEDICS PRIMARY TREATING 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 PHYSICIAN RIVERSIDE, CA 92505 PRABHAKAR, KAVITA - PTA WHITE BLOSSOM CARE PHYSICAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 PRAKASH, AMITABH - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 10400 NORWALK BLVD STE 100, SANTA (562) 968-1300 CENTER - SANTA FE SPRINGS FE SPRINGS, CA 90670 PRAKASH, AMITABH - MD CONCENTRA MEDICAL PRIMARY TREATING 10400 NORWALK BLVD STE 100, SANTA (562) 968-1300 CENTER - SANTA FE SPRINGS PHYSICIAN FE SPRINGS, CA 90670 PRANTE, ERIC - PT REHABILITATION STRATEGIES PHYSICAL THERAPY 5360 JACKSON DR STE 110, LA MESA, (619) 667-7000 INC CA 91942 PRAPTANI, SHAIZEEL - MD ANESTHESIOLOGY 15107 VANOWEN ST, VAN NUYS, CA (818) 782-6600 (BCC) 91405 PRASAD, VIBHAY - MD (BCC) PHYSICAL MEDICINE AND 150 VIA MERIDA, WESTLAKE VILLAGE, (805) 496-4020 REHABILITATION CA 91362 PRASAD, VINOY S - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE PRASARNSUK, SPENCER - DC GOLDEN HANDS CHIROPRACTIC MEDICINE 960 N TUSTIN ST 352, ORANGE, CA (714) 839-2300 CHIROPRACTIC 92867 PRATT, TRUDI - DC EMERYVILLE OCCUPATIONAL CHIROPRACTIC MEDICINE 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 PRATT, TRUDI, JOANN - DC REDDING OCCUPATIONAL CHIROPRACTIC MEDICINE 1710 CHURN CREEK RD, REDDING, CA (530) 646-4242 MEDICAL CENTER 96002 PRATTY, JAMES - MD (BCC) PSYCHIATRY 21081 S WESTERN AVE STE 250, (310) 217-8877 TORRANCE, CA 90501 PRECISION AMBULATORY AMBULATORY SURGERY 450 N ROXBURY DR STE 240, BEVERLY (310) 651-2040 SURGERY CENTER LLC CENTER HILLS, CA 90210 PREDDY, VIKA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 3418 LOMA VISTA RD STE A, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 PREFERRED PHARMACY PHARMACY 1601 N IMPERIAL AVE STE B, EL (760) 592-4650 CENTRO, CA 92243 PREFERRED PHARMACY PHARMACY 3303 HARBOR BLVD STE H7, COSTA (714) 497-2778 MESA, CA 92626 PREMA, JATEEN - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER PREMIER CARE PHARMACY PHARMACY 13703 BURBANK BLVD, VAN NUYS, CA (818) 376-0333 91401 PREMIER FAMILY PHARMACY PHARMACY 21150 HAWTHORNE BLVD STE 106, (310) 606-2121 TORRANCE, CA 90503 PREMIER INFUSION CARE PHARMACY 19500 NORMANDIE AVE, TORRANCE, (866) 365-2525 CA 90502 PREMIER LIFE PHARMACY PHARMACY 9430 WARNER AVE STE G, FOUNTAIN (714) 987-2351 VALLEY, CA 92708 PREMIER PHARMACY PHARMACY 18080 SAN RAMON VALLEY BLVD, SAN (925) 556-9680 RAMON, CA 94583 PREMIER PHARMACY PHARMACY 410 CLOVERLEAF DR, BALDWIN PARK, (626) 626-9400 SERVICES CA 91706 PREMIER PHARMACY PHARMACY 410 CLOVERLEAF DR, BALDWIN PARK, (626) 626-9400 SERVICES CA 91706 PREMIER PHARMACY PHYSICAL THERAPY 410 CLOVERLEAF DR, BALDWIN PARK, (626) 626-9400 SERVICES CA 91706 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 23141 MOULTON PKWY STE 201, (949) 900-1300 LAGUNA HILLS, CA 92653-1241 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 400 N MOUNTAIN AVE STE 310, (909) 920-6457 UPLAND, CA 91786-5182 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 522 JAMACHA RD, EL CAJON, CA (619) 440-9444 92019-2448 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1010 W LA VETA AVE STE 615, (949) 297-4561 ORANGE, CA 92868-4310 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 10156 ADAMS AVE, HUNTINGTON (949) 297-4561 BEACH, CA 92646-4907

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 521 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1041 E YORBA LINDA BLVS STE 210, (714) 617-1775 PLACENTIA, CA 92870 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 1211 W LA PALMA AVE STE 210, (949) 297-4561 ANAHEIM, CA 92801 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 14150 CULVER DR STE 103, IRVINE, CA (949) 262-9142 92604-0322 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 22821 LAKE FOREST DR STE 115, LAKE (949) 716-5050 FOREST, CA 92630-1606 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 23141 MOULTON PKWY STE 109, (949) 297-4561 LAGUNA HILLS, CA 92653-1241 PREMIER PHYSICAL THERAPY PHYSICAL THERAPY 26700 TOWNE CENTRE DR STE 110, (949) 297-4561 FOOTHILL RANCH, CA 92610-2852 PREMIERE PHYSICAL PHYSICAL THERAPY 403 N PACIFIC COAST HWY STE 201, (310) 798-8777 THERAPY AND REDONDO BEACH, CA 90277-2882 REHABILITATION PREMIUM PHYSICAL THERAPY PHYSICAL THERAPY 2021 HERNDON AVE STE 102, CLOVIS, (559) 321-8405 CA 93611-6101 PRESANT, CARY A - MD (BCC) CITY OF HOPE MEDICAL HEMATOLOGY AND 1250 S SUNSET AVE STE 303, WEST (626) 856-5858 FOUNDATION ONCOLOGY COVINA , CA 91790 PRESCOTT SPORTS THERAPY PHYSICAL THERAPY 36945 COOK ST STE 103, PALM (760) 324-6400 DESERT, CA 92211-6077 PRESCOTT SPORTS THERAPY PHYSICAL THERAPY 78900 AVENUE 47 STE 100, LA QUINTA, (760) 324-6400 CA 92253-2070 PRESCOTT, ALEX V - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 PRESCOTT, ANGELA - PT PRESCOTT SPORTS THERAPY PHYSICAL THERAPY 36945 COOK ST STE 103, PALM (760) 324-6400 DESERT, CA 92211 PRESCRIPTION PHARMACY 1340 TULLY RD STE 312, SAN JOSE, CA (408) 277-0160 HEADQUARTERS 95122 PRESCRIPTION PHARMACY PHARMACY 215 PESETAS LN, SANTA BARBARA, CA (805) 964-4831 93110 PRESCRIPTION PHARMACY PHARMACY 317 W PUEBLO ST, SANTA BARBARA, (805) 682-6507 CA 93105 PRESCRIPTION SHOPPE PHARMACY 15247 11TH ST STE 1000A, (760) 245-7761 VICTORVILLE, CA 92395 PRESCRIPTION STATION PHARMACY 15048 7TH ST STE A, VICTORVILLE, CA (760) 241-3390 92395 PRESCRIPTIONS UNLIMITED PHARMACY 1141 W REDONDO BEACH BLVD, (310) 515-1881 PHCY GARDENA, CA 90247 PRESSER, ERIC R - MD (BCC) DESERT CARE NETWORK - THORACIC AND CARDIAC 1180 N INDIAN CANYON DR STE E421, (714) 428-6711 PRIMARY AND SPECIALTY SURGERY PALM SPRINGS , CA 92262 CARE PRESTIGE MEDICAL PHARMACY 17150 EUCLID ST STE A222, FOUNTAIN (714) 361-1012 PHARMACY VALLEY, CA 92708 PRESTIGE PHARMACY AND PHARMACY 1220 S CENTRAL AVE, GLENDALE, CA (818) 244-8111 MED SPLY 91204 PRESTON, KRISTA - DO (BCC) PRIMARY TREATING 1980 SEQUOIA AVE, SIMI VALLEY, CA (805) 583-5555 PHYSICIAN 93063 PRESTON, KRISTA - DO (BCC) FAMILY MEDICINE 1980 SEQUOIA AVE, SIMI VALLEY, CA (805) 583-5555 93063 PRESTONSMITH, MICHELLE - GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 PT INJURY CTR BANOS, CA 93635 PREVILL, HEATHER - PT PHYSICAL RX PHYSICAL PHYSICAL THERAPY 2100 MAIN ST STE 250, HUNTINGTON (714) 374-0233 THERAPY BEACH, CA 92648 PRICE RITE PHARMACY PHARMACY 6010 HIDDEN VALLEY RD, CARLSBAD, (760) 893-8331 CA 92011 PRICE, JOHNATHAN - DC AH CHIROPRACTIC CHIROPRACTIC MEDICINE 9681 BUSINESS CENTER DR STE A, (626) 278-2624 RANCHO CUCAMONGA, CA 91739 PRIDE PHARMACY PHARMACY 1270 UNIVERSITY AVE, SAN DIEGO, CA (619) 501-5888 92103 PRIEBE, TED - LAC HEALTHPOINTE MEDICAL ACUPUNCTURE 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 522 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PRIEBE, TED - LAC HEALTHPOINTE MEDICAL ACUPUNCTURE 6820 LA TIJERA BLVD STE 217, LOS (310) 328-4300 GROUP INC ANGELES, CA 90045 PRIEBE, TED - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 PRIEBE, TED - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 7052 ORANGEWOOD AVE, STE 6, (714) 903-1100 GROUP INC GARDEN GROVE, CA 92841 PRIEBE, TED - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 8610 S SEPULVEDA BLVD , (800) 730-9263 GROUP INC WESTCHESTER, CA 90045 PRIMA PHARMACY PHARMACY 12643 SHERMAN WAY STE C, NORTH (818) 765-2555 HOLLYWOOD, CA 91605 PRIME FORMULA PHARMACY PHARMACY 18397 COLIMA RD, ROWLAND HEIGHTS, (626) 581-8555 CA 91748 PRIME HEALTH PHARMACY PHARMACY 2915 TELEGRAPH AVE, BERKELEY, CA (510) 570-2103 94705 PRIME PHARMACY PHARMACY 396 S MAIN ST STE 102, ORANGE, CA (714) 363-3686 92868 PRIME PHARMACY SERVICES PHARMACY 4211 S AVALON BLVD STE 2, LOS (323) 432-5183 ANGELES, CA 90011 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4590 RIVERSIDE DR STE B, CHINO, CA (909) 464-9880 NETWORK 91710 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4590 RIVERSIDE DR STE B, CHINO, CA (909) 464-9880 NETWORK 91710 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4590 RIVERSIDE DR STE B, CHINO, CA (909) 464-9880 NETWORK 91710 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 10515 BALBOA BLVD STE 285, (714) 738-1888 NETWORK GRANADA HILLS, CA 92836 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 1125 N MAGNOLIA AVE STE 120, (714) 220-0520 NETWORK ANAHEIM, CA 92801-2691 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 12115 PARAMOUNT BLVD, DOWNEY, CA (562) 250-2002 NETWORK 90242-2309 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 12384 PALMDALE RD STE 202, (714) 738-1888 NETWORK VICTORVILLE, CA 92392-8506 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 12562 GARDEN GROVE BLVD, GARDEN (714) 220-0520 NETWORK GROVE, CA 92843-1907 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 1310 3RD AVE, STE A 4, CHULA VISTA, (951) 684-2874 NETWORK CA 91911-4371 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 14423 HAMLIN ST, VAN NUYS, CA (951) 684-2874 NETWORK 91401-1410 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 155 W HOSPTY LN STE 110, SAN (714) 738-1888 NETWORK BERNARDINO, CA 92408-3317 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 16025 GALE AVE STE B8, CITY OF (951) 684-2874 NETWORK INDUSTRY, CA 91745-1633 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 1723 27TH ST, BAKERSFIELD, CA (714) 738-1888 NETWORK 93301-2807 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 1850 E PALMDALE BLVD, PALMDALE, (951) 684-2874 NETWORK CA 93550-2026 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 18531 ROSCOE BLVD STE 215, (714) 738-1888 NETWORK NORTHRIDGE, CA 91324-5975 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 1902 ROYALTY DR STE 110, POMONA, (714) 220-0520 NETWORK CA 91767-3036 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 224 N INDN HL BLVD, CLAREMONT, CA (714) 738-1888 NETWORK 91711-4609 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 2441 G ST, BAKERSFIELD, CA (714) 738-1888 NETWORK 93301-2809 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 2560 E FOOTHILL BLVD, PASADENA, CA (951) 684-2874 NETWORK 91107 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 2616 CLARENDON AVE STE B, (714) 738-1888 NETWORK HUNTINGTON PARK, CA 90255-4120 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 275 W SAN BERNARDINO RD, COVINA, (714) 738-1888 NETWORK CA 91723-1516 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 3000 W OLYMPIC BLVD STE 3, LOS (213) 250-0078 NETWORK ANGELES, CA 90006

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 523 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PRIME PHYSICAL THERAPY PHYSICAL THERAPY 3191 MISSION INN AVE STE B, (951) 684-2874 NETWORK RIVERSIDE, CA 92507-4188 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 3605 LONG BEACH BLVD STE 100, (714) 738-1888 NETWORK LONG BEACH, CA 90807-4023 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 40485 MURRIETA HOT SPRING, (310) 330-1177 NETWORK MURRIETA, CA 92563 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 411 N CENTRAL AVE STE 610, (818) 244-0009 NETWORK GLENDALE, CA 91203-2052 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4590 RIVERSIDE DR STE B, CHINO, CA (909) 464-9880 NETWORK 91710-3980 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4916 WHITTIER BLVD, LOS ANGELES, (310) 330-1177 NETWORK CA 90022-3115 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4949 ATLANTIC AVE, LONG BEACH, CA (310) 330-1177 NETWORK 90805-6505 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 5000 OVERLAND AVE STE 104, CULVER (310) 836-7650 NETWORK CITY, CA 90230-4969 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 62 CORPORATE PARK STE 235, IRVINE, (949) 207-7377 NETWORK CA 92606-3123 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 644 E REGENT ST STE 101, (714) 738-1888 NETWORK INGLEWOOD, CA 90301-1439 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 6700 INDIANA AVE STE 145, RIVERSIDE, (949) 287-3231 NETWORK CA 92506-4225 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 740 S PLACENTIA AVE, PLACENTIA, CA (951) 684-2874 NETWORK 92870 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 780 W. MISSION BLVD., POMONA, CA (909) 620-2777 NETWORK 91766 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 8090 CRENSHAW BLVD, INGLEWOOD, (310) 330-1177 NETWORK CA 90305-1218 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 8134 VAN NUYS BLVD STE 100, (818) 904-6700 NETWORK PANORAMA CITY, CA 91402-4815 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 8349 RESEDA BLVD. UNIT F, (714) 738-1888 NETWORK NORTHRIDGE, CA 91324 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 9635 MONTE VISTA AVE STE 203, (951) 684-2874 NETWORK MONTLCAIR, CA 91763 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 980 ATLANTIC AVE 3RD FL, LONG (714) 738-1888 NETWORK BEACH, CA 90813 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4590 RIVERSIDE DR STE B, CHINO, CA (909) 464-9880 NETWORK 91710 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4949 ATLANTIC AVE, LONG BEACH, CA (310) 330-1177 NETWORK 90805 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 8090 CRENSHAW BLVD, INGLEWOOD, (310) 330-1177 NETWORK CA 90305 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 9900 S VERMONT AVE, LOS ANGELES, (310) 330-1177 NETWORK CA 90044 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 2603 G ST, BAKERSFIELD, CA 93301 (661) 634-9440 NETWORK PRIME PHYSICAL THERAPY PHYSICAL THERAPY 5337 TRUXTUN AVE, BAKERSFIELD, CA (661) 324-0122 NETWORK 93309 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 1700 E BULLARD AVE STE 102, (714) 738-1888 NETWORK FRESNO, CA 93710 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 780 W. MISSION BLVD., POMONA, CA (909) 620-2777 NETWORK 91766 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 11531 DOWNEY AVE, DOWNEY, CA (310) 330-1177 NETWORK 90241 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 323 N PRAIRIE AVE STE 237, (310) 330-1177 NETWORK INGLEWOOD, CA 90301 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 4949 ATLANTIC AVE, LONG BEACH, CA (310) 330-1177 NETWORK 90805 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 8090 CRENSHAW BLVD, INGLEWOOD, (310) 330-1177 NETWORK CA 90305 PRIME PHYSICAL THERAPY PHYSICAL THERAPY 9900 S VERMONT AVE, LOS ANGELES, (310) 330-1177 NETWORK CA 90044

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 524 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PRIME THERAPY AND PAIN PHYSICAL THERAPY 3421 ARLINGTON AVE STE 105, (951) 684-2865 CENTER RIVERSIDE, CA 92506-3254 PRIME THERAPY AND PAIN PHYSICAL THERAPY 8599 HAVEN AVE STE 101, RANCHO (800) 758-0097 CENTER CUCAMONGA, CA 91730-4849 PRIMECARE PHARMACY PHARMACY 32144 AGOURA RD STE 101, WESTLAKE (818) 964-1000 VILLAGE, CA 91361 PRIMEMED PHARMACY PHARMACY 839 W GLENOAKS BLVD, GLENDALE, CA (818) 600-0777 91202 PRINCE, CATHERINE T - DO NORTHSTATE CARDIOLOGY CARDIOVASCULAR DISEASE 190 COHASSET RD , CHICO, CA 95926 (530) 342-0123 (BCC) CONSULTANTS (CARDIOLOGY) PRIORITY CARE PHARMACY PHARMACY 5652 VINELAND AVE STE 102, NORTH (818) 508-8665 HOLLYWOOD, CA 91601 PRIVETT, DARRIN - MD (BCC) EMERGENCY MEDICINE 23845 MCBEAN PKWY, VALENCIA, CA (661) 200-2000 91355 PRN AQUATIC & PHYSICAL PHYSICAL THERAPY 1663 GREENFIELD DR, EL CAJON, CA (619) 440-5752 REHABILITATION 92021-3520 PRN PHYSICAL THERAPY PHYSICAL THERAPY 317 N EL CAMINO REAL STE 210, (760) 634-0248 ENCINITAS, CA 92024-2813 PRO - P T PHYSICAL THERAPY 1132 LELAND AVE, TULARE, CA (559) 684-0611 93274-7811 PRO - P T PHYSICAL THERAPY 1150 W MORTON AVE STE B, (559) 782-1501 PORTERVILLE, CA 93257-1940 PRO - PT PHYSICAL THERAPY 392 SIERRA ST, KINGSBURG, CA (559) 869-4736 93631-1706 PRO DYNAMIC PHYSICAL PHYSICAL THERAPY 6955 DOUGLAS BLVD, GRANITE BAY, (916) 318-6964 THERAPY INC. CA 95746-6256 PRO HEALTH PHYSICAL PHYSICAL THERAPY 2850 ARTESIA BLVD STE 207, (310) 371-4774 THERAPY REDONDO BEACH, CA 90278-3413 PRO PT PHYSICAL THERAPY 27725 SANTA MARGARITA PKWY STE (949) 598-9315 210, MISSION VIEJO, CA 92691-6710 PRO PT PHYSICAL THERAPY 1401 W EL MONTE WAY STE 107, (559) 315-5203 DINUBA, CA 93618-9165 PRO SPORT PHYSICAL PHYSICAL THERAPY 2777 BRISTOL ST STE B, COSTA MESA, (949) 250-1112 THERAPY CA 92626-5997 PRO SPORT PHYSICAL PHYSICAL THERAPY 23001 DEL LAGO DR STE C1, LAGUNA (949) 387-7333 THERAPY LAGUNA HILLS HILLS, CA 92653-1354 PRO-BODY PHYSICAL PHYSICAL THERAPY 3110 CHINO AVE STE 130, CHINO HILLS, (909) 902-5049 THERAPY CA 91709-1294 PRO-BODY PHYSICAL PHYSICAL THERAPY 3110 CHINO AVE STE 130, CHINO HILLS, (909) 902-5049 THERAPY CA 91709-1294 PRO-PT PHYSICAL THERAPY 134 S E ST, EXETER, CA 93221-1731 (559) 592-9000 PRO-PT PHYSICAL THERAPY 1870 S CENTRAL ST, VISALIA, CA (559) 636-1200 93277-4418 PROACTIVE ORTHOPEDIC PT PHYSICAL THERAPY 1607 E LINCOLN AVE STE B, ORANGE, (714) 921-9080 CA 92865-1958 PROACTIVE PHYSICAL PHYSICAL THERAPY 1025 SERVICE PL SUITE 200, VISTA, CA (760) 842-8824 THERAPY & SPORTS MEDICINE 92084-7271 INC PROACTIVE PHYSICAL PHYSICAL THERAPY 3704 RUFFIN RD, SAN DIEGO, CA (760) 842-8824 THERAPY & SPORTS MEDICINE 92123-1812 INC PROACTIVE PHYSICAL PHYSICAL THERAPY 1208 E ARQUES AVE STE 115, (408) 720-1700 THERAPY INC SUNNYVALE, CA 94085 PROACTIVE PHYSICAL PHYSICAL THERAPY 1025 SERVICE PL STE 200, VISTA, CA (760) 842-8824 THERAPY VT 92084 PROACTIVE WORK HEALTH PROACTIVE WORK HEALTH OCCUPATIONAL HEALTH 920 N NASH ST BLDG A, EL SEGUNDO, (310) 321-5500 SERVICES (BCC) SERVICES CENTER CA 90245 PROACTIVE WORK HEALTH PROACTIVE WORK HEALTH URGENT CARE FACILITY 920 N NASH ST BLDG A, EL SEGUNDO, (310) 321-5500 SERVICES (BCC) SERVICES CA 90245 PROANO, FABIAN A - MD (BCC) SPORTS AND SPINE PAIN MANAGEMENT 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 ORTHOPAEDICS TORRANCE, CA 90505 PROANO, FABIAN A - MD (BCC) SPORTS AND SPINE PAIN MANAGEMENT 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 ORTHOPAEDICS SEGUNDO , CA 90245

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 525 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROCARE PHARMACY PHARMACY 25405 HANCOCK AVE STE 100, (951) 304-2038 MURRIETA, CA 92562 PROCARE PHYSICAL THERAPY PHYSICAL THERAPY 1752 ORANGE TREE LN, REDLANDS, CA (909) 307-2244 92374-2856 PROCARE PHYSICAL THERAPY PHYSICAL THERAPY 19141 BLOOMFIELD AVE, CERRITOS, (562) 924-8837 INC CA 90703-7104 PROCARE WORK INJURY PROCARE WORK INJURY URGENT CARE FACILITY 17122 BEACH BLVD STE 104, (714) 964-4448 CENTER (BCC) CENTER HUNTINGTON BEACH, CA 92647 PROCARE WORK INJURY PROCARE WORK INJURY URGENT CARE FACILITY 17232 RED HILL AVE, IRVINE, CA 92614 (949) 752-1111 CENTER (BCC) CENTER PROEME, PATRICIA - PT NORTH SANTA ROSA PHYSICAL THERAPY 1400 N DUTTON AVE STE 1, SANTA (707) 523-2848 PHYSICAL THERAPY ROSA, CA 95401 PROFESSIONAL ARTS PHARMACY 3131 SANTA ANITA AVE, EL MONTE, CA (626) 443-8987 PHARMACY 91733 PROFESSIONAL PHYSICAL PHYSICAL THERAPY 2138 MARGUERITE ST, DOS PALOS, CA (209) 392-8830 THERAPY 93620-2351 PROFESSIONAL PHYSICAL PHYSICAL THERAPY 26471 CROWN VALLEY PKWY STE 200, (949) 916-2601 THERAPY MISSION VIEJO, CA 92691-8547 PROFESSIONAL VILLAGE PHARMACY 1701 PROFESSIONAL DR, (916) 483-3455 PHARMACY SACRAMENTO, CA 95825 PROFORMANCE PHYSICAL PHYSICAL THERAPY 488 S SAN VICENTE BLVD, LOS (323) 655-9055 THERAPY ANGELES, CA 90048 PROGRESSIVE PHARMACY PHARMACY 700 17TH ST STE 101, MODESTO, CA (209) 857-4777 95354 PROGRESSIVE PHYSICAL PHYSICAL THERAPY 1021 S WOLFE RD STE 125, (408) 892-2306 THERAPY SUNNYVALE, CA 94086-8878 PROGRESSIVE PHYSICAL PHYSICAL THERAPY 10725 ZELZAH AVE STE B, GRANADA (818) 832-8383 THERAPY HILLS, CA 91344-4431 PROGRESSIVE PHYSICAL PHYSICAL THERAPY 19510 VENTURA BLVD STE 106, (818) 996-1725 THERAPY TARZANA, CA 91356-2974 PROGRESSIVE PHYSICAL PHYSICAL THERAPY 25949 THE OLD RD, STEVENSON (661) 254-0077 THERAPY RANCH, CA 91381 PROGRESSIVE PHYSICAL PHYSICAL THERAPY 450 W PALMDALE BLVD STE F, (661) 273-5333 THERAPY PALMDALE, CA 93551-3104 PROGRESSIVE PHYSICAL PHYSICAL THERAPY 129 W WILSON ST STE 202, COSTA (949) 631-0125 THERAPY & REHAB MESA, CA 92627-1586 PROGRESSIVE PHYSICAL PHYSICAL THERAPY 894 W TOWN AND COUNTRY RD BLDG (714) 547-1140 THERAPY AND F, ORANGE, CA 92868-4712 REHABILITATION PROGRESSIVE PHYSICAL PHYSICAL THERAPY 894 W TOWN AND COUNTRY RD BLDG (714) 547-1140 THERAPY AND F, ORANGE, CA 92868-4712 REHABILITATION PROHEALTH - CENTRAL OCCUPATIONAL HEALTH 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL CENTER BAKERSFIELD, CA 93318 MEDICAL GROUP PROHEALTH - DELANO OCCUPATIONAL HEALTH 1427 S LEXINGTON ST #200, DELANO, (661) 632-1540 OCCUPATIONAL MEDICAL CENTER CA 93215 GROUP PROHEALTH - GLENDALE OCCUPATIONAL HEALTH 500 E COLORADO ST STE 100, (818) 246-4800 OCCUPATIONAL MEDICAL CENTER GLENDALE, CA 91205 GROUP PROHEALTH VALLEY PROHEALTH VALLEY OCCUPATIONAL HEALTH 10630 SEPULVEDA BLVD STE 100, (818) 361-3369 OCCUPATIONAL MEDICAL OCCUPATIONAL MEDICAL CENTER MISSION HILLS, CA 91345 GROUP INC (BCC) GROUP INC PROMISE HOSPITAL OF EAST PROMISE HOSPITAL OF EAST SPECIALTY HOSPITAL - LONG 16453 COLORADO AVE, PARAMOUNT, (562) 531-3110 LOS ANGELES LP (BCC) LOS ANGELES LP TERM CA 90723 PROMISES PTP (BCC) PROMISES PTP CHEMICAL DEPENDENCY 2515 WILSHIRE BLVD, SANTA MONICA, (866) 595-3105 REHABILITATION CENTER CA 90403 (OUTPATIENT) PROMISES TREATMENT PROMISES TREATMENT CHEMICAL DEPENDENCY 3743 S BARRINGTON AVE, LOS (800) 849-5969 CENTERS (BCC) CENTERS REHABILITATION CENTER ANGELES, CA 90066 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 526 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROMOD KUMAR, LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PF STE 108A, LOMA (800) 679-4642 RAMACHANDRAN P - MD (BCC) HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S PROMOD KUMAR, LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 12021 JACARANDA AVE STE 100, (800) 679-4642 RAMACHANDRAN P - MD (BCC) HEALTH CARE - HESPERIA, CA 92345 NEUROSURGERY DEPT FP&S PRONZATO, SAMANTHA - PT GROVE PHYSICAL THERAPY 860 SOUTHAMPTON RD, BENICIA, CA (707) 745-6144 ANDERSENGHIRINGHELLI 94510 PHYSICAL THERAPY PROSPORT PHYSICAL PHYSICAL THERAPY 30085 COMERCIO, RANCHO SANTA (949) 766-8535 THERAPY - RSM MARGARITA, CA 92688-2106 PROTOTYPES OUTPATIENT PROTOTYPES OUTPATIENT CHEMICAL DEPENDENCY 831 E ARROW HWY, POMONA, CA 91767 (909) 398-4383 BEHAVIORAL HEALTH BEHAVIORAL HEALTH REHABILITATION CENTER SERVICES CENTER (BCC) SERVICES CENTER (OUTPATIENT) PROTOTYPES RESOLVE PROTOTYPES RESOLVE CHEMICAL DEPENDENCY 6109 AFTON PL, LOS ANGELES, CA (323) 461-4118 RECOVERY (BCC) RECOVERY REHABILITATION CENTER 90028 (OUTPATIENT) PROTOTYPES WOMENS PROTOTYPES WOMENS CHEMICAL DEPENDENCY 2150 N VICTORIA AVE, OXNARD, CA (805) 382-6296 CENTER (BCC) CENTER REHABILITATION CENTER 93036 (OUTPATIENT) PROTOTYPES WOMENS PROTOTYPES WOMENS CHEMICAL DEPENDENCY 845 E ARROW HWY, POMONA, CA 91767 (909) 624-1233 CENTER (BCC) CENTER REHABILITATION CENTER (OUTPATIENT) PROVIDENCE HOLY CROSS PROVIDENCE HOLY CROSS ACUTE CARE HOSPITAL 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 MEDICAL CENTER (BCC) MEDICAL CENTER 91345 PROVIDENCE LITTLE PROVIDENCE LITTLE ACUTE CARE HOSPITAL 1300 W 7TH ST, SAN PEDRO, CA 90732 (310) 832-3311 COMPANY OF MARY MEDICAL COMPANY OF MARY MEDICAL CENTER SAN PEDRO (BCC) CENTER SAN PEDRO PROVIDENCE LITTLE PROVIDENCE LITTLE MENTAL HEALTH/PSYCHIATRIC 1300 W 7TH ST, SAN PEDRO, CA 90732 (310) 832-3311 COMPANY OF MARY MEDICAL COMPANY OF MARY MEDICAL HOSPITAL (INPATIENT) CENTER SAN PEDRO (BCC) CENTER SAN PEDRO PROVIDENCE LITTLE PROVIDENCE LITTLE ACUTE CARE HOSPITAL 4101 TORRANCE BLVD, TORRANCE, CA (310) 540-7676 COMPANY OF MARY MEDICAL COMPANY OF MARY MEDICAL 90503 CENTER TORRANCE (BCC) CENTER TORRANCE PROVIDENCE PHARMACY PHARMACY 501 S BUENA VISTA ST, BURBANK, CA (818) 748-4950 91505 PROVIDENCE SAINT SKILLED NURSING FACILITY 10425 MAGNOLIA BLVD, NORTH (818) 763-5947 ELIZABETH CARE CENTER HOLLYWOOD, CA 91601 PROVIDENCE SAINT JOHNS PROVIDENCE SAINT JOHNS ACUTE CARE HOSPITAL 2121 SANTA MONICA BLVD, SANTA (310) 829-5511 HEALTH CENTER (BCC) HEALTH CENTER MONICA, CA 90404 PROVIDENCE SAINT JOSEPH PROVIDENCE SAINT JOSEPH ACUTE CARE HOSPITAL 501 S BUENA VISTA ST STE 1N, (818) 843-5111 MEDICAL CENTER (BCC) MEDICAL CENTER BURBANK, CA 91505 PROVIDENCE TARZANA PROVIDENCE TARZANA ACUTE CARE HOSPITAL 18321 CLARK ST, TARZANA, CA 91356 (818) 881-0800 MEDICAL CENTER (BCC) MEDICAL CENTER PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1 BLACKFIELD DRSUITE 14, TIBURON, (888) 957-3337 CA 94920-2053 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 100 UCLA MEDICAL PLZSUITE 440, LOS (888) 957-3337 ANGELES, CA 90024-6999 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1000 FREMONT AVESUITE 108, LOS (888) 957-3337 ALTOS, CA 94024-6054 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1001 SNEATH LNSUITE 210, SAN (888) 957-3337 BRUNO, CA 94066-2349 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1003 RIVER STSUITE C, SANTA CRUZ, (888) 957-3337 CA 95060-1754 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1007 DANA DRSUITE E, REDDING, CA (888) 957-3337 96003-4036 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 101 LAGUNA RDSUITE B, FULLERTON, (888) 957-3337 CA 92835-3636 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 101 WIKIUP DRSUITE B, SANTA ROSA, (888) 957-3337 CA 95403-1375 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 10200 TRINITY PKWYSUITE 205, (888) 957-3337 STOCKTON, CA 95219-7288

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 527 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1031 AVENIDA PICO SUITE 201, SAN (888) 957-3337 CLEMENTE, CA 92673-6356 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1044 MANGROVE AVE, CHICO, CA (888) 957-3337 95926-3509 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1045 W REDONDO BEACH BLVDSUITE (888) 957-3337 130, GARDENA, CA 90247-4129 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 10590 TOWN CENTER DRSUITE 100, (888) 957-3337 RANCHO CUCAMONGA, CA 91730-0361 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 10601 WALKER STSUITE 200, CYPRESS, (888) 957-3337 CA 90630-4744 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 10725 ZELZAH AVESUITE B, GRANADA (888) 957-3337 HILLS, CA 91344-4431 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1075 YORBA PLSUITE 107, PLACENTIA, (888) 957-3337 CA 92870-3109 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1080 CONCANNON BLVD, LIVERMORE, (888) 957-3337 CA 94550-6577 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 10900 WARNER AVESUITE 111, (888) 957-3337 FOUNTAIN VALLEY, CA 92708-3846 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 11 43RD AVE, SAN MATEO, CA (888) 957-3337 94403-5112 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1100 N VENTURA RDSUITE 103, (888) 957-3337 OXNARD, CA 93030-3841 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 11053 DONNER PASS RD, TRUCKEE, CA (888) 957-3337 96161-4839 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 111 PENN ST, EL SEGUNDO, CA (888) 957-3337 90245-3908 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1132 LELAND AVE, TULARE, CA (888) 957-3337 93274-7811 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 11420 N VENTURA AVESUITE 105-106, (888) 957-3337 OJAI, CA 93023-4175 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 116 S LASSEN ST, WILLOWS, CA (888) 957-3337 95988-3009 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 11700 DUBLIN BLVDSUITE 100, DUBLIN, (888) 957-3337 CA 94568-2824 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 11825 MAJOR ST, CULVER CITY, CA (888) 957-3337 90230-6356 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1191 CRESTON RD SUITE 115, PASO (888) 957-3337 ROBLES, CA 93446-3033 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1191 E YOSEMITE AVESUITE A, (888) 957-3337 MANTECA, CA 95336-5071 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 11911 ARTESIA BLVDSUITE 207, (888) 957-3337 CERRITOS, CA 90701-4060 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 120 S CHAPARRAL CTSUITE 150, (888) 957-3337 ANAHEIM, CA 92808-2278 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1200 41ST AVESUITE H, CAPITOLA, CA (888) 957-3337 95010-3900 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1200 S DIAMOND BAR BLVDSUITE 108, (888) 957-3337 DIAMOND BAR, CA 91765-2298 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1200 SUNCAST LNSUITE 5, EL DORADO (888) 957-3337 HILLS, CA 95762-9664 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1200 WILSHIRE BLVDSUITE 401, LOS (888) 957-3337 ANGELES, CA 90017-1919 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1201 23RD ST, BAKERSFIELD, CA (888) 957-3337 93301-2306 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 12011 SAN VICENTE BLVDSUITE B5, (888) 957-3337 LOS ANGELES, CA 90049-4949 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 125 N JACKSON AVESUITE 201, SAN (888) 957-3337 JOSE, CA 95116-1915 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1250 S SUNSET AVESUITE 204, WEST (888) 957-3337 COVINA, CA 91790-3911 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 12660 RIVERSIDE DRSUITE 215, VALLEY (888) 957-3337 VILLAGE, CA 91607-3430

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 528 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1281 OAKMEAD PKWYSUITE 102, (888) 957-3337 SUNNYVALE, CA 94085-4040 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 13341 GARDEN GROVE BLVDSUITE B, (888) 957-3337 GARDEN GROVE, CA 92843-2255 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1346 FOOTHILL BLVDSUITE 101, LA (888) 957-3337 CANADA FLINTRIDGE, CA 91011-2131 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1347 S GRAND AVESUITE B, (888) 957-3337 GLENDORA, CA 91740-5046 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1351 CORTINA DRSUITE 110, ORLAND, (888) 957-3337 CA 95963-2404 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1360 W 6TH STSUITE 210, SAN PEDRO, (888) 957-3337 CA 90732-3590 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1375 SUTTER STSUITE 320, SAN (888) 957-3337 FRANCISCO, CA 94109-5466 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1400 N DUTTON AVESUITE 1, SANTA (888) 957-3337 ROSA, CA 95401-7120 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 141 TRIUNFO CANYON RD, WESTLAKE (888) 957-3337 VILLAGE, CA 91361-2525 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 14116 MAGNOLIA BLVD, SHERMAN (888) 957-3337 OAKS, CA 91423-1119 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1460 DREW AVESUITE 200, DAVIS, CA (888) 957-3337 95618-4856 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 14650 AVIATION BLVD SUITE 100, (888) 957-3337 HAWTHORNE, CA 90250-6667 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1489 LACEY BLVDSUITE 105, HANFORD, (888) 957-3337 CA 93230-9306 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1505 MERIDIAN AVESUITE A, SAN JOSE, (888) 957-3337 CA 95125-5353 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1515 W FLORIDA AVESUITE E, HEMET, (888) 957-3337 CA 92543-3817 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1516 STATE HIGHWAY 99 SUITE G, (888) 957-3337 GRIDLEY, CA 95948-3130 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1528 PLUMAS CTSUITE 200, YUBA CITY, (888) 957-3337 CA 95991-2973 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1530 3RD STSUITE 211, LINCOLN, CA (888) 957-3337 95648-2500 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1545 BAYSHORE HWY, BURLINGAME, (888) 957-3337 CA 94010-1602 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 15725 POMERADO RDSUITE 106, (888) 957-3337 POWAY, CA 92064-2057 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 15785 LAGUNA CANYON RDSUITE 110, (888) 957-3337 IRVINE, CA 92618-3166 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1585 HEARTWOOD DR, (888) 957-3337 MCKINLEYVILLE, CA 95519-3991 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1601 KETTNER BLVD UNIT 11, SAN (888) 957-3337 DIEGO, CA 92101-2500 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1601 S DE ANZA BLVDSUITE 111, (888) 957-3337 CUPERTINO, CA 95014-5358 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1605 E PALMDALE BLVDSUITE A, (888) 957-3337 PALMDALE, CA 93550-7800 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 16101 VENTURA BLVDSUITE 336, (888) 957-3337 ENCINO, CA 91436-2516 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1624 E CAPITOL EXPY, SAN JOSE, CA (888) 957-3337 95121-1800 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 163 E HAMILTON AVE, CAMPBELL, CA (888) 957-3337 95008-0234 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 16300 SAND CANYON AVESUITE 100, (888) 957-3337 IRVINE, CA 92618-3704 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1676 E 6TH STSUITE C, BEAUMONT, CA (888) 957-3337 92223-5760 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 169 LYNCH CREEK WAYSUITE 169, (888) 957-3337 PETALUMA, CA 94954-2344

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 529 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1710 MEMORIAL DRSUITE A, (888) 957-3337 HOLLISTER, CA 95023-5700 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1715 LUNDY AVESUITE 132, SAN JOSE, (888) 957-3337 CA 95131-1869 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1752 ORANGE TREE LN, REDLANDS, CA (888) 957-3337 92374-2856 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1800 E LAMBERT RD SUITE 220, BREA, (888) 957-3337 CA 92821-4370 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1800 WESTWIND DRSUITE 107, (888) 957-3337 BAKERSFIELD, CA 93301-3031 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1801 COLORADO AVESUITE 260, (888) 957-3337 TURLOCK, CA 95382-2708 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 18102 IRVINE BLVDSUITE 207, TUSTIN, (888) 957-3337 CA 92780-3424 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1815 E VALLEY PKWYSUITE 5, (888) 957-3337 ESCONDIDO, CA 92027-2550 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1827 S COURT STSUITE C, VISALIA, CA (888) 957-3337 93277-5469 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1831 TRUXTUN AVESUITE 150, (888) 957-3337 BAKERSFIELD, CA 93301-5026 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 18403 PIONEER BLVDSUITE 202, (888) 957-3337 ARTESIA, CA 90701-4610 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 18420 HART ST, RESEDA, CA (888) 957-3337 91335-4317 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 18550 DE PAUL DRSUITE 100, MORGAN (888) 957-3337 HILL, CA 95037-2911 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 19032 MAGNOLIA ST, HUNTINGTON (888) 957-3337 BEACH, CA 92646-2232 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1910 OLD TUSTIN AVE, SANTA ANA, CA (888) 957-3337 92705-7811 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 19141 BLOOMFIELD AVE, CERRITOS, (888) 957-3337 CA 90703-7104 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1915 HOWARD RDSUITE B, MADERA, (888) 957-3337 CA 93637-5163 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1919 GRAND CANAL BLVDSUITE C, (888) 957-3337 STOCKTON, CA 95207-8114 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1920 BARNEY RD, ANDERSON, CA (888) 957-3337 96007-4337 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1933 COFFEE RD, MODESTO, CA (888) 957-3337 95355-2704 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1940 WEBSTER STSUITE 203, (888) 957-3337 OAKLAND, CA 94612-2932 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 1948 DEL PASO RDSUITE 135, (888) 957-3337 SACRAMENTO, CA 95834-7721 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 19510 VENTURA BLVDSUITE 106, (888) 957-3337 TARZANA, CA 91356-2974 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 19845 LAKE CHABOT RDSUITE 205, (888) 957-3337 CASTRO VALLEY, CA 94546-4055 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 200 CHINA GRADE LOOP, (888) 957-3337 BAKERSFIELD, CA 93308-1735 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 200 E DEL MAR BLVDSUITE 302, (888) 957-3337 PASADENA, CA 91105-2552 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 200 N ROBERTSON BLVDSUITE 301, (888) 957-3337 BEVERLY HILLS, CA 90211-6001 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2001 SOLAR DRSUITE 180, OXNARD, CA (888) 957-3337 93036-2647 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 201 N COLLEGE DRSUITE 203, SANTA (888) 957-3337 MARIA, CA 93454-4614 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 201 SANDPOINTE AVESUITE 130, (888) 957-3337 SANTA ANA, CA 92707-5785 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 202 PROVIDENCE MINE RDSUITE 206, (888) 957-3337 NEVADA CITY, CA 95959-2946

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 530 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2041 BANCROFT WAYSUITE 301, (888) 957-3337 BERKELEY, CA 94704-1443 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2041 NEWCASTLE AVE, CARDIFF BY (888) 957-3337 THE SEA, CA 92007-1762 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 20655 YORBA LINDA BLVDSUITE A, (888) 957-3337 YORBA LINDA, CA 92886-7110 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 210 W COLLEGE ST, COVINA, CA (888) 957-3337 91723-1902 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2101 W CRESCENT AVESUITE A, (888) 957-3337 ANAHEIM, CA 92801-3806 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 21015 PATHFINDER RD SUITE 100, (888) 957-3337 DIAMOND BAR, CA 91765-4002 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 21020 HOMESTEAD RD SUITE 2, (888) 957-3337 CUPERTINO, CA 95014-0240 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2115 10TH STSUITE B, LOS OSOS, CA (888) 957-3337 93402-3244 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2116 E ORANGEBURG AVESUITE B, (888) 957-3337 MODESTO, CA 95355-3370 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 21203 HAWTHORNE BLVDSUITE B, (888) 957-3337 TORRANCE, CA 90503-5520 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 215 N STATE COLLEGE BLVDSUITE G, (888) 957-3337 ANAHEIM, CA 92806-2932 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 21628 GOLDEN STAR BLVD, (888) 957-3337 TEHACHAPI, CA 93561-8902 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 220 MONTGOMERY STSUITE 110, SAN (888) 957-3337 FRANCISCO, CA 94104-3405 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 221 TUXEDO CTSUITE B, STOCKTON, (888) 957-3337 CA 95204-5261 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 22151 CLARENDON ST, WOODLAND (888) 957-3337 HILLS, CA 91367-6308 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 222 ACACIA ST, FAIRFIELD, CA (888) 957-3337 94533-3800 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 224 N RIVERSIDE AVESUITE A, RIALTO, (888) 957-3337 CA 92376-5968 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2250 PARK PL, EL SEGUNDO, CA (888) 957-3337 90245-4908 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2251 COUNTRY CLUB LN, SELMA, CA (888) 957-3337 93662-3859 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2255 YGNACIO VALLEY RDSUITE E, (888) 957-3337 WALNUT CREEK, CA 94598-3349 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2275 S MAIN STSUITE 102, CORONA, CA (888) 957-3337 92882-5303 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2295 FIELDSTONE DRSUITE 210, (888) 957-3337 LINCOLN, CA 95648-8808 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2299 POST STSUITE LL8, SAN (888) 957-3337 FRANCISCO, CA 94115-3472 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 230 E 17TH STSUITE 201, COSTA MESA, (888) 957-3337 CA 92627-3891 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2300 W BEVERLY BLVDSUITE 202, (888) 957-3337 MONTEBELLO, CA 90640-2380 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2306 DEAN ST, EUREKA, CA 95501-3209 (888) 957-3337 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (888) 957-3337 CA 93105-4231 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2322 POWELL ST, EMERYVILLE, CA (888) 957-3337 94608-1738 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 23221 S POINTE DRSUITE 101, LAGUNA (888) 957-3337 HILLS, CA 92653-1400 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2330 SAN RAMON VALLEY BLVD, SAN (888) 957-3337 RAMON, CA 94583-1608 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2337 FOREST AVE, SAN JOSE, CA (888) 957-3337 95128-4606 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 23734 VALENCIA BLVDSUITE 201, (888) 957-3337 VALENCIA, CA 91355-5360

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 531 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (888) 957-3337 92867-4853 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2486 N PONDEROSA DRSUITE D106, (888) 957-3337 CAMARILLO, CA 93010-2376 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 24953 PASEO DE VALENCIASUITE 13B, (888) 957-3337 LAGUNA HILLS, CA 92653-4339 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 250 EL CAMINO REALSUITE 100, (888) 957-3337 TUSTIN, CA 92780-3655 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2505 CABRILLO COLLEGE DRSUITE C, (888) 957-3337 APTOS, CA 95003-3166 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2530 PROFESSIONAL PKWY, SANTA (888) 957-3337 MARIA, CA 93455-8200 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 255 N TUSTIN ST, ORANGE, CA (888) 957-3337 92867-7718 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 255 NORTH WILSON SUITE C, NIPOMO, (888) 957-3337 CA 93444-0000 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 26034 ACERO, MISSION VIEJO, CA (888) 957-3337 92691-2768 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2625 W ALAMEDA AVESUITE 102, (888) 957-3337 BURBANK, CA 91505-4815 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 26357 MCBEAN PKWYSUITE 220, SANTA (888) 957-3337 CLARITA, CA 91355-4499 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2675 STEVENSON BLVD, FREMONT, CA (888) 957-3337 94538-2317 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2680 S WHITE RDSUITE 200, SAN JOSE, (888) 957-3337 CA 95148-2079 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2701 CALLOWAY DRSUITE 400, (888) 957-3337 BAKERSFIELD, CA 93312-2621 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 27225 CAMP PLENTY RDSUITE 6, (888) 957-3337 CANYON COUNTRY, CA 91351-2654 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2747 W BULLARD AVESUITE 105, (888) 957-3337 FRESNO, CA 93711-2268 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 27620 LANDAU BLVDSUITE 3, (888) 957-3337 CATHEDRAL CITY, CA 92234-5540 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2763 E SHAW AVESUITE 102, FRESNO, (888) 957-3337 CA 93710-8220 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2805 WHIPPLE RD, UNION CITY, CA (888) 957-3337 94587-1233 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2808 PARK AVESUITE B, MERCED, CA (888) 957-3337 95348-3392 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2814 CAMINO DOS RIOSSUITE 406, (888) 957-3337 NEWBURY PARK, CA 91320-1156 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2877 LAKE TAHOE BLVD SUITE D, (888) 957-3337 SOUTH LAKE TAHOE, CA 96150-7807 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 28924 S WESTERN AVESUITE 101, (888) 957-3337 RANCHO PALOS VERDES, CA 90275-0813 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2895 LOMA VISTA RDSUITE B, (888) 957-3337 VENTURA, CA 93003-1523 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2901 WILSHIRE BLVD SUITE 440, SANTA (888) 957-3337 MONICA, CA 90403-4913 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 2943 SALVIO ST, CONCORD, CA (888) 957-3337 94519-2534 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 29645 RANCHO CALIFORNIA RDSUITE (888) 957-3337 234, TEMECULA, CA 92591-5211 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (888) 957-3337 92586-6521 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 29803 SANTA MARGARITA PKWY, (888) 957-3337 RANCHO SANTA MARGARITA, CA 92688-3609 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 30135 AGOURA RDSUITE C, AGOURA (888) 957-3337 HILLS, CA 91301-4338

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 532 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3019 GEARY BLVD, SAN FRANCISCO, (888) 957-3337 CA 94118-3314 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3030 BEARD RDSUITE B, NAPA, CA (888) 957-3337 94558-3446 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3033 CLEVELAND AVESUITE 205, (888) 957-3337 SANTA ROSA, CA 95403-6103 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3070 MADISON ST, CARLSBAD, CA (888) 957-3337 92008-2310 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3110 CHINO AVESUITE 130, CHINO (888) 957-3337 HILLS, CA 91709-1294 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3145 ROSECRANS STSUITE F, SAN (888) 957-3337 DIEGO, CA 92110-4831 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3150 ALMADEN EXPYSUITE 229, SAN (888) 957-3337 JOSE, CA 95118-1250 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 317 14TH STSUITE B, DEL MAR, CA (888) 957-3337 92014-2554 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3179 HAMNER AVESUITE 7, NORCO, CA (888) 957-3337 92860-1983 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 31884 CASTAIC RDSUITE C-3, CASTAIC, (888) 957-3337 CA 91384-3946 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 321 N LARCHMONT BLVDSUITE 825, (888) 957-3337 LOS ANGELES, CA 90004-6400 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3210 GREY HAWK CT, CARLSBAD, CA (888) 957-3337 92010-6651 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3217 MT PINOS WAY, FRAZIER PARK, (888) 957-3337 CA 93225-0000 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3294 E SPRING ST, LONG BEACH, CA (888) 957-3337 90806-2426 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3327 M STSUITE A, MERCED, CA (888) 957-3337 95348-2705 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 33311 SANTIAGO RD, ACTON, CA (888) 957-3337 93510-1416 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 337 S 10TH STSUITE G, TAFT, CA (888) 957-3337 93268-3300 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3401 EL CAMINO REAL, PALO ALTO, CA (888) 957-3337 94306-2805 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3443 STATE ST, SANTA BARBARA, CA (888) 957-3337 93105-2662 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3450 BONITA RDSUITE 105, CHULA (888) 957-3337 VISTA, CA 91910-3249 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3468 MT DIABLO BLVDSUITE B110, (888) 957-3337 LAFAYETTE, CA 94549-7105 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3500 BARRANCA PKWYSUITE 220, (888) 957-3337 IRVINE, CA 92606-8230 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3500 COFFEE RDSUITE 3, MODESTO, (888) 957-3337 CA 95355-1315 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3535 E 7TH ST, LONG BEACH, CA (888) 957-3337 90804-5138 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3545 WILSHIRE BLVDSUITE 337, LOS (888) 957-3337 ANGELES, CA 90010-2388 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3601 MARCONI AVE, SACRAMENTO, CA (888) 957-3337 95821-5309 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3633 VISTA WAYSUITE 101, (888) 957-3337 OCEANSIDE, CA 92056-4568 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 369 SAN MIGUEL DRSUITE 265, (888) 957-3337 NEWPORT BEACH, CA 92660-7846 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3700 GOSFORD RDSUITE G, (888) 957-3337 BAKERSFIELD, CA 93309-7694 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3737 TELEGRAPH RDSUITE A, (888) 957-3337 VENTURA, CA 93003-3464 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3809 PLAZA DRSUITE 112, OCEANSIDE, (888) 957-3337 CA 92056-4625

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 533 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3822 CAMPUS DRSUITE 100, NEWPORT (888) 957-3337 BEACH, CA 92660-2636 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3831 HUGHES AVESUITE 104, CULVER (888) 957-3337 CITY, CA 90232-6834 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3901 WALNUT BLVDSUITE A2, (888) 957-3337 BRENTWOOD, CA 94513-2417 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 39210 STATE STSUITE 202, FREMONT, (888) 957-3337 CA 94538-1456 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 3959 RUFFIN RDSUITE F, SAN DIEGO, (888) 957-3337 CA 92123-1830 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 39930 SIERRA WAYSUITE A, (888) 957-3337 OAKHURST, CA 93644-8304 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 400 E SANTA BARBARA ST, SANTA (888) 957-3337 PAULA, CA 93060-2675 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 401 W LACEY BLVD, HANFORD, CA (888) 957-3337 93230-4437 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4010 MOORPARK AVESUITE 103, SAN (888) 957-3337 JOSE, CA 95117-1842 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4010 ORANGE AVE, LONG BEACH, CA (888) 957-3337 90807-3717 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4041 LONE TREE WAYSUITE 106, (888) 957-3337 ANTIOCH, CA 94531-6208 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 405 ALBERTO WAYSUITE E, LOS (888) 957-3337 GATOS, CA 95032-5406 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4120 W POINT LOMA BLVD, SAN DIEGO, (888) 957-3337 CA 92110-5605 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4165 BLACKHAWK PLAZA CIR, (888) 957-3337 DANVILLE, CA 94506-4904 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 42007 FOX FARM RDSUITE 4, BIG BEAR (888) 957-3337 LAKE, CA 92315-0000 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4226 KATELLA AVE, LOS ALAMITOS, CA (888) 957-3337 90720-3511 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 425 KEARNEY ST, EL CERRITO, CA (888) 957-3337 94530-3656 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4318 SPYRES WAY, MODESTO, CA (888) 957-3337 95356-9259 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 433 ESTUDILLO AVESUITE 301, SAN (888) 957-3337 LEANDRO, CA 94577-4915 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 433 SOSCOL AVESUITE B191, NAPA, CA (888) 957-3337 94559-4040 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4330 BARRANCA PKWYSUITE 240, (888) 957-3337 IRVINE, CA 92604-4768 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 435 ARDEN AVESUITE 370, GLENDALE, (888) 957-3337 CA 91203-1146 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 443 GRAND AVE, SOUTH SAN (888) 957-3337 FRANCISCO, CA 94080-3635 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4430 HOLLISTER AVE, SANTA (888) 957-3337 BARBARA, CA 93110-1708 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 450 SUTTER ST RM 1003, SAN (888) 957-3337 FRANCISCO, CA 94108-3912 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 457 N ELM ST, ESCONDIDO, CA (888) 957-3337 92025-3001 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 485 E 17TH ST, COSTA MESA, CA (888) 957-3337 92627-3265 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 4885 EL CAMINO REAL, ATASCADERO, (888) 957-3337 CA 93422-2759 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 500 PASEO CAMARILLOSUITE 105, (888) 957-3337 CAMARILLO, CA 93010-5900 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 500 WASHINGTON STSUITE 340, SAN (888) 957-3337 FRANCISCO, CA 94111-2948 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 501 DEEP VALLEY DRSUITE 200, (888) 957-3337 ROLLING HILLS ESTATES, CA 90274-7608

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 534 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 5053 LA MART DRSUITE 101, (888) 957-3337 RIVERSIDE, CA 92507-5993 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 5061 SHASTA DAM BLVD, SHASTA (888) 957-3337 LAKE, CA 96019-9405 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 5107 RICHFIELD RD, YORBA LINDA, CA (888) 957-3337 92886-3932 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 5230 PACIFIC CONCOURSE DRSUITE (888) 957-3337 110, LOS ANGELES, CA 90045-6258 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 5289 STATE ST, KELSEYVILLE, CA (888) 957-3337 95451-9449 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 530 LA GONDA WAYSUITE C, DANVILLE, (888) 957-3337 CA 94526-1727 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 534 E PINE STSUITE A, STOCKTON, CA (888) 957-3337 95204-5536 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 55 S RAYMOND AVESUITE 100, (888) 957-3337 ALHAMBRA, CA 91801-7101 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 5533 W HILLSDALE AVESUITE A, (888) 957-3337 VISALIA, CA 93291-5138 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 555 E TACHEVAH DRSUITE 201, PALM (888) 957-3337 SPRINGS, CA 92262-5750 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 560 1ST STSUITE D101, BENICIA, CA (888) 957-3337 94510-3293 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 571 STANISLAUS AVESUITE F, ANGELS (888) 957-3337 CAMP, CA 95222-9354 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 590 S MAGNOLIA AVE, EL CAJON, CA (888) 957-3337 92020-6011 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 5950 SANTO RDSUITE D, SAN DIEGO, (888) 957-3337 CA 92124-1197 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6030 HOLLISTER AVE, GOLETA, CA (888) 957-3337 93117-3218 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6049 N 1ST STSUITE 101, FRESNO, CA (888) 957-3337 93710-5449 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6065 MERIDIAN AVESUITE 70, SAN (888) 957-3337 JOSE, CA 95120-2772 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6070 AVENIDA ENCINAS, CARLSBAD, (888) 957-3337 CA 92011-1001 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6125 MEDAU PL, OAKLAND, CA (888) 957-3337 94611-2808 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 615 N NASH STSUITE 306, EL (888) 957-3337 SEGUNDO, CA 90245-2850 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6177 RIVER CREST DRSUITE A, (888) 957-3337 RIVERSIDE, CA 92507-0728 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 619 E BLITHEDALE AVESUITE B, MILL (888) 957-3337 VALLEY, CA 94941-1482 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6200 E CANYON RIM RDSUITE 113E, (888) 957-3337 ANAHEIM, CA 92807-4317 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6214 W MANCHESTER AVE, LOS (888) 957-3337 ANGELES, CA 90045-3801 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6221 METROPOLITAN STSUITE 101, (888) 957-3337 CARLSBAD, CA 92009-3096 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6300 TELEGRAPH AVE, OAKLAND, CA (888) 957-3337 94609-1329 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 631 S HAM LN, LODI, CA 95242-3532 (888) 957-3337 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6325 TOPANGA CANYON BLVDSUITE (888) 957-3337 100, WOODLAND HILLS, CA 91367-2005 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6328 FAIRMOUNT AVESUITE 220, EL (888) 957-3337 CERRITO, CA 94530-3611 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6333 WILSHIRE BLVDSUITE 101, LOS (888) 957-3337 ANGELES, CA 90048-5720 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 650 UNIVERSITY AVE SUITE 203, (888) 957-3337 SACRAMENTO, CA 95825-6726 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6529 RIVERSIDE AVESUITE 140, (888) 957-3337 RIVERSIDE, CA 92506-3123

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 535 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6601 MADISON AVESUITE 200, (888) 957-3337 CARMICHAEL, CA 95608-0600 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 671 W NAOMI AVE, ARCADIA, CA (888) 957-3337 91007-7502 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6711 FOREST LAWN DRSUITE 104, LOS (888) 957-3337 ANGELES, CA 90068-1032 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 684 ALAMO PINTADO RDSUITE E, (888) 957-3337 SOLVANG, CA 93463-2265 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (888) 957-3337 BEACH, CA 92647-5316 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 700 GARDEN VIEW CTSUITE 103, (888) 957-3337 ENCINITAS, CA 92024-2478 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 701 CENTRAL VALLEY HWY, SHAFTER, (888) 957-3337 CA 93263-2076 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7033 N FRESNO STSUITE 302, FRESNO, (888) 957-3337 CA 93720-2979 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 704 MOWRY AVE, FREMONT, CA (888) 957-3337 94536-4115 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7065 N CHESTNUT AVESUITE 101, (888) 957-3337 FRESNO, CA 93720-0355 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 708 57TH ST, SACRAMENTO, CA (888) 957-3337 95819-3325 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 719 SANTA MONICA BLVD, SANTA (888) 957-3337 MONICA, CA 90401-2601 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7224 SKYWAY, PARADISE, CA (888) 957-3337 95969-3280 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7232 VAN NUYS BLVDSUITE 103, VAN (888) 957-3337 NUYS, CA 91405-2231 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7281 LONE PINE DRSUITE D105, (888) 957-3337 RANCHO MURIETA, CA 95683-9715 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 72880 FRED WARING DRSUITE B7, (888) 957-3337 PALM DESERT, CA 92260-9375 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7301 MEDICAL CENTER DRSUITE 102, (888) 957-3337 WEST HILLS, CA 91307-1917 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7461 GARDEN GROVE BLVDSUITE A, (888) 957-3337 GARDEN GROVE, CA 92841-4227 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 751 11TH ST, LAKEPORT, CA 95453-3705 (888) 957-3337 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7510 CLAIREMONT MESA BLVDSUITE (888) 957-3337 103, SAN DIEGO, CA 92111-1539 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (888) 957-3337 92806-2836 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 760 N EUCLID STSUITE 105, ANAHEIM, (888) 957-3337 CA 92801-4123 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7760 EL CAMINO REAL, CARLSBAD, CA (888) 957-3337 92009-8553 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 77682 COUNTRY CLUB DRSUITE B, (888) 957-3337 PALM DESERT, CA 92211-0451 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 777 CORPORATE DRSUITE 160, (888) 957-3337 LADERA RANCH, CA 92694-2136 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7851 WALKER STSUITE 202, LA PALMA, (888) 957-3337 CA 90623-1746 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 7946 IVANHOE AVESUITE 110, LA (888) 957-3337 JOLLA, CA 92037-4516 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 800 S CLAREMONT STSUITE 106, SAN (888) 957-3337 MATEO, CA 94402-1449 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 801 S RAYMOND AVE, PASADENA, CA (888) 957-3337 91105-3223 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 803 E WALNUT AVE, LOMPOC, CA (888) 957-3337 93436-7027 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 81 CERNON ST, VACAVILLE, CA (888) 957-3337 95688-2803 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 820 2ND ST, LOS BANOS, CA 93635-4124 (888) 957-3337

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 536 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 820 E ENOS DR, SANTA MARIA, CA (888) 957-3337 93454-7295 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 824 E CARSON STSUITE 203, CARSON, (888) 957-3337 CA 90745-2262 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 830 S CITRUS AVESUITE 203, AZUSA, (888) 957-3337 CA 91702-5959 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 841 BLOSSOM HILL RDSUITE 103, SAN (888) 957-3337 JOSE, CA 95123-2704 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 846 W FOOTHILL BLVDSUITE C, (888) 957-3337 UPLAND, CA 91786-3784 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 850 MAIN STSUITE 105, RAMONA, CA (888) 957-3337 92065-1968 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 8635 W 3RD STSUITE 465W, LOS (888) 957-3337 ANGELES, CA 90048-6111 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 891 KUHN DRSUITE 117, CHULA VISTA, (888) 957-3337 CA 91914-3551 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 8939 LA MESA BLVDSUITE 1, LA MESA, (888) 957-3337 CA 91942-9057 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 894 W TOWN AND COUNTRY RD BLDG (888) 957-3337 F, ORANGE, CA 92868-4712 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 8950 VILLA LA JOLLA DRSUITE B224, LA (888) 957-3337 JOLLA, CA 92037-1709 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9 WILLIAMSBURG LN, CHICO, CA (888) 957-3337 95926-2225 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9000 SOQUEL AVESUITE 103, SANTA (888) 957-3337 CRUZ, CA 95062-2097 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 901 CAMPUS DRSUITE 213, DALY CITY, (888) 957-3337 CA 94015-4930 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 907 EMBARCADERO DRSUITE 1, EL (888) 957-3337 DORADO HILLS, CA 95762-4087 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9201 W SUNSET BLVDSUITE M140, (888) 957-3337 WEST HOLLYWOOD, CA 90069-3700 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 935 W SAN MARCOS BLVDSUITE 102, (888) 957-3337 SAN MARCOS, CA 92078-1142 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 941 W 7TH ST, OXNARD, CA 93030-6756 (888) 957-3337 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9460 N NAME UNOSUITE 140, GILROY, (888) 957-3337 CA 95020-3532 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 948 SAN PABLO AVE, ALBANY, CA (888) 957-3337 94706-2010 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9500 MICRON AVESUITE 106, (888) 957-3337 SACRAMENTO, CA 95827-2618 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9545 RESEDA BLVDSUITE 3, (888) 957-3337 NORTHRIDGE, CA 91324-2350 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9563 LAGUNA SPRINGS DR, ELK (888) 957-3337 GROVE, CA 95758-8204 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9627 LAS TUNAS DR, TEMPLE CITY, CA (888) 957-3337 91780-2109 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9675 BRIGHTON WAYSUITE 422, (888) 957-3337 BEVERLY HILLS, CA 90210-5139 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 981 LOMAS SANTA FE DRSUITE A, (888) 957-3337 SOLANA BEACH, CA 92075-2144 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9830 PROSPECT AVESUITE 120, (888) 957-3337 SANTEE, CA 92071-4375 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 985 INDUSTRIAL RDSUITE 204, SAN (888) 957-3337 CARLOS, CA 94070-4157 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 990 RILEY ST, FOLSOM, CA 95630-3064 (888) 957-3337 PROVIDIAN THERAPY CENTER PHYSICAL THERAPY 9901 PARAMOUNT BLVDSUITE 116, (888) 957-3337 DOWNEY, CA 90240-3852 PROVUS, JASON D - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 PRXP OF CA PHARMACY 4345 E LOWELL ST STE C, ONTARIO, CA (888) 505-1485 91761

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 537 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PRYOR, NANEY - OTA LINWOOD MEADOWS CARE OCCUPATIONAL THERAPY 4444 W MEADOW AVE, VISALIA, CA (559) 627-1241 CENTER 93277 PRZYBYLA, ANNE - AUD ADVANCED HEARING AUDIOLOGY 711 W CAMINO REAL STE 202, (800) 598-5300 PROVIDERS LLC ARCADIA, CA 91007 PSYCARE ASSOC (BCC) PSYCARE ASSOC CHEMICAL DEPENDENCY 4550 KEARNY VILLA RD STE 116, SAN (858) 279-1223 REHABILITATION CENTER DIEGO, CA 92123 (OUTPATIENT) PSYCHIATRIC CARE CENTER PSYCHIATRIC CARE CENTER CHEMICAL DEPENDENCY 2885 CHURN CREEK RD STE A, (530) 221-6303 (BCC) REHABILITATION CENTER REDDING, CA 96002 (OUTPATIENT) PSYCHOLOGICAL SERVICES PSYCHOLOGICAL SERVICES CHEMICAL DEPENDENCY 410 NORTH A ST, OXNARD, CA 93030 (877) 777-0322 FOR FAMILIES (BCC) FOR FAMILIES REHABILITATION CENTER (OUTPATIENT) PT @ THE BEACH PHYSICAL THERAPY 1250 N BELLFLOWER BLVD KIN 105, (562) 985-8286 LONG BEACH, CA 90840-0105 PT IN MOTION PHYSICAL THERAPY 690 OTAY LAKES RD STE 110, CHULA (619) 475-6910 VISTA, CA 91910-8904 PT IN MOTION PHYSICAL THERAPY 8344 CLRMT MSA BLVD STE 110, SAN (858) 565-6910 DIEGO, CA 92111-1327 PT IN MOTION, INC PHYSICAL THERAPY 7220 AVENIDA ENCINAS STE 125, (760) 603-9457 CARLSBAD, CA 92011-4689 PT PLUS REHAB PHYSICAL THERAPY 412 W AVENUE J STE G, LANCASTER, (661) 945-0884 CA 93534-3685 PT PLUS REHAB PHYSICAL THERAPY 515 CABRILLO PARK DR STE 100, (714) 571-0141 SANTA ANA, CA 92701-5016 PT PLUS REHAB PHYSICAL THERAPY 7860 IMPERIAL HWY STE C, DOWNEY, (562) 869-8525 CA 90242-3464 PT RN CARE INC PHYSICAL THERAPY 1663 BEVERLY BLVD STE 202, LOS (213) 250-0078 ANGELES, CA 90026-5747 PTME REHABILITATION & PHYSICAL THERAPY 1064 N HACIENDA BLVD, LA PUENTE, (626) 918-8333 WELLNESS CENTER INC CA 91744-2060 PTP, INC. PHYSICAL & PHYSICAL THERAPY 320 W VALLEY BLVD, ALHAMBRA, CA (800) 234-3801 OCCUPATIONAL THERAPY 91803-3338 PTP, INC. PHYSICAL & PHYSICAL THERAPY 612 E GLENOAKS BLVD, GLENDALE, CA (800) 234-3801 OCCUPATIONAL THERAPY 91207-1712 PUBLIC HEALTH PHARMACY PHARMACY 2115 CENTERPOINTE PKWY, SANTA (805) 346-7239 MARIA, CA 93455 PUBLIC HEALTH PHARMACY PHARMACY 301 N R ST, LOMPOC, CA 93436 (805) 737-6090 LOMPOC PUCCI'S LEADER PHARMACY PHARMACY 2821 J ST, SACRAMENTO, CA 95816 (916) 442-5891 PUENTE HILLS PHARMACY PHARMACY 1850 S AZUSA AVE STE 101, HACIENDA (626) 912-3311 HEIGHTS, CA 91745 PUJAYANA, ADRIAN - DC FAMILY CHIROPRACTIC CHIROPRACTIC MEDICINE 1017 FREMONT AVE STE A, SOUTH (626) 441-4888 CENTER OF SOUTH PASADENA PASADENA, CA 91030

PULSE URGENT CARE (BCC) PULSE URGENT CARE URGENT CARE FACILITY 100 E CYPRESS AVE, REDDING, CA (530) 722-1111 96002 PUNJABI, SHILPA - AUD ADVANCED HEARING AUDIOLOGY 8066-68 LA MESA BLVD, LA MESA, CA (800) 598-5300 PROVIDERS LLC 91941 PURE CARE PHARMACY PHARMACY 5550 CARMEL MOUNTAIN RD SUITE, (858) 925-6149 SAN DIEGO, CA 92130 PURI, SANJEEV - DO CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA PURI, SANJEEV - DO CONCENTRA MEDICAL FAMILY MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA PURVIANCE, CYNTHIA A - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 PUSHECK, TERESA L - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 5 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 538 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone PUSHECK, TERESA L - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 5601 DE SOTO AVE ENTRANCE 5 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER PUSKAS, ALBERT - MD CONCENTRA MEDICAL AEROSPACE MEDICINE 1149 W 190TH ST, GARDENA, CA 90248 (310) 324-5777 CENTER - TORRANCE PUSSADHAMA, NDAYAPA - LAC SANDEE WELLNESS CENTER ACUPUNCTURE 1253 NORTH VINE STREET UNIT 10, (323) 747-0987 LOS ANGELES, CA 90038 PUTNAM, KATHRYN - MD (BCC) ANESTHESIOLOGY 3330 LOMITA BLVD, TORRANCE, CA (310) 517-4759 90505 PUTNEY, CHRISTOPHER A - KAISER PERMANENTE PODIATRY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 DPM IMPERIAL MEDICAL OFFICES 90242 PV DRUG STORE PHARMACY 2325 PALOS VERDES DR W, PALOS (424) 327-2990 VERDES ESTATES, CA 90274 PV PENINSULA PLASTIC AMBULATORY SURGERY 3400 LOMITA BLVD STE 306, (310) 326-3636 SURGERY CENTER CENTER TORRANCE, CA 90505 PYKE, JUDY - OT HAND THERAPY CENTER OF OCCUPATIONAL THERAPY 19000 HAWTHORNE BLVD STE 230, (310) 371-5111 THE SOUTH BAY TORRANCE, CA 90503 PYO, CHUNG - LAC FAMILY CHOICE ACUPUNCTURE 16785 BEAR VALLEY RD STE 4, (760) 870-4181 ACUPUNCTURE HESPERIA, CA 92345 Q PHARMACY PHARMACY 8401 WESTMINSTER BLVD, (714) 373-3023 WESTMINSTER, CA 92683 QIAO, CHEN, YUE - LMT KANG FU ACUPUNCTURE MASSAGE THERAPIST 1615 N BROADWAY, WALNUT CREEK, (925) 930-5639 HERBAL CENTER CA 94596 QIU, JINGZHEN - LAC TRADITIONAL CHINESE ACUPUNCTURE 23723 ROSCOE BLVD, CANOGA PARK, (818) 888-6631 ACUPUNCTURE CLINIC CA 91304 QLT CARE PHARMACY PHARMACY 16055D BROOKHURST ST, FOUNTAIN (714) 531-1888 VALLEY, CA 92708 QUACH, BRIAN - PT GATEWAY THERAPY CENTER PHYSICAL THERAPY 15725 POMERADO RD STE 115, POWAY, (858) 675-7766 CA 92064 QUADS PHYSICAL THERAPY PHYSICAL THERAPY 780 SOUTH ARROYO PKWY, (626) 817-6637 PASADENA, CA 91105 QUAIL RUN PHYSICAL PHYSICAL THERAPY 422 LAKEPORT BLVD, LAKEPORT, CA (707) 263-6845 THERAPY 95453-5404 QUALICARE PHARMACY PHARMACY 3801 S WESTERN AVE, LOS ANGELES, (323) 731-4004 SERVICES CA 90062 QUALITY HOME INFUSION PHARMACY 212 W MAGNOLIA BLVD, BURBANK, CA (818) 848-8112 91502 QUALITY SCRIPTS PHARMACY PHARMACY 17609 VENTURA BLVD #LL06, ENCINO, (818) 821-6830 CA 91316 QUALITY-CARE PHARMACY PHARMACY 727 W SAN MARCOS BLVD, SAN (760) 744-5959 MARCOS, CA 92078 QUALITYCARE PHARMACY PHARMACY 2413 S FAIRVIEW ST STE E, SANTA (714) 754-4567 ANA, CA 92704 QUAM, ALYSSA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 10300 CAMPUS POINT DRIVE, SAN (858) 724-0392 THERAPY INC DIEGO, CA 92121 QUAM, ALYSSA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 12234 POWAY RD, POWAY, CA 92064 (858) 488-3597 THERAPY INC QUAM, ALYSSA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 12395 EL CAMINO REAL STE 111, SAN (858) 227-9707 THERAPY INC DIEGO, CA 92130 QUAM, ALYSSA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 3535 GENERAL ATOMICS COURT, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92121 QUAM, ALYSSA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 4126 EXECUTIVE DR, LA JOLLA, CA (858) 488-3597 THERAPY INC 92037 QUAM, ALYSSA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 501 W BROADWAY, SAN DIEGO, CA (619) 237-9027 THERAPY INC 92101 QUAM, ALYSSA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 543 ORANGE AVE, CORONADO, CA (858) 488-3597 THERAPY INC 92118 QUAM, ALYSSA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 9972 SCRIPPS RANCH BLVD, SAN (619) 810-0007 THERAPY INC DIEGO, CA 92131 QUAM, ALYSSA, MARIA - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 QUAN, ELIN - PT WEST STAR PHYSICAL PHYSICAL THERAPY 6551 VAN NUYS BLVD STE B1, VAN (818) 528-4106 THERAPY NUYS, CA 91401

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 539 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone QUAN, HAROLD E - MD SANTA CLARITA CARDIOLOGY CARDIOVASCULAR DISEASE 23928 LYONS AVE STE 101, NEWHALL , (661) 255-8320 MEDICAL GROUP (CARDIOLOGY) CA 91321 QUAN, MATTHEW - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 QUAN, VALERIE - OD (BCC) OPTOMETRY 795 E 2ND ST STE 2, POMONA, CA (909) 706-3899 91766 QUARTZ HILL PHARMACY PHARMACY 42357 50TH ST W STE 101, QUARTZ (661) 943-4118 HILL, CA 93536 QUEEN OF THE VALLEY (BCC) QUEEN OF THE VALLEY ACUTE CARE HOSPITAL 1115 S SUNSET AVE, WEST COVINA, CA (626) 962-4011 91790 QUEEN OF THE VALLEY QUEEN OF THE VALLEY ACUTE CARE HOSPITAL 1000 TRANCAS ST, NAPA, CA 94558 (707) 252-4411 MEDICAL CENTER (BCC) MEDICAL CENTER QUEENS PHARMACY PHARMACY 12677 HESPERIA RD STE 180, (760) 962-1200 VICTORVILLE, CA 92395 QUEENS PHARMACY PHARMACY 18522 US HIGHWAY 18, APPLE VALLEY, (760) 946-4700 CA 92307 QUEENSCARE HEALTH PHARMACY 4618 FOUNTAIN AVE, LOS ANGELES, CA (323) 635-1152 CENTER PHARM 90029 QUEENSCARE HEALTH PHARMACY 4816 E 3RD ST, LOS ANGELES, CA (323) 354-3919 CENTER PHCY 90022 QUEVEDO, CAMDEN - AUD ADVANCED HEARING AUDIOLOGY 41789 NICOLE LN STE B2, TEMECULA, (800) 598-5300 PROVIDERS LLC CA 92591 QUEZADA, ADRIANA - PT HORIZON THERAPY SERVICES PHYSICAL THERAPY 8265 WHITE OAK AVE, RANCHO (909) 373-1641 CUCAMONGA, CA 91730 QUIBELL, WILLIAM - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 QUICHO, JOSEPHINE - PT REHABCARE UNLIMITED PHYSICAL THERAPY 16025 GALE AVE STE B8, CITY OF (626) 333-3172 INDUSTRY, CA 91745 QUICHO, JOSEPHINE - PT REHABCARE UNLIMITED PHYSICAL THERAPY 8349 RESEDA BLVD UNIT F, (818) 341-3791 NORTHRIDGE, CA 91324 QUICK CARE PHARMACY PHARMACY 9397 HAVEN AVE, RANCHO (866) 393-8116 CUCAMONGA, CA 91730 QUIGLEY, JEFFREY E - DO LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S QUIGLEY, JEFFREY E - DO LOMA LINDA UNIVERSITY GENERAL SURGERY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 (BCC) HEALTH CARE - GENERAL CA 92563 SURGERY FP&S QUIGLEY, JEFFREY E - DO LOMA LINDA UNIVERSITY GENERAL SURGERY 81 S HIGHLAND SPRINGS AVE STE 303, (800) 679-4642 (BCC) HEALTH CARE - GENERAL BEAUMONT, CA 92223 SURGERY FP&S QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - HIP 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES KNEE ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES LOWER EXTREMITIES ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDIC SURGERY - 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES UPPER EXTREMITIES ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDICS - HIP 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDICS - KNEE 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDICS - LOWER 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES EXTREMITIES ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDICS - SPINE 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL ORTHOPEDICS - UPPER 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES EXTREMITIES ARCADIA, CA 91007 QUIGLEY, JOHN - MD CONGRESS MEDICAL SPINE SURGERY 289 W HUNTINGTON DR STE 103, (626) 821-0707 ASSOCIATES ARCADIA, CA 91007 QUIN, AIMEE, WELLS - LAC WEST BERKELEY WELLNESS ACUPUNCTURE 2831 7TH ST, BERKELEY, CA 94710 (510) 863-0333 QUINABO, NOLAN, PRIME - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 540 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone QUINABO, NOLAN, PRIME - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 QUINCY PHARMACY PHARMACY 411 MAIN ST, QUINCY, CA 95971 (530) 283-4545 QUINDIPAN, MICHAEL - PT WEST STAR PHYSICAL PHYSICAL THERAPY 1625 W OLYMPIC BLVD STE 1045E, LOS (213) 632-0256 THERAPY ANGELES, CA 90015 QUINN'S APOTHECARY PHARMACY 18502 BEACH BLVD STE 116, (714) 916-0593 PHARMACY HUNTINGTON BEACH, CA 92648 QUINN, JOHN - DC QUINN CHIROPRACTIC CHIROPRACTIC MEDICINE 207 S HALCYON RD, ARROYO GRANDE, (805) 481-9696 CENTER CA 93420 QUINN, MICHAEL - DPM CALIFORNIA ORTHOPAEDIC PODIATRY 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 QUINN, MICHAEL - DPM (BCC) PODIATRY 2410 COMMERCE TRL, IMPERIAL, CA (619) 291-8930 92251 QUINN, MICHAEL - DPM (BCC) PODIATRY 7485 MISSION VALLEY RD STE 104A, (619) 291-8930 SAN DIEGO, CA 92108 QUINTOSMELGAR, ROSE KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3553 WHIPPLE RD BLDG B, UNION CITY, (510) 675-4807 MARIE S - MD JOB OCCUPATIONAL HEALTH CA 94587 CENTER QUINTOSMELGAR, ROSE KAISER PERMANENTE ON THE PRIMARY TREATING 3553 WHIPPLE RD BLDG B, UNION CITY, (510) 675-4807 MARIE S - MD JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94587 CENTER R AND M DRUG PHARMACY 1115 WHITLEY AVE, CORCORAN, CA (559) 992-2138 93212 R AND M DRUG PHARMACY 323 N 11TH AVE STE 101, HANFORD, CA (559) 469-0168 93230 R M DRUG PHARMACY 3833 W CALDWELL AVE STE B, VISALIA, (559) 365-7861 CA 93277 R.A. PHYSICAL THERAPY & PHYSICAL THERAPY 1537 S LA CIENEGA BLVD, LOS (310) 657-7220 REHABILITATION ANGELES, CA 90035-3714 RA, KASHA - LAC CANYON HEALTH CENTER ACUPUNCTURE 164 MAPLE ST STE 4, AUBURN, CA (530) 888-0842 95603 RABACH, ALYSON R - MD (BCC) LOMA LINDA UNIVERSITY BARIATRIC SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-1615 HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S RABBANY, FARZAD - PT RABBANY FARZAD DC PHYSICAL THERAPY 206 S ROBERTSON BLVD, BEVERLY (310) 652-0024 HILLS, CA 90211 RABIN, PAUL A - MD KAISER PERMANENTE OPHTHALMOLOGY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 RABKIN, DAVID G - MD (BCC) CARDIOTHORACIC SURGERY THORACIC AND CARDIAC 11234 ANDERSON ST SP RM 1617, (800) 679-4642 LLUMC SURGERY LOMA LINDA , CA 92354 RACATAIAN, ELENA - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 RACKAUSKAS, GULNARA - MD LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP RAD, HELEYA - PSYD (BCC) PERSONA NEUROBEHAVIOR NEUROPSYCHOLOGY 2 N LAKE AVE STE 800, PASADENA, CA (800) 314-7273 GROUP 91101 RAD, HELEYA - PSYD (BCC) PERSONA NEUROBEHAVIOR PSYCHOLOGY 2 N LAKE AVE STE 800, PASADENA, CA (800) 314-7273 GROUP 91101 RADABAUGH, SARA - PT WESTLAKE SPORTS THERAPY PHYSICAL THERAPY 4165 E THOUSAND OAKS BLVD STE (805) 371-9116 INC 150, WESTLAKE VILLAGE, CA 91362 RADEMAKER, CARA, NICOLE - TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 400 CAMARILLO RANCH RD 108, (805) 388-3055 PT INC CAMARILLO, CA 93021 RADEMAKER, CARA, NICOLE - TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 550 SAINT CHARLES DR STE 100, (805) 777-1023 PT INC THOUSAND OAKS, CA 91360 RADER, FLORIAN - MD CARDIOVASCULAR DISEASE 127 S SAN VICENTE BLVD STE A3600, (310) 423-2726 (CARDIOLOGY) LOS ANGELES, CA 90048 RADIANCE PHARMACY PHARMACY 1823 COMMERCENTER W STE A, SAN (909) 333-4567 BERNARDINO, CA 92408 RADIATION THERAPY MEDICAL PHYSICAL THERAPY 6939 PALM CT, RIVERSIDE, CA 92506 (951) 683-6771 GROU

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 541 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RADU-RADULESCU, FELICIA - CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 MD CENTER - MILPITAS REHABILITATION 95035 RADU-RADULESCU, FELICIA - CONCENTRA MEDICAL PHYSICAL MEDICINE AND 988 WALSH AVE, SANTA CLARA, CA (408) 988-6868 MD CENTER - SANTA CLARA REHABILITATION 95050 RADU-RADULESCU, FELICIA - CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 MD CENTER - SUNNYVALE REHABILITATION 94085 RADU-RADULESCU, FELICIA - SPINE & SPORTS MEDICAL PHYSICAL MEDICINE AND 429 LLEWELLYN AVE , CAMPBELL , CA (408) 364-1616 MD (BCC) GROUP REHABILITATION 95008 RADY CHILDRENS HOSPITAL RADY CHILDRENS HOSPITAL SPECIALTY HOSPITAL - 3020 CHILDRENS WAY, SAN DIEGO, CA (858) 576-1700 SAN DIEGO (BCC) SAN DIEGO CHILDREN 92123 RAFFI, NATALIA - LAC NATALIA RAFFI LAC ACUPUNCTURE 11915 WASHINGTON BOULEVARD, LOS (310) 572-1515 ANGELES, CA 90066 RAFLA, ATEF E - MD CONCENTRA MEDICAL PAIN MANAGEMENT 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 RAFLA, ATEF E - MD CONCENTRA MEDICAL PAIN MANAGEMENT 100 OCEANGATE P245 , LONG BEACH, (562) 432-2821 CENTER - LONG BEACH CA 90802 RAFLA, ATEF E - MD CONCENTRA MEDICAL PAIN MANAGEMENT 16420 PERRIS BLVD STE Q, MORENO (951) 571-2450 CENTER - MORENO VALLEY VALLEY, CA 92551 RAFLA, ATEF E - MD CONCENTRA MEDICAL PAIN MANAGEMENT 3200 INLAND EMPIRE BLVD STE 100, (909) 945-5011 CENTER - ONTARIO AIRPORT ONTARIO, CA 91764 RAFLA, ATEF E - MD CONCENTRA MEDICAL PAIN MANAGEMENT 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 CENTER - SANTA ANA TUSTIN CA 92705 RAGEN & FERGUSON PHYSICAL THERAPY 1255 E HIGHLAND AVE STE 108, SAN (909) 884-5368 PHYSICAL THERAPY, INC. BERNARDINO, CA 92404-4652 RAGGIO, MARCIA - AUD ADVANCED HEARING AUDIOLOGY 333 GELLERT BLVD STE 190, DALY (800) 598-5300 PROVIDERS LLC CITY, CA 94015 RAGHAVAN, USHA M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL LEVEL, FONTANA, CA 92335 CENTER RAGHAVAN, USHA M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 9985 SIERRA AVE MOB 3 LOWER (909) 427-3917 JOB FONTANA MEDICAL PHYSICIAN LEVEL, FONTANA, CA 92335 CENTER RAGHEB, NAYER - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 2226 MEDICAL CENTER DR, STE 102, (951) 657-1400 GROUP INC PERRIS, CA 92571 RAH, ANDREW - MD (BCC) SPINE SURGERY 1220 LA VENTA DR STE 202, WESTLAKE (818) 264-3344 VILLAGE, CA 91361 RAH, ANDREW - MD (BCC) SPINE SURGERY 7301 MEDICAL CENTER DR STE 400, (805) 449-0066 WEST HILLS, CA 91307 RAH, ANDREW - MD (BCC) ORTHOPEDICS - SPINE 1220 LA VENTA DR STE 202, WESTLAKE (818) 264-3344 VILLAGE, CA 91361 RAH, ANDREW - MD (BCC) ORTHOPEDICS - SPINE 7301 MEDICAL CENTER DR STE 400, (805) 449-0066 WEST HILLS, CA 91307 RAHBAN, SAID - MD GASTROENTEROLOGY 6333 WILSHIRE BLVD #414, LOS (323) 852-1751 ANGELES, CA 90048 RAHBAN, SAID - MD (BCC) FAMILY MEDICAL CENTER GASTROENTEROLOGY 6333 WILSHIRE BLVD STE 414, LOS (323) 852-1751 ANGELES , CA 90048 RAHGOZAR, PAYMON - MD CONCENTRA MEDICAL PLASTIC SURGERY 9700 DE SOTO AVE , CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 RAHIMAN, SHEIDA - PT THE PHYSICAL THERAPY PHYSICAL THERAPY 13746 VICTORY BLVD STE 106, VAN (818) 623-8100 ACUPUNCTURE REHAB NUYS, CA 91401 CENTER RAHIMAN, SHEIDA - PT ALLIANCE HEALTH CHOICE INC PHYSICAL THERAPY 1722 WESTWOOD BLVD STE 201, LOS (310) 441-4000 ANGELES, CA 90024 RAHIMAN, SHEIDA - PT ALLIANCE HEALTH CHOICE INC PHYSICAL THERAPY 18345 VENTURA BLVD STE 104, (818) 343-8800 TARZANA, CA 91356 RAHIMAN, SHEIDA - PT THE PHYSICAL THERAPY PHYSICAL THERAPY 4418 VINELAND AVE STE 220, TOLUCA (818) 623-8100 ACUPUNCTURE REHAB LAKE, CA 91602 CENTER MAIN ACCOUNT RAHIMI, FATEMEH - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP INC CA 90638 RAHIMIAN, SHEIDA - PT AQUATIC PHYSICAL THERAPY PHYSICAL THERAPY 124 N LA BREA AVE, LOS ANGELES, CA (818) 623-8100 REHABILITATION CENTER 90036

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 542 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RAHIMIAN, SHEIDA - PT THE PHYSICAL THERAPY PHYSICAL THERAPY 12813 VICTORY BLVD, NORTH (818) 623-8100 ACUPUNCTURE REHAB HOLLYWOOD, CA 91606 CENTER RAHMAN, HAMID - MD ORTHOPEDIC SURGERY - 800 N TUSTIN AVE STE I , SANTA ANA, (714) 850-2060 LOWER EXTREMITIES CA 92705 RAHMAN, HAMID - MD ORTHOPEDIC SURGERY - 800 N TUSTIN AVE STE I , SANTA ANA, (714) 850-2060 UPPER EXTREMITIES CA 92705 RAHMAN, HAMID - MD ORTHOPEDICS - LOWER 800 N TUSTIN AVE STE I , SANTA ANA, (714) 850-2060 EXTREMITIES CA 92705 RAHMAN, HAMID - MD ORTHOPEDICS - UPPER 800 N TUSTIN AVE STE I , SANTA ANA, (714) 850-2060 EXTREMITIES CA 92705 RAHMAN, HAMID - MD (BCC) ORTHOPEDIC SURGERY - 155 W HOSPITALITY LN STE 105, SAN (909) 931-3800 LOWER EXTREMITIES BERNARDINO, CA 92408 RAHMAN, HAMID - MD (BCC) ORTHOPEDIC SURGERY - 155 W HOSPITALITY LN STE 105, SAN (909) 931-3800 UPPER EXTREMITIES BERNARDINO, CA 92408 RAHMAN, HAMID - MD (BCC) ORTHOPEDICS - LOWER 155 W HOSPITALITY LN STE 105, SAN (909) 931-3800 EXTREMITIES BERNARDINO, CA 92408 RAHMAN, HAMID - MD (BCC) ORTHOPEDICS - UPPER 155 W HOSPITALITY LN STE 105, SAN (909) 931-3800 EXTREMITIES BERNARDINO, CA 92408 RAHMAN, HAMID - MD (BCC) ORTHOPEDIC SURGERY - 275 SAN BERNARDINO RD, COVINA, CA (909) 931-3800 LOWER EXTREMITIES 91722 RAHMAN, HAMID - MD (BCC) ORTHOPEDIC SURGERY - 275 SAN BERNARDINO RD, COVINA, CA (909) 931-3800 UPPER EXTREMITIES 91722 RAHMAN, HAMID - MD (BCC) ORTHOPEDICS - LOWER 275 SAN BERNARDINO RD, COVINA, CA (909) 931-3800 EXTREMITIES 91722 RAHMAN, HAMID - MD (BCC) ORTHOPEDICS - UPPER 275 SAN BERNARDINO RD, COVINA, CA (909) 931-3800 EXTREMITIES 91722 RAHMAN, HAMID - MD (BCC) ORTHOPEDIC SURGERY - 330 E 7TH ST 2 FL, UPLAND, CA 91786 (909) 931-3800 LOWER EXTREMITIES RAHMAN, HAMID - MD (BCC) ORTHOPEDIC SURGERY - 330 E 7TH ST 2 FL, UPLAND, CA 91786 (909) 931-3800 UPPER EXTREMITIES RAHMAN, HAMID - MD (BCC) ORTHOPEDICS - LOWER 330 E 7TH ST 2 FL, UPLAND, CA 91786 (909) 931-3800 EXTREMITIES RAHMAN, HAMID - MD (BCC) ORTHOPEDICS - UPPER 330 E 7TH ST 2 FL, UPLAND, CA 91786 (909) 931-3800 EXTREMITIES RAHMAN, HAMID - MD (BCC) ORTHOPEDIC SURGERY - 800 N TUSTIN AVE STE I, SANTA ANA, (714) 850-2060 LOWER EXTREMITIES CA 92705 RAHMAN, HAMID - MD (BCC) ORTHOPEDIC SURGERY - 800 N TUSTIN AVE STE I, SANTA ANA, (714) 850-2060 UPPER EXTREMITIES CA 92705 RAHMAN, HAMID - MD (BCC) ORTHOPEDICS - LOWER 800 N TUSTIN AVE STE I, SANTA ANA, (714) 850-2060 EXTREMITIES CA 92705 RAHMAN, HAMID - MD (BCC) ORTHOPEDICS - UPPER 800 N TUSTIN AVE STE I, SANTA ANA, (714) 850-2060 EXTREMITIES CA 92705 RAHMAN, SHEIDA - PT THE PHYSICAL THERAPY PHYSICAL THERAPY 124 N LA BREA AVE, LOS ANGELES, CA (818) 623-3100 ACUPUNCTURE REHAB 90036 CENTER RAHMAN, SHEIDA - PT THE PHYSICAL THERAPY PHYSICAL THERAPY 6344 LAUREL CANYON BLVD, NORTH (818) 623-8100 ACUPUNCTURE REHAB HOLLYWOOD, CA 91606 CENTER RAHMAN, SIAMAK - MD (BCC) ANESTHESIOLOGY 757 WESTWOOD PLZ STE 3325, LOS (310) 267-8678 ANGELES, CA 90095 RAHN, ANGELA - PT OPTIMAL REHAB ABILITIES INC PHYSICAL THERAPY 1581 18TH AVE, KINGSBURG, CA 93631 (559) 897-2070 RAHN, ANGELA - PT OPTIMAL REHAB ABILITIES INC PHYSICAL THERAPY 7405 N CEDAR AVE STE 103, FRESNO, (559) 261-4100 CA 93720 RAINCROSS PHARMACY PHARMACY 4646 BROCKTON AVE STE 104, (951) 788-4646 RIVERSIDE, CA 92506 RAINELLE, CRISTA - PT FORGERON PHYSICAL PHYSICAL THERAPY 1090 N PALM CANYON DR STE D, PALM (760) 778-7150 THERAPYMAIN SPRINGS, CA 92262 RAINELLE, CRISTA - PT FORGERON PHYSICAL PHYSICAL THERAPY 81880 DOCTOR CARREON BLVD STE (760) 775-5511 THERAPY C202, INDIO, CA 92201 RAISZADEH, RAMIN - MD BCC) SPINE INSTITUTE OF SAN SPINE SURGERY 6719 ALVARADO RD STE 308, SAN (619) 265-7912 DIEGO DIEGO, CA 92120

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 543 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RAISZADEH, RAMIN - MD BCC) SPINE INSTITUTE OF SAN ORTHOPEDICS - SPINE 6719 ALVARADO RD STE 308, SAN (619) 265-7912 DIEGO DIEGO, CA 92120 RAISZADEH, RAMIN - MD BCC) SPINE INSTITUTE OF SAN SPINE SURGERY 488 E VALLEY PARKWAY STE 316, (619) 265-7912 DIEGO ESCONDIDO, CA 92025 RAISZADEH, RAMIN - MD BCC) SPINE INSTITUTE OF SAN ORTHOPEDICS - SPINE 488 E VALLEY PARKWAY STE 316, (619) 265-7912 DIEGO ESCONDIDO, CA 92025 RAISZADEH, RAMIN - MD BCC) SPINE INSTITUTE OF SAN SPINE SURGERY 332 SANTA FE DR STE 110, ENCINITAS, (619) 265-7912 DIEGO CA 92050 RAISZADEH, RAMIN - MD BCC) SPINE INSTITUTE OF SAN ORTHOPEDICS - SPINE 332 SANTA FE DR STE 110, ENCINITAS, (619) 265-7912 DIEGO CA 92050 RAJAGOPAL, SHEILA L - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90045 CENTER RAJASHEKARA, BILUGALI M - KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 MD IMPERIAL MEDICAL OFFICES 90242 RAJASHEKARA, BILUGALI M - KAISER PERMANENTE PLASTIC SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 MD IMPERIAL MEDICAL OFFICES 90242 RAJESH, VINUTHA - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE RAJFER, REBECCA A - MD LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 (BCC) HEALTH CARE - ORTHOPAEDIC UPPER EXTREMITIES LINDA , CA 92354 SURGERY FP&S RAJFER, REBECCA A - MD LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 (BCC) HEALTH CARE - ORTHOPAEDIC LOWER EXTREMITIES LINDA , CA 92354 SURGERY FP&S RAJFER, REBECCA A - MD LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - HIP 25455 BARTON RD PF 102B, LOMA (800) 679-4642 (BCC) HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S RAJU, KRISHNAMA - MD KAISER PERMANENTE ORTHOPEDICS 12815 HEACOCK STREET 1ST FLR (951) 353-4322 MORENO VALLEY MEDICAL ROOM 106, MORENO VALLEY, CA 92553 CENTER RALEY'S PHARMACY 2550 S TRACY BLVD, TRACY, CA 95376 (209) 830-6800 RALEY'S DRUG CENTER PHARMACY 3935 PARK DR STE B, EL DORADO (916) 933-0374 HILLS, CA 95762 RALEY'S DRUG CENTER PHARMACY 217 SOSCAL AVE, NAPA, CA 94559 (707) 224-1269 RALEY'S DRUG CENTER PHARMACY 6119 HORSESHOE BAR RD, LOOMIS, CA (916) 652-5633 95650 RALEY'S DRUG CENTER PHARMACY 13384 LINCOLN WAY, AUBURN, CA (530) 885-7989 95603 RALEY'S DRUG CENTER PHARMACY 3430 TULLY RD STE 41, MODESTO, CA (209) 527-4600 95350 RALEY'S DRUG CENTER PHARMACY 8870 MADISON AVE, FAIR OAKS, CA (916) 966-2241 95628 RALEY'S DRUG CENTER PHARMACY 8391 FOLSOM BLVD, SACRAMENTO, CA (916) 383-4541 95826 RALEY'S DRUG CENTER PHARMACY 1040 EMERALD BAY RD, SOUTH LAKE (530) 541-5230 TAHOE, CA 96150 RALEY'S DRUG CENTER PHARMACY 5159 FAIR OAKS BLVD, CARMICHAEL, (916) 483-0419 CA 95608 RALEY'S DRUG CENTER PHARMACY 3001 TRAVIS BLVD, FAIRFIELD, CA (707) 429-8310 94534 RALEY'S DRUG CENTER PHARMACY 3632 LONE TREE WAY, ANTIOCH, CA (925) 754-5288 94509 RALEY'S DRUG CENTER PHARMACY 100 RALEYS TOWNE CTR, ROHNERT (707) 585-3444 PARK, CA 94928 RALEY'S DRUG CENTER PHARMACY 6366 MACK RD, SACRAMENTO, CA (916) 421-3267 95823 RALEY'S DRUG CENTER PHARMACY 7847 LICHEN DR, CITRUS HEIGHTS, CA (916) 722-1755 95621 RALEY'S DRUG CENTER PHARMACY 1407 FULTON RD, SANTA ROSA, CA (707) 546-4313 95403

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 544 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RALEY'S DRUG CENTER PHARMACY 40041 HIGHWAY 49, OAKHURST, CA (559) 683-8360 93644 RALEY'S DRUG CENTER PHARMACY 8852 LAKEWOOD DR, WINDSOR, CA (707) 838-4319 95492 RALEY'S DRUG CENTER PHARMACY 700 C ONSTOTT RD, YUBA CITY, CA (530) 673-8880 95991 RALEY'S DRUG CENTER PHARMACY 311 S LOWER SACRAMENTO RD, LODI, (209) 369-7403 CA 95242 RALEY'S DRUG CENTER PHARMACY 3061 ALAMO DR, VACAVILLE, CA 95687 (707) 447-2526 RALEY'S DRUG CENTER PHARMACY 890 SOUTHAMPTON RD, BENICIA, CA (707) 746-5565 94510 RALEY'S DRUG CENTER PHARMACY 781 SOUTH HIGHWAY 49, JACKSON, CA (209) 223-9670 95642 RALEY'S DRUG CENTER PHARMACY 1842 FORT JONES RD, YREKA, CA (530) 842-4182 96097 RALEY'S DRUG CENTER PHARMACY 2485 NOTRE DAME BLVD, CHICO, CA (530) 895-0895 95928 RALEY'S DRUG CENTER PHARMACY 2400 SAND CREEK RD, BRENTWOOD, (925) 513-8844 CA 94513 RALEY'S DRUG CENTER PHARMACY 1315 N STATE ST, UKIAH, CA 95482 (707) 468-5156 RALEY'S DRUG CENTER PHARMACY 367 W MAIN ST, WOODLAND, CA 95695 (530) 666-1445 RALEY'S DRUG CENTER PHARMACY 715 E BIDWELL ST, FOLSOM, CA 95630 (916) 983-6574 RALEY'S DRUG CENTER PHARMACY 692 FREEMAN LN STE A, GRASS (530) 272-2496 VALLEY, CA 95949 RALEY'S DRUG CENTER PHARMACY 2900 GEER RD STE 2, TURLOCK, CA (209) 667-4919 95382 RALEY'S DRUG CENTER PHARMACY 6845 DOUGLAS BLVD, GRANITE BAY, (916) 791-8015 CA 95746 RALEY'S DRUG CENTER PHARMACY 5420 SUNOL BLVD, PLEASANTON, CA (925) 846-7944 94566 RALEY'S DRUG CENTER PHARMACY 2077 MAIN ST, OAKLEY, CA 94561 (925) 625-4500 RALEY'S DRUG CENTER PHARMACY 270 SUNSET AVE, SUISUN CITY, CA (707) 426-1274 94585 RALEY'S DRUG CENTER PHARMACY 2325 MYERS ST, OROVILLE, CA 95966 (530) 533-6876 RALEY'S DRUG CENTER PHARMACY 201 LAKE BLVD UNIT B, REDDING, CA (530) 246-3511 96003 RALEY'S DRUG CENTER PHARMACY 39 LINCOLN BLVD, LINCOLN, CA 95648 (916) 408-3633 RALEY'S DRUG CENTER PHARMACY 4900 ELK GROVE BLVD, ELK GROVE, (916) 683-0720 CA 95758 RALEY'S DRUG CENTER PHARMACY 4255 MORADA LN, STOCKTON, CA (209) 956-9444 95212 RALEY'S DRUG CENTER PHARMACY 3020 FLOYD AVE, MODESTO, CA 95355 (209) 551-6030 RALEY'S DRUG CENTER PHARMACY 4051 WOODCREEK OAKS BLVD, (916) 771-3344 ROSEVILLE, CA 95747 RALEY'S DRUG CENTER PHARMACY 157 N MCDOWELL BLVD, PETALUMA, (707) 765-9100 CA 94954 RALEY'S DRUG CENTER PHARMACY 3518 MARCONI AVE, SACRAMENTO, CA (916) 972-7198 95821 RALEY'S DRUG CENTER PHARMACY 10430 TWIN CITIES RD, GALT, CA 95632 (209) 745-4881 RALEY'S DRUG CENTER PHARMACY 1601 1/2 W CAPITOL AVE, WEST (916) 372-3111 SACRAMENTO, CA 95691 RALEY'S DRUG CENTER PHARMACY 4850 FREEPORT BLVD, SACRAMENTO, (916) 452-3811 CA 95822 RALEY'S DRUG CENTER PHARMACY 4840 SAN JUAN AVE, FAIR OAKS, CA (916) 966-2266 95628 RALEY'S DRUG CENTER PHARMACY 166 PLACERVILLE DR, PLACERVILLE, (530) 622-6630 CA 95667 RALEY'S DRUG CENTER PHARMACY 727 S MAIN ST, RED BLUFF, CA 96080 (530) 527-2137 RALEY'S DRUG CENTER PHARMACY 4650 NATOMAS BLVD, SACRAMENTO, (916) 419-6644 CA 95835 RALEY'S DRUG CENTER PHARMACY 3330 N TEXAS ST, FAIRFIELD, CA 94533 (707) 421-9010 RALEY'S DRUG CENTER PHARMACY 211 W EAST AVE, CHICO, CA 95926 (530) 899-3790 RALEY'S DRUG CENTER PHARMACY 3550 G ST, MERCED, CA 95340 (209) 722-3853

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 545 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RALEY'S DRUG CENTER PHARMACY 1280 LATHROP RD, MANTECA, CA 95336 (209) 825-0494 RALEY'S DRUG CENTER PHARMACY 1915 DOUGLAS BLVD STE 200, (916) 781-7840 ROSEVILLE, CA 95661 RALEYS DRUG CENTER PHARMACY 39200 PASEO PADRE PKWY, FREMONT, (510) 791-0657 CA 94538 RALPH'S PHARMACY PHARMACY 101 G ST, SAN DIEGO, CA 92101 (619) 237-7660 RALPH'S PHARMACY PHARMACY 710 N ROSE DR, PLACENTIA, CA 92870 (714) 524-6200 RALPH'S PHARMACY PHARMACY 674 LAS POSAS RD, CAMARILLO, CA (805) 445-1431 93010 RALPH'S PHARMACY PHARMACY 1121 N HARBOR BLVD, FULLERTON, CA (714) 992-6313 92832 RALPH'S PHARMACY PHARMACY 22333 SHERMAN WAY, CANOGA PARK, (818) 713-8014 CA 91303 RALPH'S PHARMACY PHARMACY 7369 MILLIKEN AVE, RANCHO (909) 484-2647 CUCAMONGA, CA 91730 RALPH'S PHARMACY PHARMACY 2661 GREEN RIVER RD, CORONA, CA (951) 371-4868 92882 RALPH'S PHARMACY PHARMACY 1020 UNIVERSITY AVE, SAN DIEGO, CA (619) 298-5181 92103 RALPH'S PHARMACY PHARMACY 12842 VENTURA BLVD, STUDIO CITY, (818) 761-7211 CA 91604 RALPH'S PHARMACY PHARMACY 14049 VENTURA BLVD, SHERMAN (747) 233-6108 OAKS, CA 91403 RALPH'S PHARMACY PHARMACY 42150 WASHINGTON ST, BERMUDA (760) 200-0843 DUNES, CA 92201 RALPH'S PHARMACY PHARMACY 3380 N LOS COYOTES DIAGONAL, (562) 425-9673 LONG BEACH, CA 90808 RALPH'S PHARMACY PHARMACY 1770 CARSON ST, TORRANCE, CA (310) 787-8861 90501 RALPH'S PHARMACY PHARMACY 100 W CARRILLO ST, SANTA BARBARA, (805) 564-7070 CA 93101 RALPH'S PHARMACY PHARMACY 5035 PACIFIC COAST HWY, TORRANCE, (310) 378-5214 CA 90505 RALPH'S PHARMACY PHARMACY 24975 PICO CANYON RD, STEVENSON (661) 253-0320 RANCH, CA 91381 RALPH'S PHARMACY PHARMACY 10861 WEYBURN AVE, WESTWOOD, CA (310) 824-5013 90024 RALPH'S PHARMACY PHARMACY 1050 N WESTERN AVE, SAN PEDRO, CA (310) 833-3225 90732 RALPH'S PHARMACY PHARMACY 306 TWIN OAKS VALLEY RD, SAN (760) 891-0618 MARCOS, CA 92078 RALPH'S PHARMACY PHARMACY 33145 TEMECULA PKWY, TEMECULA, (951) 303-8764 CA 92592 RALPH'S PHARMACY PHARMACY 659 E PALOMAR ST, CHULA VISTA, CA (619) 397-0466 91911 RALPH'S PHARMACY PHARMACY 12470 SEAL BEACH BLVD, SEAL BEACH, (562) 598-2734 CA 90740 RALPH'S PHARMACY PHARMACY 30019 HAWTHORNE BLVD, RANCHO (310) 377-6829 PALOS VERDES, CA 90275 RALPH'S PHARMACY PHARMACY 49908 JEFFERSON ST, INDIO, CA 92201 (760) 771-4524 RALPH'S PHARMACY PHARMACY 1776 S VICTORIA AVE, VENTURA, CA (805) 650-0466 93003 RALPH'S PHARMACY PHARMACY 5429 HOLLYWOOD BLVD, LOS (323) 957-6830 ANGELES, CA 90027 RALPH'S PHARMACY PHARMACY 1745 GARFIELD AVE, SOUTH (626) 799-2926 PASADENA, CA 91030 RALPH'S PHARMACY PHARMACY 8626 FIRESTONE BLVD, DOWNEY, CA (562) 622-9238 90241 RALPH'S PHARMACY PHARMACY 23801 WASHINGTON AVE, MURRIETA, (951) 600-8639 CA 92562 RALPH'S PHARMACY PHARMACY 1100 N FERNANDO BLVD, BURBANK, CA (818) 845-5112 91504

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 546 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RALPH'S PHARMACY PHARMACY 425 S SUNRISE WAY, PALM SPRINGS, (760) 327-4381 CA 92262 RALPH'S PHARMACY PHARMACY 583 N VENTU PARK RD, NEWBURY (805) 376-1380 PARK, CA 91320 RALPH'S PHARMACY PHARMACY 12201 HIGHLAND AVE, RANCHO (909) 646-9366 CUCAMONGA, CA 91730 RALPH'S PHARMACY PHARMACY 14919 WHITTIER BLVD, WHITTIER, CA (562) 945-5641 90605 RALPH'S PHARMACY PHARMACY 22915 VICTORY BLVD, CANOGA PARK, (818) 716-1275 CA 91307 RALPH'S PHARMACY PHARMACY 500 N SEPULVEDA BLVD, EL SEGUNDO, (310) 615-3025 CA 90245 RALPH'S PHARMACY PHARMACY 380 E 17TH ST, COSTA MESA, CA 92627 (949) 645-1277 RALPH'S PHARMACY PHARMACY 29675 THE OLD RD, CASTAIC, CA 91384 (661) 702-6936 RALPH'S PHARMACY PHARMACY 3601 E FOOTHILL BLVD, PASADENA, CA (626) 351-6572 91107 RALPH'S PHARMACY PHARMACY 101 OLD GROVE RD, OCEANSIDE, CA (760) 754-1906 92057 RALPH'S PHARMACY PHARMACY 12660 LIMONITE AVE, CORONA, CA (951) 734-8010 92880 RALPH'S PHARMACY PHARMACY 14440 BURBANK BLVD, SHERMAN (818) 989-5422 OAKS, CA 91401 RALPH'S PHARMACY PHARMACY 26751 PORTOLA PKWY, FOOTHILL (949) 457-0690 RANCH, CA 92610 RALPH'S PHARMACY PHARMACY 4700 ADMIRALTY WAY, MARINA DEL (310) 827-4843 REY, CA 90292 RALPH'S PHARMACY PHARMACY 3345 SPORTS ARENA BLVD, SAN (619) 222-5818 DIEGO, CA 92110 RALPH'S PHARMACY PHARMACY 13321 SOUTH ST, CERRITOS, CA 90703 (562) 860-5635 RALPH'S PHARMACY PHARMACY 10525 4S COMMONS DR, SAN DIEGO, (858) 675-7028 CA 92127 RALPH'S PHARMACY PHARMACY 16225 SIERRA LAKES PKWY, FONTANA, (909) 357-2525 CA 92336 RALPH'S PHARMACY PHARMACY 3350 LA SIERRA AVE, RIVERSIDE, CA (951) 637-9819 92503 RALPH'S PHARMACY PHARMACY 23716 EL TORO RD, LAKE FOREST, CA (949) 380-1009 92630 RALPH'S PHARMACY PHARMACY 670 S WESTERN AVE, LOS ANGELES, (213) 383-6207 CA 90005 RALPH'S PHARMACY PHARMACY 6300 IRVINE BLVD, IRVINE, CA 92620 (949) 559-1739 RALPH'S PHARMACY PHARMACY 25539 PASEO DE VALENCIA, LAGUNA (949) 951-1018 HILLS, CA 92653 RALPH'S PHARMACY PHARMACY 7257 W SUNSET BLVD, WEST (323) 512-0268 HOLLYWOOD, CA 90046 RALPH'S PHARMACY PHARMACY 645 W 9TH ST, LOS ANGELES, CA 90017 (213) 452-0830 RALPH'S PHARMACY PHARMACY 3455 SEPULVEDA BLVD, TORRANCE, (310) 370-0535 CA 90505 RALPH'S PHARMACY PHARMACY 160 N LAKE AVE, PASADENA, CA 91101 (626) 793-0531 RALPH'S PHARMACY PHARMACY 811 AVENIDA TALEGA, SAN CLEMENTE, (949) 940-0167 CA 92673 RALPH'S PHARMACY PHARMACY 2250 E CARSON ST, LONG BEACH, CA (562) 490-0201 90807 RALPH'S PHARMACY PHARMACY 16325 VENTURA BLVD, ENCINO, CA (818) 728-4515 91436 RALPH'S PHARMACY PHARMACY 260 S LA BREA BLVD, LOS ANGELES, (323) 937-9383 CA 90036 RALPH'S PHARMACY PHARMACY 3410 W THIRD ST, LOS ANGELES, CA (213) 480-3112 90020 RALPH'S PHARMACY PHARMACY 2201 W REDONDO BCH BLVD, (310) 538-9116 GARDENA, CA 90247 RALPH'S PHARMACY PHARMACY 1413 HAWTHORNE BLVD, REDONDO (310) 370-8784 BEACH, CA 90278

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 547 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RALPH'S PHARMACY PHARMACY 27760 MCBEAN PKWY, VALENCIA, CA (661) 263-6480 91354 RALPH'S PHARMACY PHARMACY 11727 OLYMPIC BLVD, LOS ANGELES, (310) 444-0603 CA 90064 RALPH'S PHARMACY PHARMACY 4311 LINCOLN BLVD, MARINA DEL REY, (310) 821-4993 CA 90292 RALPH'S PHARMACY PHARMACY 5601 WILSHIRE BLVD, LOS ANGELES, (323) 936-0050 CA 90036 RALPH'S PHARMACY PHARMACY 8657 VIA LA JOLLA BLVD, LA JOLLA, CA (858) 597-0108 92037 RALPH'S PHARMACY PHARMACY 6290 E PACIFIC COAST HWY, LONG (562) 795-7087 BEACH, CA 90803 RALPH'S PHARMACY PHARMACY 1233 N LA BREA AVE, WEST (323) 876-5651 HOLLYWOOD, CA 90038 RALPH'S PHARMACY PHARMACY 16940 DEVONSHIRE ST, GRANADA (818) 831-4962 HILLS, CA 91344 RALPH'S PHARMACY PHARMACY 1240 LOS OSOS VALLEY RD, LOS (805) 528-0244 OSOS, CA 93402 RALPH'S PHARMACY PHARMACY 4315 MISSION BLVD, PACIFIC BEACH, (858) 273-2108 CA 92109 RALPH'S PHARMACY PHARMACY 19781 RINALDI ST, NORTHRIDGE, CA (818) 832-3156 91326 RALPH'S PHARMACY PHARMACY 1644 CLOVERFIELD AVE, SANTA (310) 582-3915 MONICA, CA 90404 RALPHS PHARMACY PHARMACY 19081 GOLDENWEST ST, HUNTINGTON (714) 960-3102 BEACH, CA 92648 RALPHS PHARMACY PHARMACY 10772 JEFFERSON BLVD, CULVER CITY, (310) 836-2684 CA 90230 RALYY'S DRUG CENTER PHARMACY 25025 BLUE RAVINE RD, FOLSOM, CA (916) 351-0303 95630 RAMADAN, SAOUSAN - PT CALIFORNIA HAND THERAPY PHYSICAL THERAPY 8641 WILSHIRE BLVD STE 200, (310) 854-0529 BEVERLY HILLS, CA 90211 RAMESH, JAISHRI - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 RAMESH, JAISHRI - MD CONCENTRA MEDICAL PRIMARY TREATING 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX PHYSICIAN LOS ANGELES, CA 90045 RAMEYBERNARDI, ALANA - VITALITY WELLNESS CENTER ACUPUNCTURE 1011 CENTER ST, SANTA CRUZ, CA (831) 325-9691 LAC 95060 RAMIN, SHAMILA - PTA COMPREHENSIVE PHYSICAL THERAPY 22622 VANOWEN ST, WEST HILLS, CA (818) 999-3582 THERAPEUTICS INC 91307 RAMIREZ PHARMACY PHARMACY 2403 E CESAR E CHAVEZ AVE, LOS (323) 269-7329 ANGELES, CA 90033 RAMIREZ, AMANDA - PT PATTY BROWN PHYSICAL PHYSICAL THERAPY 880 APOLLO ST STE 160, EL SEGUNDO, (310) 606-5664 THERAPY ASSOCIATES CA 90245 RAMIREZ, ANGEL - PTA DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 RAMIREZ, CHRISTIAN - PT PERFORMAX PHYSICAL THERAPY 2001 W ALAMEDA AVE, BURBANK, CA (818) 953-4444 91506 RAMIREZ, JUAN - LAC BALANCE AND WELLNESS ACUPUNCTURE 910 A AVE, NATIONAL CITY, CA 91950 (858) 220-3273 ACUPUNCTURE RAMIREZ, LUJAYE - PT PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 RAMIREZ, MARGARET - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 1714 17TH ST, SANTA MONICA, CA (310) 392-7889 90404 RAMIREZ, MARGARET - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 RAMIREZ, MARIA BELLA Y - MD CONCENTRA MEDICAL PRIMARY TREATING 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA PHYSICIAN 92562 RAMIREZ, MARIA BELLA Y - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 25115 MADISON AVE , MURRIETA, CA (951) 600-9070 CENTER - MURRIETA 92562 RAMIREZ, MICHELLE - PT CORNERSTONE PHYSICAL PHYSICAL THERAPY 7145 N CHESTNUT AVE STE 105, (559) 299-2244 THERAPY FRESNO, CA 93720

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 548 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RAMIREZ, STACY - PTA CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 800 S RAYMOND AVE FL 3, PASADENA, (626) 795-0800 ASSOCIATES DBA ELITE CA 91105 MOTION RAMIREZ, TITO - PT WESTLAKE SPORTS THERAPY PHYSICAL THERAPY 4165 E THOUSAND OAKS BLVD STE (805) 371-9116 INC 150, WESTLAKE VILLAGE, CA 91362 RAMONA PHYSICAL THERAPY PHYSICAL THERAPY 850 MAIN ST STE 105, RAMONA, CA (760) 789-1424 92065-1968 RAMONA PHYSICAL THERAPY PHYSICAL THERAPY 701 MAIN ST, RAMONA, CA 92065-2045 (760) 789-7040 & HAND CENTER RAMONA PROFESSIONAL PHARMACY 616 N GARFIELD AVE, MONTEREY (626) 288-8515 PHARMACY PARK, CA 91754 RAMOS, JESUS - PTA PROACTIVE WORK HEALTH PHYSICAL THERAPY 502 S GAREY AVE, POMONA, CA 91766 (909) 390-3400 SERVICES RAMOS, JOSHUA - OT BASIL R BESH MD INC OCCUPATIONAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 RAMSAY REXALL DRUGS PHARMACY 2246 NEWPORT BLVD, COSTA MESA, (949) 646-7744 CA 92627 RANA, SUMIT H - MD (BCC) CENTER FOR ORTHOPAEDIC SPINE SURGERY 1220 LA VENTA DR STE 202, WESTLAKE (805) 449-0066 SPECIALISTS VILLAGE, CA 91361 RANA, SUMIT H - MD (BCC) CENTER FOR ORTHOPAEDIC ORTHOPEDICS - SPINE 1220 LA VENTA DR STE 202, WESTLAKE (805) 449-0066 SPECIALISTS VILLAGE, CA 91361 RANCH RECOVERY CENTERS RANCH RECOVERY CENTERS CHEMICAL DEPENDENCY 7885 ANNANDALE AVE, DESERT HOT (760) 329-2924 INC (BCC) INC REHABILITATION CENTER SPRINGS, CA 92240 (OUTPATIENT) RANCHO DRUGS PHARMACY 17798 WIKA RD, APPLE VALLEY, CA (760) 242-4900 92307 RANCHO MIRAGE FAMILY PHARMACY 71777 SAN JACINTO DR, RANCHO (888) 748-7526 PLANNING MIRAGE, CA 92270 RANCHO PARK PHARMACY PHARMACY 10587 W PICO BLVD, LOS ANGELES, CA (310) 475-3541 90064 RANCHO PHARMACY PHARMACY 426 N KAWEAH AVE, EXETER, CA 93221 (559) 592-5222 RANCHO PHYSICAL THEARPY PHYSICAL THERAPY 30010 HAUN RD STE 250, MENIFEE, CA (951) 723-1866 92584-6812 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 10020 INDIANA AVE STE 4, RIVERSIDE, (951) 637-2320 CA 92503-5479 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 12402 INDUSTRIAL BLVD STE B2, (760) 955-6061 VICTORVILLE, CA 92395-5889 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 126 AVOCADO AVE STE 107, PERRIS, (951) 943-8105 CA 92571-2605 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 1695 S SAN JACINTO AVE STE C, SAN (951) 665-1510 JACINTO, CA 92583-5103 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 23100 EUCALYPTUS AVE STE C, (951) 485-4594 MORENO VALLEY, CA 92553-5439 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 25150 HANCOCK AVE STE 100, (951) 691-4029 MURRIETA, CA 92562-5988 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 255 N ELM ST STE 202, ESCONDIDO, CA (760) 504-0223 92025-3431 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 27450 YNEZ RD STE 120, TEMECULA, (951) 695-5144 CA 92591-4649 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 277 RANCHEROS DR SUITE 150, SAN (760) 752-1011 MARCOS, CA 92069 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 3142 VISTA WAY STE 101, OCEANSIDE, (760) 630-2258 CA 92056-3627 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 31720 TEMECULA PKWY STE 101, (951) 691-4029 TEMECULA, CA 92592-5895 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 31764 CASINO DR STE 106, LAKE (951) 691-4029 ELSINORE, CA 92530-4571 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 38605 CALISTOGA DR STE 140, (951) 304-0879 MURRIETA, CA 92563-4885 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 521 E ELDER ST STE 106, FALLBROOK, (760) 723-8337 CA 92028-3082 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 6850 BROCKTON AVE STE 212, (951) 534-0600 RIVERSIDE, CA 92506-3815

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 549 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 73345 HIGHWAY 111 STE 103, PALM (760) 674-0675 DESERT, CA 92260-3909 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 886 MAGNOLIA AVE STE 100, CORONA, (951) 340-0208 CA 92879-3105 RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 11276 5TH ST STE 400, RANCHO (909) 481-0437 (MAIN) CUCAMONGA, CA 91730-0923 RANCHO PHYSICAL THERAPY, PHYSICAL THERAPY 15200 W SUNSET BLVD STE 111, (310) 573-9340 INC. DBA OPTIMISSPORT PHY PACIFIC PALISADES, CA 90272-3620 RANCHO PUEBLO PHARMACY PHARMACY 31515 RANCHO PUEBLO RD, (951) 972-8822 TEMECULA, CA 92592 RANCHO SANTA FE PHARMACY 6056 EL TORDO STE 1188, RANCHO (858) 756-3096 PHARMACY SANTA FE, CA 92067 RANCHO SANTA MARGARITA PHYSICAL THERAPY 29803 SANTA MARGARITA PKWY, (949) 459-9010 PHYSICAL THERAPY RANCHO SANTA MARGARITA, CA 92688-3609 RANCHO SPRINGS MEDICAL RANCHO SPRINGS MEDICAL ACUTE CARE HOSPITAL 25500 MEDICAL CENTER DR, (951) 696-6000 CENTER (BCC) CENTER MURRIETA, CA 92562 RANCHO SPRINGS PHARMACY 25485 MEDICAL CENTER DR, (951) 698-4505 OUTPATIENT PHCY MURRIETA, CA 92562 RANDALL, JOHN - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 1395 1ST ST STE 100, GILROY, CA 95020 (408) 846-6000 THERAPY GILROY RANDALL, JOHN - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 14103 WINCHESTER BLVD STE F, LOS (408) 868-5577 THERAPY LOS GATOS GATOS, CA 95032 RANDAZZO, DANIEL - LMT EAST BAY PHYSICAL THERAPY MASSAGE THERAPIST 3571 SAN PABLO DAM ROAD, 5102228080ext RICHMOND, CA 94806 10 RAO, AMOL R - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 18111 BROOKHURST ST STE 4300, (714) 378-7330 ONCOLOGY FOUNTAIN VALLEY , CA 92708 RAO, AMOL R - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 24411 HEALTH CENTER DR STE 320, (714) 378-7330 ONCOLOGY LAGUNA HILLS , CA 92653 RAO, RAJEEV - MD VASCULAR SURGERY 1301 20TH ST #390, SANTA MONICA, CA (310) 315-5765 90404 RAO, RAJEEV - MD VASCULAR SURGERY 8631 WEST 3RD ST #315 E, LOS (310) 652-8132 ANGELES, CA 90048 RAPADA, MAILAH - PT SANTA CLARA PHYSICAL PHYSICAL THERAPY 2488 DE LA CRUZ BLVD, SANTA CLARA, (408) 247-7278 THERAPY CA 95050 RAPHA PHYSICAL THERAPY PHYSICAL THERAPY 11961 VENICE BLVD, LOS ANGELES, CA (443) 992-3236 90066 RAPHA PHYSICAL THERAPY PHYSICAL THERAPY 4959 PALO VERDE ST STE 109C, (909) 971-3092 MONTCLAIR, CA 91763-2358 RAPIDCARE WALK IN MED GRP RAPIDCARE WALK IN MED GRP URGENT CARE FACILITY 4062 FLYING C RD STE 41, CAMERON (530) 676-8234 INC (BCC) INC PARK, CA 95682 RAPOFF, CHRISTOPHER - DC CHIROPRACTIC WORKS CHIROPRACTIC MEDICINE 2145 E TAHQUITZ CANYON WAY STE 4, (760) 327-2488 PALM SPRINGS, CA 92262 RASCAL CREEK PHYSICAL PHYSICAL THERAPY 3327 M ST STE A, MERCED, CA (209) 722-1030 THERAPY 95348-2705 RASHTIAN, MORRIS - DC RASHTIAN MORRIS DR CHIROPRACTIC MEDICINE 8500 WILSHIRE BLVD STE 102, (310) 659-3389 BEVERLY HILLS, CA 90211 RASKOFF, JOSHUA - PT ACTIVE CARE PHYSICAL PHYSICAL THERAPY 3019 GEARY BLVD, SAN FRANCISCO, (415) 387-6564 THERAPY CA 94118 RASMUSSEN, JOHN K - DPM SANSUM CLINIC - FOOTHILL PODIATRY 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 (BCC) SURGERY CENTER CA 93110 RASMUSSEN, STEPHEN - DC DR STEPHEN RASMUSSEN DC CHIROPRACTIC MEDICINE 100 W AMERICAN CANYON RD STE K2, (707) 864-2223 AMERICAN CANYON, CA 94503 RASOOLI, AZIZ - DPM (BCC) LA BONE AND JOINT INSTITUTE PODIATRY 16311 VENTURA BLVD STE 1150, (818) 477-0787 ENCINO, CA 91436 RASOULI, ALEXANDRE - MD CEDARS SINAI SPINE CENTER ORTHOPEDICS - SPINE 444 S SAN VICENTE BLVD STE 901 (310) 248-7330 (BCC) MARK GOODSON BLDG, LOS ANGELES , CA 90048 RASOULI, ALEXANDRE - MD CEDARS SINAI SPINE CENTER SPINE SURGERY 444 S SAN VICENTE BLVD STE 901 (310) 248-7330 (BCC) MARK GOODSON BLDG, LOS ANGELES , CA 90048 RASTOGI, ANIL K - MD (BCC) HEMET HEART MEDICAL CARDIOVASCULAR DISEASE 1275 E LATHAM AVE STE A , HEMET, CA (951) 652-5555 CENTER (CARDIOLOGY) 92543

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 550 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RATLIFF, IRMA - PT AUBURN OAKS CARE CENTER PHYSICAL THERAPY 3400 BELL RD, AUBURN, CA 95603 (530) 888-6257 RATNARATHORN, MONTHAKAN CONCENTRA MEDICAL PRIMARY TREATING 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 - MD CENTER - LOS ANGELES - 8TH PHYSICIAN ANGELES, CA 90017 ST RATNARATHORN, MONTHAKAN CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 - MD CENTER - LOS ANGELES - 8TH ANGELES, CA 90017 ST RAUENBUEHLER, SUSAN - PT PENINSULA SPORTS MEDICINE PHYSICAL THERAPY 2945 JUNIPERO SERRA BLVD, DALY (650) 784-1349 AND REHAB CENTER CITY, CA 94014 RAUSCH PHYSICAL THERAPY PHYSICAL THERAPY 30100 TOWN CENTER DR STE Y, (949) 276-5401 LAGUNA NIGUEL, CA 92677-2064 RAUSCH, RYAN - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 1395 1ST ST STE 100, GILROY, CA 95020 (408) 846-6000 THERAPY GILROY RAUSER, MICHAEL E - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 (BCC) LLUSM RIVERSIDE, CA 92505 RAUSER, MICHAEL E - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 (BCC) LLUSM LOMA LINDA, CA 92354 RAUSER, MICHAEL E - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 (BCC) LLUSM BEAUMONT, CA 92223 RAVELIN, RICHARD V - MD MONTEREY ORTHOPEDICS - ORTHOPEDICS - SPINE 101 WILSON RD, MONTEREY, CA 93940 (831) 648-8600 (BCC) SPINE AND JOINT RAVELIN, RICHARD V - MD MONTEREY ORTHOPEDICS - SPINE SURGERY 101 WILSON RD, MONTEREY, CA 93940 (831) 648-8600 (BCC) SPINE AND JOINT RAVIN, ROSS - MD (BCC) ANESTHESIOLOGY 436 N BEDFORD DR STE 101, BEVERLY (310) 409-2300 HILLS, CA 90210 RAVIN, ROSS - MD (BCC) ANESTHESIOLOGY 5651 SEPULVEDA BLVD STE 101, (848) 442-9696 SHERMAN OAKS, CA 91411 RAVIN, ROSS - MD (BCC) ANESTHESIOLOGY 5901 W OLYMPIC BLVD STE 503, LOS (323) 934-8877 ANGELES, CA 90036 RAVIN, ROSS - MD (BCC) ANESTHESIOLOGY 8670 WILSHIRE BLVD STE 300, (310) 275-1646 BEVERLY HILLS, CA 90211 RAVIN, ROSS - MD (BCC) ANESTHESIOLOGY 9001 WILSHIRE BLVD STE 100, (310) 275-2339 BEVERLY HILLS, CA 90211 RAY FISHER PHARMACY PHARMACY 6629 N BLACKSTONE AVE #101, (559) 437-3800 FRESNO, CA 93710 RAY, ANDREA O - MD (BCC) LOMA LINDA UNIVERSITY PLASTIC & RECONSTRUCTIVE 11370 ANDERSON ST FMO 3200, LOMA (800) 679-4642 HEALTH CARE - SURGERY LINDA , CA 92354 OSTEOPOROSIS MEDICINE FP&S RAY, TYLER - PTA IN MOTION PHYSICAL PHYSICAL THERAPY 17332 VON KARMAN AVE STE 120, (949) 861-8600 THERAPY IRVINE, CA 92614 RAYMOND RENAISSANCE AMBULATORY SURGERY 125 N RAYMOND AVE UNIT 212, (626) 529-3937 SURGERY CENTER LLC CENTER PASADENA, CA 91103 RAYMOND, GAREY - PT FINISHLINE PHYSICAL PHYSICAL THERAPY 969 S SANTA FE AVE STE E2, VISTA, CA (760) 330-9995 THERAPY INC 92083 RAYMORE, PATRICK F - MD KAISER PERMANENTE OPHTHALMOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER RAYTIS, JOHN - MD (BCC) ANESTHESIOLOGY 1500 E DUARTE RD, DUARTE, CA 91010 (626) 256-4673 RAZI PHARMACY PHARMACY 23162 LOS ALISOS BLVD, MISSION (949) 583-7294 VIEJO, CA 92691 RAZIPOUR, MITRA - DC NATURES REMEDY CLINIC CHIROPRACTIC MEDICINE 20969 VENTURA BLVD STE 23, (818) 501-5252 WOODLAND HILLS, CA 91364 RAZZOUK, ANEES J - MD (BCC) CARDIOTHORACIC SURGERY THORACIC AND CARDIAC 11234 ANDERSON ST SP RM 1617, (800) 679-4642 LLUMC SURGERY LOMA LINDA , CA 92354 RE COMMUNITY PHARMACY PHARMACY 32241 CAMINO CAPISTRANO, SAN JUAN (949) 484-8433 CAPISTRANO, CA 92675 RE PHARMACY PHARMACY 2571 W LA PALMA AVE STE A, (714) 576-5875 ANAHEIM, CA 92801 REAGAN STREET SURGERY AMBULATORY SURGERY 10904 REAGAN ST, LOS ALAMITOS, CA (562) 596-3140 CENTER LLC CENTER 90720 REAPER, THOMAS A - MD SANSUM CLINIC - OCCUPATIONAL MEDICINE 101 S PATTERSON AVE , SANTA (805) 898-3311 (BCC) OCCUPATIONAL MEDICINE BARBARA, CA 93111

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 551 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone REAPER, THOMAS A - MD SANSUM CLINIC - PRIMARY TREATING 101 S PATTERSON AVE , SANTA (805) 898-3311 (BCC) OCCUPATIONAL MEDICINE PHYSICIAN BARBARA, CA 93111 REARICK, TIMOTHY - MD (BCC) ORTHOPEDIC SURGERY - 2230 LYNN RD STE 220, THOUSAND (805) 527-1404 ANKLE OAKS, CA 91360 REARICK, TIMOTHY - MD (BCC) ORTHOPEDICS - ANKLE 2230 LYNN RD STE 220, THOUSAND (805) 527-1404 OAKS, CA 91360 REARICK, TIMOTHY - MD (BCC) ORTHOPEDIC SURGERY - 2230 LYNN RD STE 220, THOUSAND (805) 527-1404 FOOT OAKS, CA 91360 REARICK, TIMOTHY - MD (BCC) ORTHOPEDICS - FOOT 2230 LYNN RD STE 220, THOUSAND (805) 527-1404 OAKS, CA 91360 REARICK, TIMOTHY J - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2525 ERRINGER RD , SIMI VALLEY, CA (805) 527-1404 (BCC) ANKLE 93065 REARICK, TIMOTHY J - MD VENTURA ORTHOPEDICS ORTHOPEDICS - ANKLE 2525 ERRINGER RD , SIMI VALLEY, CA (805) 527-1404 (BCC) 93065 REARICK, TIMOTHY J - MD VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2525 ERRINGER RD , SIMI VALLEY, CA (805) 527-1404 (BCC) FOOT 93065 REARICK, TIMOTHY J - MD VENTURA ORTHOPEDICS ORTHOPEDICS - FOOT 2525 ERRINGER RD , SIMI VALLEY, CA (805) 527-1404 (BCC) 93065 REAVES, NICOLE - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 REAVES, NICOLE - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 5630 E SANTA ANA CANYON RD STE (714) 282-7701 SPORTS THERAPY 150, ANAHEIM, CA 92807 REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 7206 N MILBURN AVE STE 102, (559) 271-3100 FRESNO, CA 93722-8450 RECKINBERG, CHAD - PT BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 RECKINBERG, CHAD - PT BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 RECORD, NICOLE C - DO (BCC) LA BONE AND JOINT INSTITUTE SPINE SURGERY 16311 VENTURA BLVD STE 1150, (818) 477-0787 ENCINO, CA 91436 RECORD, NICOLE C - DO (BCC) LA BONE AND JOINT INSTITUTE ORTHOPEDICS - SPINE 16311 VENTURA BLVD STE 1150, (818) 477-0787 ENCINO, CA 91436 RECORD, NICOLE C - DO (BCC) SOUTHERN CALIFORNIA SPINE SURGERY 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 MEDICAL GROUP 90007 RECOVERY PHYSICAL PHYSICAL THERAPY 3215 N CALIFORNIA ST STE 4, (209) 464-6016 THERAPY STOCKTON, CA 95204-3433 RECOVERY RESOURCES (BCC) RECOVERY RESOURCES CHEMICAL DEPENDENCY 4040 S DEMAREE ST STE A, VISALIA, CA (559) 625-8176 REHABILITATION CENTER 93277 (OUTPATIENT) RECOVERY ROAD MEDICAL RECOVERY ROAD MEDICAL CHEMICAL DEPENDENCY 3891 STATE ST STE 205, SANTA (805) 962-7800 CENTER (BCC) CENTER REHABILITATION CENTER BARBARA, CA 93105 (OUTPATIENT) RECOVERY SYSTEMS RECOVERY SYSTEMS CHEMICAL DEPENDENCY 823 E ORANGEBURG AVE, MODESTO, (209) 527-9797 ASSOCIATES (BCC) ASSOCIATES REHABILITATION CENTER CA 95350 (OUTPATIENT) RED BLUFF PHYSICAL PHYSICAL THERAPY 100 JACKSON ST, RED BLUFF, CA (530) 529-5777 THERAPY 96080-3954 RED BLUFF PHYSICAL PHYSICAL THERAPY 2335 ATHENS AVE, REDDING, CA (530) 229-7777 THERAPY 96001-2818 RED CHIP OF NEVADA PHARMACY 18009 SKY PARK CIR STE F, IRVINE, CA (888) 989-2462 92614 RED ROAD RECOVERY (BCC) RED ROAD RECOVERY CHEMICAL DEPENDENCY 421 N 13TH ST, SAN JOSE, CA 95112 (408) 971-0118 REHABILITATION CENTER (OUTPATIENT) REDDEN, MARY - PT PACIFIC HILLS MANOR PHYSICAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 REDDING OCCUPATIONAL REDDING OCCUPATIONAL URGENT CARE FACILITY 1710 CHURN CREEK RD, REDDING, CA (530) 646-4242 MEDICAL CENTER INC (BCC) MEDICAL CENTER INC 96002 REDDING PHYSICAL THERAPY PHYSICAL THERAPY 1706 CHURN CREEK ROAD, REDDING, (530) 243-1102 CA 96002 REDDING PHYSICAL THERAPY PHYSICAL THERAPY 1706 CHURN CREEK ROAD, REDDING, (530) 243-1102 CA 96002 REDDING PHYSICAL THERAPY PHYSICAL THERAPY 710 SOLANO ST, CORNING, CA 96021 (530) 824-9355 REDDING RANCHERIA INDIAN PHARMACY 1441 LIBERTY ST, REDDING, CA 96001 (530) 224-2700 HEALT

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 552 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone REDDY, HANUMANDLA R - MD CARDIOVASCULAR DISEASE 1114 W 6TH ST STE 106, HANFORD, CA (559) 582-0397 (BCC) (CARDIOLOGY) 93230 REDDY, NEERAJA B - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER REDDY, NITHIN - MD KAISER PERMAMENTE ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES 92111 REDDY, USHA - MD (BCC) EMERGENCY MEDICINE 1050 LINDEN AVE, LONG BEACH, CA (562) 491-9000 90813 REDDY, USHA - MD (BCC) EMERGENCY MEDICINE 1300 W 7TH ST, SAN PEDRO, CA 90732 (310) 832-3311 REDFERN, DANIELLE - LAC INNOVA WELLNESS ACUPUNCTURE 122 E OLIVE AVE, BURBANK, CA 91502 (661) 312-0788 REDKAR, AVANTI - DPM (BCC) UNIVERSITY FOOT & ANKLE PODIATRY 5901 OLYMPIC BLVD SE 509, LOS (310) 461-2002 INSTITUTE ANGELES , CA 90036 REDLANDS COMMUNITY REDLANDS COMMUNITY ACUTE CARE HOSPITAL 350 TERRACINA BLVD, REDLANDS, CA (909) 335-5500 HOSPITAL (BCC) HOSPITAL 92373 REDLANDS INDUSTRIAL REDLANDS INDUSTRIAL URGENT CARE FACILITY 255 TERRACINA BLVD STE 101A, (909) 748-6569 MEDICAL CLINIC (BCC) MEDICAL CLINIC REDLANDS, CA 92373 REDLANDS PHARMACY PHARMACY 245 TERRACINA BLVD, REDLANDS, CA (909) 792-8118 92373 REDLANDS PHYSICAL PHYSICAL THERAPY 1329 BARTON RD STE B, REDLANDS, (909) 255-1694 THERAPY CA 92373 REDONDO ORTHOPEDIC PHYSICAL THERAPY 520 N PROSPECT AVE STE 100, (310) 376-9222 PHYSICAL THERAPY REDONDO BEACH, CA 90277 REDONDO ORTHOPEDIC PHYSICAL THERAPY 520 N PROSPECT AVESUITE 100, (310) 376-9222 PHYSICAL THERAPY REDONDO BEACH, CA 90277-3033 REDWINE, JONATHON T - MD KAISER PERMANENTE SAN GENERAL SURGERY 280 HOSPITAL PARKWAY BLDG A, SAN (408) 972-7000 JOSE MEDICAL CENTER JOSE, CA 95119 REDWOOD HAND THERAPY PHYSICAL THERAPY 320 TESCONI CIR STE G, SANTA ROSA, (707) 544-2637 CA 95401-4611 REDWOOD MEMORIAL REDWOOD MEMORIAL ACUTE CARE HOSPITAL 3300 RENNER DR, FORTUNA, CA 95540 (707) 725-3361 HOSPITAL (BCC) HOSPITAL REDWOOD ORTHOPAEDIC PHYSICAL THERAPY 20211 PATIO DR STE 205, CASTRO (510) 537-3991 PHYSICAL THERAPY VALLEY, CA 94546-4338 REED, JASON T - DO KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER REED, MARTY E - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER REEDLEY PHYSICAL THERAPY PHYSICAL THERAPY 746 G ST, REEDLEY, CA 93654 (559) 638-1171 REEDLEY PHYSICAL THERAPY PHYSICAL THERAPY 746 G ST, REEDLEY, CA 93654-2622 (559) 638-1171 - CA, REEDLEY REEDLEY PRO-SCRIPT PHARMACY 1045 G ST, REEDLEY, CA 93654 (559) 637-7000 PHARMACY REEKSTIN, MATTHEW - PT CORE TOTAL BODY PHYSICAL PHYSICAL THERAPY 120 S CHAPARRAL CT STE 150, (714) 998-9580 THERAPY PC ANAHEIM, CA 92808 REEVES, MARK E - MD (BCC) LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11234 ANDERSON ST - SCHUMAN (800) 679-4642 HEALTH CARE - WOMENS PAVILLION A-220, LOMA LINDA , CA CANCER & SURGICAL 92354 ONCOLOGY CENTER REFAAT, PARISA - PT BELMONT SHORE PHYSICAL PHYSICAL THERAPY 4028 E BROADWAY, LONG BEACH, CA (562) 433-4331 THERAPY 90803 REGAL MEDICAL GROUP (BCC) REGAL MEDICAL GROUP URGENT CARE FACILITY 117 E LIVE OAK AVE STE 101, ARCADIA, (626) 446-8492 CA 91006 REGAL SPECIALTY PHARMACY PHARMACY 1875 CALIFORNIA AVE # 101, CORONA, (951) 817-1005 CA 92881 REGALA, SIDJOHNN, MATTHEW WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 - PT THERAPY INC DIEGO, CA 92109 REGAN, DANIEL - LAC ACUPUNCTURE SPORTS ACUPUNCTURE 141 TRIUNFO CANYON RD, WESTLAKE (805) 200-3133 INJURY AND WELLNESS CLINIC VILLAGE, CA 91361

REGAN, MAUREEN - PT QUADS PHYSICAL THERAPY PHYSICAL THERAPY 780 SOUTH ARROYO PKWY, (626) 844-6458 PASADENA, CA 91105 REGENCY MEDICAL PHARMACY 1000 NEWBURY RD STE 100, NEWBURY (805) 375-4050 PHARMACY PARK, CA 91320

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 553 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone REGENTS PHARMACY PHARMACY 4150 REGENTS PARK ROW 155, LA (858) 281-5200 JOLLA, CA 92037 REGIONAL CARE PHARMACY PHARMACY 326 E AVENUE I, LANCASTER, CA 93535 (661) 945-4600 REGIONAL MEDICAL CENTER REGIONAL MEDICAL CENTER ACUTE CARE HOSPITAL 225 N JACKSON AVE, SAN JOSE, CA (800) 307-7135 OF SAN JOSE (BCC) OF SAN JOSE 95116 REGOLI, MICHELLE - OT DERYKE ASSOCIATES DBA OCCUPATIONAL THERAPY 201 E HAMILTON AVE, CAMPBELL, CA (408) 376-0900 FYZICAL CAMPBELL 95008 REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE & PHYSICAL ESCONDIDO, CA 92029-4112 THERAPY REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE & PHYSICAL SAN DIEGO, CA 92121-1035 THERAPY REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE & PHYSICAL 92123-1830 THERAPY REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE & PHYSICAL MESA, CA 91942-6106 THERAPY REHABILICARE AT MADRONE PHYSICAL THERAPY 46 MADRONE ST, WILLITS, CA 95490 (707) 459-4220 PHYSICAL THER REHABILICARE AT RDR PT PHYSICAL THERAPY 100 S RAYMOND AVE, ALHAMBRA, CA (626) 458-4704 SERVICES 91801 REHABPILATES PHYSICAL PHYSICAL THERAPY 13690 E 14TH ST STE 110, SAN (510) 698-6259 THERAPY AND PILATES INC LEANDRO, CA 94578 REHANEK, TODD - DC RAHANEK CHIROPRACTIC CHIROPRACTIC MEDICINE 3645 SAVIERS RD STE 1, OXNARD, CA (805) 483-0607 93033 REICHER, DANIELLE - MD ANESTHESIOLOGY 354 SANTA FE DR, ENCINITAS, CA (760) 633-7840 (BCC) 92024 REICHWALD, NORMAN - PHD PSYCHOLOGY 1050 LAKES DR STE 225, WEST (310) 837-2444 (BCC) COVINA, CA 91790 REICHWALD, NORMAN - PHD PSYCHOLOGY 250 W 1ST STE 52, CLAREMONT, CA (310) 837-2444 (BCC) 91711 REICHWALD, NORMAN - PHD PSYCHOLOGY 473 E CARNEGIE DR STE 200, SAN (310) 837-2444 (BCC) BERNARDINO, CA 92408 REICHWALD, NORMAN - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 1050 WEST LAKES DR STE 225, WEST (800) 803-2086 GROUP INC COVINA, CA 91790 REICHWALD, NORMAN - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 1055 E COLORADO BLVD FL 5, (800) 803-2086 GROUP INC PASADENA, CA 91106 REICHWALD, NORMAN - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 117 EAST COLORADO BLVD STE 600 , (800) 803-2086 GROUP INC PASADENA, CA 91105 REICHWALD, NORMAN - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 250 W FIRST ST STE 352 , CLAREMONT, (800) 803-2086 GROUP INC CA 91711 REICHWALD, NORMAN - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 473 E CARNEGIE DR STE 200 , SAN (800) 803-2086 GROUP INC BERNARDINO, CA 92408 REID, BRENDA - DC BACK AND NECK PAIN CENTER CHIROPRACTIC MEDICINE 16727 BEAR VALLEY RD STE 260, (760) 949-3969 HESPERIA, CA 92345 REID, KIMBERLY, ROSE - PT VIBRANTCARE PHYSICAL THERAPY 2400 DEL PASO RD STE 132, (916) 886-2940 SACRAMENTO, CA 95834 REIDER, DANER R - MD CONCENTRA MEDICAL PRIMARY TREATING 1619 E EDINGER AVE, SANTA ANA, CA (714) 542-8904 CENTER - EAST EDINGER & PHYSICIAN 92705 LYON REIDER, DANER R - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1619 E EDINGER AVE, SANTA ANA, CA (714) 542-8904 CENTER - EAST EDINGER & 92705 LYON REILLY, JENNIFER - LAC CANYON HEALTH CENTER ACUPUNCTURE 164 MAPLE ST STE 4, AUBURN, CA (530) 888-0842 95603 REIMER, GRAHAM N - MD (BCC) SANSUM CLINIC - PAIN PAIN MANAGEMENT 3916 STATE ST STE 300B, SANTA (805) 681-7858 MANAGEMENT BARBARA, CA 93105 REINES, MICHAEL - MD PAIN MANAGEMENT 18952 MACARTHUR BLVD STE 103, (949) 887-1580 IRVINE, CA 92612 REINHERZ, IRA - DC REINHERZ CHIROPRACTIC INC CHIROPRACTIC MEDICINE 120 N ALVARADO ST, LOS ANGELES, (213) 353-0200 CA 90026

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 554 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone REINHERZ, IRA - DC REINHERZ CHIROPRACTIC INC CHIROPRACTIC MEDICINE 7621 VAN NUYS BLVD, VAN NUYS, CA (818) 855-1627 91405 REIS, KAITLIN - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 THERAPY RAMON, CA 94583 REIS, KAITLIN - PT SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 THERAPYMAIN 94526 REISCH, ROBERT - MD (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - HIP 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 REISCH, ROBERT - MD (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC LOWER EXTREMITIES GLENDALE, CA 91205 REISCH, ROBERT - MD (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDIC SURGERY - 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC UPPER EXTREMITIES GLENDALE, CA 91205 REISCH, ROBERT - MD (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDICS - HIP 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC GLENDALE, CA 91205 REISCH, ROBERT - MD (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDICS - LOWER 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC EXTREMITIES GLENDALE, CA 91205 REISCH, ROBERT - MD (BCC) GLENDALE FIDELITY MEDICAL ORTHOPEDICS - UPPER 815 E COLORADO ST STE 110A, (818) 242-1910 GROUP INC EXTREMITIES GLENDALE, CA 91205 REISCH, ROBERT B - MD ENCINO ORTHOPEDICS ORTHOPEDIC SURGERY - 16030 VENTURA BLVD STE 150, (818) 784-9593 UPPER EXTREMITIES ENCINO, CA 91436 REISCH, ROBERT B - MD ENCINO ORTHOPEDICS ORTHOPEDIC SURGERY - 16030 VENTURA BLVD STE 150, (818) 784-9593 LOWER EXTREMITIES ENCINO, CA 91436 REISCH, ROBERT B - MD ENCINO ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 16030 VENTURA BLVD STE 150, (818) 784-9593 ENCINO, CA 91436 REISCH, ROBERT B - MD ENCINO ORTHOPEDICS SPINE SURGERY 16030 VENTURA BLVD STE 150, (818) 784-9593 ENCINO, CA 91436 REISCH, ROBERT B - MD ENCINO ORTHOPEDICS ORTHOPEDICS - UPPER 16030 VENTURA BLVD STE 150, (818) 784-9593 EXTREMITIES ENCINO, CA 91436 REISCH, ROBERT B - MD ENCINO ORTHOPEDICS ORTHOPEDICS - LOWER 16030 VENTURA BLVD STE 150, (818) 784-9593 EXTREMITIES ENCINO, CA 91436 REISCH, ROBERT B - MD ENCINO ORTHOPEDICS ORTHOPEDICS - HIP 16030 VENTURA BLVD STE 150, (818) 784-9593 ENCINO, CA 91436 REISCH, ROBERT B - MD ENCINO ORTHOPEDICS ORTHOPEDICS - SPINE 16030 VENTURA BLVD STE 150, (818) 784-9593 ENCINO, CA 91436 REISCH, ROBERT B - MD (BCC) LONG BEACH PRIME MEDICAL ORTHOPEDIC SURGERY - HIP 4014 LONG BEACH BLVD STE 210, (562) 997-7100 GROUP LONG BEACH, CA 90807 REISCH, ROBERT B - MD (BCC) LONG BEACH PRIME MEDICAL ORTHOPEDIC SURGERY - 4014 LONG BEACH BLVD STE 210, (562) 997-7100 GROUP LOWER EXTREMITIES LONG BEACH, CA 90807 REISCH, ROBERT B - MD (BCC) LONG BEACH PRIME MEDICAL ORTHOPEDIC SURGERY - 4014 LONG BEACH BLVD STE 210, (562) 997-7100 GROUP UPPER EXTREMITIES LONG BEACH, CA 90807 REISCH, ROBERT B - MD (BCC) LONG BEACH PRIME MEDICAL ORTHOPEDICS - HIP 4014 LONG BEACH BLVD STE 210, (562) 997-7100 GROUP LONG BEACH, CA 90807 REISCH, ROBERT B - MD (BCC) LONG BEACH PRIME MEDICAL ORTHOPEDICS - LOWER 4014 LONG BEACH BLVD STE 210, (562) 997-7100 GROUP EXTREMITIES LONG BEACH, CA 90807 REISCH, ROBERT B - MD (BCC) LONG BEACH PRIME MEDICAL ORTHOPEDICS - UPPER 4014 LONG BEACH BLVD STE 210, (562) 997-7100 GROUP EXTREMITIES LONG BEACH, CA 90807 REISCHL PHYSICAL THERAPY PHYSICAL THERAPY 3292 E WILLOW ST, SIGNAL HILL, CA (562) 427-2225 INC 90755 REISCHL PHYSICAL THERAPY PHYSICAL THERAPY 3292 E WILLOW ST, SIGNAL HILL, CA (562) 427-2225 INC 90755 REISING, JAMES - PT NORTON EACRETT AND PHYSICAL THERAPY 2625 W ALAMEDA AVE STE 102, (818) 845-9010 ASSOCIATES PHYSICAL BURBANK, CA 91505 THERAPY PC REISMAN, MARC - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 REISS, MATTHEW J - MD (BCC) TORRANCE MEDICAL CENTER - PLASTIC SURGERY 3325 MEDICAL CENTER DR - (310) 517-4736 BURN CENTER TORRANCE WEST TOWER 4TH FLR, TORRANCE, CA 90505 RELIABLE CARE PHARMACY PHARMACY 2121 W 6TH ST, LOS ANGELES, CA (213) 483-1100 90057 RELIABLE HEALTH MART PHCY PHARMACY 18350 ROSCOE BLVD, NORTHRIDGE, (818) 885-7722 CA 91325

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 555 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RELIABLE REXALL SUNSET PHARMACY 801 IRVING ST, SAN FRANCISCO, CA (415) 664-8800 PHCY 94122 RELIANCE PHARMACY PHARMACY 11333 SEPULVEDA BLVD, MISSION (818) 837-5999 HILLS, CA 91345 RELIANT URGENT CARE RELIANT URGENT CARE URGENT CARE FACILITY 5901 W CENTURY BLVD , LOS (310) 215-6000 ANGELES, CA 90045 RELIANT URGENT CARE RELIANT URGENT CARE URGENT CARE FACILITY 11460 TELEGRAPH RD , SANTA FE (310) 491-7060 SPRINGS, CA 90670 RELIANT URGENT CARE URGENT CARE FACILITY 2300 W BEVERLY BLVD, MONTEBELLO, (626) 646-5238 CA 90640 RELIANT URGENT CARE URGENT CARE FACILITY 5900 PACIFIC BLVD, HUNTINGTON (310) 491-7080 PARK, CA 90255 RELIANT URGENT CARE URGENT CARE FACILITY 814 S FRANCISCO ST, LOS ANGELES, (310) 491-7070 CA 90017 REMEDY DRUGS PHARMACY 1700 W GLENOAKS BLVD, GLENDALE, (818) 549-1010 CA 91201 REMEDY MEDICAL GROUP PHARMACY 363 MAIN ST STE C, REDWOOD CITY, (479) 636-9702 CA 94063 REMEDY RX PHARMACY 1420 E ROSEVILLE PKWY, ROSEVILLE, (916) 740-1600 CA 95661 REMI VISTA INC (BCC) REMI VISTA INC CHEMICAL DEPENDENCY 2701 PARK MARINA DR, REDDING, CA (530) 245-5805 REHABILITATION CENTER 96001 (OUTPATIENT) REMI VISTA INC (BCC) REMI VISTA INC CHEMICAL DEPENDENCY 287 RIO LINDO AVE, CHICO, CA 95926 (530) 893-4784 REHABILITATION CENTER (OUTPATIENT) REMI VISTA INC (BCC) REMI VISTA INC CHEMICAL DEPENDENCY 301 CHESTNUT ST, MOUNT SHASTA, CA (530) 926-1436 REHABILITATION CENTER 96067 (OUTPATIENT) REMI VISTA INC (BCC) REMI VISTA INC CHEMICAL DEPENDENCY 3191 CHURN CREEK RD, REDDING, CA (530) 224-7160 REHABILITATION CENTER 96002 (OUTPATIENT) REMI VISTA INC (BCC) REMI VISTA INC CHEMICAL DEPENDENCY 370 9TH ST, CRESCENT CITY, CA 95531 (707) 464-4349 REHABILITATION CENTER (OUTPATIENT) REMI VISTA INC (BCC) REMI VISTA INC CHEMICAL DEPENDENCY 3960 WALNUT DR, EUREKA, CA 95503 (707) 268-8722 REHABILITATION CENTER (OUTPATIENT) RENDON, STEWART - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 2226 MEDICAL CENTER DR, STE 102, (951) 657-1400 GROUP INC PERRIS, CA 92571 RENDON, STEWART - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 290 N 10TH ST, STE 100, COLTON, CA (909) 264-2500 GROUP INC 92324 RENDON, STEWART - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 RENNER, SHAWN - PT PERFORMANCE PLUS PHYSICAL THERAPY 1392 E PALOMAR ST STE 503, CHULA (619) 482-3000 PHYSICAL THERAPY VISTA, CA 91913 RESEDA PHARMACY PHARMACY 6900 RESEDA BLVD STE E, RESEDA, CA (818) 708-3030 91335 RESEDA URGENT CARE INC RESEDA URGENT CARE INC URGENT CARE FACILITY 6830 RESEDA BLVD, RESEDA, CA 91335 (818) 996-4888 (BCC) RESNICK NEUROPSYCHIATRIC RESNICK NEUROPSYCHIATRIC MENTAL HEALTH/PSYCHIATRIC 150 UCLA MEDICAL PLZ, LOS ANGELES, (310) 825-9111 HOSPITAL AT UCLA (BCC) HOSPITAL AT UCLA HOSPITAL (INPATIENT) CA 90024 RESTOR PHYSICAL THERAPY PHYSICAL THERAPY 16782 HALE AVE, IRVINE, CA 92606 (949) 727-1858 RESTOR PHYSICAL THERAPY PHYSICAL THERAPY 351 HOSPITAL RD STE 007, NEWPORT (949) 525-9995 BEACH, CA 92663-3504 RESTOR PHYSICAL PHYSICAL THERAPY 17272 NEWHOPE ST STE G, FOUNTAIN (714) 754-7268 THERAPY(MAIN) VALLEY, CA 92708-4210 RESTORATIVE THERAPY PHYSICAL THERAPY 15775 LAGUNA CANYON RD STE 110, (949) 333-3833 ASSOCIATES IRVINE, CA 92618-3192 RESULTS PHYSICAL THERAPY PHYSICAL THERAPY 3727 BRADVIEW DR STE 90, (916) 362-7962 & TRAINING CTR. SACRAMENTO, CA 95827-9703 RETTA, AMANDA - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 556 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone REVAMP PHYSICAL THERAPY PHYSICAL THERAPY 805 E BROADWAY STE A, GLENDALE, (818) 254-8792 CA 91205 REVITA, CHARO - PT VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 REVUELTA, HERIBERTO - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 REVUELTA, HERIBERTO - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 REXFORD SURGICAL INSITUTE AMBULATORY SURGERY 9301 WILSHIRE BLVD STE 401, (310) 274-3484 INC CENTER BEVERLY HILLS, CA 90210 REXMED RX PHARMACY 4481 WHITTIER BLVD, LOS ANGELES, (323) 268-7163 CA 90022 REYES, ALEXANDER, PUA - PT PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 REYES, ANNA - OTA PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 REYES, DANIEL - DC SIERRA SPINE REHAB CHIROPRACTIC MEDICINE 5533 W HILLSDALE AVE STE C, VISALIA, (559) 747-2052 CENTER CA 93291 REYES, JORDAN - AUD ADVANCED HEARING AUDIOLOGY 840 WILLOW ST STE 300, SAN JOSE, CA (800) 598-5300 PROVIDERS LLC 95125 REYNOLDS, AARON - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 REYNOLDS, JULIE - PT PROFESSIONAL PHYSICAL PHYSICAL THERAPY 2138 MARGUERITE ST, DOS PALOS, CA (209) 392-8830 THERAPY 93620 REYNOLDS, LENA - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 1845 BUSINESS CENTER DR STE 127, (909) 890-9030 INC SAN BERNARDINO, CA 92408 REYZIN, GARY HEALTHLINE MEDICAL GROUP PRIMARY TREATING 15211 VANOWEN ST STE 105, VAN (818) 997-7711 PHYSICIAN NUYS, CA 91405 REYZIN, GARY HEALTHLINE MEDICAL GROUP OCCUPATIONAL MEDICINE 15211 VANOWEN ST STE 105, VAN (818) 997-7711 NUYS, CA 91405 REZAEI, PARI - PT SEVEN TO 7 PHYSICAL HAND PHYSICAL THERAPY 22 ODYSSEY STE 165, IRVINE, CA 92618 (949) 727-2192 THERAPY REZAEI, PARI - PT SEVEN TO 7 PHYSICAL HAND PHYSICAL THERAPY 2700 N MAIN ST STE 340, SANTA ANA, (714) 953-7330 THERAPY CA 92705 REZAEI, PARI - PT SEVEN TO 7 PHYSICAL HAND PHYSICAL THERAPY 401 N BROOKHURST ST STE 100, (949) 727-2192 THERAPY ANAHEIM, CA 92801 REZAEI, ROSS - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 22 ODYSSEY STE 165, IRVINE, CA 92618 (949) 727-2192 THERAPY REZAEI, ROSS - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 2700 N MAIN ST STE 340, SANTA ANA, (714) 953-7330 THERAPY CA 92705 REZAEI, ROSS - OT SEVEN TO 7 PHYSICAL HAND OCCUPATIONAL THERAPY 401 N BROOKHURST ST STE 100, (949) 727-2192 THERAPY ANAHEIM, CA 92801 REZCARE PHARMACY PHARMACY 3821 CALLE FORTUNADA STE D, SAN (619) 878-6188 DIEGO, CA 92123 REZNIKOFF, MARC - ATC UNIVERSAL PAIN ATHLETIC TRAINER 16179 SISKIYOU RD, APPLE VALLEY, CA (760) 241-0350 MANAGEMENT 92307 REZNIKOFF, MARC - LAC UNIVERSAL PAIN ACUPUNCTURE 28212 KELLY JOHNSON PKWY STE 155, (661) 367-9788 MANAGEMENT VALENCIA, CA 91355 RHEAUME, ALEXANDER - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 2335 VISTA WAY, OCEANSIDE, CA 92054 (760) 547-2666 RHEE, SOPHIA - LAC LAFFA ACU CLINIC ACUPUNCTURE 1930 WILSHIRE BLVD STE 206, LOS (213) 483-1223 ANGELES, CA 90057 RHEE, YOUN - LAC PAIN RELIEF CENTER ACUPUNCTURE 12215 VENTURA BLVD STE 208, STUDIO (818) 505-0816 CITY, CA 91604 RHEE, YOUN - LAC PAIN RELIEF CENTER ACUPUNCTURE 20620 LEAPWOOD AVE STE H, (424) 329-2530 CARSON, CA 90746 RHEEM SPECIALTY PHARMACY PHARMACY 346 RHEEM BLVD STE 109, MORAGA, (877) 404-7112 CA 94556 RHO, JAMES - MD (BCC) PAIN MANAGEMENT 255 TERRACINA BLVD STE 102, (909) 793-6871 REDLANDS, CA 92373 RHO, JAMES - MD (BCC) PAIN MANAGEMENT 9327 FAIRWAY VIEW PL STE 210, (909) 758-0411 RANCHO CUCAMONGA, CA 91730 RHO, RICHARD - MD (BCC) ANESTHESIOLOGY 1328 22ND ST, SANTA MONICA, CA (310) 576-7267 90404

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 557 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RHO, RICHARD - MD (BCC) ANESTHESIOLOGY 2121 WILSHIRE BLVD STE 201, SANTA (626) 795-6596 MONICA, CA 90403 RIALTO PHARMACY PHARMACY 1851 N RIVERSIDE AVE, RIALTO, CA (909) 961-2565 92376 RIALTO PHYSICAL THERAPY PHYSICAL THERAPY 224 N RIVERSIDE AVE STE A, RIALTO, (909) 873-8369 CA 92376-5968 RICHARD CARR, PHYSICAL PHYSICAL THERAPY 25 N 14TH ST STE 550, SAN JOSE, CA (408) 294-3922 THERAPY 95112-6206 RICHARD P. CARR PHYSICAL PHYSICAL THERAPY 605 TENNANT AVE STE F, MORGAN (408) 778-3434 THERAPY INC HILL, CA 95037-5529 RICHARD, BRAD - MD (BCC) ANESTHESIOLOGY 1050 LINDEN AVE, LONG BEACH, CA (562) 491-9000 90813 RICHARD, EMILY, ANNE - PT WATER SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY INC DIEGO, CA 92109 RICHARDS, DOUGLAS - AUD ADVANCED HEARING AUDIOLOGY 18643 BROOKHURST ST 1D, FOUNTAIN (800) 598-5300 PROVIDERS LLC VALLEY, CA 92708 RICHARDS, JASON P - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 RICHARDS, JASON P - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 RICHARDSON, GREGGORY - ADVANCED HEARING AUDIOLOGY 6709 BROCKTON AVE , RIVERSIDE, CA (800) 598-5300 AUD PROVIDERS LLC 92506 RICHARDSONECHEVARRIA, THE PHYSICAL THERAPY ACUPUNCTURE 12813 VICTORY BLVD, NORTH (818) 623-8100 LUZMARIA - LAC ACUPUNCTURE REHAB HOLLYWOOD, CA 91606 CENTER RICHARDSONECHEVARRIA, THE PHYSICAL THERAPY ACUPUNCTURE 4418 VINELAND AVE STE 220, TOLUCA (818) 623-8100 LUZMARIA - LAC ACUPUNCTURE REHAB LAKE, CA 91602 CENTER MAIN ACCOUNT RICKARDS, ENASS - MD (BCC) HAND SURGERY 8851 CENTER DR STE 601, LA MESA, CA (619) 441-9811 91942 RICKARDS, ENASS - MD (BCC) HAND SURGERY 9333 GENESEE AVE STE 350A, SAN (858) 455-6460 DIEGO, CA 92121 RICKARDS, ENASS - MD (BCC) ORTHOPEDICS - HAND 8851 CENTER DR STE 601, LA MESA, CA (619) 441-9811 91942 RICKARDS, ENASS - MD (BCC) ORTHOPEDICS - HAND 9333 GENESEE AVE STE 350A, SAN (858) 455-6460 DIEGO, CA 92121 RICKMAN RECOVERY CENTER RICKMAN RECOVERY CENTER CHEMICAL DEPENDENCY 1433 E ROUTE 66 STE F, GLENDORA, (626) 962-3203 (BCC) REHABILITATION CENTER CA 91740 (OUTPATIENT) RIDDICK, JONATHAN - OT HAND THERAPY CENTER OF OCCUPATIONAL THERAPY 19000 HAWTHORNE BLVD STE 230, (310) 371-5111 THE SOUTH BAY TORRANCE, CA 90503 RIDEOUT MEMORIAL HOSPITAL RIDEOUT MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 726 4TH ST, MARYSVILLE, CA 95901 (530) 749-4300 (BCC) RIDGECREST PHARMACY PHARMACY 1844 SAN MIGUEL DR STE 105, WALNUT (925) 937-6800 CREEK, CA 94596 RIDGECREST REGIONAL RIDGECREST REGIONAL ACUTE CARE HOSPITAL 1081 N CHINA LAKE BLVD, (760) 446-3551 HOSPITAL (BCC) HOSPITAL RIDGECREST, CA 93555 RIEDEL, BARTH B - MD (BCC) LOMA LINDA UNIVERSITY HAND SURGERY 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S RIEDEL, BARTH B - MD (BCC) LOMA LINDA UNIVERSITY HAND SURGERY 11406 LOMA LINDA DR ORC STE 147, (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LOMA LINDA , CA 92354 SURGERY ORC RIFFEL-DALINGER, HUGO - MD GLENDALE INTERNAL CARDIOVASCULAR DISEASE 500 N CENTRAL AVE , GLENDALE, CA (818) 242-4191 (BCC) MEDICINE AND CARDIOLOGY (CARDIOLOGY) 91203 MEDICAL GROUP INC RIGBERG, DAVID A - MD (BCC) UCLA GONDA GOLDSCHMIED VASCULAR SURGERY 200 UCLA MEDICAL PLAZA STE 526, (310) 206-6294 VENOUS CENTER LOS ANGELES , CA 90095 RIGBERG, DAVID A - MD (BCC) UCLA HEALTH - SANTA VASCULAR SURGERY 1304 15TH ST STE 102 , SANTA MONICA, (310) 319-4080 MONICA CA 90404 RIGHT CHOICE PHARMACY PHARMACY 14054 VENTURA BLVD, SHERMAN (818) 849-5864 OAKS, CA 91423

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 558 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RIGOR DERMATOLOGY AND PHARMACY 675 S ARROYO PKWY STE 100, (626) 844-3884 LASER PASADENA, CA 91105 RIGOR, RONALD - MD (BCC) DERMATOLOGY 675 S ARROYO PKWY STE 100, (626) 844-3884 PASADENA, CA 91105 RIKHY, SEEMA - MD CONCENTRA MEDICAL INTERNAL MEDICINE 5635 W LAS POSITAS BLVD STE 401, (925) 520-0055 CENTER - PLEASANTON PLEASANTON, CA 94588 RILEY'S PHARMACY PHARMACY 411 NORTH CENTRAL AVE, GLENDALE, (818) 244-1195 CA 91203 RILEY, ELIZABETH - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 RILEY, MICHAEL - MD PROHEALTH - CENTRAL PRIMARY TREATING 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL PHYSICIAN BAKERSFIELD, CA 93315 MEDICAL GROUP RILEY, MICHAEL - MD PROHEALTH - CENTRAL OCCUPATIONAL MEDICINE 4100 TRUXTON AVE #200, (661) 632-1540 VALLEY OCCUPATIONAL BAKERSFIELD, CA 93315 MEDICAL GROUP RILL, PETER - DC EMERYVILLE OCCUPATIONAL CHIROPRACTIC MEDICINE 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 RIM, KIM - LAC NORALAHI MEDICAL CLINIC ACUPUNCTURE 14000 E 14TH ST, SAN LEANDRO, CA (510) 351-4400 INC 94578 RIM, KIM - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 1720 RINGWOOD AVE, SAN JOSE, CA (408) 988-8581 INCORPORATED 95131 RIM, KIM - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 2901 K ST STE 120C, SACRAMENTO, CA (916) 448-1770 INCORPORATED 95816 RIM, KIM, HO - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 2087 GRAND CANAL BLVD STE 12, (209) 476-8405 INCORPORATED STOCKTON, CA 95207 RIMMER, SVETLANA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD RIMMER, SVETLANA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA RIMMER, SVETLANA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY RIMMER, SVETLANA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS RIMMER, SVETLANA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT RINALDO, MICHAEL - PTA SAN DIEGO POSTACUTE PHYSICAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 RINGER, KOREE - PT BIOSPORT PHYSICAL PHYSICAL THERAPY 1933 COFFEE RD, MODESTO, CA 95355 (209) 524-7488 THERAPY RINGS PHARMACY PHARMACY 362 MAIN ST, FERNDALE, CA 95536 (707) 786-4511 RIOJAS, MARISSA, DINA - LAC WINDING RIVER MEDICINE ACUPUNCTURE 6000 FAIRWAY DR STE 2, ROCKLIN, CA (530) 723-5008 95677 RIPOYLA, ANDREA - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 RISE PHYSICAL THERAPY PHYSICAL THERAPY 2790 TRUXTUN RD STE 120B, SAN (858) 755-5200 DIEGO, CA 92106-6135 RISE PHYSICAL THERAPY PHYSICAL THERAPY 380 STEVENS AVE STE 314, SOLANA (858) 755-5200 BEACH, CA 92075-2069 RISE PHYSICAL THERAPY PHYSICAL THERAPY 6451 EL CAMINO REAL STE B2, (858) 755-5200 CARLSBAD, CA 92009 RISING SUN PHYSICAL PHYSICAL THERAPY 20301 SW ACACIA ST STE 150, (949) 274-9551 THERAPY AND WELLNESS NEWPORT BEACH, CA 92660-1741 RISKALLA, MIRNA S - MD (BCC) FIRST CALIFORNIA PHYSICIAN FAMILY MEDICINE 3650 E SOUTH ST STE 404, LAKEWOOD, (714) 428-6711 PARTNERS CA 90712 RISKALLA, MIRNA S - MD (BCC) FIRST CALIFORNIA PHYSICIAN PRIMARY TREATING 3650 E SOUTH ST STE 404, LAKEWOOD, (714) 428-6711 PARTNERS PHYSICIAN CA 90712

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 559 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RISO, DENA - AUD ADVANCED HEARING AUDIOLOGY 849 COAST BLVD , LA JOLLA, CA 92037 (800) 598-5300 PROVIDERS LLC RISO, DENA JOY - AUD ADVANCED HEARING AUDIOLOGY 1310 ROSECRANS ST STE 101, SAN (800) 598-5300 PROVIDERS LLC DIEGO, CA 92106 RISSER, JON R - DPM KAISER PERMANENTE SANTA PODIATRY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 140 1ST FLR, SANTA CLARA, CA 95051 RITE AID PHARMACY 2805 BELL RD, AUBURN, CA 95603 (530) 823-8125 RITE AID PHARMACY 647 FOOTHILL BLVD, LA CANADA (818) 790-5577 FLINTRIDGE, CA 91011 RITE AID PHARMACY 2230 OTAY LAKES RD, CHULA VISTA, (619) 656-6944 CA 91915 RITE AID PHARMACY 1355 MACARTHUR BLVD, SAN (510) 352-3677 LEANDRO, CA 94577 RITE AID PHARMACY 2150 S ATLANTIC BLVD, MONTEREY (323) 726-0385 PARK, CA 91754 RITE AID PHARMACY 12491 VALLEY VIEW ST, GARDEN (714) 894-9230 GROVE, CA 92845 RITE AID PHARMACY 11230 DONNER PASS RD, TRUCKEE, CA (530) 587-5296 96161 RITE AID PHARMACY 411 HARRIS ST, EUREKA, CA 95503 (707) 443-8039 RITE AID PHARMACY 855 MONO WAY, SONORA, CA 95370 (209) 588-0561 RITE AID PHARMACY 3650 ADAMS AVE, SAN DIEGO, CA (619) 563-0802 92116 RITE AID PHARMACY 650 MANGROVE AVE, CHICO, CA 95926 (530) 891-6722 RITE AID PHARMACY 1251 JOHNSON AVE, SAN LUIS OBISPO, (805) 545-0655 CA 93401 RITE AID PHARMACY 836 ORANGE AVE, CORONADO, CA (619) 435-6585 92118 RITE AID PHARMACY 1905 MONUMENT BLVD, CONCORD, CA (925) 680-2845 94520 RITE AID PHARMACY 13720 BEAR VALLEY RD, VICTORVILLE, (760) 955-2070 CA 92392 RITE AID PHARMACY 600 VENTURA ST, FILLMORE, CA 93015 (805) 524-9792 RITE AID PHARMACY 1500 ANNA SPARKS WAY STE D, (707) 839-0140 MCKINLEYVILLE, CA 95519 RITE AID PHARMACY 2547 W ROSAMOND BLVD, ROSAMOND, (661) 256-1116 CA 93560 RITE AID PHARMACY 153 E GLADSTONE ST, AZUSA, CA (626) 334-3511 91702 RITE AID PHARMACY 6075 MAGNOLIA AVE, RIVERSIDE, CA (951) 682-0177 92506 RITE AID PHARMACY 6767 WESTMINSTER BLVD, (714) 897-8521 WESTMINSTER, CA 92683 RITE AID PHARMACY 535 ROBINSON AVE, SAN DIEGO, CA (619) 291-3705 92103 RITE AID PHARMACY 2516 JAMACHA RD, EL CAJON, CA (619) 670-9769 92019 RITE AID PHARMACY 1991 MOUNTAIN BLVD, OAKLAND, CA (510) 339-2215 94611 RITE AID PHARMACY 2310 HOMESTEAD RD, LOS ALTOS, CA (408) 774-0134 94024 RITE AID PHARMACY 1801 EUREKA WAY, REDDING, CA 96001 (530) 243-5500 RITE AID PHARMACY 25906 NEWPORT RD, MENIFEE, CA (951) 679-5199 92584 RITE AID PHARMACY 463 N BEDFORD DR, BEVERLY HILLS, (310) 247-0843 CA 90210 RITE AID PHARMACY 2111 GOLDEN CENTRE LN, RANCHO (916) 858-1948 CORDOVA, CA 95670 RITE AID PHARMACY 3230 W SLAUSON AVE, LOS ANGELES, (323) 295-9661 CA 90043 RITE AID PHARMACY 5881 WARNER AVE, HUNTINGTON (714) 846-5291 BEACH, CA 92649

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 560 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 1016 BAYSIDE DR, NEWPORT BEACH, (949) 760-0111 CA 92660 RITE AID PHARMACY 5670 E 2ND ST, LONG BEACH, CA 90803 (562) 930-1280 RITE AID PHARMACY 2150 ROOSEVELT AVE, REDWOOD (650) 369-2071 CITY, CA 94061 RITE AID PHARMACY 616 ALAMO PINTADO RD, SOLVANG, CA (805) 686-0016 93463 RITE AID PHARMACY 226 N LARCHMONT BLVD, LOS (323) 467-1366 ANGELES, CA 90004 RITE AID PHARMACY 2140 CONTRA COSTA BLVD, PLEASANT (925) 691-0164 HILL, CA 94523 RITE AID PHARMACY 108 W ANAHEIM ST, WILMINGTON, CA (310) 830-2898 90744 RITE AID PHARMACY 295 W MAIN ST, WOODLAND, CA 95695 (530) 662-1795 RITE AID PHARMACY 5409 SUNRISE BLVD, CITRUS HEIGHTS, (916) 961-2064 CA 95610 RITE AID PHARMACY 160 COUNTRY CLUB GATE CTR, (831) 373-8323 PACIFIC GROVE, CA 93950 RITE AID PHARMACY 8985 MIRA MESA BLVD, SAN DIEGO, CA (858) 566-3490 92126 RITE AID PHARMACY 1133 N MOUNT VERNON AVE, COLTON, (909) 825-6731 CA 92324 RITE AID PHARMACY 701 E BLITHEDALE AVE, MILL VALLEY, (415) 388-2546 CA 94941 RITE AID PHARMACY 31091 MISSION BLVD, HAYWARD, CA (510) 489-4581 94544 RITE AID PHARMACY 40 E MAIN ST, QUINCY, CA 95971 (530) 283-1809 RITE AID PHARMACY 910 W ONTARIO AVE, CORONA, CA (951) 735-1011 92882 RITE AID PHARMACY 6305 YORK BLVD, LOS ANGELES, CA (323) 550-1317 90042 RITE AID PHARMACY 20 E 18TH ST, ANTIOCH, CA 94509 (925) 757-7161 RITE AID PHARMACY 1970 W GRANTLINE RD, TRACY, CA (209) 830-7388 95376 RITE AID PHARMACY 211 CHERRY AVE, LONG BEACH, CA (562) 951-1360 90802 RITE AID PHARMACY 4100 LONE TREE WAY, ANTIOCH, CA (925) 522-0150 94531 RITE AID PHARMACY 600 W SEVENTH ST, LOS ANGELES, CA (213) 896-0083 90017 RITE AID PHARMACY 165 E FOOTHILL BLVD, ARCADIA, CA (626) 305-9112 91006 RITE AID PHARMACY 6130 W SUNSET BLVD, HOLLYWOOD, (323) 467-4201 CA 90028 RITE AID PHARMACY 1854 CORONADO AVE, SAN DIEGO, CA (619) 424-8612 92154 RITE AID PHARMACY 1400 LINDA MAR BLVD, PACIFICA, CA (650) 359-6691 94044 RITE AID PHARMACY 1300 W F ST, OAKDALE, CA 95361 (209) 847-1324 RITE AID PHARMACY 1421 E WASHINGTON BLVD, (626) 296-0245 PASADENA, CA 91104 RITE AID PHARMACY 16642 W SOLEDAD CANYON RD, (661) 252-5388 CANYON COUNTRY, CA 91387 RITE AID PHARMACY 100 CHINA GRADE LOOP, (661) 393-3358 BAKERSFIELD, CA 93308 RITE AID PHARMACY 159 W POLK ST, COALINGA, CA 93210 (559) 935-3597 RITE AID PHARMACY 6939 LINDA VISTA RD, SAN DIEGO, CA (858) 277-6730 92111 RITE AID PHARMACY 571 BELLEVUE RD, ATWATER, CA 95301 (209) 358-6306 RITE AID PHARMACY 1331 WILSHIRE BLVD, SANTA MONICA, (310) 458-0731 CA 90403 RITE AID PHARMACY 1808 WILSHIRE BLVD, SANTA MONICA, (310) 829-3951 CA 90403

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 561 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 3095 MCMURRAY DR, ANDERSON, CA (530) 365-5753 96007 RITE AID PHARMACY 3745 E FOOTHILL BLVD, PASADENA, CA (626) 351-0515 91107 RITE AID PHARMACY 31 FAIR LN, PLACERVILLE, CA 95667 (530) 626-0801 RITE AID PHARMACY 1110 LOS OSOS VALLEY RD, LOS (805) 528-5779 OSOS, CA 93402 RITE AID PHARMACY 1032 OAKDALE RD, MODESTO, CA (209) 577-6060 95355 RITE AID PHARMACY 9133 KIEFER BLVD, SACRAMENTO, CA (916) 366-1377 95826 RITE AID PHARMACY 8760 19TH ST, RANCHO CUCAMONGA, (909) 989-3235 CA 91701 RITE AID PHARMACY 1208 WEST IMOLA AVENUE, NAPA, CA (707) 255-4218 94559 RITE AID PHARMACY 4300 ELVERTA RD, ANTELOPE, CA (916) 729-6763 95843 RITE AID PHARMACY 1210 N BLACKSTONE AVE, FRESNO, CA (559) 445-0694 93703 RITE AID PHARMACY 4010 MANZANITA AVE, CARMICHAEL, (916) 482-4930 CA 95608 RITE AID PHARMACY 28100 S WESTERN AVE, SAN PEDRO, (310) 833-5015 CA 90732 RITE AID PHARMACY 5225 CANYON CREST DR STE 8, (951) 686-2203 RIVERSIDE, CA 92507 RITE AID PHARMACY 1125 ALHAMBRA BLVD, SACRAMENTO, (916) 452-1334 CA 95816 RITE AID PHARMACY 507 TELEGRAPH CANYON RD, CHULA (619) 421-2988 VISTA, CA 91910 RITE AID PHARMACY 1029 E CAPITOL EXPY, SAN JOSE, CA (408) 629-6060 95121 RITE AID PHARMACY 2801 K ST STE 100, SACRAMENTO, CA (916) 441-5252 95816 RITE AID PHARMACY 5747 N KANAN RD, AGOURA HILLS, CA (818) 991-5258 91301 RITE AID PHARMACY 501 S GAFFEY ST, SAN PEDRO, CA (310) 831-9167 90731 RITE AID PHARMACY 31797 TEMECULA PKWY, TEMECULA, (951) 302-9353 CA 92592 RITE AID PHARMACY 27 ORINDA WAY, ORINDA, CA 94563 (925) 253-1904 RITE AID PHARMACY 650 WALNUT AVE, GREENFIELD, CA (831) 674-5565 93927 RITE AID PHARMACY 456 S MADERA AVE, KERMAN, CA 93630 (559) 846-7115 RITE AID PHARMACY 130 ALAMO PLZ, ALAMO, CA 94507 (925) 820-1233 RITE AID PHARMACY 8015 LIMONITE AVE, RIVERSIDE, CA (951) 361-0263 92509 RITE AID PHARMACY 37435 MAIN ST, BURNEY, CA 96013 (530) 335-4860 RITE AID PHARMACY 801 N EL CAMINO REAL, SAN (949) 498-6752 CLEMENTE, CA 92672 RITE AID PHARMACY 1220 BROADWAY ST, PLACERVILLE, CA (530) 626-5501 95667 RITE AID PHARMACY 1583 HIGHWAY 99, GRIDLEY, CA 95948 (530) 846-3334 RITE AID PHARMACY 1433 GLENDALE BLVD, LOS ANGELES, (213) 483-3468 CA 90026 RITE AID PHARMACY 2424 SPRING ST, PASO ROBLES, CA (805) 239-3208 93446 RITE AID PHARMACY 7025 EL CAMINO REAL, ATASCADERO, (805) 466-8722 CA 93422 RITE AID PHARMACY 17126 VAN BUREN BLVD, RIVERSIDE, (951) 780-3343 CA 92504 RITE AID PHARMACY 3825 E THOUSAND OAKS BLVD, (805) 497-3614 THOUSAND OAKS, CA 91362 RITE AID PHARMACY 1830 MITCHELL RD, CERES, CA 95307 (209) 538-4927

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 562 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 3142 G ST, MERCED, CA 95340 (209) 383-9086 RITE AID PHARMACY 725 S FORTUNA BLVD, FORTUNA, CA (707) 725-9314 95540 RITE AID PHARMACY 1841 E 4TH ST, ONTARIO, CA 91764 (909) 983-8202 RITE AID PHARMACY 935 N HOLLYWOOD WAY, BURBANK, CA (818) 841-5336 91505 RITE AID PHARMACY 16910 FOOTHILL BLVD, FONTANA, CA (909) 350-0493 92335 RITE AID PHARMACY 135 SUNSET AVE, SUISUN CITY, CA (707) 426-4242 94585 RITE AID PHARMACY 15510 MAIN ST, HESPERIA, CA 92345 (760) 948-1472 RITE AID PHARMACY 5128 E 2ND ST, LONG BEACH, CA 90803 (562) 433-0456 RITE AID PHARMACY 6424 WESTSIDE RD, REDDING, CA (530) 243-3616 96001 RITE AID PHARMACY 5270 BALBOA AVE, SAN DIEGO, CA (858) 292-9349 92117 RITE AID PHARMACY 640 EDITH AVE, CORNING, CA 96021 (530) 824-5086 RITE AID PHARMACY 914 FAIR OAKS AVE, SOUTH (626) 441-3702 PASADENA, CA 91030 RITE AID PHARMACY 1534 E FLORENCE AVE, LOS ANGELES, (323) 587-6336 CA 90001 RITE AID PHARMACY 1690 GRAND AVE, ARROYO GRANDE, (805) 474-0469 CA 93420 RITE AID PHARMACY 2135 JACKSON AVE, ESCALON, CA (209) 838-3524 95320 RITE AID PHARMACY 57701 29 PALMS HWY, YUCCA VALLEY, (760) 365-2618 CA 92284 RITE AID PHARMACY 9000 STE A MING AVE, BAKERSFIELD, (661) 663-0171 CA 93311 RITE AID PHARMACY 3141 E PACIFIC HWY, CORONA DEL (949) 675-0414 MAR, CA 92625 RITE AID PHARMACY 735 E ALTADENA DR, ALTADENA, CA (626) 791-7935 91001 RITE AID PHARMACY 9482 CALIFORNIA CITY BLVD, (760) 373-5268 CALIFORNIA CITY, CA 93505 RITE AID PHARMACY 3207 CROW CANYON PL, SAN RAMON, (925) 866-0505 CA 94583 RITE AID PHARMACY 1165 ARNOLD DR, MARTINEZ, CA 94553 (925) 372-0945 RITE AID PHARMACY 5575 WILSHIRE BLVD, LOS ANGELES, (323) 954-7193 CA 90036 RITE AID PHARMACY 1051 W VISALIA RD, EXETER, CA 93221 (559) 592-4901 RITE AID PHARMACY 3860 SEPULVEDA BLVD, TORRANCE, (310) 373-5884 CA 90505 RITE AID PHARMACY 910 DIABLO AVE, NOVATO, CA 94947 (415) 898-1905 RITE AID PHARMACY 2505 MOUNT VERNON AVE, (661) 872-6272 BAKERSFIELD, CA 93306 RITE AID PHARMACY 48 ROBERTSON BLBD, CHOWCHILLA, (559) 665-1096 CA 93610 RITE AID PHARMACY 262 N HIGHWAY 65, LINDSAY, CA 93247 (559) 562-4404 RITE AID PHARMACY 24829 DEL PRADO, DANA POINT, CA (949) 493-5100 92629 RITE AID PHARMACY 888 LINCOLN BLVD, VENICE, CA 90291 (310) 396-2838 RITE AID PHARMACY 6007 CLARK RD, PARADISE, CA 95969 (530) 872-2700 RITE AID PHARMACY 655 RUSSELL BLVD, DAVIS, CA 95616 (530) 756-3393 RITE AID PHARMACY 980 FLORIN RD, SACRAMENTO, CA (916) 422-7202 95831 RITE AID PHARMACY 15025 OLYMPIC DR, CLEARLAKE, CA (707) 994-8677 95422 RITE AID PHARMACY 131 W MAIN ST, VENTURA, CA 93001 (805) 643-1121 RITE AID PHARMACY 1309 FULTON AVE, SACRAMENTO, CA (916) 483-3486 95825 RITE AID PHARMACY 2135 COWELL BLVD, DAVIS, CA 95616 (530) 753-9810

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 563 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 6639 WATT AVE, NORTH HIGHLANDS, (916) 332-2060 CA 95660 RITE AID PHARMACY 24991 ALESSANDRO BLVD, MORENO (951) 485-4450 VALLEY, CA 92553 RITE AID PHARMACY 2501 HIGHWAY 46, WASCO, CA 93280 (661) 758-0133 RITE AID PHARMACY 1560 SYCAMORE AVE, HERCULES, CA (510) 799-1252 94547 RITE AID PHARMACY 27177 HIGHWAY 189 STE E, BLUE JAY, (909) 336-1275 CA 92317 RITE AID PHARMACY 1363 E VISTA WAY, VISTA, CA 92084 (760) 726-1909 RITE AID PHARMACY 3941 SPRING RD, MOORPARK, CA (805) 529-5726 93021 RITE AID PHARMACY 1151 CRESTON RD, PASO ROBLES, CA (805) 239-3028 93446 RITE AID PHARMACY 12739 VAN NUYS BLVD, PACOIMA, CA (818) 890-1506 91331 RITE AID PHARMACY 72253 TWENTYNINE PALMS HWY, (760) 367-3262 TWENTYNINE PALMS, CA 92277 RITE AID PHARMACY 66 W MORTON AVE, PORTERVILLE, CA (559) 788-0452 93257 RITE AID PHARMACY 1701 AIRLINE HWY, HOLLISTER, CA (831) 636-1692 95023 RITE AID PHARMACY 16000 MONTEREY ST, MORGAN HILL, (408) 778-5184 CA 95037 RITE AID PHARMACY 4410 E SLAUSON AVE, MAYWOOD, CA (323) 771-9422 90270 RITE AID PHARMACY 12897 HARBOR BLVD, GARDEN GROVE, (714) 636-1143 CA 92840 RITE AID PHARMACY 446 E WASHINGTON BLVD, LOS (213) 747-9581 ANGELES, CA 90015 RITE AID PHARMACY 525 HEALDSBURG AVE, HEALDSBURG, (707) 431-1119 CA 95448 RITE AID PHARMACY 2640 FLORAL AVE, SELMA, CA 93662 (559) 896-7105 RITE AID PHARMACY 1449 E F ST STE 102, OAKDALE, CA (209) 847-4279 95361 RITE AID PHARMACY 651 N GOLDEN STATE BLVD, TURLOCK, (209) 634-5831 CA 95380 RITE AID PHARMACY 715 AIRPORT DR, BAKERSFIELD, CA (661) 392-7059 93308 RITE AID PHARMACY 431 CORTE MADERA TOWN CTR, (415) 924-4557 CORTE MADERA, CA 94925 RITE AID PHARMACY 1744 W 6TH ST, LOS ANGELES, CA (213) 413-2458 90017 RITE AID PHARMACY 968 MURRIETA BLVD, LIVERMORE, CA (925) 373-0455 94550 RITE AID PHARMACY 230 S MAIN ST, ANGELS CAMP, CA (209) 736-4623 95221 RITE AID PHARMACY 1076 W KERN ST, TAFT, CA 93268 (661) 763-3132 RITE AID PHARMACY 220 E GRAND AVE, EL SEGUNDO, CA (310) 640-2715 90245 RITE AID PHARMACY 17266 SATICOY ST, VAN NUYS, CA (818) 345-1543 91406 RITE AID PHARMACY 5530 LAKE ISABELLA BLVD, LAKE (760) 379-5621 ISABELLA, CA 93240 RITE AID PHARMACY 1615 MAIN ST, SUSANVILLE, CA 96130 (530) 257-0603 RITE AID PHARMACY 3171 MERIDIAN AVE, SAN JOSE, CA (408) 266-5550 95124 RITE AID PHARMACY 3813 PLAZA DR, OCEANSIDE, CA 92056 (760) 941-0712 RITE AID PHARMACY 4044 EAGLE ROCK BLVD, LOS (323) 254-8642 ANGELES, CA 90065 RITE AID PHARMACY 69 E MAIN ST, ALHAMBRA, CA 91801 (626) 300-8049 RITE AID PHARMACY 1158 W MAIN ST, MERCED, CA 95340 (209) 383-2404

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 564 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 1500 WHITLEY AVE, CORCORAN, CA (559) 992-8020 93212 RITE AID PHARMACY 5610 STOCKTON BLVD, SACRAMENTO, (916) 737-0260 CA 95824 RITE AID PHARMACY 1380 BARSTOW RD, BARSTOW, CA (760) 252-3502 92311 RITE AID PHARMACY 11750 WILMINGTON AVE, LOS (323) 563-6635 ANGELES, CA 90059 RITE AID PHARMACY 5520 WOODRUFF AVE, LAKEWOOD, CA (562) 866-3681 90713 RITE AID PHARMACY 26 OLD MAMMOTH RD, MAMMOTH (760) 934-8561 LAKES, CA 93546 RITE AID PHARMACY 661 SWEETWATER RD, SPRING (619) 463-9848 VALLEY, CA 91977 RITE AID PHARMACY 111 N MAIN ST, SANTA ANA, CA 92701 (714) 648-0885 RITE AID PHARMACY 4920 LA SIERRA AVE, RIVERSIDE, CA (951) 688-4196 92505 RITE AID PHARMACY 200 FAIRMONT CTR, PACIFICA, CA (650) 355-5810 94044 RITE AID PHARMACY 13167 BLACK MOUNTAIN RD, SAN (858) 484-7909 DIEGO, CA 92129 RITE AID PHARMACY 1809 CECIL AVE, DELANO, CA 93215 (661) 725-1312 RITE AID PHARMACY 8245 N LAKE BLVD, KINGS BEACH, CA (530) 546-2523 96143 RITE AID PHARMACY 7859 FIRESTONE BLVD, DOWNEY, CA (562) 869-8890 90241 RITE AID PHARMACY 35 S MILPAS ST, SANTA BARBARA, CA (805) 965-0787 93103 RITE AID PHARMACY 1317 E PACHECO BLVD, LOS BANOS, (209) 826-3036 CA 93635 RITE AID PHARMACY 840 N CHINA LAKE BLVD, RIDGECREST, (760) 375-0223 CA 93555 RITE AID PHARMACY 1030 S WHITE RD, SAN JOSE, CA 95127 (408) 258-3311 RITE AID PHARMACY 1841 N WESTERN AVE, LOS ANGELES, (323) 461-6136 CA 90027 RITE AID PHARMACY 700 E REDLANDS BLVD STE A, (909) 793-3568 REDLANDS, CA 92373 RITE AID PHARMACY 11325 LONG BEACH BLVD, LYNWOOD, (310) 604-9264 CA 90262 RITE AID PHARMACY 1020 E BROADWAY ST, NEEDLES, CA (760) 326-2944 92363 RITE AID PHARMACY 1375 ROCKING W DR, BISHOP, CA (760) 873-7883 93514 RITE AID PHARMACY 438 BONITA RD, BONITA, CA 91902 (619) 267-1617 RITE AID PHARMACY 2405 S BROADWAY, SANTA MARIA, CA (805) 925-6404 93454 RITE AID PHARMACY 9532 WINTER GARDENS BLVD, (619) 390-7342 LAKESIDE, CA 92040 RITE AID PHARMACY 8694 LAKE MURRAY BLVD, SAN DIEGO, (619) 460-5978 CA 92119 RITE AID PHARMACY 1688 N PERRIS BLVD, PERRIS, CA 92571 (951) 943-6868 RITE AID PHARMACY 1815 S VERMONT AVE, LOS ANGELES, (323) 735-0774 CA 90006 RITE AID PHARMACY 3795 W SHIELDS AVE, FRESNO, CA (559) 271-5030 93722 RITE AID PHARMACY 1021 BRIDGE ST, COLUSA, CA 95932 (530) 458-2494 RITE AID PHARMACY 19205 SONOMA HWY, SONOMA, CA (707) 938-0281 95476 RITE AID PHARMACY 4004 FOOTHILLS BLVD, ROSEVILLE, CA (916) 786-8671 95747 RITE AID PHARMACY 345 W TOWN CTR, SANTA MARIA, CA (805) 925-1167 93458 RITE AID PHARMACY 811 TUCKER RD, TEHACHAPI, CA 93561 (661) 822-9232

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 565 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 1320 W HILLSDALE BLVD, SAN MATEO, (650) 570-6094 CA 94403 RITE AID PHARMACY 531 FIVE CITIES DR, PISMO BEACH, CA (805) 773-1825 93449 RITE AID PHARMACY 23965 IRONWOOD AVE, MORENO (951) 242-1742 VALLEY, CA 92557 RITE AID PHARMACY 3515 DELMAR HEIGHTS RD, SAN (858) 792-7040 DIEGO, CA 92130 RITE AID PHARMACY 4037 BALL RD, CYPRESS, CA 90630 (714) 821-1750 RITE AID PHARMACY 18112 CULVER DR, IRVINE, CA 92612 (949) 786-0151 RITE AID PHARMACY 310 W LAKE ST, MOUNT SHASTA, CA (530) 926-3826 96067 RITE AID PHARMACY 740 OTAY LAKES RD, CHULA VISTA, CA (619) 421-4872 91910 RITE AID PHARMACY 2550 LAS POSAS RD, CAMARILLO, CA (805) 482-2135 93010 RITE AID PHARMACY 1201 S COAST HWY, OCEANSIDE, CA (760) 433-4013 92054 RITE AID PHARMACY 2020 N RIVERSIDE AVE, RIALTO, CA (909) 873-2835 92377 RITE AID PHARMACY 575 M ST, CRESCENT CITY, CA 95531 (707) 465-3981 RITE AID PHARMACY 580 BAILEY RD, PITTSBURG, CA 94565 (925) 458-0955 RITE AID PHARMACY 11096 JEFFERSON BLVD, CULVER CITY, (310) 397-3931 CA 90230 RITE AID PHARMACY 8508 PAINTER AVE, WHITTIER, CA (562) 945-7940 90602 RITE AID PHARMACY 12511 MAGNOLIA BLVD, NORTH (818) 506-8795 HOLLYWOOD, CA 91607 RITE AID PHARMACY 3875 ALTON PKWY, IRVINE, CA 92606 (949) 250-4465 RITE AID PHARMACY 1650 DECOTO RD, UNION CITY, CA (510) 429-0195 94587 RITE AID PHARMACY 7860 GERBER RD, SACRAMENTO, CA (916) 689-8578 95828 RITE AID PHARMACY 31541 SANTA MARGARITA PKWY, (949) 858-7737 RANCHO SANTA MARGARITA, CA 92688 RITE AID PHARMACY 2555 MAIN ST, OAKLEY, CA 94561 (925) 625-7440 RITE AID PHARMACY 975 E CYPRESS AVE, REDDING, CA (530) 223-3995 96002 RITE AID PHARMACY 7211 ELK GROVE BLVD, ELK GROVE, (916) 478-2970 CA 95758 RITE AID PHARMACY 2751 DEL PASO RD, SACRAMENTO, CA (916) 285-9372 95835 RITE AID PHARMACY 5350 SHASTA DAM BLVD, SHASTA (530) 275-1532 LAKE, CA 96019 RITE AID PHARMACY 150 E LERDO HWY, SHAFTER, CA 93263 (661) 746-4991 RITE AID PHARMACY 1411 KETTNER BLVD, SAN DIEGO, CA (619) 231-7405 92101 RITE AID PHARMACY 1645 E TULARE AVE, TULARE, CA 93274 (559) 688-5839 RITE AID PHARMACY 432 N MAIN ST, ALTURAS, CA 96101 (530) 233-3113 RITE AID PHARMACY 1350 N VASCO RD, LIVERMORE, CA (925) 243-1702 94551 RITE AID PHARMACY 7339 MILLIKEN AVE STE 110, RANCHO (909) 944-3543 CUCAMONGA, CA 91730 RITE AID PHARMACY 820 N LEMOORE AVE, LEMOORE, CA (559) 925-6027 93245 RITE AID PHARMACY 1735 E WALNUT AVE, VISALIA, CA 93292 (559) 625-3831 RITE AID PHARMACY 1325 6TH ST, NORCO, CA 92860 (951) 549-8586 RITE AID PHARMACY 211 W BIRCH ST, CALEXICO, CA 92231 (760) 768-3169 RITE AID PHARMACY 14515 MOJAVE DR STE B, VICTORVILLE, (760) 955-7898 CA 92394 RITE AID PHARMACY 15331 BASELINE AVE, FONTANA, CA (909) 574-2831 92336 RITE AID PHARMACY 2990 E NEES AVE, FRESNO, CA 93720 (559) 297-4306

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 566 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 39782 WINCHESTER RD, TEMECULA, (951) 676-0703 CA 92591 RITE AID PHARMACY 15890 SOQUEL CANYON RD, CHINO (909) 597-3950 HILLS, CA 91709 RITE AID PHARMACY 900 SUNRISE AVE, ROSEVILLE, CA (916) 782-6242 95661 RITE AID PHARMACY 446 ROSEVILLE SQ, ROSEVILLE, CA (916) 784-1590 95678 RITE AID PHARMACY 4830 J ST, SACRAMENTO, CA 95819 (916) 451-2187 RITE AID PHARMACY 894 OAK VALLEY PKWY, BEAUMONT, (951) 769-7370 CA 92223 RITE AID PHARMACY 599 E VALPICO RD, TRACY, CA 95376 (209) 830-0976 RITE AID PHARMACY 16120 BEAR VALLEY RD, VICTORVILLE, (760) 951-0210 CA 92395 RITE AID PHARMACY 1180 N STATE ST, SAN JACINTO, CA (951) 487-1915 92583 RITE AID PHARMACY 32450 CLINTON KEITH RD, WILDOMAR, (951) 678-9141 CA 92595 RITE AID PHARMACY 39155 WASHINGTON ST, PALM DESERT, (760) 772-7075 CA 92211 RITE AID PHARMACY 9333 WHITTIER BLVD, PICO RIVERA, CA (562) 695-6167 90660 RITE AID PHARMACY 19035 BEAR VALLEY RD, APPLE (760) 961-7325 VALLEY, CA 92308 RITE AID PHARMACY 8008 PANAMA RD, LAMONT, CA 93241 (661) 845-6917 RITE AID PHARMACY 4455 MANCHESTER AVE, ENCINITAS, (760) 943-9423 CA 92024 RITE AID PHARMACY 2211 F ST, SACRAMENTO, CA 95816 (916) 930-0244 RITE AID PHARMACY 14115 LAKERIDGE CIR, MAGALIA, CA (530) 873-0800 95954 RITE AID PHARMACY 16491 LAKESHORE DR, LAKE (951) 674-0309 ELSINORE, CA 92530 RITE AID PHARMACY 47985 MONROE ST, INDIO, CA 92201 (760) 347-3646 RITE AID PHARMACY 11200 OLIVE DR, BAKERSFIELD, CA (661) 588-0010 93312 RITE AID PHARMACY 875 N ALTA AVE, DINUBA, CA 93618 (559) 595-1341 RITE AID PHARMACY 955 STONY POINT RD, SANTA ROSA, CA (707) 526-3015 95407 RITE AID PHARMACY 1000 W MONTE VISTA AVE, TURLOCK, (209) 669-9704 CA 95382 RITE AID PHARMACY 5075 OLIVEHURST AVE, OLIVEHURST, (530) 634-9970 CA 95961 RITE AID PHARMACY 1035 W ORANGETHORPE AVE, (714) 773-9615 FULLERTON, CA 92833 RITE AID PHARMACY 3101 GREEN VALLEY RD, CAMERON (530) 672-8908 PARK, CA 95682 RITE AID PHARMACY 10570 TWIN CITIES RD, GALT, CA 95632 (209) 744-1380 RITE AID PHARMACY 11352 BRYANT ST, YUCAIPA, CA 92399 (909) 790-4232 RITE AID PHARMACY 2020 E COPPER AVE, FRESNO, CA (559) 433-1290 93730 RITE AID PHARMACY 4774 WEST LN, STOCKTON, CA 95210 (209) 473-9170 RITE AID PHARMACY 220 W EAST AVE, CHICO, CA 95926 (530) 343-9495 RITE AID PHARMACY 526 E BIDWELL ST, FOLSOM, CA 95630 (916) 984-7749 RITE AID PHARMACY 60 SOLANO SQ, BENICIA, CA 94510 (707) 746-0229 RITE AID PHARMACY 41800 WASHINGTON ST, BERMUDA (760) 360-6280 DUNES, CA 92203 RITE AID PHARMACY 17441 MAIN ST, HESPERIA, CA 92345 (760) 948-4430 RITE AID PHARMACY 1038 E COLORADO BLVD, PASADENA, (626) 796-5539 CA 91106 RITE AID PHARMACY 4593 N CEDAR AVE, FRESNO, CA 93726 (559) 222-2472 RITE AID PHARMACY 7100 AVENIDA ENCINAS, CARLSBAD, (760) 431-7380 CA 92011 RITE AID PHARMACY 490 S MAIN ST, FORT BRAGG, CA 95437 (707) 964-1848

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 567 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 3029 HARBOR BLVD, COSTA MESA, CA (714) 434-7485 92626 RITE AID PHARMACY 6512 COMSTOCK AVE, WHITTIER, CA (562) 696-1015 90601 RITE AID PHARMACY 1730 S MAIN ST, WILLITS, CA 95490 (707) 459-0554 RITE AID PHARMACY 1976 CLIFF DR, SANTA BARBARA, CA (805) 564-6599 93109 RITE AID PHARMACY 82451 C HIGHWAY 111, INDIO, CA 92201 (760) 342-7076 RITE AID PHARMACY 707 W LACEY BLVD, HANFORD, CA (559) 584-1896 93230 RITE AID PHARMACY 2240 SEPULVEDA BLVD, TORRANCE, (310) 325-0868 CA 90501 RITE AID PHARMACY 4840 NIAGARA AVE, SAN DIEGO, CA (619) 222-7503 92107 RITE AID PHARMACY 2646 ALLEN RD, BAKERSFIELD, CA (661) 587-0275 93314 RITE AID PHARMACY 11845 CARMEL MOUNTAIN RD, SAN (858) 451-5711 DIEGO, CA 92128 RITE AID PHARMACY 807 S MAIN ST, YREKA, CA 96097 (530) 842-5596 RITE AID PHARMACY 680 S STATE ST, UKIAH, CA 95482 (707) 462-6850 RITE AID PHARMACY 4710 COMMONS WAY, CALABASAS, CA (818) 222-0549 91302 RITE AID PHARMACY 1670 MAIN ST, RAMONA, CA 92065 (760) 788-7074 RITE AID PHARMACY 405 W IMPERIAL HWY, BREA, CA 92821 (714) 529-2176 RITE AID PHARMACY 1935 N ST, NEWMAN, CA 95360 (209) 862-1208 RITE AID PHARMACY 4241 MARCONI AVE, CARMICHAEL, CA (916) 483-8479 95821 RITE AID PHARMACY 31890 PLAZA DR, SAN JUAN (949) 248-3318 CAPISTRANO, CA 92675 RITE AID PHARMACY 3225 PANAMA LN, BAKERSFIELD, CA (661) 396-0108 93313 RITE AID PHARMACY 4200 CHINO HILLS PKWY, CHINO HILLS, (909) 393-5710 CA 91709 RITE AID PHARMACY 740 QUINTANA RD, MORRO BAY, CA (805) 772-6198 93442 RITE AID PHARMACY 300 S HIGHLAND AVE STE 9, BANNING, (951) 769-1285 CA 92220 RITE AID PHARMACY 18395 BROOKHURST ST, FOUNTAIN (714) 965-1973 VALLEY, CA 92708 RITE AID PHARMACY 4013 PHELAN RD, PHELAN, CA 92371 (760) 868-3413 RITE AID PHARMACY 1551 FARMERS LN, SANTA ROSA, CA (707) 544-4050 95405 RITE AID PHARMACY 1665 ALPINE BLVD, ALPINE, CA 91901 (619) 659-1085 RITE AID PHARMACY 15800 IMPERIAL HWY, LA MIRADA, CA (562) 902-5538 90638 RITE AID PHARMACY 6959 EASTERN AVE, BELL GARDENS, (323) 562-4613 CA 90201 RITE AID PHARMACY 6455 PACIFIC AVE, STOCKTON, CA (209) 478-5062 95207 RITE AID PHARMACY 1707 MCHENRY AVE, MODESTO, CA (209) 526-4773 95350 RITE AID PHARMACY 831 K ST, SACRAMENTO, CA 95814 (916) 444-0690 RITE AID PHARMACY 666 CONCAR DR, SAN MATEO, CA (650) 573-8551 94402 RITE AID PHARMACY 1730 WATT AVE, SACRAMENTO, CA (916) 483-9268 95825 RITE AID PHARMACY 2021 SOLANO AVE, VALLEJO, CA 94590 (707) 552-1476 RITE AID PHARMACY 5574 E KINGS CANYON RD, FRESNO, (559) 458-0534 CA 93727 RITE AID PHARMACY 20572 HOMESTEAD RD, CUPERTINO, (408) 253-2005 CA 95014 RITE AID PHARMACY 25710 BARTON RD, LOMA LINDA, CA (909) 799-0591 92354

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 568 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 2500 N 10TH AVE, HANFORD, CA 93230 (559) 587-9626 RITE AID PHARMACY 13151 JAMBOREE RD, TUSTIN, CA (714) 573-0908 92782 RITE AID PHARMACY 1590 BUTTE HOUSE RD, YUBA CITY, CA (530) 755-3846 95993 RITE AID PHARMACY 27716 MCBEAN PKWY, VALENCIA, CA (661) 263-6658 91354 RITE AID PHARMACY 602 WILLIAMS RD, SALINAS, CA 93905 (831) 784-1606 RITE AID PHARMACY 9864 NATIONAL BLVD, LOS ANGELES, (310) 836-0623 CA 90034 RITE AID PHARMACY 959 CRENSHAW BLVD, LOS ANGELES, (323) 939-7911 CA 90019 RITE AID PHARMACY 1997 TICE VALLEY BLVD, WALNUT (925) 932-0568 CREEK, CA 94595 RITE AID PHARMACY 13333 RIVERSIDE DR, SHERMAN OAKS, (818) 907-1431 CA 91423 RITE AID PHARMACY 500 MAIN ST, LIVINGSTON, CA 95334 (209) 394-8416 RITE AID PHARMACY 1001 N CENTRAL AVE, COMPTON, CA (310) 639-1278 90222 RITE AID PHARMACY 6001 COFFEE RD, BAKERSFIELD, CA (661) 587-5401 93308 RITE AID PHARMACY 2419 E AVENUE S, PALMDALE, CA 93550 (661) 274-4333 RITE AID PHARMACY 3105 RANCHO VISTA BLVD, PALMDALE, (661) 538-1601 CA 93551 RITE AID PHARMACY 3848 CASTRO VALLEY BLVD, CASTRO (510) 886-3341 VALLEY, CA 94546 RITE AID PHARMACY 520 W LODI AVE, LODI, CA 95240 (209) 368-5363 RITE AID PHARMACY 80 RANCHO DEL MAR, APTOS, CA 95003 (831) 688-6417 RITE AID PHARMACY 1610 SAN MIGUEL DR, NEWPORT (949) 644-6422 BEACH, CA 92660 RITE AID PHARMACY 921 S BROOKHURST ST, ANAHEIM, CA (714) 772-0240 92804 RITE AID PHARMACY 111 E AVENUE 26, LOS ANGELES, CA (323) 222-8876 90031 RITE AID PHARMACY 7900 W SUNSET BLVD, LOS ANGELES, (323) 876-4466 CA 90046 RITE AID PHARMACY 4402 ATLANTIC AVE, LONG BEACH, CA (562) 423-0036 90807 RITE AID PHARMACY 1825 S CENTRE CITY PKWY, (760) 738-4236 ESCONDIDO, CA 92025 RITE AID PHARMACY 10989 VENTURA BLVD, STUDIO CITY, (818) 980-1797 CA 91604 RITE AID PHARMACY 8400 VAN NUYS BLVD, PANORAMA (818) 891-6785 CITY, CA 91402 RITE AID PHARMACY 11350 VICTORY BLVD, NORTH (818) 760-7300 HOLLYWOOD, CA 91606 RITE AID PHARMACY 366 S PALM CANYON DR, PALM (760) 325-2326 SPRINGS, CA 92262 RITE AID PHARMACY 6400 E SPRING ST, LONG BEACH, CA (562) 425-2713 90815 RITE AID PHARMACY 211 E 17TH ST, COSTA MESA, CA 92627 (949) 646-4960 RITE AID PHARMACY 1637 N VERMONT AVE, LOS ANGELES, (323) 664-9854 CA 90027 RITE AID PHARMACY 3802 CULVER CTR, CULVER CITY, CA (310) 837-2122 90232 RITE AID PHARMACY 10349 SEPULVEDA BLVD, MISSION (818) 891-1941 HILLS, CA 91345 RITE AID PHARMACY 601 PINE AVE, LONG BEACH, CA 90802 (562) 435-2083 RITE AID PHARMACY 11340 CRENSHAW BLVD, INGLEWOOD, (323) 757-2811 CA 90303 RITE AID PHARMACY 1208 W REDONDO BEACH BLVD, (310) 323-4768 GARDENA, CA 90247

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 569 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 3849 CHICAGO AVE, RIVERSIDE, CA (951) 686-2671 92507 RITE AID PHARMACY 1050 N MOUNTAIN AVE, ONTARIO, CA (909) 986-1509 91762 RITE AID PHARMACY 825 STATE ST, SANTA BARBARA, CA (805) 966-2760 93101 RITE AID PHARMACY 920 E VALLEY BLVD, ALHAMBRA, CA (626) 281-8422 91801 RITE AID PHARMACY 13905 AMAR RD, LA PUENTE, CA 91746 (626) 338-9717 RITE AID PHARMACY 2300 HARBOR BLVD STE G, COSTA (949) 645-7331 MESA, CA 92626 RITE AID PHARMACY 2025 E WASHINGTON ST, COLTON, CA (909) 824-8299 92324 RITE AID PHARMACY 531 N GLENDALE AVE, GLENDALE, CA (818) 241-9770 91206 RITE AID PHARMACY 1735 EUCLID AVE, SAN DIEGO, CA (619) 264-7211 92105 RITE AID PHARMACY 1825 E CHAPMAN AVE, ORANGE, CA (714) 538-3382 92867 RITE AID PHARMACY 6150 VAN BUREN BLVD, RIVERSIDE, CA (951) 688-5155 92503 RITE AID PHARMACY 1035 N MAGNOLIA AVE, ANAHEIM, CA (714) 527-2396 92801 RITE AID PHARMACY 802 BEVERLY BLVD, MONTEBELLO, CA (323) 722-3782 90640 RITE AID PHARMACY 111 S SUNRISE WAY, PALM SPRINGS, (760) 327-9133 CA 92262 RITE AID PHARMACY 23 PENINSULA CTR, ROLLING HILLS, CA (310) 377-4472 90274 RITE AID PHARMACY 720 N VENTURA RD, OXNARD, CA 93030 (805) 983-1097 RITE AID PHARMACY 11321 NATIONAL BLVD, LOS ANGELES, (310) 479-5729 CA 90064 RITE AID PHARMACY 6410 PLATT AVE, WEST HILLS, CA 91307 (818) 348-4850 RITE AID PHARMACY 630 E 1ST ST, TUSTIN, CA 92780 (714) 544-7274 RITE AID PHARMACY 14727 RINALDI ST, SAN FERNANDO, CA (818) 361-8010 91340 RITE AID PHARMACY 10823 ZELZAH AVE BLDG D, GRANADA (818) 360-8411 HILLS, CA 91344 RITE AID PHARMACY 12541 SEAL BEACH BLVD, SEAL BEACH, (562) 430-3323 CA 90740 RITE AID PHARMACY 221 E HARVARD BLVD, SANTA PAULA, (805) 525-4014 CA 93060 RITE AID PHARMACY 1237 W CARSON ST, TORRANCE, CA (310) 320-4534 90502 RITE AID PHARMACY 13822 BROOKHURST ST, GARDEN (714) 530-3136 GROVE, CA 92843 RITE AID PHARMACY 7239 WOODMAN AVE, VAN NUYS, CA (818) 781-7127 91405 RITE AID PHARMACY 21949 VENTURA BLVD, WOODLAND (818) 348-5542 HILLS, CA 91364 RITE AID PHARMACY 11961 VALLEY VIEW ST, GARDEN (714) 892-1457 GROVE, CA 92845 RITE AID PHARMACY 1406 W EDINGER AVE, SANTA ANA, CA (714) 546-6191 92704 RITE AID PHARMACY 10465 SUNLAND BLVD, SUNLAND, CA (818) 352-4129 91040 RITE AID PHARMACY 1159 E LOS ANGELES AVE, SIMI (805) 526-5395 VALLEY, CA 93065 RITE AID PHARMACY 4046 S CENTINELA AVE, LOS ANGELES, (310) 391-0255 CA 90066 RITE AID PHARMACY 9940 SIERRA AVE, FONTANA, CA 92335 (909) 822-8122 RITE AID PHARMACY 2647 W FOOTHILL BLVD, LA (818) 248-1016 CRESCENTA, CA 91214

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 570 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 199 N FAIRVIEW AVE, GOLETA, CA (805) 964-9892 93117 RITE AID PHARMACY 7224 BROADWAY, LEMON GROVE, CA (619) 465-6694 91945 RITE AID PHARMACY 1501 W MAIN ST, EL CENTRO, CA 92243 (760) 352-5731 RITE AID PHARMACY 3300 E ANAHEIM ST, LONG BEACH, CA (562) 439-4546 90804 RITE AID PHARMACY 23335 LYONS AVE, SANTA CLARITA, CA (661) 259-5950 91355 RITE AID PHARMACY 4322 S FIGUEROA ST, LOS ANGELES, (323) 235-3535 CA 90037 RITE AID PHARMACY 401 N PACIFIC COAST HWY, REDONDO (310) 372-9029 BEACH, CA 90277 RITE AID PHARMACY 1207 GRAND AVE, ARROYO GRANDE, (805) 489-1830 CA 93420 RITE AID PHARMACY 500 S BROADWAY, LOS ANGELES, CA (213) 623-5820 90013 RITE AID PHARMACY 765 FOOTHILL BLVD, SAN LUIS OBISPO, (805) 543-5697 CA 93405 RITE AID PHARMACY 6405 EL CAJON BLVD, SAN DIEGO, CA (619) 286-3470 92115 RITE AID PHARMACY 2130 E HIGHLAND AVE, SAN (909) 862-4678 BERNARDINO, CA 92404 RITE AID PHARMACY 17904 MAGNOLIA ST, FOUNTAIN (714) 962-9713 VALLEY, CA 92708 RITE AID PHARMACY 26825 BOUQUET CANYON RD, SANTA (661) 296-8572 CLARITA, CA 91350 RITE AID PHARMACY 18993 E COLIMA RD, ROWLAND (626) 964-6714 HEIGHTS, CA 91748 RITE AID PHARMACY 42021 E FLORIDA AVE, HEMET, CA (951) 925-1651 92544 RITE AID PHARMACY 8447 ALONDRA BLVD, PARAMOUNT, CA (562) 634-9074 90723 RITE AID PHARMACY 14629 7TH ST, VICTORVILLE, CA 92395 (760) 245-6600 RITE AID PHARMACY 1425 SOUTH H ST, BAKERSFIELD, CA (661) 833-1680 93304 RITE AID PHARMACY 24330 EL TORO RD, LAGUNA HILLS, CA (949) 830-0391 92637 RITE AID PHARMACY 222 W G ST, ONTARIO, CA 91762 (909) 984-3913 RITE AID PHARMACY 12319 S NORWALK BLVD, NORWALK, (562) 863-3688 CA 90650 RITE AID PHARMACY 300 N CANON DR, BEVERLY HILLS, CA (310) 273-3561 90210 RITE AID PHARMACY 6505 MISSION GORGE RD, SAN DIEGO, (619) 284-3345 CA 92120 RITE AID PHARMACY 9450 E LAS TUNAS DR, TEMPLE CITY, (626) 286-0152 CA 91780 RITE AID PHARMACY 439 SANTA FE DR, ENCINITAS, CA (760) 753-2114 92024 RITE AID PHARMACY 139 N GRAND AVE, COVINA, CA 91724 (626) 339-8616 RITE AID PHARMACY 1601 23RD ST, BAKERSFIELD, CA 93301 (661) 324-8974 RITE AID PHARMACY 18444 PLUMMER ST, NORTHRIDGE, CA (818) 349-6267 91325 RITE AID PHARMACY 8914 VALLEY BLVD, ROSEMEAD, CA (626) 573-3540 91770 RITE AID PHARMACY 405 W MAIN ST, BRAWLEY, CA 92227 (760) 344-5732 RITE AID PHARMACY 1130 N LA BREA AVE, WEST (323) 463-8539 HOLLYWOOD, CA 90038 RITE AID PHARMACY 1528 E AMAR RD, WEST COVINA, CA (626) 965-2016 91792 RITE AID PHARMACY 951 N HARBOR BLVD, LA HABRA, CA (562) 697-4718 90631

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 571 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 4633 SANTA MONICA BLVD, LOS (323) 666-6125 ANGELES, CA 90029 RITE AID PHARMACY 1335 E HUNTINGTON DR, DUARTE, CA (626) 359-1316 91010 RITE AID PHARMACY 4077 GOVERNOR DR, SAN DIEGO, CA (858) 453-0631 92122 RITE AID PHARMACY 1356 W AVENUE J, LANCASTER, CA (661) 948-3343 93534 RITE AID PHARMACY 260 N SANDERSON AVE, HEMET, CA (951) 658-3418 92545 RITE AID PHARMACY 15924 S BELLFLOWER BLVD, (562) 925-5314 BELLFLOWER, CA 90706 RITE AID PHARMACY 2060 S HACIENDA BLVD, HACIENDA (626) 333-5642 HEIGHTS, CA 91745 RITE AID PHARMACY 5845 E LOS ANGELES AVE, SIMI (805) 522-2029 VALLEY, CA 93063 RITE AID PHARMACY 30222 CROWN VALLEY PKWY, LAGUNA (949) 495-5823 NIGUEL, CA 92677 RITE AID PHARMACY 19701 YORBA LINDA BLVD, YORBA (714) 970-7666 LINDA, CA 92886 RITE AID PHARMACY 806 RAMSEY ST, BANNING, CA 92220 (951) 849-8614 RITE AID PHARMACY 4520 BEACH BLVD, BUENA PARK, CA (714) 523-2960 90621 RITE AID PHARMACY 72875 HIGHWAY 111, PALM DESERT, CA (760) 346-2618 92260 RITE AID PHARMACY 955 TAMARACK AVE, CARLSBAD, CA (760) 729-4877 92008 RITE AID PHARMACY 801 LINDEN AVE, CARPINTERIA, CA (805) 684-4816 93013 RITE AID PHARMACY 34420 YUCAIPA BLVD, YUCAIPA, CA (909) 797-1312 92399 RITE AID PHARMACY 1793 MARLOW RD, SANTA ROSA, CA (707) 544-8875 95401 RITE AID PHARMACY 471 3RD ST, SAN RAFAEL, CA 94901 (415) 454-7744 RITE AID PHARMACY 3000 S ARCHIBALD AVE, ONTARIO, CA (909) 773-0073 91761 RITE AID PHARMACY 949 KENDALL DR, SAN BERNARDINO, (909) 886-1461 CA 92407 RITE AID PHARMACY 3325 S BRISTOL ST, SANTA ANA, CA (714) 979-4060 92704 RITE AID PHARMACY 69155 RAMON RD, CATHEDRAL CITY, (760) 770-3097 CA 92234 RITE AID PHARMACY 1500 NORTHGATE DR, SAN RAFAEL, CA (415) 492-0888 94903 RITE AID PHARMACY 4221 NORWOOD AVE, SACRAMENTO, (916) 614-9502 CA 95838 RITE AID PHARMACY 107 S LONG BEACH BLVD, COMPTON, (310) 639-8026 CA 90221 RITE AID PHARMACY 1331 S MISSION RD, FALLBROOK, CA (760) 728-6063 92028 RITE AID PHARMACY 1135 AVOCADO BLVD, EL CAJON, CA (619) 447-2332 92020 RITE AID PHARMACY 1890 XIMENO AVE, LONG BEACH, CA (562) 597-6520 90815 RITE AID PHARMACY 1020 AL TAHOE BLVD, SOUTH LAKE (530) 541-2530 TAHOE, CA 96150 RITE AID PHARMACY 8000 WHITE LN, BAKERSFIELD, CA (661) 837-2198 93309 RITE AID PHARMACY 13803 FOOTHILL BLVD, SYLMAR, CA (818) 362-2816 91342 RITE AID PHARMACY 49060 ROAD 426, OAKHURST, CA 93644 (559) 683-8882 RITE AID PHARMACY 2059 S GAREY AVE, POMONA, CA 91766 (909) 613-1191

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 572 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 340 WOODSIDE PLZ, REDWOOD CITY, (650) 368-7008 CA 94061 RITE AID PHARMACY 5712 FOLSOM BLVD, SACRAMENTO, CA (916) 455-6814 95819 RITE AID PHARMACY 1550 HAMILTON AVE, SAN JOSE, CA (408) 264-8642 95125 RITE AID PHARMACY 4224 E SHIELDS AVE, FRESNO, CA (559) 229-6024 93726 RITE AID PHARMACY 2620 EL CAMINO REAL, SANTA CLARA, (408) 241-0919 CA 95051 RITE AID PHARMACY 2700 ORO DAM BLVD E, OROVILLE, CA (530) 533-8083 95965 RITE AID PHARMACY 15920 LOS GATOS BLVD, LOS GATOS, (408) 358-2715 CA 95032 RITE AID PHARMACY 1260 W CAPITOL AVE, WEST (916) 371-4890 SACRAMENTO, CA 95691 RITE AID PHARMACY 4980 FREEPORT BLVD, SACRAMENTO, (916) 457-6247 CA 95822 RITE AID PHARMACY 1526 PALOS VERDES MALL, WALNUT (925) 939-8378 CREEK, CA 94597 RITE AID PHARMACY 1333 S WINCHESTER BLVD, SAN JOSE, (408) 379-6570 CA 95128 RITE AID PHARMACY 1301 MUNRAS AVE, MONTEREY, CA (831) 375-8900 93940 RITE AID PHARMACY 335 W OLIVE AVE, MADERA, CA 93637 (559) 674-2182 RITE AID PHARMACY 6215 SANTA TERESA BLVD, SAN JOSE, (408) 227-2816 CA 95119 RITE AID PHARMACY 170 SAN MATEO RD, HALF MOON BAY, (650) 726-2511 CA 94019 RITE AID PHARMACY 2819 HOPYARD RD, PLEASANTON, CA (925) 846-8345 94588 RITE AID PHARMACY 3055 MCKEE RD, SAN JOSE, CA 95127 (408) 251-2477 RITE AID PHARMACY 2727 S MOONEY BLVD, VISALIA, CA (559) 733-0770 93277 RITE AID PHARMACY 1245 W YOSEMITE AVE, MANTECA, CA (209) 823-1949 95337 RITE AID PHARMACY 901 SOQUEL AVE, SANTA CRUZ, CA (831) 426-4303 95062 RITE AID PHARMACY 2412 W PICO BLVD, SANTA MONICA, CA (310) 450-7624 90405 RITE AID PHARMACY 37950 47TH ST, PALMDALE, CA 93552 (661) 285-9473 RITE AID PHARMACY 9650 BASELINE RD, RANCHO (909) 987-3518 CUCAMONGA, CA 91701 RITE AID PHARMACY 1001 GLENDON AVE, LOS ANGELES, CA (310) 209-0708 90024 RITE AID PHARMACY 32121 CAMINO CAPISTRANO, SAN JUAN (949) 493-2178 CAPISTRANO, CA 92675 RITE AID PHARMACY 2738 E THOMPSON BLVD, VENTURA, CA (805) 648-7795 93003 RITE AID PHARMACY 11496 N VENTURA AVE, OJAI, CA 93023 (805) 646-6697 RITE AID PHARMACY 6123 HIGHWAY 9, FELTON, CA 95018 (831) 335-7252 RITE AID PHARMACY 420 GRASS VALLEY HWY, AUBURN, CA (530) 885-9381 95603 RITE AID PHARMACY 720 SUTTON WAY, GRASS VALLEY, CA (530) 273-7399 95945 RITE AID PHARMACY 387 E AVENDIA DE LOS, THOUSAND (805) 492-1559 OAKS, CA 91360 RITE AID PHARMACY 1720 AVIATION BLVD, REDONDO (310) 376-4460 BEACH, CA 90278 RITE AID PHARMACY 51101 HARRISON ST, COACHELLA, CA (760) 398-0833 92236 RITE AID PHARMACY 1050 N WILSON WAY, STOCKTON, CA (209) 948-0950 95205

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 573 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY 616 EAST HOBSON WAY, BLYTHE, CA (760) 922-9867 92225 RITE AID PHARMACY 1101 FRESNO ST, FRESNO, CA 93706 (559) 441-0998 RITE AID PHARMACY 218 N MAIN ST, SEBASTOPOL, CA 95472 (707) 829-3007 RITE AID PHARMACY 8027 N CEDAR AVE, FRESNO, CA 93720 (559) 431-1002 RITE AID PHARMACY 5560 E SANTA ANA CANYON RD, (714) 998-4801 ANAHEIM HILLS, CA 92807 RITE AID PHARMACY 6661 AUBURN BLVD, CITRUS HEIGHTS, (916) 726-1415 CA 95621 RITE AID PHARMACY 1475 41ST AVE, CAPITOLA, CA 95010 (831) 476-7282 RITE AID PHARMACY 21738 US HIGHWAY 18, APPLE VALLEY, (760) 247-1840 CA 92307 RITE AID PHARMACY 5212 W WALNUT AVE, VISALIA, CA (559) 733-5404 93277 RITE AID PHARMACY 334 S VERMONT AVE, LOS ANGELES, (213) 381-5257 CA 90020 RITE AID PHARMACY 1988 FREEDOM BLVD, FREEDOM, CA (831) 724-5104 95019 RITE AID PHARMACY 12059 CENTRAL AVE, CHINO, CA 91710 (909) 627-4012 RITE AID PHARMACY 31836 ALVARADO BLVD, UNION CITY, (510) 489-3955 CA 94587 RITE AID PHARMACY 6074 N 1ST AVE, FRESNO, CA 93710 (559) 431-5231 RITE AID PHARMACY 10120 MASON AVE, CHATSWORTH, CA (818) 349-7213 91311 RITE AID PHARMACY 13460 HIGHLANDS PLACE, SAN DIEGO, (858) 755-7593 CA 92130 RITE AID PHARMACY 650 E VISALIA RD, FARMERSVILLE, CA (559) 594-5656 93223 RITE AID PHARMACY 160 E ANTELOPE AVE, WOODLAKE, CA (559) 564-8032 93286 RITE AID PHARMACY 600 34TH ST, BAKERSFIELD, CA 93301 (661) 327-9749 RITE AID PHARMACY 9700 PANAMA LANE, BAKERSFIELD, CA (661) 664-0159 93311 RITE AID PHARMACY 1670 GARNET AVE, SAN DIEGO, CA (858) 270-1163 92109 RITE AID PHARMACY 707 N PACIFI AVE, GLENDALE, CA 91203 (818) 547-5710 RITE AID PHARMACY 28995 NEWPORT RD, MENIFEE, CA (951) 301-8119 92584 RITE AID PHARMACY 30541 GATEWAY PL, RANCHO MISSION (949) 496-4017 VIEJO, CA 92694 RITE AID PHARMACY 6420 RIO LINDA BLVD, RIO LINDA, CA (916) 992-5403 95673 RITE AID PHARMACY 10631 TIERRASANTA BLVD, SAN DIEGO, (858) 576-0972 CA 92124 RITE AID PHARMACY 1480 FOOTHILL BLVD, LA VERNE, CA (909) 593-2619 91750 RITE AID PHARMACY 540 CANAL ST, KING CITY, CA 93930 (831) 385-0886 RITE AID PHARMACY 11673 CHERRY AVE, FONTANA, CA (909) 357-2031 92337 RITE AID PHARMACY 5490 WHITTIER BLVD, LOS ANGELES, (323) 721-9718 CA 90022 RITE AID PHARMACY 2480 VICTORIA AVE, PORT HUENEME, (805) 985-2326 CA 93041 RITE AID PHARMACY 3081B CLAIREMONT DR, SAN DIEGO, (619) 275-1175 CA 92117 RITE AID PHARMACY 6091 MERIDIAN AVE, SAN JOSE, CA (408) 927-7900 95120 RITE AID PHARMACY PHARMACY 74958 COUNTRY CLUB DR, PALM (760) 776-9760 DESERT, CA 92260 RITE AID PHARMACY PHARMACY 12900 PALM DR, DESERT HOT (760) 251-3866 SPRINGS, CA 92240 RITE AID PHARMACY PHARMACY 975 E MANNING AVE, REEDLEY, CA (559) 638-6349 93654

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 574 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RITE AID PHARMACY PHARMACY 1700 W WHITTIER BLVD, LA HABRA, CA (562) 694-4367 90631 RITE AID PHARMACY PHARMACY 1107 CALLOWAY DR, BAKERSFIELD, CA (661) 587-6951 93312 RITE AID PHARMACY PHARMACY 4994 JOE HOWARD ST, MARIPOSA, CA (209) 742-7600 95338 RITE AID PHARMACY PHARMACY 990 PLEASANT GROVE RD, ROSEVILLE, (916) 782-2120 CA 95678 RITE AID PHARMACY PHARMACY 27350 SUN CITY BLVD, SUN CITY, CA (951) 301-0063 92586 RITE AID PHARMACY PHARMACY 1605 S SAN JACINTO AVE, SAN (951) 654-4734 JACINTO, CA 92583 RITE AID PHARMACY PHARMACY 9715 OTIS ST, SOUTH GATE, CA 90280 (323) 566-1198 RITE AID PHARMACY PHARMACY 2011 W SHAW AVE, FRESNO, CA 93711 (559) 224-0920 RITE AID PHARMACY PHARMACY 9390 DESCHUTES RD, PALO CEDRO, (530) 547-4403 CA 96073 RITE AID PHARMACY PHARMACY 200 W KERN AVE, MCFARLAND, CA (661) 792-2198 93250 RITE AID PHARMACY PHARMACY 499 ALVARADO ST, MONTEREY, CA (831) 372-8085 93940 RITE AID PHARMACY PHARMACY 8509 IRVINE CENTER DRIVE, IRVINE, CA (949) 450-0501 92618 RITE PRICE PHARMACY PHARMACY 23653 EL TORO RD STE A, LAKE (949) 586-7780 FOREST, CA 92630 RIVADENEYRA, ADAM R - MD ORTHOPAEDIC SPECIALTY PRIMARY TREATING 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP PHYSICIAN IRVINE, CA 92618 OF ORANGE COUNTY RIVADENEYRA, ADAM R - MD ORTHOPAEDIC SPECIALTY PRIMARY TREATING 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP PHYSICIAN 92868 OF ORANGE COUNTY RIVADENEYRA, ADAM R - MD ORTHOPAEDIC SPECIALTY FAMILY MEDICINE 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY RIVADENEYRA, ADAM R - MD ORTHOPAEDIC SPECIALTY FAMILY MEDICINE 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY RIVADENEYRA, ADAM R - MD ORTHOPAEDIC SPECIALTY SPORTS MEDICINE 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY RIVADENEYRA, ADAM R - MD ORTHOPAEDIC SPECIALTY SPORTS MEDICINE 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY RIVER CITY PHYSICAL PHYSICAL THERAPY 1550 HARBOR BLVD STE 120, WEST (916) 456-3735 THERAPY SACRAMENTO, CA 95691-3826 RIVER CITY PHYSICAL PHYSICAL THERAPY 5665 POWER INN RD STE 121, (916) 383-8785 THERAPY SACRAMENTO, CA 95824-2383 RIVER COMMUNITY (BCC) RIVER COMMUNITY CHEMICAL DEPENDENCY 23701 E EAST FORK RD, AZUSA, CA (626) 250-3300 REHABILITATION CENTER 91702 (OUTPATIENT) RIVER COMMUNITY DAY RIVER COMMUNITY DAY CHEMICAL DEPENDENCY 510 S 2ND AVE STE 6, COVINA, CA (626) 974-8123 TREATMENT (BCC) TREATMENT REHABILITATION CENTER 91723 (OUTPATIENT) RIVER COMMUNITY DAY RIVER COMMUNITY DAY CHEMICAL DEPENDENCY 510 S 2ND AVE STE 6, COVINA, CA (626) 974-8123 TREATMENT (BCC) TREATMENT REHABILITATION CENTER 91723 (OUTPATIENT) RIVER OAK PHARMACY PHARMACY 1080 W F ST STE D, OAKDALE, CA 95361 (209) 847-2226 RIVER'S EDGE COMMUNITY PHARMACY 15721 BERNARDO HEIGHTS PKWY, SAN (858) 485-9333 PHARMAC DIEGO, CA 92128 RIVER'S EDGE PHARMACY PHARMACY 36919 COOK ST STE 102, PALM (760) 340-3248 DESERT, CA 92211 RIVER'S EDGE SPECIALTY PHARMACY 17332 VON KARMAN AVE, IRVINE, CA (949) 393-5780 PHARMAC 92614

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 575 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RIVERA PHARMACY PHARMACY 9253 E TELEGRAPH RD, PICO RIVERA, (562) 949-4238 CA 90660 RIVERA, CYNTHIA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 RIVERA, CYNTHIA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 RIVERA, CYNTHIA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 RIVERA, EDOUARD E - MD CONCENTRA MEDICAL ANESTHESIOLOGY 3910 VISTA WAY STE 106, OCEANSIDE, (760) 941-2000 CENTER - OCEANSIDE CA 92056 RIVERA, EZEQUIEL - PTA MARKETPLACE PHYSICAL PHYSICAL THERAPY 1620 E 2ND ST STE I, BEAUMONT, CA (951) 684-2874 THERAPY 92223 RIVERA, GABRIELLA - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2960 E NEES AVE STE 108, FRESNO, CA (559) 322-4103 93720 RIVERA, ISIP, VIDA - PT RELIANT URGENT PHYSICAL THERAPY 814 FRANCISCO ST, LOS ANGELES, CA (424) 888-7649 CAREDOWNTOWN LA DTLA 90017 RIVERA, JOHN, PAUL - PT WEST STAR PHYSICAL PHYSICAL THERAPY 7807 EAST TELEGRAPH ROAD SUITES (714) 236-7959 THERAPY A & B, MONTEBELLO, CA 90640 RIVERA, JORGE L - MD (BCC) LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S RIVERA, LEERICK - PTA BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 RIVERA, LEERICK - PTA BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 RIVERA, LUIS - MD CHAPMAN GLOBAL MEDICAL GENERAL SURGERY 2220 E FRUIT ST, SANTA ANA, CA 92701 (714) 288-8051 CENTER RIVERA, LUIS E - MD CONCENTRA MEDICAL PRIMARY TREATING 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 CENTER - SANTA ANA TUSTIN PHYSICIAN CA 92705 RIVERA, LUIS E - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 800 N TUSTIN AVE STE A, SANTA ANA, (714) 245-0800 CENTER - SANTA ANA TUSTIN CA 92705 RIVERA, SYLVIA C - MD (BCC) SANSUM CLINIC - PUEBLO ENDOCRINOLOGY, DIABETES 215 PESETAS LN, SANTA BARBARA, CA (805) 681-7858 MULTI-SPECIALTY CLINIC AND METABOLISM 93110 RIVERDALE DRUG STORE PHARMACY 3462 W MOUNT WHITNEY, RIVERDALE, (559) 867-3013 CA 93656 RIVEREFELD, DAVID - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 RIVERSIDE COMMUNITY RIVERSIDE COMMUNITY ACUTE CARE HOSPITAL 4445 MAGNOLIA AVE, RIVERSIDE, CA (951) 788-3000 HOSPITAL (BCC) HOSPITAL 92501 RIVERSIDE DISCOUNT DRUGS PHARMACY 12508 RIVERSIDE DR, NORTH (818) 766-5376 HOLLYWOOD, CA 91607 RIVERSIDE INDUSTRIAL RIVERSIDE INDUSTRIAL URGENT CARE FACILITY 1405 SPRUCE ST STE F, RIVERSIDE, CA (951) 682-2222 MEDICAL CLINIC (BCC) MEDICAL CLINIC 92507 RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL HEALTH 6405 DAY ST, RIVERSIDE, CA 92507 (951) 697-5611 MORENO VALLEY CENTER RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL HEALTH 7117 BROCKTON AVE , RIVERSIDE, CA (951) 782-3707 RIVERSIDE CENTER 92506 RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL HEALTH 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY CENTER 92883 RIVERSIDE MEDICAL CLINIC OCCUPATIONAL HEALTH 12742 LIMONITE AVE , EASTVALE, CA (951) 739-2746 -EASTVALE CENTER 92880 RIVERSIDE PHARMACY PHARMACY 866 PLUMAS ST STE C, YUBA CITY, CA (530) 751-1889 95991 RIVERSIDE PHARMACY PHARMACY 11655 RIVERSIDE DR, NORTH (818) 985-7230 HOLLYWOOD, CA 91602 RIVERSIDE PHCY AND PHARMACY 9448 MAGNOLIA AVE STE B, (951) 343-1633 COMPOUNDING RIVERSIDE, CA 92503 RIVERSIDE SURGICAL PHARMACY 3772 TIBBETTS ST, RIVERSIDE, CA (888) 748-7526 92506 RIVERWALK PHARMACY PHARMACY 4234 RIVERWALK PKWY, RIVERSIDE, (951) 352-3030 CA 92505 RIVES, ADAM W - MD (BCC) ASSOCIATED HAND ORTHOPEDIC SURGERY - 2001 SOLAR DR STE 220 , OXNARD, CA (805) 682-2267 SURGEONS UPPER EXTREMITIES 93036

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 576 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RIVES, ADAM W - MD (BCC) ASSOCIATED HAND ORTHOPEDICS - UPPER 2001 SOLAR DR STE 220 , OXNARD, CA (805) 682-2267 SURGEONS EXTREMITIES 93036 RIVES, ADAM W - MD (BCC) ASSOCIATED HAND ORTHOPEDIC SURGERY - 2028 VILLAGE LN STE 102 , SOLVANG, (805) 682-2267 SURGEONS UPPER EXTREMITIES CA 93463 RIVES, ADAM W - MD (BCC) ASSOCIATED HAND ORTHOPEDICS - UPPER 2028 VILLAGE LN STE 102 , SOLVANG, (805) 682-2267 SURGEONS EXTREMITIES CA 93463 RIVES, ADAM W - MD (BCC) ASSOCIATED HAND ORTHOPEDIC SURGERY - 2323 DE LA VINA ST STE 201 , SANTA (805) 682-2267 SURGEONS UPPER EXTREMITIES BARBARA , CA 93105 RIVES, ADAM W - MD (BCC) ASSOCIATED HAND ORTHOPEDICS - UPPER 2323 DE LA VINA ST STE 201 , SANTA (805) 682-2267 SURGEONS EXTREMITIES BARBARA , CA 93105 RIZVI, SAQIB S - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PLAZA, SAN FRANCISCO, CA 94102 CENTER RIZVI, SAQIB S - MD KAISER PERMANENTE ON THE PRIMARY TREATING 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PHYSICIAN PLAZA, SAN FRANCISCO, CA 94102 CENTER RIZZO, BRIAN - DC RIZZO BRIAN DC CHIROPRACTIC MEDICINE 540 CASTRO ST, SAN FRANCISCO, CA (415) 621-5772 94114 RJ PHYSICAL THERAPY PHYSICAL THERAPY 501 E HARDY ST STE 160, INGLEWOOD, (310) 412-0100 GROUP CA 90301-4033 RMS OF SACRAMENTO PHARMACY 648 NORTHFIELD DR, SACRAMENTO, (916) 927-3422 CA 95833 ROB ROSENBERRY PHYSICAL PHYSICAL THERAPY 320 ALISAL RD, SOLVANG, CA 93463 (805) 688-5000 THERAPY ROBBINS, GRANT - PTA BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 ROBBINS, GRANT - PTA BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 ROBBINS, JOANNE - AUD ADVANCED HEARING AUDIOLOGY 230 HOSPITAL CIR STE A, (800) 598-5300 PROVIDERS LLC WESTMINSTER, CA 92683 ROBERT PHARMACY PHARMACY 9126 A VALLEY BLVD, ROSEMEAD, CA (626) 307-5501 91770 ROBERT, MAWHINEY, JAMES - JAMES ROBERT MAWHINEY PHYSICAL THERAPY 78078 COUNTRY CLUB DR STE 205, (760) 345-9934 PT DBA SHELLEY A COOPER BERMUDA DUNES, CA 92203 PHYSICAL THERAPY ROBERTO, GIANFRANCO - DC ANDERSON CHIROPRACTIC CHIROPRACTIC MEDICINE 4225 SOUTH SAVIERS ROAD STE 3, (805) 385-8822 4225 SOUTH SAVIERS ROAD OXNARD, CA 93033 ROBERTO, ROLANDO F - MD UC DAVIS SPINE CENTER SPINE SURGERY 3301 C ST STE 1500, SACRAMENTO , CA (916) 734-7463 (BCC) 95816 ROBERTO, ROLANDO F - MD UC DAVIS SPINE CENTER ORTHOPEDICS - SPINE 3301 C ST STE 1500, SACRAMENTO , CA (916) 734-7463 (BCC) 95816 ROBERTS, ANDREA - PT (BCC) SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST , SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTE 93063 ROBERTS, ANDREA, DELPIZZO SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 - PT ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD ROBERTS, ANDREA, DELPIZZO SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 - PT ORTHOPEDIC CA 91354 INSTITUTEVALENCIA ROBERTS, ANDREA, DELPIZZO SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 - PT ORTHOPEDIC INSTITUTESIMI 93065 VALLEY ROBERTS, ANDREA, DELPIZZO SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 - PT ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS ROBERTS, ANDREA, DELPIZZO SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 - PT ORTHOPEDIC INSTITUTE MAIN ACCOUNT ROBERTS, CECILE - PT DANA POINT PHYSICAL PHYSICAL THERAPY 34241 PACIFIC COAST HWY STE 102, (949) 496-3896 THERAPY DANA POINT, CA 92629 ROBERTS, JEREMY - DC CLEMENTS CHIROPRACTIC CHIROPRACTIC MEDICINE 3720 E ANAHEIM ST STE 180, LONG (562) 986-2865 CENTER BEACH, CA 90804 ROBERTSON CENTER PHARMACY 250 N ROBERTSON BLVD, BEVERLY (310) 278-2948 PHARMACY HILLS, CA 90211

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 577 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ROBERTSON SPECIALTY PHCY PHARMACY 1700 S ROBERTSON BLVD, LOS (424) 258-6721 ANGELES, CA 90035 ROBERTSON, DENNIS - DC NORTHWEST FAMILY CHIROPRACTIC MEDICINE 5649 N PALM AVE, FRESNO, CA 93704 (559) 222-6262 CHIRO/DENNIS ROBERTSON DC ROBERTSON, SARAH E - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH 95825 CENTER ROBERTSON, SARAH E - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH PHYSICIAN 95825 CENTER ROBINSON, DEREK - OT JBJC INC DBA PINE STREET OCCUPATIONAL THERAPY 534 E PINE ST STE A, STOCKTON, CA (209) 463-5800 PHYSICAL AND 95204 OCCUPATIONAL ROBINSON, JEAN - CHT CALIFORNIA REHABILITATION HAND THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 ROBINSON, JEAN - CHT CALIFORNIA HAND THERAPY HAND THERAPY 8641 WILSHIRE BLVD STE 200, (310) 854-0529 BEVERLY HILLS, CA 90211 ROBINSON, JEAN - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 ROBINSON, JEANNIE - OT CALIFORNIA HAND THERAPY OCCUPATIONAL THERAPY 8641 WILSHIRE BLVD STE 200, (310) 854-0529 BEVERLY HILLS, CA 90211 ROBINSON, JESSICAN - PT SYNERGY SPECIALIST PHYSICAL THERAPY 8388 PARKWAY DR, LA MESA, CA 91942 (619) 797-1190 MEDICAL GROUP ROBINSON, KELLIE - PT PRN AQUATIC PHYSICAL PHYSICAL THERAPY 1663 GREENFIELD DR, EL CAJON, CA (619) 440-5752 REHABILITATION 92021 ROBINSON, MATTHEW D - DO ORTHOPEDIC SURGERY & PRIMARY TREATING 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 (BCC) SPORTS MEDICINE PHYSICIAN CA 92591 ASSOCIATES ROBINSON, MATTHEW D - DO ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - HIP 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 (BCC) SPORTS MEDICINE CA 92591 ASSOCIATES ROBINSON, MATTHEW D - DO ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 (BCC) SPORTS MEDICINE LOWER EXTREMITIES CA 92591 ASSOCIATES ROBINSON, MATTHEW D - DO ORTHOPEDIC SURGERY & ORTHOPEDIC SURGERY - 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 (BCC) SPORTS MEDICINE UPPER EXTREMITIES CA 92591 ASSOCIATES ROBINSON, MATTHEW D - DO ORTHOPEDIC SURGERY & ORTHOPEDICS - HIP 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 (BCC) SPORTS MEDICINE CA 92591 ASSOCIATES ROBINSON, MATTHEW D - DO ORTHOPEDIC SURGERY & ORTHOPEDICS - LOWER 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 (BCC) SPORTS MEDICINE EXTREMITIES CA 92591 ASSOCIATES ROBINSON, MATTHEW D - DO ORTHOPEDIC SURGERY & ORTHOPEDICS - UPPER 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 (BCC) SPORTS MEDICINE EXTREMITIES CA 92591 ASSOCIATES ROBINSON, MATTHEW D - DO ORTHOPEDIC SURGERY & SPORTS MEDICINE 40949 WINCHESTER RD , TEMECULA, (951) 296-6676 (BCC) SPORTS MEDICINE CA 92591 ASSOCIATES ROBINSON, TAYLOR - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY ROBINSON, TAYLOR - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY ROBINSON, TAYLOR - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY ROBINSONS PHARMACY PHARMACY 359 MAIN ST, PLACERVILLE, CA 95667 (530) 622-3186 ROBITAILLE, LEAH - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1906 VISTA DEL LAGO DR STE A, (209) 772-0848 INJURY CTR VALLEY SPRINGS, CA 95252

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 578 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ROBLEDO, ELIZABETH - LAC DONIA CHIROPRACTIC ACUPUNCTURE 1455 W PARK AVE, REDLANDS, CA (909) 793-2225 92373 ROBLES, LYDIA G - MFT (BCC) SHORELINE MENTAL HEALTH MARRIAGE FAMILY THERAPY 5900 SEPULVEDA BLVD STE 370, (562) 493-6799 SHERMAN OAKS , CA 91411 ROBLES, LYDIA G - MFT (BCC) SHORELINE MENTAL HEALTH MARRIAGE FAMILY THERAPY 610 PACIFIC COAST HWY STE 201, (562) 493-6799 SEAL BEACH, CA 90740 ROBLES, ROMAN - LAC ROMAN ROBLES LAC ACUPUNCTURE 2908 G ST STE A, MERCED, CA 95340 (209) 819-9759 ROCHA, CYNTHIA - LMT LEE AND RODRIGUEZ MASSAGE THERAPIST 4121 10TH ST, RIVERSIDE, CA 92501 (951) 274-0421 CHIROPRACTIC INC DBA BROCKTON INTEGRATIVE REHAB ROCHA, SEAN B - MD KAISER PERMANENTE SO ORTHOPEDIC SURGERY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER ROCIO, ISABEL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 1809 E DYER RD STE 313, SANTA ANA, (888) 734-2280 SPORTS REHAB MAIN CA 92705 ROCKMAEL, MATTHEW - DPM KAISER PERMANENTE ON THE PODIATRY 275 HOSPITAL PARKWAY 5TH FLR, SAN (408) 972-6800 JOB OCCUPATIONAL HEALTH JOSE, CA 95119 CENTER RODA, JASON - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 RODGERS, PAULA - MD KAISER PERMANENTE GENERAL SURGERY 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER RODGERS, PAULA - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER RODRIGUEZ, BRUCE D - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 2500 MERCED ST , SAN LEANDRO, CA (510) 675-4807 LEANDRO MEDICAL CENTER 94577 RODRIGUEZ, CARTER, BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 421-2959 BRENDA - PTA THERAPY RODRIGUEZ, DORA C - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER RODRIGUEZ, ELAINE - LMT BLAKE PHYSICAL THERAPY MASSAGE THERAPIST 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 RODRIGUEZ, GHISLAINE - DC SPINE CARE ORTHOPEDIC CHIROPRACTIC MEDICINE 8610 S SEPULVEDA BLVD STE 109, LOS (310) 337-3700 PHYSICIANS ANGELES, CA 90045 RODRIGUEZ, JOSE - MD (BCC) NEUROLOGICAL SURGERY 255 E BONITA AVE BLDG 9, POMONA, (909) 450-0369 CA 91767 RODRIGUEZ, MIGUEL A - DPM MIGUEL A RODRIGUEZ DPM PODIATRY 500 N GARFIELD AVE STE 108, (626) 288-2760 INC MONTEREY PARK, CA 91754 RODRIGUEZ, OSCAR - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 1220 HEMLOCK WAY SUITE 206, SANTA (626) 854-1144 CHIROPRACTIC INC ANA, CA 92707 RODRIGUEZ, OSCAR - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 675 N PARK AVE STE A, POMONA, CA (909) 622-6429 CHIROPRACTIC INC 91768 RODRIGUEZ, OSCAR - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 741 S ORANGE AVE, WEST COVINA, CA (626) 854-1144 CHIROPRACTIC INC 91790 RODRIGUEZ, PABLO - DC SPINE CARE ORTHOPEDIC CHIROPRACTIC MEDICINE 8610 S SEPULVEDA BLVD STE 109, LOS (310) 337-3700 PHYSICIANS ANGELES, CA 90045 RODRIGUEZ, RACHELLE - LMT HEALTH PRO PHYSICAL MASSAGE THERAPIST 110 LA CASA VIA STE 100, WALNUT (925) 935-4866 THERAPY CREEK, CA 94598 RODRIGUEZ, SARA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 RODRIQUEZ, JOSHUA - PT PACK PHYSICAL THERAPY INC PHYSICAL THERAPY 24582 DEL PRADO STE C, DANA POINT, (949) 443-0713 DBA FYZICAL THERAPY AND CA 92629 BALANCE CENTERS RODRIQUEZ, LISBETH - OT WHITE BLOSSOM CARE OCCUPATIONAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 ROEMER, KIRK - DC HEALTHLINE MEDICAL GROUP CHIROPRACTIC MEDICINE 15211 VANOWEN ST STE 105, VAN (818) 997-7711 NUYS, CA 91405 ROEMER, KIRK - DC CALIFORNIA PHYSICAL CHIROPRACTIC MEDICINE 4100 TRUXTUN AVE STE 200, (661) 632-1540 THERAPY CENTERS BAKERSFIELD, CA 93309

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 579 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ROEMER, KIRK - DC DR KIRK ROEMER DC CHIROPRACTIC MEDICINE 10630 SEPULVEDA BLVD STE 200, (818) 361-3369 CHIROPRACTIC INC MISSION HILLS, CA 91345 ROEMER, KIRK - DC DR KIRK ROEMER DC CHIROPRACTIC MEDICINE 1427 S LEXINGTON ST SUITE 3, (661) 725-1096 CHIROPRACTIC INC DELANO, CA 93215 ROGERS DRUG STORE PHARMACY 402 H ST, MODESTO, CA 95351 (209) 522-5229 ROGERS PHARMACY PHARMACY 2909 LOMA VISTA RD, VENTURA, CA (805) 648-1856 93003 ROGERS, AJ - MD GENERAL SURGERY 1550 E WASHINGTON ST STE 101, (800) 321-1593 COLTON, CA 92324 ROGERS, ALEXANDRA E - MD SANSUM CLINIC - FOOTHILL UROLOGY 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 (BCC) MEDICAL & SURGERY CENTER CA 93110 - BLDG A ROGERS, AMANDA, BENDER - HUNTINGTON BEACH PT PHYSICAL THERAPY 19582 BEACH BLVD 130, HUNTINGTON (714) 841-6162 PT BEACH, CA 92648 ROGERS, CELESTINA - AUD ADVANCED HEARING AUDIOLOGY 1440 N HARBOR BLVD NINTH FLOOR, (800) 598-5300 PROVIDERS LLC FULLERTON, CA 92835 ROGERSON, MICHAEL - DC NORALAHI MEDICAL CLINICS CHIROPRACTIC MEDICINE 101 S SAN MATEO DR STE 112, SAN (650) 755-6400 INCORPORATED MATEO, CA 94401 ROGERSON, MICHAEL - DC NORALAHI MEDICAL CLINICS CHIROPRACTIC MEDICINE 1720 RINGWOOD AVE, SAN JOSE, CA (408) 988-8581 INCORPORATED 95131 ROGERSON, MICHAEL - DC NORALAHI MEDICAL CLINICS CHIROPRACTIC MEDICINE 2087 GRAND CANAL BLVD STE 12, (209) 476-8405 INCORPORATED STOCKTON, CA 95207 ROGERSON, MICHAEL - DC NORALAHI MEDICAL CLINICS CHIROPRACTIC MEDICINE 2901 K ST STE 120C, SACRAMENTO, CA (916) 448-1770 INCORPORATED 95816 ROGSTAD, DANIEL K - MD LOMA LINDA UNIVERSITY INFECTIOUS DISEASE 11370 ANDERSON ST STE 3100, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP ROHAN, MATTHEW - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 ROHRER, MARISA - OT DYNAMIX REHABILITATION OCCUPATIONAL THERAPY 17042 BELLFLOWER BLVD, (562) 991-1324 BELLFLOWER, CA 90706 ROHRER, MARISA - OT DYNAMIX REHABILITATION OCCUPATIONAL THERAPY 7320 FIRESTONE BLVD STE 105, (562) 927-5820 DOWNEY, CA 90241 ROHRER, STEPHEN J - DO SAN DIEGO SPORTS MEDICINE SPORTS MEDICINE 6699 ALVARADO RD STE 2100, SAN (619) 229-3909 (BCC) AND FAMILY HEALTH CENTER DIEGO , CA 92120 ROHRER, STEPHEN J - DO SAN DIEGO SPORTS MEDICINE PRIMARY TREATING 6699 ALVARADO RD STE 2100, SAN (619) 229-3909 (BCC) AND FAMILY HEALTH CENTER PHYSICIAN DIEGO , CA 92120 ROIZ, RONALD A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC UPPER EXTREMITIES LINDA , CA 92354 SURGERY FP&S ROIZ, RONALD A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LOWER EXTREMITIES LINDA , CA 92354 SURGERY FP&S ROIZ, RONALD A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - HIP 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S ROJAS, EZEKIEL - AUD ADVANCED HEARING AUDIOLOGY 15100 KENSINGTON PARK DRIVE STE (800) 598-5300 PROVIDERS LLC L-510, TUSTIN, CA 92780 ROJHANI, SOLOMON - MD PAIN MANAGEMENT 8711 VENICE BLVD, LOS ANGELES , CA (213) 465-0994 (BCC) 90034 ROKAW, JOSHUA A - MD (BCC) VANOWEN MEDICAL INTERNAL MEDICINE 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 ASSOCIATES CA 91405 ROKAW, JOSHUA A - MD (BCC) VANOWEN MEDICAL PRIMARY TREATING 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 ASSOCIATES PHYSICIAN CA 91405 ROKAW, JOSHUA A - MD (BCC) VANOWEN MEDICAL ENDOCRINOLOGY, DIABETES 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 ASSOCIATES AND METABOLISM CA 91405 ROLANDELLI, CHERI, PATRICE SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 - PTA THERAPY RAMON, CA 94583 ROLANDELLI, CHERI, PATRICE SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 - PTA THERAPYMAIN 94526

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 580 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ROLING, BRIAN A - DPM KAISER PERMANENTE PODIATRY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER ROLLING OAKS PHARMACY PHARMACY 325 ROLLING OAKS DR, THOUSAND (805) 557-1006 OAKS, CA 91361 ROLLINS, DAVID B - MD CONCENTRA MEDICAL PRIMARY TREATING 1524 MCHENRY AVE STE 135, (209) 575-5801 CENTER - MODESTO PHYSICIAN MODESTO, CA 95350 ROLLINS, DAVID B - MD CONCENTRA MEDICAL FAMILY MEDICINE 1524 MCHENRY AVE STE 135, (209) 575-5801 CENTER - MODESTO MODESTO, CA 95350 ROMANO, JENNA - PT PACIFIC HILLS MANOR PHYSICAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346 ROMBERG, RANDALL - AUD ADVANCED HEARING AUDIOLOGY 1807 XIMENO AVE, LONG BEACH, CA (800) 598-5300 PROVIDERS LLC 90815 ROMERO, ANTHONY C - MD COASTAL OCCUPATIONAL ORTHOPEDIC SURGERY - 1901 OUTLET CENTER DR STE 100 , (805) 988-3200 (BCC) MEDICAL GROUP ELBOW OXNARD , CA 93036 ROMERO, ANTHONY C - MD COASTAL OCCUPATIONAL ORTHOPEDIC SURGERY - 1901 OUTLET CENTER DR STE 100 , (805) 988-3200 (BCC) MEDICAL GROUP KNEE OXNARD , CA 93036 ROMERO, ANTHONY C - MD COASTAL OCCUPATIONAL ORTHOPEDIC SURGERY - 1901 OUTLET CENTER DR STE 100 , (805) 988-3200 (BCC) MEDICAL GROUP SHOULDER OXNARD , CA 93036 ROMERO, CARDY D - MD (BCC) SANSUM CLINIC - OCCUPATIONAL MEDICINE 101 S PATTERSON AVE , SANTA (805) 898-3311 OCCUPATIONAL MEDICINE BARBARA, CA 93111 ROMERO, CARDY D - MD (BCC) SANSUM CLINIC - PRIMARY TREATING 101 S PATTERSON AVE , SANTA (805) 898-3311 OCCUPATIONAL MEDICINE PHYSICIAN BARBARA, CA 93111 ROMERO, KENNETH A - MD CONCENTRA MEDICAL PAIN MEDICINE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 ROMIG, CHRISTOPHER - MD ANESTHESIOLOGY 26921 CROWN VALLEY PKWY STE 201, (949) 334-8160 (BCC) MISSION VIEJO, CA 92691 RON'S PHARMACY SERVICES PHARMACY 10140 BARNES CANYON RD, SAN (858) 652-6900 DIEGO, CA 92121 RONA, KAIS A - MD (BCC) FIRST CALIFORNIA PHYSICIAN BARIATRIC SURGERY 1275 N ROSE DR STE 118, PLACENTIA , (714) 428-6711 PARTNERS CA 92870 RONALD REAGAN UCLA RONALD REAGAN UCLA ACUTE CARE HOSPITAL 757 WESTWOOD PLZ, LOS ANGELES, (310) 825-6301 MEDICAL CENTER (BCC) MEDICAL CENTER CA 90095 RONALD REAGAN UCLA OP PHARMACY 662 GAYLEY AVE, LOS ANGELES, CA (310) 267-8524 PHCY 90095 RONALD, AJLUNI - DC RONALD S AJLUNI DC CHIROPRACTIC MEDICINE 16195 MONTEREY ST STE 104, (408) 978-6712 MORGAN HILL, CA 95037 RONNING PHYSICAL THERAPY PHYSICAL THERAPY 2505C CABRILLO COLLEGE DR, APTOS, (831) 464-3901 INC CA 95003 ROPER, JONATHAN - MD KAISER PERMANENTE SAN ORTHOPEDICS 4647 ZION AVE , SAN DIEGO, CA 92120 (833) 242-8500 DIEGO MEDICAL CENTER ROSA 1 PHARMACY PHARMACY 10050 GARVEY AVE STE 117, EL (626) 448-9956 MONTE, CA 91733 ROSA II PHARMACY PHARMACY 8729 VALLEY BLVD #D, ROSEMEAD, CA (626) 286-8931 91770 ROSA PHARMACY PHARMACY 9200 VALLEY BLVD, ROSEMEAD, CA (626) 573-9477 91770 ROSA, CAROLS - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 500 E REMINGTON DR STE 10, (408) 389-3600 THERAPY SUNNYVALE SUNNYVALE, CA 94087 ROSE PHARMACY PHARMACY 1220 W HEMLOCK WAY STE 110, SANTA (714) 662-0548 ANA, CA 92707 ROSE PHARMACY PHARMACY 12540 MCCANN DR, SANTA FE (714) 664-0518 SPRINGS, CA 90670 ROSE PHARMACY PHARMACY 35400 BOB HOPE DR, RANCHO MIRAGE, (760) 832-6287 CA 92270 ROSE, HEATHER - PT PACER PHYSICAL THERAPY PHYSICAL THERAPY 2330 SAN RAMON VALLEY BLVD, SAN (925) 855-1733 INC RAMON, CA 94583 ROSE, NICHOLAS - MD (BCC) ORTHOPEDIC SURGERY - 360 SAN MIGUEL DR STE 701, (949) 759-3600 UPPER EXTREMITIES NEWPORT BEACH, CA 92660 ROSE, NICHOLAS - MD (BCC) ORTHOPEDICS - UPPER 360 SAN MIGUEL DR STE 701, (949) 759-3600 EXTREMITIES NEWPORT BEACH, CA 92660 ROSE, RICHARD - PT PRECISION REHABILITATION PHYSICAL THERAPY 323 N 11TH AVE STE 107, HANFORD, CA (559) 713-6806 AND ORTHOPEDIC PHYSICAL 93230 THERAPY DBA PROPT

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 581 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ROSE, RICHARD K - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER ROSEN, LOUIS - DO KAISER PERMANENTE PHYSICAL MEDICINE AND 5251 VIEWRIDGE COURT , SAN DIEGO, (833) 242-8500 VIEWRIDGE MEDICAL OFFICES REHABILITATION CA 92123 ROSEN, MIRANDA - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 ROSEN, THEODORE - DC MODESTO CHIROPRATIC CHIROPRACTIC MEDICINE 409 COFFEE RD, MODESTO, CA 95355 (209) 527-5346 CENTER ROSENBAUM, HARVEY - MD ANESTHESIOLOGY 757 WESTWOOD PLZ STE 3325, LOS (310) 267-8642 (BCC) ANGELES, CA 90095 ROSENBERG, DAVID S - MD PLASTIC & RECONSTRUCTIVE 145 N ROBERTSON BLVD, BEVERLY (310) 295-7925 (BCC) SURGERY HILLS , CA 90211 ROSENBERG, GARY A - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 ROSENBLUM, BARRY - MD HEALTHLINE MEDICAL GROUP PRIMARY TREATING 15211 VANOWEN ST STE 105, VAN (818) 997-7711 PHYSICIAN NUYS, CA 91405 ROSENBLUM, BARRY - MD HEALTHLINE MEDICAL GROUP OCCUPATIONAL MEDICINE 15211 VANOWEN ST STE 105, VAN (818) 997-7711 NUYS, CA 91405 ROSENFELD, JEFFREY - MD LOMA LINDA UNIVERSITY - NEUROLOGY 11370 ANDERSON ST STE B100, LOMA (800) 679-4642 (BCC) DEPT OF NEUROLOGY LINDA , CA 92354 ROSENTHAL, JONATHAN - MD ANESTHESIOLOGY 354 SANTA FE DR, ENCINITAS, CA (760) 633-7840 (BCC) 92024 ROSENTHAL, JORDAN - DPM AIRPORT PODIATRY GROUP PODIATRY 9100 S SEPULVEDA BLVD STE 100, LOS (310) 645-3338 (BCC) ANGELES, CA 90045 ROSENZWEIG, SCOTT - MD ORTHOPEDIC SURGERY - 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 (BCC) KNEE BEACH, CA 90807 ROSENZWEIG, SCOTT - MD ORTHOPEDIC SURGERY - 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 (BCC) SHOULDER BEACH, CA 90807 ROSENZWEIG, SCOTT - MD ORTHOPEDICS - KNEE 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 (BCC) BEACH, CA 90807 ROSENZWEIG, SCOTT - MD ORTHOPEDICS - SHOULDER 1145 E SAN ANTONIO DR STE A, LONG (562) 984-5505 (BCC) BEACH, CA 90807 ROSENZWEIG, SCOTT - MD ORTHOPEDIC SURGERY - 1450 10TH ST STE 302, SANTA MONICA, (310) 315-1786 (BCC) KNEE CA 90401 ROSENZWEIG, SCOTT - MD ORTHOPEDIC SURGERY - 1450 10TH ST STE 302, SANTA MONICA, (310) 315-1786 (BCC) SHOULDER CA 90401 ROSENZWEIG, SCOTT - MD ORTHOPEDICS - KNEE 1450 10TH ST STE 302, SANTA MONICA, (310) 315-1786 (BCC) CA 90401 ROSENZWEIG, SCOTT - MD ORTHOPEDICS - SHOULDER 1450 10TH ST STE 302, SANTA MONICA, (310) 315-1786 (BCC) CA 90401 ROSENZWEIG, SCOTT - MD ORTHOPEDIC SURGERY - 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 (BCC) KNEE 90623 ROSENZWEIG, SCOTT - MD ORTHOPEDIC SURGERY - 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 (BCC) SHOULDER 90623 ROSENZWEIG, SCOTT - MD ORTHOPEDICS - KNEE 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 (BCC) 90623 ROSENZWEIG, SCOTT - MD ORTHOPEDICS - SHOULDER 7951 VALLEY VIEW ST, LA PALMA, CA (714) 994-1131 (BCC) 90623 ROSENZWIEG, SCOTT L - MD TRICOUNTY MEDICAL GROUP ORTHOPEDIC SURGERY - 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 KNEE CA 90004 ROSENZWIEG, SCOTT L - MD TRICOUNTY MEDICAL GROUP ORTHOPEDIC SURGERY - 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 SHOULDER CA 90004 ROSENZWIEG, SCOTT L - MD TRICOUNTY MEDICAL GROUP ORTHOPEDICS - KNEE 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 CA 90004 ROSENZWIEG, SCOTT L - MD TRICOUNTY MEDICAL GROUP ORTHOPEDICS - SHOULDER 338 N WESTERN AVE , LOS ANGELES, (213) 250-5106 CA 90004 ROSEVILLE SURGERY CENTER ROSEVILLE SURGERY CENTER AMBULATORY SURGERY 1420 E ROSEVILLE PKWY STE 100, (916) 677-2488 (BCC) CENTER ROSEVILLE , CA 95661 ROSNER, JANET - AUD ADVANCED HEARING AUDIOLOGY 23123 VENTURA , WOODLAND HILLS, (800) 598-5300 PROVIDERS LLC CA 91364 ROSOL, ERICA - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 582 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ROSPLOCK, THOMAS - DC RECOVERY CHIROPRACTIC CHIROPRACTIC MEDICINE 1428 PHILLIPS LN STE B1, SAN LUIS (805) 548-8520 OBISPO, CA 93401 ROSS, IAN B - MD (BCC) SOUTHERN CALIFORNIA NEUROLOGICAL SURGERY 630 S RAYMOND AVE STE 330, (626) 793-8194 NEUROLOGICAL ASSOCIATES PASADENA, CA 91105 ROSSI, TAYLOR - PT JARRETT ORTHOPAEDIC PHYSICAL THERAPY 2651 IRVINE AVE STE 128, COSTA (949) 722-8811 REHABILITATION MESA, CA 92627 ROSSIGNOL, CYNTHIA - AUD ADVANCED HEARING AUDIOLOGY 4345 GLENCOE AVE C-12A, MARINA (800) 598-5300 PROVIDERS LLC DEL REY, CA 90292 ROSSMAN, MATTHEW - PT RESTOR PHYSICAL THERAPY PHYSICAL THERAPY 351 HOSPITAL RD STE 007, NEWPORT (949) 525-9995 BEACH, CA 92663 ROSSMAN, STANLEY - MD CEDARS-SINAI MEDICAL HEMATOLOGY AND 23101 SHERMAN PLACE STE 410, WEST (818) 346-7025 (BCC) CENTER - ONCOLOGY WEST ONCOLOGY HILLS , CA 91307 ROTELLO, JAMES - LAC BEVERLY URGENT CARE INC ACUPUNCTURE 401 W BEVERLY BLVD, MONTEBELLO, (323) 477-2200 CA 90640 ROTELLO, JAMES - LAC PROACTIVE WORK HEALTH ACUPUNCTURE 920 N NASH ST BLDG A, EL SEGUNDO, (310) 321-5500 SERVICES CA 90245 ROTELLO, JAMES, PETER - LAC SOUTHERN CALIFORNIA ACUPUNCTURE 3320 S HILL ST, LOS ANGELES, CA (213) 749-5386 MEDICAL GROUP 90007 ROTHMAN, STEPHANIE J - DO SANSUM CLINIC - PUEBLO NEUROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC CA 93105 ROTHSCHILD, RICHARD - MD CARDIOVASCULAR DISEASE 2241 WANKEL WAY STE C, OXNARD, CA (805) 983-0922 (BCC) (CARDIOLOGY) 93030 ROTHSCHILD, RICHARD B - MD CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 400 CAMARILLO RANCH RD STE 205, (805) 983-0922 (BCC) MEDICAL GROUP (CARDIOLOGY) CAMARILLO , CA 93010 ROUBIDOUX, TYLER - MD (BCC) ANESTHESIOLOGY 1301 20TH ST, SANTA MONICA, CA (310) 576-7267 90404 ROUBIDOUX, TYLER - MD (BCC) ANESTHESIOLOGY 2121 WILSHIRE BLVD STE 201, SANTA (626) 795-6596 MONICA, CA 90403 ROUFF, STEVEN L - MD (BCC) VANOWEN MEDICAL INTERNAL MEDICINE 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 ASSOCIATES CA 91405 ROUFF, STEVEN L - MD (BCC) VANOWEN MEDICAL PRIMARY TREATING 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 ASSOCIATES PHYSICIAN CA 91405 ROUHANI, SHIVA - LAC ACUPUNCTURE WELLNESS ACUPUNCTURE 1740 CAMERON AVENUE, WEST (949) 395-1141 CENTER COVINA, CA 91790 ROUILLARD, NORMA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 8790 CUYAMACA ST STE A, SANTEE, CA (619) 596-5969 92071 ROUSSEAU, MYRNA - OT HUMBOLDT HAND FOOT OCCUPATIONAL THERAPY 1587 MYRTLE AVE, EUREKA, CA 95501 (707) 441-1931 THERAPY INC ROVNER, ROBERT - MD SPINE SURGERY 1320 EL CAPTAIN DR STE 200, (925) 275-0700 DANVILLE, CA 94527 ROVNER, ROBERT - MD ORTHOPEDICS - SPINE 1320 EL CAPTAIN DR STE 200, (925) 275-0700 DANVILLE, CA 94526 ROWE, JESSICA M - PHD (BCC) PSYCHOLOGY 750 OAK AVED PKWY STE 160, (916) 413-3025 FOLSOM, CA 95630 ROWELL, NICOLE - AUD ADVANCED HEARING AUDIOLOGY 1850 DOUGLAS BLVD STE 225, (800) 598-5300 PROVIDERS LLC ROSEVILLE, CA 95661 ROXBURY PHARMACY 9101 W OLYMPIC BLVD, BEVERLY (310) 277-6266 HILLS, CA 90212 ROY, PUJA - MD (BCC) ANESTHESIOLOGY 1401 S GRAND AVE, LOS ANGELES, CA (213) 748-2411 90015 ROY, PUJA - MD (BCC) ANESTHESIOLOGY 5700 SAN FERNANDO RD, GLENDALE, (818) 637-7766 CA 91202 ROY, TEMPLET - AUD ADVANCED HEARING AUDIOLOGY 915 HIGHLAND POINT DR STE 250, (800) 598-5300 PROVIDERS LLC ROSEVILLE, CA 95678 ROYAL CARE PHARMACY PHARMACY 7300 W SUNSET BLVD STE L, LOS (323) 850-0722 ANGELES, CA 90046 ROYAL HILLS PHARMACY PHARMACY 7301 MEDICAL CENTER DR, WEST (818) 887-7380 HILLS, CA 91307 ROYAL PHARMACY PHARMACY 9106 ADAMS AVE, HUNTINGTON (714) 962-0003 BEACH, CA 92646 ROYAL PHARMACY PHARMACY 1839A YGNACIO VALLEY RD, WALNUT (925) 954-7869 CREEK, CA 94598

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 583 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ROYAL PHARMACY DRUGS PHARMACY 1101 1/2 W GLENOAKS BLVD, (818) 484-7484 GLENDALE, CA 91202 ROYAL PHARMACY GROUP PHARMACY 4419 47TH ST, SAN DIEGO, CA 92115 (619) 282-1338 ROYALTY PHARMACY PHARMACY 1902 ROYALTY DR STE 110, POMONA, (909) 620-8008 CA 91767 ROZINA AND SMITH PHYSICAL PHYSICAL THERAPY 846 W FOOTHILL BLVD STE C, UPLAND, (909) 985-8686 THERAPY CA 91786-3784 RP HEALTHCARE PHARMACY 2456 W 3RD ST, SANTA ROSA, CA 95401 (707) 571-5955 RUANO, AARON - PT AEGIS PHYSICAL THERAPY INC PHYSICAL THERAPY 27620 LANDAU BLVD STE 3, (760) 322-5090 CATHEDRAL CITY, CA 92234 RUBANENKO, GABRIEL V - MD ORTHOPEDIC SURGERY - 14557 FRIAR ST STE B2, VAN NUYS, CA (818) 508-4210 (BCC) UPPER EXTREMITIES 91411 RUBANENKO, GABRIEL V - MD ORTHOPEDIC SURGERY - 14557 FRIAR ST STE B2, VAN NUYS, CA (818) 508-4210 (BCC) LOWER EXTREMITIES 91411 RUBANENKO, GABRIEL V - MD ORTHOPEDIC SURGERY - HIP 14557 FRIAR ST STE B2, VAN NUYS, CA (818) 508-4210 (BCC) 91411 RUBANENKO, GABRIEL V - MD SPINE SURGERY 14557 FRIAR ST STE B2, VAN NUYS, CA (818) 508-4210 (BCC) 91411 RUBANENKO, GABRIEL V - MD ORTHOPEDICS - UPPER 14557 FRIAR ST STE B2, VAN NUYS, CA (818) 508-4210 (BCC) EXTREMITIES 91411 RUBANENKO, GABRIEL V - MD ORTHOPEDICS - LOWER 14557 FRIAR ST STE B2, VAN NUYS, CA (818) 508-4210 (BCC) EXTREMITIES 91411 RUBANENKO, GABRIEL V - MD ORTHOPEDICS - HIP 14557 FRIAR ST STE B2, VAN NUYS, CA (818) 508-4210 (BCC) 91411 RUBANENKO, GABRIEL V - MD ORTHOPEDICS - SPINE 14557 FRIAR ST STE B2, VAN NUYS, CA (818) 508-4210 (BCC) 91411 RUBINSTEIN, MICHAEL P - MD FIRST CALIFORNIA PHYSICIAN ORTHOPEDIC SURGERY - 680 LANGSDORF DR STE 103, (714) 428-6711 (BCC) PARTNERS UPPER EXTREMITIES FULLERTON , CA 92831 RUBINSTEIN, PAT - PHD MARRIAGE FAMILY THERAPY 16055 VENTURA BLVD, ENCINO, CA (818) 986-4740 91436 RUBIO PHARMACY PHARMACY 16550 VENTURA BLVD, ENCINO, CA (818) 990-5100 91436 RUBIO, RHEEA - PT REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 741 S ORANGE AVE STE 200, WEST (626) 338-7392 DBA SAMIMI ORTHOPAEDIC COVINA, CA 91790 GROUP RUCEKOVA, ALICA - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1 QUALITY DR 1ST FLR MOB A, (707) 624-2480 JOB OCCUPATIONAL HEALTH VACAVILLE, CA 95688 CENTER RUCEKOVA, ALICA - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1 QUALITY DR 1ST FLR MOB A, (707) 624-2480 JOB OCCUPATIONAL HEALTH PHYSICIAN VACAVILLE, CA 95688 CENTER RUCEKOVA, ALICA - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH CENTER RUCEKOVA, ALICA - MD KAISER PERMANENTE ON THE PRIMARY TREATING 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH PHYSICIAN CENTER RUDDEL, MONIQUE - OT DYNAMX PHYSICAL THERAPY OCCUPATIONAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 RUDER, ROBERT O - MD (BCC) THE BEVERLY HILLS PLASTIC & RECONSTRUCTIVE 5757 WILSHIRE BLVD STE PR-2, LOS (310) 285-9612 ADVANCED FACIAL SURGERY SURGERY ANGELES, CA 90036 INSTITUTE RUDERMAN, SUSAN - AUD ADVANCED HEARING AUDIOLOGY 561 N MOUNTAIN AVE, UPLAND, CA (800) 598-5300 PROVIDERS LLC 91786 RUDNER, LANNY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 40 CENTERPOINTE DRIVE, LA PALMA, (714) 522-8020 CENTER - LA PALMA ANKLE CA 90623 RUDNER, LANNY J - MD CONCENTRA MEDICAL ORTHOPEDICS - ANKLE 40 CENTERPOINTE DRIVE, LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623 RUDNER, LANNY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 40 CENTERPOINTE DRIVE, LA PALMA, (714) 522-8020 CENTER - LA PALMA FOOT CA 90623 RUDNER, LANNY J - MD CONCENTRA MEDICAL ORTHOPEDICS - FOOT 40 CENTERPOINTE DRIVE, LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 584 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RUDY, CHARLES - AUD ADVANCED HEARING AUDIOLOGY 18 ENDEAVOR STE 210, IRVINE, CA (800) 598-5300 PROVIDERS LLC 92618 RUFCA, CAROLYN - PT EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 28631 S WESTERN AVE STE 104A, (310) 548-5444 ASSOCIATES INC RANCHO PALOS VERDES, CA 90275 RUFINO, GENYL - PT AVID PHYSICAL THERAPY PHYSICAL THERAPY 81557 DOCTOR CARREON BLVD STE (760) 347-6195 C4, INDIO, CA 92201 RUHS NEIGHBORHOOD PHARMACY 7140 INDIANA AVE, RIVERSIDE, CA (951) 486-4529 PHARMACY 92504 RUHS-BHVRL HLTH RETAIL PHARMACY 9990 COUNTY FARM RD, RIVERSIDE, (951) 358-4790 PHCY CA 92503 RUHS-MC-RETAIL PHARMACY PHARMACY 26520 CACTUS AVE, MORENO VALLEY, (951) 486-4537 CA 92555 RUSENESCU, VICTOR - PT IN MOTION PHYSICAL PHYSICAL THERAPY 17332 VON KARMAN AVE STE 120, (949) 861-8600 THERAPY IRVINE, CA 92614 RUSOJA, EVAN A - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO 94577 RUSSELL LEE PHYSICAL PHYSICAL THERAPY 3217 MT PINOS WAY, FRAZIER PARK, (661) 245-2003 THERAPY CA 93225 RUSSELL R LEE PHYSICAL PHYSICAL THERAPY 31884 CASTAIC RD # C3, CASTAIC, CA (661) 295-0078 THERAPY 91384-3946 RUSSELL, COLLEEN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 RUSSELL, EDGAR - DO (BCC) PRIMARY TREATING 15330 VALLEY VIEW AVE STE 1, LA (562) 802-0208 PHYSICIAN MIRADA, CA 90638 RUSSELL, EDGAR - DO (BCC) PRIMARY TREATING 5203 LAKEWOOD BLVD STE B, (562) 633-2273 PHYSICIAN LAKEWOOD, CA 90712 RUSSELL, EDGAR - DO (BCC) PRIMARY TREATING 6538 TELEGRAPH RD, COMMERCE, CA (323) 726-3212 PHYSICIAN 90040 RUSSELL, EDGAR - DO (BCC) PRIMARY TREATING 7300 ALONDRA BLVD STE 100, (562) 616-1166 PHYSICIAN PARAMOUNT, CA 90723 RUSSELL, EDGAR - DO (BCC) FAMILY MEDICINE 15330 VALLEY VIEW AVE STE 1, LA (562) 802-0208 MIRADA, CA 90638 RUSSELL, EDGAR - DO (BCC) FAMILY MEDICINE 5203 LAKEWOOD BLVD STE B, (562) 633-2273 LAKEWOOD, CA 90712 RUSSELL, EDGAR - DO (BCC) FAMILY MEDICINE 6538 TELEGRAPH RD, COMMERCE, CA (323) 726-3212 90040 RUSSELL, EDGAR - DO (BCC) FAMILY MEDICINE 7300 ALONDRA BLVD STE 100, (562) 616-1166 PARAMOUNT, CA 90723 RUSSELL, HARRIET - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 RUSSELL, LINDSAY H - DPM KAISER PERMANENTE SO PODIATRY 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 SACRAMENTO MEDICAL SACRAMENTO, CA 95823 CENTER RUSSELL, ROBB - DC CHIROPRACTIC HEALTH CHIROPRACTIC MEDICINE 3311 E WILLOW ST, LONG BEACH, CA (562) 427-8998 CARE/ROBB RUSSELL DC 90806 RUSSMAN, F MARINA - MD FMR INTERVENTIONAL PAIN MANAGEMENT 12115 PARAMOUNT BLVD, DOWNEY, CA (562) 242-2070 (BCC) QUALITY PAIN MANAGEMENT 90242 RUSSMAN, F MARINA - MD FMR INTERVENTIONAL PAIN MANAGEMENT 1900 W GARVEY AVE S STE 223, WEST (310) 294-9027 (BCC) QUALITY PAIN MANAGEMENT COVINA, CA 91790 RUSSMAN, F MARINA - MD FMR INTERVENTIONAL PAIN MANAGEMENT 20620 LEAPWOOD AVE UNIT H , (310) 294-9027 (BCC) QUALITY PAIN MANAGEMENT CARSON, CA 90746 RUSSMAN, F MARINA - MD SOUTHERN CALIFORNIA PAIN MANAGEMENT 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 RUSSO, MIKE - PT RISING SUN PHYSICAL PHYSICAL THERAPY 20301 SW ACACIA ST STE 150, (949) 274-9551 THERAPY AND WELLNESS NEWPORT BEACH, CA 92660 RUSSOM, JILL M - MD CONCENTRA MEDICAL PRIMARY TREATING 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH PHYSICIAN FRESNO, CA 93720 RUSSOM, JILL M - MD CONCENTRA MEDICAL FAMILY MEDICINE 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH FRESNO, CA 93720 RUTH, ROBERT M - MD (BCC) ASSOCIATED HAND ORTHOPEDIC SURGERY - 2028 VILLAGE LN STE 102 , SOLVANG, (805) 682-2267 SURGEONS UPPER EXTREMITIES CA 93463 RUTH, ROBERT M - MD (BCC) ASSOCIATED HAND ORTHOPEDICS - UPPER 2028 VILLAGE LN STE 102 , SOLVANG, (805) 682-2267 SURGEONS EXTREMITIES CA 93463

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 585 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RUTH, ROBERT M - MD (BCC) ASSOCIATED HAND ORTHOPEDIC SURGERY - 2323 DE LA VINA ST STE 201 , SANTA (805) 682-2267 SURGEONS UPPER EXTREMITIES BARBARA , CA 93105 RUTH, ROBERT M - MD (BCC) ASSOCIATED HAND ORTHOPEDICS - UPPER 2323 DE LA VINA ST STE 201 , SANTA (805) 682-2267 SURGEONS EXTREMITIES BARBARA , CA 93105 RUTHERFORD, CRISHEILA - PT SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY 9259 ETON AVE, CHATSWORTH, CA (800) 863-1769 SOLUTIONS INC DBA: SOS 91311 MEDICAL RUTHERFORD, MICHELLE - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 10200 TRINITY PKWY STE 205, (209) 451-3920 PHYSICAL AND STOCKTON, CA 95219 OCCUPATIONAL RX CARE PHARMACY PHARMACY 155 S 5TH ST STE A, COALINGA, CA (559) 935-8833 93210 RX CENTRAL PHARMACY 800 S CENTRAL AVE, GLENDALE, CA (818) 244-5152 91204 RX EXPRESS PHARMACY PHARMACY 6160 ARLINGTON AVE, RIVERSIDE, CA (951) 785-5386 92504 RX EXPRESS PHARMACY PHARMACY 711 E MARKET ST, STOCKTON, CA (209) 465-1001 95202 RX PHARMACY PHARMACY 3101 N SILLECT AVE, BAKERSFIELD, CA (661) 489-5039 93308 RX PLUS PHARMACY PHARMACY 1425 E LINCOLN AVE STE B, ANAHEIM, (714) 776-1020 CA 92805 RX POINT PHARMACY PHARMACY 2718 E LOS ANGELES AVE, SIMI (805) 864-2310 VALLEY, CA 93065 RX SOLUTION PHARMACY PHARMACY 7626 E CHAPMAN AVE STE C, ORANGE, (714) 288-8744 CA 92869 RX UNLIMITED PHARMACY PHARMACY 16673 ROSCOE BLVD, NORTH HILLS, CA (818) 781-2400 91343 RXALL PHARMACY PHARMACY 1125 S BEVERLY DR STE 100, LOS (310) 551-2861 ANGELES, CA 90035 RYAN RANCH PHYSICAL PHYSICAL THERAPY 550 CAMINO EL ESTERO STE 100, (831) 372-2963 THERAPY MONTEREY, CA 93940-3231 RYAN, JESSICA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY RYAN, JESSICA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY RYAN, JESSICA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY RYAN, JESSICA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY RYAN, JUDITH, MARIE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD RYAN, JUDITH, MARIE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA RYAN, JUDITH, MARIE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY RYAN, JUDITH, MARIE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS RYAN, JUDITH, MARIE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT RYAN, JULIE - LAC JULIE PETYAKRYAN LAC ACUPUNCTURE 4000 CALLE TECATE STE 211, (805) 738-7210 CAMARILLO, CA 93012 RYAN, KATARINA, SLOTTE - ACUPUNCTURE ACUPUNCTURE 1224 E GREEN ST STE 100, PASADENA, (626) 755-6260 LAC THERAPEUTICS CA 91106

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 586 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone RYAN, KEVIN - DC RYAN KEVIN P DC CHIROPRACTIC MEDICINE 7151 EL CAJON BLVD STE J, SAN (619) 466-5858 DIEGO, CA 92115 RYAN, MARIANNE - MD KAISER PERMANENTE SOUTH GENERAL SURGERY 25825 S VERMONT AVE , HARBOR CITY, (310) 527-5600 BAY MEDICAL CENTER CA 90710 RYAN, MICHAEL G - MD KAISER PERMANENTE SAN ORTHOPEDICS 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 RYAN, RANDALL T - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER RYAN, TIMOTHY - LAC TCR ACUPUNCTURE ACUPUNCTURE 2084 VENTURA BLVD, CAMARILLO, CA (805) 388-6101 93010 RYBIY, SERGIY V - MD KAISER PERMANENTE SAN PHYSICAL MEDICINE AND 2500 MERCED ST , SAN LEANDRO, CA (510) 675-4807 LEANDRO MEDICAL CENTER REHABILITATION 94587 RYPNINA, IRINA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD RYPNINA, IRINA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA RYPNINA, IRINA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY RYPNINA, IRINA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS RYPNINA, IRINA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT RYSA PHARMACY 101 PHARMACY 620 BROADWAY ST STE P, KING CITY, (831) 204-6020 CA 93930 RYU PHYSICAL THERAPY PHYSICAL THERAPY 266 S HARVARD BLVD STE 370, LOS (213) 908-7065 ANGELES, CA 90004 RYU PHYSICAL THERAPY PHYSICAL THERAPY 520 S. VIRGIL AVE, LOS ANGELES, CA (213) 480-0021 90020 RYU, FRANK - AUD ADVANCED HEARING AUDIOLOGY 14795 JEFFREY RD STE 202, IRVINE, CA (800) 598-5300 PROVIDERS LLC 92618 RYU, JAY, JAEMYONG - LAC RYU ACU CLINIC INC ACUPUNCTURE 3808 W RIVERSIDE DR STE 510, (818) 841-9790 BURBANK, CA 91505 RYU, JIN, HYANG - LAC GOOD HANDS ACUPUNCTURE ACUPUNCTURE 151 N KRAEMER BLVD STE 115, (562) 269-6122 PLACENTIA, CA 92870 RYU, MINSIK - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 266 S HARVARD BLVD STE 370, LOS (213) 908-7065 ANGELES, CA 90004 RYU, MINSIK - PT CHOICE PT REHAB PC PHYSICAL THERAPY 266 SHARVARD BLVD STE 370, LOS (213) 908-7065 ANGELES, CA 90004 RYU, MINSIK - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 520 S VIRGIL AVE UNIT 201, LOS (213) 480-0021 ANGELES, CA 90020 RZEPLINSKI, JENNIFER - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 RZEPLINSKI, JENNIFER - PT HI DESERT PHYSICAL PHYSICAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277 S AND S PHARMACY PHARMACY 2922 DIVISION ST, LOS ANGELES, CA (323) 222-7982 90065 S G KNOLLS PHARMACY PHARMACY 16630 MARQUEZ AVE, PACIFIC (310) 454-6000 PALISADES, CA 90272 S SKYLOR PT SERVICES PHYSICAL THERAPY 311 MILLER AVE STE G, MILL VALLEY, (415) 646-0955 CA 94941-2897 S.G. MIKITA RPT INC PHYSICAL THERAPY 10667 WHITE OAK AVE, GRANADA (818) 368-9484 HILLS, CA 91344-5931 SAAD, CARLOS - MD (BCC) UCI HEALTH - TUSTIN GASTROENTEROLOGY 1451 IRVINE BLVD , TUSTIN, CA 92780 (714) 838-8408 SABAG, KENNETH R - MD (BCC) CONGRESS MEDICAL ORTHOPEDIC SURGERY - 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES WRIST 91105 SABAG, KENNETH R - MD (BCC) CONGRESS MEDICAL HAND SURGERY 800 S RAYMOND AVE, PASADENA, CA (626) 795-8051 ASSOCIATES 91105

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 587 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SABAN COMMUNITY CLINIC PHARMACY 8405 BEVERLY BLVD, LOS ANGELES, (323) 330-1684 PHARMAC CA 90048 SABAN COMMUNITY CLINIC PHARMACY 5205 MELROSE AVE, LOS ANGELES, CA (323) 337-1815 PHCY 90038 SABBAGHI, ALI - MD (BCC) PAIN MANAGEMENT 2095 S ATLANTIC BLVD 2 FL, (626) 965-9078 MONTEREY PARK, CA 91754 SABBAGHI, ALI M - MD (BCC) PHYSICAL MEDICINE AND 4940 VAN NUYS BLVD STE 308, (818) 582-4860 REHABILITATION SHERMAN OAKS , CA 91403 SABBAS, LEE - DC SEBBAS LEO V DC CHIROPRACTIC MEDICINE 9480 BASELINE RD, ALTA LOMA, CA (909) 980-1400 91701 SABO, KRISTA - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 13019 STOCKDALE HWY STE 500, (661) 377-1700 BAKERSFIELD, CA 93314 SABOL, GREGORY - DC SABOL GREG DC CHIROPRACTIC MEDICINE 15585 MONTEREY ST STE A, MORGAN (408) 778-2222 HILL, CA 95037 SABOL, JASON - DC SILLECT ORTHOPEDIC GROUP CHIROPRACTIC MEDICINE 1332 W HERNDON AVE STE 101, (559) 635-7400 FRESNO, CA 93711 SABOL, JASON - DC SILLECT ORTHOPEDIC GROUP CHIROPRACTIC MEDICINE 1526 S MOONEY BLVD, VISALIA, CA (559) 412-7556 93277 SABOL, JASON - DC SILLECT ORTHOPEDIC GROUP CHIROPRACTIC MEDICINE 2323 16TH ST, BAKERSFIELD, CA 93301 (661) 326-1576 SABRE PHYSICAL THERAPY PHYSICAL THERAPY 2249 W WHITTIER BLVDSUITE B, LA (562) 690-1924 HABRA, CA 90631-3464 SABRI, MAZIN Q - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA SABRI, MAZIN Q - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO KNEE CUCAMONGA, CA 91730 CUCAMONGA SABRI, MAZIN Q - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA SABRI, MAZIN Q - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA SAC STATE STUDENT HEALTH PHARMACY 6000 J ST THE WELL, SACRAMENTO, CA (916) 278-6093 SRVS 95819 SACHIKO, NAKAGAWA, ANN - COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 PT THERAPY CA 92780 SACHIKO, NAKAGAWA, ANN - COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 PT THERAPY 92867 SACHIKO, NAKAGAWA, ANN - COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 PT THERAPY FOREST, CA 92630 SACHIKO, NAKAGAWA, ANN - COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 PT THERAPY 92604 SACHIKO, NAKAGAWA, ANN - COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 PT THERAPY CA 92821 SACHIKO, NAKAGAWA, ANN - COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 PT THERAPY 92806 SACHS, CAROLYN - MD (BCC) EMERGENCY MEDICINE 757 WESTWOOD PLZ STE 1419, LOS (310) 825-2111 ANGELES, CA 90095 SACKETT, LILIANA C - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH CUPERTINO, CA 95014 CENTER SACKETT, LILIANA C - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10050 N WOLFE RD STE SW1-190, (408) 236-6160 JOB OCCUPATIONAL HEALTH PHYSICIAN CUPERTINO, CA 95014 CENTER SACRAMENTO COUNTY PCC PHARMACY 4600 BROADWAY STE 1500, (916) 874-4342 PHARMACY SACRAMENTO, CA 95820 SACRAMENTO SPINE & PHYSICAL THERAPY 700 OAK AVENUE PKWY STE B, (916) 932-1210 PHYSICAL THERAPY-FOLSOM FOLSOM, CA 95630-6871 SACRAMENTO SPINE & PHYSICAL THERAPY 1650 LEAD HILL BLVD STE 300, (916) 677-1210 PHYSICAL ROSEVILLE, CA 95661-3072 THERAPY-ROSEVILLE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 588 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SADANG, RUSSELL - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 SADANG, RUSSELL - PT HI DESERT PHYSICAL PHYSICAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277 SADASIVAIAH, ASHOK - OT SANTA MONICA HAND OCCUPATIONAL THERAPY 2001 WILSHIRE BLVD STE 310, SANTA (310) 829-3320 THERAPY INC MONICA, CA 90403 SADASIVAIAH, ASHOK - OT PHYSICAL THERAPY CARE OCCUPATIONAL THERAPY 6214 W MANCHESTER AVE FL 2, LOS (310) 348-8464 ANGELES, CA 90045 SADDDAD, NARIMAN - MD BENCHMARK PULMONARY PULMONARY DISEASE 18350 ROSCOE BLVD STE 700, (747) 202-0132 (BCC) CENTER NORTHRIDGE, CA 91325 SADDICK, SHAUL M - PHD PSYCHOLOGY 6046 CORNERSTONE CT W STE 102, (858) 455-6587 (BCC) SAN DIEGO, CA 92121 SADDLEBACK FAMILY AND SADDLEBACK FAMILY AND URGENT CARE FACILITY 22855 LAKE FOREST DR STE A, LAKE (949) 452-7544 URGENT CARE (BCC) URGENT CARE FOREST, CA 92630 SADDLEBACK FAMILY AND SADDLEBACK FAMILY AND URGENT CARE FACILITY 23962 ALICIA PKWY STE I1, MISSION (949) 452-7699 URGENT CARE (BCC) URGENT CARE VIEJO, CA 92691 SADDLEBACK MEDICAL ARTS PHARMACY 24953 PASEO DE VALENCIA #17 B, (949) 581-9840 PHARMA LAGUNA HILLS, CA 92653 SADDLEBACK MEDICAL PHARMACY 24411 HEALTH CENTER DR, LAGUNA (949) 452-3706 CENTER PHCY HILLS, CA 92653 SADDLEBACK MEMORIAL SADDLEBACK MEMORIAL ACUTE CARE HOSPITAL 24451 HEALTH CENTER DR, LAGUNA (949) 837-4500 MEDICAL CENTER (BCC) MEDICAL CENTER HILLS, CA 92653 SADDLEBACK VALLEY PHARMACY 23961 CALLE DE LA MAGDALENA, (949) 380-8700 PHARMACY LAGUNA HILLS, CA 92653 SADEGHI, CAMERON - MD KAISER PERMANENTE ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES 92111 SADRZADEH RAFIE, AMIR H - GLENDALE INTERNAL CARDIOVASCULAR DISEASE 500 N CENTRAL AVE , GLENDALE, CA (818) 242-4191 MD (BCC) MEDICINE AND CARDIOLOGY (CARDIOLOGY) 91203 MEDICAL GROUP INC SAEDI, HOUMAN - MD (BCC) ASSOCIATION OF SOUTH BAY VASCULAR SURGERY 23560 MADISON ST STE 110, (310) 373-6864 SURGEONS - TORRANCE, CA 90505 VASCULAR/ENDOVASCULAR OFFICE SAEDIFAR, MAJID - PT MEDNET PHYSICAL INJURY PHYSICAL THERAPY 12115 PARAMOUNT BLVD, DOWNEY, CA (562) 250-2002 CARE CENTER 90242 SAEDIFAR, MAJID - PT UNIVERSAL INSTITUTE INC OF PHYSICAL THERAPY 155 W HOSPITALITY LN STE 105, SAN (909) 383-8090 REHAB AND PT BERNARDINO, CA 92408 SAEDIFAR, MAJID - PT MEDSTAR PHYSICAL THERAPY PHYSICAL THERAPY 1850 E PALMDALE BLVD, PALMDALE, (661) 224-1044 INC CA 93550 SAEDIFAR, MAJID - PT MEDSTAR PHYSICAL THERAPY PHYSICAL THERAPY 411 N CENTRAL AVE STE 610, (818) 244-0009 INC GLENDALE, CA 91203 SAEDIFAR, MAJID - PT MEDSTAR PHYSICAL THERAPY PHYSICAL THERAPY 980 ATLANTIC AVE STE 200, LONG (562) 624-0766 INC BEACH, CA 90813 SAEED, GULRUKH - PT HEALTHCARE PHYSICAL PHYSICAL THERAPY 12598 CENTRAL AVE STE 102A, CHINO, (909) 465-0200 THERAPY INC CA 91710 SAEED, GULRUKH - PT HEALTHCARE PHYSICAL PHYSICAL THERAPY 18856 AMAR RD STE 8, WALNUT, CA (626) 667-8600 THERAPY INC 91789 SAEED, MUSAB U- MD (BCC) SANSUM CLINIC - PUEBLO INFECTIOUS DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 SAEKAN, CEDRIC - AUD ADVANCED HEARING AUDIOLOGY 72655 HIGHWAY 111 STE B3, PALM (800) 598-5300 PROVIDERS LLC DESERT, CA 92260 SAFANDA, JOHN - MD ORTHOPEDIC SURGERY - 11828 DUBLIN BLVD, DUBLIN, CA 94568 (925) 828-7471 ANKLE SAFANDA, JOHN - MD ORTHOPEDICS - ANKLE 11828 DUBLIN BLVD, DUBLIN, CA 94568 (925) 828-7471 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL HAND SURGERY 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND ELBOW CA 94607

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 589 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND KNEE CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND SHOULDER CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 384 EMBARCADERO WEST , OAKLAND, (510) 465-9565 CENTER - OAKLAND CA 94607 SAFANDA, JOHN F - MD CONCENTRA MEDICAL HAND SURGERY 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL ELBOW CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL KNEE CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL SHOULDER CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 SAFANDA, JOHN F - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 2 CONNECTICUT ST , SAN FRANCISCO, (415) 621-5055 CENTER - POTRERO HILL CA 94107 SAFARYAN, BENITA - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 2511 HONOLULU AVE, MONTROSE, CA (213) 387-4710 PAIN MANAGEMENT CENTER 91020 SAFE CARE PHARMACY PHARMACY 2125 WRIGHT AVE STE C4, LAVERNE, (909) 593-2787 CA 91750 SAFESAVE PHARMACY PHARMACY 737 COLUSA AVE, YUBA CITY, CA 95991 (530) 674-3550 SAFETY FIRST PHARMACY PHARMACY 1605 W 1ST ST STE A, SANTA ANA, CA (714) 486-3708 92703 SAFEWAY PHARMACY 1187 S MAIN ST, MANTECA, CA 95337 (209) 239-1809 SAFEWAY PHARMACY PHARMACY 1801 W 11TH ST, TRACY, CA 95376 (209) 830-2955 SAFEWAY PHARMACY PHARMACY 1366 EAST AVE, CHICO, CA 95926 (530) 899-2322 SAFEWAY PHARMACY PHARMACY 5720 NAVE DR, NOVATO, CA 94949 (415) 881-9260 SAFEWAY PHARMACY PHARMACY 2090 HARBISON DR, VACAVILLE, CA (707) 452-7279 95687 SAFEWAY PHARMACY PHARMACY 2785 YULUPA AVE, SANTA ROSA, CA (707) 524-4648 95405 SAFEWAY PHARMACY PHARMACY 6688 ALHAMBRA AVE, MARTINEZ, CA (925) 933-0822 94553 SAFEWAY PHARMACY PHARMACY 15 MARINA BLVD, SAN FRANCISCO, CA (415) 563-8681 94123 SAFEWAY PHARMACY PHARMACY 100 CALISTOGA RD, SANTA ROSA, CA (707) 539-2129 95409 SAFEWAY PHARMACY PHARMACY 2401 WATERMAN BLVD, FAIRFIELD, CA (707) 427-5642 94533 SAFEWAY PHARMACY PHARMACY 1212 FOREST AVE, PACIFIC GROVE, CA (831) 375-3019 93950 SAFEWAY PHARMACY PHARMACY 2300 16TH ST, SAN FRANCISCO, CA (415) 575-1130 94103 SAFEWAY PHARMACY PHARMACY 1546 N MAIN ST, SALINAS, CA 93901 (831) 442-7502 SAFEWAY PHARMACY PHARMACY 1978 CONTRA COSTA BLVD, PLEASANT (925) 688-0684 HILL, CA 94523

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 590 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAFEWAY PHARMACY PHARMACY 3902 WASHINGTON BLVD, FREMONT, (510) 490-6695 CA 94538 SAFEWAY PHARMACY PHARMACY 9080 BROOKS RD, WINDSOR, CA 95492 (707) 837-2002 SAFEWAY PHARMACY PHARMACY 104 MID VALLEY CTR, CARMEL, CA (831) 624-1620 93923 SAFEWAY PHARMACY PHARMACY 389 S MCDOWELL BLVD, PETALUMA, (707) 766-9477 CA 94954 SAFEWAY PHARMACY PHARMACY 785 E EL CAMINO REAL, SUNNYVALE, (408) 481-3302 CA 94087 SAFEWAY PHARMACY PHARMACY 1071 EL CAMINO REAL, REDWOOD (650) 306-1902 CITY, CA 94063 SAFEWAY PHARMACY PHARMACY 4495 FIRST ST, LIVERMORE, CA 94550 (925) 455-2522 SAFEWAY PHARMACY PHARMACY 1100 EL CAMINO REAL, BELMONT, CA (650) 596-1735 94002 SAFEWAY PHARMACY PHARMACY 570 SHORELINE BLVD, MOUNTAIN (650) 961-4851 VIEW, CA 94043 SAFEWAY PHARMACY PHARMACY 2811 MIDDLEFIELD RD, PALO ALTO, CA (650) 321-9731 94306 SAFEWAY PHARMACY PHARMACY 850 WOODSIDE RD, REDWOOD CITY, (650) 365-3682 CA 94061 SAFEWAY PHARMACY PHARMACY 1663 BRANHAM LN, SAN JOSE, CA (408) 267-4942 95118 SAFEWAY PHARMACY PHARMACY 840 E DUNNE AVE, MORGAN HILL, CA (408) 776-8722 95037 SAFEWAY PHARMACY PHARMACY 7301 GREENBACK LN, CITRUS (916) 727-2458 HEIGHTS, CA 95621 SAFEWAY PHARMACY PHARMACY 6477 ALMADEN EXPY, SAN JOSE, CA (408) 323-2013 95120 SAFEWAY PHARMACY PHARMACY 591 TRES PINOS RD, HOLLISTER, CA (831) 638-3247 95023 SAFEWAY PHARMACY PHARMACY 1291 SANGUINETTI RD, SONORA, CA (209) 533-7812 95370 SAFEWAY PHARMACY PHARMACY 525 EL CAMINO REAL, MENLO PARK, CA (650) 847-2905 94025 SAFEWAY PHARMACY PHARMACY 2275 PINE ST, REDDING, CA 96001 (530) 247-3040 SAFEWAY PHARMACY PHARMACY 867 ISLAND DR, ALAMEDA, CA 94502 (510) 747-1647 SAFEWAY PHARMACY PHARMACY 1596 STATE HIGHWAY 99, GRIDLEY, CA (530) 846-7360 95948 SAFEWAY PHARMACY PHARMACY 3540 MT DIABLO BLVD, LAFAYETTE, CA (925) 284-1550 94549 SAFEWAY PHARMACY PHARMACY 653 S STATE ST, UKIAH, CA 95482 (707) 467-2712 SAFEWAY PHARMACY PHARMACY 6340 COMMERCE BLVD, ROHNERT (707) 585-5980 PARK, CA 94928 SAFEWAY PHARMACY PHARMACY 950 LAS GALLINAS, SAN RAFAEL, CA (415) 472-8221 94903 SAFEWAY PHARMACY PHARMACY 600 S BROADWAY, WALNUT CREEK, CA (925) 945-3440 94596 SAFEWAY PHARMACY PHARMACY 845 S MAIN ST, WILLITS, CA 95490 (707) 456-1790 SAFEWAY PHARMACY PHARMACY 2001 MCHENRY AVE, MODESTO, CA (209) 571-6288 95350 SAFEWAY PHARMACY PHARMACY 4950 MISSION ST, SAN FRANCISCO, CA (415) 239-8010 94112 SAFEWAY PHARMACY PHARMACY 1020 JOHNSON LN, SOUTH LAKE (530) 542-7744 TAHOE, CA 96150 SAFEWAY PHARMACY PHARMACY 10635 FOLSOM BLVD, RANCHO (916) 364-4944 CORDOVA, CA 95670 SAFEWAY PHARMACY PHARMACY 1850 PRAIRIE CITY RD, FOLSOM, CA (916) 608-2455 95630 SAFEWAY PHARMACY PHARMACY 405 SOUTH HIGHWAY 65, LINCOLN, CA (916) 408-0810 95648 SAFEWAY PHARMACY PHARMACY 2220 SUNSET BLVD, ROCKLIN, CA (916) 789-0807 95765

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 591 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAFEWAY PHARMACY PHARMACY 3051 COUNTRYSIDE DR, TURLOCK, CA (209) 669-2780 95380 SAFEWAY PHARMACY PHARMACY 103 AMERICAN CANYON RD, AMERICAN (707) 649-5160 CANYON, CA 94503 SAFEWAY PHARMACY PHARMACY 7499 DUBLIN BLVD, DUBLIN, CA 94568 (925) 556-5914 SAFEWAY PHARMACY PHARMACY 4440 TASSAJARA RD, DUBLIN, CA 94568 (925) 551-5600 SAFEWAY PHARMACY PHARMACY 1235 STRATFORD AVE, DIXON, CA (707) 678-7402 95620 SAFEWAY PHARMACY PHARMACY 774 ADMIRAL CALLAGHAN LN, (707) 554-8060 VALLEJO, CA 94591 SAFEWAY PHARMACY PHARMACY 2600 WILLOW PASS RD, CONCORD, CA (925) 689-0895 94519 SAFEWAY PHARMACY PHARMACY 660 S MAIN ST, FORT BRAGG, CA 95437 (707) 964-4058 SAFEWAY PHARMACY PHARMACY 1799 MARLOW RD, SANTA ROSA, CA (707) 528-3730 95401 SAFEWAY PHARMACY PHARMACY 1335 WEBSTER ST, SAN FRANCISCO, (415) 921-5502 CA 94115 SAFEWAY PHARMACY PHARMACY 1080 PLEASANT GROVE RD, (916) 783-2128 ROSEVILLE, CA 95678 SAFEWAY PHARMACY PHARMACY 2505 SAN RAMON VALLEY BLVD, SAN (925) 831-9502 RAMON, CA 94583 SAFEWAY PHARMACY PHARMACY 6498 PONY EXPRESS TRL, POLLOCK (530) 647-7449 PINES, CA 95726 SAFEWAY PHARMACY PHARMACY 1070 E CYPRESS AVE, REDDING, CA (530) 222-8274 96002 SAFEWAY PHARMACY PHARMACY 8640 SIERRA COLLEGE BLVD, (916) 783-2304 ROSEVILLE, CA 95661 SAFEWAY PHARMACY PHARMACY 3550 FRUITVALE AVE, OAKLAND, CA (510) 336-9305 94602 SAFEWAY PHARMACY PHARMACY 16405 RIVER RD, GUERNEVILLE, CA (707) 869-0613 95446 SAFEWAY PHARMACY PHARMACY 12110 INDUSTRY BLVD, JACKSON, CA (209) 257-0786 95642 SAFEWAY PHARMACY PHARMACY 3380 COACH LN, CAMERON PARK, CA (530) 676-6938 95682 SAFEWAY PHARMACY PHARMACY 16 RANCHO DEL MAR, APTOS, CA 95003 (831) 661-4861 SAFEWAY PHARMACY PHARMACY 989 SUNRISE BLVD, ROSEVILLE, CA (916) 773-4115 95661 SAFEWAY PHARMACY PHARMACY 1655 EL CAMINO REAL, SAN MATEO, CA (650) 341-3305 94402 SAFEWAY PHARMACY PHARMACY 1 CAMINO ALTO, MILL VALLEY, CA (415) 388-2701 94941 SAFEWAY PHARMACY PHARMACY 645 SAN ANTONIO RD, MOUNTAIN (650) 948-4605 VIEW, CA 94040 SAFEWAY PHARMACY PHARMACY 3970 RIVERMARK PLZ, SANTA CLARA, (408) 855-0985 CA 95054 SAFEWAY PHARMACY PHARMACY 22280 FOOTHILL BLVD, HAYWARD, CA (510) 582-5706 94541 SAFEWAY PHARMACY PHARMACY 14840 HIGHWAY 4, DISCOVERY BAY, CA (925) 626-6011 94505 SAFEWAY PHARMACY PHARMACY 1025 ALHAMBRA BLVD, SACRAMENTO, (916) 456-3421 CA 95816 SAFEWAY PHARMACY PHARMACY 2300 MENDOCINO AVE, SANTA ROSA, (707) 569-3111 CA 95403 SAFEWAY PHARMACY PHARMACY 477 W NAPA ST, SONOMA, CA 95476 (707) 996-3697 SAFEWAY PHARMACY PHARMACY 179 BRANHAM LN, SAN JOSE, CA 95136 (408) 227-5911 SAFEWAY PHARMACY PHARMACY 2341 S WINCHESTER BLVD, CAMPBELL, (408) 364-6882 CA 95008 SAFEWAY PHARMACY PHARMACY 2350 NORIEGA ST, SAN FRANCISCO, CA (415) 665-8456 94122 SAFEWAY PHARMACY PHARMACY 730 TARAVAL ST, SAN FRANCISCO, CA (415) 665-0119 94116

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 592 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAFEWAY PHARMACY PHARMACY 2601 BALLS FERRY RD, ANDERSON, CA (530) 365-1010 96007 SAFEWAY PHARMACY PHARMACY 20629 REDWOOD RD, CASTRO VALLEY, (510) 538-0268 CA 94546 SAFEWAY PHARMACY PHARMACY 660 BAILEY RD, PITTSBURG, CA 94565 (925) 458-0930 SAFEWAY PHARMACY PHARMACY 850 LA PLAYA ST, SAN FRANCISCO, CA (415) 387-0481 94121 SAFEWAY PHARMACY PHARMACY 1790 DECOTO RD, UNION CITY, CA (510) 429-9093 94587 SAFEWAY PHARMACY PHARMACY 475 M ST, CRESCENT CITY, CA 95531 (707) 465-3663 SAFEWAY PHARMACY PHARMACY 4309 CLAYTON RD, CONCORD, CA (925) 356-2712 94521 SAFEWAY PHARMACY PHARMACY 5450 DEWEY DR, FAIR OAKS, CA 95628 (916) 904-5360 SAFEWAY PHARMACY PHARMACY 1500 SOLANO AVE, ALBANY, CA 94707 (510) 524-5881 SAFEWAY PHARMACY PHARMACY 46848 MISSION BLVD, FREMONT, CA (510) 497-1015 94539 SAFEWAY PHARMACY PHARMACY 1516 CONSTITUTION BLVD, SALINAS, (831) 444-3630 CA 93905 SAFEWAY PHARMACY PHARMACY 11450 SAN PABLO AVE, EL CERRITO, (510) 233-8405 CA 94530 SAFEWAY PHARMACY PHARMACY 6445 N PACIFIC AVE, STOCKTON, CA (209) 472-8605 95207 SAFEWAY PHARMACY PHARMACY 3110 BALFOUR AVE, BRENTWOOD, CA (925) 626-6030 94513 SAFEWAY PHARMACY PHARMACY 298 KING ST, SAN FRANCISCO, CA (415) 633-1020 94107 SAFEWAY PHARMACY PHARMACY 1814 19TH ST, SACRAMENTO, CA 95811 (916) 492-9977 SAFEWAY PHARMACY PHARMACY 235 TENNANT STA, MORGAN HILL, CA (408) 782-5185 95037 SAFEWAY PHARMACY PHARMACY 2851 DEL PASO BLVD, SACRAMENTO, (916) 285-8844 CA 95835 SAFEWAY PHARMACY PHARMACY 3955 MISSOURI FLAT RD, (530) 295-2977 PLACERVILLE, CA 95667 SAFEWAY PHARMACY PHARMACY 3375 JEFFERSON ST, NAPA, CA 94558 (707) 225-3040 SAFEWAY PHARMACY PHARMACY 9045 WOODCREEK OAKS BLVD, (916) 780-9929 ROSEVILLE, CA 95747 SAFEWAY PHARMACY PHARMACY 2227 S SHORE CTR, ALAMEDA, CA (510) 863-9004 94501 SAFEWAY PHARMACY PHARMACY 12874 FLORENCE AVE, SANTA FE (800) 834-8778 SPRINGS, CA 90670 SAFEWAY PHARMACY PHARMACY 2720 41ST AVE, SOQUEL, CA 95073 (831) 477-7217 SAFEWAY PHARMACY PHARMACY 2207 FRANCISCO DR, EL DORADO (916) 939-9463 HILLS, CA 95762 SAFEWAY PHARMACY PHARMACY 555 E CALAVERAS BLVD, MILPITAS, CA (408) 262-9855 95035 SAFEWAY PHARMACY PHARMACY 11050 BOLLINGER CANYON RD, SAN (925) 359-2005 RAMON, CA 94582 SAFEWAY PHARMACY PHARMACY 735 7TH AVE, SAN FRANCISCO, CA (415) 683-4074 94118 SAFEWAY PHARMACY PHARMACY 2550 BELL RD, AUBURN, CA 95603 (530) 401-9979 SAFEWAY PHARMACY PHARMACY 1071 11TH ST, LAKEPORT, CA 95453 (707) 263-8779 SAFEWAY PHARMACY PHARMACY 8925 MADISON AVE, FAIR OAKS, CA (916) 965-1541 95628 SAFEWAY PHARMACY PHARMACY 2203 MISSION ST, SANTA CRUZ, CA (831) 420-0785 95060 SAFEWAY PHARMACY PHARMACY 117 MORRISSEY BLVD, SANTA CRUZ, (831) 426-8911 CA 95062 SAFEWAY PHARMACY PHARMACY 2808 COUNTRY CLUB BLVD, (209) 461-5560 STOCKTON, CA 95204 SAFEWAY PHARMACY PHARMACY 815 CANYON DEL RAY BLVD, DEL REY (831) 393-2104 OAKS, CA 93940 SAFEWAY PHARMACY PHARMACY 5432 CLAYTON RD, CLAYTON, CA 94517 (925) 672-2107

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 593 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAFEWAY PHARMACY PHARMACY 3496 CAMINO TASSAJARA RD, (925) 736-0346 DANVILLE, CA 94506 SAFEWAY PHARMACY PHARMACY 122 ROBLES DR, VALLEJO, CA 94591 (707) 554-6908 SAFEWAY PHARMACY PHARMACY 1115 VINE ST, HEALDSBURG, CA 95448 (707) 431-0128 SAFEWAY PHARMACY PHARMACY 37264 MAIN ST, BURNEY, CA 96013 (530) 335-4101 SAFEWAY PHARMACY PHARMACY 1530 HAMILTON AVE, SAN JOSE, CA (408) 264-5391 95125 SAFEWAY PHARMACY PHARMACY 7815 N LAKE BLVD, KINGS BEACH, CA (530) 546-0186 96143 SAFEWAY PHARMACY PHARMACY 639 S BERNARDO AVE, SUNNYVALE, CA (408) 732-5902 94087 SAFEWAY PHARMACY PHARMACY 1125 SECOND ST, BRENTWOOD, CA (925) 634-6782 94513 SAFEWAY PHARMACY PHARMACY 5146 STEVENS CREEK BLVD, SAN (408) 556-0614 JOSE, CA 95129 SAFEWAY PHARMACY PHARMACY 406 N MAIN ST, SEBASTOPOL, CA 95472 (707) 823-1037 SAFEWAY PHARMACY PHARMACY 3365 DEER VALLEY RD, ANTIOCH, CA (925) 706-4152 94531 SAFEWAY PHARMACY PHARMACY 110 E STRAWBERRY DR, MILL VALLEY, (415) 360-9020 CA 94941 SAFEWAY PHARMACY PHARMACY 2020 MARKET ST, SAN FRANCISCO, CA (415) 436-9032 94114 SAFEWAY PHARMACY PHARMACY 3320 ARDEN WAY, SACRAMENTO, CA (916) 483-9574 95825 SAFEWAY PHARMACY PHARMACY 11290 DONNER PASS RD, TRUCKEE, CA (530) 582-7952 96161 SAFEWAY PHARMACY PHARMACY 5021 LAGUNA BLVD, ELK GROVE, CA (916) 691-3777 95758 SAFEWAY PHARMACY PHARMACY 15549 UNION AVE, LOS GATOS, CA (408) 559-5752 95032 SAFEWAY PHARMACY PHARMACY 150 E EL CAMINO REAL, SUNNYVALE, (408) 732-3565 CA 94087 SAFEWAY PHARMACY PHARMACY 2555 HARRIS ST, EUREKA, CA 95503 (707) 269-0114 SAFEWAY PHARMACY PHARMACY 950 W HAMILTON AVE, CAMPBELL, CA (408) 871-1260 95008 SAFEWAY PHARMACY PHARMACY 6310 COLLEGE AVE, OAKLAND, CA (510) 985-0017 94618 SAFEWAY PHARMACY PHARMACY 470 N SANTA CRUZ AVE, LOS GATOS, (408) 354-7436 CA 95030 SAFEWAY PHARMACY PHARMACY 1450 HOWARD AVE, BURLINGAME, CA (650) 343-3932 94010 SAFEWAY PHARMACY PHARMACY 6790 BERNAL AVE, PLEASANTON, CA (925) 484-1960 94566 SAFEWAY PHARMACY PHARMACY 707 CONTRA COSTA BLVD, PLEASANT (925) 689-8466 HILL, CA 94523 SAFEWAY PHARMACY PHARMACY 1444 SHATTUCK AVE, BERKELEY, CA (510) 542-5242 94709 SAFEWAY PHARMACY PHARMACY 525 EL CAMINO REAL, MILLBRAE, CA (650) 652-3477 94030 SAFEWAY PHARMACY PHARMACY 3889 SAN PABLO AVE, EMERYVILLE, CA (510) 768-1034 94608 SAFEWAY PHARMACY PHARMACY 20620 HOMESTEAD RD, CUPERTINO, (408) 253-0122 CA 95014 SAFEWAY PHARMACY PHARMACY 160 1ST ST, LOS ALTOS, CA 94022 (650) 941-1844 SAFEWAY PHARMACY PHARMACY 5760 COTTLE RD, SAN JOSE, CA 95123 (408) 362-9623 SAFEWAY PHARMACY PHARMACY 2980 E CAPITOL EXPY, SAN JOSE, CA (408) 274-5939 95148 SAFEWAY PHARMACY PHARMACY 501 WILLIE STARGELL AVE, ALAMEDA, (510) 523-1827 CA 94501 SAFEWAY PHARMACY PHARMACY 7895 HIGHLAND VILLAGE PL, SAN (858) 901-3549 DIEGO, CA 92129 SAFEWAY PHARMACY PHARMACY 2800 YGNACIO VALLEY RD, WALNUT (925) 948-2287 CREEK, CA 94598

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 594 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAFEWAY PHARMACY PHARMACY 3680 CROCKER AVE STE 100, (279) 399-9270 SACRAMENTO, CA 95818 SAFEWAY PHARMACY PHARMACY 5100 BROADWAY, OAKLAND, CA 94611 (510) 285-0790 SAFEWAY PHARMACY PHARMACY 1300 W SAN CARLOS ST, SAN JOSE, CA (408) 882-0988 95126 SAFEWAY PHARMACY PHARMACY 2449 W KETTLEMAN LN, LODI, CA 95242 (209) 367-7882 SAFI, DIOMARIS E - PSYD (BCC) PERSONA NEUROBEHAVIOR NEUROPSYCHOLOGY 2 N LAKE AVE STE 800, PASADENA, CA (800) 314-7273 GROUP 91101 SAFI, DIOMARIS E - PSYD (BCC) PERSONA NEUROBEHAVIOR PSYCHOLOGY 2 N LAKE AVE STE 800, PASADENA, CA (800) 314-7273 GROUP 91101 SAFIAN, CHRISTIAN C - MD KAISER PERMANENTE FRESNO ORTHOPEDIC SURGERY 7300 N FRESNO ST , FRESNO, CA 93720 (559) 448-4886 MEDICAL CENTER SAGEBRUSH MED PLAZA PHARMACY 1111 COLUMBUS ST., SUITE 2000, (661) 326-6580 PHARMACY BAKERSFIELD, CA 93305 SAGEJOHNSON, KARMA - PT ALVES AND MARTINEZ PHYSICAL THERAPY 9381 E STOCKTON BLVD STE 108, ELK (916) 686-5070 PHYSICAL THERAPY AND GROVE, CA 95624 ATHLETIC PERFORMANCE SAGHAFI, DARA - MD (BCC) INTERNAL MEDICINE 1125 E 17TH ST STE N461, SANTA ANA, (714) 835-9147 CA 92701 SAGHAFI, DARA - MD (BCC) INTERNAL MEDICINE 11820 DOWNEY AVE, DOWNEY, CA (562) 927-1116 90241 SAGRAY, BRYAN A - DPM KAISER PERMANENTE PODIATRY 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE SAHNI, NEHA - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10820 183RD ST 2ND FLR, CERRITOS, (562) 657-2200 JOB CERRITOS MEDICAL CA 90703 OFFICES SAHNI, NEHA - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10820 183RD ST 2ND FLR, CERRITOS, (562) 657-2200 JOB CERRITOS MEDICAL PHYSICIAN CA 90703 OFFICES SAID, SEPIDEH - LAC REHABILITATION ASSOCIATES ACUPUNCTURE 790 E WILLOW ST STE 200, LONG (562) 424-8111 MEDICAL GROUP BEACH, CA 90806 SAIED, FADI - DO (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SAIED, FADI - DO (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE KNEE BAKERSFIELD, CA 93309 SAIED, FADI - DO (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SAIED, FADI - DO (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SAIGON PHARMACY PHARMACY 14384 BROOKHURST ST, GARDEN (714) 531-1740 GROVE, CA 92843 SAIKI, DAISUKE - PT LOPEZ AND ASSOCIATES PHYSICAL THERAPY 1426 AVIATION BLVD STE 204, (310) 798-8899 PHYSICAL THERAPY REDONDO BEACH, CA 90278 SAIL DRUG PHARMACY 156 N HARVARD ST, HEMET, CA 92543 (951) 658-7247 SAIL DRUG PHARMACY 12350 CALIFORNIA ST, YUCAIPA, CA (909) 797-9191 92399 SAINI, SONIA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 SAINT AGNES MEDICAL SAINT AGNES MEDICAL ACUTE CARE HOSPITAL 1303 E HERNDON AVE, FRESNO, CA (559) 450-3000 CENTER FRESNO (BCC) CENTER FRESNO 93720 SAINT AGNES OCCUPATIONAL SAINT AGNES OCCUPATIONAL URGENT CARE FACILITY 7202 N MILLBROOK AVE STE 108, (559) 450-7777 HEALTH (BCC) HEALTH FRESNO, CA 93720 SAINT LOUIS, MARIE M - DPM KAISER PERMANENTE WEST PODIATRY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER SAINT LOUISE REGIONAL SAINT LOUISE REGIONAL ACUTE CARE HOSPITAL 9400 NO NAME UNO, GILROY, CA 95020 (408) 848-2000 HOSPITAL (BCC) HOSPITAL SAIRAM, VITHYA - MD CONCENTRA MEDICAL PRIMARY TREATING 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA PHYSICIAN CA 92123 SAIRAM, VITHYA - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 SAKELLARIOU, NICHOLAS - MD ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 256-2100 (BCC) MISSION HILLS, CA 91345

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 595 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAKELLARIOU, NICHOLAS - MD ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 (BCC) 91345 SAKELLARIOU, NICHOLAS - MD ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 563-6757 (BCC) BURBANK, CA 91505 SAKELLARIOU, NICHOLAS - MD ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (661) 222-3100 (BCC) 91355 SAKELLARIOU, NICHOLAS - MD ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 (BCC) 91505 SAKELLARIOU, NICHOLAS - MD ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 500-0523 (BCC) 91206 SAKODA, JOHNATHAN - PT HAYASHIDA ASSOCIATES PHYSICAL THERAPY 319 ANACAPA ST, SANTA BARBARA, CA (805) 898-1907 PHYSICAL THERAPY INC 93101 SAKR, ANTOINE E - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE SALAMACHE, LARA A - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 SALAMACHE, LARA A - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 SALAMACHE, LARA A - MD KAISER PERMANENTE SANTA PRIMARY TREATING 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER PHYSICIAN 148 1ST FLR, SANTA CLARA, CA 95051 SALAMACHE, LARA A - MD KAISER PERMANENTE SANTA SPORTS MEDICINE 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 SALGADO, CHARINA - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 SALGIA, RAVI - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 1500 DUARTE RD, DUARTE, CA 91007 (626) 218-9840 FOUNDATION SALIB, KRISTINA - PT YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886 SALIB, SHENOUDA - PT GOOD SHEPHERD REHAB PHYSICAL THERAPY 13132 STUDEBAKER RD STE B, (562) 863-4198 AGENCY NORWALK, CA 90650 SALIB, SHENOUDA - PT GOOD SHEPHERD REHAB PHYSICAL THERAPY 13701 BEACH BLVD STE A1, (714) 622-5311 AGENCY WESTMINSTER, CA 92683 SALINAS PHARMACY PHARMACY 507 E HOBSONWAY, BLYTHE, CA 92225 (760) 921-2378 SALINAS PT SPORTS MEDICINE PHYSICAL THERAPY 23655 VIA DEL RIO STE C, YORBA (714) 695-1566 LINDA, CA 92887-2718 SALINAS URGENT CARE (BCC) SALINAS URGENT CARE URGENT CARE FACILITY 558 ABBOTT ST STE A, SALINAS, CA (831) 755-7880 93901 SALINAS URGENT CARE PT PHYSICAL THERAPY 1212 S MAIN ST, SALINAS, CA 93901 (831) 622-8400 SALINAS URGENT CARE PT PHYSICAL THERAPY 1505 MAIN ST, WATSONVILLE, CA 95076 (831) 622-8400 SALINAS VALLEY MEDICAL PHARMACY 505 E ROMIE LN STE A, SALINAS, CA (831) 755-7101 CLINIC 93901 SALINAS VALLEY MEMORIAL SALINAS VALLEY MEMORIAL ACUTE CARE HOSPITAL 450 E ROMIE LN, SALINAS, CA 93901 (831) 757-4333 HEALTH CARE DISTRICT (BCC) HEALTH CARE DISTRICT SALL, RICHARD - MD (BCC) PROHEALTH - CENTRAL PRIMARY TREATING 4100 TRUXTUN AVE STE 200, (661) 632-1540 VALLEY OCCUPATIONAL PHYSICIAN BAKERSFIELD, CA 93309 MEDICAL GROUP SALL, RICHARD - MD (BCC) PROHEALTH - CENTRAL OCCUPATIONAL MEDICINE 4100 TRUXTUN AVE STE 200, (661) 632-1540 VALLEY OCCUPATIONAL BAKERSFIELD, CA 93309 MEDICAL GROUP SALLEY, ERIK - PT BROCKTON PHYSICAL PHYSICAL THERAPY 3908 10TH ST, RIVERSIDE, CA 92501 (951) 274-7744 THERAPY SALMASI, AMIRALI - MD (BCC) UC SAN DIEGO HEALTH - UROLOGY 200 W ARBOR DR, SAN DIEGO, CA (619) 543-3572 MEDICAL OFFICES NORTH 92103 SALUD CLINIC PHARMACY PHARMACY 500B JEFFERSON BLVD, WEST (916) 403-2988 SACRAMENTO, CA 95605 SALUTA, ALAN - PT FUNCTION FIT REHAB PHYSICAL THERAPY 5348 CARROLL CANYON RD STE 101, (858) 202-1546 PHYSICAL THERAPY SAN DIEGO, CA 92121 SAM'S CLUB PHARMACY 6336 COLLEGE GROVE WAY, SAN (619) 858-0097 DIEGO, CA 92115 SAM'S CLUB PHARMACY 951 N MILLIKEN AVE, ONTARIO, CA (909) 476-9083 91764

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 596 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAM'S CLUB PHARMACY 1375 E ONTARIO AVE, CORONA, CA (951) 582-0739 92881 SAM'S CLUB PHARMACY 2401 N ROSE AVE, OXNARD, CA 93036 (805) 485-2191 SAM'S CLUB PHARMACY 1301 S LONE HILL AVE, GLENDORA, CA (909) 394-7978 91740 SAM'S CLUB PHARMACY 2601 SKYPARK DR, TORRANCE, CA (310) 517-0843 90505 SAM'S CLUB PHARMACY 7663 N BLACKSTONE AVE, FRESNO, CA (559) 446-0196 93720 SAM'S CLUB PHARMACY 900 N WALTON AVE, YUBA CITY, CA (530) 674-0983 95993 SAM'S CLUB PHARMACY 1500 HELEN POWER DR, VACAVILLE, (707) 449-3638 CA 95687 SAM'S CLUB PHARMACY 1390 S BEACH BLVD, LA HABRA, CA (562) 697-9324 90631 SAM'S CLUB PHARMACY 3951 GRAND AVE, CHINO, CA 91710 (909) 627-3683 SAM'S CLUB PHARMACY 6363 VALLEY SPRINGS PKWY, (951) 653-7850 RIVERSIDE, CA 92507 SAM'S CLUB PHARMACY 7147 GREENBACK LN, CITRUS (916) 721-6527 HEIGHTS, CA 95621 SAM'S CLUB PHARMACY 39940 10TH ST W, PALMDALE, CA 93551 (661) 575-9289 SAM'S CLUB PHARMACY 904 PLEASANT GROVE BLVD, (916) 781-8151 ROSEVILLE, CA 95678 SAM'S CLUB PHARMACY 1055 HARRIMAN PL, SAN BERNARDINO, (909) 796-1538 CA 92408 SAM'S CLUB PHARMACY 2495 IRON POINT RD STE 11, FOLSOM, (916) 817-8960 CA 95630 SAM'S CLUB PHARMACY 40500 MURRIETA HOT SPGS RD, (951) 696-4513 MURRIETA, CA 92563 SAM'S CLUB PHARMACY 5625 GOSFORD RD, BAKERSFIELD, CA (661) 654-8577 93313 SAM'S CLUB PHARMACY 26468 CARL BOYER DR, SANTA (661) 222-7568 CLARITA, CA 91350 SAM'S CLUB PHARMACY 34220 MONTEREY AVE, PALM DESERT, (760) 770-9622 CA 92211 SAM'S CLUB PHARMACY 17099 BROOKHURST ST, FOUNTAIN (714) 965-0958 VALLEY, CA 92708 SAM'S CLUB PHARMACY 4901 SANTA ANITA AVE, EL MONTE, CA (626) 652-6915 91731 SAM'S CLUB PHARMACY 8250 POWER INN RD, SACRAMENTO, (916) 688-2122 CA 95828 SAM'S CLUB PHARMACY 7480 CARSON BLVD, LONG BEACH, CA (562) 425-5539 90808 SAM'S CLUB PHARMACY 5871 FIRESTONE BLVD, SOUTH GATE, (562) 928-0179 CA 90280 SAM'S CLUB PHARMACY 1399 W ARTESIA BLVD, GARDENA, CA (310) 800-9863 90248 SAM'S CLUB PHARMACY 1225 CONCORD AVE, CONCORD, CA (925) 349-2472 94520 SAM'S CLUB PHARMACY 603 S PLACENTIA AVE, FULLERTON, CA (714) 459-9067 92831 SAMARITAN APOTHECARY PHARMACY 2505 SAMARITAN DR STE 300, SAN (408) 884-8828 PHARMACY JOSE, CA 95124 SAMARITAN MEDICAL TOWER PHARMACY 1127 WILSHIRE BLVD, LOS ANGELES, (213) 482-0644 PHARMA CA 90017 SAMARRAI, LABIB A - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 4 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER SAMARRAI, LABIB A - MD KAISER PERMANENTE PLASTIC SURGERY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER SAMI, NIMA - AUD ADVANCED HEARING AUDIOLOGY 17815 VENTURA BLVD STE 1, ENCINO, (800) 598-5300 PROVIDERS LLC CA 91356

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 597 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAMIMI, BABAK - MD BCC) SAMIMI ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 11710 WILSHIRE BLVD , LOS ANGELES , (310) 606-2156 UPPER EXTREMITIES CA 90025 SAMIMI, BABAK - MD BCC) SAMIMI ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - 11710 WILSHIRE BLVD , LOS ANGELES , (310) 606-2156 LOWER EXTREMITIES CA 90025 SAMIMI, BABAK - MD BCC) SAMIMI ORTHOPAEDIC GROUP ORTHOPEDIC SURGERY - HIP 11710 WILSHIRE BLVD , LOS ANGELES , (310) 606-2156 CA 90025 SAMIMI, BABAK - MD BCC) SAMIMI ORTHOPAEDIC GROUP ORTHOPEDICS - UPPER 11710 WILSHIRE BLVD , LOS ANGELES , (310) 606-2156 EXTREMITIES CA 90025 SAMIMI, BABAK - MD BCC) SAMIMI ORTHOPAEDIC GROUP ORTHOPEDICS - LOWER 11710 WILSHIRE BLVD , LOS ANGELES , (310) 606-2156 EXTREMITIES CA 90025 SAMIMI, BABAK - MD BCC) SAMIMI ORTHOPAEDIC GROUP ORTHOPEDICS - HIP 11710 WILSHIRE BLVD , LOS ANGELES , (310) 606-2156 CA 90025 SAMIMI, BABAK - MD BCC) SAMIMI ORTHOPAEDIC GROUP SPORTS MEDICINE 11710 WILSHIRE BLVD , LOS ANGELES , (310) 606-2156 CA 90025 SAMIMI, BABAK - MD BCC) SAMIMI ORTHOPAEDIC GROUP PRIMARY TREATING 11710 WILSHIRE BLVD , LOS ANGELES , (310) 606-2156 PHYSICIAN CA 90025 SAMOA, RAYNALD - MD ENDOCRINOLOGY 1500 EAST DUARTE ROAD, DUARTE, CA (626) 256-4673 91010 SAMSON, MARC A - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 1245 WILSHIRE BLVD STE 400, LOS (213) 482-2992 CENTER SHOULDER ANGELES, CA 90017 SAMSON, MARC A - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 1245 WILSHIRE BLVD STE 400, LOS (213) 482-2992 CENTER KNEE ANGELES, CA 90017 SAMSON, MARC A - MD (BCC) LOS ANGELES ORTHOPAEDIC SPORTS MEDICINE 1245 WILSHIRE BLVD STE 400, LOS (213) 482-2992 CENTER ANGELES, CA 90017 SAMSON, MARC A - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - SHOULDER 1245 WILSHIRE BLVD STE 400, LOS (213) 482-2992 CENTER ANGELES, CA 90017 SAMSON, MARC A - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - KNEE 1245 WILSHIRE BLVD STE 400, LOS (213) 482-2992 CENTER ANGELES, CA 90017 SAMSON, MARC A - MD (BCC) LOS ANGELES ORTHOPAEDIC PRIMARY TREATING 1245 WILSHIRE BLVD STE 400, LOS (213) 482-2992 CENTER PHYSICIAN ANGELES, CA 90017 SAMSUNG CARE PHARMACY PHARMACY 2717 W OLYMPIC BLVD, LOS ANGELES, (213) 263-2039 CA 90006 SAN LUIS OBISPO SPORTS PHYSICAL THERAPY 1306 JOHNSON AVE, SAN LUIS OBISPO, (805) 543-7771 THERAPY CA 93401 SAN ANTONIO PHARMACY PHARMACY 13931 SAN ANTONIO DR, NORWALK, CA (562) 807-0001 90650 SAN ANTONIO PHARMACY AT PHARMACY 255 E BONITA AVE BLDG 1, POMONA, (909) 962-6430 CASA CA 91767 SAN ANTONIO REGIONAL SAN ANTONIO REGIONAL ACUTE CARE HOSPITAL 999 SAN BERNARDINO RD, UPLAND, CA (909) 985-2811 HOSPITAL (BCC) HOSPITAL 91786 SAN BUENA VENTURA PT PHYSICAL THERAPY 2807 LOMA VISTA RD STE 104, (805) 641-3843 VENTURA, CA 93003-1579 SAN CLEMENTE PHYSICAL PHYSICAL THERAPY 647 CAMINO DE LOS MARES, SAN (949) 240-0600 THERAPY CLEMENTE, CA 92673 SAN CLEMENTE PHYSICAL PHYSICAL THERAPY 647 CAMINO DE LOS MARESSUITE 111, (949) 240-0600 THERAPY SAN CLEMENTE, CA 92673-2806 SAN DIEGO COMPOUNDING PHARMACY 5395 RUFFIN RD STE 104, SAN DIEGO, (858) 277-8884 PHARMACY CA 92123 SAN DIEGO OPTIMUM PHARMACY 12265 SCRIPPS POWAY PARKWAY, (858) 433-1011 PHARMACY POWAY, CA 92064 SAN DIEGO UPTOWN PHYSICAL THERAPY 4060 4TH AVE STE 206, SAN DIEGO, CA (619) 299-5246 PHYSICAL THERAPY 92103-2120 SAN DIMAS PHARMACY PHARMACY 1330 W COVINA BLVD, SAN DIMAS, CA (909) 599-8369 91773 SAN FRANCISCO STATE PHARMACY 1600 HOLLOWAY AVE, SAN (415) 338-1710 UNIVERSITY FRANCISCO, CA 94132 SAN GABRIEL AMBULATORY AMBULATORY SURGERY 207 S SANTA ANITA ST STE G16, SAN (626) 300-5300 SURGERY CENTER LP CENTER GABRIEL, CA 91776 SAN GABRIEL MEDICAL PHARMACY 1250 S SUNSET AVE STE 207, WEST (626) 960-8696 PHARMACY COVINA, CA 91790 SAN GABRIEL VALLEY PT PHYSICAL THERAPY 1300 E MAIN ST STE 210, ALHAMBRA, (626) 451-9903 CA 91801-4150

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 598 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAN GORGONIO MEMORIAL SAN GORGONIO MEMORIAL ACUTE CARE HOSPITAL 600 N HIGHLAND SPRINGS AVE, (951) 845-1121 HOSPITAL (BCC) HOSPITAL BANNING, CA 92220 SAN JACINTO PHARMACY PHARMACY 100 E MAIN ST, SAN JACINTO, CA 92583 (951) 654-9393 SAN JOAQUIN CO MENTAL PHARMACY 1212 N CALIFORNIA ST, STOCKTON, CA (209) 468-8710 HLTH SVC 95202 SAN JOAQUIN DRUG PHARMACY 9215 HIGHWAY 140 E, PLANADA, CA (209) 382-1291 95365 SAN JOSE BEHAVIORAL SAN JOSE BEHAVIORAL MENTAL HEALTH/PSYCHIATRIC 455 SILICON VALLEY BLVD, SAN JOSE, (669) 234-5959 HEALTH (BCC) HEALTH HOSPITAL (INPATIENT) CA 95138 SAN JOSE COMPOUNDING PHARMACY 2453 FOREST AVE, SAN JOSE, CA 95128 (408) 296-5015 PHARMACY SAN JOSE MANALILI, JASON BEACH CITIES ORTHOPEDICS PHYSICAL THERAPY 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 MATTHEW - PT (BCC) & SPORTS MEDICINE CA 90505 SAN JOSE MANALILI, JASON BEACH CITIES ORTHOPEDICS PHYSICAL THERAPY 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 MATTHEW - PT (BCC) & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 SAN JOSE PHARMACY PHARMACY 222 W EULALIA ST STE 212, GLENDALE, (818) 247-3266 CA 91204 SAN JOSE PHARMACY PHARMACY 200 JOSE FIGUERES AVE, SAN JOSE, (408) 254-8884 CA 95116 SAN JOSE PHYSICAL THERAPY PHYSICAL THERAPY 125 N JACKSON AVE STE 201, SAN (408) 255-8158 JOSE, CA 95116 SAN LUIS PHYSICAL THERAPY- PHYSICAL THERAPY 7325 EL CAMINO REAL, ATASCADERO, (805) 466-6719 ATASCADERO CA 93422-4628 SAN LUIS PHYSICAL THERAPY- PHYSICAL THERAPY 890 SHASTA AVE, MORRO BAY, CA (805) 772-4325 MORRO BAY 93442-1933 SAN LUIS PHYSICAL THERAPY- PHYSICAL THERAPY 1345 PARK ST, PASO ROBLES, CA (805) 226-0975 PASO ROBLES 93446-2236 SAN LUIS PHYSICAL THERAPY- PHYSICAL THERAPY 4869 S BRADLEY RD STE 114, SANTA (805) 938-5320 SANTA MARIA 1 MARIA, CA 93455-5088 SAN LUIS PHYSICAL THERAPY- PHYSICAL THERAPY 2011 S BROADWAY, STE N, SANTA (805) 440-9318 SANTA MARIA 2 MARIA, CA 93454-7809 SAN LUIS PHYSICAL THERAPY- PHYSICAL THERAPY 805 AEROVISTA PL STE 104, SAN LUIS (805) 543-7771 SLO OBISPO, CA 93401-7921 SAN LUIS PHYSICAL PHYSICAL THERAPY 1510 W BRANCH ST, ARROYO GRANDE, (805) 489-7912 THERAPY-ARROYO GRANDE CA 93420-1817 SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPY-TEMPLETON MAIN CA 93465-4061 SAN LUIS SPORTS THERAPY PHYSICAL THERAPY 7325 EL CAMINO REAL, ATASCADERO, (805) 466-6719 CA 93422-4628 SAN MANUEL INDIAN HEALTH PHARMACY 11980 MT VERNON AVE, GRAND (909) 864-1097 CLINI TERRACE, CA 92313 SAN MARCOS MEDICAL SAN MARCOS MEDICAL URGENT CARE FACILITY 742 W HIGHLAND AVE, SAN (909) 881-7320 GROUP INC (BCC) GROUP INC BERNARDINO, CA 92405 SAN MARCOS PHARMACY PHARMACY 631A S RANCHO SANTA FE RD, SAN (760) 798-0898 MARCOS, CA 92078 SAN MARCOS PT & HAND PHYSICAL THERAPY 935 W SAN MARCOS BLVD STE 102, (760) 471-2440 CENTER SAN MARCOS, CA 92078-1142 SAN MARTIN PHARMACY PHARMACY 2699 E FLORENCE AVE, HUNTINGTON (323) 582-6078 PARK, CA 90255 SAN MATEO MEDICAL CENTER PHARMACY 222 W 39TH AVE, SAN MATEO, CA 94403 (650) 573-2365 PHCY SAN MATEO NEIGHBORHOOD PHARMACY 9 37TH AVE, SAN MATEO, CA 94403 (650) 827-5277 PHCY SAN RAMON REGIONAL SAN RAMON REGIONAL ACUTE CARE HOSPITAL 6001 NORRIS CANYON RD, SAN (925) 275-9200 MEDICAL CENTER (BCC) MEDICAL CENTER RAMON, CA 94583 SAN RAMON REGIONAL SAN RAMON REGIONAL URGENT CARE FACILITY 6001 NORRIS CANYON RD, SAN (925) 275-8233 MEDICAL CENTER (BCC) MEDICAL CENTER RAMON, CA 94583 SAN YSIDRO PHARMACY PHARMACY 1498 E VALLEY RD, SANTA BARBARA, (805) 969-2284 CA 93108 SANANI, SHAMEL - MD (BCC) ONCOLOGY 15031 RINALDI ST STE 150, MISSION (818) 660-4700 HILLS, CA 91345 SANCHES, DRIELE - PT WILLIAMSON HAHN PHYSICAL PHYSICAL THERAPY 1505 MERIDIAN AVE STE A, SAN JOSE, (408) 264-6643 THERAPY CA 95125

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 599 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SANCHEZ DIANA PT PHYSICAL THERAPY 495 E. LOS ANGELES AVENUE SUITE (805) 390-6709 104, SIMI VALLEY, CA 93065 SANCHO, MARIA GUISELA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 9470 FIRESTONE BLVD, DOWNEY, CA (562) 401-4094 CORP 90241 SANCHO, MARIA GUISELA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 9530 IMPERIAL HWY STE N, DOWNEY, (714) 947-1213 CORP CA 90242 SAND, DANIEL - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER SANDEFUR, ASHLEY - OT TWO TREES PHYSICAL OCCUPATIONAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 SANDEN, MELISSA - PT CAMBRIA PHYSICAL THERAPY PHYSICAL THERAPY 1266 TAMSON DRIVE STE 101, (805) 924-1605 CAMBRIA, CA 93428 SANDER, KATHERINE - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 SANDERS, CHARLES - AUD ADVANCED HEARING AUDIOLOGY 714 W LODI AVE , LODI, CA 95240 (800) 598-5300 PROVIDERS LLC SANDERS, COLLEEN - PT MANUAL ORTHOPEDIC PHYSICAL THERAPY 955 LANE AVE STE 201, CHULA VISTA, (619) 421-9521 PHYSICAL THERAPY INC CA 91914 SANDERS, JASON - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 SANDERS, KELLY - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 SANDERS, KELLY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 SANDERS, NATALIE - OT THERASENS INC OCCUPATIONAL THERAPY 1900 GARDEN RD STE 200, MONTEREY, (831) 250-6770 CA 93940 SANDHU, KAUR V - MD (BCC) LOMA LINDA UNIVERSITY RHEUMATOLOGY 11370 ANDERSON ST FMO 3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP SANDHU, PRABHDEEP - MD CARDIOVASCULAR DISEASE 201 S BUENA VISTA ST STE 100, (818) 848-6404 (BCC) (CARDIOLOGY) BURBANK, CA 91505 SANDO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 SANDO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 SANDO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 SANDO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 SANDO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 SANDO, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 SANDOVAL, MONICA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 SANDSTONE PHYSICAL PHYSICAL THERAPY 6000 N IRWINDALE AVE STE A, (626) 969-9800 THERAPY IRWINDALE, CA 91702-3222 SANDU, RASHAM - MD (BCC) CENTRAL CARDIOLOGY CARDIOVASCULAR DISEASE 2901 SILLECT AVE #100, BAKERSFIELD, (661) 323-8384 (CARDIOLOGY) CA 93308 SANDY, LISA J - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800 & (800) 679-4642 LLUSM 2900, LOMA LINDA, CA 92354 SANDY, LISA J - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 SANFORD, CAMERON - PT FULL MOTION PHYSICAL PHYSICAL THERAPY 903 CALLE AMANECER, SAN (949) 388-6552 THERAPY CLEMENTE, CA 92673 SANFORD, MICHAEL - MD UROLOGY 39000 BOB HOPE DRIVE, RANCHO (760) 346-8555 MIRAGE, CA 92270 SANG KWAK PHYSICAL PHYSICAL THERAPY 12665 GARDEN GROVE BLVD STE 707, (714) 537-1234 THERAPY GARDEN GROVE, CA 92843-1921 SANGALANG, LILLIAN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 600 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SANGALANG, LILLIAN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 5901 W OLYMPIC BLVD STE 407, LOS (323) 917-5194 ANGELES, CA 90036 SANGER ORTHOPEDIC & PHYSICAL THERAPY 2570 JENSEN AVE STE 113, SANGER, (559) 875-2220 SPORTS PT CA 93657-2269 SANGHA, MANREET - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 11825 MAJOR STPENTHOUSE SUITE, (310) 915-6100 THERAPY AND FITNESS PLAYA VISTA, CA 90230 SANGHVI, RAHUL S - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 SANGHVI, RAHUL S - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 SANJARI, MARYAM - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 15341 CENTRAL AVE, CHINO, CA 91710 (909) 393-7222 CENTER - CHINO SANNES, GARY - DC GARY L SANNES A PC DBA CHIROPRACTIC MEDICINE 4590 RIVERSIDE DR STE B, CHINO, CA (909) 464-9880 PACIFIC EMPIRE 91710 CHIROPRACTIC SANSCARTIER, CHELSEA - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY SANTA ANA PHARMACY PHARMACY 1103 S HARBOR BLVD STE E, SANTA (714) 884-4668 HEALTH CENT ANA, CA 92704 SANTA ANA TUSTIN CLINIC PHARMACY 801 N TUSTIN AVE, SANTA ANA, CA (714) 547-3949 PHARMA 92705 SANTA ANA TUSTIN PHYSICAL PHYSICAL THERAPY 1910 OLD TUSTIN AVE, SANTA ANA, CA (714) 835-6638 THERAPY 92705-7811 SANTA BARBARA BODY PHYSICAL THERAPY 835 N MILPAS ST, SANTA BARBARA, CA (805) 966-5802 THERAPY INSTITUTE 93103-3055 SANTA BARBARA COTTAGE SANTA BARBARA COTTAGE ACUTE CARE HOSPITAL 400 W PUEBLO ST, SANTA BARBARA, (805) 982-7111 HOSPITAL (BCC) HOSPITAL CA 93105 SANTA BARBARA COTTAGE SANTA BARBARA COTTAGE CHEMICAL DEPENDENCY 1035 PEACH ST STE 203, SAN LUIS (805) 541-9113 HOSPITAL (BCC) HOSPITAL REHABILITATION HOSPITAL OBISPO, CA 93401 (INPATIENT) SANTA BARBARA PHYSICAL THERAPY 41 HITCHCOCK WAY, SANTA BARBARA, (805) 682-2536 PHYSIOTHERAPY CA 93105 SANTA BARBARA SPECIALTY PHARMACY 4690 CARPINTERIA AVE, CARPINTERIA, (805) 770-2061 PHARMA CA 93013 SANTA CLARA PHYSICAL PHYSICAL THERAPY 2488 DE LA CRUZ BLVD, SANTA CLARA, (408) 247-7278 THERAPY CA 95050-2923 SANTA CLARA SPORTS PHYSICAL THERAPY 2488 DE LA CRUZ BLVD, SANTA CLARA, (408) 247-7278 THERAPY CA 95050 SANTA CLARA VALLEY MED PHARMACY 751 S BASCOM AVE, SAN JOSE, CA (408) 885-2820 CTR 95128 SANTA CLARA VALLEY SANTA CLARA VALLEY ACUTE CARE HOSPITAL 751 S BASCOM AVE, SAN JOSE, CA (408) 885-5000 MEDICAL CENTER (BCC) MEDICAL CENTER 95128 SANTA CLARA VALLEY SANTA CLARA VALLEY MENTAL HEALTH/PSYCHIATRIC 820 ENBORG CT, SAN JOSE, CA 95128 (408) 885-6165 MEDICAL CENTER PSYCH UNIT MEDICAL CENTER PSYCH UNIT HOSPITAL (INPATIENT) (BCC) SANTA CLARA VALLEY PT PHYSICAL THERAPY 2516 SAMARITAN DR STE M, SAN JOSE, (408) 356-1156 CA 95124 SANTA CLARITA PHARMACY PHARMACY 27534 SIERRA HWY, SANTA CLARITA, (661) 886-2333 CA 91351 SANTA CLARITA SURGERY AMBULATORY SURGERY 23861 MCBEAN PARKWAY STE A1, (661) 288-5700 CENTER CENTER VALENCIA, CA 91355 SANTA CLARITA URGENT URGENT CARE FACILITY 24035 NEWHALL RANCH RD , SANTA (661) 291-3444 CARE AND FAMILY MEDICINE - CLARITA, CA 91355 PROVIDENCE MEDICAL INSTITUTE SANTA CLARITA VALLEY PHARMACY 23823 VALENCIA BLVD, VALENCIA, CA (661) 254-3600 HLTHCARE 91355 SANTA CLARITA VALLEY PHYSICAL THERAPY 25129 THE OLD RD STE 100, (661) 284-1984 THERAPY SERVICES STEVENSON RANCH, CA 91381-2281 SANTA CRUZ OCCUPATIONAL SANTA CRUZ OCCUPATIONAL URGENT CARE FACILITY 3601 CALDWELL DR, SOQUEL, CA 95073 (831) 576-3000 MEDICAL CENTER (BCC) MEDICAL CENTER SANTA FE PHARMACY PHARMACY 12916 CENTRAL AVE, CHINO, CA 91710 (909) 342-9181

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 601 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SANTA MARIA COMMUNITY PHARMACY 11004 VALLEY MALL, EL MONTE, CA (626) 443-3089 PHARMACY 91731 SANTA MARIA PHARMACY PHARMACY 16279 PARAMOUNT BLVD, (562) 630-1620 PARAMOUNT, CA 90723 SANTA MARIA PHARMACY PHARMACY 2288 S GAREY AVE, POMONA, CA 91766 (909) 993-0240 SANTA MARIA PHARMACY PHARMACY 1224 S BROOKHURST ST, ANAHEIM, CA (714) 556-7788 92804 SANTA MARIA PHARMACY PHARMACY 16444 PARAMOUNT BLVD, (562) 790-8618 PARAMOUNT, CA 90723 SANTA MARIA VALLEY PHYSICAL THERAPY 820 E ENOS DR, SANTA MARIA, CA (805) 928-8257 PHYSICAL THERAPY GROUP 93454-7295 INC. SANTA MONICA HAND PHYSICAL THERAPY 2001 WILSHIRE BLVDSUITE 301, SANTA (310) 829-3320 THERAPY INCORPORATED MONICA, CA 90403-5683 SANTA MONICA MED PLAZA PHARMACY 1260 15TH ST STE 100, SANTA MONICA, (310) 393-6767 PHCY CA 90404 SANTA MONICA UCLA MEDICAL SANTA MONICA UCLA MEDICAL ACUTE CARE HOSPITAL 1225 15TH ST, SANTA MONICA, CA (424) 259-6000 CENTER (BCC) CENTER 90404 SANTA MONICA URGENT CARE URGENT CARE FACILITY 524 COLORADO AVE , SANTA MONICA, (310) 394-2273 CA 90401 SANTA ROSA BACK FITNESS & PHYSICAL THERAPY 2798 YULUPA AVE STE 1, SANTA ROSA, (707) 527-4001 PHYSICAL THERAPY CA 95405-8570 SANTA ROSA MEMORIAL SANTA ROSA MEMORIAL ACUTE CARE HOSPITAL 1165 MONTGOMERY DR, SANTA ROSA, (707) 546-3210 HOSPITAL (BCC) HOSPITAL CA 95405 SANTA ROSA PHYS THER PHYSICAL THERAPY 2255 CHALLENGER WAY STE 104, (707) 545-1419 SANTA ROSA, CA 95407 SANTA YNEZ VALLEY SANTA YNEZ VALLEY ACUTE CARE HOSPITAL 2050 VIBORG RD, SOLVANG, CA 93463 (805) 688-6431 COTTAGE HOSPITAL (BCC) COTTAGE HOSPITAL SANTA, ANA, DALE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD SANTA, ANA, DALE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA SANTA, ANA, DALE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY SANTA, ANA, DALE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS SANTA, ANA, DALE - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT SANTAMARIA, JENNIFER - PT PERFORMANCE PLUS PHYSICAL THERAPY 1392 E PALOMAR ST STE 503, CHULA (619) 482-3000 PHYSICAL THERAPY VISTA, CA 91913 SANTANA, ENRIQUE - DC SANTANA CHIROPRACTIC CHIROPRACTIC MEDICINE 28382 SOUTHWEST AVE, RANCHO (310) 832-8777 MANAGEMENT PALOS VERDES, CA 90275 SANTANA, YOLANDA - AUD ADVANCED HEARING AUDIOLOGY 3920 GRAND AVE STE E, CHINO, CA (800) 598-5300 PROVIDERS LLC 91710 SANTEE COMMUNITY PHARMACY 9836 N MAGNOLIA AVE, SANTEE, CA (619) 777-1000 PHARMACY INC 92071 SANTEE PT & HAND THERAPY PHYSICAL THERAPY 9830 PROSPECT AVE STE A, SANTEE, (619) 448-4860 CA 92071-4375 SANTIAGO PHYSICAL PHYSICAL THERAPY 33311 SANTIAGO RD, ACTON, CA (661) 269-4712 THERAPY 93510-1416 SANTIAGO PHYSICAL PHYSICAL THERAPY 33311 SANTIAGO RD, ACTON, CA (661) 269-4712 THERAPY 93510-1416 SANTIAGO, MYRA - PTA REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 SANTIZO, CRISTIAN A - MD CONCENTRA MEDICAL PRIMARY TREATING 3930 FOURTH AVE STE 200, SAN DIEGO (619) 297-9610 CENTER - HILLCREST PHYSICIAN , CA 92103 SANTIZO, CRISTIAN A - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3930 FOURTH AVE STE 200, SAN DIEGO (619) 297-9610 CENTER - HILLCREST , CA 92103

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 602 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SANTIZO, CRISTIAN A - MD HEALTHPOINTE MEDICAL PRIMARY TREATING 754 N MOUNTAIN AVE , ONTARIO, CA (909) 465-4155 (BCC) GROUP PHYSICIAN 91762 SANTIZO, CRISTIAN A - MD HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 754 N MOUNTAIN AVE , ONTARIO, CA (909) 465-4155 (BCC) GROUP 91762 SANTORO, TIMOTHY D - MD KAISER PERMANENTE SANTA GENERAL SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 SANTORO, TIMOTHY D - MD KAISER PERMANENTE SANTA PLASTIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 SANTOS JR, LUIS D - MD KAISER PERMANENTE DALE ORTHOPEDIC SURGERY 4601 DALE RD , MODESTO, CA 95356 (209) 735-4100 ROAD MEDICAL OFFICE SANTOS, CHELSEA - PT EVOLUTION PHYSICAL PHYSICAL THERAPY 201 N ROBERTSON BLVD STE 101, (424) 303-7647 THERAPY AND FITNESS BEVERLY HILLS, CA 90211 SANTOS, DAPHYNE - OT REHABCARE UNLIMITED OCCUPATIONAL THERAPY 8349 RESEDA BLVD UNIT F, (818) 341-3791 NORTHRIDGE, CA 91324 SANTOS, SARAH - DC INTEGRATED MEDICAL CHIROPRACTIC MEDICINE 2250 S MAIN ST STE 203, CORONA, CA (951) 737-1252 CENTER OF CORONA 92882 SANTOS, VICTOR - PT VICTOR SANTOS PHYSICAL PHYSICAL THERAPY 15643 SHERMAN WAY STE 450, VAN (818) 913-9480 THERAPY NUYS, CA 91406 SANTOS, ZENAIDA - PT AQUA PHYSICAL PHYSICAL THERAPY 192 N PLAZA ST STE A, BRAWLEY, CA (760) 352-5582 THERAPYELITE PHYSICAL 92227 THERAPY SANTOS, ZENALDA - PT AQUA PHYSICAL PHYSICAL THERAPY 221 CAMPILLO ST STE I, CALEXICO, CA (760) 352-5582 THERAPYELITE PHYSICAL 92231 THERAPY SANUCCI, SHAUN - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 SANUCCI, SHAUN - DO CONCENTRA MEDICAL PRIMARY TREATING 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD PHYSICIAN CARLSBAD, CA 92008 SAPOZHANIKOV, ROMAN - MD CONCENTRA MEDICAL INTERNAL MEDICINE 9745 PROSPECT AVE STE 100, SANTEE, (619) 448-4841 CENTER - SANTEE CA 92071 SAQUIB, SYED F - MD CONCENTRA MEDICAL INTERNAL MEDICINE 6520 N IRWINDALE AVE STE 100, (626) 812-0366 CENTER - IRWINDALE IRWINDALE, CA 91702 SARA ELLERBE PHYSICAL PHYSICAL THERAPY 435 S FAIR OAKS AVE, PASADENA, CA (626) 795-8023 THERAPY SERVICES 91105-2632 SARA HURVITZ PHARMACY 2020 SANTA MONICA BLVD, SANTA (310) 570-1453 MONICA, CA 90404 SARABIA, PATRICK - OT HUMBOLDT HAND FOOT OCCUPATIONAL THERAPY 1587 MYRTLE AVE, EUREKA, CA 95501 (707) 441-1931 THERAPY INC SARGENTI, EMMANUEL - LAC INTEGRATED ACUPUNCTURE ACUPUNCTURE 2001 S BARRINGTON AVE STE 219, LOS (805) 379-1108 HERBS INC ANGELES, CA 90025 SARGENTI, EMMANUEL - LAC INTEGRATED ACUPUNCTURE ACUPUNCTURE 890 HAMPSHIRE RD STE S, WESTLAKE (424) 361-9183 HERBS INC VILLAGE, CA 91361 SARLAK, FARZANEH - MD CONCENTRA MEDICAL PRIMARY TREATING 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA PHYSICIAN CA 92123 SARLAK, FARZANEH - MD CONCENTRA MEDICAL FAMILY MEDICINE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 SARMIENTO, JORGE - PT ADVENT PHYSICAL THERAPY PHYSICAL THERAPY 737 PEARL ST STE 108, LA JOLLA, CA (858) 456-2114 GROUP PC DBA ABILITY 92037 REHABILITATION SPECIALISTS SARMIENTO, JOSE MANUEL - CONCENTRA MEDICAL NEUROLOGICAL SURGERY 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 MD CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA SARRAT, ALLEN - LAC ACCESS ACUPUNCTURE INC ACUPUNCTURE 24619 WASHINGTON AVE STE 206, (951) 698-0102 MURRIETA, CA 92562 SARRAT, MONICA - LAC ACCESS ACUPUNCTURE INC ACUPUNCTURE 24619 WASHINGTON AVE STE 206, (951) 698-0102 MURRIETA, CA 92562 SAS CUTTING EDGE SURGERY SAS CUTTING EDGE SURGERY AMBULATORY SURGERY 23456 HAWTHORNE BLVD STE 110, (310) 626-0550 CENTER CENTER CENTER TORRANCE, CA 90505 SATELLITE MEDICATION PHARMACY 1509 WILSON TER RM 4B13, GLENDALE, (818) 409-8521 DISPENSIN CA 91206 SATINGIN, SARAH - OT LEGACY OUTPATIENT OCCUPATIONAL THERAPY 11618 SOUTH ST 201, ARTESIA, CA (562) 467-0777 THERAPY SERVICES INC 90701

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 603 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SATO, DAVID - MD CARDIOVASCULAR DISEASE 201 SOUTH BUENA VISTA ST #100, (818) 848-6404 (CARDIOLOGY) BURBANK , CA 91505 SATO, DAVID - MD (BCC) CARDIOVASCULAR DISEASE 201 S BUENA VISTA ST STE 100, (818) 848-6404 (CARDIOLOGY) BURBANK, CA 91505 SATO, LISA - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 10470 FOOTHILL BLVD STE 101, (909) 948-0411 INC RANCHO CUCAMONGA, CA 91730 SATO, MICHELLE A - MD (BCC) EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 1045 W REDONDO BEACH BLVD STE (310) 329-9975 400, GARDENA, CA 90047 SATO, MICHELLE A - MD (BCC) EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 23441 MADISON ST STE 120, (310) 373-6708 TORRANCE, CA 90025 SATO, MICHELLE A - MD (BCC) EAST-WEST EYE INSTITUTE OPHTHALMOLOGY 1950 SAWTELLE BLVD STE 240, LOS (310) 453-0489 ANGELES, CA 90025 SATOW, RONALD - PT TORRANCE PHYSICAL PHYSICAL THERAPY 19000 HAWTHORNE BLVD STE 300, (310) 793-1800 THERAPY TORRANCE, CA 90503 SATTAR, HENA R - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3100 DUBLIN BLVD, DUBLIN, CA 94568 (925) 556-5860 JOB OCCUPATIONAL HEALTH CENTER SATTAR, HENA R - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3100 DUBLIN BLVD, DUBLIN, CA 94568 (925) 556-5860 JOB OCCUPATIONAL HEALTH PHYSICIAN CENTER SAUCEDO, TOMAS - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH KNEE 91311 SAUCEDO, TOMAS - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH SHOULDER 91311 SAUCEDO, TOMAS - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH SHOULDER 91311 SAUCEDO, TOMAS - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 SAUCEDO, TOMAS - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE KNEE CA 91731 SAUCEDO, TOMAS - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE SHOULDER CA 91731 SAUCEDO, TOMAS - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE SHOULDER CA 91731 SAUCEDO, TOMAS - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 9350 FLAIR DRIVE STE 102, EL MONTE, (626) 407-0300 CENTER - EL MONTE CA 91731 SAUGUS DRUGS PHARMACY 27641 BOUQUET CANYON RD, SANTA (661) 296-3980 CLARITA, CA 91350 SAUNDERS, LAURA - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 SAUNDERSENRIGHT, DAWNE - SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 PT VISTA, CA 91910 SAV-NOW PHARMACY PHARMACY 9814 GARVEY AVE # 24-25, EL MONTE, (626) 579-1270 CA 91733 SAV-ON PHARMACY PHARMACY 43543 20TH ST W, LANCASTER, CA (661) 940-4752 93534 SAV-ON PHARMACY PHARMACY 15970 LOS SERRANOS COUNTRY, (909) 606-8185 CHINO HILLS, CA 91709 SAV-ON PHARMACY PHARMACY 927 S CHINA LAKE BLVD, RIDGECREST, (760) 384-4020 CA 93555 SAV-ON PHARMACY PHARMACY 6755 WESTMINSTER BLVD, (714) 898-9669 WESTMINSTER, CA 92683 SAV-ON PHARMACY PHARMACY 19640 BEACH BLVD, HUNTINGTON (714) 964-7989 BEACH, CA 92648 SAV-ON PHARMACY PHARMACY 4155 TWEEDY BLVD, SOUTH GATE, CA (323) 569-0744 90280 SAV-ON PHARMACY PHARMACY 9831 CAMPO RD, SPRING VALLEY, CA (619) 461-9170 91977 SAV-ON PHARMACY PHARMACY 2320 S BROADWAY, SANTA MARIA, CA (805) 928-7623 93454 SAV-ON PHARMACY PHARMACY 7201 BOULDER AVE, HIGHLAND, CA (909) 425-1194 92346

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 604 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAV-ON PHARMACY PHARMACY 13045 ROSEDALE HWY, BAKERSFIELD, (661) 587-0158 CA 93314 SAV-ON PHARMACY PHARMACY 7201 YORKTOWN AVE, HUNTINGTON (714) 536-3679 BEACH, CA 92648 SAV-ON PHARMACY PHARMACY 110 E CARSON ST, CARSON, CA 90745 (310) 834-2561 SAV-ON PHARMACY PHARMACY 2500 E IMPERIAL HWY, BREA, CA 92821 (714) 671-1158 SAV-ON PHARMACY PHARMACY 7676 FIRESTONE BLVD, DOWNEY, CA (562) 869-9655 90241 SAV-ON PHARMACY PHARMACY 810 S STATE COLLEGE BLVD, ANAHEIM, (714) 533-4820 CA 92806 SAV-ON PHARMACY PHARMACY 30530 RANCHO CALIFORNIA RD, (951) 694-0055 TEMECULA, CA 92591 SAV-ON PHARMACY PHARMACY 19307 SATICOY ST, RESEDA, CA 91335 (818) 885-1525 SAV-ON PHARMACY PHARMACY 16600 BOLSA CHICA ST, HUNTINGTON (714) 846-1381 BEACH, CA 92649 SAV-ON PHARMACY PHARMACY 8880 VALLEY VIEW ST, BUENA PARK, (714) 947-9980 CA 90620 SAV-ON PHARMACY PHARMACY 450 E CYPRESS AVE, REDLANDS, CA (909) 793-2218 92373 SAV-ON PHARMACY PHARMACY 3901 CRENSHAW BLVD, LOS ANGELES, (323) 295-3330 CA 90008 SAV-ON PHARMACY PHARMACY 2035 HILLHURST AVE, LOS ANGELES, (323) 662-5105 CA 90027 SAV-ON PHARMACY PHARMACY 1235 S DIAMOND BAR BLVD, DIAMOND (909) 861-9433 BAR, CA 91765 SAV-ON PHARMACY PHARMACY 2975 VAN BUREN BLVD, RIVERSIDE, CA (951) 689-2370 92503 SAV-ON PHARMACY PHARMACY 40101 MONTEREY AVE, RANCHO (760) 674-4738 MIRAGE, CA 92270 SAV-ON PHARMACY PHARMACY 804 AVENIDA PICO, SAN CLEMENTE, CA (949) 492-9448 92673 SAV-ON PHARMACY PHARMACY 23072 ALICIA PKWY, MISSION VIEJO, CA (949) 583-9779 92692 SAV-ON PHARMACY PHARMACY 8440 E CHAPMAN AVE, ORANGE, CA (714) 771-7933 92869 SAV-ON PHARMACY PHARMACY 260 W FOOTHILL PKWY, CORONA, CA (951) 340-2040 92882 SAV-ON PHARMACY PHARMACY 8938 TRAUTWEIN RD, RIVERSIDE, CA (951) 656-3394 92508 SAV-ON PHARMACY PHARMACY 1268 MADERA RD, SIMI VALLEY, CA (805) 520-1384 93065 SAV-ON PHARMACY PHARMACY 18579 BROOKHURST ST, FOUNTAIN (714) 378-0174 VALLEY, CA 92708 SAV-ON PHARMACY PHARMACY 1120 E CLARK AVE, ORCUTT, CA 93455 (805) 934-4002 SAV-ON PHARMACY PHARMACY 33601 DEL OBISPO ST, DANA POINT, CA (949) 496-9490 92629 SAV-ON PHARMACY PHARMACY 541 S REINO RD, NEWBURY PARK, CA (805) 499-7549 91320 SAV-ON PHARMACY PHARMACY 1505 E VALLEY PKWY, ESCONDIDO, CA (760) 735-5884 92027 SAV-ON PHARMACY PHARMACY 1735 W ARTESIA BLVD, GARDENA, CA (310) 380-4650 90248 SAV-ON PHARMACY PHARMACY 2291 W MALVERN AVE, FULLERTON, CA (714) 992-6739 92833 SAV-ON PHARMACY PHARMACY 200 E SEPULVEDA BLVD, CARSON, CA (310) 513-6800 90745 SAV-ON PHARMACY PHARMACY 133 W ROUTE 66, GLENDORA, CA 91740 (626) 963-5368 SAV-ON PHARMACY PHARMACY 26521 AGOURA RD, CALABASAS, CA (818) 880-8807 91302 SAV-ON PHARMACY PHARMACY 3925 MISSION AVE, OCEANSIDE, CA (760) 433-9634 92058 SAV-ON PHARMACY PHARMACY 1751 N SUNRISE WAY # 1, PALM (760) 322-1131 SPRINGS, CA 92262

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 605 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAV-ON PHARMACY PHARMACY 989 AVENIDA PICO, SAN CLEMENTE, CA (949) 369-5596 92673 SAV-ON PHARMACY PHARMACY 720 3RD AVE, CHULA VISTA, CA 91910 (619) 420-8313 SAV-ON PHARMACY PHARMACY 1520 BRUNDAGE LN, BAKERSFIELD, CA (661) 327-4265 93304 SAV-ON PHARMACY PHARMACY 41000 CALIFORNIA OAKS RD, (951) 600-1127 MURRIETA, CA 92562 SAV-ON PHARMACY PHARMACY 2000 E 17TH ST, SANTA ANA, CA 92705 (714) 543-8300 SAV-ON PHARMACY PHARMACY 543 SWEETWATER RD, SPRING (619) 461-2100 VALLEY, CA 91977 SAV-ON PHARMACY PHARMACY 2400 W COMMONWEALTH AVE, (626) 576-3900 ALHAMBRA, CA 91803 SAV-ON PHARMACY PHARMACY 1930 N PLACENTIA AVE, FULLERTON, (714) 792-0990 CA 92831 SAV-ON PHARMACY PHARMACY 31960 TEMECULA PKWY, TEMECULA, (951) 303-1144 CA 92592 SAV-ON PHARMACY PHARMACY 23893 CLINTON KEITH RD, WILDOMAR, (951) 600-4620 CA 92595 SAV-ON PHARMACY PHARMACY 4550 E CHAPMAN AVE, ORANGE, CA (714) 771-3014 92869 SAV-ON PHARMACY PHARMACY 220 E BONITA AVE, SAN DIMAS, CA (909) 599-8874 91773 SAV-ON PHARMACY PHARMACY 6045 COFFEE RD, BAKERSFIELD, CA (661) 587-2890 93308 SAV-ON PHARMACY PHARMACY 14201 JEFFREY RD, IRVINE, CA 92620 (949) 733-0945 SAV-ON PHARMACY PHARMACY 3255 GRAND AVE, CHINO HILLS, CA (909) 590-8373 91709 SAV-ON PHARMACY PHARMACY 189 NIBLICK RD, PASO ROBLES, CA (805) 237-1803 93446 SAV-ON PHARMACY PHARMACY 39140 WINCHESTER RD, MURRIETA, CA (951) 600-4479 92563 SAV-ON PHARMACY PHARMACY 3450 MARRON RD, OCEANSIDE, CA (760) 729-4127 92056 SAV-ON PHARMACY PHARMACY 23850 COPPERHILL DR, VALENCIA, CA (661) 775-3944 91354 SAV-ON PHARMACY PHARMACY 28047 SCOTT RD, MURRIETA, CA 92563 (951) 679-5328 SAV-ON PHARMACY PHARMACY 655 14TH ST, SAN DIEGO, CA 92101 (619) 237-9127 SAV-ON PHARMACY PHARMACY 7070 ARCHIBALD ST, EASTVALE, CA (951) 279-4773 92880 SAV-ON PHARMACY PHARMACY 74590 HIGHWAY 111, PALM DESERT, CA (760) 346-2573 92260 SAV-ON PHARMACY PHARMACY 1459 MAIN ST, RAMONA, CA 92065 (760) 789-0094 SAV-ON PHARMACY PHARMACY 1133 S MISSION RD, FALLBROOK, CA (760) 723-8178 92028 SAV-ON PHARMACY PHARMACY 940 N TUSTIN ST, ORANGE, CA 92867 (714) 633-1681 SAV-ON PHARMACY PHARMACY 27702 CROWN VALLEY PKWY, LADERA (949) 364-2098 RANCH, CA 92694 SAV-ON PHARMACY PHARMACY 2955 ALPINE BLVD, ALPINE, CA 91901 (619) 445-0601 SAV-ON PHARMACY PHARMACY 1571 SAN ELIJO RD S, SAN MARCOS, (760) 798-2824 CA 92078 SAV-ON PHARMACY PHARMACY 1260 E ONTARIO AVE, CORONA, CA (951) 734-9765 92881 SAV-ON PHARMACY PHARMACY 30901 RIVERSIDE DR, LAKE ELSINORE, (951) 245-5492 CA 92530 SAV-ON PHARMACY PHARMACY 775 TUCKER RD, TEHACHAPI, CA 93561 (661) 823-7094 SAV-ON PHARMACY PHARMACY 20261 US HIGHWAY 18, APPLE VALLEY, (760) 242-1323 CA 92307 SAV-ON PHARMACY PHARMACY 2899 JAMACHA RD, EL CAJON, CA (619) 670-7880 92019 SAV-ON PHARMACY PHARMACY 298 E LIVE OAK AVE, ARCADIA, CA (626) 446-1902 91006 SAV-ON PHARMACY PHARMACY 38727 TIERRA SUBIDA AVE, PALMDALE, (661) 274-9678 CA 93551

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 606 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAV-ON PHARMACY PHARMACY 8920 FLETCHER PKWY, LA MESA, CA (619) 667-9626 91942 SAV-ON PHARMACY PHARMACY 1018 CASITAS PASS RD, CARPINTERIA, (805) 684-8367 CA 93013 SAV-ON PHARMACY PHARMACY 1500 N H ST, LOMPOC, CA 93436 (805) 737-0416 SAV-ON PHARMACY PHARMACY 12475 RANCHO BERNARDO RD, SAN (858) 385-9229 DIEGO, CA 92128 SAV-ON PHARMACY PHARMACY 1608 BROADWAY ST, EL CAJON, CA (619) 579-3463 92021 SAV-ON PHARMACY PHARMACY 1910 N CAMPUS AVE, UPLAND, CA (909) 946-3340 91784 SAV-ON PHARMACY PHARMACY 13270 NEWPORT AVE, TUSTIN, CA (714) 544-9262 92780 SAV-ON PHARMACY PHARMACY 4541 CAMPUS DR, IRVINE, CA 92612 (949) 854-8280 SAVAGO, KELLY - PT REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 SAVARA, JEFFREY - DC CRYSTAL SPRINGS CHIROPRACTIC MEDICINE 214 DE ANZA BLVD, SAN MATEO, CA (650) 574-1456 CHIROPRACTIC 94402 SAVCO PHARMACY PHARMACY 455 OCONNOR DR STE 190, SAN JOSE, (408) 298-6190 CA 95128 SAVE MART PHARMACY 1225 E ROBERTSON BLVD, (559) 665-9479 CHOWCHILLA, CA 93610 SAVE MART PHARMACY PHARMACY 1045 MONO WAY, SONORA, CA 95370 (209) 536-1118 SAVE MART PHARMACY PHARMACY 1504 HOWARD RD, MADERA, CA 93637 (559) 661-0871 SAVE MART PHARMACY PHARMACY 2100 STANDIFORD AVE, MODESTO, CA (209) 577-1350 95350 SAVE MART PHARMACY PHARMACY 1835 HERNDON AVE, CLOVIS, CA 93611 (559) 322-0123 SAVE MART PHARMACY PHARMACY 105 W HANFORD ARMONA RD, (559) 924-9593 LEMOORE, CA 93245 SAVE MART PHARMACY PHARMACY 659 E NEES AVE, FRESNO, CA 93720 (559) 446-0715 SAVE MART PHARMACY PHARMACY 1035 SPERRY RD, PATTERSON, CA (209) 892-4545 95363 SAVE MART PHARMACY PHARMACY 801 OAKDALE RD STE C, MODESTO, CA (209) 569-0236 95355 SAVE MART PHARMACY PHARMACY 2179 SHAW AVE, CLOVIS, CA 93612 (559) 298-1707 SAVE MART PHARMACY PHARMACY 150 W OLIVE AVE, MERCED, CA 95340 (209) 723-1912 SAVE MART PHARMACY PHARMACY 7506 PACIFIC AVE, STOCKTON, CA (209) 951-1051 95207 SAVE MART PHARMACY PHARMACY 1701 BELLEVUE RD, ATWATER, CA (209) 357-2956 95301 SAVE MART PHARMACY PHARMACY 1157 N WILLOW AVE, CLOVIS, CA 93611 (559) 297-0174 SAVE MART PHARMACY PHARMACY 5201 W GOSHEN AVE, VISALIA, CA (559) 738-9487 93291 SAVE MART PHARMACY PHARMACY 900 W HENDERSON AVE, (559) 781-1590 PORTERVILLE, CA 93257 SAVE MART PHARMACY PHARMACY 7075 N MARKS AVE, FRESNO, CA 93711 (559) 439-1211 SAVE MART PHARMACY PHARMACY 610 W KETTLEMAN LN, LODI, CA 95240 (209) 334-6867 SAVE MART PHARMACY PHARMACY 3190 CONTRA LOMA BLVD, ANTIOCH, (925) 754-8585 CA 94509 SAVE MART PHARMACY PHARMACY 9600 HAGEMAN RD, BAKERSFIELD, CA (661) 587-2301 93312 SAVE MART PHARMACY PHARMACY 6797 N MILBURN AVE, FRESNO, CA (559) 261-4126 93722 SAVE MART PHARMACY PHARMACY 15240 HARLAN RD, LATHROP, CA 95330 (209) 858-5787 SAVE MART PHARMACY PHARMACY 6155 W LAS POSITAS BLVD, (925) 462-3530 PLEASANTON, CA 94566 SAVE MART PHARMACY PHARMACY 1590 SYCAMORE AVE, HERCULES, CA (510) 245-1440 94547 SAVE MART PHARMACY PHARMACY 915 MONTGOMERY VILLAGE CT, SANTA (707) 542-1879 ROSA, CA 95405 SAVE MART PHARMACY PHARMACY 15840 HESPERIAN BLVD, SAN (510) 276-9395 LORENZO, CA 94580

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 607 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAVE MART PHARMACY PHARMACY 1951 HOLMES ST, LIVERMORE, CA (925) 447-7762 94550 SAVE MART PHARMACY PHARMACY 1530 FITZGERALD DR, PINOLE, CA (510) 758-6581 94564 SAVE MART PHARMACY PHARMACY 555 CARMEL RANCHO CTR, CARMEL, (831) 624-7173 CA 93923 SAVE MART PHARMACY PHARMACY 40055 MISSION BLVD, FREMONT, CA (510) 657-5280 94539 SAVE MART PHARMACY PHARMACY 34101 FREMONT BLVD, FREMONT, CA (510) 794-9735 94555 SAVE MART PHARMACY PHARMACY 5000 MOWRY AVE, FREMONT, CA 94538 (510) 744-9330 SAVE MART PHARMACY PHARMACY 484 N MATHILDA AVE, SUNNYVALE, CA (408) 749-8200 94086 SAVE MART PHARMACY PHARMACY 2175 GRANT RD, LOS ALTOS, CA 94024 (650) 969-0772 SAVE MART PHARMACY PHARMACY 919 EDGEWATER DR, FOSTER CITY, CA (650) 572-1167 94404 SAVE MART PHARMACY PHARMACY 4708 MANZANITA AVE, CARMICHAEL, (916) 979-9100 CA 95608 SAVE MART PHARMACY PHARMACY 3615 W NOBLE AVE, VISALIA, CA 93277 (559) 622-0849 SAVE MART PHARMACY PHARMACY 1312 TRANCAS ST, NAPA, CA 94558 (707) 255-7400 SAVE MART PHARMACY PHARMACY 5190 CLAYTON RD, CONCORD, CA (925) 680-5121 94521 SAVE MART PHARMACY PHARMACY 1000 EL CERRITO PLZ, EL CERRITO, CA (510) 524-8280 94530 SAVE MART PHARMACY PHARMACY 2000 PORTOLA AVE, LIVERMORE, CA (925) 456-7697 94550 SAVE MART PHARMACY PHARMACY 2545 MAIN ST, OAKLEY, CA 94561 (925) 625-7557 SAVE MART PHARMACY PHARMACY 1300 FAIRMONT DR, SAN LEANDRO, CA (510) 276-8106 94578 SAVE MART PHARMACY PHARMACY 2027 CAMDEN AVE, SAN JOSE, CA (408) 559-9491 95124 SAVE MART PHARMACY PHARMACY 25151 SANTA CLARA ST, HAYWARD, CA (510) 670-0821 94544 SAVE MART PHARMACY PHARMACY 6843 MISSION BLVD, DALY CITY, CA (650) 992-9490 94014 SAVE MART PHARMACY PHARMACY 844 BLOSSOM HILL RD, SAN JOSE, CA (408) 972-2862 95123 SAVE MART PHARMACY PHARMACY 2000 CALIFORNIA AVE, SAND CITY, CA (831) 393-1400 93955 SAVE MART PHARMACY PHARMACY 1515 SLOAT BLVD, SAN FRANCISCO, CA (415) 681-4136 94132 SAVE MART PHARMACY PHARMACY 1133 OLD COUNTY RD, SAN CARLOS, (650) 637-1788 CA 94070 SAVE MART PHARMACY PHARMACY 1750 FULTON ST, SAN FRANCISCO, CA (415) 923-6789 94117 SAVE MART PHARMACY PHARMACY 22555 MISSION BLVD, HAYWARD, CA (510) 538-7819 94541 SAVE MART PHARMACY PHARMACY 32300 DYER ST, UNION CITY, CA 94587 (510) 441-9393 SAVE MART PHARMACY PHARMACY 565 W CAPITOL EXPY, SAN JOSE, CA (408) 267-6828 95136 SAVE MART PHARMACY PHARMACY 129 BERNAL ST, SAN JOSE, CA 95119 (408) 578-2295 SAVE MART PHARMACY PHARMACY 1322 EL CAMINO REAL, SAN BRUNO, CA (650) 742-9737 94066 SAVE MART PHARMACY PHARMACY 291 MCCRAY ST, HOLLISTER, CA 95023 (831) 634-1887 SAVE MART PHARMACY PHARMACY 5060 FOOTHILL BLVD, ROSEVILLE, CA (916) 782-2720 95678 SAVE MART PHARMACY PHARMACY 247 E 18TH ST, OAKLAND, CA 94606 (510) 272-9042 SAVE MART PHARMACY PHARMACY 2355 CALIFORNIA BLVD, NAPA, CA (707) 253-1643 94558 SAVE MART PHARMACY PHARMACY 777 E MONTE VISTA AVE, VACAVILLE, (707) 448-8420 CA 95688 SAVE MART PHARMACY PHARMACY 3021 STANFORD RANCH RD, ROCKLIN, (916) 435-2882 CA 95765

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 608 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SAVE MART PHARMACY PHARMACY 146 W EAST AVE, CHICO, CA 95926 (530) 343-3399 SAVE MART PHARMACY PHARMACY 12054 NEVADA CITY HWY, GRASS (530) 477-6857 VALLEY, CA 95945 SAVE MART PHARMACY PHARMACY 5750 N 1ST ST, FRESNO, CA 93710 (559) 435-7903 SAVE MART PHARMACY PHARMACY 1979 PEABODY RD, VACAVILLE, CA (707) 452-0145 95687 SAVE MART PHARMACY PHARMACY 2501 FAIROAKS BLVD, SACRAMENTO, (916) 484-7016 CA 95825 SAVE MART PHARMACY PHARMACY 875 S TRACY BLVD, TRACY, CA 95376 (209) 830-1977 SAVE MART PHARMACY PHARMACY 7960 GERBER RD, SACRAMENTO, CA (916) 689-8333 95828 SAVE MART PHARMACY PHARMACY 1453 GOODWIN DR, RIPON, CA 95366 (209) 599-3363 SAVE MART PHARMACY PHARMACY 2237 CLARIBEL RD, RIVERBANK, CA (209) 863-1483 95367 SAVE MART PHARMACY PHARMACY 5203 W WALNUT AVE, VISALIA, CA (559) 625-9888 93277 SAVE MART PHARMACY PHARMACY 4725 QUAIL LAKES DR, STOCKTON, CA (209) 952-3599 95207 SAVE MART PHARMACY PHARMACY 3457 MCKEE RD, SAN JOSE, CA 95127 (408) 937-6032 SAVE MART PHARMACY PHARMACY 1107 E CHAMPLAIN AVE, FRESNO, CA (559) 433-0283 93720 SAVE MART PHARMACY PHARMACY 715 W GRANGEVILLE BLVD, HANFORD, (559) 582-1697 CA 93230 SAVE MART PHARMACY PHARMACY 1400 S MERCEY SPRINGS RD, LOS (209) 829-7915 BANOS, CA 93635 SAVE MART PHARMACY PHARMACY 2920 E WHITMORE AVE, CERES, CA (209) 566-7485 95307 SAVE MART PHARMACY #95 PHARMACY 3601 PELANDALE AVE, MODESTO, CA (209) 545-1385 95356 SAVEN, ALAN - MD (BCC) SCRIPPS CLINIC TORREY HEMATOLOGY AND 10710 N TORREY PINE RD , LA JOLLA , (858) 554-8788 PINES ONCOLOGY CA 92037 SAVIERS URGENT CARE (BCC) SAVIERS URGENT CARE URGENT CARE FACILITY 2921 SAVIERS RD, OXNARD, CA 93033 (805) 487-5588 SAVOCA, CHARLES - LAC CHARLES SAVOCA LAC ACUPUNCTURE 1011 CASS ST STE 203, MONTEREY, CA (831) 648-1763 93940 SAVOCA, CHARLES - LAC CHARLES SAVOCA LAC ACUPUNCTURE 3121 PARK AVE STE H, SOQUEL, CA (831) 479-3760 95073 SAWHNEY, AJAY - DC DIVINE SPINE CHIROPRACTIC MEDICINE 4973 YORBA RANCH RD STE D, YORBA (714) 695-0232 LINDA, CA 92887 SAWYER, RACHEL - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 1640 W YOSEMITE AVE STE 1, (209) 328-1738 PHYSICAL AND MANTECA, CA 95337 OCCUPATIONAL SAXENA, SHILPA - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 SAXENA, SHILPA - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN SAXON SURGICAL CENTER SAXON SURGICAL CENTER AMBULATORY SURGERY 430 E AVENIDA DE LOS ARBOLES STE (805) 241-0151 (BCC) CENTER 101, THOUSAND OAKS , CA 91360 SAYLOR, HARGUESS, DESIREE REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 - PT MEDICINE PHYSICAL MESA, CA 91942 THERAPY SAYO, EARNESTO - PT PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 SAYO, LEON - PT EMPOWER PHYSICAL PHYSICAL THERAPY 15944 LOS SERRANOS COUNTRY CLUB (909) 907-0805 THERAPY WELLNESS DR STE 250, CHINO HILLS, CA 91709 SAYO, LISA - OT EMPOWER PHYSICAL OCCUPATIONAL THERAPY 15944 LOS SERRANOS COUNTRY CLUB (909) 907-0805 THERAPY WELLNESS DR STE 250, CHINO HILLS, CA 91709 SAYRE, SERINITY - CHT CERTIFIED HAND HAND THERAPY 760 SAN RAMON VALLEY BLVD STE 100, (925) 743-8905 REHABILITATION DANVILLE, CA 94526 SBCH DISCHARGE PHARMACY PHARMACY 400 W PUEBLO # B780, SANTA (805) 569-8312 BARBARA, CA 93105 SCALES, JENNIFER - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 11206 OLIVE DR, BAKERSFIELD, CA (661) 377-1700 93312 SCARPELLI & KAKEHASHI PHYSICAL THERAPY 4200 18TH STSUITE 102, SAN (415) 626-1929 PHYSICAL THERAPY FRANCISCO, CA 94114-2449

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 609 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SCHAACK PHYSICAL THERAPY PHYSICAL THERAPY 1620 LEAD HILL BLVD STE 200, (916) 789-1111 ROSEVILLE, CA 95661-2853 SCHAACK PHYSICAL THERAPY PHYSICAL THERAPY 801 STERLING PKWY STE 150, (916) 543-7900 LINCOLN, CA 95648-7328 SCHAD, JOSEPH - DO (BCC) PRIMARY TREATING 1065 BUCKS LAKE RD, QUINCY, CA (530) 283-7161 PHYSICIAN 95971 SCHAD, JOSEPH - DO (BCC) FAMILY MEDICINE 1065 BUCKS LAKE RD, QUINCY, CA (530) 283-7161 95971 SCHAEFER, ROBERT - DC SCHAEFER ROBERT DC CHIROPRACTIC MEDICINE 34 MAIN ST STE A, WINTERS, CA 95694 (530) 795-4500 SCHALK, CHRISTOPHER - PT REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 7614 N FRESNO ST STE 104, FRESNO, (559) 579-1555 CA 93720 SCHALL, SANDRA - PT HEALTH PRO PHYSICAL PHYSICAL THERAPY 110 LA CASA VIA STE 100, WALNUT (925) 935-4866 THERAPY CREEK, CA 94598 SCHALL, SANDRA - PT HEALTH PRO PHYSICAL PHYSICAL THERAPY 1333 WILLOW PASS RD STE 110, (925) 676-7431 THERAPY CONCORD, CA 94520 SCHAMBLIN, MARK L - MD SOUTHERN CALIFORNIA PRIMARY TREATING 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN BAKERSFIELD, CA 93309 SCHAMBLIN, MARK L - MD SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SCHAMBLIN, MARK L - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE ELBOW BAKERSFIELD, CA 93309 SCHAMBLIN, MARK L - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE KNEE BAKERSFIELD, CA 93309 SCHAMBLIN, MARK L - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE SHOULDER BAKERSFIELD, CA 93309 SCHAMBLIN, MARK L - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SCHAMBLIN, MARK L - MD SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SCHAMBLIN, MARK L - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 2400 BAHAMAS DR STE 200, (661) 328-5565 (BCC) ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SCHAR, MARIE, A - PTA SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 THERAPY RAMON, CA 94583 SCHAR, MARIE, A - PTA SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 THERAPYMAIN 94526 SCHARF, KEITH R - DO (BCC) LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S SCHATZ, LARRY - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE ENTRANCE 5, (818) 719-3006 WOODLAND HILLS MEDICAL WOODLAND HILLS, CA 91367 CENTER SCHATZ, MATTHEW, BRIANT - MOBILITY PHYSICAL THERAPY PHYSICAL THERAPY 24551 RAYMOND WAY STE 125, LAKE (949) 540-0301 PT INC FOREST, CA 92630 SCHATZ, MATTHEW, BRIANT - MOBILITY PHYSICAL THERAPY PHYSICAL THERAPY 3002 DOW AVE STE 318, TUSTIN, CA (714) 389-9306 PT INC 92780 SCHECHTER, ROGER B - MD RESTORATIVE WOUND EMERGENCY MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 (BCC) HEALING & HYPERBARIC MED POWAY, CA 92064 GRP SCHECHTER, ROGER B - MD RESTORATIVE WOUND UNDERSEA AND HPYERBARIC 15611 POMERADO RD STE 200 , (858) 613-6255 (BCC) HEALING & HYPERBARIC MED MEDICINE POWAY, CA 92064 GRP SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDIC SURGERY - HIP 1914 TRUXTON AVE , BAKERSFIELD, CA (805) 682-1394 (BCC) GROUP 93301 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDIC SURGERY - HIP 401 CHAPALA ST STE 102, SANTA (805) 682-1394 (BCC) GROUP BARBARA, CA 93101 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDIC SURGERY - 1914 TRUXTON AVE , BAKERSFIELD, CA (805) 682-1394 (BCC) GROUP LOWER EXTREMITIES 93301 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDIC SURGERY - 401 CHAPALA ST STE 102, SANTA (805) 682-1394 (BCC) GROUP LOWER EXTREMITIES BARBARA, CA 93101 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDIC SURGERY - 1914 TRUXTON AVE , BAKERSFIELD, CA (805) 682-1394 (BCC) GROUP UPPER EXTREMITIES 93301 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDIC SURGERY - 401 CHAPALA ST STE 102, SANTA (805) 682-1394 (BCC) GROUP UPPER EXTREMITIES BARBARA, CA 93101

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 610 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDICS - HIP 401 CHAPALA ST STE 102, SANTA (805) 682-1394 (BCC) GROUP BARBARA, CA 93101 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDICS - HIP 1914 TRUXTON AVE , BAKERSFIELD, CA (805) 682-1394 (BCC) GROUP 93301 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDICS - LOWER 401 CHAPALA ST STE 102, SANTA (805) 682-1394 (BCC) GROUP EXTREMITIES BARBARA, CA 93101 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDICS - LOWER 1914 TRUXTON AVE , BAKERSFIELD, CA (805) 682-1394 (BCC) GROUP EXTREMITIES 93301 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDICS - SPINE 401 CHAPALA ST STE 102, SANTA (805) 682-1394 (BCC) GROUP BARBARA, CA 93101 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDICS - SPINE 1914 TRUXTON AVE , BAKERSFIELD, CA (805) 682-1394 (BCC) GROUP 93301 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDICS - UPPER 401 CHAPALA ST STE 102, SANTA (805) 682-1394 (BCC) GROUP EXTREMITIES BARBARA, CA 93101 SCHEINBERG, RICHARD D - MD SCHEINBERG ORTHOPEDIC ORTHOPEDICS - UPPER 1914 TRUXTON AVE , BAKERSFIELD, CA (805) 682-1394 (BCC) GROUP EXTREMITIES 93301 SCHICK, ROBERT - DC SCHICK CHIROPRACTIC CLINIC CHIROPRACTIC MEDICINE 140 MAYHEW WAY STE 900, PLEASANT (925) 274-1000 HILL, CA 94523 SCHILLING, JANICE A - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 4 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER SCHILZ, JERRY L - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER SCHIMMELS, JEANNETTE - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 SCHMIDT, BRADLEY - MD (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 256-2100 MISSION HILLS, CA 91345 SCHMIDT, BRADLEY - MD (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 91345 SCHMIDT, BRADLEY - MD (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 563-6757 BURBANK, CA 91505 SCHMIDT, BRADLEY - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (661) 222-3100 91355 SCHMIDT, BRADLEY - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 91505 SCHMIDT, BRADLEY - MD (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 500-0523 91206 SCHMIDT, DAVID E - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 2241 WANKEL WAY STE C , OXNARD, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CA 93030 SCHMIDT, DAVID E - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 400 CAMARILLO RANCH RD STE 205, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CAMARILLO , CA 93010 SCHMIDT, JOHN, MARK - DC SCHMIDT CHIROPRACTIC INC CHIROPRACTIC MEDICINE 963 PLEASANT GROVE BLVD STE 130, (916) 784-3321 ROSEVILLE, CA 95678 SCHMIDT, MELISSA - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 SCHMIDT, STEPHANI - PTA BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 SCHMIDT, STEPHANI - PTA BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 SCHMIT, PAUL - MD (BCC) SURGERY 100 UCLA MEDICAL PLZ STE 755, LOS (310) 825-6078 ANGELES, CA 90024 SCHMIT, PAUL - MD (BCC) SURGERY 200 UCLA MEDICAL PLZ STE 214, LOS (310) 794-7788 ANGELES, CA 90095 SCHMUTZLER, DANIELLE - PT ADVANTAGE PHYSICAL PHYSICAL THERAPY 4572 TELEPHONE RD STE 903, (805) 654-8127 THERAPY VENTURA, CA 93003 SCHNASER, ERIK A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - KNEE COLTON , CA 92324 EMPIRE ORTHOPEDICS SCHNASER, ERIK A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - HIP 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - COLTON , CA 92324 EMPIRE ORTHOPEDICS

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 611 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SCHNASER, ERIK A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - SHOULDER COLTON , CA 92324 EMPIRE ORTHOPEDICS SCHNASER, ERIK A - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - ELBOW COLTON , CA 92324 EMPIRE ORTHOPEDICS SCHNEIDER, MARTIN - PT ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 3901 WALNUT BLVD STE A2, (925) 516-1949 CENTER BRENTWOOD, CA 94513 SCHNEIDER, MARTIN - PT ANTIOCH PHYSICAL THERAPY PHYSICAL THERAPY 4041 LONE TREE WAY STE 106, (925) 754-6262 CENTER ANTIOCH, CA 94531 SCHNEIDER, MICHAEL - MD ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 SCHNUR, SAMANTHA - OT EGGLETON LANGTON OCCUPATIONAL THERAPY 2650 CAM DEL RIO N STE 200, SAN (619) 295-3000 PHYSICAL THERAPY DIEGO, CA 92108 MANAGEMENT SERVICES SCHNUR, SAMANTHA - OT E L PHYSICAL THERAPY OCCUPATIONAL THERAPY 5905 SEVERIN DR, LA MESA, CA 91942 (619) 589-2606 SCHOELLHAMMER, HANS - MD SURGERY 44151 15TH ST W STE 101, LANCASTER, (661) 902-5600 (BCC) CA 93534 SCHOELLHAMMER, HANZ F - CITY OF HOPE SURGICAL ONCOLOGY 1500 EAST DUARTE RD, DUARTE , CA (626) 256-4673 MD (BCC) COMPREHENSIVE CANCER 91010 CENTER SCHOELLHAMMER, HANZ F - CITY OF HOPE MEDICAL SURGICAL ONCOLOGY 15031 RINALDI ST STE 150 , MISSION (818) 660-4700 MD (BCC) FOUNDATION HILLS , CA 91345 SCHOELLHAMMER, HANZ F - CITY OF HOPE MEDICAL SURGICAL ONCOLOGY 44151 15TH ST WEST , LANCASTER, CA (877) 828-3627 MD (BCC) FOUNDATION 93534 SCHOFIELD, KRISTA - OT DYNAMX PHYSICAL THERAPY OCCUPATIONAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 SCHOFIELD, KRISTA - OT DYNAMX PHYSICAL THERAPY OCCUPATIONAL THERAPY 2701 OCEAN PARK BLVD STE 110, (310) 392-0025 SANTA MONICA, CA 90405 SCHOPLER, STEVEN A - MD SOUTHERN CALIFORNIA SPINE SURGERY 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SCHRAMER, DEBORAH, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 PT ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD SCHRAMER, DEBORAH, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 PT ORTHOPEDIC CA 91354 INSTITUTEVALENCIA SCHRAMER, DEBORAH, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 PT ORTHOPEDIC INSTITUTESIMI 93065 VALLEY SCHRAMER, DEBORAH, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 PT ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS SCHRAMER, DEBORAH, ANN - SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 PT ORTHOPEDIC INSTITUTE MAIN ACCOUNT SCHRECK, DOUGLAS - MD CARDIOVASCULAR DISEASE 201 SOUTH BUENA VISTA ST #100, (818) 848-6404 (CARDIOLOGY) BURBANK , CA 91505 SCHRECKINGER, MATTHEW R - SANTA MARIA SPECIALTY NEUROLOGICAL SURGERY 300 S STRATFORD AVE , SANTA MARIA (805) 739-3863 MD (BCC) HEALTH CENTER , CA 93454 SCHREIBER, ANDREW O - MD SOUTHERN CALIFORNIA NEUROLOGY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 (BCC) ORTHOPEDIC INSTITUTE SCHRIEBER, JORDAN - LAC EMERYVILLE OCCUPATIONAL ACUPUNCTURE 6001 SHELLMOUND ST STE 115, (510) 653-5200 MEDICINE EMERYVILLE, CA 94608 SCHROEDER, LORI, ANGELO - LORI SCHROEDER DC CHIROPRACTIC MEDICINE 720 E BULLARD AVE STE 104, FRESNO, (559) 439-4904 DC CA 93710 SCHROEDER, MADELINE - DC SCHROEDER FAMILY CHIROPRACTIC MEDICINE 2535 N FRESNO ST, FRESNO, CA 93703 (559) 226-2535 CHIROPRACTIC REBECCA SCHROEDER SCHROEDER, MITCHELL - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 SCHROEDER, PAUL, F - DC PAUL SCHROEDER DC CHIROPRACTIC MEDICINE 720 E BULLARD AVE STE 104, FRESNO, (559) 439-4904 CA 93710

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 612 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SCHROEDER, REBECCA - DC SCHROEDER FAMILY CHIROPRACTIC MEDICINE 2535 N FRESNO ST, FRESNO, CA 93703 (559) 226-2535 CHIROPRACTIC REBECCA SCHROEDER SCHROEDER, THOMAS - DC SCHROEDER FAMILY CHIROPRACTIC MEDICINE 2535 N FRESNO ST, FRESNO, CA 93703 (559) 226-2535 CHIROPRACTIC REBECCA SCHROEDER SCHUB, DAVID L - MD KAISER PERMANENTE SAN ORTHOPEDICS 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 SCHUBERT, MARISSA - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 2101 E 4TH ST STE 170B, SANTA ANA, (714) 558-3977 SPORTS THERAPY CA 92705 SCHUBERTH, JOHN M - DPM KAISER PERMANENTE SAN PODIATRY 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER CA 94115 SCHUECKLER, OTTO - MD ORTHOPEDIC SURGERY - 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) ANKLE OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDICS - ANKLE 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDICS - ELBOW 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDIC SURGERY - 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) ELBOW OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDIC SURGERY - 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) FOOT OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDIC SURGERY - HIP 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDIC SURGERY - 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) KNEE OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDIC SURGERY - 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) SHOULDER OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDICS - FOOT 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDICS - HIP 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDICS - KNEE 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) OBISPO, CA 93405 SCHUECKLER, OTTO - MD ORTHOPEDICS - SHOULDER 862 MEINECKE AVE STE 100, SAN LUIS (805) 541-4600 (BCC) OBISPO, CA 93405 SCHUENKE, ERIK, JAMES - PT MISSION PEAK ORTHOPAEDIC PHYSICAL THERAPY 39350 CIVIC CENTER DR STE 300, (510) 797-3933 MEDICAL GROUP INC FREMONT, CA 94538 SCHUERGER, MARY - PT COMPREHENSIVE PHYSICAL THERAPY 22622 VANOWEN ST, WEST HILLS, CA (818) 999-3582 THERAPEUTICS INC 91307 SCHUFT, GREGORY - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 SCHULE, STEVEN L - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 SCHULER, SARAH L - MD KAISER PERMANENTE SAN PHYSICAL MEDICINE AND 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER REHABILITATION 92078 SCHULTZ, ADAM - PT AXIS PHYSICAL THERAPY PHYSICAL THERAPY 708 WEST 1ST STREET, LOS ANGELES, (213) 617-2947 CA 90012 SCHULTZ, JEFFREY - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE LOWER EXTREMITIES SAN DIEGO, CA 92108 SCHULTZ, JEFFREY - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE UPPER EXTREMITIES SAN DIEGO, CA 92108 SCHULTZ, JEFFREY - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - LOWER 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE EXTREMITIES SAN DIEGO, CA 92108 SCHULTZ, JEFFREY - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - UPPER 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE EXTREMITIES SAN DIEGO, CA 92108 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC SHOULDER ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ELBOW ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC KNEE ANAHEIM, CA 92806

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 613 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 2400 E KATELLA AVE STE 400, (714) 937-1338 CLINIC PHYSICIAN ANAHEIM, CA 92806 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC SHOULDER ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ELBOW ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC KNEE ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 SCHULZ, BRIAN M - MD (BCC) KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC PHYSICIAN ANGELES, CA 90045 SCHULZ, HEATHER - OTA PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 SCHULZ-COSTELLO, CITY OF HOPE MEDICAL SURGICAL ONCOLOGY 301 W HUNTINGTON DR STE 400, (626) 574-3657 KATHARINE E - DO (BCC) FOUNDATION ARCADIA, CA 91007 SCHWABE, BRIAN - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 SCHWABE, BRIAN - PT MOTI PHYSIOTHERAPY PHYSICAL THERAPY 1965 HILLHURST AVE FL 1, LOS (323) 912-9166 ANGELES, CA 90027 SCHWAM, LESLIE - LMFT GENESIS PSYCHOLOGY MARRIAGE FAMILY THERAPY 3611 MOTOR AVE STE 240, LOS (800) 803-2086 GROUP INC ANGELES, CA 90034 SCHWAM, LESLIE - LMFT GENESIS PSYCHOLOGY MARRIAGE FAMILY THERAPY 6303 OWENSMOUTH AVE FL 10 , (800) 803-2086 GROUP INC WOODLAND HILLS , CA 91367 SCHWAM, LESLIE - LMFT GENESIS PSYCHOLOGY MARRIAGE FAMILY THERAPY 1055 E COLORADO BLVD FL 5, (800) 803-2086 GROUP INC PASADENA, CA 91106 SCHWAM, LESLIE - LMFT GENESIS PSYCHOLOGY MARRIAGE FAMILY THERAPY 117 EAST COLORADO BLVD STE 600 , (800) 803-2086 GROUP INC PASADENA, CA 91105 SCHWARTZ, DEBORAH M - JAIME E MEDVENE & PSYCHOLOGY 30200 AGOURA RD , AGOURA HILLS , (818) 981-7845 PSYD (BCC) ASSOCIATES CA 91301 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 1081 N CHINA LAKE BLVD, (760) 446-3551 (BCC) RIDGECREST, CA 93555 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 1120 W LA VETA AVE, ORANGE, CA (714) 634-4567 (BCC) 92868 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 1145 W REDONDO BEACH BLVD, (310) 538-6650 (BCC) GARDENA, CA 90247 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 1225 WILSHIRE BLVD, LOS ANGELES, (213) 977-2121 (BCC) CA 90017 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 1245 WILSHIRE BLVD STE 205, LOS (213) 867-3270 (BCC) ANGELES, CA 90017 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 1300 N VERMONT AVE, LOS ANGELES, (213) 413-3000 (BCC) CA 90027

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 614 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 13100 STUDEBAKER RD, NORWALK, CA (562) 868-3751 (BCC) 90650 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 13222 BLOOMFIELD AVE, NORWALK, CA (562) 863-4763 (BCC) 90650 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 14662 NEWPORT AVE, TUSTIN, CA (714) 619-7700 (BCC) 92780 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 15107 VANOWEN ST, VAN NUYS, CA (818) 200-4330 (BCC) 91405 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 1600 W AVENUE J, LANCASTER, CA (661) 949-5000 (BCC) 93534 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 16237 VENTURA BLVD, ENCINO, CA (818) 995-5245 (BCC) 91436 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 16850 BEAR VALLEY RD, VICTORVILLE, (760) 241-8000 (BCC) CA 92395 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 18300 ROSCOE BLVD, NORTHRIDGE, (818) 885-8500 (BCC) CA 91325 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 18436 ROSCOE BLVD, NORTHRIDGE, (818) 435-1400 (BCC) CA 91325 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 2 DOLE DR, THOUSAND OAKS, CA (818) 575-8066 (BCC) 91362 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 2400 E 4TH ST, NATIONAL CITY, CA (619) 470-4321 (BCC) 91950 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 2623 E SLAUSON AVE, HUNTINGTON (323) 581-0918 (BCC) PARK, CA 90255 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 3291 LOMA VISTA RD, VENTURA, CA (805) 652-6075 (BCC) 93003 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 38209 47TH ST E STE D, PALMDALE, CA (661) 951-3111 (BCC) 93552 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 3828 DELMAS TERRACE, CULVER CITY, (310) 836-7000 (BCC) CA 90232 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 3865 JACKSON ST, RIVERSIDE, CA (951) 352-5397 (BCC) 92503 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 38925 TRADE CENTER DR STE E, (661) 726-6050 (BCC) PALMDALE, CA 93551 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 4060 WHITTIER BLVD, LOS ANGELES, (323) 260-4132 (BCC) CA 90023 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 4081 E OLYMPIC BLVD, LOS ANGELES, (323) 267-0477 (BCC) CA 90023 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 41870 GARSTIN DR, BIG BEAR LAKE, CA (909) 878-8230 (BCC) 92315 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 43839 15TH ST W, LANCASTER, CA (661) 726-6050 (BCC) 93534 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 44105 15TH ST W STE 100, LANCASTER, (661) 726-6050 (BCC) CA 93534 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 4929 VAN NUYS BLVD, SHERMAN OAKS, (818) 981-7111 (BCC) CA 91403 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 500 S VIRGIL AVE STE 102, LOS (323) 375-3950 (BCC) ANGELES, CA 90020 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 501 PETALUMA AVE, SEBASTOPOL, CA (707) 823-8511 (BCC) 95472 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 (BCC) 91505 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 6245 DE LONGPRE AVE, LOS ANGELES, (323) 462-2271 (BCC) CA 90028 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 820 E MOUNTAIN VIEW ST, BARSTOW, (760) 957-3224 (BCC) CA 92311 SCHWARTZ, MARTIN - MD NUCLEAR MEDICINE 825 N 10TH ST, SANTA PAULA, CA 93060 (805) 933-8632 (BCC) SCHWERTE, ANDREAS - LAC ANDREAS SCHWERTE OMD ACUPUNCTURE 300 MONTGOMERY ST STE 650, SAN (415) 637-8603 LAC FRANCISCO, CA 94104 SCHWIER, MICHELLE R - PT MEMORIAL ORTHOPAEDIC PHYSICAL THERAPY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 (BCC) SURGICAL GROUP 90806

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 615 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SCHWIND, JOSHUA D - MD ORTHOPAEDIC SPECIALTY SPINE SURGERY 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY SCHWIND, JOSHUA D - MD ORTHOPAEDIC SPECIALTY SPINE SURGERY 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SCIARONI, DANIEL - DO CULVER CITY URGENT CARE PRIMARY TREATING 9726 VENICE BLVD , CULVER CITY, CA (310) 202-1300 PHYSICIAN 90232 SCIARONI, DANIEL - DO CULVER CITY URGENT CARE FAMILY MEDICINE 9726 VENICE BLVD , CULVER CITY, CA (310) 202-1300 90232 SCIRA, JULIA - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 31720 TEMECULA PKWY STE 101, (951) 303-3566 TEMECULA, CA 92592 SCIURBA, LAURA - LAC LAURA SCIURBA LAC ACUPUNCTURE 9333 BASELINE RD STE 230, RANCHO (909) 294-7455 CUCAMONGA, CA 91730 SCMIDT, REBECCA - PTA BECK AND CALE PHYSICAL PHYSICAL THERAPY 150 MARY AVE STE 1, NIPOMO, CA (805) 929-3230 THERAPY 93444 SCOGGINS, KELLY - AUD ADVANCED HEARING AUDIOLOGY 7730 HERSCHEL AVE STE 114, LA (800) 598-5300 PROVIDERS LLC JOLLA, CA 92037 SCOGGINS, KELLY - AUD ADVANCED HEARING AUDIOLOGY 2934 LINCOLN AVE , SAN DIEGO, CA (800) 598-5300 PROVIDERS LLC 92104 SCOGGINS, KELLY - AUD ADVANCED HEARING AUDIOLOGY 1132 SAN MARINO DR STE H, SAN (800) 598-5300 PROVIDERS LLC MARCOS, CA 92078 SCOLES, JOHN C - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90047 CENTER SCORCA, FRANCES - DC FRANCIS SCORCA DC CHIROPRACTIC MEDICINE 39775 PASEO PADRE PKWY, FREMONT, (510) 656-9077 CA 94538 SCORE PHYSICAL THERAPY PHYSICAL THERAPY 2901 PARK AVE STE B1, SOQUEL, CA (831) 706-2085 95073-2831 SCOTT DRUGS PHARMACY 2200 N GLENOAKS BLVD, BURBANK, CA (818) 845-8313 91504 SCOTT VALLEY PHYSICAL PHYSICAL THERAPY 122 SCOTT RIVER RD, FORT JONES, CA (530) 468-5528 THERAPY & FITNESS 96032-9620 SCOTT, BARBARA E - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2200 E GONZALEZ RD FLR 1 STE 5, (805) 604-6055 JOB OXNARD MEDICAL OXNARD, CA 93036 OFFICES SCOTT, BARBARA E - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2200 E GONZALEZ RD FLR 1 STE 5, (805) 604-6055 JOB OXNARD MEDICAL PHYSICIAN OXNARD, CA 93036 OFFICES SCOTT, BARBARA E - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5601 DE SOTO AVE NORTHSIDE MOB (818) 719-3006 JOB WOODLAND HILLS ENTRANCE #10, 1 ST FLOOR, MEDICAL CENTER WOODLAND HILLS, CA 91367 SCOTT, BARBARA E - MD KAISER PERMANENTE ON THE PRIMARY TREATING 5601 DE SOTO AVE NORTHSIDE MOB (818) 719-3006 JOB WOODLAND HILLS PHYSICIAN ENTRANCE #10, 1 ST FLOOR, MEDICAL CENTER WOODLAND HILLS, CA 91367 SCOTT, LAURA - PT PRO SPORT PHYSICAL PHYSICAL THERAPY 23001 DEL LAGO DR STE C1, LAGUNA (949) 387-7333 THERAPY LAGUNA HILLS HILLS, CA 92653 SCPC SURGERY CENTER SCPC SURGERY CENTER AMBULATORY SURGERY 4201 TORRANCE BLVD STE 590, (310) 540-9888 (BCC) (BCC*) CENTER TORRANCE, CA 90503 SCRIBNER, SARAH - PT HIGH DESERT THERAPISTS PHYSICAL THERAPY 60 PENNY LN, WATSONVILLE, CA 95076 (831) 786-9000 DBA PACIFIC COAST THERAPY SCRIPPS DRUG AND ALCOHOL SCRIPPS DRUG AND ALCOHOL CHEMICAL DEPENDENCY 9609 WAPLES ST, SAN DIEGO, CA 92121 (619) 489-7267 TREATMENT PROGRAM (BCC) TREATMENT PROGRAM REHABILITATION HOSPITAL (INPATIENT) SCRIPPS HEALTH ENCINITAS PHARMACY 310 SANTA FE DR STE 109, ENCINITAS, (858) 964-1012 CA 92024 SCRIPPS HEALTH GREEN PHARMACY 10666 N TORREY PINES RD, LA JOLLA, (858) 964-1011 AMBULATOR CA 92037 SCRIPPS MEMORIAL HOSPITAL SCRIPPS MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 354 SANTA FE DR, ENCINITAS, CA (760) 633-6501 ENCINITAS (BCC) ENCINITAS 92024 SCRIPPS MEMORIAL HOSPITAL SCRIPPS MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 9888 GENESEE AVE, LA JOLLA, CA (858) 626-4123 LA JOLLA (BCC) LA JOLLA 92037

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 616 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SCRIPPS MERCY HOSPITAL SCRIPPS MERCY HOSPITAL ACUTE CARE HOSPITAL 4077 5TH AVE, SAN DIEGO, CA 92103 (619) 294-8111 (BCC) SCRIPPS MERCY HOSPITAL SCRIPPS MERCY HOSPITAL MENTAL HEALTH/PSYCHIATRIC 4077 5TH AVE, SAN DIEGO, CA 92103 (619) 260-7005 BEHAVIORAL HEALTH UNIT BEHAVIORAL HEALTH UNIT HOSPITAL (INPATIENT) (BCC) SCRIPPS MERCY HOSPITAL SCRIPPS MERCY HOSPITAL ACUTE CARE HOSPITAL 435 H ST, CHULA VISTA, CA 91910 (619) 691-7000 CHULA VISTA (BCC) CHULA VISTA SCRIPPS PHARMACY PHARMACY 235 W FOOTHILL BLVD, RIALTO, CA (909) 315-3225 92376 SCRIPPS RANCH PT & HAND PHYSICAL THERAPY 9909 MIRA MESA BLVD STE 120, SAN (858) 693-0436 CENTER DIEGO, CA 92131-1060 SCRIPT PHARMACY PHARMACY 255 W HERNDON AVE STE 101, CLOVIS, (559) 324-1808 CA 93612 SCRIPTS PHARMACY 13131 SHERMAN WAY, NORTH (818) 765-1234 HOLLYWOOD, CA 91605 SCRIPTSITE PHARMACY PHARMACY 870 MARKET ST STE 1028, SAN (415) 800-8060 FRANCISCO, CA 94102 SCRIPTWORKS A PROF PHARMACY 480 N WIGET LN, WALNUT CREEK, CA (925) 934-4400 PHARMACY 94598 SCRUGGS, CHRISTOPHER - DC SCRUGGS CHRIS DC CHIROPRACTIC MEDICINE 4208 LANKERSHIM BLVD, TOLUCA (818) 985-7723 LAKE, CA 91602 SCUDDAY, TRAVIS S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - HIP 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY SCUDDAY, TRAVIS S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP KNEE IRVINE, CA 92618 OF ORANGE COUNTY SCUDDAY, TRAVIS S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - HIP 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY SCUDDAY, TRAVIS S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - KNEE 16300 SAND CANYON AVE STE 511, (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY SCUDDAY, TRAVIS S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - HIP 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SCUDDAY, TRAVIS S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP KNEE 92868 OF ORANGE COUNTY SCUDDAY, TRAVIS S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - HIP 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SCUDDAY, TRAVIS S - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - KNEE 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SCULLY, MARY LOUISE - MD SANSUM CLINIC - PUEBLO INFECTIOUS DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 BCC) MULTI-SPECIALTY CLINIC CA 93105 SCVMC OUTPATIENT PHARMACY 751 S BASCOM AVE RM 150, SAN JOSE, (408) 885-2310 PHARMACY CA 95128 SEA VIEW PHARMACY PHARMACY 665 CAMINO DE LOS MARES, SAN (949) 496-0123 CLEMENTE, CA 92673 SEAGAL, RUSSEL - DC A+ WELLNESS CLINIC CHIROPRACTIC MEDICINE 22772 CENTRE DR STE 100, LAKE (949) 955-9499 FOREST, CA 92630 SEALE, EMMA - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 SEALEY, LAWSON, VICTOR - OC HEALTHY SPINE CHIROPRACTIC MEDICINE 1201 DOVE ST STE 480, NEWPORT (949) 929-2657 DC BEACH, CA 92660 SEASIDE MARINE PHARMACY 595 W 7TH ST STE 207, SAN PEDRO, CA (800) 832-4363 INTERNATIONAL 90731 SEASONS AGOURA (BCC) SEASONS AGOURA CHEMICAL DEPENDENCY 5850 LAPWORTH DR, AGOURA HILLS, (424) 264-0600 REHABILITATION CENTER CA 91301 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 617 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SEASONS IN MALIBU (BCC) SEASONS IN MALIBU CHEMICAL DEPENDENCY 6021 GALAHAD RD, MALIBU, CA 90265 (310) 457-4640 REHABILITATION CENTER (OUTPATIENT) SEAY, JENNIFER - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 SEAY, JENNIFER - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 SEBASTOPOL FAMILY PHARMACY 652 PETALUMA AVE STE I1, (707) 824-1876 PHARMACY SEBASTOPOL, CA 95472 SEDANO, YESENIA - PTA MARKET PLACE PHYSICAL PHYSICAL THERAPY 4270 RIVERWALK PKWY STE 114, (951) 684-2874 THERAPY RIVERSIDE, CA 92505 SEDILLA, MELANY - PTA WHITE BLOSSOM CARE PHYSICAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 SEEBER'S PHARMACY PHARMACY 100 W HARVARD BLVD STE H, SANTA (805) 525-3313 PAULA, CA 93060 SEEMANN, BRUNO - MD CONCENTRA MEDICAL PRIMARY TREATING 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD PHYSICIAN CARLSBAD, CA 92008 SEEMANN, BRUNO - MD CONCENTRA MEDICAL GENERAL PRACTICE 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 SEENA PHARMACY PHARMACY 3901 LAS POSAS RD STE 101, (805) 419-2686 CAMARILLO, CA 93010 SEENA PHARMACY PHARMACY 24731 ALICIA PKWY STE B, LAGUNA (949) 462-9700 HILLS, CA 92653 SEGAL, STUART D - MD (BCC) SANSUM CLINIC - PESETAS RHEUMATOLOGY 215 PESETAS LN, SANTA BARBARA, CA (805) 681-7858 MULTI-SPECIALTY CLINIC 93110 SEGUIN, AILENE - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 11525 BROOKSHIRE AVE STE 202, (818) 363-3066 SPECIALISTS DOWNEY, CA 90241 SEGUIN, AILENE - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 625 THE CITY DR S STE 300, ORANGE, (818) 363-3066 SPECIALISTS CA 92868 SEIBERLING, KRISTIN A - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 1895 ORANGE TREE LANE STE 102, (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY SINUS AND ALLERGY CLINIC SEIBERT, STEVEN R - DPM KAISER PERMANENTE PODIATRY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER SEIDEN, GRANT - MD (BCC) HAND SURGERY 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 92056 SEIDEN, GRANT - MD (BCC) ORTHOPEDIC SURGERY - 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 UPPER EXTREMITIES 92056 SEIDEN, GRANT - MD (BCC) ORTHOPEDICS - HAND 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 92056 SEIDEN, GRANT - MD (BCC) ORTHOPEDICS - UPPER 3905 WARING RD, OCEANSIDE, CA (760) 724-9000 EXTREMITIES 92056 SEIDMAN, DAVID W - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 275 W MACARTHUR BLVD , OAKLAND, (510) 752-1244 OAKLAND MEDICAL CENTER CA 94611 SEIF, DAVID - MD (BCC) ANESTHESIOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (760) 940-3001 SEIN, ALBERT - MD WIELER & SEIN MEDICAL RADIOLOGY 1220 W HEMLOCK WAY, SANTA ANA, CA (714) 545-9441 GROUP 92707 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 10459 MT VIEW AVE STE G, LOMA (909) 478-9508 LINDA, CA 92354-2033 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 120 LA CASA VIA STE 212, WALNUT (925) 939-8710 CREEK, CA 94598-3007 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1221 FARMERS LN STE B, SANTA ROSA, (707) 578-7176 CA 95405-6712 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 12250 EL CAMINO REAL STE 190, SAN (858) 793-1460 DIEGO, CA 92130-2298 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1331 MEDICAL CENTER DR STE A, (707) 584-3433 ROHNERT PARK, CA 94928-2900 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1500 ROSECRANS AVE STE 550, (310) 643-9401 MANHATTAN BEACH, CA 90266-3722 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 16935 W BERNARDO DR STE 180, SAN (858) 217-5837 DIEGO, CA 92127-1621

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 618 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SELECT PHYSICAL THERAPY PHYSICAL THERAPY 18377 BEACH BLVD STE 216, (714) 848-8318 HUNTINGTON BEACH, CA 92648-1349 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1860 EL CAMINO REAL STE 201, (650) 259-8009 BURLINGAME, CA 94010-3111 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 18757 BURBANK BLVD STE 118, (818) 812-5300 TARZANA, CA 91356-6345 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 2000 CENTER ST STE 300, BERKELEY, (510) 644-3031 CA 94704-1223 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 22330 MAIN ST, HAYWARD, CA (510) 732-7881 94541-4007 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 230 CALIFORNIA ST STE 400, SAN (415) 989-0955 FRANCISCO, CA 94111-4378 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 299 W FOOTHILL BLVD STE 200, (909) 985-2337 UPLAND, CA 91786-3806 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 3129 VINCENTE ST, SAN FRANCISCO, (415) 661-1057 CA 94116-2740 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 3222 GEARY ST, SAN FRANCISCO, CA (415) 831-4658 94118-3319 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 3300 WEBSTER ST STE 703, OAKLAND, (510) 835-5633 CA 94609-3122 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 3532 ALAMEDA DE LAS PULGAS, (650) 561-9589 MENLO PARK, CA 94025-6510 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 3939 RUFFIN RD STE 103, SAN DIEGO, (858) 380-4185 CA 92123-1804 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 402 DEWEY BLVD, SAN FRANCISCO, CA (415) 242-2444 94116-1425 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 431 W 7TH ST FL 7, LOS ANGELES, CA (213) 624-3556 90014-1601 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 442 N LAKEVIEW AVE, ANAHEIM, CA (714) 998-8764 92807 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 4702 LINCOLN BLVD, MARINA DEL REY, (310) 306-1478 CA 90292-6902 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 540 RALSTON AVE STE B, BELMONT, (650) 363-5668 CA 94002-2866 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 5980 STONERIDGE DR STE 100, (925) 847-8833 PLEASANTON, CA 94588-2723 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 7425 MISSION VALLEY RD STE 201, SAN (619) 291-3400 DIEGO, CA 92108-4409 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 7625 MESA COLLEGE DR STE 101A, (858) 277-1586 SAN DIEGO, CA 92111 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 801 COLLEGE AVE, KENTFIELD, CA (415) 258-9894 94904-2562 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 805 VETERANS BLVD STE 101, (650) 701-0390 REDWOOD CITY, CA 94063-1750 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 87 FENTON ST STE 106, LIVERMORE, (925) 373-9394 CA 94550-4159 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 9333 GENESEE AVE STE 150, SAN (858) 453-3000 DIEGO, CA 92121-2134 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 9827 WALKER ST, CYPRESS, CA (714) 220-9001 90630-3826 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1099 D ST STE 105, SAN RAFAEL, CA (415) 532-8335 94901-2839 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1700 CALIFORNIA ST STE 530, SAN (415) 921-1758 FRANCISCO, CA 94109-4591 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 200 N SAN PEDRO RD FL 3, SAN (415) 491-4751 RAFAEL, CA 94903-4213 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 2400 E KATELLA AVE STE 405, (714) 712-9222 ANAHEIM, CA 92806-5958 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 268 REDWOOD SHORES PKWY, (650) 591-9581 REDWOOD CITY, CA 94065-1172 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 2805 J ST STE 230, SACRAMENTO, CA (916) 497-0790 95816-4307

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 619 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SELECT PHYSICAL THERAPY PHYSICAL THERAPY 301 N LAKE AVE STE 201, PASADENA, (626) 568-9115 CA 91101-5120 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 360 DARDANELLI LN STE 1F, LOS (408) 378-2240 GATOS, CA 95032-1421 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 454 FOREST AVE, PALO ALTO, CA (650) 331-3700 94301-2608 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 4910 DIRECTORS PL STE 370, SAN (858) 554-0522 DIEGO, CA 92121 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 655 REDWOOD HWY FRONTAGE RD (415) 888-2455 STE 341, MILL VALLEY, CA 94941-3013 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 6801 PARK TER DR STE 200, LOS (310) 665-7100 ANGELES, CA 90045-1546 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1111 N BRAND BLVD SUITES J & K, (818) 244-0468 GLENDALE, CA 91202-3072 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1111 S ARROYO PKWY STE 440, (626) 441-0751 PASADENA, CA 91105-3200 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1176 N EUCLID ST, ANAHEIM, CA (714) 772-5040 92801-1900 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 1190 BAKER ST STE 105, COSTA MESA, (714) 979-3500 CA 92626-4105 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 15 PENNY LN STE 4, WATSONVILLE, CA (831) 724-8235 95076-6010 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 18785 BROOKHURST ST STE 104, (714) 964-0727 FOUNTAIN VALLEY, CA 92708-7300 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 2 JOURNEY STE 101, ALISO VIEJO, CA (949) 349-9555 92656-3372 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 2017 PALO VERDE AVE STE 101, LONG (562) 493-5501 BEACH, CA 90815-3300 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 27071 CABOT RD STE 114, LAGUNA (949) 367-1833 HILLS, CA 92653-7011 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 2801 LARKSPUR LNDG CIR, LARKSPUR, (415) 461-8233 CA 94939-1834 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 30112 CROWN VLY PKWY, LAGUNA (949) 363-7716 NIGUEL, CA 92677-2042 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 360 SAN MIGUEL DR STE 301, (949) 759-0300 NEWPORT BEACH, CA 92660-7820 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 3737 MORAGA AVE STE B117, SAN (858) 270-0981 DIEGO, CA 92117-5358 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 41945 BIG BEAR BOULEVARD #209, BIG (909) 866-6200 BEAR LAKE, CA 92315 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 4870 BARRANCA PKWY STE 340, (949) 653-7878 IRVINE, CA 92604-1701 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 500 MISSION BLVD STE 100, SAN (818) 365-9171 FERNANDO, CA 91340-4062 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 5000 AIRPORT PLAZA DR STE 240, (562) 421-7635 LONG BEACH, CA 90815-1277 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 5131 FOOTHILL BLVD STE 5, (916) 797-2273 ROSEVILLE, CA 95747-6527 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 6180 BROCKTON AVE STE 101, (951) 781-6653 RIVERSIDE, CA 92506-2259 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 707 LINCOLN CTR, STOCKTON, CA (209) 478-3900 95207-2644 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 750 W ROUTE 66 STE N, GLENDORA, CA (626) 335-4077 91740-4164 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 831 E HUNTINGTON DR STE 203, (626) 358-9671 MONROVIA, CA 91016-6424 SELECT PHYSICAL THERAPY PHYSICAL THERAPY 935 E RIDGECREST BLVD, (760) 371-1411 RIDGECREST, CA 93555-4368 SELF, MEGAN - PT PERFORMANCE PHYSICAL PHYSICAL THERAPY 400 SUNRISE AVE STE 190, ROSEVILLE, (916) 771-3110 THERAPY ANTELOPE CA 95661

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 620 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SELF, STACI - PT SCOR SAN CLEMENTE PHYSICAL THERAPY 653 CAMINO DE LOS MARES STE 110, (949) 496-0122 ORTHOPAEDIC SAN CLEMENTE, CA 92673 REHABILITATION PHYSICAL THERAPY SELIEM, AHMED M - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE SELIEM, AHMED M - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 81 S HIGHLAND SPRINGS, FMGHS #303, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) BEAUMONT, CA 92223 INTERNATIONAL HEART INSTITUTE SELIG, LAURA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 SELLECK, MATTHEW J - DO LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 11234 ANDERSON ST - SCHUMAN (800) 679-4642 (BCC) HEALTH CARE - WOMENS PAVILLION A-220, LOMA LINDA , CA CANCER & SURGICAL 92354 ONCOLOGY CENTER SEMEL, JAY - PT JAM SPORTS AND SPINE PHYSICAL THERAPY 12813 VICTORY BLVD, NORTH (323) 935-3420 PHYSICAL THERAPY HOLLYWOOD, CA 91606 SEMEL, JAY - PT LA ORTHOPEDIC AND PHYSICAL THERAPY 16055 VENTURA BLVD STE 825, (323) 680-5616 PEDIATRIC PHYSICAL ENCINO, CA 91436 THERAPY INC SEN, ANISH N - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGICAL SURGERY 25455 BARTON RD PP STE 108A, LOMA (800) 679-4642 HEALTH CARE - LINDA, CA 92354 NEUROSURGERY DEPT FP&S SENECA DISTRICT HOSPITAL SENECA DISTRICT HOSPITAL ACUTE CARE HOSPITAL 130 BRENTWOOD DR, CHESTER, CA (530) 258-2151 (BCC) 96020 SENIOR CARE SVCS PHARMACY 4950 FULTON DR STE A AND B, (707) 673-9800 FAIRFIELD FAIRFIELD, CA 94534 SENIOR CARE PHARMACY PHARMACY 12600 HOOVER ST, GARDEN GROVE, (714) 891-1800 SERVICES CA 92841 SENIOR MEDICAL ASSOCIATES PHARMACY 2810 CAMINO DEL RIO S, SAN DIEGO, (858) 216-5621 CA 92108 SENTER PHARMACY PHARMACY 2643 SENTER RD STE A, SAN JOSE, CA (408) 287-4899 95111 SENTHIL, MAHESWARI - MD LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 (BCC) HEALTH CARE - GENERAL CA 92563 SURGERY FP&S SEOK, PUCHUN - LAC ARISU ACUPUNCTURE CLINIC ACUPUNCTURE 242 S GLENDORA AVE, GLENDORA, CA (626) 335-1918 91741 SEONG, SU - LAC SOUTHERN CALIFORNIA ACUPUNCTURE 1809 E DYER RD STE 313, SANTA ANA, (888) 734-2280 SPORTS REHAB MAIN CA 92705 SEPINA, CAMILLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 SEPINA, CAMILLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 SEPINA, CAMILLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 SEPINA, CAMILLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 SEPINA, CAMILLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 SEPINA, CAMILLE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 SEPPANEN, TYLER - PT SCOR SAN CLEMENTE PHYSICAL THERAPY 653 CAMINO DE LOS MARES STE 110, (949) 496-0122 ORTHOPAEDIC SAN CLEMENTE, CA 92673 REHABILITATION PHYSICAL THERAPY SEPULVEDA, RICARDO - MD ANESTHESIOLOGY 23500 MADISON ST, TORRANCE, CA (310) 802-6260 (BCC) 90505 SEPULVEDA, RICARDO - MD ANESTHESIOLOGY 3720 LOMITA BLVD STE 100, (310) 540-7676 (BCC) TORRANCE, CA 90505

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 621 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SEPULVEDA, RICARDO - MD ANESTHESIOLOGY 3720 LOMITA BLVD STE 102, (310) 376-7000 (BCC) TORRANCE, CA 90505 SEPULVEDA, RICARDO - MD ANESTHESIOLOGY 4101 TORRANCE BLVD, TORRANCE, CA (310) 784-2710 (BCC) 90503 SEQUOIA HOSPITAL (BCC) SEQUOIA HOSPITAL ACUTE CARE HOSPITAL 170 ALAMEDA DE LAS PULGAS, (650) 369-5811 REDWOOD CITY, CA 94062 SEQUOIA PHYSICAL THERAPY PHYSICAL THERAPY 7745 BOULDER AVE UNIT 892, (714) 526-3248 HIGHLAND, CA 92346-8051 SEQUOIA PHYSICAL THERAPY PHYSICAL THERAPY 20418 BRIAN WAY STE 5, TEHACHAPI, (661) 822-5483 DBA PAIR & MAROTTA PT CA 93561-6760 SERA, MAILE J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4501 SAND CREEK RD 3RD FLR SAND (925) 813-3770 JOB OCCUPATIONAL HEALTH CREEK BLDG, ANTIOCH, CA 94531 CENTER SERA, MAILE J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4501 SAND CREEK RD 3RD FLR SAND (925) 813-3770 JOB OCCUPATIONAL HEALTH PHYSICIAN CREEK BLDG, ANTIOCH, CA 94531 CENTER SERGILE, SUZANNE L - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 SERGILE, SUZANNE L - MD CONCENTRA MEDICAL PRIMARY TREATING 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX PHYSICIAN LOS ANGELES, CA 90045 SERNA, SHIRLEY - PTA HORIZON THERAPY SERVICES PHYSICAL THERAPY 8265 WHITE OAK AVE, RANCHO (909) 373-1641 CUCAMONGA, CA 91730 SERRA MEDICAL GROUP (BCC) SERRA MEDICAL GROUP URGENT CARE FACILITY 9375 SAN FERNANDO RD, SUN VALLEY, (818) 768-3000 CA 91352 SERRA, ELIZABETH - DC DR ELIZABETH SERRA CHIROPRACTIC MEDICINE 2460 MISSION ST STE 203, SAN (415) 282-8989 FRANCISCO, CA 94110 SERRANO MEDICAL PHARMACY 4220 W 3RD ST STE 100, LOS ANGELES, (213) 384-3405 PHARMACY CA 90020 SERV-U PHARMACY PHARMACY 2034 W PICO BLVD, LOS ANGELES, CA (213) 385-5225 90006 SERVAC PHARMACY PHARMACY 3586 REDONDO BEACH BLVD, (310) 370-1040 TORRANCE, CA 90504 SERVICE INDUSTRIES SERVICE INDUSTRIES CHEMICAL DEPENDENCY 15250 VENTURA BLVD STE 1100, (877) 464-8426 OUTPATIENT SERVICES (BCC) OUTPATIENT SERVICES REHABILITATION CENTER SHERMAN OAKS, CA 91403 (OUTPATIENT) SESON, ADAM - PT PATTY BROWN PHYSICAL PHYSICAL THERAPY 880 APOLLO ST STE 160, EL SEGUNDO, (310) 606-5664 THERAPY ASSOCIATES CA 90245 SETHI, SHIPRA - PT MAXUM PHYSICAL THERAPY PHYSICAL THERAPY 740 S PLACENTIA AVE STE 100, (714) 646-8319 INC PLACENTIA, CA 92870 SETON MEDICAL CENTER SETON MEDICAL CENTER ACUTE CARE HOSPITAL 1900 SULLIVAN AVE, DALY CITY, CA (650) 992-4000 (BCC) 94015 SETON MEDICAL CENTER PHARMACY 600 MARINE BLVD, MOSS BEACH, CA (650) 991-6488 COASTSIDE 94038 SETTLES, BRANDON - PTA REHABILITATION STRATEGIES PHYSICAL THERAPY 5360 JACKSON DR STE 110, LA MESA, (619) 667-7000 INC CA 91942 SEUNG, LIM - LAC TRIPLE TOUCH CLINIC INC ACUPUNCTURE 1351 E CHAPMAN AVE STE D, (657) 253-8839 FULLERTON, CA 92831 SEVEN TO 7 PHYSICAL & HAND PHYSICAL THERAPY 22 ODYSSEY STE 165, IRVINE, CA (949) 727-2192 THERAPY 92618-3194 SEVEN TO 7 PHYSICAL & HAND PHYSICAL THERAPY 2700 N MAIN ST STE 340, SANTA ANA, (949) 727-2192 THERAPY CA 92705-6638 SEVEN TO 7 PHYSICAL & HAND PHYSICAL THERAPY 401 N BROOKHURST ST STE 100, (949) 727-2192 THERAPY ANAHEIM, CA 92801-5614 SEVIDAL, HUEYRU, TSAY - OT HAND REHAB PROS ANTELOPE OCCUPATIONAL THERAPY 1037 E PALMDALE BLVD STE 201, (661) 417-4268 VALLEY PALMDALE, CA 93550 SEVIDAL, HUEYRU, TSAY - OT VOSA HAND THERAPY OCCUPATIONAL THERAPY 43807 10TH ST W STE C, LANCASTER, (661) 948-0385 CA 93534 SEXTON, STEVEN - PT WALKER PHYSICAL THERAPY PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (951) 672-0455 92586 SEYMANN, COLETTE - PT BACK IN ACTION PHYSICAL PHYSICAL THERAPY 12707 HIGH BLUFF DR STE 200, SAN (888) 713-2220 THERAPY DIEGO, CA 92130

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 622 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SHADDAY, G J - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3285 CLAREMONT WAY 2ND FLR, NAPA, (707) 258-4907 JOB OCCUPATIONAL HEALTH CA 94558 CENTER SHADDAY, G J - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3285 CLAREMONT WAY 2ND FLR, NAPA, (707) 258-4907 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94558 CENTER SHAFA, MARK - MD (BCC) ANESTHESIOLOGY 436 N BEDFORD DR STE 101, BEVERLY (310) 409-2300 HILLS, CA 90210 SHAFA, MARK - MD (BCC) ANESTHESIOLOGY 5651 SEPULVEDA BLVD STE 101, (848) 442-9696 SHERMAN OAKS, CA 91411 SHAFA, MARK - MD (BCC) ANESTHESIOLOGY 5901 W OLYMPIC BLVD STE 503, LOS (323) 934-8877 ANGELES, CA 90036 SHAFA, MARK - MD (BCC) ANESTHESIOLOGY 9001 WILSHIRE BLVD STE 100, (310) 275-2339 BEVERLY HILLS, CA 90211 SHAFER, BARRY - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 289 W HUNTINGTON DR STE 103, (626) 396-8150 ASSOCIATES DBA ELITE ARCADIA, CA 91007 MOTION SHAFTER MEDICAL PHARMACY PHARMACY 825 CENTRAL VALLEY HWY, SHAFTER, (661) 746-5600 CA 93263 SHAH, AMIR - MD CEDARS SINAI MEDICAL VASCULAR SURGERY 127 SAN VICENTE BLVD STE A-3600, (310) 423-5400 CENTER LOS ANGELES, CA 90048 SHAH, BHARAT - MD CARDIOVASCULAR DISEASE 201 S BUENA VISTA STE 100, BURBANK, (818) 848-7112 (CARDIOLOGY) CA 91505 SHAH, BHARAT - MD (BCC) CARDIOVASCULAR DISEASE 201 S BUENA VISTA ST STE 100, (818) 848-6404 (CARDIOLOGY) BURBANK, CA 91505 SHAH, DHWANI - PT MONTCLAIR PHYSICAL PHYSICAL THERAPY 6116 MEDAU PL, OAKLAND, CA 94611 (510) 339-2116 THERAPY WELLNESS SHAH, DILIP H - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 8250 WOODMAN AVE NORTH 2, (818) 375-2233 PANORAMA CITY MEDICAL REHABILITATION PANORAMA CITY, CA 91402 CENTER SHAH, JAY N - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 CUCAMONGA, CA 91730 SHAH, JAY N - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 KNEE CUCAMONGA, CA 91730 SHAH, JAY N - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 CUCAMONGA, CA 91730 SHAH, JAY N - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - KNEE 8805 HAVEN AVE STE 200, RANCHO (909) 912-1750 CUCAMONGA, CA 91730 SHAH, KAVAN MUNESHBHAI - AXCEND PHYSICAL THERAPY PHYSICAL THERAPY 19015 TOWN CENTER DR STE 203, (909) 457-0056 PT APPLE VALLEY, CA 92308 SHAH, KHUSHBU - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 SHAH, NIRAV J - MD (BCC) CENTER FOR ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 1220 LA VENTA DR STE 202, WESTLAKE (805) 449-0066 SPECIALISTS VILLAGE, CA 91361 SHAH, NIRAV J - MD (BCC) CENTER FOR ORTHOPAEDIC ORTHOPEDIC SURGERY - 1220 LA VENTA DR STE 202, WESTLAKE (805) 449-0066 SPECIALISTS KNEE VILLAGE, CA 91361 SHAH, NIRAV J - MD (BCC) CENTER FOR ORTHOPAEDIC ORTHOPEDICS - HIP 1220 LA VENTA DR STE 202, WESTLAKE (805) 449-0066 SPECIALISTS VILLAGE, CA 91361 SHAH, NIRAV J - MD (BCC) CENTER FOR ORTHOPAEDIC ORTHOPEDICS - KNEE 1220 LA VENTA DR STE 202, WESTLAKE (805) 449-0066 SPECIALISTS VILLAGE, CA 91361 SHAH, POOJA - PT SANTA CLARA PHYSICAL PHYSICAL THERAPY 2488 DE LA CRUZ BLVD, SANTA CLARA, (408) 247-7278 THERAPY CA 95050 SHAH, RAVI B - DO (BCC) FIRST CALIFORNIA PHYSICIAN GENERAL SURGERY 1275 N ROSE DR STE 118, PLACENTIA , (714) 428-6711 PARTNERS CA 92870 SHAH, RAVI B - DO (BCC) FIRST CALIFORNIA PHYSICIAN GENERAL SURGERY 3851 KATELLA AVE STE 220, LOS (714) 428-6711 PARTNERS ALAMITOS, CA 90720 SHAH, RIMPAL - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 SHAH, RIMPAL, M - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 SHAH, SHAIVAL - MD KAISER PERMANENTE YORBA OPHTHALMOLOGY 2521 MICHELLE DR , TUSTIN, CA 92780 (714) 830-6660 LINDA MEDICAL OFFICES

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 623 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SHAHANI, MANISHA - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1241 E HILLSDAL BLVD STE 170, (408) 362-4655 FOSTER CITY, CA 94404 SHAHANI, PUSHPA - MD (BCC) ANESTHESIOLOGY 5700 SAN FERNANDO RD, GLENDALE, (818) 637-7766 CA 91202 SHAHRAM, SOLEIMANI - DC SOLEIMANI CHIROPRACTIC MEDICINE 9040 FRIARS RD STE 401, SAN DIEGO, (619) 280-0201 CHIROPRACTICMAIN CA 92108 SHAHROKH, KATAYOON - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 43112 N 15TH ST W WEST BUILDING, (661) 726-2262 JOB LANCASTER MEDICAL LANCASTER, CA 93534 OFFICES SHAHROKH, KATAYOON - MD KAISER PERMANENTE ON THE PRIMARY TREATING 43112 N 15TH ST W WEST BUILDING, (661) 726-2262 JOB LANCASTER MEDICAL PHYSICIAN LANCASTER, CA 93534 OFFICES SHAHROKNI, SHAHIN - MD KAISER PERMANENTE GENERAL SURGERY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 SHAHROKNI, SHAHIN - MD KAISER PERMANENTE SURGERY - OPHTHALMOLOGY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 SHALOM COMPOUNDING PHARMACY 18000 VENTURA BLVD STE 2, ENCINO, (818) 774-1800 PHARMACY CA 91316 SHAMJI, MUNAF A - MD (BCC) THE HEART MEDICAL GROUP CARDIOVASCULAR DISEASE 16119 VANOWEN ST, VAN NUYS , CA (818) 904-6782 (CARDIOLOGY) 91406 SHAMJI, MUNAF A - MD (BCC) THE HEART MEDICAL GROUP CARDIOVASCULAR DISEASE 4835 VAN NUYS BLVD STE 215, (818) 995-3132 (CARDIOLOGY) SHERMAN OAKS , CA 91403 SHANE, MORTON - DC SYNERGY HEALTH CENTER CHIROPRACTIC MEDICINE 3128 SANTA RITA RD, PLEASANTON, CA (925) 350-4742 URGENT CARE 94566 SHANER, MALCOLM M - MD KAISER PERMANENTE WEST NEUROLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER SHANKS, LAUREN - PT KIME PHYSICAL THERAPY PHYSICAL THERAPY 4990 HILLSDALE CIR STE 100, EL (916) 905-6378 DORADO HILLS, CA 95762 SHANNON, BARBARA - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 SHANNON, MICHAEL - AUD ADVANCED HEARING AUDIOLOGY 4911 WARNER AVENUE STE 104, (800) 598-5300 PROVIDERS LLC HUNTINGTON BEACH, CA 92649 SHANNON, MICHAEL - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 2115 MONTIEL RD STE 103, SAN (760) 839-2905 MARCOS, CA 92069 SHANO, JACK - PT FITNESS PHILOSOPHY PHYSICAL THERAPY 23067 VENTURA BLVD STE A, (818) 223-9985 WOODLAND HILLS, CA 91364 SHANO, JACK - PT SYNAPSE MED GRP/EDWIN PHYSICAL THERAPY 5651 SEPULVDA BLVD STE 202, (818) 788-2400 HARONIAN MD INC SHERMAN OAKS, CA 91411 SHAO, PAULA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 VISTA, CA 91910 SHAPIRO, MICHAEL EVAN - MD BEACH CITIES ORTHOPEDICS PAIN MANAGEMENT 2990 LOMITA BLVD STE B , TORRANCE, (310) 546-3461 (BCC) & SPORTS MEDICINE CA 90505 SHAPIRO, MICHAEL EVAN - MD BEACH CITIES ORTHOPEDICS PAIN MANAGEMENT 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 SHAPIRO, TODD A - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE PHYSICIAN BAKERSFIELD, CA 93309 SHAPIRO, TODD A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SHAPIRO, TODD A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE ELBOW BAKERSFIELD, CA 93309 SHAPIRO, TODD A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE SHOULDER BAKERSFIELD, CA 93309 SHAPIRO, TODD A - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SHAPIRO, TODD A - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 SHAPOW, MORRIS - PT GRATTO AQUATIC REHAB PHYSICAL THERAPY 13160 MINDANAO WAY STE 308, (310) 492-9355 MARINA DEL REY, CA 90292 SHARIF, MOHAMMAD A - MD LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 624 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SHARIFINIA, HILDA - MD KAISER PERMANENTE PAN GENERAL SURGERY 13652 CANTARA ST , PANORAMA CITY, (818) 375-2233 CITY NORTH 3 MEDICAL CA 91402 OFFICES SHARKO, SUSAN - PT THE REHAB GROUP PHYSICAL THERAPY 31741 TEMECULA PKWY STE C, (951) 719-8155 TEMECULA, CA 92592 SHARMA, ANUPAM (BCC) DESERT REGION FAMILY PAIN MANAGEMENT 1100 N PALM CANYON DR STE 203, (714) 428-6711 MEDICINE PALM SPRINGS , CA 92262 SHARMA, ENA - MD (BCC) SANSUM CLINIC - PESETAS RHEUMATOLOGY 215 PESETAS LN, SANTA BARBARA, CA (805) 681-7858 MULTI-SPECIALTY CLINIC 93110 SHARMA, SAMIR - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1901 MONTEREY RD STE10, SAN JOSE, (408) 477-8080 CENTER - SAN JOSE KNEE CA 95112 STAUFFER SHARMA, SAMIR - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1901 MONTEREY RD STE10, SAN JOSE, (408) 477-8080 CENTER - SAN JOSE SHOULDER CA 95112 STAUFFER SHARMA, SAMIR - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1901 MONTEREY RD STE10, SAN JOSE, (408) 477-8080 CENTER - SAN JOSE CA 95112 STAUFFER SHARMA, SAMIR - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1901 MONTEREY RD STE10, SAN JOSE, (408) 477-8080 CENTER - SAN JOSE CA 95112 STAUFFER SHARMA, SAMIR - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA KNEE 95051 CENTRAL EXPRESSWAY SHARMA, SAMIR - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA SHOULDER 95051 CENTRAL EXPRESSWAY SHARMA, SAMIR - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA 95051 CENTRAL EXPRESSWAY SHARMA, SAMIR - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA 95051 CENTRAL EXPRESSWAY SHARP CHULA VISTA MED CTR PHARMACY 751 MEDICAL CENTER CT, CHULA (619) 502-4000 PHCY VISTA, CA 91911 SHARP CHULA VISTA MEDICAL SHARP CHULA VISTA MEDICAL ACUTE CARE HOSPITAL 751 MEDICAL CENTER CT, CHULA (619) 502-5800 CENTER (BCC) CENTER VISTA, CA 91911 SHARP CORONADO HOSPITAL SHARP CORONADO HOSPITAL ACUTE CARE HOSPITAL 250 PROSPECT PL, CORONADO, CA (619) 522-3600 AND HEALTHCARE CENTER AND HEALTHCARE CENTER 92118 (BCC) SHARP GROSSMONT SHARP GROSSMONT ACUTE CARE HOSPITAL 5555 GROSSMONT CENTER DR, LA (619) 740-6000 HOSPITAL (BCC) HOSPITAL MESA, CA 91942 SHARP MCDONALD CENTER SHARP MCDONALD CENTER CHEMICAL DEPENDENCY 7989 LINDA VISTA RD, SAN DIEGO, CA (858) 637-6920 (BCC) REHABILITATION HOSPITAL 92111 (INPATIENT) SHARP MEMORIAL HOSPITAL SHARP MEMORIAL HOSPITAL ACUTE CARE HOSPITAL 7901 FROST ST, SAN DIEGO, CA 92123 (858) 939-3636 (BCC) SHARP MESA VISTA HOSPITAL SHARP MESA VISTA HOSPITAL MENTAL HEALTH/PSYCHIATRIC 7850 VISTA HILL AVE, SAN DIEGO, CA (858) 836-8434 (BCC) HOSPITAL (INPATIENT) 92123 SHARP REES STEALY MEDICAL SHARP REES STEALY MEDICAL URGENT CARE FACILITY 16899 W BERNARDO DR, SAN DIEGO, (858) 521-2350 GROUP INC (BCC) GROUP INC CA 92127 SHARP REES STEALY MEDICAL SHARP REES STEALY MEDICAL URGENT CARE FACILITY 2020 GENESEE AVE, SAN DIEGO, CA (858) 637-6616 GROUP INC (BCC) GROUP INC 92123 SHARP REES STEALY MEDICAL SHARP REES STEALY MEDICAL URGENT CARE FACILITY 525 3RD AVE, CHULA VISTA, CA 91910 (619) 585-4050 GROUP INC (BCC) GROUP INC SHARP REES STEALY MEDICAL SHARP REES STEALY MEDICAL URGENT CARE FACILITY 10243 GENETIC CENTER DR, SAN (858) 526-6170 GROUP INC (BCC) GROUP INC DIEGO, CA 92121 SHARP REES STEALY MEDICAL SHARP REES STEALY MEDICAL URGENT CARE FACILITY 5525 GROSSMONT CENTER DR, LA (858) 637-6616 GROUP INC (BCC) GROUP INC MESA, CA 91942 SHARP REES STEALY PHARMACY 300 FIR ST, SAN DIEGO, CA 92101 (619) 446-1512 PHARMACY SHARP REES STEALY PHARMACY 2929 HEALTH CENTER DR, SAN DIEGO, (858) 939-6540 PHARMACY CA 92123

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 625 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SHARP REES STEALY PHARMACY 16899 WEST BERNARDO DRIVE, SAN (858) 521-2290 PHARMACY DIEGO, CA 92127 SHARP REES STEALY PHARMACY 10243 GENETIC CENTER DR, SAN (858) 526-6080 PHARMACY DIEGO, CA 92121 SHARP REES-STEALY PHARMACY 1400 E PALOMAR ST, CHULA VISTA, CA (619) 397-3072 PHARMACY 91913 SHARP REES-STEALY PHARMACY 525 3RD AVENUE, SUITE A, CHULA (619) 420-7120 PHARMACY VISTA, CA 91910 SHARP REES-STEALY PHARMACY 5525 GROSSMONT CTR DR, LA MESA, (619) 644-6650 PHARMACY CA 91942 SHARPE, FRANCES E - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER SHARPE, JENNIFER - PT NORTH COUNTY SPORTS PHYSICAL THERAPY 4055 OCEANSIDE BLVD STE F, (760) 842-7519 MEDICINE AND PT OCEANSIDE, CA 92056 SHARPS CORONADO PHARMACY 230 PROSPECT PL STE 110, (619) 522-3996 COMMUNITY PHCY CORONADO, CA 92118 SHASTA PHYSICAL THERAPY PHYSICAL THERAPY 1988 PARK MARINA DR, REDDING, CA (530) 241-1559 96001-0912 SHASTA PHYSICAL THERAPY PHYSICAL THERAPY 3075 VICTOR AVE, REDDING, CA (530) 221-1312 96002-1450 SHAW, DINA - OT WEST COAST SPINE OCCUPATIONAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 SHAW, MARK - AUD ADVANCED HEARING AUDIOLOGY 925 E PENNSYLVANIA AVE STE H, (800) 598-5300 PROVIDERS LLC ESCONDIDO, CA 92025 SHAY, TIFFINY - PTA WILLIAMSON HAHN PHYSICAL PHYSICAL THERAPY 1505 MERIDIAN AVE STE A, SAN JOSE, (408) 264-6643 THERAPY CA 95125 SHAYE, OMID - MD (BCC) GASTROENTEROLOGY GASTROENTEROLOGY 8631 W 3RD ST STE 815E, LOS (310) 858-2224 ASSOCIATES OF BEVERLY ANGELES , CA 90048 HILLS SHE, WU - LAC REHABCARE UNLIMITED ACUPUNCTURE 16025 GALE AVE STE B8, CITY OF (626) 333-3172 INDUSTRY, CA 91745 SHE, WU - LAC REHABCARE UNLIMITED ACUPUNCTURE 510 N MAIN ST, SANTA ANA, CA 92701 (714) 679-7736 SHEAN, CHRIS J - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER SHEAR, STUART - MD DERMATOLOGY 2121 W MAGNOLIA BLVD, BURBANK , (310) 207-3320 CA 91506 SHEAR, STUART - MD DERMATOLOGY 11645 WILSHIRE BLVD STE 825, LOS (310) 207-3320 ANGELES, CA 90025 SHEEHAN, JESSICA - PT GIRARD ORTHOPAEDIC PHYSICAL THERAPY 9333 GENESEE AVE 350B, SAN DIEGO, (858) 455-8584 SURGEONS CA 92121 SHEFFIELD, SAMUEL - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 4004 PANAMA LN STE 100, (661) 377-1700 BAKERSFIELD, CA 93313 SHEFFIELD, SAMUEL - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 7900 DISTRICT BLVD UNIT A, (661) 616-9150 BAKERSFIELD, CA 93313 SHEIBANI-RAD, SHAHIN E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK LOWER EXTREMITIES BURBANK, CA 91505 SHEIBANI-RAD, SHAHIN E - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK UPPER EXTREMITIES BURBANK, CA 91505 SHEIBANI-RAD, SHAHIN E - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK EXTREMITIES BURBANK, CA 91505 SHEIBANI-RAD, SHAHIN E - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK EXTREMITIES BURBANK, CA 91505 SHEIBANI-RAD, SHAHIN E - MD LA BONE AND JOINT INSTITUTE ORTHOPEDIC SURGERY - HIP 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 SHEIBANI-RAD, SHAHIN E - MD LA BONE AND JOINT INSTITUTE ORTHOPEDIC SURGERY - 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) KNEE ENCINO, CA 91436 SHEIBANI-RAD, SHAHIN E - MD LA BONE AND JOINT INSTITUTE ORTHOPEDICS - HIP 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 SHEIBANI-RAD, SHAHIN E - MD LA BONE AND JOINT INSTITUTE ORTHOPEDICS - KNEE 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - HIP 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 626 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP KNEE 90007 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP LOWER EXTREMITIES 90007 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP UPPER EXTREMITIES 90007 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP WRIST 90007 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDICS - HIP 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDICS - LOWER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP EXTREMITIES 90007 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP EXTREMITIES 90007 SHEIBANI-RAD, SHAHIN E - MD SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 SHELTER ISLAND MEDICAL SHELTER ISLAND MEDICAL URGENT CARE FACILITY 1370 ROSECRANS ST STE A, SAN (619) 223-2668 GROUP (BCC) GROUP DIEGO, CA 92106 SHEN, ANDREW - MD (BCC) EMERGENCY MEDICINE 100 S RAYMOND AVE, ALHAMBRA, CA (626) 458-4764 91801 SHENODA, MICHAEL M - MD SANSUM CLINIC - PUEBLO CARDIOVASCULAR DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 (BCC) MULTI-SPECIALTY CLINIC (CARDIOLOGY) CA 93105 SHEPARD, MICHAEL F - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200 , ORANGE , CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP KNEE 92868 OF ORANGE COUNTY SHEPARD, MICHAEL F - MD ORTHOPAEDIC SPECIALTY ORTHOPEDIC SURGERY - 280 S MAIN ST STE 200 , ORANGE , CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP SHOULDER 92868 OF ORANGE COUNTY SHEPARD, MICHAEL F - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - KNEE 280 S MAIN ST STE 200 , ORANGE , CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SHEPARD, MICHAEL F - MD ORTHOPAEDIC SPECIALTY ORTHOPEDICS - SHOULDER 280 S MAIN ST STE 200 , ORANGE , CA (714) 634-4567 (BCC) INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SHEPHERD, CRAIG - DC SHEPHERD CHIROPRACTIC CHIROPRACTIC MEDICINE 1049 VILLAGE LN, CHICO, CA 95926 (530) 891-6300 SHERAFAT, SEYEDAMIR - DC HAIDER SPINE CENTER CHIROPRACTIC MEDICINE 6276 RIVER CREST DR STE A, (951) 413-0219 MEDICAL GROUP INC RIVERSIDE, CA 92507 SHERIDAN, WILLIAM F - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER SHERMAN'S APOTHECARY PHARMACY 1212 S MAIN ST STE 101, SALINAS, CA (831) 422-5988 PHARMACY 93901 SHERWOOD, CAROL - AUD ADVANCED HEARING AUDIOLOGY 5055 CANYON CREST DR, RIVERSIDE, (800) 598-5300 PROVIDERS LLC CA 92507 SHERZAI, AYESHA Z - MD (BCC) LOMA LINDA UNIVERSITY - NEUROLOGY 11370 ANDERSON ST STE B100, LOMA (800) 679-4642 DEPT OF NEUROLOGY LINDA , CA 92354 SHERZAI, DEAN - MD (BCC) LOMA LINDA UNIVERSITY - NEUROLOGY 11370 ANDERSON ST STE B100, LOMA (800) 679-4642 DEPT OF NEUROLOGY LINDA , CA 92354 SHETH, DHIREN S - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 SHETTER, HALEY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY SHI, LEI - MD KAISER PERMANENTE ORTHOPEDICS 5601 DE SOTO AVE ENTRANCE 5 , (818) 719-3006 WOODLAND HILLS MEDICAL WOODLAND HILLS, CA 91367 CENTER SHI, MIN - LAC DRAGON ACUPUNCTURE ACUPUNCTURE 250 E YALE LOOP STE D, IRVINE, CA (949) 668-5003 HERB CENTERIRVINE 92604 SHI, MIN - LAC DRAGON ACUPUNCTURE ACUPUNCTURE 320 SUPERIOR AVE (949) 478-5507 HERB CENTERNEWPORT NEWPORT MEDICAL ARTS BUILDING BEACH STE 260, NEWPORT BEACH, CA 92663

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 627 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SHIBA, DIANA R - MD KAISER PERMANENTE OPHTHALMOLOGY 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 SHIBUYA, TERRY Y - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 411 N LAKEVIEW AVE , ANAHEIM, CA (714) 644-6450 LAKEVIEW MEDICAL OFFICES 92807 SHIEH, JUSTIN - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 12562 GARDEN GROVE BLVD, GARDEN (714) 705-4027 CORP GROVE, CA 92843 SHIEH, JUSTIN - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 1535 DEERPARK DR, FULLERTON, CA (714) 993-2070 CORP 92831 SHIEH, JUSTIN - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 2101 E 4TH ST, SANTA ANA, CA 92705 (714) 855-3100 CORP MAIN SHIEH, JUSTIN - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 312 W CERRITOS AVE BLDG 7, (714) 947-1213 CORP ANAHEIM, CA 92805 SHIEH, JUSTIN - OT ABLE PHYSICAL THERAPY OCCUPATIONAL THERAPY 9530 IMPERIAL HWY STE N, DOWNEY, (562) 381-0877 CORP CA 90242 SHIELDS, CLARENCE - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 SHIELDS, CLARENCE - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ELBOW ANGELES, CA 90045 SHIELDS, CLARENCE - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC KNEE ANGELES, CA 90045 SHIELDS, CLARENCE - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC SHOULDER ANGELES, CA 90045 SHIELDS, CLARENCE - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 SHIELDS, CLARENCE - MD KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 SHIELDS, CLARENCE L - MD KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 SHIELDS, CLARENCE L - MD KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC PHYSICIAN ANGELES, CA 90045 SHIH, HUBERT B - MD CONCENTRA MEDICAL PLASTIC SURGERY 2737 WALSH AVE, SANTA CLARA, CA (408) 228-8400 CENTER - SANTA CLARA 95051 CENTRAL EXPRESSWAY SHIH, JENNIFER G - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER SHIH, JENNIFER G - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER SHIH, JULIA - AUD ADVANCED HEARING AUDIOLOGY 2623 E FOOTHILL BLVD , PASADENA, (800) 598-5300 PROVIDERS LLC CA 91107 SHIN, CHRIS - DC EAST WEST CHIROPRACTIC CHIROPRACTIC MEDICINE 41255 FREMONT BLVD STE 101, (510) 623-7004 ACUPUNCTURE CLINIC FREMONT, CA 94538 SHIN, CHRIS - DC EAST WEST CHIROPRACTIC CHIROPRACTIC MEDICINE 100 OCONNOR DR STE 31, SAN JOSE, (408) 295-7380 ACUPUNCTURE CLINICMAIN CA 95128 SHIN, CHRIS - LAC EAST WEST CHIROPRACTIC ACUPUNCTURE 41255 FREMONT BLVD STE 101, (510) 623-7004 ACUPUNCTURE CLINIC FREMONT, CA 94538 SHIN, HO, JOON - LAC WOORI CLINIC INC ACUPUNCTURE 1385 S DIAMOND BAR BLVD, DIAMOND (909) 861-1015 BAR, CA 91765 SHIN, JUSTIN - LAC JUSTIN SHIN ACUPUNCTURE ACUPUNCTURE 2901 ADELINE ST, BERKELEY, CA 94703 (415) 763-1045 SHIN, JUSTIN - LAC JUSTIN SHIN ACUPUNCTURE ACUPUNCTURE 77 BIRCH ST STE B, REDWOOD CITY, (415) 763-1045 CA 94062 SHIN, JUSTIN - LAC JUSTIN SHIN ACUPUNCTURE ACUPUNCTURE 870 MARKET ST STE 309, SAN (415) 763-1045 FRANCISCO, CA 94102 SHIN, SEUNG, HUEN - LAC ALPHA THERAPY INC ACUPUNCTURE 17 SPECTRUM POINTE DR STE 506, (949) 533-6699 LAKE FOREST, CA 92630 SHIN, SEUNG, HUEN - LAC ALPHA THERAPY INC ACUPUNCTURE 18004 SKY PARK CIR STE 260, IRVINE, (949) 533-6699 CA 92614 SHIN, SUK YOUNG - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 SHIN, SUK YOUNG - LAC (BCC) HEALTHPOINTE MEDICAL ACUPUNCTURE 5584 N PARAMOUNT BLVD STE100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 628 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SHIN, SUK, YOUNG - LAC OK ACUPUNCTURE ACUPUNCTURE 2029 W 1ST ST STE 118, SANTA ANA, (714) 225-8198 CA 92703 SHIN, TAE M - MD (BCC) LA WILSHIRE ORTHOPEDICS SPINE SURGERY 1711 W TEMPLE ST STE 8668 , LOS (213) 250-9900 ANGELES , CA 90026 SHIN, TAE M - MD (BCC) LA WILSHIRE ORTHOPEDICS ORTHOPEDICS - SPINE 1711 W TEMPLE ST STE 8668 , LOS (213) 250-9900 ANGELES , CA 90026 SHIN, YONGKYUN - LMT CORNERSTONE MASSAGE THERAPIST 150 LAGUNA RD STE A, FULLERTON, CA (949) 424-6430 ACUPUNCTURE INSTITUTE 92835 SHIN, YONGKYUN - LMT CORNERSTONE MASSAGE THERAPIST 650 ROOSEVELT 2F, IRVINE, CA 92620 (949) 424-6430 ACUPUNCTURE INSTITUTE SHIN, YOON - PT AXIS PHYSICAL THERAPY PHYSICAL THERAPY 708 WEST 1ST STREET, LOS ANGELES, (213) 617-2947 CA 90012 SHINAGAWA, JOCELYN - LAC POWAY ACUPUNCTURE ACUPUNCTURE 15644 POMERADO RD STE 304, POWAY, (858) 883-3867 CA 92064 SHINAGAWA, JOCELYN - LAC POWAY ACUPUNCTURE ACUPUNCTURE 27450 YNUEZ RD STE 109, TEMECULA, (951) 676-8640 CA 92591 SHINDE, ARUNA M - MD KAISER PERMANENTE DERMATOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER SHINGLE SPRINGS HEALTH PHARMACY 5168 HONPIE RD, PLACERVILLE, CA (530) 387-8005 95667 SHIRANI, FARINOUSH - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 1902 ROYALTY DR 170, POMONA, CA (909) 620-9700 CORP 91767 SHIRMAN, ELLEN - PHD (BCC) CORTEX BEHAVIORAL HEALTH NEUROPSYCHOLOGY 17525 VENTURA BLVD STE 307, (818) 995-4477 ENCINO, CA 91316 SHOAR, MICHAEL - DC SHOAR CHIROPRACTIC INC CHIROPRACTIC MEDICINE 1630 E GONZALEZ RD, OXNARD, CA (805) 278-9046 93031 SHOAR, MICHAEL - DC SHOAR CHIROPRACTIC INC CHIROPRACTIC MEDICINE 212 W 3RD STREET, OXNARD, CA 93030 (805) 487-4062 SHOEMAKER, SCOTT - MD CARING NEUROLOGICAL NEUROLOGY 17150 EUCLID ST STE 320, FOUNTAIN (714) 432-1321 SERVICES VALLEY , CA 92708 SHOEMAKER, SCOTT D - MD KAISER PERMANENTE ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES 92111 SHOKOOHI, KAVEH - PT MANAGED CARE REHAB PHYSICAL THERAPY 18531 ROSCOE BLVD STE 215A, (818) 886-2245 DBANORTHRIDGE REHAB NORTHRIDGE, CA 91324 SHOKOOHI, KAVEH - PT MANAGED CARE REHAB DBA PHYSICAL THERAPY 23734 VALENCIA BLVD STE 201, (661) 253-3744 MIDVALLEY PHYSICAL VALENCIA, CA 91355 THERAPY SHOKOOHI, KAVEH - PT MANAGED CARE REHAB PHYSICAL THERAPY 8215 VAN NUYS BLVD STE 212, VAN (818) 886-2245 NUYS, CA 91402 SHOKOUFANDEH, MANI - DC MANI SPORT CHIROPRACTIC CHIROPRACTIC MEDICINE 14423 HAMLIN ST, VAN NUYS, CA 91401 (818) 703-1511 INC SHOKOUFANDEH, MANI - DC MANI SPORT CHIROPRACTIC CHIROPRACTIC MEDICINE 22110 ROSCOE BLVD 304, WEST HILLS, (818) 703-1511 INC CA 91304 SHORE, ARIEL - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 SHORE, BRETT I - MD KAISER PERMANENTE ORTHOPEDICS 13652 CANTARA ST NORTH 2, (818) 375-2233 PANORAMA CITY MEDICAL PANORAMA CITY, CA 91402 CENTER SHORELINE PHARMACY 16530 VENTURA BLVD STE 610, (310) 464-9170 PHARMACEUTICALS ENCINO, CA 91436 SHRESTHA, USHA - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 5600 MOWRY SCHOOL RD STE 305, (510) 651-9258 PHYSICAL THERAPY NEWARK, CA 94560 SHRINERS HOSPITALS FOR SPECIALTY HOSPITAL - 2425 STOCKTON BLVD, SACRAMENTO, (916) 453-2000 CHILDREN SACRAMENTO CHILDREN CA 95817 SHRIVASTAVA, JOSUA - PTA FULL MOTION PHYSICAL PHYSICAL THERAPY 31461 RANCHO VIEJO RD, SAN JUAN (949) 542-5000 THERAPY CAPISTRANO, CA 92675 SHUHONG, HOU, TINA - LAC UNITED UNIVERSITY ACUPUNCTURE 12979 CENTRAL AVE, CHINO, CA 91710 (909) 628-1955 CLINICMAIN SHUKLA, ANKITA - PT WHITE BLOSSOM CARE PHYSICAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 SHULZE, ROMAN - DO (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC PHYSICIAN 92805 SHULZE, ROMAN - DO (BCC) HEALTHPOINTE MEDICAL OCCUPATIONAL MEDICINE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 629 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SHULZE, ROMAN - DO (BCC) HEALTHPOINTE MEDICAL FAMILY MEDICINE 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP INC 92805 SHUMER, AMY - PT THERAPY WORKS FITNESS PHYSICAL THERAPY 500 QUINTANA RD, MORRO BAY, CA (805) 772-7358 WORKS 93442 SHUMWAY, BRADLEY - PT YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886 SHURSON, TEDD - AUD ADVANCED HEARING AUDIOLOGY 2316 W WHITENDALE AVENUE STE A, (800) 598-5300 PROVIDERS LLC VISALIA, CA 93277 SHUT, VLADISLAV - PT BACK 2 HEALTH PHYSICAL PHYSICAL THERAPY 16550 VENTURA BLVD STE 120, 818990930 THERAPY AQUATIC ENCINO, CA 91436 SHUTE, EVAN - PT BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 421-2959 THERAPY SHY, HOGAN H - MD CONCENTRA MEDICAL INTERNAL MEDICINE 1197 E ARQUES AVE, SUNNYVALE, CA (408) 773-9000 CENTER - SUNNYVALE 94085 SHYN'S PHARMACY PHARMACY 520 S VIRGIL AVE STE 102, LOS (213) 487-7535 ANGELES, CA 90020 SIBHATLEAB, SARA - LMT ULLMAN AND SCHWARTZ MASSAGE THERAPIST 500 S SEPULVEDA BLVD STE 202, (310) 372-1141 CHIROPRACTIC GROUP MANHATTAN BEACH, CA 90266 SIDDIGHI, SAM - MD (BCC) LOMA LINDA UNIVERSITY OBSTETRICS AND 11370 ANDERSON ST FMO STE 3900, (800) 679-4642 HEALTH CARE - OBGYN CLINIC GYNECOLOGY LOMA LINDA , CA 92354 SIDDIQI, TANYA - MD (BCC) CITY OF HOPE HEMATOLOGY AND 1500 E DUARTE RD, DUARTE, CA 91010 (626) 256-4673 COMPREHENSIVE CANCER ONCOLOGY CENTER SIDDIQI, TANYA - MD (BCC) THE CITY OF HOPE HEMATOLOGY AND 1601 AVOCADO AVE , NEWPORT (949) 763-2204 ONCOLOGY BEACH, CA 92660 SIDDIQUE, KHAWAR M - MD DOCS SPINE AND NEUROLOGICAL SURGERY 8436 W 3RD ST #800, LOS ANGELES , (310) 746-5918 ORTHOPEDICS CA 90048 SIDDIQUI, DANISH S - MD (BCC) LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE SIDDIQUI, FAREEHA - MD (BCC) UC SAN DIEGO HEALTH - ONCOLOGY 1200 GARDEN VIEW RD STE 200, (760) 536-7700 CANCER SERVICES ENCINITAS, CA 92024 SIDDIQUI, FAREEHA - MD (BCC) UC SAN DIEGO HEALTH - ONCOLOGY 910 SYCAMORE AVE STE 102, VISTA, (760) 536-7737 CANCER SERVICES CA 92081 SIDHOM, MAGDI - MD (BCC) ANESTHESIOLOGY 18111 BROOKHURST ST STE 3200, (714) 378-7000 FOUNTAIN VALLEY, CA 92708 SIDHOM, MAGDI - MD (BCC) ANESTHESIOLOGY 9920 TALBERT AVE, FOUNTAIN VALLEY, (714) 378-7000 CA 92708 SIDHU, RABINDER - MD (BCC) ALLERGY AND IMMUNOLOGY 7151 N CEDAR AVE STE 103, FRESNO, (559) 325-7775 CA 93720 SIDHU, RABINDER - MD (BCC) ALLERGY AND IMMUNOLOGY 807 W OAK AVE STE C, VISALIA, CA (559) 325-7775 93291 SIDHU, RABINDER - MD (BCC) ALLERGY AND IMMUNOLOGY 900 N DOUTY ST STE B, HANFORD, CA (559) 325-7775 93230 SIEGAL, SHIRA, RHONDA - OT PHYSICAL THERAPY OCCUPATIONAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 SIEGEL, GREGORY - DC SIEGEL GREGORY S DC CHIROPRACTIC MEDICINE 13710 WHITTIER BLVD STE 105, (562) 945-1310 WHITTIER, CA 90605 SIEGEL, HOWARD - MD (BCC) ANESTHESIOLOGY 8112 MILLIKEN AVE STE 202, RANCHO (818) 550-0900 CUCAMONGA, CA 91730 SIEGEL, ROBERT J - MD CARDIOVASCULAR DISEASE 127 S SAN VICENTE BLVD, LOS (310) 423-2726 (CARDIOLOGY) ANGELES , CA 90048 SIERPINA, DAVID - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 2900, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 SIERPINA, DAVID - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 SIERPINA, DAVID - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 SIERRA CANYON PHYSICAL PHYSICAL THERAPY 27225 CAMP PLENTY RD STE 6, (661) 298-0140 THERAPY CANYON COUNTRY, CA 91351-2654 SIERRA CANYON PT PHYSICAL THERAPY 27225 CAMP PLENTY RD, CANYON (661) 298-0140 COUNTRY, CA 91351

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 630 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SIERRA NEVADA MEMORIAL SIERRA NEVADA MEMORIAL ACUTE CARE HOSPITAL 155 GLASSON WAY, GRASS VALLEY, CA (888) 488-7667 MINERS HOSPITAL (BCC) MINERS HOSPITAL 95945 SIERRA NEVADA PHYSICAL PHYSICAL THERAPY 10775 PIONEER TRL STE 106, (530) 448-5055 THERAPY TRUCKEE, CA 96161-0233 SIERRA PHARMACY PHARMACY 210 S GRAND AVE STE 116, GLENDORA, (626) 335-2300 CA 91741 SIERRA PHARMACY PHARMACY 8661 BASELINE RD, RANCHO (909) 989-9800 CUCAMONGA, CA 91730 SIERRA PHYSICAL THERAPY PHYSICAL THERAPY 48677 VICTORIA LN STE 101, (559) 683-4444 OAKHURST, CA 93644 SIERRA SAN ANTONIO PHARMACY 16465 SIERRA LAKES PKWY, FONTANA, (909) 574-9620 PHARMACY CA 92336 SIERRA VIEW DISTRICT SIERRA VIEW DISTRICT ACUTE CARE HOSPITAL 465 W PUTNAM AVE, PORTERVILLE, CA (559) 784-1110 HOSPITAL (BCC) HOSPITAL 93257 SIERRA VISTA HOSPITAL (BCC) SIERRA VISTA HOSPITAL CHEMICAL DEPENDENCY 8001 BRUCEVILLE RD, SACRAMENTO, (916) 288-0300 REHABILITATION CENTER CA 95823 (OUTPATIENT) SIERRA VISTA REGIONAL SIERRA VISTA REGIONAL ACUTE CARE HOSPITAL 1010 MURRAY AVE, SAN LUIS OBISPO, (805) 546-7600 MEDICAL CENTER (BCC) MEDICAL CENTER CA 93405 SILBERSTEIN, SYLVAIN S - MD VANOWEN MEDICAL INTERNAL MEDICINE 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 (BCC) ASSOCIATES CA 91405 SILBERSTEIN, SYLVAIN S - MD VANOWEN MEDICAL PRIMARY TREATING 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 (BCC) ASSOCIATES PHYSICIAN CA 91405 SILBERSTEIN, SYLVAIN S - MD VANOWEN MEDICAL ENDOCRINOLOGY, DIABETES 15211 VANOWEN ST #100 , VAN NUYS , (818) 778-1920 (BCC) ASSOCIATES AND METABOLISM CA 91405 SILCHUK, IRINA - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 SILICON VALLEY PHCY AND PHARMACY 14107 WINCHESTER BLVD, LOS GATOS, (408) 378-5381 INF CA 95032 SILOAM PHARMACY PHARMACY 2528 W OLYMPIC BLVD STE 102, LOS (213) 382-0700 ANGELES, CA 90006 SILSBEE, LUCAS - PT B B PHYSICAL THERAPY PHYSICAL THERAPY 24355 LYONS AVE STE 100, NEWHALL, (661) 290-2884 CA 91321 SILVA, AMILA O - MD KAISER PERMANENTE ON THE OPHTHALMOLOGY 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 JOB VINEYARD ONTARIO SURGERY CENTER SILVA, ERIC - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 SILVA, IRVING - AUD ADVANCED HEARING AUDIOLOGY 201 WILSHIRE BLVD STE A4, SANTA (800) 598-5300 PROVIDERS LLC MONICA, CA 90401 SILVA, JORGE E - MD (BCC) UCSD CARDIOLOGY CARDIOVASCULAR DISEASE 4168 FRONT ST , SAN DIEGO , CA 92103 (619) 543-5742 (CARDIOLOGY) SILVA, JOSHUA - PT MEDCESSITY INC PHYSICAL THERAPY 4010 ORANGE AVE, LONG BEACH, CA (562) 428-3556 90807 SILVA, SARA - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 SILVA, SARA - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 SILVA, SHAWN - DC MIDWAY CHIROPRACTIC CHIROPRACTIC MEDICINE 3405 KENYON ST STE 206, SAN DIEGO, (619) 224-5371 CA 92110 SILVEIRA, MARCO - PT PHYSIUS PHYSICAL THERAPY PHYSICAL THERAPY 716 GARNER AVE 103, HANFORD, CA (559) 772-1510 93230 SILVER CREEK FITNESS AND PHYSICAL THERAPY 121 BERNAL RD STE 30, SAN JOSE, CA (408) 227-2141 PHYSICAL THERAPY 95119-1396 SILVER CREEK FITNESS AND PHYSICAL THERAPY 4205 SAN FELIPE RD STE 100, SAN (408) 238-1552 PHYSICAL THERAPY JOSE, CA 95135-1546 SILVER CREEK FITNESS AND PHYSICAL THERAPY 5600 MOWRY SCHOOL RD STE 305, (510) 651-9258 PHYSICAL THERAPY NEWARK, CA 94560-5371 SILVER CREEK PHYSICAL PHYSICAL THERAPY 1395 1ST ST STE 100, GILROY, CA (408) 846-6000 THERAPY GILROY 95020-3876 SILVER CREEK PHYSICAL PHYSICAL THERAPY 14103 WINCHESTER BLVD STE F, LOS (408) 868-5577 THERAPY LOS GATOS GATOS, CA 95032-1835

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 631 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SILVER CREEK PHYSICAL PHYSICAL THERAPY 500 E REMINGTON DR STE 10, (408) 389-3600 THERAPY SUNNYVALE SUNNYVALE, CA 94087-2611 SILVER SPRAY PHARMACY PHARMACY 2191 NILES ST, BAKERSFIELD, CA 93305 (661) 327-4248 SILVER STRAND PHYSICAL PHYSICAL THERAPY 1155 13TH ST, IMPERIAL BEACH, CA (619) 941-2680 THERAPY 91932-3608 SILVERADO PHARMACY PHARMACY 1473 LINCOLN AVE, CALISTOGA, CA (707) 942-5115 94515 SILVERBERG, MARK L - MD SANSUM CLINIC - FOOTHILL OPHTHALMOLOGY 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-8950 (BCC) EYE CENTER - BLDG B CA 93110 SILVERBERG, MARK L - MD SANSUM CLINIC - FOOTHILL PEDIATRICS 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-8950 (BCC) SURGERY CENTER CA 93110 SILVERMAN, DANIEL - MD NUCLEAR MEDICINE 100 UCLA MEDICAL PLZ STE 545, LOS (310) 267-5994 (BCC) ANGELES, CA 90024 SILVERMAN, DANIEL - MD NUCLEAR MEDICINE 1225 15TH ST RM 1490 PAVILION, (310) 319-2442 (BCC) SANTA MONICA, CA 90404 SILVERMAN, DANIEL - MD NUCLEAR MEDICINE 1245 16TH ST STE 105, SANTA MONICA, (310) 319-5022 (BCC) CA 90404 SILVERMAN, DANIEL - MD NUCLEAR MEDICINE 200 UCLA MEDICAL PLZ STE B114, LOS (310) 794-1005 (BCC) ANGELES, CA 90095 SILVERMAN, DANIEL - MD NUCLEAR MEDICINE 2020 SANTA MONICA BLVD STE 240, (310) 582-6260 (BCC) SANTA MONICA, CA 90404 SILVERMAN, HANNAH, ROSE - TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 400 CAMARILLO RANCH RD 108, (805) 388-3055 PT INC CAMARILLO, CA 93021 SILVERMAN, HANNAH, ROSE - TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 550 SAINT CHARLES DR STE 100, (805) 777-1023 PT INC THOUSAND OAKS, CA 91360 SILVERTHORN, JAMES W - DO KAISER PERMANENTE NEUROLOGICAL SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER SILVETTI, JANE - PT RICHARD P CARR PHYSICAL PHYSICAL THERAPY 605 TENNANT AVE STE F, MORGAN (408) 778-3434 THERAPY INC HILL, CA 95037 SIMENTAL JR, ALFRED A - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 1895 ORANGE TREE LANE STE 102, (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK REDLANDS, CA 92374 SURGERY SIMENTAL JR, ALFRED A - MD LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 (BCC) HEALTH CARE - HEAD & NECK CA 92563 SURGERY SIMI HEALTH CENTER (BCC) SIMI HEALTH CENTER URGENT CARE FACILITY 1350 E LOS ANGELES AVE, SIMI (805) 522-3782 VALLEY, CA 93065 SIMI PHARMACY PHARMACY 1357 E LOS ANGELES AVE, SIMI (805) 582-7474 VALLEY, CA 93065 SIMI PHYSICAL THERAPY PHYSICAL THERAPY 1687 ERRINGER RD STE 109, SIMI (805) 581-4266 CENTER VALLEY, CA 93065-6509 SIMI PHYSICAL THERAPY PHYSICAL THERAPY 3200 E LOS ANGELES AVE STE 20, SIMI (805) 581-4266 CENTER VALLEY, CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE ELBOW CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE ELBOW THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE ELBOW SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA HAND SURGERY 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA HAND SURGERY 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA HAND SURGERY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 632 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE SHOULDER CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE SHOULDER THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SHOULDER SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE UPPER EXTREMITIES CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE UPPER EXTREMITIES THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE UPPER EXTREMITIES SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE WRIST CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE WRIST THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE WRIST SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - HAND 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE EXTREMITIES CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE EXTREMITIES THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE EXTREMITIES SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 3605 ALAMO ST STE 200, SIMI VALLEY, (818) 901-6600 ORTHOPEDIC INSTITUTE CA 93065 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 375 ROLLING OAKS DR STE 210, (805) 497-7015 ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 SIMIC, PAUL M - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - WRIST 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SIMMONS PHYSICAL THERAPY PHYSICAL THERAPY 285 N EL CAMINO REAL STE 202, (760) 633-1345 ENCINITAS, CA 92024-5385 SIMMONS, KATE - LMT MYOFACIAL PAIN SOLUTIONS MASSAGE THERAPIST 2460 MISSION ST STE 212, SAN (415) 533-7598 FRANCISCO, CA 94110 SIMMONS, THOMAS - PT SIMMONS PHYSICAL THERAPY PHYSICAL THERAPY 191 N EL CAMINO REAL STE 204, (760) 633-1345 ENCINITAS, CA 92024 SIMON, EDWARD - DC ED SIMON CHIROPRACTIC CHIROPRACTIC MEDICINE 6344 LAUREL CANYON BLVD, NORTH (818) 761-1355 HOLLYWOOD, CA 91606 SIMONIAN, ANI - PT STUDIO BRAVA PHYSICAL PHYSICAL THERAPY 11110 OHIO AVE STE 105, LOS (310) 775-1609 THERAPY ANGELES, CA 90025 SIMONIAN, PETER T - MD (BCC) SIMONIAN SPORTS MEDICINE ORTHOPEDIC SURGERY - 729 N MEDICAL CENTER DR W STE 101, (559) 439-7633 CLINIC SHOULDER CLOVIS, CA 93611 SIMONIAN, PETER T - MD (BCC) SIMONIAN SPORTS MEDICINE ORTHOPEDIC SURGERY - 729 N MEDICAL CENTER DR W STE 101, (559) 439-7633 CLINIC KNEE CLOVIS, CA 93611 SIMONIAN, PETER T - MD (BCC) SIMONIAN SPORTS MEDICINE ORTHOPEDIC SURGERY - 729 N MEDICAL CENTER DR W STE 101, (559) 439-7633 CLINIC ELBOW CLOVIS, CA 93611 SIMONIAN, PETER T - MD (BCC) SIMONIAN SPORTS MEDICINE ORTHOPEDICS - SHOULDER 729 N MEDICAL CENTER DR W STE 101, (559) 439-7633 CLINIC CLOVIS, CA 93611 SIMONIAN, PETER T - MD (BCC) SIMONIAN SPORTS MEDICINE ORTHOPEDICS - KNEE 729 N MEDICAL CENTER DR W STE 101, (559) 439-7633 CLINIC CLOVIS, CA 93611

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 633 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SIMONIAN, PETER T - MD (BCC) SIMONIAN SPORTS MEDICINE ORTHOPEDICS - ELBOW 729 N MEDICAL CENTER DR W STE 101, (559) 439-7633 CLINIC CLOVIS, CA 93611 SIMONIAN, PETER T - MD (BCC) SIMONIAN SPORTS MEDICINE SPORTS MEDICINE 729 N MEDICAL CENTER DR W STE 101, (559) 439-7633 CLINIC CLOVIS, CA 93611 SIMONIAN, PETER T - MD (BCC) SIMONIAN SPORTS MEDICINE PRIMARY TREATING 729 N MEDICAL CENTER DR W STE 101, (559) 439-7633 CLINIC PHYSICIAN CLOVIS, CA 93611 SIMONS DISOUNT PHARMACY PHARMACY 7256 W SUNSET BLVD, LOS ANGELES, (323) 874-2507 CA 90046 SIMPLE RECOVERY INC (BCC) SIMPLE RECOVERY INC CHEMICAL DEPENDENCY 1901 NEWPORT BLVD STE 200, COSTA (949) 646-3600 REHABILITATION CENTER MESA, CA 92627 (OUTPATIENT) SIMPLE RECOVERY INC (BCC) SIMPLE RECOVERY INC CHEMICAL DEPENDENCY 20112 VIVA CIRCLE, HUNTINGTON (949) 646-3600 REHABILITATION CENTER BEACH, CA 92646 (OUTPATIENT) SIMS PHYSICAL THERAPY PHYSICAL THERAPY 2530 PROFESSIONAL PARKWAY, (805) 928-4465 SANTA MARIA, CA 93455 SIMSUANGCO, NORIEL - PTA OPTIMUM CARE THERAPY PHYSICAL THERAPY 17906 PIONEER BLVD STE 101, (562) 865-2222 ARTESIA, CA 90701 SIMSUANGCO, SHERRY - PT OPTIMUM CARE THERAPY PHYSICAL THERAPY 17906 PIONEER BLVD STE 101, (562) 865-2222 ARTESIA, CA 90701 SIMUNOVIC, BLASENKO - PT PHYS MED A PHYSICAL PHYSICAL THERAPY 201 S MADERA AVE STE 100, KERMAN, (559) 846-6336 THERAPY CORPORATION CA 93630 SIMUNOVIC, BLASENKO - PT PHYS MED A PHYSICAL PHYSICAL THERAPY 7033 N FRESNO ST STE 202, FRESNO, (559) 438-4300 THERAPY CORPORATION CA 93720 SIMUNOVIC, BLASENKO - PT PHYS MED A PHYSICAL PHYSICAL THERAPY 8725 MAIN STREET, FRESNO, CA 93720 (559) 210-5097 THERAPY CORPORATION SINA HAMIDI DBA GLENDALE PHYSICAL THERAPY 815 E COLORADO ST STE 250, (818) 246-5100 PHYSICAL THERAPY GLENDALE, CA 91205-4510 SINAY, ELAD - DC DR ELAD SINAY DC CHIROPRACTIC MEDICINE 17401 VENTURA BLVD STE A29, 818?869?0024 ENCINO, CA 91316 SINGER, KIMBERLY - OT WESTWOOD HILLS HAND OCCUPATIONAL THERAPY 1033 GAYLEY AVE STE 201, LOS (310) 824-3499 THERAPY ANGELES, CA 90024 SINGH, ANSHUMAN - MD KAISER PERMANENTE ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES 92111 SINGH, BRIJPAL - PT MOTION PHYSICAL THERAPY PHYSICAL THERAPY 4339 E MORADA LN STE 150, (209) 888-6346 AND REHAB STOCKTON, CA 95212 SINGH, NEERU K - MD CONCENTRA MEDICAL PRIMARY TREATING 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO PHYSICIAN 94577 SINGH, NEERU K - MD CONCENTRA MEDICAL FAMILY MEDICINE 2587 MERCED ST , SAN LEANDRO, CA (510) 351-3553 CENTER - SAN LEANDRO 94577 SINGH, RANBIR - MD (BCC) GENERAL SURGERY 27420 TOURNEY RD STE 210, (661) 253-1353 VALENCIA, CA 91355 SINGH, SARABJEET - MD (BCC) CENTRAL CARDIOLOGY CARDIOVASCULAR DISEASE 2901 SILLECT AVE #100, BAKERSFIELD, (661) 323-8384 (CARDIOLOGY) CA 93308 SINGH, SIDDHARTH - MD (BCC) SMIDT HEART INSTUTUTE - CARDIOVASCULAR DISEASE 127 S SAN VICENTE BLVD #A3600, LOS (310) 423-2726 CEDARS SINAI (CARDIOLOGY) ANGELES, CA 90048 SINGH, SONIA - PT ORTHOSPORT PHYSICAL PHYSICAL THERAPY 10190 CULVER BLVD, CULVER CITY, CA (310) 837-9700 THERAPY 90232 SINGLETON, JACOB - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 SIOSON, BIEN - OTA SAN DIEGO POSTACUTE OCCUPATIONAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 SIRI, KATIA - LAC KATIA SIRI LAC ACUPUNCTURE 2020 N GLENOAKS BLVD, BURBANK, CA (818) 845-0637 91504 SIRISUK, SHERN D - DO (BCC) RIVERSIDE MEDICAL CLINIC - FAMILY MEDICINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY SIRISUK, SHERN D - DO (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY PHYSICIAN SIROIS, MARK - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 SIROONIAN, LAUREN, NICOLE - REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 OT 165, LAGUNA HILLS, CA 92653

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 634 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SISON, JESSICA - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC PRIMARY TREATING 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PHYSICIAN PALMDALE, CA 93551 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC PRIMARY TREATING 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE PHYSICIAN SHERMAN OAKS , CA 91403 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE KNEE PALMDALE, CA 93551 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE SHOULDER PALMDALE, CA 93551 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - KNEE 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PALMDALE, CA 93551 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - SHOULDER 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PALMDALE, CA 93551 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE KNEE SHERMAN OAKS , CA 91403 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHOULDER SHERMAN OAKS , CA 91403 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - KNEE 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHERMAN OAKS , CA 91403 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - SHOULDER 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHERMAN OAKS , CA 91403 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC SPORTS MEDICINE 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PALMDALE, CA 93551 SISTO, DOMENICK J - MD (BCC) LOS ANGELES ORTHOPAEDIC SPORTS MEDICINE 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHERMAN OAKS , CA 91403 SIU, CHI, KONG - DC PACIFIC CHIROPRACTIC CHIROPRACTIC MEDICINE 924 GRANT AVE STE 3, SAN (415) 984-1988 FRANCISCO, CA 94108 SKEF, WASSEEM - MD (BCC) LOMA LINDA UNIVERSITY GASTROENTEROLOGY 11370 ANDERSON ST FMO #3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA, CA 92354 MEDICINE SPECIALTIES GROUP SKEOCH, DANIEL U - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 SKEOCH, DANIEL U - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER SKILLED NURSING PHARMACY PHARMACY 16666 E JOHNSON DR, CITY OF (626) 820-5800 INDUSTRY, CA 91745 SKILLED NURSING PHARMACY PHARMACY 21150 CABOT BLVD, HAYWARD, CA (510) 264-1278 94545 SKILLED NURSING PHARMACY PHARMACY 9920 SCRIPPS LAKE DR STE 108, SAN (858) 564-2000 DIEGO, CA 92131 SKINNERS PHARMACY PHARMACY 905 DEEP VALLEY DR, ROLLING HILLS (310) 377-4871 ESTATES, CA 90274 SKLAR, NATHAN - DC NATHAN SKLAR CHIROPRACTIC MEDICINE 23502 LYONS AVE STE 102, NEWHALL, (661) 222-7401 CHIROPRACTIC CA 91321 SKUBIC, JOHN - MD (BCC) SPINE SURGERY 15095 AMARGOSA RD BLDG 1 STE 106, (909) 557-1600 VICTORVILLE, CA 92394 SKUBIC, JOHN - MD (BCC) SPINE SURGERY 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 CA 92545 SKUBIC, JOHN - MD (BCC) ORTHOPEDIC SURGERY - 15095 AMARGOSA RD BLDG 1 STE 106, (909) 557-1600 LOWER EXTREMITIES VICTORVILLE, CA 92394 SKUBIC, JOHN - MD (BCC) ORTHOPEDIC SURGERY - 15095 AMARGOSA RD BLDG 1 STE 106, (909) 557-1600 UPPER EXTREMITIES VICTORVILLE, CA 92394 SKUBIC, JOHN - MD (BCC) ORTHOPEDICS - LOWER 15095 AMARGOSA RD BLDG 1 STE 106, (909) 557-1600 EXTREMITIES VICTORVILLE, CA 92394 SKUBIC, JOHN - MD (BCC) ORTHOPEDICS - SPINE 15095 AMARGOSA RD BLDG 1 STE 106, (909) 557-1600 VICTORVILLE, CA 92394 SKUBIC, JOHN - MD (BCC) ORTHOPEDICS - UPPER 15095 AMARGOSA RD BLDG 1 STE 106, (909) 557-1600 EXTREMITIES VICTORVILLE, CA 92394 SKUBIC, JOHN - MD (BCC) ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 LOWER EXTREMITIES CA 92545

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 635 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SKUBIC, JOHN - MD (BCC) ORTHOPEDIC SURGERY - 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 UPPER EXTREMITIES CA 92545 SKUBIC, JOHN - MD (BCC) ORTHOPEDICS - LOWER 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 EXTREMITIES CA 92545 SKUBIC, JOHN - MD (BCC) ORTHOPEDICS - SPINE 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 CA 92545 SKUBIC, JOHN - MD (BCC) ORTHOPEDICS - UPPER 3889 W STETSON AVE STE 100, HEMET, (951) 652-1600 EXTREMITIES CA 92545 SKY CREST RESIDENTIAL SKY CREST RESIDENTIAL CHEMICAL DEPENDENCY 3200 SANTA MARIA RD, TOPANGA, CA (818) 444-6980 TREATMENT PROGRAM (BCC) TREATMENT PROGRAM REHABILITATION CENTER 90290 (OUTPATIENT) SKYPARK PHYSICAL THERAPY PHYSICAL THERAPY 23332 HAWTHORNE BLVD STE 202, (310) 373-5288 & REHABILITATION TORRANCE, CA 90505-3767 SLATER, DEBRA - PT WEST STAR PHYSICAL PHYSICAL THERAPY 3939 ATLANTIC AVE SUITE 224, LONG (562) 424-3090 THERAPY MAIN BEACH, CA 90807 SLATER, SHAYNA, ALLENE - PT HUNTINGTON BEACH PT PHYSICAL THERAPY 19582 BEACH BLVD 130, HUNTINGTON (714) 841-6162 BEACH, CA 92648 SLAVIN, AMBERLYNN - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 SLAYTER, CORDELIA - PT EXCEL PHYSICAL THERAPY PHYSICAL THERAPY 711 S STATE HIGHWAY 49, JACKSON, (209) 223-5669 CA 95642 SLEEMGHANNAM, LINA - LAC GOLDEN CIRCLE ACUPUNCTURE 1700 YGNACIO VALLEY RD 100, (925) 285-3781 ACUPUNCTURE WALNUT CREEK, CA 94598 SLETTE, KALAHAN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 SLIKKER III, WILLIAM - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 2500 MERCED ST , SAN LEANDRO, CA (510) 675-4807 LEANDRO MEDICAL CENTER 94577 SLIMACK, NICHOLAS - MD SANTA MARIA SPECIALTY NEUROLOGICAL SURGERY 300 S STRATFORD AVE , SANTA MARIA (805) 739-3863 (BCC) HEALTH CENTER , CA 93454 SLUSHER, JAMES - DC OCEAN RANCH CHIROPRACTIC CHIROPRACTIC MEDICINE 32585 GOLDEN LANTERN ST STE H, (949) 584-5000 DANA POINT, CA 92629 SMALL, GREGG H - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX REHABILITATION LOS ANGELES, CA 90045 SMC PHARMACY PHARMACY 1908 SANTA MONICA BLVD, SANTA (310) 315-9999 MONICA, CA 90404 SMITH PHARMACY PHARMACY 1107 N WESTERN AVE, LOS ANGELES, (323) 461-8331 CA 90029 SMITH, ANGELA - MD (BCC) ANESTHESIOLOGY 7901 FROST ST, SAN DIEGO, CA 92123 (858) 939-3525 SMITH, BERTIL - MD KAISER PERMANENTE SAN ORTHOPEDICS 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 SMITH, BRADLEY - PT INNOVATIVE PHYSICAL PHYSICAL THERAPY 5289 STATE ST, KELSEYVILLE, CA (707) 279-0881 THERAPY 95451 SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH LOWER EXTREMITIES 92518 SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH UPPER EXTREMITIES 92518 SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH EXTREMITIES 92518 SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 21830 CACTUS AVE, RIVERSIDE, CA (951) 653-5291 CENTER -WEST MARCH EXTREMITIES 92518 SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO LOWER EXTREMITIES SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO UPPER EXTREMITIES SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO EXTREMITIES SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO EXTREMITIES SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE LOWER EXTREMITIES ONTARIO, CA 91761 SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE UPPER EXTREMITIES ONTARIO, CA 91761

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 636 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE EXTREMITIES ONTARIO, CA 91761 SMITH, CARL W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE EXTREMITIES ONTARIO, CA 91761 SMITH, CHRISTINE - DC FAMILY CHIROPRACTIC CHIROPRACTIC MEDICINE 1017 FREMONT AVE STE A, SOUTH (626) 441-4888 CENTER OF SOUTH PASADENA PASADENA, CA 91030

SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 637 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 500 LA TERRAZA BLVD STE 150, (800) 270-5016 BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 6221 METROPOLITAN ST STE 201, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 6221 METROPOLITAN ST STE 201, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 6221 METROPOLITAN ST STE 201, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 638 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH ADDICTION PSYCHIATRY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PAIN MANAGEMENT 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC SMITH, CLARK E - MD (BCC) INSTITUTES OF HEALTH PSYCHIATRY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC SMITH, DAVID C - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - HIP 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP IRVINE, CA 92618 OF ORANGE COUNTY SMITH, DAVID C - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - LOWER 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP EXTREMITIES IRVINE, CA 92618 OF ORANGE COUNTY SMITH, DAVID C - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - UPPER 16300 SAND CANYON AVE STE 511, (714) 634-4567 INSTITUTE MEDICAL GROUP EXTREMITIES IRVINE, CA 92618 OF ORANGE COUNTY SMITH, DAVID C - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - HIP 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SMITH, DAVID C - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - LOWER 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP EXTREMITIES 92868 OF ORANGE COUNTY SMITH, DAVID C - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - UPPER 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP EXTREMITIES 92868 OF ORANGE COUNTY SMITH, DAVID G - MD CONCENTRA MEDICAL HAND SURGERY 542 BROADWAY STE G, CHULA VISTA, (619) 425-8212 CENTER - CHULA VISTA CA 91910 SMITH, DAVID G - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 542 BROADWAY STE G, CHULA VISTA, (619) 425-8212 CENTER - CHULA VISTA CA 91910 SMITH, DAVID G - MD CONCENTRA MEDICAL HAND SURGERY 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 SMITH, DAVID G - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 7862 EL CAJON BLVD, LA MESA, CA (619) 697-3093 CENTER - SORRENTO MESA 91942 SMITH, DAVID G - MD CONCENTRA MEDICAL HAND SURGERY 5333 MISSION CENTER RD , SAN (619) 295-3355 CENTER - MISSION VALLEY DIEGO, CA 92108 SMITH, DAVID G - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 5333 MISSION CENTER RD , SAN (619) 295-3355 CENTER - MISSION VALLEY DIEGO, CA 92108 SMITH, DAVID G - MD CONCENTRA MEDICAL HAND SURGERY 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY CITY, CA 91950 SMITH, DAVID G - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 102 MILE OF CARS WAY , NATIONAL (619) 474-9211 CENTER - NATIONAL CITY CITY, CA 91950 SMITH, DAVID G - MD CONCENTRA MEDICAL HAND SURGERY 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA SAN DIEGO, CA 92121 SMITH, DAVID G - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 10350 BARNES CANYON RD STE 200, (858) 455-0200 CENTER - SORRENTO MESA SAN DIEGO, CA 92121 SMITH, DOMINIC, ROGELIO - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD SMITH, DOMINIC, ROGELIO - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA SMITH, DOMINIC, ROGELIO - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY SMITH, DOMINIC, ROGELIO - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS SMITH, DOMINIC, ROGELIO - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 639 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SMITH, EMILY, CATHERINE - EMILY SMITH ACUPUNCTURE ACUPUNCTURE 21 TAMAL VISTA BLVD STE 219, CORTE (415) 757-7441 LAC MADERA, CA 94925 SMITH, GEOFFREY - MD OTOLARYNGOLOGY (ENT) 1835 W REDLANDS BLVD, REDLANDS, (909) 890-9732 CA 92373 SMITH, JASON R - PT (BCC) MEMORIAL ORTHOPAEDIC PHYSICAL THERAPY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 SURGICAL GROUP 90806 SMITH, JEFFREY - PT BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 421-2959 THERAPY SMITH, JEREMY S - MD (BCC) ORTHOPAEDIC SPECIALTY SPINE SURGERY 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SMITH, JEREMY S - MD (BCC) ORTHOPAEDIC SPECIALTY SPINE SURGERY 280 S MAIN ST STE 200 , ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY SMITH, JERRY - MD (BCC) PHYSICAL MEDICINE AND 1270 E SPRUCE, FRESNO, CA 93720 (559) 256-0439 REHABILITATION SMITH, JULIE - PT NORTH SANTA ROSA PHYSICAL THERAPY 1400 N DUTTON AVE STE 1, SANTA (707) 523-2848 PHYSICAL THERAPY ROSA, CA 95401 SMITH, KARISSA - PT XCELERATE PHYSICAL PHYSICAL THERAPY 144 W LOS ANGELES AVE STE 110, (805) 552-1915 THERAPY MOORPARK, CA 93021 SMITH, KARISSA - PT XCELERATE PHYSICAL PHYSICAL THERAPY 3262 E THOUSAND OAKS BLVD 100, (805) 374-9900 THERAPY THOUSAND OAKS, CA 91362 SMITH, MICHAEL - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 SMITH, MICHAEL D - MD (BCC) CENTER FOR OCCUPATIONAL ORTHOPEDICS - UPPER 6221 WILSHIRE BLVD STE 419, LOS (323) 932-1654 ORTHOPEDICS EXTREMITIES ANGELES , CA 90048 SMITH, MICHAEL D - MD (BCC) CENTER FOR OCCUPATIONAL ORTHOPEDICS - LOWER 6221 WILSHIRE BLVD STE 419, LOS (323) 932-1654 ORTHOPEDICS EXTREMITIES ANGELES , CA 90048 SMITH, MICHAEL D - MD (BCC) CENTER FOR OCCUPATIONAL ORTHOPEDICS - HIP 6221 WILSHIRE BLVD STE 419, LOS (323) 932-1654 ORTHOPEDICS ANGELES , CA 90048 SMITH, MICHAEL D - MD (BCC) CENTER FOR OCCUPATIONAL SPORTS MEDICINE 6221 WILSHIRE BLVD STE 419, LOS (323) 932-1654 ORTHOPEDICS ANGELES , CA 90048 SMITH, MICHAEL D - MD (BCC) CENTER FOR OCCUPATIONAL PRIMARY TREATING 6221 WILSHIRE BLVD STE 419, LOS (323) 932-1654 ORTHOPEDICS PHYSICIAN ANGELES , CA 90048 SMITH, MICHELLE - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 3184 COLLINS DR, MERCED, CA 95348 (209) 230-5289 INJURY CTR SMITH, MONICA - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 31105 RANCHO VIEJO RD STE C9, SAN (949) 496-4330 SPORTS THERAPY JUAN CAPISTRANO, CA 92675 SMITH, RYAN - DC CLEMENTS CHIROPRACTIC CHIROPRACTIC MEDICINE 3720 E ANAHEIM ST STE 180, LONG (562) 986-2865 CENTER BEACH, CA 90804 SMITH, STEPHANIE - PT KEVIN SNIDER PHYSICAL PHYSICAL THERAPY 1920 BARNEY RD, ANDERSON, CA (530) 365-2142 THERAPY 96007 SMITH, TERESE - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 SMITH, VANESSA J - LAC (BCC) SOUTHERN CALIFORNIA ACUPUNCTURE 16200 AMBER VALLEY DR, WHITTIER, (562) 943-7125 UNIVERSITY HEALTH SYSTEM CA 90604 TACTICAL SPORTS MEDICINE SMITHBERGER, CHRISTINE - BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 421-2959 PTA THERAPY SMITHS PHARMACY PHARMACY 1390 RAILROAD AVE, SAINT HELENA, (707) 963-2794 CA 94574 SMOLEK, JAMES C - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER UPPER EXTREMITIES CA 93110 SMOLEK, JAMES C - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER LOWER EXTREMITIES CA 93110 SMOLEK, JAMES C - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDIC SURGERY - HIP 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER CA 93110 SMOLEK, JAMES C - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - UPPER 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER EXTREMITIES CA 93110 SMOLEK, JAMES C - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - LOWER 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER EXTREMITIES CA 93110 SMOLEK, JAMES C - MD (BCC) SANSUM CLINIC - FOOTHILL ORTHOPEDICS - HIP 4151 FOOTHILL RD , SANTA BARBARA, (805) 681-7858 SURGERY CENTER CA 93110

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 640 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SMYLE, LAWRENCE - PT SOUTH CITY PHYSICAL PHYSICAL THERAPY 443 GRAND AVE, SOUTH SAN (650) 588-9668 THERAPY FRANCISCO, CA 94080 SMYLIE, MEREDITH - PT BAUDENDISTEL PHYSICAL PHYSICAL THERAPY 3609 MISSION AVE STE C, (916) 487-4681 THERAPY CARMICHAEL, CA 95608 SNIBBE, JASON C - MD (BCC) ORTHOPEDICS - ELBOW 8436 W 3RD ST STE 800, LOS ANGELES (310) 860-3048 , CA 90048 SNIBBE, JASON C - MD (BCC) ORTHOPEDIC SURGERY - 8436 W 3RD ST STE 800, LOS ANGELES (310) 860-3048 ELBOW , CA 90048 SNIBBE, JASON C - MD (BCC) ORTHOPEDIC SURGERY - HIP 8436 W 3RD ST STE 800, LOS ANGELES (310) 860-3048 , CA 90048 SNIBBE, JASON C - MD (BCC) ORTHOPEDIC SURGERY - 8436 W 3RD ST STE 800, LOS ANGELES (310) 860-3048 KNEE , CA 90048 SNIBBE, JASON C - MD (BCC) ORTHOPEDIC SURGERY - 8436 W 3RD ST STE 800, LOS ANGELES (310) 860-3048 SHOULDER , CA 90048 SNIBBE, JASON C - MD (BCC) ORTHOPEDICS - HIP 8436 W 3RD ST STE 800, LOS ANGELES (310) 860-3048 , CA 90048 SNIBBE, JASON C - MD (BCC) ORTHOPEDICS - KNEE 8436 W 3RD ST STE 800, LOS ANGELES (310) 860-3048 , CA 90048 SNIBBE, JASON C - MD (BCC) ORTHOPEDICS - SHOULDER 8436 W 3RD ST STE 800, LOS ANGELES (310) 860-3048 , CA 90048 SNIDER, KEVIN - PT KEVIN SNIDER PHYSICAL PHYSICAL THERAPY 1920 BARNEY RD, ANDERSON, CA (530) 365-2142 THERAPY 96007 SNOW, ELIZABETH - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 SNOWVIEW PHYSICAL PHYSICAL THERAPY 3936 PHELAN RDSUITE B9, PHELAN, CA (760) 868-0800 THERAPY 92371-4143 SNYDER, JULI - DC SNYDER JULI A CHIROPRACTIC MEDICINE 100 OCONNOR DR STE 25, SAN JOSE, (408) 271-2800 CA 95128 SO CAL HAND THERAPY INC PHYSICAL THERAPY 1965 5TH AVE, SAN DIEGO, CA (619) 851-6072 92101-2300 SO CAL PHYSICAL THERAPY PHYSICAL THERAPY 27616 NEWHALL RANCH RD UNIT 35, (661) 254-0488 VALENCIA, CA 91355-4015 SO, CANDICE, T - DC LATCH AND SO CHIROPRACTIC CHIROPRACTIC MEDICINE 1237 VAN NESS AVE STE 300, SAN (415) 775-4204 FRANCISCO, CA 94109 SO, CHONG, NAM - LAC SM HEALING ACUPUNCTURE ACUPUNCTURE 2120 W 8TH ST STE 208, LOS ANGELES, (213) 271-7088 CLINIC CA 90057 SO, KENNETH, C - DC LATCH AND SO CHIROPRACTIC CHIROPRACTIC MEDICINE 1237 VAN NESS AVE STE 300, SAN (415) 775-4204 FRANCISCO, CA 94109 SO-LOW DRUGS PHARMACY 11270 LOS ALAMITOS BLVD, LOS (562) 596-2729 ALAMITOS, CA 90720 SOARSES, TODD - PT NORTH SANTA ROSA PHYSICAL THERAPY 1400 N DUTTON AVE STE 1, SANTA (707) 523-2848 PHYSICAL THERAPY ROSA, CA 95401 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC PRIMARY TREATING 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PHYSICIAN PALMDALE, CA 93551 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC PRIMARY TREATING 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE PHYSICIAN SHERMAN OAKS , CA 91403 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PALMDALE, CA 93551 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE KNEE PALMDALE, CA 93551 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE SHOULDER PALMDALE, CA 93551 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - HIP 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PALMDALE, CA 93551 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - KNEE 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PALMDALE, CA 93551 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - SHOULDER 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PALMDALE, CA 93551 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHERMAN OAKS , CA 91403 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE KNEE SHERMAN OAKS , CA 91403

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 641 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDIC SURGERY - 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHOULDER SHERMAN OAKS , CA 91403 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - HIP 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHERMAN OAKS , CA 91403 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - KNEE 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHERMAN OAKS , CA 91403 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC ORTHOPEDICS - SHOULDER 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHERMAN OAKS , CA 91403 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC SPORTS MEDICINE 38660 MEDICAL CENTER DR STE A250, (661) 267-7777 INSTITUTE PALMDALE, CA 93551 SOBECK, GREGG R - MD (BCC) LOS ANGELES ORTHOPAEDIC SPORTS MEDICINE 4955 VAN NUYS BLVD STE 615 , (818) 905-2222 INSTITUTE SHERMAN OAKS , CA 91403 SOBER LIVING BY THE SEA SOBER LIVING BY THE SEA CHEMICAL DEPENDENCY 1901 NEWPORT BLVD STE 149, COSTA (949) 673-6696 (BCC) REHABILITATION CENTER MESA, CA 92627 (OUTPATIENT) SOBERAL, JUAN - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 SOBERAL, JUAN, LUIS - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2701 OCEAN PARK BLVD STE 110, (310) 392-0025 SANTA MONICA, CA 90405 SOBERAL, JUAN, LUIS - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 7941 BEACH BLVD STE J, BUENA PARK, (714) 736-6855 CA 90620 SOBIECH, CHELSEA - PT WEST STAR PHYSICAL PHYSICAL THERAPY 600 S GRAND AVE STE 104, SANTA (714) 827-4822 THERAPY ANA, CA 92705 SOBOBA INDIAN HLTH CLINIC PHARMACY 607 DONNA WAY, SAN JACINTO, CA (951) 654-3068 PHCY 92583 SOBRIETY WORKS (BCC) SOBRIETY WORKS CHEMICAL DEPENDENCY 8030 SOQUEL AVE STE 103, SANTA (831) 476-1747 REHABILITATION CENTER CRUZ, CA 95062 (OUTPATIENT) SOCORRO RESIDENTIAL (BCC) SOCORRO RESIDENTIAL CHEMICAL DEPENDENCY 2010 N LINCOLN PARK AVE, LINCOLN (323) 222-1440 REHABILITATION CENTER HEIGHTS, CA 90031 (OUTPATIENT) SODL, JEFFREY F - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 SOFEN, HOWARD - MD DERMATOLOGY 8930 S SEPULVEDA BLVD STE 114, LOS (310) 337-7171 ANGELES, CA 90045 SOGAARD, PATRICIA - PT ADVANCED ORTHOPEDIC PHYSICAL THERAPY 2501 CHERRY AVE STE 250, SIGNAL (562) 595-5159 PHYSICAL THERAPY HILL, CA 90755 SOHI, RAVINDER - OT WEST STAR PHYSICAL OCCUPATIONAL THERAPY 7807 EAST TELEGRAPH ROAD SUITES (323) 722-3529 THERAPY A & B, MONTEBELLO, CA 90640 SOHN, JEHUN - LAC JEHUN SOHN ACUPUNCTURE 860 HAMPSHIRE RD STE P, WESTLAKE (805) 557-8921 VILLAGE, CA 91361 SOLANO PHARMACY PHARMACY 2172 SOLANO WAY, CONCORD, CA (925) 332-5141 94520 SOLANO SPORTS PHYSICAL PHYSICAL THERAPY 1350 BURTON DR STE 260, VACAVILLE, (707) 449-3484 THERAPY INC CA 95687-3545 SOLBERG, BRIAN - MD (BCC) SPINE SURGERY 1414 S GRAND AVE STE 123, LOS (213) 455-8448 ANGELES, CA 90015 SOLBERG, BRIAN - MD (BCC) ORTHOPEDIC SURGERY - HIP 1414 S GRAND AVE STE 123, LOS (213) 455-8448 ANGELES, CA 90015 SOLBERG, BRIAN - MD (BCC) ORTHOPEDIC SURGERY - 1414 S GRAND AVE STE 123, LOS (213) 455-8448 LOWER EXTREMITIES ANGELES, CA 90015 SOLBERG, BRIAN - MD (BCC) ORTHOPEDIC SURGERY - 1414 S GRAND AVE STE 123, LOS (213) 455-8448 UPPER EXTREMITIES ANGELES, CA 90015 SOLBERG, BRIAN - MD (BCC) ORTHOPEDICS - HIP 1414 S GRAND AVE STE 123, LOS (213) 455-8448 ANGELES, CA 90015 SOLBERG, BRIAN - MD (BCC) ORTHOPEDICS - LOWER 1414 S GRAND AVE STE 123, LOS (213) 455-8448 EXTREMITIES ANGELES, CA 90015 SOLBERG, BRIAN - MD (BCC) ORTHOPEDICS - SPINE 1414 S GRAND AVE STE 123, LOS (213) 455-8448 ANGELES, CA 90015 SOLBERG, BRIAN - MD (BCC) ORTHOPEDICS - UPPER 1414 S GRAND AVE STE 123, LOS (213) 455-8448 EXTREMITIES ANGELES, CA 90015 SOLEDAD ORTHOPEDIC PHYSICAL THERAPY 2149 H DE LA ROSA SR ST STE 203, (831) 678-7333 PHYSICAL THERAPY SOLEDAD, CA 93960

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 642 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SOLEIMANI, MONA - ATC DR MONA SOLEIMANI TOTAL ATHLETIC TRAINER 11650 RIVERSIDE DR FL 2, NORTH (818) 239-9251 WELLNESS/FAMILY URGENT HOLLYWOOD, CA 91602 CARE SOLEIMANI, MONA - LAC DR MONA SOLEIMANI TOTAL ACUPUNCTURE 16661 VENTURA BLVD STE 108, (818) 239-9251 WELLNES/FAMILY URGENT ENCINO, CA 91436 CARE SOLEIMANI, MONA - LAC DR MONA SOLEIMANI TOTAL ACUPUNCTURE 4498 WOODMAN AVE, SHERMAN OAKS, (818) 239-9251 WELLNESS/FAMILY URGENT CA 91423 CARE SOLEIMANI, SHARON - OT WAVE HAND THERAPY OCCUPATIONAL THERAPY 9040 FRIARS RD STE 410, SAN DIEGO, (847) 852-9641 CA 92108 SOLEO HEALTH PHARMACY 721 S GLASGOW AVE STE C, (310) 665-1121 INGLEWOOD, CA 90301 SOLEO HEALTH PHARMACY 1324 W WINTON AVE, HAYWARD, CA (510) 362-7360 94545 SOLHPOUR, AMIREZA - MD GLENDALE INTERNAL CARDIOVASCULAR DISEASE 500 N CENTRAL AVE , GLENDALE, CA (818) 242-4191 (BCC) MEDICINE AND CARDIOLOGY (CARDIOLOGY) 91203 MEDICAL GROUP INC SOLIMAN, HISHAM - MD (BCC) PSYCHIATRY 510 PLAZA DR STE 170, FOLSOM, CA (916) 351-9400 95630 SOLIS, JAMES, KENT - DC TOTAL WELLNESS CENTER CHIROPRACTIC MEDICINE 5911 HEIL AVE SUITE E, HUNTINGTON (714) 840-1744 BEACH, CA 92649 SOLIS, KYLIE - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 1640 W YOSEMITE AVE STE 1, (209) 328-1738 PHYSICAL AND MANTECA, CA 95337 OCCUPATIONAL SOLIS, MICHAEL - DC SOLIS CHIROPRACTIC DR CHIROPRACTIC MEDICINE 2333 CAMINO DEL RIO S STE 230, SAN (619) 233-7777 MICHAEL SOLIS DC DIEGO, CA 92108 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 VICTORVILLE , CA 92394 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 1901 W LUGONIA AVE STE 230, (909) 557-1600 REDLANDS , CA 92374 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 VICTORVILLE , CA 92394 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 1901 W LUGONIA AVE STE 230, (909) 557-1600 REDLANDS , CA 92374 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 ELBOW VICTORVILLE , CA 92394 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 SHOULDER VICTORVILLE , CA 92394 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 WRIST VICTORVILLE , CA 92394 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HAND 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 VICTORVILLE , CA 92394 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 VICTORVILLE , CA 92394 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - WRIST 15095 AMARGOSA RD STE 106, 108, (760) 245-6495 VICTORVILLE , CA 92394 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 230, (909) 557-1600 ELBOW REDLANDS , CA 92374 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 230, (909) 557-1600 SHOULDER REDLANDS , CA 92374 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 230, (909) 557-1600 WRIST REDLANDS , CA 92374 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HAND 1901 W LUGONIA AVE STE 230, (909) 557-1600 REDLANDS , CA 92374 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 1901 W LUGONIA AVE STE 230, (909) 557-1600 REDLANDS , CA 92374 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - WRIST 1901 W LUGONIA AVE STE 230, (909) 557-1600 REDLANDS , CA 92374

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 643 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PKWY STE 200, (951) 977-2500 ELBOW RIVERSIDE, CA 92505 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PKWY STE 200, (951) 977-2500 SHOULDER RIVERSIDE, CA 92505 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PKWY STE 200, (951) 977-2500 WRIST RIVERSIDE, CA 92505 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HAND 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 SOLOMAN, JASON - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - WRIST 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 SOLOMON, HOUMAN - MD ASSOCIATION OF SOUTH BAY GENERAL SURGERY 23451 MADISON ST STE 340, (310) 373-6864 (BCC) SURGEONS TORRANCE, CA 90505 SOLOMON, HOUMAN - MD ASSOCIATION OF SOUTH BAY BARIATRIC SURGERY 23451 MADISON ST STE 340, (310) 373-6864 (BCC) SURGEONS TORRANCE, CA 90505 SOLOMON, ILANA - DO CONCENTRA MEDICAL PRIMARY TREATING 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 CENTER - LOS ANGELES - 8TH PHYSICIAN ANGELES, CA 90017 ST SOLOMON, ILANA - DO CONCENTRA MEDICAL FAMILY MEDICINE 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 CENTER - LOS ANGELES - 8TH ANGELES, CA 90017 ST SOLOMON, NAVEEN L - MD LOMA LINDA UNIVERSITY SURGICAL ONCOLOGY 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 (BCC) HEALTH CARE - TRANSPLANT LINDA , CA 92354 INSTITUTE SOLOW, LAWRENCE - AUD ADVANCED HEARING AUDIOLOGY 400 CANAL ST , KING CITY, CA 93930 (800) 598-5300 PROVIDERS LLC SOLOW, LAWRENCE - AUD ADVANCED HEARING AUDIOLOGY 880 CASS ST, MONTEREY, CA 93940 (800) 598-5300 PROVIDERS LLC SOLOW, LAWRENCE - AUD ADVANCED HEARING AUDIOLOGY 920 PARK ROW , SALINAS, CA 93901 (800) 598-5300 PROVIDERS LLC SOLOWAY, DAVID - DC SOLOWAY CHIROPRACTIC INC CHIROPRACTIC MEDICINE 2013 NEWPORT BLVD, COSTA MESA, (714) 804-5108 CA 92627 SOLTANOVICH, IRENE - OT AARON SON THERAPEUTIC OCCUPATIONAL THERAPY 7188 SUNSET BLVD STE 200, LOS (323) 436-0006 SERVICES INC ANGELES, CA 90046 SOMMER, DAVID - DC SOMMER SPORTS CHIROPRACTIC MEDICINE 2345 ERRINGER RD STE 210, SIMI (805) 582-0007 CHIROPRACTIC INC VALLEY, CA 93065 SOMMERHALDER, PAULA - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 SOMMERHALDER, PAULA - OT CALIFORNIA HAND THERAPY OCCUPATIONAL THERAPY 8641 WILSHIRE BLVD STE 200, (310) 854-0529 BEVERLY HILLS, CA 90211 SON, ANDREW K - MD (BCC) LOMA LINDA UNIVERSITY VASCULAR SURGERY 11234 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - VASCULAR LINDA , CA 92354 SURGERY SON, GIANG H - DPM KAISER PERMANENTE PODIATRIC SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER SON, JAEJIN - LAC ADVANCED MD MEDICAL ACUPUNCTURE 3435 CAMINO DEL RIO SOUTH STE 108, (858) 345-4887 GROUP SAN DIEGO, CA 92025 SON, JI H - MD (BCC) RIVERSIDE MEDICAL CLINIC - PLASTIC SURGERY 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 SON, SE - LAC BETHESDA HEALTH GROUP ACUPUNCTURE 740 S WESTERN AVE STE 211, LOS (213) 675-9848 ANGELES, CA 90005 SON, SE - PT PRIME REHAB CENTER PHYSICAL THERAPY 527 N PALM AVE STE 101, ONTARIO, CA (909) 983-3557 91762 SON, SE, JIN - PT PRIME REHAB CENTER PHYSICAL THERAPY 8545 SIERRA AVE, FONTANA, CA 92335 (909) 365-3557 SON, SEUNAI - LAC SEUNGAI SON LAC ACUPUNCTURE 680 WILSHIRE PL STE 316, LOS (213) 247-5440 ANGELES, CA 90005 SONG, ALBERT M - MD KAISER PERMANENTE GENERAL SURGERY 13652 CANTARA ST , PANORAMA CITY, (818) 375-2233 PANORAMA CITY MEDICAL CA 91402 CENTER SONG, DANNY - PT FUNCTION FIT REHAB PHYSICAL THERAPY 5348 CARROLL CANYON RD STE 101, (858) 202-1546 PHYSICAL THERAPY SAN DIEGO, CA 92121

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 644 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SONI, SANDEEP - MD (BCC) INFECTIOUS DISEASE 15644 POMERADO RD STE 202, POWAY, (858) 312-5459 CA 92064 SONODA, JOYCE - LAC NORTH ORANGE COUNTY ACUPUNCTURE 279 E IMPERIAL HWY STE 770, (714) 447-9111 PHYSICAL REHAB INC FULLERTON, CA 92835 SONOMA CO INDIAN HLTH PHARMACY 144 STONY POINT RD, SANTA ROSA, CA (707) 521-4590 PHARMACY 95401 SONOMA HILLS PHYSICAL PHYSICAL THERAPY 151 LYNCH CREEK WAY, PETALUMA, (707) 763-2340 THERAPY CA 94954-2342 SONOMA HILLS PHYSICAL PHYSICAL THERAPY 151 LYNCH CREEK WAY, PETALUMA, (707) 763-2340 THERAPY CA 94954-2342 SONOMA VALLEY COMMUNITY PHARMACY 19270 SONOMA HIGHWAY STE A, (707) 939-2278 PHARMA SONOMA, CA 95476 SONOMA VALLEY HOSPITAL SONOMA VALLEY HOSPITAL ACUTE CARE HOSPITAL 347 ANDRIEUX ST, SONOMA, CA 95476 (707) 935-5000 (BCC) SONORA PHYSICAL THERAPY PHYSICAL THERAPY 181 FAIRVIEW LN, SONORA, CA (209) 532-6463 95370-4809 SONORA REGIONAL MED CTR PHARMACY 1000 GREENLEY RD, SONORA, CA (209) 536-3697 PHCY 95370 SOOK, CHON, HYE - PT ACUNHERB PREVENTATIVE PHYSICAL THERAPY 3700 WLSHRE BLVD STE 655, LOS (213) 973-7789 CARE CENTER ANGELES, CA 90010 SOOKPITI, JARUWAN - LMT AIM FOR WELLNESS MASSAGE THERAPIST 8725 LA TIJERA BLVD, WESTCHESTER, (424) 331-5661 CA 90045 SOORIASH, ROB - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS SAUGUS, CA 91350 SORCI HEALTHCARE PHARMACY 15714 LOS GATOS BLVD STE A, LOS (408) 356-4747 PHARMACY GATOS, CA 95032 SORCI, JONATHAN J - MD CONCENTRA MEDICAL PRIMARY TREATING 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD PHYSICIAN 92618 SORCI, JONATHAN J - MD CONCENTRA MEDICAL FAMILY MEDICINE 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 SORDEAN, JOHN - LAC THE REDWOOD CLINIC ACUPUNCTURE 1720 BANCROFT WAY, BERKELEY, CA (510) 849-1176 94703 SORENSEN, MATTHEW - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 SORENSEN, MATTHEW - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 SORENSEN, MATTHEW - PT TWO TREES PHYSICAL PHYSICAL THERAPY 3418 LOMA VISTA RD STE A, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 SORENSEN, MATTHEW - PT TWO TREES PHYSICAL PHYSICAL THERAPY 5725 RALSTON ST STE 103, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 SORENSEN, SCOTT - DC ADVANCED CHIROPRACTIC CHIROPRACTIC MEDICINE 1650 SIERRA AVE STE 201, YUBA CITY, (530) 671-4616 CA 95993 SORNBORGER, KRISTA - PT RANCHO SANTA MARGARITA PHYSICAL THERAPY 29803 SANTA MARGARITA PKWY, (949) 459-9010 PHYSICAL THERAPY RANCHO SANTA MARGARITA, CA 92688 SORNBORGER, KRISTA - PT SCOR SAN CLEMENTE PHYSICAL THERAPY 653 CAMINO DE LOS MARES STE 110, (949) 496-0122 ORTHOPAEDIC SAN CLEMENTE, CA 92673 REHABILITATION PHYSICAL THERAPY SORTPAK RX PHARMACY 124 S. GLENDALE AVE, GLENDALE, CA (877) 570-7787 91205 SOTO, GABRIEL E - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1600 EUREKA RD BUILDING C MOB 2, (916) 784-4100 ROSEVILLE MEDICAL CENTER ROSEVILLE, CA 95661 SOULE, INJIN - PT SYNERGY PHYSICAL THERAPY PHYSICAL THERAPY 7451 WARNER AVE STE A, (714) 596-0700 HUNTINGTON BEACH, CA 92647 SOUREN, ALEXANIAN - DC LA URGENT CARE CHIROPRACTIC MEDICINE 4221 S ALAMEDA ST, VERNON, CA (323) 676-5111 90058 SOUTH BAY PHARMACY PHARMACY 520 N PROSPECT AVE, REDONDO (310) 379-9885 BEACH, CA 90277 SOUTH BAY RECOVERY SOUTH BAY RECOVERY CHEMICAL DEPENDENCY 15519 CRENSHAW BLVD, GARDENA, CA (310) 679-9126 CENTER (BCC) CENTER REHABILITATION CENTER 90249 (OUTPATIENT) SOUTH BAY SPORTS MEDICINE PHYSICAL THERAPY 3878 W CARSON ST STE 100, (310) 543-4655 PT TORRANCE, CA 90503-6707

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 645 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SOUTH CITY PHYSICAL PHYSICAL THERAPY 443 GRAND AVE, SOUTH SAN (650) 588-9668 THERAPY FRANCISCO, CA 94080-3635 SOUTH COAST BEHAVIORAL SOUTH COAST BEHAVIORAL CHEMICAL DEPENDENCY 3151 AIRWAY AVE STE N2, COSTA (714) 556-2112 HEALTH (BCC) HEALTH REHABILITATION CENTER MESA, CA 92626 (OUTPATIENT) SOUTH COAST FAMILY SOUTH COAST FAMILY URGENT CARE FACILITY 25500 RANCHO NIGUEL RD STE 100, (949) 643-0500 MEDICAL CENTER INC (BCC) MEDICAL CENTER INC LAGUNA NIGUEL, CA 92677 SOUTH COAST GLOBAL SOUTH COAST GLOBAL ACUTE CARE HOSPITAL 2701 S BRISTOL ST, SANTA ANA, CA (714) 754-5454 MEDICAL CENTER (BCC) MEDICAL CENTER 92704 SOUTH COAST GLOBAL SOUTH COAST GLOBAL MENTAL HEALTH/PSYCHIATRIC 2701 S BRISTOL ST, SANTA ANA, CA (714) 754-5454 MEDICAL CENTER (BCC) MEDICAL CENTER HOSPITAL (INPATIENT) 92704 SOUTH COAST MEDICAL SOUTH COAST MEDICAL URGENT CARE FACILITY 5 JOURNEY STE 130, ALISO VIEJO, CA (949) 360-1069 GROUP (BCC) GROUP 92656 SOUTH COAST PHARMACY PHARMACY 3378 S BRISTOL ST, SANTA ANA, CA (714) 755-7002 92704 SOUTH COAST PHYSICAL PHYSICAL THERAPY 23221 S POINTE DR STE 101, LAGUNA (949) 855-3926 THERAPY HILLS, CA 92653 SOUTH COAST PHYSICAL PHYSICAL THERAPY 17752 BEACH BLVD # 306, HUNTINGTON (714) 842-6171 THERAPY BEACH, CA 92647 SOUTH COAST PHYSICAL PHYSICAL THERAPY 5750 DOWNEY AVE STE 301, (562) 633-3501 THERAPY INC LAKEWOOD, CA 90712-1469 SOUTH COAST PHYSICAL PHYSICAL THERAPY 6200 E SPRING ST STE A, LONG BEACH, (562) 421-1008 THERAPY INC CA 90815-1400 SOUTH COURT PHARMACY PHARMACY 1620 S COURT ST, VISALIA, CA 93277 (559) 738-8800 SOUTH GATE PHARMACY PHARMACY 8200 LONG BEACH BLVD D-2, SOUTH (323) 537-2837 GATE, CA 90280 SOUTH GATE ROSE PHARMACY 517 N MAIN ST STE 101, SANTA ANA, CA (714) 953-6861 PHARMACY 92701 SOUTH MAIN ALOHA PHARMACY 618 S MAIN ST, SANTA ANA, CA 92701 (714) 676-2078 PHARMACY SOUTH MARINA PHARMACY PHARMACY 5 JOURNEY STE 140A, ALISO VIEJO, CA (949) 643-5163 92656 SOUTH ORANGE COUNTY PHYSICAL THERAPY 23521 PASEO DE VALENCIA STE 210, (949) 597-0007 PHYSICAL THERAPY LAGUNA HILLS, CA 92653-3140 SPECIALISTS SOUTH PACIFIC PHYSICAL PHYSICAL THERAPY 4940 VAN NUYS BLVDSUITE 301, (818) 907-0952 THERAPY SHERMAN OAKS, CA 91403-1742 SOUTH PACIFIC REHAB PHYSICAL THERAPY 4940 VAN NUYS BLVD STE 301, VAN (818) 907-0952 PHYSICAL THERAPY INC NUYS, CA 91403-1742 SOUTH VALLEY PHARMACY PHARMACY 7496 EIGLEBERRY ST, GILROY, CA (408) 847-6160 SERVICES 95020 SOUTH WESTERN PHARMACY PHARMACY 7301 S WESTERN AVE, LOS ANGELES, (323) 752-1692 CA 90047 SOUTH, ASHLEY - OT BASIL R BESH MD INC OCCUPATIONAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 SOUTHERN CA COMPOUNDING PHARMACY 11125 FLINTKOTE AVE STE F, SAN (858) 622-1278 PHCY DIEGO, CA 92121 SOUTHERN CALIFORNIA PHYSICAL THERAPY 16271 BEACH BLVD, HUNTINGTON (714) 375-1755 AQUATIC THERAPY BEACH, CA 92647-4102 SOUTHERN CALIFORNIA SOUTHERN CALIFORNIA ACUTE CARE HOSPITAL 3828 DELMAS TERRACE, CULVER CITY, (310) 836-7000 HEALTHCARE SYSTEM INC HEALTHCARE SYSTEM INC CA 90232 (BCC) SOUTHERN CALIFORNIA SOUTHERN CALIFORNIA CHEMICAL DEPENDENCY 3828 DELMAS TERRACE, CULVER CITY, (310) 836-7000 HEALTHCARE SYSTEM INC HEALTHCARE SYSTEM INC REHABILITATION HOSPITAL CA 90232 (BCC) (INPATIENT) SOUTHERN CALIFORNIA SOUTHERN CALIFORNIA URGENT CARE FACILITY 3320 S HILL ST, LOS ANGELES, CA (213) 749-5386 MEDICAL GROUP (BCC) MEDICAL GROUP 90007 SOUTHERN HUMBOLDT SOUTHERN HUMBOLDT URGENT CARE FACILITY 509 ELM ST, GARBERVILLE, CA 95542 (707) 923-3925 COMMUNITY HOSPITAL COMMUNITY HOSPITAL DISTRICT (BCC) DISTRICT SOUTHERN INDIAN HEALTH PHARMACY 4058 WILLOWS RD, ALPINE, CA 91901 (619) 445-1188 CLINIC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 646 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SOUTHERN INDIAN HLTH PHARMACY 4058 WILLOWS RD, ALPINE, CA 91901 (619) 445-1188 COUNCIL SOUTHERN INYO HOSPITAL SOUTHERN INYO HOSPITAL ACUTE CARE HOSPITAL 501 E LOCUST ST, LONE PINE, CA 93545 (760) 876-5501 (BCC) SOUTHLAND PHYSICAL PHYSICAL THERAPY 25565 JERONIMO RD, MISSION VIEJO, (949) 627-8800 THERAPY CA 92691-2707 SOUTHLAND PHYSICAL PHYSICAL THERAPY 2755 BRISTOL ST STE 130, COSTA (714) 966-2950 THERAPY MESA, CA 92626-5985 SOUTHLAND PHYSICAL PHYSICAL THERAPY 2820 N BELLFLOWER BLVD, LONG (562) 384-4525 THERAPY BEACH, CA 90815-1125 SOUTHLAND PHYSICAL PHYSICAL THERAPY 4482 BARRANCA PKWY STE 195, (949) 679-3337 THERAPY IRVINE, CA 92604-4706 SOUTHWEST PHARMACY PHARMACY 3400 PANAMA LN STE L, BAKERSFIELD, (661) 837-5700 CA 93313 SOUTHWOOD PHARMACY PHARMACY 22220 PALOS VERDES BLVD, (310) 802-9891 TORRANCE, CA 90505 SOUZA - PT, DANIEL - PT SCOR SAN CLEMENTE PHYSICAL THERAPY 653 CAMINO DE LOS MARES STE 110, (949) 496-0122 ORTHOPAEDIC SAN CLEMENTE, CA 92673 REHABILITATION PHYSICAL THERAPY SOUZA, JENNIFER - PT ORTHOSPORT HEALTH PHYSICAL THERAPY 3500 5TH AVE STE 102, SAN DIEGO, CA (619) 299-9481 CENTER 92103 SOVARI, ALI A - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 2241 WANKEL WAY STE C , OXNARD, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CA 93030 SOVARI, ALI A - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 400 CAMARILLO RANCH RD STE 205, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CAMARILLO , CA 93010 SOZZI, ROBERT0 - MD (BCC) SOUTHERN CALIFORNIA PSYCHIATRY 2698 MATARO ST , PASADENA, CA (626) 773-3300 MENTAL HEALTH ASSOCIATES 91107 SPADACCINI, JULYA - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 520 S VIRGIL AVE UNIT 201, LOS (213) 480-0021 ANGELES, CA 90020 SPAETH, MAYA C - MD (BCC) CALIFORNIA CENTER FOR PLASTIC & RECONSTRUCTIVE 4444 MAGNOLIA AVE STE A , (951) 222-4748 HAND AND RECONSTRUCTION SURGERY - HAND RIVERSIDE, CA 92501 SPARK45 FITNESS AND PHYSICAL THERAPY 4660 CARPINTERIA AVE, CARPINTERIA, (805) 275-3000 PHYSICAL THERAPY CA 93013-1814 SPAULDING PHARMACY PHARMACY 7722 SANTA MONICA BLVD, LOS (323) 656-3663 ANGELES, CA 90046 SPAULDING, ANDREA - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 2101 E 4TH ST STE 170B, SANTA ANA, (714) 558-3977 SPORTS THERAPY CA 92705 SPAULDING, ANDREA - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 2888 LONG BEACH BLVD STE 405, (562) 595-4489 SPORTS THERAPY LONG BEACH, CA 90806 SPAULDING, ANDREA - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 505 N EUCLID ST STE 680, ANAHEIM, CA (714) 780-0010 SPORTS THERAPY 92801 SPEAR, ROBERT, WALLACE - SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 PT THERAPY RAMON, CA 94583 SPEAR, ROBERT, WALLACE - SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 PT THERAPYMAIN 94526 SPEARMAN, MICHAEL - DC INTEGRATIVE INDUSTRIAL AND CHIROPRACTIC MEDICINE 1930 WILSHIRE BLVD STE 600, LOS (213) 483-9902 FAMILY CLINICS ANGELES, CA 90057 SPEARMAN, MICHAEL - DC INTEGRATIVE INDUSTRIAL AND CHIROPRACTIC MEDICINE 1701 W WHITTIER BLVD, MONTEBELLO, (323) 887-3577 FAMILY PRACTICE MEDICAL CA 90640 CLINICS SPEARS BABCOCK, KATRINA - REHAB WELLNESS PHYSICAL MEDICINE AND 1106 LA CIENEGA BLVD STE 207, WEST (310) 289-4939 DO (BCC) REHABILITATION HOLLYWOOD, CA 90069 SPECHT, LINDA H - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 SPECHT, LINDA H - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER SPECIALIST MEDICAL PHARMACY 421 E BEACH AVE UNIT A, INGLEWOOD, (310) 674-4432 PHARMACY CA 90302 SPECIALIZED PHYSICAL PHYSICAL THERAPY 1081 S WNCHESTER BLVD, SAN JOSE, (408) 753-9988 THERAPY SOLUTIONS CA 95128 SPECIALTY CARE RX PHARMACY 2140 W CHAPMAN AVE, ORANGE, CA (714) 941-6177 92868

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 647 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SPECIALTY SURGICAL CENTER AMBULATORY SURGERY 51 N 5TH AVE STE 101, ARCADIA, CA (626) 471-9901 OF ARCADIA LP CENTER 91006 SPECIALTY SURGICAL CENTER AMBULATORY SURGERY 51 N 5TH AVE STE 101, ARCADIA , CA (626) 471-9901 OF ARCADIA LP CENTER 91006 SPECIALTY SURGICAL CENTER AMBULATORY SURGERY 696 HAMPSHIRE RD STE 100, (805) 413-7920 OF THOUSAND OAKS LP CENTER WESTLAKE VILLAGE, CA 91361 SPECTRUM PHARMACY PHARMACY 837 E ANAHEIM ST, LONG BEACH, CA (562) 599-3000 90813 SPECTRUM PHARMACY PHARMACY 18 ENDEAVOR STE 100, IRVINE, CA (949) 679-7288 92618 SPECTRUM PHARMACY 1236 N MAGNOLIA AVE, ANAHEIM, CA (714) 826-6246 PHARMACY-ANAHEIM 92801 SPECTRUM THERAPY & PHYSICAL THERAPY 16 TECHNOLOGY DRSUITE 169, IRVINE, (949) 872-2777 SPORTS PERFORMANCE INC CA 92618-2328 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA PRIMARY TREATING 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN CA 93065 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA PRIMARY TREATING 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE PHYSICIAN THOUSAND OAKS , CA 91361 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE LOWER EXTREMITIES CA 93065 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE UPPER EXTREMITIES CA 93065 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA ORTHOPEDICS - LOWER 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE EXTREMITIES CA 93065 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE EXTREMITIES CA 93065 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE LOWER EXTREMITIES THOUSAND OAKS , CA 91361 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE UPPER EXTREMITIES THOUSAND OAKS , CA 91361 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA ORTHOPEDICS - LOWER 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE EXTREMITIES THOUSAND OAKS , CA 91361 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE EXTREMITIES THOUSAND OAKS , CA 91361 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA SPORTS MEDICINE 3605 ALAMO ST STE 200, SIMI VALLEY, (805) 578-8550 (BCC) ORTHOPEDIC INSTITUTE CA 93065 SPELTS, RICHARD J - DO SOUTHERN CALIFORNIA SPORTS MEDICINE 375 ROLLING OAKS DR STE 210, (805) 497-7015 (BCC) ORTHOPEDIC INSTITUTE THOUSAND OAKS , CA 91361 SPENCER RECOVERY SPENCER RECOVERY CHEMICAL DEPENDENCY 1276 N PALM CANYON DR STE 204, (949) 376-3705 CENTERS INC (BCC) CENTERS INC REHABILITATION CENTER PALM SPRINGS, CA 92262 (OUTPATIENT) SPENCER'S PRESCRIPTION PHARMACY 6942 BROCKTON AVE, RIVERSIDE, CA (951) 686-7373 PHCY 92506 SPENCER, HILLARD T - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 SPENCER, HILLARD T - MD KAISER PERMANENTE IRVINE ORTHOPEDICS 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 SPENCER, HILLARD T - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 SPENCER, KATHLEEN - PT ADVANTAGE REHAB PHYSICAL THERAPY 1200 S DIAMOND BAR BLVD STE 108, (909) 396-0309 ORTHOPEDIC PHYSICAL DIAMOND BAR, CA 91765 THERAPY INC SPENCER, NATHANIEL - MD EMERGENCY MEDICINE 4650 LINCOLN BLVD, MARINA DEL REY, (310) 823-8911 (BCC) CA 90292 SPENCER, ROBERT J - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 390 N PACIFIC COAST HWY STE 1000, (310) 640-9911 CENTER - AIRPORT LAX EL SEGUNDO, CA 90245 SPENCER, ROBERT J - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 15751 ROCKFIELD BLVD , IRVINE, CA (949) 206-9100 CENTER - IRVINE ROCKFIELD 92618 SPENCER, ROBERT J - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 3100 W WARNER AVE , SANTA ANA, (714) 546-4233 CENTER - SANTA ANA CA 92704 WARNER SPENCER, SR, STUART - AUD ADVANCED HEARING AUDIOLOGY 24310 MOULTON PKWY STE D, LAGUNA (800) 598-5300 PROVIDERS LLC WOODS, CA 92637

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 648 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SPIDEL, DANIELLE - PTA CHAPARRAL PHYSICAL PHYSICAL THERAPY 15555 MAIN ST STE A15, HESPERIA, CA (760) 244-4288 THERAPY 92345 SPIDLE, VERNON - PT CHAPARRAL PHYSICAL PHYSICAL THERAPY 525 MELISSA AVE STE B, BARSTOW, CA (760) 256-1888 THERAPY 92311 SPIEGEL, TIMOTHY M - MD COTTAGE HEALTH RHEUMATOLOGY 1919 STATE ST STE 306, SANTA (805) 682-5752 (BCC) BARBARA, CA 93101 SPIRIT WINDS THERAPY PHYSICAL THERAPY 1422 MONTEREY ST STE C102, SAN (805) 543-5100 LUIS OBISPO, CA 93401-2954 SPIRITO, LISA - LMT GABRIEL EDERY MASSAGE THERAPIST 22311 VENTURA BLVD SUITE 116, (818) 651-3252 DC_WOODLAND HILLS WOODLAND HILLS, CA 91364 SPIRITO, LISA - LMT GABRIEL EDERY DC MASSAGE THERAPIST 7439 RESEDA BLVD, RESEDA, CA 91335 (818) 651-3252 SPIRO, STEVEN - MD (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 256-2100 MISSION HILLS, CA 91345 SPIRO, STEVEN - MD (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 91345 SPIRO, STEVEN - MD (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 563-6757 BURBANK, CA 91505 SPIRO, STEVEN - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (661) 222-3100 91355 SPIRO, STEVEN - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 91505 SPIRO, STEVEN - MD (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 500-0523 91206 SPIRTOS, PENNIE - PT THE PHYSICAL EDGE PHYSICAL THERAPY 253 N SANTA ANITA AVE, ARCADIA, CA (626) 294-0070 PHYSICAL THERAPY INC 91006 SPISAK, STEVEN A - MD KAISER PERMANENTE SAN SPINE SURGERY 275 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 SPITZER'S PHYSICAL THERAPY PHYSICAL THERAPY 524 S CLOVIS AVE STE I, FRESNO, CA (559) 322-5345 93727-4529 SPITZER'S PHYSICAL THERAPY PHYSICAL THERAPY 615 4TH ST, CLOVIS, CA 93612-1124 (559) 322-5345 INC. SPIVACK, BRIAN - MD (BCC) SURGERY 510 N 13TH AVE STE 204, UPLAND, CA (909) 920-0525 91786 SPIVACK, BRIAN - MD (BCC) SURGERY 8263 GROVE AVE STE 204, RANCHO (909) 946-5320 CUCAMONGA, CA 91730 SPLAWN, ROBERT G - MD CONCENTRA MEDICAL EMERGENCY MEDICINE 2171 SOUTH GROVE AVE STE A, (909) 923-4080 CENTER - ONTARIO GROVE ONTARIO, CA 91761 SPONZILLI, ERNEST - MD SPINE SURGERY 2 BON AIR RD, LARKSPUR, CA 94109 (415) 927-5300 SPONZILLI, ERNEST - MD ORTHOPEDICS - SPINE 2 BON AIR RD, LARKSPUR, CA 94109 (415) 927-5300 SPOONAMORE, MARK - MD KECK HOSPITAL OF USC (BCC) ORTHOPEDICS - SPINE 1450 SAN PABLO ST STE 5400, LOS (323) 442-5300 ANGELES, CA 90033 SPOONAMORE, MARK - MD KECK HOSPITAL OF USC (BCC) SPINE SURGERY 1450 SAN PABLO ST STE 5400, LOS (323) 442-5300 ANGELES, CA 90033 SPOOR, KAREN L - PHD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (562) 493-6799 SHERMAN OAKS , CA 91411 SPOOR, KAREN L - PHD (BCC) SHORELINE MENTAL HEALTH PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (562) 493-6799 SEAL BEACH, CA 90740 SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 PSYCHOLOGICAL NETWORK CA 90242 SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 300 E ESPLANADE DR STE 900 (818) 501-4700 PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 6331 GREENLEAF AVE STE G , (818) 501-4700 PSYCHOLOGICAL NETWORK WHITTIER, CA 90601

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 649 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 PSYCHOLOGICAL NETWORK 90601 SPOOR, KAREN L - PHD (BCC) WESTERN PACIFIC PSYCHOLOGY 900 E WASHINGTON ST STE 300, (818) 501-4700 PSYCHOLOGICAL NETWORK COLTON, CA 92324 SPORT AND SPINE THERAPY PHYSICAL THERAPY 719 SOUTHPOINT BLVD STE A, (707) 981-8062 OF MARIN PETALUMA, CA 94954 SPORT REHAB PHYSICAL PHYSICAL THERAPY 81 CERNON ST, VACAVILLE, CA (707) 447-9750 THERAPY 95688-2803 SPORTFIT PHYSICAL THERAPY PHYSICAL THERAPY 350 BOLLINGER CANYON LN STE A, (925) 735-6414 SAN RAMON, CA 94582-4592 SPORTS & ORTHOPEDIC PHYSICAL THERAPY 6335 N FRESNO ST STE 108, FRESNO, (559) 432-0524 PHYSICAL THERAPY CLINIC CA 93710-5272 SPORTS & WELLNESS PHYSICAL THERAPY 3440 S HIGUERA ST STE 120, SAN LUIS (805) 439-2159 PHYSICAL THERAPY OBISPO, CA 93401-7393 SPORTS AND ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY, OAKLAND, CA 94611-4792 IN SPORTS INJURY PT DBA CATZ PHYSICAL THERAPY 801 S RAYMOND AVE, PASADENA, CA (626) 356-0599 PHYSICAL THERAPY 91105-3223 SPORTS MOTION PHYSICAL PHYSICAL THERAPY 24007 VENTURA BLVD STE 100, (818) 224-2090 THERAPY CALABASAS, CA 91302 SPORTS MOTION PT PHYSICAL THERAPY 24007 VENTURA BLVD STE 100, (818) 224-2090 CALABASAS, CA 91302-2549 SPORTS PHYSICAL THERAPY PHYSICAL THERAPY 2675 STEVENSON BLVD, FREMONT, CA (510) 794-5800 94538 SPORTS PHYSICAL THERAPY PHYSICAL THERAPY 2675 STEVENSON BLVD, FREMONT, CA (510) 794-5800 94538-2317 SPORTS THERAPY PHYSICAL THERAPY 1545 BAYSHORE HWY, BURLINGAME, (650) 692-5633 ASSOCIATES CA 94010-1602 SPRAGG, LINDSEY MARIE - MD BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE KNEE MANHATTAN BEACH, CA 90266 SPRAGG, LINDSEY MARIE - MD BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE SHOULDER MANHATTAN BEACH, CA 90266 SPRAGG, LINDSEY MARIE - MD BEACH CITIES ORTHOPEDICS ORTHOPEDICS - KNEE 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 SPRAGG, LINDSEY MARIE - MD BEACH CITIES ORTHOPEDICS ORTHOPEDICS - SHOULDER 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE MANHATTAN BEACH, CA 90266 SPRING PARK PHARMACY PHARMACY 6226 E SPRING ST, LONG BEACH, CA (562) 420-1303 90815 SPUNT, GARY - DC ARLINGTON FAMILY CHIROPRACTIC MEDICINE 6611 ARLINGTON AVE STE E, (951) 359-1131 CHIROPRACTIC RIVERSIDE, CA 92504 SPURGEON, BENJAMIN - DO KAISER PERMANENTE NEUROLOGY 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 SPURRELL, KATHRYN - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 6699 ALVARADO RD STE 2101, SAN (619) 229-3909 FAMILY HEALTH CENTER DIEGO, CA 92120 SPYCHALSKI, JEFFREY W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS UPPER EXTREMITIES NUYS , CA 91406 SPYCHALSKI, JEFFREY W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS LOWER EXTREMITIES NUYS , CA 91406 SPYCHALSKI, JEFFREY W - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS NUYS , CA 91406 SPYCHALSKI, JEFFREY W - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS EXTREMITIES NUYS , CA 91406 SPYCHALSKI, JEFFREY W - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS EXTREMITIES NUYS , CA 91406 SPYCHALSKI, JEFFREY W - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS NUYS , CA 91406 SPYCHALSKI, JEFFREY W - MD LA BONE AND JOINT INSTITUTE SPORTS MEDICINE 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 SPYCHALSKI, JEFFREY W - MD LA BONE AND JOINT INSTITUTE PRIMARY TREATING 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) PHYSICIAN ENCINO, CA 91436 SPYCHALSKI, JEFFREY W - MD SOUTHERN CALIFORNIA PRIMARY TREATING 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP PHYSICIAN 90007

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 650 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SPYCHALSKI, JEFFREY W - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP LOWER EXTREMITIES 90007 SPYCHALSKI, JEFFREY W - MD SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP UPPER EXTREMITIES 90007 SPYCHALSKI, JEFFREY W - MD SOUTHERN CALIFORNIA ORTHOPEDICS - LOWER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP EXTREMITIES 90007 SPYCHALSKI, JEFFREY W - MD SOUTHERN CALIFORNIA ORTHOPEDICS - UPPER 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP EXTREMITIES 90007 SPYCHALSKI, JEFFREY W - MD LA BONE AND JOINT INSTITUTE EMERGENCY MEDICINE 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 SPYCHALSKI, JEFFREY W - MD SOUTHERN CALIFORNIA SPORTS MEDICINE 3320 S HILL ST , LOS ANGELES , CA (213) 749-5386 (BCC) MEDICAL GROUP 90007 SRIKUREJA, DANIEL P - MD LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S ST ANTONY PHARMACY PHARMACY 310 E GRAND AVE STE 105, EL (310) 524-9244 SEGUNDO, CA 90245 ST BERNARDINE MEDICAL ST BERNARDINE MEDICAL ACUTE CARE HOSPITAL 2101 N WATERMAN AVE, SAN (909) 883-8711 CENTER (BCC) CENTER BERNARDINO, CA 92404 ST ELIZABETH COMMUNITY ST ELIZABETH COMMUNITY ACUTE CARE HOSPITAL 2550 SISTER MARY COLUMBA DR, RED (530) 529-8000 HOSPITAL (BCC) HOSPITAL BLUFF, CA 96080 ST FRANCIS MEDICAL CENTER ST FRANCIS MEDICAL CENTER ACUTE CARE HOSPITAL 3630 E IMPERIAL HWY, LYNWOOD, CA (310) 900-8900 (BCC) 90262 ST FRANCIS MEMORIAL ST FRANCIS MEMORIAL ACUTE CARE HOSPITAL 900 HYDE ST, SAN FRANCISCO, CA (415) 353-6000 HOSPITAL (BCC) HOSPITAL 94109 ST FRANCIS MEMORIAL ST FRANCIS MEMORIAL MENTAL HEALTH/PSYCHIATRIC 900 HYDE ST 7 FL, SAN FRANCISCO, CA (415) 353-6270 HOSPITAL REHAB UNIT (BCC) HOSPITAL REHAB UNIT HOSPITAL (INPATIENT) 94109 ST GEORGE PHARMACY PHARMACY 166 N MOORPARK RD STE 105, (805) 370-6777 THOUSAND OAKS, CA 91360 ST GEORGES MEDICAL CLINIC ST GEORGES MEDICAL CLINIC OCCUPATIONAL HEALTH 1750 E COLORADO BLVD, PASADENA, (626) 440-0097 (BCC) CENTER CA 91106 ST GEORGES MEDICAL CLINIC ST GEORGES MEDICAL CLINIC URGENT CARE FACILITY 1750 E COLORADO BLVD, PASADENA, (626) 440-0097 (BCC) CA 91106 ST HELEN'S MEDICAL PHARMACY 17577 ARROW BLVD STE 101, (909) 428-9842 PHARMACY FONTANA, CA 92335 ST HELENA HOSPITAL (BCC) ST HELENA HOSPITAL CHEMICAL DEPENDENCY 33 WOODLAND RD, SAINT HELENA, CA (707) 963-3611 REHABILITATION CENTER 94574 (OUTPATIENT) ST HELENA HOSPITAL CENTER ST HELENA HOSPITAL CENTER MENTAL HEALTH/PSYCHIATRIC 525 OREGON ST, VALLEJO, CA 94590 (707) 649-4040 FOR BEHAVIORAL (BCC) FOR BEHAVIORAL HOSPITAL (INPATIENT) ST JAMES HEALTH CENTER PHARMACY 55 E JULIAN ST, SAN JOSE, CA 95112 (408) 918-2613 PHCY ST JAMES PHARMACY PHARMACY 7611 ATLANTIC AVE, CUDAHY, CA 90201 (323) 773-1700 ST JOHN'S PHARMACY PHARMACY 3074 E FLORENCE AVE, HUNTINGTON (323) 277-8388 PARK, CA 90255 ST JOHNS FAMILY PHARMACY PHARMACY 14514 RAMONA BLVD STE 4, BALDWIN (626) 962-6471 PARK, CA 91706 ST JOHNS MEDICAL PLAZA PHARMACY 1301 20TH ST STE 120, SANTA MONICA, (310) 453-6553 PHCY CA 90404 ST JOHNS REGIONAL MEDICAL ST JOHNS REGIONAL MEDICAL ACUTE CARE HOSPITAL 1600 N ROSE AVE, OXNARD, CA 93030 (805) 988-2500 CENTER (BCC) CENTER ST JOSEPH HLTH SYS HOME PHARMACY 200 W CENTER STREET, ANAHEIM, CA (714) 712-7084 HLTH 92805 ST JOSEPH HOSPITAL (BCC) ST JOSEPH HOSPITAL ACUTE CARE HOSPITAL 2700 DOLBEER ST, EUREKA, CA 95501 (707) 445-8121 ST JOSEPH HOSPITAL ST JOSEPH HOSPITAL ACUTE CARE HOSPITAL 1100 W STEWART DR, ORANGE, CA (714) 633-9111 ORANGE (BCC) ORANGE 92868 ST JOSEPH HOSPITAL PSYCH ST JOSEPH HOSPITAL PSYCH MENTAL HEALTH/PSYCHIATRIC 1100 W STEWART DR, ORANGE, CA (714) 633-9111 UNIT (BCC) UNIT HOSPITAL (INPATIENT) 92868 ST JOSEPH PAVILLION PHARMACY 1140 W LA VETA AVE, ORANGE, CA (714) 744-8724 PHARMACY 92868 ST JOSEPHS BEHAVIORAL ST JOSEPHS BEHAVIORAL MENTAL HEALTH/PSYCHIATRIC 2510 N CALIFORNIA ST, STOCKTON, CA (209) 461-2000 HEALTH CENTER (BCC) HEALTH CENTER HOSPITAL (INPATIENT) 95204

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 651 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ST JOSEPHS MEDICAL CENTER ST JOSEPHS MEDICAL CENTER ACUTE CARE HOSPITAL 1800 N CALIFORNIA ST, STOCKTON, CA (209) 943-2000 OF STOCKTON (BCC) OF STOCKTON 95204 ST JUDE MEDICAL CENTER ST JUDE MEDICAL CENTER ACUTE CARE HOSPITAL 101 E VALENCIA MESA DR, (714) 871-3280 (BCC) FULLERTON, CA 92835 ST LOUIS DRUG PHARMACY 2100 E 1ST ST, LOS ANGELES, CA 90033 (323) 268-6819 ST LUKE PHARMACY PHARMACY 16660 PARAMOUNT BLVD, (562) 220-2610 PARAMOUNT, CA 90723 ST LUKE PHARMACY PHARMACY 7024 SEVILLE AVE STE E, HUNTINGTON (323) 587-1200 PARK, CA 90255 ST LUKE PHARMACY PHARMACY 16402 PARAMOUNT BLVD, (562) 220-2793 PARAMOUNT, CA 90723 ST LUKE PHARMACY PHARMACY 16317 CLARK AVE, BELLFLOWER, CA (562) 202-9838 90706 ST LUKE PHARMACY PHARMACY 4077 WHITTIER BLVD, LOS ANGELES, (323) 406-2850 CA 90023 ST LUKE'S PROFESSIONAL PHARMACY 2554 E WASHINGTON BLVD, (626) 791-7595 PHCY PASADENA, CA 91107 ST MARY MEDICAL CENTER ST MARY MEDICAL CENTER ACUTE CARE HOSPITAL 1050 LINDEN AVE, LONG BEACH, CA (562) 491-9000 (BCC) 90813 ST MARY MEDICAL CENTER ST MARY MEDICAL CENTER ACUTE CARE HOSPITAL 18300 US HIGHWAY 18, APPLE VALLEY, (760) 242-2311 (BCC) CA 92307 ST MARY PHARMACY PHARMACY 505 W WILLOW ST, LONG BEACH, CA (562) 492-9484 90806 ST MARY PHARMACY PHARMACY 8254 WHITE OAK AVE UNIT 4, (818) 975-8004 NORTHRIDGE, CA 91325 ST MARY PHYSICAL THERAPY PHYSICAL THERAPY 432 S CHURCH ST, VISALIA, CA (559) 372-8414 93277-2703 ST MARY'S MEDICAL CENTER PHARMACY 2235 HAYES ST, SAN FRANCISCO, CA (415) 750-4878 CLIN 94117 ST MARYS HOSPITAL REHAB ST MARYS HOSPITAL REHAB MENTAL HEALTH/PSYCHIATRIC 450 STANYAN ST 4 FL, SAN (415) 668-1000 UNIT (BCC) UNIT HOSPITAL (INPATIENT) FRANCISCO, CA 94117 ST MARYS MEDICAL CENTER ST MARYS MEDICAL CENTER ACUTE CARE HOSPITAL 450 STANYAN ST, SAN FRANCISCO, CA (415) 668-1000 (BCC) 94117 ST MINA PHARMACY PHARMACY 8110 MANGO AVE STE 105, FONTANA, (909) 350-3200 CA 92335 ST MINA PHARMACY AND PHARMACY 16701 VALLEY BLVD STE E, FONTANA, (909) 823-2515 HOME CARE CA 92335 ST ROSE HOSPITAL (BCC) ST ROSE HOSPITAL ACUTE CARE HOSPITAL 27200 CALAROGA AVE, HAYWARD, CA (510) 264-4000 94545 ST, JOHN, AMY - PT SAN DIEGO SPINE SPORT PHYSICAL THERAPY 3760 CONVOY ST STE 100, SAN DIEGO, (858) 627-9124 INCMAIN SITE CA 92111 ST, JOHN, AMY - PT SAN DIEGO SPINE SPORT PHYSICAL THERAPY 3760 CONVOY ST STE 100, SAN DIEGO, (858) 573-9368 INCMAIN SITE CA 92111 STAACK, ANDREA - MD (BCC) LOMA LINDA UNIVERSITY UROLOGY 11370 ANDERSON ST FMO 1100, LOMA (800) 679-4642 HEALTH CARE - UROLOGY LINDA , CA 92354 DEPARTMENT FP&S STACY MEDICAL CENTER STACY MEDICAL CENTER OCCUPATIONAL HEALTH 4580 PACIFIC BLVD, VERNON, CA 90058 (323) 584-0779 (BCC) CENTER STACY, TIFFANY - AUD ADVANCED HEARING AUDIOLOGY 10765 WOODSIDE AVE STE A, SANTEE, (800) 598-5300 PROVIDERS LLC CA 92008 STAMMER, JOHN - PT COMPREHENSIVE PHYSICAL THERAPY 22622 VANOWEN ST, WEST HILLS, CA (818) 999-3582 THERAPEUTICS INC 91307 STAMMIRE, RAY - DC WARNER CENTER CHIROPRACTIC MEDICINE 6325 TOPANGA CYN BLVD STE 111, (818) 716-6112 CHIROPRACTIC WOODLAND HILLS, CA 91367 STAMPS, ERIC D - DPM KAISER PERMANENTE SAN PODIATRY 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 RAFAEL MEDICAL CENTER RAFAEL, CA 94903 STAN'S DRUGS PHARMACY 3001 SAVIERS RD, OXNARD, CA 93033 (805) 486-2678 STANFORD HEALTH CARE PHARMACY 875 BLAKE WILBUR DR, PALO ALTO, CA (650) 736-3800 PHARMACY 94304 STANFORD HEALTH CARE STANFORD HEALTH CARE ACUTE CARE HOSPITAL 5555 W LAS POSITAS BLVD, (925) 847-3000 VALLEYCARE (BCC) VALLEYCARE PLEASANTON, CA 94588 STANFORD, JESSICA - OT PACIFIC HILLS MANOR OCCUPATIONAL THERAPY 370 NOBLE CT, MORGAN HILL, CA 95037 (408) 779-7346

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 652 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone STANFORD, STEVE R - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 CENTER - AIRPORT LAX ANGELES, CA 90045 STANFORD, STEVE R - MD CONCENTRA MEDICAL PRIMARY TREATING 6033 W CENTURY BLVD STE 200, LOS (310) 215-1600 CENTER - AIRPORT LAX PHYSICIAN ANGELES, CA 90045 STANFORD, STEVE R - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS SAUGUS, CA 91350 STANFORD, STEVE R - MD CONCENTRA MEDICAL PRIMARY TREATING 22840 SOLEDAD CANYON RD , (661) 799-1776 CENTER - SAUGUS PHYSICIAN SAUGUS, CA 91350 STANFRED DRUGS PHARMACY 8031 VINELAND AVE, SUN VALLEY, CA (818) 767-3737 91352 STANGL, TIFFANY - AUD ADVANCED HEARING AUDIOLOGY 3772 MISSION AVE STE 117, (800) 598-5300 PROVIDERS LLC OCEANSIDE, CA 92058 STANISLAUS SURGICAL STANISLAUS SURGICAL ACUTE CARE HOSPITAL 1421 OAKDALE RD, MODESTO, CA (209) 572-2700 HOSPITAL LLC (BCC) HOSPITAL LLC 95355 STANISLAWSKI, EDWARD - DC BODY DYNAMIX INTEGRATED CHIROPRACTIC MEDICINE 18344 OXNARD ST STE 104, TARZANA, (818) 783-4085 SPORTS MEDICINE CA 91356 STANLEY, KAREN - OTA PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 STANOWSKI, BEN - AUD ADVANCED HEARING AUDIOLOGY 38750 PASEO PADRE PKWY STE A5, (800) 598-5300 PROVIDERS LLC FREMONT, CA 94536 STANOWSKI, BEN - AUD ADVANCED HEARING AUDIOLOGY 11340 MOUNTAIN VIEW UNIT A, LOMA (800) 598-5300 PROVIDERS LLC LINDA, CA 92354 STAR DRUG PHARMACY 3576 MADERA ST, SANTA YNEZ, CA (805) 688-6898 93460 STAR PHARMACY PHARMACY 14400 VANOWEN ST, VAN NUYS, CA (818) 304-0881 91405 STAR PHARMACY PHARMACY 6448 HALLEE RD STE 2, JOSHUA TREE, (760) 366-3653 CA 92252 STAR PHARMACY PHARMACY 1273 S MAIN ST, SALINAS, CA 93901 (831) 424-0395 STAR PHYSICAL THERAPY PHYSICAL THERAPY 1779 WOODSIDE RD STE 102, (650) 780-9700 REDWOOD CITY, CA 94061 STARFISH THERAPY PLLC PHYSICAL THERAPY 1650 S AMPHLETT BLVDSUITE 108, SAN (650) 638-9142 MATEO, CA 94402-2514 STARK, LIS - MD (BCC) HAND AND ORTHOPEDIC ORTHOPEDIC SURGERY - 8555 FLORENCE AVE, DOWNEY, CA (562) 923-9351 CENTER OF CALIFORNIA WRIST 90241 STARK, LIS - MD (BCC) HAND AND ORTHOPEDIC ORTHOPEDICS - HAND 8555 FLORENCE AVE, DOWNEY, CA (562) 923-9351 CENTER OF CALIFORNIA 90241 STARK, LIS - MD (BCC) HAND AND ORTHOPEDIC ORTHOPEDICS - WRIST 8555 FLORENCE AVE, DOWNEY, CA (562) 923-9351 CENTER OF CALIFORNIA 90241 STARK, LIS - MD (BCC) RELIANT URGENT CARE ORTHOPEDIC SURGERY - 5901 W CENTURY BLVD, LOS ANGELES, (310) 215-6020 WRIST CA 90045 STARK, LIS - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - HAND 5901 W CENTURY BLVD, LOS ANGELES, (310) 215-6020 CA 90045 STARK, LIS - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - WRIST 5901 W CENTURY BLVD, LOS ANGELES, (310) 215-6020 CA 90045 STARK, LIS - MD (BCC) HAND AND ORTHOPEDIC HAND SURGERY 8555 FLORENCE AVE, DOWNEY, CA (562) 923-9351 CENTER OF CALIFORNIA 90241 STARK, LIS - MD (BCC) RELIANT URGENT CARE HAND SURGERY 5901 W CENTURY BLVD, LOS ANGELES, (310) 215-6020 CA 90045 STARK, LIS Z - MD (BCC) BAYSIDE MEDICAL CENTER HAND SURGERY 2301 W EL SEGUNDO BLVD, (323) 757-2118 HAWTHORNE, CA 90250 STARK, LIS Z - MD (BCC) BAYSIDE MEDICAL CENTER ORTHOPEDIC SURGERY - 2301 W EL SEGUNDO BLVD, (323) 757-2118 WRIST HAWTHORNE, CA 90250 STARK, LIS Z - MD (BCC) BAYSIDE MEDICAL CENTER ORTHOPEDICS - HAND 2301 W EL SEGUNDO BLVD, (323) 757-2118 HAWTHORNE, CA 90250 STARK, LIS Z - MD (BCC) BAYSIDE MEDICAL CENTER ORTHOPEDICS - WRIST 2301 W EL SEGUNDO BLVD, (323) 757-2118 HAWTHORNE, CA 90250 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDIC SURGERY - 2300 W BEVERLY BLVD STE 100, (626) 467-0202 WRIST MONTEBELLO, CA 90640 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - HAND 2300 W BEVERLY BLVD STE 100, (626) 467-0202 MONTEBELLO, CA 90640 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - WRIST 2300 W BEVERLY BLVD STE 100, (626) 467-0202 MONTEBELLO, CA 90640

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 653 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDIC SURGERY - 5900 PACIFIC BLVD, HUNTINGTON (310) 215-6020 WRIST PARK, CA 90255 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - HAND 5900 PACIFIC BLVD, HUNTINGTON (310) 215-6020 PARK, CA 90255 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - WRIST 5900 PACIFIC BLVD, HUNTINGTON (310) 215-6020 PARK, CA 90255 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDIC SURGERY - 814 S FRANCISCO ST, LOS ANGELES, (626) 467-0202 WRIST CA 90017 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - HAND 814 S FRANCISCO ST, LOS ANGELES, (626) 467-0202 CA 90017 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - WRIST 814 S FRANCISCO ST, LOS ANGELES, (626) 467-0202 CA 90017 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDIC SURGERY - 11460 TELEGRAPH RD , SANTA FE (310) 491-7060 WRIST SPRINGS , CA 90670 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - HAND 11460 TELEGRAPH RD , SANTA FE (310) 491-7060 SPRINGS , CA 90670 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE ORTHOPEDICS - WRIST 11460 TELEGRAPH RD , SANTA FE (310) 491-7060 SPRINGS , CA 90670 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE HAND SURGERY 2300 W BEVERLY BLVD STE 100, (626) 467-0202 MONTEBELLO, CA 90640 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE HAND SURGERY 5900 PACIFIC BLVD, HUNTINGTON (310) 215-6020 PARK, CA 90255 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE HAND SURGERY 814 S FRANCISCO ST, LOS ANGELES, (626) 467-0202 CA 90017 STARK, LIS Z - MD (BCC) RELIANT URGENT CARE HAND SURGERY 11460 TELEGRAPH RD , SANTA FE (310) 491-7060 SPRINGS , CA 90670 STARS PHARMACY PHARMACY 830 GUADALUPE ST, GUADALUPE, CA (805) 219-0770 93434 STATE COLLEGE PHYSICAL PHYSICAL THERAPY 215 N ST COLLEGE BLVD STE G, (714) 999-6596 THERAPY, INC. DBA ANAHEIM ANAHEIM, CA 92806-2932 H STATE COLLEGE PHYSICAL PHYSICAL THERAPY 500 S ANAHEIM HLS RD STE 106, (714) 685-0700 THERAPY, INC. DBA ANAHEIM ANAHEIM, CA 92807-4761 H STATE OF THE ART PHYSICAL PHYSICAL THERAPY 2492 WALNUT AVE STE 140, TUSTIN, CA (714) 544-2188 THERAPY 92780-6953 STATE PHARMACY PHARMACY 15714 1/2 VANOWEN ST, VAN NUYS, CA (818) 386-8555 91406 STAUBER, MARTIN H - MD FIRST CALIFORNIA PHYSICIAN ORTHOPEDICS - HIP 16611 E YORBA LINDA BLVD , YORBA (714) 428-6711 (BCC) PARTNERS LINDA, CA 92886 STAUBER, MARTIN H - MD FIRST CALIFORNIA PHYSICIAN ORTHOPEDICS - LOWER 16611 E YORBA LINDA BLVD , YORBA (714) 428-6711 (BCC) PARTNERS EXTREMITIES LINDA, CA 92886 STAUBER, MARTIN H - MD FIRST CALIFORNIA PHYSICIAN ORTHOPEDICS - UPPER 16611 E YORBA LINDA BLVD , YORBA (714) 428-6711 (BCC) PARTNERS EXTREMITIES LINDA, CA 92886 STAUFFER, RICHARD - PT PRN POWAY THE TRAINING PHYSICAL THERAPY 15725 POMERADO RD STE 106, POWAY, (858) 592-8855 ROOM CA 92064 STAVRIANOUDAKIS, BIOSPORT PHYSICAL PHYSICAL THERAPY 1933 COFFEE RD, MODESTO, CA 95355 (209) 524-7488 ALEXANDER - PT THERAPY STAVRIANOUDAKIS, ANTONIA - JBJC INC DBA PINE STREET OCCUPATIONAL THERAPY 534 E PINE ST STE A, STOCKTON, CA (209) 463-5800 OT PHYSICAL AND 95204 OCCUPATIONAL STCH OUTPATIENT PHARMACY PHARMACY 1420 N TRACY BLVD RM 2020, TRACY, (209) 832-5602 CA 95376 STEA, RICHARD A - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 STEBEN, THEODORE - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 258-5987 MAIN ACCOUNT ANGELES, CA 90066 STECKLER, JANE - AUD ADVANCED HEARING AUDIOLOGY 122 N HARBOR BLVD STE 203, (800) 598-5300 PROVIDERS LLC FULLERTON, CA 92832 STEELE, BRADLEY E - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 STEIN, GARY - MD (BCC) SPINE SURGERY 1405 MONTGOMERY DR, SANTA ROSA, (707) 546-1922 CA 95405

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 654 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone STEIN, GARY - MD (BCC) SPINE SURGERY 34 MARK W SPRINGS RD STE 300, (707) 546-1922 SANTA ROSA, CA 95403 STEIN, GARY - MD (BCC) ORTHOPEDIC SURGERY - HIP 1405 MONTGOMERY DR, SANTA ROSA, (707) 546-1922 CA 95405 STEIN, GARY - MD (BCC) ORTHOPEDIC SURGERY - 1405 MONTGOMERY DR, SANTA ROSA, (707) 546-1922 LOWER EXTREMITIES CA 95405 STEIN, GARY - MD (BCC) ORTHOPEDIC SURGERY - 1405 MONTGOMERY DR, SANTA ROSA, (707) 546-1922 UPPER EXTREMITIES CA 95405 STEIN, GARY - MD (BCC) ORTHOPEDICS - HIP 1405 MONTGOMERY DR, SANTA ROSA, (707) 546-1922 CA 95405 STEIN, GARY - MD (BCC) ORTHOPEDICS - LOWER 1405 MONTGOMERY DR, SANTA ROSA, (707) 546-1922 EXTREMITIES CA 95405 STEIN, GARY - MD (BCC) ORTHOPEDICS - SPINE 1405 MONTGOMERY DR, SANTA ROSA, (707) 546-1922 CA 95405 STEIN, GARY - MD (BCC) ORTHOPEDICS - UPPER 1405 MONTGOMERY DR, SANTA ROSA, (707) 546-1922 EXTREMITIES CA 95405 STEIN, GARY - MD (BCC) ORTHOPEDIC SURGERY - HIP 34 MARK W SPRINGS RD STE 300, (707) 546-1922 SANTA ROSA, CA 95403 STEIN, GARY - MD (BCC) ORTHOPEDIC SURGERY - 34 MARK W SPRINGS RD STE 300, (707) 546-1922 LOWER EXTREMITIES SANTA ROSA, CA 95403 STEIN, GARY - MD (BCC) ORTHOPEDIC SURGERY - 34 MARK W SPRINGS RD STE 300, (707) 546-1922 UPPER EXTREMITIES SANTA ROSA, CA 95403 STEIN, GARY - MD (BCC) ORTHOPEDICS - HIP 34 MARK W SPRINGS RD STE 300, (707) 546-1922 SANTA ROSA, CA 95403 STEIN, GARY - MD (BCC) ORTHOPEDICS - LOWER 34 MARK W SPRINGS RD STE 300, (707) 546-1922 EXTREMITIES SANTA ROSA, CA 95403 STEIN, GARY - MD (BCC) ORTHOPEDICS - SPINE 34 MARK W SPRINGS RD STE 300, (707) 546-1922 SANTA ROSA, CA 95403 STEIN, GARY - MD (BCC) ORTHOPEDICS - UPPER 34 MARK W SPRINGS RD STE 300, (707) 546-1922 EXTREMITIES SANTA ROSA, CA 95403 STEINBERG, DANIEL - PT STONEMOUNTAIN PHYSICAL PHYSICAL THERAPY 21628 GOLDEN STAR BLVD, (661) 823-8101 THERAPY TEHACHAPI, CA 93561 STEINDORF, DANA - LAC ACTIVEMED INTEGRATIVE ACUPUNCTURE 15611 POMERADO RD STE 100S, (858) 673-4400 HEALTH CENTER POWAY, CA 92064 STEINDORF, DANA - LAC ACTIVEMED INTEGRATIVE ACUPUNCTURE 317 N EL CAMINO REAL STE 306, (858) 673-4400 HEALTH CENTER ENCINITAS, CA 92024 STEINER, SHAWN, MARIE - PT EVOLVE PHYSICAL THERAPY PHYSICAL THERAPY 340 CLOVIS AVE, CLOVIS, CA 93612 (559) 650-0345 AND PERFORMANCE INC STEINER, SHAWN, MARIE - PT MONTEREY PENINSULA PHYSICAL THERAPY 6042 N FRESNO STREET SUITE 101, (559) 224-6754 ORTHOPAEDIC SPORTS FRESNO, CA 93710 MEDICINE INSTITUTE STEINHOFF, AMY - MD KAISER PERMANENTE SAN ORTHOPEDICS 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MARCOS MEDICAL CENTER 92078 STEINMANN, JOHN - DO (BCC) ARROWHEAD ORTHOPAEDICS SPINE SURGERY 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 STEINMANN, JOHN - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SPINE 4234 RIVERWALK PARKWAY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 STEINMANN, JOHN - DO (BCC) ARROWHEAD ORTHOPAEDICS SPINE SURGERY 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 STEINMANN, JOHN - DO (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SPINE 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 STEKLACHICH, KATE - DPM KAISER PERMANENTE SAN PODIATRY 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 DIEGO MEDICAL CENTER 92078 STENGER, CHRISTOPHER A - KAISER PERMANENTE SAN ORTHOPEDICS 400 CRAVEN RD , SAN MARCOS, CA (833) 242-8500 MD MARCOS MEDICAL CENTER 92078 STEP AHEAD PHYSICAL PHYSICAL THERAPY 100 N 1ST ST STE 103, BURBANK, CA (818) 846-7100 THERAPY 91502-1845 STEPHAN'S PHYSICAL PHYSICAL THERAPY 1900 ROYALTY DR STE 160, POMONA, (909) 469-6080 THERAPY CA 91767-3045 STEPHAN, SEAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 STEPHAN, SEAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 655 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone STEPHAN, SEAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 STEPHAN, SEAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 3418 LOMA VISTA RD STE A, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 STEPHAN, SEAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 5725 RALSTON ST STE 103, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 STEPHAN, SEAN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 STEPHANIE BLOUGH PHYSICAL THERAPY 2345 ERRINGER RD STE 210, SIMI (805) 582-0007 PHYSICAL THERAPY VALLEY, CA 93065-2250 STEPHANIE CORTNER L.AC. - PHYSICAL THERAPY 23332 HAWTHORNE BLVD STE 202, (562) 794-8207 SKYPARK PHYSICAL THERAPY TORRANCE, CA 90505-3767 STEPHENS, JODI - AUD ADVANCED HEARING AUDIOLOGY 7106 EDINGER AVE , HUNTINGTON (800) 598-5300 PROVIDERS LLC BEACH, CA 92647 STEPHENS, JODI - AUD ADVANCED HEARING AUDIOLOGY 7851 WALKER ST , LA PALMA, CA 90623 (800) 598-5300 PROVIDERS LLC STEPHENS, MELODY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 STEPHENS, MELODY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 STEPHENS, MELODY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 950 OAKDALE RD STE F, MODESTO, CA (209) 672-1026 INJURY CTR 95355 STEPHENSON, THOMAS R - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL REHABILITATION CA 91367 CENTER STERENSON, MAX - PT BODY DYNAMIX INTEGRATED PHYSICAL THERAPY 18344 OXNARD ST STE 104, TARZANA, (818) 783-4085 SPORTS MEDICINE CA 91356 STERLING PHYSICAL THERAPY PHYSICAL THERAPY 2324 MONTPELIER DR STE 1, SAN (408) 763-8099 JOSE, CA 95116-1612 STERN, NICOLE G - MD (BCC) SANSUM CLINIC - PESETAS INTERNAL MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 URGENT CARE (SANTA 93110 BARBARA) STERN, NICOLE G - MD (BCC) SANSUM CLINIC - PESETAS PRIMARY TREATING 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 URGENT CARE (SANTA PHYSICIAN 93110 BARBARA) STEVANOVIC, MILAN - MD KECK HOSPITAL OF USC - ORTHOPEDICS - HAND 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPEDIC SURGERY ANGELES, CA 90033 STEVANOVIC, MILAN - MD KECK HOSPITAL OF USC - ORTHOPEDICS - UPPER 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPEDIC SURGERY EXTREMITIES ANGELES, CA 90033 STEVANOVIC, MILAN - MD KECK HOSPITAL OF USC - HAND SURGERY 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ORTHOPEDIC SURGERY ANGELES, CA 90033 STEVEN DANCHIK PHYSICAL PHYSICAL THERAPY 9033 WILSHIRE BLVD #210, BEVERLY (310) 276-1210 THERAPY HILLS, CA 90211 STEVEN DANCHIK PHYSICAL PHYSICAL THERAPY 11560 W PICO BLVD, LOS ANGELES, CA (818) 909-7038 THERAPY 90064-1502 STEVEN DANCHIK PHYSICAL PHYSICAL THERAPY 1300 N LA BREA AVE STE A, LOS (818) 909-7038 THERAPY ANGELES, CA 90028-7504 STEVEN DANCHIK PHYSICAL PHYSICAL THERAPY 15333 SHERMAN WAY STE P, VAN (818) 909-7038 THERAPY NUYS, CA 91406-4204 STEVEN DANCHIK PHYSICAL PHYSICAL THERAPY 3200 E LOS ANGELES AVE STE 28, SIMI (818) 909-7038 THERAPY VALLEY, CA 93065-3971 STEVENS, GREGGORY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 STEVENS, JACQUELINE - PT AARON SON THERAPEUTIC PHYSICAL THERAPY 7188 SUNSET BLVD STE 200, LOS (323) 436-0006 SERVICES INC ANGELES, CA 90046 STEVENS, MARK - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 STEVENSON, MARCI - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 987 UNIVERSITY AVE STE 18, LOS (408) 356-2800 GATOS, CA 95032 STEWARD, PAULINE - PT AIM FOR WELLNESS PHYSICAL THERAPY 8725 LA TIJERA BLVD, WESTCHESTER, (424) 331-5661 CA 90045 STEWART, ANDREW - DC BALCH CHIROPRACTIC CHIROPRACTIC MEDICINE 199 CALIFORNIA DR STE 100, (650) 692-2273 MILLBRAE, CA 94030

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 656 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone STEWART, ANDREW - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 4010 SORRENTO VALLEY BLVD STE (858) 793-7862 FAMILY HEALTH CENTER 300, SAN DIEGO, CA 92121 STEWART, BRYAN - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 STEWART, CHRISTINA - PT WELLWORKS PHYSICAL PHYSICAL THERAPY 500 W GLENOAKS BLVD, GLENDALE, CA (747) 272-0027 THERAPY REHABILITATION 91202 INC STEWART, PATRICK - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY STEWART, PATRICK - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY STEWART, PATRICK - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY STEWART, PATRICK - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY STITT, DORIAN - DC STITT CHIROPRACTIC CHIROPRACTIC MEDICINE 12418 BURBANK BLVD, VALLEY (818) 766-1128 VILLAGE, CA 91607 STOCKER RX PHARMACY PHARMACY 3750 SANTA ROSALIA DR, LOS (323) 295-3194 ANGELES, CA 90008 STOCKTON CLINIC PHARMACY PHARMACY 4873 WEST LN STE B, STOCKTON, CA (209) 307-6041 95210 STOCKTON HAND THERAPY PHYSICAL THERAPY 1919 GRAND CANAL BLVD STE C 4, (209) 956-8737 AND REHAB STOCKTON, CA 95207 STOCKTON URGENT CARE STOCKTON URGENT CARE URGENT CARE FACILITY 1148 W HAMMER LN, STOCKTON, CA (209) 952-9696 MEDICAL CLINIC (BCC) MEDICAL CLINIC 95209 STODOLSKY, MATTHEW - PT TOWER ORTHOPAEDICS AND PHYSICAL THERAPY 6330 SAN VINCENTE BLVD STE 320, (323) 556-5455 SPORTS MEDICINE LOS ANGELES, CA 90048 STOKKE, DAVID - LAC DAVID STOKKE MS LAC ACUPUNCTURE 2421 4TH ST, BERKELEY, CA 94710 (510) 665-7888 STOKKE, DAVID - LAC MICHELLE BULLARD MS LAC ACUPUNCTURE 2421 FOURTH ST, BERKELEY, CA 94710 (510) 845-8282 STOLETNIY, LISET N - MD LOMA LINDA UNIVERSITY CARDIOVASCULAR DISEASE 11234 ANDERSON ST SP RM 1617, (800) 679-4642 (BCC) HEALTH CARE - (CARDIOLOGY) LOMA LINDA, CA 92354 INTERNATIONAL HEART INSTITUTE STOLPE, CAROLE - BCO DME - PROSTHETIC EYES 435 N. BEDFORD DR. STE 411, (310) 271-8801 BEVERLY HILLS, CA 90210 STONE, BRANDON - PTA CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 2288 AUBURN BLVD STE 107, (916) 446-1497 SACRAMENTO, CA 95821 STONE, BRANDON - PTA CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 4200 DOUGLAS BLVD STE 200, (916) 782-2761 GRANITE BAY, CA 95746 STONE, KYLE - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 23100 EUCALYPTUS AVE STE C, (951) 485-4594 MORENO VALLEY, CA 92553 STONEFELT, SCOTT - PT PACIFIC THERAPY SERVICES PHYSICAL THERAPY 5550 TELEGRAPH RD STE A, VENTURA, (805) 850-0525 CA 93003 STORMS, LYDIA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1625 E MAIN ST STE 104, EL CAJON, CA (619) 873-2160 92021 STORTVEDT, RACHEL - PT GRACE PT/LAGUNA PHYSICAL THERAPY 31341 NIGUEL RD STE G, LAGUNA (949) 443-5442 ORTHOPEDIC REHABILITATION NIGUEL, CA 92677

STRANGIS, JENNIFER - PT DERYKE ASSOCIATES DBA PHYSICAL THERAPY 201 E HAMILTON AVE, CAMPBELL, CA (408) 376-0900 FYZICAL CAMPBELL 95008 STRATTON, ERIC - AUD ADVANCED HEARING AUDIOLOGY 1287 OLIVER RD, FAIRFIELD , CA 94534 (800) 598-5300 PROVIDERS LLC STRAYER, GREGORY L - MD INFECTIOUS DISEASE 2699 ATLANTIC AVE , LONG BEACH, CA (562) 490-3028 (BCC) 90806 STRAYNICK, ZACHARY - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 STRAYNICK, ZACHARY - PT HI DESERT PHYSICAL PHYSICAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 657 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone STREKEL, JON - PT RPM REHAB DBA BAUER PHYSICAL THERAPY 27071 CABOT RD STE 101, LAGUNA (949) 588-7278 PHYSICAL THERAPY HILLS, CA 92653 STRELO, KRISTIE - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 2357 W MARCH LN, STOCKTON, CA (209) 477-9300 PHYSICAL AND 95207 OCCUPATIONAL THERAPY STREM, BRENDAN - PT SAN DIEGO SPINE SPORT PHYSICAL THERAPY 3760 CONVOY ST STE 100, SAN DIEGO, (858) 573-9368 INCMAIN SITE CA 92111 STRIPLIN'S PHARMACY PHARMACY 1144 NORMAN DR STE 103, MANTECA, (209) 923-4418 CA 95336 STRONG, DEREK - PT REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 7206 N MILBURN AVE STE 102, (559) 271-3100 FRESNO, CA 93722 STRONG, DEREK - PT REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 7614 N FRESNO ST STE 104, FRESNO, (559) 579-1555 CA 93720 STROPLE, BRYAN, JOSEPH - TUSTIN PHYSICAL THERAPY PHYSICAL THERAPY 15000 KENSINGTON PARK DR 110, (714) 841-6162 PT TUSTIN, CA 92782 STROPLE, BRYAN, JOSEPH - HUNTINGTON BEACH PT PHYSICAL THERAPY 19582 BEACH BLVD 130, HUNTINGTON (714) 841-6162 PT BEACH, CA 92648 STROPLE, RISHA, AMIN - PT TUSTIN PHYSICAL THERAPY PHYSICAL THERAPY 15000 KENSINGTON PARK DR 110, (714) 841-6162 TUSTIN, CA 92782 STROPLE, RISHA, AMIN - PT HUNTINGTON BEACH PT PHYSICAL THERAPY 19582 BEACH BLVD 130, HUNTINGTON (714) 841-6162 BEACH, CA 92648 STRUM, BLAIR - PTA EL DORADO PHYSICAL PHYSICAL THERAPY 990 RILEY ST, FOLSOM, CA 95630 (916) 355-1250 THERAPY STRUM, SCOTT R - MD (BCC) LOMA LINDA UNIVERSITY PHYSICAL MEDICINE AND 11406 LOMA LINDA DR #300, LOMA (800) 679-4642 HEALTH CARE - PHYSICAL MED REHABILITATION LINDA , CA 92354 & REHAB FP&S STUDENT HEALTH CENTER PHARMACY 18111 NORDHOFF ST, NORTHRIDGE, (818) 677-3671 PHARMACY CA 91330 STUDIO BRAVA PHYSICAL PHYSICAL THERAPY 11110 OHIO AVE STE 105, LOS (310) 775-1609 THERAPY ANGELES, CA 90025 STUDIO BRAVA PHYSICAL PHYSICAL THERAPY 11110 OHIO AVESUITE 105, LOS (310) 775-1609 THERAPY INC ANGELES, CA 90025-6345 STUPART, SHAUNA - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 STUPART, SHAUNA - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN STUTELBERG, ANDREA - PT VALLEY PHYSICAL THERAPY PHYSICAL THERAPY 1306 W AVENUE J STE 2, LANCASTER, (661) 948-0186 GROUP CA 93534 STUTELBERG, KARL - PT VALLEY PHYSICAL THERAPY PHYSICAL THERAPY 1306 W AVENUE J STE 2, LANCASTER, (661) 948-0186 GROUP CA 93534 STYAN, MALINA - PT SAN DIEGO SPORTS MEDICINE PHYSICAL THERAPY 4010 SORRENTO VALLEY BLVD STE (858) 793-7862 FAMILY HEALTH CENTER 300, SAN DIEGO, CA 92121 STYLE, SARAH - PTA PINE CREEK CARE CENTER PHYSICAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 SU, BRIAN - MD SPINE SURGERY 2 BON AIR RD, LARKSPUR, CA 94109 (415) 927-5300 SU, BRIAN - MD ORTHOPEDICS - SPINE 2 BON AIR RD, LARKSPUR, CA 94109 (415) 927-5300 SU, JASON, J - LAC JASON'S ACUPUNCTURE ACUPUNCTURE 433 CALLAN AVE STE 204, SAN (510) 483-8100 LEANDRO, CA 94577 SUAREZ, ANNA - PT PILLARS PHYSICAL THERAPY PHYSICAL THERAPY 307 87TH ST STE D, DALY CITY, CA (650) 550-0050 WELLNESS CENTER 94015 SUAREZ, EDGARDO - DC EDGARDO C SUAREZ CHIROPRACTIC MEDICINE 363 S PARK AVE STE 103, POMONA, CA (909) 865-1270 91766 SUBURU, ALISA - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 1800 WESTWIND DRIVE BUILDING 500, (661) 322-9411 BAKERSFIELD, CA 93301 SUCGANG, PAUL - DO RELIANT URGENT CARE PRIMARY TREATING 5900 PACIFIC BLVD, HUNTINGTON (310) 491-7080 PHYSICIAN PARK, CA 90255 SUCGANG, PAUL - DO RELIANT URGENT CARE FAMILY MEDICINE 5900 PACIFIC BLVD, HUNTINGTON (310) 491-7080 PARK, CA 90255 SUDA, SHIRLEY A - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 4 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER SUEN, PATRICK W - MD KAISER PERMANENTE SAN SPINE SURGERY 275 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 SUGLIAN, DAWNLYNN - PT FUNCTION ACTION PHYSICAL PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 THERAPY CA 93612

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 658 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SUH, JUNG, WON - LAC NABOM ACUPUNCTURE REHAB ACUPUNCTURE 7002 MOODY ST STE 219, LA PALMA, CA (562) 402-7575 INC 90623 SUH, WILLIAM M - MD (BCC) RIVERSIDE MEDICAL CLINIC - CARDIOVASCULAR DISEASE 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY (CARDIOLOGY) 92883 SUITECARE PHARMACY PHARMACY 2441 E PLAZA BLVD, NATIONAL CITY, (619) 434-6973 CA 91950 SUK, ANGELA - LAC ANGEL ACUPUNCTURE HERBS ACUPUNCTURE 1819 N EUCLID ST, FULLERTON, CA (714) 296-8373 92835 SUK, KEVIN K - MD (BCC) RETINA INSTITUTE OF OPHTHALMOLOGY 2400 N BROADWAY , LOS ANGELES , CA (323) 221-8000 CALIFORNIA - ACCUITY EYE 90031 GROUP SUK, KWANG, SOO - LAC RAPHAEL ACUPUNCTURE ACUPUNCTURE 3030 W OLYMPIC BLVD STE 204, LOS (213) 407-6900 ANGELES, CA 90006 SUKAY, MICHAEL J - MD KAISER PERMANENTE ORTHOPEDICS 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER SULGER, KAREN - LAC ACUPUNCTURE CONTINUUM ACUPUNCTURE 317 N EL CAMINO REAL STE 401, (760) 635-0581 ENCINITAS, CA 92024 SUMER, CHRISTOPHER - AUD ADVANCED HEARING AUDIOLOGY 317 N EL CAMINO REAL STE 101, (800) 598-5300 PROVIDERS LLC ENCINITAS, CA 92024 SUMETANON, DEWATE - MD KAISER PERMANENTE SAN PHYSICAL MEDICINE AND 2500 MERCED ST , SAN LEANDRO, CA (510) 675-4807 LEANDRO MEDICAL CENTER REHABILITATION 94587 SUMMIT HEALTH GROUP PHARMACY 55 ROLLING OAKS DR, THOUSAND (805) 499-4446 OAKS, CA 91361 SUN DRUG PHARMACY PHARMACY 1803 HILLHURST AVE, LOS ANGELES, (323) 663-8017 CA 90027 SUN PHARMACY PHARMACY 2559 S KING RD STE B10, SAN JOSE, CA (408) 440-2077 95122 SUN RX PHARMACY PHARMACY 2415 W LINCOLN AVE STE B, ANAHEIM, (714) 827-6979 CA 92801 SUN VALLEY MEDICAL PHARMACY 8747 GLENOAKS BLVD, SUN VALLEY, (818) 394-9645 PHARMACY CA 91352 SUN YUAN PHARMACY PHARMACY 201 W GARVEY AVE STE 107, (626) 572-0800 MONTEREY PARK, CA 91754 SUN, CORINNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 SUN, CORINNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 SUN, CORINNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 SUN, CORINNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 SUN, CORINNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 SUN, CORINNE - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 SUN, JAMES J - MD (BCC) RIVERSIDE MEDICAL CLINIC - OTOLARYNGOLOGY (ENT) 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY 92883 SUN, KI - LAC RESEDA ACUPUNCTURE ACUPUNCTURE 10338 1/2 RESEDA BLVD, PORTER (818) 363-2354 RANCH, CA 91326 SUN, LIHUA - LAC SUNSHINE HEALTHCARE ACUPUNCTURE 650 W DUARTE RD 102, ARCADIA, CA (626) 715-6137 NETWORK 91007 SUN, YANG, HEE - LAC HANGUL ACUPUNCTURE INC ACUPUNCTURE 7860 IMPERIAL HWY STE A, DOWNEY, (562) 869-8877 CA 90242 SUNARAM, NANDI, DEVA - PT STATE OF THE ART PHYSICAL PHYSICAL THERAPY 2492 WALNUT AVE STE 140, TUSTIN, CA (714) 544-2188 THERAPY 92780 SUNBOLIYAN, DANIEL - DPM KAISER PERMANENTE WEST PODIATRY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER SUNDAR, BINDU - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 659 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SUNDAR, BINDU - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER SUNDAY, LORRAINE N - MD CONCENTRA MEDICAL PRIMARY TREATING 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE PHYSICIAN SUNDAY, LORRAINE N - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE SUNDER, SHUN - MD (BCC) CARDIOVASCULAR DISEASE 1535 N CHINA LAKE BLVD STE B, (661) 726-3060 (CARDIOLOGY) RIDGECREST, CA 93555 SUNDER, SHUN - MD (BCC) CARDIOVASCULAR DISEASE 43860 10TH ST W STE 203, LANCASTER, (760) 446-1699 (CARDIOLOGY) CA 93534 SUNDERRAJAN, CONCENTRA MEDICAL INTERNAL MEDICINE 33560 ALVARADO NILES RD , UNION (510) 489-8700 ETTAYAPURAM V - MD CENTER - UNION CITY CITY, CA 94587 SUNDERRAJAN, SOBHA - MD CONCENTRA MEDICAL INTERNAL MEDICINE 33560 ALVARADO NILES RD , UNION (510) 489-8700 CENTER - UNION CITY CITY, CA 94587 SUNDSTROM, DAISY L - DPM KAISER PERMANENTE SAN PODIATRY 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER CA 94115 SUNDSTROM, ROBERT G - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 SUNG, BYUN, JAE - LAC BON WELLNESS CLINIC INC ACUPUNCTURE 7212 ORANGETHORPE AVE STE 6, (714) 520-1359 BUENA PARK, CA 90621 SUNG, THEODORE - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 JOB DOWNEY MEDICAL DOWNEY, CA 90242 CENTER SUNG, THEODORE - MD KAISER PERMANENTE ON THE PRIMARY TREATING 9353 E IMPERIAL HWY 3RD FLR, (562) 657-2200 JOB DOWNEY MEDICAL PHYSICIAN DOWNEY, CA 90242 CENTER SUNLAND PHARMACY PHARMACY 8422 SUNLAND BLVD, SUN VALLEY, CA (818) 962-3851 91352 SUNNY BAY PHARMACY PHARMACY 3565 DEL AMO BLVD, TORRANCE, CA (310) 370-0911 90503 SUNNY BAY PHARMACY PHARMACY 450 E HUNTINGTON DR, ARCADIA, CA (626) 445-9100 91006 SUNNY BAY PHARMACY PHARMACY 500 TORRANCE BLVD, REDONDO (310) 944-9466 BEACH, CA 90277 SUNNY HILLS PHARMACY PHARMACY 1907 SUNNYCREST DR, FULLERTON, (714) 871-8190 CA 92835 SUNNYSIDE PHARMACY PHARMACY 5689 E KINGS CANYON RD, FRESNO, (559) 251-8601 CA 93727 SUNNYVALE PHYSICAL PHYSICAL THERAPY 246 SOBRANTE WAY, SUNNYVALE, CA (408) 733-3670 THERAPY 94086-4807 SUNRISE MEDICAL GROUP SUNRISE MEDICAL GROUP URGENT CARE FACILITY 5475 E LA PALMA AVE STE 100, (714) 970-0911 (BCC) ANAHEIM, CA 92807 SUNRISE PHYSICAL THERAPY PHYSICAL THERAPY 1879 PORTOLA RD STE A2, VENTURA, (805) 644-1273 SERVICES INC CA 93003-8095 SUNRISE PHYSICAL THERAPY PHYSICAL THERAPY 705 N. OXNARD BLVD STE 107, (805) 983-0811 SERVICES INC OXNARD, CA 93030-3841 SUNRISE RECOVERY RANCH SUNRISE RECOVERY RANCH CHEMICAL DEPENDENCY 6690 LIMONITE FRONTAGE RD, (866) 907-4598 (BCC) REHABILITATION CENTER RIVERSIDE, CA 92509 (OUTPATIENT) SUNRISE VILLAGE PHARMACY PHARMACY 1823 N EUCLID ST, FULLERTON, CA (714) 441-1765 92835 SUNSET HILLS DAY PROGRAM SUNSET HILLS DAY PROGRAM CHEMICAL DEPENDENCY 820 MORAGA DR, LOS ANGELES, CA (310) 893-8900 (BCC) REHABILITATION CENTER 90049 (OUTPATIENT) SUNSET PHYSICAL THERAPY PHYSICAL THERAPY 18800 MAIN ST STE 104, HUNTINGTON (714) 843-9077 BEACH, CA 92648-1717 SUNSET PHYSICAL THERAPY PHYSICAL THERAPY 3771 KATELLA AVE STE 200, LOS (562) 799-8831 ALAMITOS, CA 90720-3118 SUNSET PHYSICAL THERAPY PHYSICAL THERAPY 4401 ATLANTIC AVE STE 400, LONG (562) 989-1700 BEACH, CA 90807-2248 SUNSET PHYSICAL THERAPY PHYSICAL THERAPY 550 PACIFIC COAST HWY STE 203, (562) 493-5095 SEAL BEACH, CA 90740-6652

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 660 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SUNSHINE CENTER PHARMACY 1166 OLD MISSION RD, SOUTH SAN (650) 589-4133 PHARMACY FRANCISCO, CA 94080 SUNSHINE PHARMACY PHARMACY 357 N FAIRFAX AVE, LOS ANGELES, CA (323) 653-8692 90036 SUPER CARE PHARMACY 16017 E VALLEY BLVD, CITY OF (800) 206-4880 INDUSTRY, CA 91744 SUPER CARE BEVERLY HILLS PHARMACY 220 N CANON DR, BEVERLY HILLS, CA (310) 271-2111 90210 SUPER CARE DRUGS-MALIBU PHARMACY 23661 PACIFIC COAST HWY, MALIBU, (310) 456-1177 CA 90265 SUPER CARE PHARMACY PHARMACY 24825 ALESSANDRO BLVD, UNIT#2, (951) 243-2530 MORENO VALLEY, CA 92553 SUPER DISCOUNT PHARMACY PHARMACY 14618 VICTORY BLVD UNIT B, VAN (818) 376-8316 NUYS, CA 91411 SUPER, JESSICA - PT DYNAMIC PHYSICAL THERAPY PHYSICAL THERAPY 44651 VILLAGE CT STE 120, PALM (760) 459-1411 AND SPORTS PERFORMANCE DESERT, CA 92260 INC SUPERIOR CARE PHARMACY PHARMACY 161 E MAIN ST STE 104, EL CAJON, CA (844) 633-7279 92020 SUPERIOR CARE PHARMACY PHARMACY 9064 PULSAR CT STE GANDH, (844) 633-7279 CORONA, CA 92883 SUPERIOR MULTI SPECIALTY SUPERIOR MULTI SPECIALTY URGENT CARE FACILITY 11600 VENICE BLVD, LOS ANGELES, CA (310) 390-9551 WEST LA URGENT CARE (BCC) WEST LA URGENT CARE 90066 SUPERIOR PHARMACY PHARMACY 11755 VICTORY BLVD STE 100A, NORTH (818) 980-9888 HOLLYWOOD, CA 91606 SUPERIOR PHARMACY PHARMACY 11755 VICTORY BLVD, NORTH (818) 691-3351 HOLLYWOOD, CA 91606 SUPLIZIO, ILA - PT FAMILY PHYSICAL THERAPY PHYSICAL THERAPY 588 N SUNRISE AVE STE 100, (916) 782-7848 ROSEVILLE, CA 95661 SUPPLE, BRIAN J - MD GENERAL SURGERY 1000 NEWBURY RD STE 285, NEWBURY (805) 499-7971 PARK, CA 93012 SUPPORT SYSTEMS HOMES SUPPORT SYSTEMS HOMES CHEMICAL DEPENDENCY 264 N MORRISON AVE, SAN JOSE, CA (408) 885-1003 INC (BCC) INC REHABILITATION CENTER 95126 (OUTPATIENT) SUPRAI, SOPHIA - DC NORCAL SPINE AND SPORT CHIROPRACTIC MEDICINE 903 EMBARCADERO DR, EL DORADO (916) 933-9870 HILLS, CA 95762 SUPREME CARE PHARMACY PHARMACY 6007 LANKERSHIM BLVD. UNIT #7, (818) 763-7007 NORTH HOLLYWOOD, CA 91606 SURESH, SAPNA - OT RESTORATIVE THERAPY OCCUPATIONAL THERAPY 15775 LAGUNA CANYON RD STE 110, (949) 333-3833 ASSOCIATES IRVINE, CA 92618 SURGERY CENTER OF LONG SURGERY CENTER OF LONG AMBULATORY SURGERY 2880 ATLANTIC AVE #160 , LONG (562) 453-3814 BEACH (BCC) BEACH CENTER BEACH, CA 90806 SURGERY CENTER OF SURGERY CENTER OF AMBULATORY SURGERY 302 W LA VETA AVE STE 100, ORANGE, (714) 923-6400 ORANGE (BCC) ORANGE CENTER CA 92866 SURGERY CENTER OF SOUTH AMBULATORY SURGERY 23500 MADISON ST, TORRANCE, CA (310) 784-2710 BAY CENTER 90505 SURGERY CENTER OF THE SURGERY CENTER OF THE AMBULATORY SURGERY 2121 WILSHIRE BLVD STE 201, SANTA (310) 576-7267 PACIFIC (BCC) PACIFIC CENTER MONICA, CA 90403 SURI, MANJU - OT WHITE BLOSSOM CARE OCCUPATIONAL THERAPY 1990 FRUITDALE AVE, SAN JOSE, CA (408) 998-8447 CENTER 95128 SURPRISE VALLEY SURPRISE VALLEY ACUTE CARE HOSPITAL 741 N MAIN ST, CEDARVILLE, CA 96104 (530) 279-6111 COMMUNITY HOSPITAL (BCC) COMMUNITY HOSPITAL SURREDI, RAVI K - MD (BCC) KECK MEDICINE OF USC - CARDIOVASCULAR DISEASE 399 E HIGHLAND AVE #424 , SAN (909) 883-5315 CARDIOLOGY (CARDIOLOGY) BERNARDINO, CA 92404 SURREY, CAROL - AUD ADVANCED HEARING AUDIOLOGY 2220 OTAY LAKES RD STE 503, CHULA (800) 598-5300 PROVIDERS LLC VISTA, CA 91915 SURVE, TRANG - OT PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 SUSKI, MARK D - MD (BCC) CENTER FOR ADVANCED GENERAL SURGERY 2190 LYNN RD STE 320, THOUSAND (805) 370-4325 WOUND HEALING AT LOS OAKS , CA 91360 ROBLES HOSPITAL & MEDICAL CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 661 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SUSKI, MARK D - MD (BCC) CENTER FOR ADVANCED PLASTIC SURGERY 2190 LYNN RD STE 320, THOUSAND (805) 370-4325 WOUND HEALING AT LOS OAKS , CA 91360 ROBLES HOSPITAL & MEDICAL CENTER SUSSMAN, JOSHUA D - MD KAISER PERMANENTE ON THE PHYSICAL MEDICINE AND 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 JOB IMPERIAL MEDICAL REHABILITATION 90242 OFFICES SUTTER INFUSION AND PHARMACY 1105 ATLANTIC AVE STE 102, ALAMEDA, (510) 450-8900 PHARMACY CA 94501 SUTTER INFUSION PHCY PHARMACY 8318 FERGUSON AVE, SACRAMENTO, (916) 379-3200 SERVICE CA 95828 SUTTER MEDICAL CENTER - ACUTE CARE HOSPITAL 2825 CAPITOL AVE , SACRAMENTO , CA (961) 887-0000 OSE ADAMS MEDICAL 95816 PAVILLION SUTTER PHAMARCY PHARMACY 470 PLUMAS BLVD STE 103, YUBA CITY, (530) 821-5110 CA 95991 SUTTER PHARMACY PHARMACY 470 PLUMAS BLVD STE 104, YUBA CITY, (530) 821-5115 SOLUTIONS CA 95991 SUTTER PROFESSIONAL PHARMACY 2300 SUTTER ST STE 101, SAN (415) 567-3223 PHARMACY FRANCISCO, CA 94115 SUZETTE, LEE - DPM KAISER PERMANENTE WEST PODIATRY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER SUZUKI, STEPHEN - MD (BCC) ORTHOPEDIC SURGERY - HIP 4354 LATHAM ST STE 100, RIVERSIDE, (951) 683-0650 CA 92501 SUZUKI, STEPHEN - MD (BCC) ORTHOPEDIC SURGERY - 4354 LATHAM ST STE 100, RIVERSIDE, (951) 683-0650 KNEE CA 92501 SUZUKI, STEPHEN - MD (BCC) ORTHOPEDICS - HIP 4354 LATHAM ST STE 100, RIVERSIDE, (951) 683-0650 CA 92501 SUZUKI, STEPHEN - MD (BCC) ORTHOPEDICS - KNEE 4354 LATHAM ST STE 100, RIVERSIDE, (951) 683-0650 CA 92501 SWADELL, MEGAN - LAC YINFINITE WELLNESS ACUPUNCTURE 10 EL CAMINO REAL STE 202, SAN (650) 596-5616 CARLOS, CA 94070 SWANSON MCARTHUR PHYSICAL THERAPY 6601 MADISON AVE #200, CARMICHAEL, (916) 965-8900 PHYSICAL THERAPY CA 95608-0600 SWARM, DAWN L - MD KAISER PERMANENTE ON THE ORTHOPEDICS 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 JOB WOODLAND HILLS CA 91367 MEDICAL CENTER SWARM, DAWN L - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL CA 91367 CENTER SWEENEY, DAVID A - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES REHABILITATION 90242 SWEENEY, FRANK - PT WELLWORKS PHYSICAL PHYSICAL THERAPY 500 W GLENOAKS BLVD, GLENDALE, CA (747) 272-0027 THERAPY REHABILITATION 91202 INC SWEI, AMY - LAC DOERING CHIROPRACTIC ACUPUNCTURE 1111 W TOWN AND COUNTRY RD STE (714) 542-3662 6, ORANGE, CA 92868 SWELL ENDEAVORS PHYSICAL PHYSICAL THERAPY 2770 EUREKA WAY STE 100, REDDING, (530) 241-2151 THERAPY INC CA 96001-0252 SY, JOSEPH - PT REO VISTA HEALTHCARE PHYSICAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 SYCUAN MEDICAL CENTER PHARMACY 5442 DEHESA RD, EL CAJON, CA 92019 (619) 445-3518 SYDS PHARMACY PHARMACY 7111 BEVERLY BLVD, LOS ANGELES, (323) 933-8571 CA 90036 SYED, HASAN M - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC KNEE LINDA , CA 92354 SURGERY FP&S SYED, HASAN M - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC SHOULDER LINDA , CA 92354 SURGERY FP&S

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 662 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone SYED, HASAN M - MD (BCC) LOMA LINDA UNIVERSITY SPORTS MEDICINE 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S SYED, HASAN M - MD (BCC) LOMA LINDA UNIVERSITY PRIMARY TREATING 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC PHYSICIAN LINDA , CA 92354 SURGERY FP&S SYED, NASEEMUNISA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 SYMMETRY PHYSICAL PHYSICAL THERAPY 13890 PALMDALE RD, VICTORVILLE, CA (760) 955-8100 THERAPY 92392-9289 SYMMETRY PHYSICAL PHYSICAL THERAPY 18522 US HWY 18, #105, APPLE VALLEY, (760) 242-0500 THERAPY- APPLE VALLEY CA 92307 SYU, TRIXY - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES SYU, TRIXY - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL PHYSICIAN FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES SYU, TRIXY - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL ROOM 106, MORENO VALLEY, CA 92553 OFFICES SYU, TRIXY - MD KAISER PERMANENTE ON THE PRIMARY TREATING 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL PHYSICIAN ROOM 106, MORENO VALLEY, CA 92553 OFFICES SYU, TRIXY - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL 205, WILDOMAR, CA 92563 OFFICES SYU, TRIXY - MD KAISER PERMANENTE ON THE PRIMARY TREATING 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL PHYSICIAN 205, WILDOMAR, CA 92563 OFFICES SZASZY, STEVE - PT ACTION PHYSICAL THERAPY PHYSICAL THERAPY 680 E ROMIE LN, SALINAS, CA 93901 (831) 758-5338 SZKALAK, MATTHEW - PT MARQUE MEDICAL PHYSICAL THERAPY 2075 SAN JOAQUIN HILLS RD, (949) 760-9222 NEWPORT BEACH, CA 92660 SZKALAK, MATTHEW - PT MARQUE MEDICAL PHYSICAL THERAPY 26831 ALISO CREEK RD STE 200, ALISO (949) 760-9222 VIEJO, CA 92656 SZKALAK, MATTHEW - PT MARQUE MEDICAL PHYSICAL THERAPY 8970 KNOTT AVE, BUENA PARK, CA (949) 760-9222 90620 SZMAK, LAUREN - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 T AND C PHARMACY PHARMACY 2340 E PACIFIC COAST HWY, LONG (562) 494-1487 BEACH, CA 90804 T AND T PHARMACY PHARMACY 8330 LONG BEACH BLVD, SOUTH GATE, (323) 538-7003 CA 90280 T AND T PHARMACY PHARMACY 320 E MANCHESTER BLVD, (424) 309-9331 COMPOUNDING INGLEWOOD, CA 90301 TABARAEE, EHSAN - MD (BCC) STANISLAUS ORTHOPEDIC & ORTHOPEDICS - SPINE 609 E ORANGEBURG AVE , MODESTO, (209) 572-3224 SPORTS MEDICINE CLINIC CA 95350 TABIBIAN, MICHAEL P - MD ADVANCED DERMATOLOGY OF DERMATOLOGY 30300 AGOURA RD STE 200 , AGOURA (818) 706-3744 (BCC) SC HILLS , CA 91403 TABIBIAN, MICHAEL P - MD ADVANCED DERMATOLOGY OF DERMATOLOGY 3851 KATELLA AVE STE 105 , LOS (562) 799-3330 (BCC) SC ALAMITOS, CA 90720 TABLOEI, PARHAM - PT RASHTIAN MORRIS DR PHYSICAL THERAPY 8500 WILSHIRE BLVD STE 102, (310) 659-3389 BEVERLY HILLS, CA 90211 TABONE, MICHELLE - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY TAEKOO, LEE, THOMAS - LAC LEE AND MAHMOUDI DC ACUPUNCTURE 29050 S WESTERN AVE STE 153, (310) 519-8877 RANCHO PALOS VERDES, CA 90275 TAEKOO, THOMAS, THOMAS - LEE AND MAHMOUDI DC CHIROPRACTIC MEDICINE 29050 S WESTERN AVE STE 153, (310) 519-8877 DC RANCHO PALOS VERDES, CA 90275 TAFRESHI, ERIC - DC TAFRESHI ERIC CHIROPRACTIC MEDICINE 4121 BROCKTON AVE STE 104, (951) 781-8767 CHIROPRACTIC INC RIVERSIDE, CA 92501

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 663 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TAFRESHI, JULIAN - DC TAFRESHI JULIAN CHIROPRACTIC MEDICINE 4014 LONG BEACH BLVD STE 210, (562) 997-7100 CHIROPRACTIC INC LONG BEACH, CA 90807 TAFT PHARMACY PHARMACY 20056 VENTURA BLVD, WOODLAND (818) 348-0860 HILLS, CA 91364 TAFURI, SCOTT A - DPM KAISER PERMANENTE PODIATRY 39400 PASEO PADRE PARKWAY , (510) 248-3015 FREMONT MEDICAL CENTER FREMONT, CA 94538 TAG PHYSICAL THERAPY PHYSICAL THERAPY 111 PENN ST, EL SEGUNDO, CA (310) 426-9570 90245-3908 TAGHAVI, CYRUS - MD (BCC) ORTHOPEDIC SURGERY - 15611 POMERADO RD STE 400, POWAY, (858) 485-0050 ANKLE CA 92064 TAGHAVI, CYRUS - MD (BCC) ORTHOPEDIC SURGERY - 1955 CITRACADO PKWY STE 200, (760) 743-4789 ANKLE ESCONDIDO, CA 92029 TAGHAVI, CYRUS - MD (BCC) ORTHOPEDICS - ANKLE 15611 POMERADO RD STE 400, POWAY, (858) 485-0050 CA 92064 TAGHAVI, CYRUS - MD (BCC) ORTHOPEDICS - ANKLE 1955 CITRACADO PKWY STE 200, (760) 743-4789 ESCONDIDO, CA 92029 TAHER, REZA - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2200 E GONZALEZ RD FLR 1 STE 5, (805) 604-6055 JOB OXNARD MEDICAL OXNARD, CA 93036 OFFICES TAHER, REZA - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2200 E GONZALEZ RD FLR 1 STE 5, (805) 604-6055 JOB OXNARD MEDICAL PHYSICIAN OXNARD, CA 93036 OFFICES TAHER, REZA - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5601 DE SOTO AVE NORTHSIDE MOB (818) 719-3006 JOB WOODLAND HILLS ENTRANCE #10, 1 ST FLOOR, MEDICAL CENTER WOODLAND HILLS, CA 91367 TAHER, REZA - MD KAISER PERMANENTE ON THE PRIMARY TREATING 5601 DE SOTO AVE NORTHSIDE MOB (818) 719-3006 JOB WOODLAND HILLS PHYSICIAN ENTRANCE #10, 1 ST FLOOR, MEDICAL CENTER WOODLAND HILLS, CA 91367 TAHERI, DANIEL P - MD (BCC) ADVANCED DERMATOLOGY DERMATOLOGY 631 WEST AVENUE Q STE B, (661) 947-9000 AND SKIN CANCER PALMDALE, CA 93551 SPECIALISTS TAHERI, DANIEL P - MD (BCC) PALM DESERT DERMATOLOGY DERMATOLOGY 74320 HWY 111, PALM DESERT , CA (888) 993-3761 & SKIN CANCER - LA LASER 92660 CENTER TAHERI, DANIEL P - MD (BCC) TEHACHAPI DERMATOLOGY DERMATOLOGY 20111 W VALLEY BLVD , TEHACHAPI, (661) 947-9000 AND SKIN CANCER CA 93561 SPECIALISTS TAHOE FOREST HOSPITAL TAHOE FOREST HOSPITAL ACUTE CARE HOSPITAL 10121 PINE AVE, TRUCKEE, CA 96161 (530) 587-6011 DISTRICT (BCC) DISTRICT TAHOE FOREST PHARMACY PHARMACY 10956 DONNER PASS #101, TRUCKEE, (530) 587-7607 CA 96161 TAHOE VALLEY PHARMACY PHARMACY 2074 LAKE TAHOE BLVD STE 1, SOUTH (530) 541-0870 LAKE TAHOE, CA 96150 TAI ON PHARMACY PHARMACY 818 N HILL ST STE A, LOS ANGELES, CA (213) 625-3333 90012 TAILLON, ROGER - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 TAJ MAHAL MEDICAL CENTER PHARMACY 23521 PASEO DE VALENCIA, STE 1, (949) 586-4575 PHCY LAGUNA HILLS, CA 92653 TAKAHASHI, AILEEN M - MD ASSOCIATION OF SOUTH BAY GENERAL SURGERY 23451 MADISON ST STE 340, (310) 373-6864 (BCC) SURGEONS TORRANCE, CA 90505 TAKAHASHI, AILEEN M - MD ASSOCIATION OF SOUTH BAY BARIATRIC SURGERY 23451 MADISON ST STE 340, (310) 373-6864 (BCC) SURGEONS TORRANCE, CA 90505 TAKAHASHI, HEATHER - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 TAKAHASHI, HEATHER - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 TAKAHASHI, HEATHER - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 TAKAHASHI, HEATHER - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 TAKAHASHI, HEATHER - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 664 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TAKAHASHI, HEATHER - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 TAKASUGI, JAN K - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER TAKEHARA, JAMES - PT CALIFORNIA SPORTS PHYSICAL THERAPY 2000 GARDEN RD, MONTEREY, CA (831) 375-1885 PHYSICAL THERAPY CENTERS 93940 INC DBA CYPRESS COAST PT TAKENISHI, GREG S - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE TAKENISHI, GREG S - MD KAISER PERMANENTE ORTHOPEDICS 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE TAKENISHI, GREG S - MD KAISER PERMANENTE PRIMARY TREATING 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE PHYSICIAN TAKENISHI, GREG S - MD KAISER PERMANENTE SPORTS MEDICINE 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE TAKII, BRUCE - PT WESTERN REHABILITATION PHYSICAL THERAPY 337 S 10TH ST STE G, TAFT, CA 93268 (661) 763-4194 ASSOCIATES TALAVERA, KARLA - MD CONCENTRA MEDICAL INTERNAL MEDICINE 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE TALBERT SURGICAL AMBULATORY SURGERY 7677 CENTER AVE STE 104, (714) 881-8700 ASSOCIATES LLC CENTER HUNTINGTON BEACH, CA 92647 TALIESNIK, ANDRES - MD (BCC) THE ORTHOPEDICS - HAND ORTHOPEDICS - HAND 1310 W STEWART DR STE 408, (714) 835-6500 CENTER ORTHOPEDICS - ORANGE, CA 92868 SHOULDER AND ORTHOPEDICS - ELBOW INSTITUTE A MEDICAL GROUP TALIESNIK, ANDRES - MD (BCC) THE HAND CENTER SHOULDER PLASTIC SURGERY 1310 W STEWART DR STE 408, (714) 835-6500 AND ELBOW INSTITUTE A ORANGE, CA 92868 MEDICAL GROUP TALIESNIK, ANDRES - MD (BCC) THE ORTHOPEDICS - HAND HAND SURGERY 1310 W STEWART DR STE 408, (714) 835-6500 CENTER ORTHOPEDICS - ORANGE, CA 92868 SHOULDER AND ORTHOPEDICS - ELBOW INSTITUTE A MEDICAL GROUP TALLMAN, MEREDITH G - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH MOB 2, ROSEVILLE, CA 95661 CENTER TALLMAN, MEREDITH G - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1600 EUREKA RD BUILDING C 1ST FLR (916) 784-4100 JOB OCCUPATIONAL HEALTH PHYSICIAN MOB 2, ROSEVILLE, CA 95661 CENTER TAM, JENNIFER - PT PROACTIVE WORK HEALTH PHYSICAL THERAPY 3459 CAHUENGA BLVD W, LOS (323) 851-5000 SERVICES ANGELES, CA 90068 TAMBOLI, KAUSHAL - MD (BCC) CARDIOVASCULAR DISEASE 8317 DAVIS ST STE A, DOWNEY, CA (562) 869-1511 (CARDIOLOGY) 90241 TAMESIS, RICHARD R - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 (BCC) LLUSM LOMA LINDA, CA 92354 TAMESIS, RICHARD R - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 (BCC) LLUSM RIVERSIDE, CA 92505 TAMMY'S PHARMACY PHARMACY 202 N GARFIELD AVE STE A, (626) 572-3400 MONTEREY PARK, CA 91754 TAMPA PLAZA PHARMACY PHARMACY 19100 VENTURA BLVD STE L, TARZANA, (818) 345-9292 CA 91356 TAMS RX PHARMACY PHARMACY 14024 MAGNOLIA ST STE 103A, (714) 892-9808 WESTMINSTER, CA 92683 TAN BINH PHARMACY PHARMACY 15434 BROOKHURST ST, (714) 531-8275 WESTMINSTER, CA 92683 TAN, ANTONIUS Y - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 665 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TAN, LAREN D - MD (BCC) LOMA LINDA UNIVERSITY PULMONARY DISEASE 11370 ANDERSON ST FMO 3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP TAN, NANETTE - PT FUNCTION ACTION PHYSICAL PHYSICAL THERAPY 255 W BULLARD AVE STE 114, CLOVIS, (559) 299-0344 THERAPY CA 93612 TAN, PETER - MD (BCC) INTERNAL MEDICINE 117 E LIVE OAK AVE STE 101, ARCADIA, (626) 446-8492 CA 91006 TAN, RICARDO - MD ALLERGY AND IMMUNOLOGY 1950 SAWTELLE BLVD STE 138 , LOS (310) 207-4122 ANGELES, CA 90025 TANA PHARMACY PHARMACY 10512 BOLSA AVE STE 104, (714) 554-4121 WESTMINSTER, CA 92683 TANAKA, GLENN - DC MIRA MESA CHIROPRACTIC CHIROPRACTIC MEDICINE 5850 OBERLIN DR STE 220, SAN DIEGO, (858) 453-0366 CA 92121 TANAKA, LINDA - AUD ADVANCED HEARING AUDIOLOGY 1135 S SUNSET AVE STE 319, WEST (800) 598-5300 PROVIDERS LLC COVINA, CA 91790 TANARA, KARL - MD (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY 92883 TANARA, KARL - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 21634 RETREAT PKWY , CORONA, CA (951) 493-6929 TEMESCAL VALLEY PHYSICIAN 92883 TANASSE, TRAVIS - PT CAMERON PARK PHYSICAL PHYSICAL THERAPY 1060 CAMERADO DR, CAMERON PARK, (530) 676-7184 THERAPY CENTER CA 95682 TANG, C B - MD PRIMARY TREATING 1250 PACIFIC AVENUE, LONG BEACH, (562) 437-0831 PHYSICIAN CA 90813 TANG, C B - MD OCCUPATIONAL MEDICINE 1250 PACIFIC AVENUE, LONG BEACH, (562) 437-0831 CA 90813 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 KNEE CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 LOWER EXTREMITIES CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 SHOULDER CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDIC SURGERY - 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 UPPER EXTREMITIES CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDICS - HIP 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDICS - KNEE 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDICS - LOWER 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 EXTREMITIES CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDICS - SHOULDER 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 CA 91105 TANG, GEORGE - MD (BCC) HUNTINGTON ORTHOPEDICS ORTHOPEDICS - UPPER 39 CONGRESS ST STE 200, PASADENA, (626) 795-0282 EXTREMITIES CA 91105 TANG, ZILUE - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH CENTER TANG, ZILUE - MD KAISER PERMANENTE ON THE PRIMARY TREATING 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH PHYSICIAN CENTER TANNER, JOHN - DC CHIROPRACTIC CENTER OF CHIROPRACTIC MEDICINE 4260 CENTRAL AVE, RIVERSIDE, CA (951) 684-2350 RIVERSIDE 92506 TANNERHILL, ADAM - PT BODIES IN BALANCE PHYSICAL THERAPY 8730 WILSHIRE BLVD STE 200, (310) 275-2800 BEVERLY HILLS, CA 90211 TANOUYE, CHERYL A - MD KAISER PERMANENTE ON THE INTERNAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER TANOUYE, CHERYL A - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 666 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TANOUYE, CHERYL A - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER TANSMAN, MARA - PSYD PSYCHOLOGY 10323 SANTA MONICA BLVD #111, LOS (310) 734-0306 ANGELES, CA 90025 TANSMAN, MARA - PSYD PSYCHOLOGY 8923 SEPULVEDA BLVD STE 102, LOS (310) 734-0306 ANGELES, CA 90045 TANTUWAYA, VRIJESH S - MD NEUROLOGICAL SURGERY 31569 CANYON ESTATES DR STE 115, (858) 312-5016 (BCC) LAKE ELSINORE , CA 92532 TANTUWAYA, VRIJESH S - MD NEUROLOGICAL SURGERY 1810 FULLERTON AVE STE 104, (858) 312-5016 (BCC) CORONA , CA 92881 TANTUWAYA, VRIJESH S - MD NEUROLOGICAL SURGERY 13029 POMERADO RD STE B, POWAY, (858) 312-5016 (BCC) CA 92064 TANTUWAYA, VRIJESH S - MD NEUROLOGICAL SURGERY 5301 WHITTIER BLVD , LOS ANGELES , (858) 312-5016 (BCC) CA 90022 TANTUWAYA, VRIJESH S - MD SPINE SURGERY 31569 CANYON ESTATES DR STE 115, (858) 312-5016 (BCC) LAKE ELSINORE , CA 92532 TANTUWAYA, VRIJESH S - MD SPINE SURGERY 1810 FULLERTON AVE STE 104, (858) 312-5016 (BCC) CORONA , CA 92881 TANTUWAYA, VRIJESH S - MD SPINE SURGERY 13029 POMERADO RD STE B, POWAY, (858) 312-5016 (BCC) CA 92064 TANTUWAYA, VRIJESH S - MD SPINE SURGERY 5301 WHITTIER BLVD , LOS ANGELES , (858) 312-5016 (BCC) CA 90022 TAO WELLNESS PHARMACY PHARMACY 16931 BUSHARD ST, FOUNTAIN (714) 593-5654 VALLEY, CA 92708 TAP PHARMACY PHARMACY 4270 RIVERWALK PKWY, RIVERSIDE, (951) 406-1521 CA 92505 TAPNIO, LUZ - PT PHYSICIAN'S CHOICE PHYSICAL THERAPY 12217 SANTA MONICA BLVD STE 209, (310) 309-3721 PHYSICAL THERAPY LOS ANGELES, CA 90025 TAPNIO, LUZ - PT PHYSICIAN'S CHOICE PHYSICAL THERAPY 17019 CHATSWORTH ST, GRANADA (818) 435-4455 PHYSICAL THERAPY HILLS, CA 91344 TAPO PHARMACY PHARMACY 2590 SYCAMORE DR STE 101, SIMI (805) 526-4224 VALLEY, CA 93065 TAPSON, VICTOR - MD (BCC) SMIDT HEART INSTITUTE PULMONARY DISEASE 127 S SAN VICENTE STE A3600, LOS (310) 248-8388 ANGELES, CA 90048 TARDGUILA, GREGORY - DC TARDGUILA CHIRO CHIROPRACTIC MEDICINE 15901 HAWTHORNE BLVD 160, (310) 921-8239 PROFESSIONAL CORP LAWNDALE, CA 90260 TARR, MICHAEL - PT TELESMANIC REHABILITATION PHYSICAL THERAPY 746 G ST, REEDLEY, CA 93654 (559) 638-1171 INC DBA REEDLEY PHYSICAL THERAPY TARRALBA, MARIANNE K - MD LOMA LINDA UNIVERSITY RHEUMATOLOGY 11370 ANDERSON ST FMO 3300, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP TARSITANO, BEN F - MD (BCC) ORAL AND MAXILLOFACIAL 640 E ALVIN DR STE C , SALINAS , CA (831) 443-9300 SURGERY 93906 TARSITANO, BEN F - MD (BCC) ORAL AND MAXILLOFACIAL 70 PENNY LN STE B , WATSONVILLE , (831) 722-8887 SURGERY CA 95076 TARVER, CHARLES C - MD LOMA LINDA UNIVERSITY PHYSICAL MEDICINE AND 11406 LOMA LINDA DR #300, LOMA (800) 679-4642 (BCC) HEALTH CARE - PHYSICAL MED REHABILITATION LINDA , CA 92354 & REHAB/PAIN MGMT FP&S TARZANA CARE PHCY AND PHARMACY 18370 BURBANK BLVD STE#104, (818) 996-3600 COMP TARZANA, CA 91356 TARZANA PLAZA PHARMACY PHARMACY 5525 ETIWANDA AVE STE 100, (818) 996-9906 TARZANA, CA 91356 TARZANA TREATMENT TARZANA TREATMENT CHEMICAL DEPENDENCY 18646 OXNARD ST, TARZANA, CA 91356 (800) 996-1051 CENTERS (BCC) CENTERS REHABILITATION CENTER (OUTPATIENT) TARZANA TREATMENT TARZANA TREATMENT CHEMICAL DEPENDENCY 18700 OXNARD ST, TARZANA, CA 91356 (800) 996-1051 CENTERS (BCC) CENTERS REHABILITATION CENTER (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 667 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TARZANA TREATMENT TARZANA TREATMENT CHEMICAL DEPENDENCY 44443 N 10TH ST W, LANCASTER, CA (661) 726-2630 CENTERS (BCC) CENTERS REHABILITATION CENTER 93534 (OUTPATIENT) TARZANA TREATMENT TARZANA TREATMENT CHEMICAL DEPENDENCY 5190 ATLANTIC AVE, LONG BEACH, CA (800) 996-1051 CENTERS (BCC) CENTERS REHABILITATION CENTER 90805 (OUTPATIENT) TARZANA TREATMENT TARZANA TREATMENT CHEMICAL DEPENDENCY 7101 BAIRD AVE, RESEDA, CA 91335 (800) 996-1051 CENTERS (BCC) CENTERS REHABILITATION CENTER (OUTPATIENT) TARZANA TREATMENT TARZANA TREATMENT CHEMICAL DEPENDENCY 907 W LANCASTER BLVD, LANCASTER, (800) 996-1051 CENTERS (BCC) CENTERS REHABILITATION CENTER CA 93534 (OUTPATIENT) TARZANA WELLNESS PHARMACY 18840 VENTURA BLVD, TARZANA, CA (818) 600-8800 PHARMACY 91356 TASCH, EDWIN S - MD KAISER PERMANENTE SANTA NEUROLOGY 710 LAWRENCE EXPRESSWAY , SANTA (408) 236-6160 CLARA MEDICAL CENTER CLARA, CA 95051 TATEVOSSIAN, RAYMOND G - COMPREHENSIVE SPINE & PAIN MANAGEMENT 201 S BUENA VISTA ST STE 238, (818) 325-2088 MD (BCC) PAIN PHYSICIANS BURBANK, CA 91505 TAVSS, SIDNEY - PT HI DESERT PHYSICAL PHYSICAL THERAPY 56299 29 PALMS HWY, YUCCA VALLEY, (760) 369-1743 REHABILITATION GROUP CA 92284 TAVSS, SIDNEY - PT HI DESERT PHYSICAL PHYSICAL THERAPY 5930 ADOBE RD, TWENTYNINE PALMS, (760) 367-1743 REHABILITATION GROUP CA 92277 TAWARE, SHALAKA - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 4205 SAN FELIPE RD STE 100, SAN (408) 238-1552 PHYSICAL THERAPY JOSE, CA 95135 TAWFIK, SANDRA - PT PACER PHYSICAL THERAPY PHYSICAL THERAPY 2255 YGNACIO VALLEY RD STE E, (925) 930-6680 WALNUT CREEK, CA 94598 TAWFIK, SANDRA - PT PACER PHYSICAL THERAPY PHYSICAL THERAPY 2330 SAN RAMON VALLEY BLVD, SAN (925) 855-1733 INC RAMON, CA 94583 TAYLOR, CRISTA, MARIE - PT TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 400 CAMARILLO RANCH RD 108, (805) 388-3055 INC CAMARILLO, CA 93021 TAYLOR, CRISTA, MARIE - PT TELESIS PHYSICAL THERAPY PHYSICAL THERAPY 550 SAINT CHARLES DR STE 100, (805) 777-1023 INC THOUSAND OAKS, CA 91360 TAYLOR, JASON R - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 TAYLOR, JASON R - MD KAISER PERMANENTE PLASTIC SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 TAYLOR, JOHN E - DDS DENTIST 333 CORPORATE DR STE 250, LADERA (949) 542-7200 RANCH , CA 92694 TAYLOR, LESLEY A - MD (BCC) CITY OF HOPE GENERAL SURGERY 1500 EAST DUARTE RD, DUARTE , CA (800) 826-4673 COMPREHENSIVE CANCER 91010 CENTER TAYLOR, MICHAEL - DC MICHAEL TAYLOR CHIROPRACTIC MEDICINE 1421 STANDIFORD AVE STE B, (209) 521-1122 CHIROPRACTIC MODESTO, CA 95350 TAYLOR, NATALIE - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 1845 BUSINESS CENTER DR STE 127, (909) 890-9030 INC SAN BERNARDINO, CA 92408 TAYLOR, NATALIE - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 802 MAGNOLIA AVE STE 107, CORONA, (951) 340-0070 INC MAIN CA 92879 TAYLOR, NATALIE - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 886 MAGNOLIA AVE STE 100, CORONA, (951) 340-3402 CA 92879 TAYYAB, NEIL A - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 TAYYAB, NEIL A - MD CONCENTRA MEDICAL SPINE SURGERY 740 NORDAHL RD STE 131, SAN (760) 432-9000 CENTER - SAN MARCOS MARCOS, CA 92069 TAYYARAH, MAJID - MD KAISER PERMANENTE VASCULAR SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER TCC PMQ PHARMACY 1 PHARMACY 17660 LAKEWOOD BLVD, BELLFLOWER, (562) 264-3124 CA 90706 TCHAKIAN, GARO - DC LA WELLNESS SPAINC CHIROPRACTIC MEDICINE 14558 SYLVAN ST STE 201, VAN NUYS, (818) 989-2225 CA 91411 TCHOBANIAN, GARY - DC GARY TCHOBANIAN CHIROPRACTIC MEDICINE 2950 LOS FELIZ BLVD STE 201, LOS (323) 663-6664 CHIROPRACTIC ANGELES, CA 90039 TCHOBANIAN, SEZA - DC GARY TCHOBANIAN CHIROPRACTIC MEDICINE 2950 LOS FELIZ BLVD STE 201, LOS (323) 663-6664 CHIROPRACTIC ANGELES, CA 90039

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 668 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TEBI, SINA - MD ENDOCRINOLOGY 23928 LYONS AVE STE 204, NEWHALL , (661) 222-2300 CA 91321 TEBI, SINA - MD (BCC) ENDOCRINOLOGY, DIABETES 23928 LYONS AVE STE 204, NEWHALL, (661) 222-2300 AND METABOLISM CA 91321 TED'S VILLAGE HM PHARMACY PHARMACY 29 W 25TH AVE, SAN MATEO, CA 94403 (650) 349-1373 TEDS DRUGS PHARMACY 27453 HESPERIAN BLVD, HAYWARD, CA (510) 782-6494 94545 TEELE, MIRIAM - AUD ADVANCED HEARING AUDIOLOGY 3975 JACKSON STREET STE 400 C, (800) 598-5300 PROVIDERS LLC RIVERSIDE, CA 92503 TEGROEN, CHARLEEN - PT CHARLEEN TEGROEN PT INC PHYSICAL THERAPY 2080 NEWBURY RD, NEWBURY PARK, (805) 571-1000 CA 91320 TEGROEN, CHARLEEN - PT WESTLAKE SPORTS THERAPY PHYSICAL THERAPY 4165 E THOUSAND OAKS BLVD STE (805) 371-9116 INC 150, WESTLAKE VILLAGE, CA 91362 TEICHMAN, SEIGMUND - MD LOMA LINDA UNIVERSITY NEPHROLOGY 11370 ANDERSON ST STE 3200, LOMA (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LINDA , CA 92354 MEDICINE SPECIALTIES GROUP TEJWANI, SAMIR G - MD KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER TEKMYSTER, GENE - DO (BCC) KECK MEDICINE OF USC - ORTHOPEDICS - SPINE 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 ORTHOPAEDIC SURGERY CA 90245 TEKMYSTER, GENE - DO (BCC) KECK MEDICINE OF USC - ORTHOPEDICS - SPINE 1450 SAN PABLO STE 5400, LOS (310) 726-0233 ORTHOPAEDIC SURGERY ANGELES, CA 90033 TEKMYSTER, GENE - DO (BCC) KECK MEDICINE OF USC - SPORTS MEDICINE 1450 SAN PABLO STE 5400, LOS (310) 726-0233 ORTHOPAEDIC SURGERY ANGELES, CA 90033 TEKMYSTER, GENE - DO (BCC) KECK MEDICINE OF USC - PRIMARY TREATING 1450 SAN PABLO STE 5400, LOS (310) 726-0233 ORTHOPAEDIC SURGERY PHYSICIAN ANGELES, CA 90033 TEKMYSTER, GENE - DO (BCC) KECK MEDICINE OF USC - SPORTS MEDICINE 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 ORTHOPAEDIC SURGERY CA 90245 TEKMYSTER, GENE - DO (BCC) KECK MEDICINE OF USC - PRIMARY TREATING 555 N NASH ST STE B , EL SEGUNDO , (310) 726-0233 ORTHOPAEDIC SURGERY PHYSICIAN CA 90245 TELECARE HERITAGE TELECARE HERITAGE MENTAL HEALTH/PSYCHIATRIC 2633 E 27TH ST, OAKLAND, CA 94601 (510) 535-5115 PSYCHIATRIC HEALTH FAC PSYCHIATRIC HEALTH FAC HOSPITAL (INPATIENT) (BCC) TELECARE WILLOW ROCK TELECARE WILLOW ROCK MENTAL HEALTH/PSYCHIATRIC 2050 FAIRMONT DR, SAN LEANDRO, CA (510) 895-5502 CENTER (BCC) CENTER HOSPITAL (INPATIENT) 94578 TELEHEALTH PHARMACY PHARMACY 21550 OXNARD STREET 3RD FLOOR, (877) 797-9793 WOODLAND HILLS, CA 91367 TELENG, BRITTANY - PT HOLLYWOOD PHYSICAL PHYSICAL THERAPY 4855 SANTA MONICA BLVD STE 102, (323) 741-8500 THERAPY LOS ANGELES, CA 90029 TELESIS PHYSICAL THERAPY, PHYSICAL THERAPY 400 CAMARILLO RANCH RD #108, (805) 388-3055 INC. CAMARILLO, CA 93021 TELESIS PHYSICAL THERAPY, PHYSICAL THERAPY 550 SAINT CHARLES DR STE 100, (805) 777-1023 INC. THOUSAND OAKS, CA 91360-3969 TELNET-RX PHARMACY PHARMACY 2129 E BALL RD, ANAHEIM, CA 92806 (800) 298-7176 TEMECULA VALLEY HOSPITAL TEMECULA VALLEY HOSPITAL ACUTE CARE HOSPITAL 31700 TEMECULA PARKWAY , (951) 331-2200 (BCC) TEMECULA, CA 92592 TEMPLE, CHRISTOPHER - PT NORTH SALINAS PHYSICAL PHYSICAL THERAPY 1758 N MAIN ST, SALINAS, CA 93906 (831) 442-3700 THERAPY TEMPLE, NADIA - PT CALAVERAS PHYSICAL PHYSICAL THERAPY 500 E CALAVERAS BLVD STE 112, (408) 934-4700 THERAPY MILPITAS, CA 95035 TEMPLET, ROY - AUD ADVANCED HEARING AUDIOLOGY 1580 S WINCHESTER BLVD STE 104, (800) 598-5300 PROVIDERS LLC CAMPBELL, CA 95008 TEMPLET, ROY - AUD ADVANCED HEARING AUDIOLOGY 8041 GREENBACK LN , CITRUS (800) 598-5300 PROVIDERS LLC HEIGHTS, CA 95610 TEMPLET, ROY - AUD ADVANCED HEARING AUDIOLOGY 9245 LAGUNA SPRINGS DR STE 200, (800) 598-5300 PROVIDERS LLC ELK GROVE, CA 95758 TEMPLET, ROY - AUD ADVANCED HEARING AUDIOLOGY 1024 IRON POINT RD , FOLSOM, CA (800) 598-5300 PROVIDERS LLC 95630 TEMPLET, ROY - AUD ADVANCED HEARING AUDIOLOGY 2850 ARTESIA BLVD STE 103, (800) 598-5300 PROVIDERS LLC REDONDO BEACH, CA 90278 TEMPLET, ROY - AUD ADVANCED HEARING AUDIOLOGY 333 UNIVERSITY AVE STE 200, (800) 598-5300 PROVIDERS LLC SACRAMENTO, CA 95825

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 669 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TEN PHARMACY PHARMACY 750 LONG BEACH BLVD STE 1, LONG (562) 283-8999 BEACH, CA 90813 TENDULKAR, NIKHIL - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1675 ALHAMBRA BLVD STE B, (916) 451-4580 CENTER - SACRAMENTO - KNEE SACRAMENTO, CA 95816 DOWNTOWN TENDULKAR, NIKHIL - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 1675 ALHAMBRA BLVD STE B, (916) 451-4580 CENTER - SACRAMENTO - SHOULDER SACRAMENTO, CA 95816 DOWNTOWN TENDULKAR, NIKHIL - MD CONCENTRA MEDICAL ORTHOPEDICS - KNEE 1675 ALHAMBRA BLVD STE B, (916) 451-4580 CENTER - SACRAMENTO - SACRAMENTO, CA 95816 DOWNTOWN TENDULKAR, NIKHIL - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 1675 ALHAMBRA BLVD STE B, (916) 451-4580 CENTER - SACRAMENTO - SACRAMENTO, CA 95816 DOWNTOWN TENENBAUM, MAX M - MD RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 (BCC) RIVERSIDE 92506 TENENBAUM, MAX M - MD RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 (BCC) RIVERSIDE PHYSICIAN 92506 TENET, AUBREY - PT SACRAMENTO SPINE PHYSICAL THERAPY 1650 LEAD HILL BLVD STE 300, (916) 677-1210 PHYSICAL ROSEVILLE, CA 95661 THERAPYROSEVILLE TENKATE, MELISSA - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 TENNANT, GREGORY S - DO KAISER PERMANENTE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER TENNYSON PHARMACY PHARMACY 589 W TENNYSON RD, HAYWARD, CA (510) 266-0800 94544 TENORIO, MELINDA - PT GOOD SHEPHERD REHAB PHYSICAL THERAPY 13701 BEACH BLVD STE A1, (714) 622-5311 AGENCY WESTMINSTER, CA 92683 TENORIO, REENA, JAY - PT STATE OF THE ART PHYSICAL PHYSICAL THERAPY 2492 WALNUT AVE STE 140, TUSTIN, CA (714) 544-2188 THERAPY 92780 TEPLOW DRUGS PHARMACY 404 E MAIN ST, BARSTOW, CA 92311 (760) 256-2726 TEPPER, JAN - DPM (BCC) PODIATRY 984 W FOOTHILL BLVD STE B, UPLAND, (909) 920-0884 CA 91786 TEREO, MICHAEL - DC TEREO CHIROPRACTIC CHIROPRACTIC MEDICINE 6287 JARVIS AVE, NEWARK, CA 94560 (510) 795-2700 TERRAPIN PHYSICAL THERAPY PHYSICAL THERAPY 5 HARRIS CT BLDG T, MONTEREY, CA (831) 372-3579 93940-5750 TERRAZZINO, JOSEPH - MD INTERNAL MEDICINE 23823 VALENCIA BLVD STE 230, (661) 254-0172 (BCC) VALENCIA, CA 91355 TERRILL, JOSEPH - PT PRO P T PHYSICAL THERAPY 1150 W MORTON AVE STE B, (559) 782-1501 PORTERVILLE, CA 93257 TERRIO PHYSICAL PHYSICAL THERAPY 4025 W FIGARDEN DR STE 105, (661) 617-1182 THERAPY-FITNESS, INC. FRESNO, CA 93720 TERRIO THERAPY FITNESS PHYSICAL THERAPY 5400 OLIVE DR, BAKERSFIELD, CA (661) 387-9050 OLIVE 93308 TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 5400 OLIVE DRSUITE A, BAKERSFIELD, (661) 387-9050 MARKETPLACE CA 93308-2989 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 1205 N. WILLOW, CLOVIS, CA 93619 (559) 322-4103 INC TERRIO THERAPY FITNESS, PHYSICAL THERAPY 3400 CALLOWAY DR STE 603, (661) 615-6600 INC BAKERSFIELD, CA 93312-2514 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 8800 STOCKDALE HWY STE. 150, (661) 377-1700 INC BAKERSFIELD, CA 93311 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 11206 OLIVE DR, BAKERSFIELD, CA (661) 377-1700 INC. 93312-5846 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 13019 STOCKDALE HWY STE 500, (661) 377-1700 INC. BAKERSFIELD, CA 93314 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 1430 HIGH ST, DELANO, CA 93215-1715 (661) 377-1700 INC. TERRIO THERAPY FITNESS, PHYSICAL THERAPY 1800 WESTWIND DRIVE BUILDING 500, (661) 322-9411 INC. BAKERSFIELD, CA 93301 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 2838 OSWELL ST, BAKERSFIELD, CA (661) 873-7100 INC. 93306-2704

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 670 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TERRIO THERAPY FITNESS, PHYSICAL THERAPY 2960 E NEES AVE STE 108, FRESNO, CA (559) 322-4103 INC. 93720-6012 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 4004 PANAMA LN STE 100, (661) 377-1700 INC. BAKERSFIELD, CA 93313-3770 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 7900 DISTRICT BLVD UNIT A, (661) 377-1700 INC. BAKERSFIELD, CA 93313-4845 TERRIO THERAPY FITNESS, PHYSICAL THERAPY 815 TUCKER RD STE C, TEHACHAPI, CA (661) 377-1700 INC. 93561-2513 TERRIO, TIM - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 11206 OLIVE DR, BAKERSFIELD, CA (661) 377-1700 93312 TERRIO, TIMOTHY - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 13019 STOCKDALE HWY STE 500, (661) 377-1700 BAKERSFIELD, CA 93314 TERRIO, TIMOTHY - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 3400 CALLOWAY DR STE 603, (661) 615-6600 BAKERSFIELD, CA 93312 TERRY, DARREN, GREGORY - MOBILITY PHYSICAL THERAPY PHYSICAL THERAPY 24551 RAYMOND WAY STE 125, LAKE (949) 540-0301 PT INC FOREST, CA 92630 TERRY, DARREN, GREGORY - MOBILITY PHYSICAL THERAPY PHYSICAL THERAPY 3002 DOW AVE STE 318, TUSTIN, CA (714) 389-9306 PT INC 92780 TERUYA, THEODORE H - MD LOMA LINDA UNIVERSITY VASCULAR SURGERY 11234 ANDERSON ST STE 2100, LOMA (800) 679-4642 (BCC) HEALTH CARE - VASCULAR LINDA , CA 92354 SURGERY TESHIMA, DONALD R - OD ATLANTIS EYECARE OPTOMETRY 7667 CENTER AVE STE 301, (714) 991-4100 (BCC) HUNTINGTON BEACH, CA 92547 TESHIMA, DONALD R - OD ATLANTIS EYECARE OPTOMETRY 947 S ANAHEIM BLVD STE 120, (714) 991-4100 (BCC) ANAHEIM, CA 92805 TETZ, KYLE - DC KYLE TETZ CHIROPRACTIC INC CHIROPRACTIC MEDICINE 410 S MELROSE DR STE 200, VISTA, CA (760) 630-8060 92081 TFC PHARMACY PHARMACY 4914 1/2 W SLAUSON AVE, LOS (323) 348-4205 ANGELES, CA 90056 THAI, PRISCILLA - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 800 S RAYMOND AVE FL 3, PASADENA, (626) 795-0800 ASSOCIATES DBA ELITE CA 91105 MOTION THAIK, CYNTHIA M - MD (BCC) CARDIOVASCULAR DISEASE 2211 W MAGNOLIA BLVD STE 140, (818) 842-1410 (CARDIOLOGY) BURBANK, CA 91506 THAIK, CYNTHIA M - MD (BCC) HOLISTIC HEALING HEART CARDIOVASCULAR DISEASE 23501 CINEMA DR STE 117, VALENCIA, (661) 222-9057 CENTER (CARDIOLOGY) CA 91355 THAKER, NIMISH - MD (BCC) THAKER UROLOGICAL CENTER UROLOGY 4500 BROCKTON AVE STE 204, (951) 683-5800 INC RIVERSIDE, CA 92501 THANH THUY PHARMACY PHARMACY 6830 STOCKTON BLVD STE 160, (916) 391-7210 SACRAMENTO, CA 95823 THE ANGELES CLINIC PHARMACY 11818 WILSHIRE BLVD, LOS ANGELES, (310) 582-7900 CA 90025 THE CAMP RECOVERY THE CAMP RECOVERY CHEMICAL DEPENDENCY 3192 GLEN CANYON RD, SCOTTS (831) 438-1868 CENTER (BCC) CENTER REHABILITATION CENTER VALLEY, CA 95066 (OUTPATIENT) THE CAMP RECOVERY THE CAMP RECOVERY CHEMICAL DEPENDENCY 256 E HAMILTON AVE STE K, (408) 367-2190 CENTER - CAMPBELL CENTER - CAMPBELL REHABILITATION CENTER CAMPBELL, CA 95008 OUTPATIENT (BCC) OUTPATIENT (OUTPATIENT) THE CANYON AT SANTA THE CANYON AT SANTA CHEMICAL DEPENDENCY 12304 SANTA MONICA BLVD STE 112, (424) 465-5066 MONICA LLC (BCC) MONICA LLC REHABILITATION CENTER LOS ANGELES, CA 90025 (OUTPATIENT) THE DANVILLE SAN RAMON PHARMACY 905 SAN RAMON VALLEY BLVD, (925) 820-4603 PHCY DANVILLE, CA 94526 THE DRUG STORE PHARMACY 111 PIUTE DR, KERNVILLE, CA 93238 (760) 376-2216 THE DRUGGIST PHARMACY 27867 SMYTH DR, VALENCIA, CA 91355 (661) 294-4040 THE DRUGGIST PHARMACY 24022 ALISO CREEK RD, LAGUNA (949) 643-0740 NIGUEL, CA 92677 THE GOODEN CENTER (BCC) THE GOODEN CENTER CHEMICAL DEPENDENCY 191 N EL MOLINO AVE, PASADENA, CA (626) 356-0078 REHABILITATION CENTER 91101 (OUTPATIENT) THE GROSSMAN BURN THE GROSSMAN BURN ACUTE BURN CARE FACILITY 7325 MEDICAL CENTER DT STE 200, (818) 891-2876 CENTER (BCC) CENTER WEST HILLS , CA 91307

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 671 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone THE HAVEN AT PISMO (BCC) THE HAVEN AT PISMO CHEMICAL DEPENDENCY 2030 IDYLLWILD PL, ARROYO GRANDE, (805) 202-3440 REHABILITATION CENTER CA 93420 (OUTPATIENT) THE HAVEN AT PISMO (BCC) THE HAVEN AT PISMO CHEMICAL DEPENDENCY 621 E GRAND AVE, ARROYO GRANDE, (805) 202-3440 REHABILITATION CENTER CA 93420 (OUTPATIENT) THE HAVEN AT PISMO (BCC) THE HAVEN AT PISMO CHEMICAL DEPENDENCY 929 HIDDEN PINE LN, ARROYO (805) 202-3440 REHABILITATION CENTER GRANDE, CA 93420 (OUTPATIENT) THE HAVEN AT PISMO (BCC) THE HAVEN AT PISMO CHEMICAL DEPENDENCY 944 VIA SOLANA, ARROYO GRANDE, CA (805) 202-3440 REHABILITATION CENTER 93420 (OUTPATIENT) THE JOHN M AND SALLY B PHARMACY 9300 CAMPUS POINT DR, LA JOLLA, CA (858) 657-5891 HOSP 92037 THE KINETIC CHAIN PHYSICAL PHYSICAL THERAPY 12 MAUCHLY STE A, IRVINE, CA (949) 552-9100 THERAPY 92618-2394 THE KINETIC CHAIN PHYSICAL PHYSICAL THERAPY 15785 LAGUNA CANYON RD STE 110, (949) 552-9100 THERAPY IRVINE, CA 92618-3166 THE LAKES TREATMENT THE LAKES TREATMENT CHEMICAL DEPENDENCY 7260 OBYRNES FERRY RD, (209) 785-8200 CENTER (BCC) CENTER REHABILITATION CENTER COPPEROPOLIS, CA 95228 (OUTPATIENT) THE LIVING CENTERS OF THE LIVING CENTERS OF CHEMICAL DEPENDENCY 917 13TH ST, MODESTO, CA 95354 (209) 575-1580 CALIFORNIA INC (BCC) CALIFORNIA INC REHABILITATION CENTER (OUTPATIENT) THE LIVING CENTERS OF THE LIVING CENTERS OF CHEMICAL DEPENDENCY 917 13TH ST, MODESTO, CA 95354 (209) 575-1580 CALIFORNIA INC (BCC) CALIFORNIA INC REHABILITATION CENTER (OUTPATIENT) THE LIVING CENTERS OF THE LIVING CENTERS OF CHEMICAL DEPENDENCY 4576 E SHIELDS AVE, FRESNO, CA (209) 575-1580 FRESNO INC (BCC) FRESNO INC REHABILITATION CENTER 93726 (OUTPATIENT) THE MARSH VILLAGE PHARMACY 2143 FOOTHILL BLVD, LA CANADA (818) 248-3643 PHARMACY FLINTRIDGE, CA 91011 THE MED CENTER INC (BCC) THE MED CENTER INC URGENT CARE FACILITY 319 N MILPAS ST, SANTA BARBARA, CA (805) 965-3011 93103 THE MED CENTER INC (BCC) THE MED CENTER INC URGENT CARE FACILITY 271 N FAIRVIEW AVE STE 101, GOLETA, (805) 681-7411 CA 93117 THE MED CENTER INC (BCC) THE MED CENTER INC URGENT CARE FACILITY 2954 STATE ST, SANTA BARBARA, CA (805) 682-7411 93105 THE MEDICINE CABINET PHARMACY 228 E ANAHEIM ST, WILMINGTON, CA (310) 513-9214 90744 THE MEDICINE CABINET PHARMACY 6046 ATLANTIC BLVD, MAYWOOD, CA (323) 771-4965 90270 THE MEDICINE CABINET PHARMACY 3270 TWEEDY BLVD STE C, SOUTH (323) 564-2056 GATE, CA 90280 THE MEDICINE CABINET PHARMACY 6399 ATLANTIC AVE, BELL, CA 90201 (323) 773-1261 THE MEDICINE CABINET PHCY PHARMACY 7119 RITA AVE STE B, HUNTINGTON (323) 581-9106 PARK, CA 90255 THE MEDICINE CHEST PHARMACY 1300 N FRESNO ST, FRESNO, CA 93703 (559) 237-4171 THE MEDICINE SHOPPE PHARMACY 282 VILLAGE SQ, ORINDA, CA 94563 (925) 254-1211 THE MEDICINE SHOPPE PHARMACY 1121 S STATE ST, HEMET, CA 92543 (951) 652-5988 THE MEDICINE SHOPPE PHARMACY 2939 ALTA VIEW DR STE L, SAN DIEGO, (619) 470-4550 CA 92139 THE MEDICINE SHOPPE PHARMACY 17623 PIONEER BLVD, ARTESIA, CA (562) 402-1000 90701 THE MEDICINE SHOPPE PHARMACY 15555 MAIN ST STE D8, HESPERIA, CA (760) 948-1000 92345 THE MEDICINE SHOPPE PHARMACY 174 S SUNRISE WAY, PALM SPRINGS, (760) 778-8870 CA 92262 THE MEDICINE SHOPPE PHARMACY 4009 N MARKS AVE, FRESNO, CA 93722 (559) 226-1201 THE MEDICINE SHOPPE PHARMACY 9675 MONTE VISTA AVE STE A, (909) 542-9365 MONTCLAIR, CA 91763 THE MEDICINE SHOPPE PHARMACY 9194 MAGNOLIA AVE, RIVERSIDE, CA (951) 977-8667 92503

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 672 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone THE MEDICINE SHOPPE PHARMACY 5860 OWENS DR STE 130, (925) 209-2299 PLEASANTON, CA 94588 THE MEDICINE SHOPPE PHARMACY 2795 W LINCOLN AVE STE K, ANAHEIM, (714) 995-0071 CA 92801 THE MEDICINE SHOPPE PHARMACY 812 5TH ST, MARYSVILLE, CA 95901 (530) 743-4629 PHARMACY THE PHARMACY PHARMACY 11905 S CENTRAL AVE, LOS ANGELES, (323) 564-6051 CA 90059 THE PHARMACY PHARMACY 3055 W ORANGE AVE STE 108, (714) 995-4161 ANAHEIM, CA 92804 THE PHARMACY PHARMACY 360 E 7TH ST STE F, UPLAND, CA 91786 (909) 946-6411 THE PHARMACY DEPOT PHARMACY 4948 W PICO BLVD UNIT B, LOS (323) 965-9885 ANGELES, CA 90019 THE PHYSICAL EDGE PHYSICAL THERAPY 253 N SANTA ANITA AVE, ARCADIA, CA (626) 294-0070 PHYSICAL THERAPY, INC. 91006-3114 THE PILL BOX PHARMACY PHARMACY 1108 N LAKE ST, MADERA, CA 93638 (559) 674-1625 THE PILL CLUB PHARMACY 969 INDUSTRIAL RD, SAN CARLOS, CA (650) 562-7271 94070 THE PRESCRIPTION CENTER PHARMACY 9730 WILSHIRE BLVD # 103114, (310) 274-7113 BEVERLY HILLS, CA 90212 THE PRESCRIPTION SHOP PHARMACY 1215 W WHITTIER BLVD, MONTEBELLO, (323) 728-8127 CA 90640 THE PRESCRIPTION SHOPPE PHARMACY 400 S 2ND AVE STE 101, BARSTOW, CA (760) 256-5614 92311 THE PROFESSIONAL PHARMACY 7631 WESTMINSTER BLVD, (714) 893-2464 PHARMACY WESTMINSTER, CA 92683 THE QR PHARMACY PHARMACY 11507 OXNARD ST UNIT 2, NORTH (818) 927-4321 HOLLYWOOD, CA 91606 THE REMEDY PHARM PHARMACY 23811 HAWTHORNE BLVD, TORRANCE, (310) 375-0655 CA 90505 THE VILLA OUTPATIENT THE VILLA OUTPATIENT CHEMICAL DEPENDENCY 4463 VAN NUYS BLVD, SHERMAN OAKS, (818) 397-8190 SEVICES LLC (BCC) SEVICES LLC REHABILITATION CENTER CA 91403 (OUTPATIENT) THE VILLA TREATMENT THE VILLA TREATMENT CHEMICAL DEPENDENCY 5051 HOOD DR, WOODLAND HILLS, CA (855) 591-6116 CENTER LLC (BCC) CENTER LLC REHABILITATION CENTER 91364 (OUTPATIENT) THENY, NILASARI - OT GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 THEO PHARMACY PHARMACY 13701 BEACH BLVD STE A2, (714) 373-0214 WESTMINSTER, CA 92683 THER A CON PHYSICAL PHYSICAL THERAPY 2103 MYRTLE AVE, EUREKA, CA (707) 445-9150 THERAPY INC 95501-3323 THER A CON PHYSICAL PHYSICAL THERAPY 733 CEDAR ST, GARBERVILLE, CA (707) 923-3921 THERAPY INC 95542-3201 THERAPIES WEST PHYSICAL PHYSICAL THERAPY 1687 ERRINGER RDSUITE 109, SIMI (805) 584-8054 THERAPY VALLEY, CA 93065-6509 THERAPIES WEST PHYSICAL PHYSICAL THERAPY 32250 TRIUNFO CANYON RD, (818) 889-6949 THERAPY WESTLAKE VILLAGE, CA 91361-3908 THERAPY AND WELLNESS PHYSICAL THERAPY 2560 COLORADO BLVD, LOS ANGELES, (323) 255-1795 CENTER CA 90041 THERAPY IN HAND PHYSICAL THERAPY 14538 LOLLY LN STE C, SONORA, CA (209) 533-1600 95370-8447 THERAPY PARTNERS INC PHYSICAL THERAPY 25405 HANCOCK AVESUITE 200, (866) 389-0211 MURRIETA, CA 92562-5978 THERAPY PROFESSIONALS PHYSICAL THERAPY 25405 HANCOCK AVE STE 200, (951) 696-4308 MURRIETA, CA 92562-5978 THERAPY PROFESSIONALS PHYSICAL THERAPY 31309 TEMECULA PKWYSUITE 101, (951) 302-5213 TEMECULA, CA 92592-6826 THERAPY RESOURCES PHYSICAL THERAPY 2441 E PLAZA BLVD, NATIONAL CITY, (619) 434-2063 CA 91950 THERAPY RESOURCES INC PHYSICAL THERAPY 2441 E PLAZA BLVD, NATIONAL CITY, (619) 434-2063 CA 91950-5101

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 673 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone THERAPY SOLUTIONS PHYSICAL THERAPY 24582 DEL PRADO STE H, DANA POINT, (949) 487-2722 CA 92629-3821 THERAPY SPECIALISTS PHYSICAL THERAPY 2211 MASSACHUSETTS AVE, LEMON (619) 698-0903 GROVE, CA 91945-3616 THERAPY SPECIALISTS PHYSICAL THERAPY 2751 ROOSEVELT RD BUILDING 210 (619) 501-9755 STE 203, SAN DIEGO, CA 92106-6180 THERAPY SPECIALISTS PHYSICAL THERAPY 344 F ST STE 100, CHULA VISTA, CA (619) 498-8450 91910-2645 THERAPY WEST INC PHYSICAL THERAPY 8717 VENICE BLVD, LOS ANGELES, CA (310) 337-7115 90034-3216 THERAPY WORKS FITNESS PHYSICAL THERAPY 500 QUINTANA RD, MORRO BAY, CA (805) 772-7358 WORKS 93442-1938 THERASENS OCCUPATIONAL PHYSICAL THERAPY 1900 GARDEN RD STE 200, MONTEREY, (831) 250-6770 THERAPY CA 93940-5334 THERESA M. LOCKE PHYSICAL PHYSICAL THERAPY 571 STANISLAUS AVE STE F, ANGELS (209) 736-0956 THERAPY INC. DBA PINNACL CAMP, CA 95222-9354 THIEL, ARTHUR E - MD (BCC) LOMA LINDA UNIVERSITY HAND SURGERY 11406 LOMA LINDA DR ORC STE 147, (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LOMA LINDA , CA 92354 SURGERY ORC THIEL, ARTHUR E - MD (BCC) LOMA LINDA UNIVERSITY HAND SURGERY 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S THIEL, ARTHUR E - MD (BCC) LOMA LINDA UNIVERSITY HAND SURGERY 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - COLTON , CA 92324 EMPIRE ORTHOPEDICS THIERER, DOUGLAS - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH BRUNO, CA 94066 CENTER THIERER, DOUGLAS - DO KAISER PERMANENTE ON THE PRIMARY TREATING 801 TRAEGER AVE 2ND FLR, SAN (650) 742-7110 JOB OCCUPATIONAL HEALTH PHYSICIAN BRUNO, CA 94066 CENTER THOAI, CHAU, JAMES - DC CHAU CHIROPRACTIC CHIROPRACTIC MEDICINE 12736 SAN PABLO AVE, RICHMOND, CA (510) 235-0018 94805 THOM, DONALD G - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 THOM, DONALD G - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 THOM, DONALD G - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 LLUSM BEAUMONT, CA 92223 THOMAS, ALICE - AUD ADVANCED HEARING AUDIOLOGY 43797 15TH ST W , LANCASTER, CA (800) 598-5300 PROVIDERS LLC 93534 THOMAS, BARBARA - PT THE REHAB GROUP PHYSICAL THERAPY 31741 TEMECULA PKWY STE C, (951) 719-8155 TEMECULA, CA 92592 THOMAS, BRADLEY M - MD BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE LOWER EXTREMITIES MANHATTAN BEACH, CA 90266 THOMAS, BRADLEY M - MD BEACH CITIES ORTHOPEDICS ORTHOPEDIC SURGERY - 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE UPPER EXTREMITIES MANHATTAN BEACH, CA 90266 THOMAS, BRADLEY M - MD BEACH CITIES ORTHOPEDICS ORTHOPEDICS - LOWER 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE EXTREMITIES MANHATTAN BEACH, CA 90266 THOMAS, BRADLEY M - MD BEACH CITIES ORTHOPEDICS ORTHOPEDICS - UPPER 400 S SEPULVEDA BLVD STE 200, (310) 546-3461 (BCC) & SPORTS MEDICINE EXTREMITIES MANHATTAN BEACH, CA 90266 THOMAS, CLARE A - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90048 CENTER THOMAS, CRYSTAL - PT XCELERATE PHYSICAL PHYSICAL THERAPY 144 W LOS ANGELES AVE STE 110, (805) 552-1915 THERAPY MOORPARK, CA 93021 THOMAS, CRYSTAL - PT XCELERATE PHYSICAL PHYSICAL THERAPY 3262 E THOUSAND OAKS BLVD 100, (805) 374-9900 THERAPY THOUSAND OAKS, CA 91362 THOMAS, DENNIS - AUD ADVANCED HEARING AUDIOLOGY 40315 JUNCTION DR STE B, OAKHURST, (800) 598-5300 PROVIDERS LLC CA 93644 THOMAS, DENNIS - AUD ADVANCED HEARING AUDIOLOGY 3545 W NOBLE AVE , VISALIA, CA 93277 (800) 598-5300 PROVIDERS LLC

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 674 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone THOMAS, GARY - AUD ADVANCED HEARING AUDIOLOGY 14758 PIPELINE AVE STE D, CHINO (800) 598-5300 PROVIDERS LLC HILLS, CA 91709 THOMAS, GARY - AUD ADVANCED HEARING AUDIOLOGY 945 SPRING ST STE 17, PASO ROBLES (800) 598-5300 PROVIDERS LLC , CA 93446 THOMAS, GARY - AUD ADVANCED HEARING AUDIOLOGY 9661 BASELINE ROAD, RANCHO (800) 598-5300 PROVIDERS LLC CUCAMONGA, CA 91730 THOMAS, GLORIA - PTA SYMMETRY PHYSICAL PHYSICAL THERAPY 13890 PALMDALE RD, VICTORVILLE, CA (760) 955-8100 THERAPY 92392 THOMAS, JOHN - PT GRACE PT/LAGUNA PHYSICAL THERAPY 31341 NIGUEL RD STE G, LAGUNA (949) 443-5442 ORTHOPEDIC REHABILITATION NIGUEL, CA 92677

THOMAS, JOSEPH - MD HEMATOLOGY AND 23823 VALENCIA BLVD STE 250, SANTA (661) 259-5433 ONCOLOGY CLARITA, CA 91355 THOMAS, LEE - DC LEE AND RODRIGUEZ CHIROPRACTIC MEDICINE 741 S ORANGE AVE, WEST COVINA, CA (626) 854-1144 CHIROPRACTIC INC 91790 THOMAS, MICHELLE - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY THOMAS, MICHELLE - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY THOMAS, MICHELLE - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY THOMAS, MICHELLE A - MD CONCENTRA MEDICAL PRIMARY TREATING 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH PHYSICIAN FRESNO, CA 93720 THOMAS, MICHELLE A - MD CONCENTRA MEDICAL FAMILY MEDICINE 7265 NORTH FIRST ST STE 105, (559) 431-8181 CENTER - FRESNO NORTH FRESNO, CA 93720 THOMAS, RITA - OT BASIL R BESH MD INC OCCUPATIONAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 THOMAS, ROGERSON - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 1925 ALUM ROCK AVE STE B, SAN (408) 923-0203 INCORPORATED JOSE, CA 95116 THOMAS, TIMMY C - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH 95825 CENTER THOMAS, TIMMY C - MD KAISER PERMANENTE ON THE PRIMARY TREATING 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH PHYSICIAN 95825 CENTER THOMAS, VICKI - AUD ADVANCED HEARING AUDIOLOGY 1240 MARSH ST , SAN LUIS OBISPO, CA (800) 598-5300 PROVIDERS LLC 93401 THOMAS, WALTER A - MD ORTHOPEDIC SURGERY - HIP 258 LOMBARD ST STE 200, THOUSAND (805) 497-0817 (BCC) OAKS , CA 91360 THOMAS, WALTER A - MD ORTHOPEDIC SURGERY - 258 LOMBARD ST STE 200, THOUSAND (805) 497-0817 (BCC) ELBOW OAKS , CA 91360 THOMAS, WALTER A - MD ORTHOPEDIC SURGERY - 258 LOMBARD ST STE 200, THOUSAND (805) 497-0817 (BCC) ANKLE OAKS , CA 91360 THOMAS, WALTER A - MD SPORTS MEDICINE 258 LOMBARD ST STE 200, THOUSAND (805) 497-0817 (BCC) OAKS , CA 91360 THOMAS, WALTER A - MD PRIMARY TREATING 258 LOMBARD ST STE 200, THOUSAND (805) 497-0817 (BCC) PHYSICIAN OAKS , CA 91360 THOMAS, WALTER A - MD ORTHOPEDIC SURGERY - 258 LOMBARD ST STE 200, THOUSAND (805) 497-0817 (BCC) KNEE OAKS , CA 91360 THOMAS, WALTER A - MD ORTHOPEDIC SURGERY - 258 LOMBARD ST STE 200, THOUSAND (805) 497-0817 (BCC) SHOULDER OAKS , CA 91360 THOMPSOM, COURTNEY - PT BLAKE PHYSICAL THERAPY PHYSICAL THERAPY 4820 LINCOLN BLVD, MARINA DEL REY, (310) 822-0041 MARINA DEL REY CA 90292 THOMPSON PHYSICAL PHYSICAL THERAPY 6222 N 1ST ST STE 104, FRESNO, CA (559) 365-5001 THERAPY INC. 93710-5448 THOMPSON, ANI - PT THOMPSON PHYSICAL PHYSICAL THERAPY 6222 N 1ST ST STE 104, FRESNO, CA (559) 365-5001 THERAPY INC 93710 THOMPSON, DRUSILLA - PT PACER PHYSICAL THERAPY PHYSICAL THERAPY 2255 YGNACIO VALLEY RD STE E, (925) 930-6680 WALNUT CREEK, CA 94598

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 675 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone THOMPSON, JACOB D - DPM KAISER PERMANENTE FRESNO PODIATRY 7300 N FRESNO ST , FRESNO, CA 93720 (559) 448-4886 MEDICAL CENTER THOMPSON, MICHAEL - DC THOMPSON CHIROPRACTIC CHIROPRACTIC MEDICINE 5300 LENNOX AVE STE 302, (661) 852-0712 BAKERSFIELD, CA 93309 THOMPSON, ROBIN - PT PENINSULA SPORTS MEDICINE PHYSICAL THERAPY 2945 JUNIPERO SERRA BLVD, DALY (650) 784-1349 AND REHAB CENTER CITY, CA 94014 THOMPSON, RYAN - PT THOMPSON PHYSICAL PHYSICAL THERAPY 6222 N 1ST ST STE 104, FRESNO, CA (559) 365-5001 THERAPY INC 93710 THORNE, KATHERINE - PT CAMERON PARK PHYSICAL PHYSICAL THERAPY 1060 CAMERADO DR, CAMERON PARK, (530) 676-7184 THERAPY CENTER CA 95682 THOUSAND CRANES PHARMACY 1832 BUCHANAN ST STE 203, SAN (415) 409-4357 PHARMACY FRANCISCO, CA 94115 THOUSAND OAKS URGENT THOUSAND OAKS URGENT URGENT CARE FACILITY 620 E JANSS RD, THOUSAND OAKS, CA (805) 495-6866 CARE (BCC) CARE 91360 THREE RIVERS DRUG PHARMACY 40893 SIERRA DR, THREE RIVERS, CA (559) 561-4217 93271 THRIVE PHYSICAL THERAPY PHYSICAL THERAPY 221 W FIR AVE STE 105, CLOVIS, CA (559) 325-3444 93611-0223 THROM, CHRISTINE - AUD ADVANCED HEARING AUDIOLOGY 430 MONTEREY AVE , LOS GATOS, CA (800) 598-5300 PROVIDERS LLC 95030 THU PHARMACY PHARMACY 15735 HAWTHORNE BLVD, LAWNDALE, (310) 676-3489 CA 90260 THU PHARMACY PHARMACY 6590 STOCKTON BLVD # B, (916) 395-0352 SACRAMENTO, CA 95823 THU VAN PHARMACY PHARMACY 10362 BOLSA AVE STE 108, (714) 775-0772 WESTMINSTER, CA 92683 TIANGCO, ANNE, JILIAN - PT CAMARILLO PHYSICAL PHYSICAL THERAPY 4000 CALLE TECATE STE 117, (805) 383-0470 THERAPY CAMARILLO, CA 93012 TIB PHARMACY PHARMACY 5886 MOWRY SCHOOL RD, NEWARK, (510) 573-0064 CA 94560 TIBERI, JOHN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 TIBERI, JOHN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC KNEE ANGELES, CA 90045 TIBERI, JOHN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 TIBERI, JOHN - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 TIBERI, JOHN V - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 TIBERI, JOHN V - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC KNEE CA 92806 TIBERI, JOHN V - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 TIBERI, JOHN V - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 2400 KATELLA AVE STE 400, ANAHEIM, (714) 937-1338 CLINIC CA 92806 TIBONE, JAMES - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 TIBONE, JAMES - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ELBOW ANGELES, CA 90045 TIBONE, JAMES - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC KNEE ANGELES, CA 90045 TIBONE, JAMES - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC SHOULDER ANGELES, CA 90045 TIBONE, JAMES - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 TIBONE, JAMES - MD (BCC) KERLAN - JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 TIBONE, JAMES E - MD (BCC) KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 TIBONE, JAMES E - MD (BCC) KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC PHYSICIAN ANGELES, CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 676 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TIBURON WELLNESS CENTER PHYSICAL THERAPY 1640 TIBURON BLVD SUITE 6, TIBURON, (415) 435-7420 CA 94920 TICE VALLEY PHYSICAL PHYSICAL THERAPY 1874 TICE VALLEY BLVD, WALNUT (925) 935-0510 THERAPY CREEK, CA 94595-2224 TILLAY, SARAH - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 6221 METROPOLITAN ST STE 201, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELEY A - PSYD INSTITUTES OF HEALTH PSYCHOLOGY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 (BCC) BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC TILLEY, KIMBERELY - PSYD CONCENTRA MEDICAL PSYCHOLOGY 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 TILLOU, ARETI - MD (BCC) SURGERY 200 UCLA MEDICAL PLZ STE 214, LOS (310) 794-7788 ANGELES, CA 90095 TILLY, MONICA - MD CONCENTRA MEDICAL INTERNAL MEDICINE 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS 95035 TIMBERLAKE PHARMACY PHARMACY 8120 TIMBERLAKE WAY STE 108, (916) 760-2470 SACRAMENTO, CA 95823 TIMBERLAKE PHYSICAL PHYSICAL THERAPY 7551 TIMBERLAKE WAY STE 200, (916) 691-0446 THERAPY SACRAMENTO, CA 95823-5422 TING, HSUEHFANG - OT CONGRESS ORTHOPAEDIC OCCUPATIONAL THERAPY 800 S RAYMOND AVE FL 3, PASADENA, (626) 795-0800 ASSOCIATES DBA ELITE CA 91105 MOTION TINGAUD, MARY, SARAH - LAC MARY TINGAUD LAC ACUPUNCTURE 1725 STATE ST, SANTA BARBARA, CA (805) 898-1804 93101

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 677 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TINKER, CHRISTOPHER - PT PACIFIC GROVE PHYSICAL PHYSICAL THERAPY 786 LIGHTHOUSE AVE, MONTEREY, CA (831) 645-9996 THERAPY 93940 TINOCO, EDWIN - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 15200 W SUNSET BLVD STE 111, (310) 573-9340 INC DBA OPTIMISSPORT PACIFIC PALISADES, CA 90272 PHYSICAL THERAPY TIPLES, MARY - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 TIPPETT, JOANN - PT GO BEYOND PHYSICAL PHYSICAL THERAPY 39 QUAIL CT STE 300, WALNUT CREEK, (925) 977-9300 THERAPY CA 94596 TIPTON MEDICAL CLINIC (BCC) TIPTON MEDICAL CLINIC URGENT CARE FACILITY 575 N THOMPSON RD, TIPTON, CA (559) 752-4147 93272 TIRMIZI, OMAR - MD SLEEP MEDICINE 4340 OVERLAND AVE, CULVER CITY, CA (310) 556-0702 90230 TITAN PHYSICAL THERAPY PHYSICAL THERAPY 12099 W WASHINGTON BLVD STE 408, (424) 228-4340 AND WELLNESS LOS ANGELES, CA 90066-2620 TITAN PHYSICAL THERAPY PHYSICAL THERAPY 12099 W WASHINGTON BLVD STE 408, (424) 228-4340 AND WELLNESS LOS ANGELES, CA 90066-2620 TITCHER, ROBERT - MD (BCC) INTERNAL MEDICINE 14124 FOOTHILL BLVD STE 100, (818) 367-1012 SYLMAR, CA 91342 TLC XPRESS PHARMACY PHARMACY 10810 WARNER AVE STE 3, FOUNTAIN (714) 465-2431 VALLEY, CA 92708 TNT PHARMACY 2 PHARMACY 705 W LA VETA AVE, ORANGE, CA (714) 538-6868 92868 TO, MATTHEW - DC PHYSICAL MEDICINE CHIROPRACTIC MEDICINE 14925 BURBANK BLVD, SHERMAN (818) 905-3355 INSTITUTE OAKS, CA 91411 TO, MATTHEW - DC PHYSICAL MEDICINE CHIROPRACTIC MEDICINE 5651 SEPULVEDA BLVD STE 202, VAN (818) 905-3355 INSTITUTE NUYS, CA 91411 TO, MATTHEW - DC PHYSICAL MEDICINE CHIROPRACTIC MEDICINE 4849 VAN NUYS BLVD STE 205, (818) 905-3355 INSTITUTEMAIN SHERMAN OAKS, CA 91403 TOBIN, DENNIS - AUD ADVANCED HEARING AUDIOLOGY 4340 REDWOOD HWY , SAN RAFAEL, (800) 598-5300 PROVIDERS LLC CA 94903 TODD, FROH - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 1720 RINGWOOD AVE, SAN JOSE, CA (408) 988-8581 INCORPORATED 95131 TODD, FROH - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 2901 K ST STE 120C, SACRAMENTO, CA (916) 448-1770 INCORPORATED 95816 TODD, FROH, ROBERT - DC NORALAHI MEDICAL CLINICS CHIROPRACTIC MEDICINE 2087 GRAND CANAL BLVD STE 12, (209) 476-8405 INCORPORATED STOCKTON, CA 95207 TOGI, POLIN - LAC BUDINCICH CHIROPRACTIC ACUPUNCTURE 140 N HILL AVE, PASADENA, CA 91106 (626) 792-3390 CLINIC TOHID, LARISSA - LAC ONE LIFE ACUPUNCTURE ACUPUNCTURE 27405 PUERTA REAL STE 330, MISSION (949) 371-9740 VIEJO, CA 92691 TOHID, LARISSA - LAC ONE LIFE ACUPUNCTURE ACUPUNCTURE 5911 HEIL AVE STE F, HUNTINGTON (714) 377-2257 BEACH, CA 92649 TOIYABE INDIAN HEALTH PHARMACY 52 N TU SU LN, BISHOP, CA 93514 (760) 873-4721 PROJECT TOKHEIM CORBETT PHYSICAL PHYSICAL THERAPY 1191 E YOSEMITE AVE STE A, (209) 824-9888 THERAPY COMPANY MANTECA, CA 95336-5071 TOKHEIM CORBETT PHYSICAL PHYSICAL THERAPY 1191 E YOSEMITE AVESUITE A, (209) 579-5628 THERAPY INC MANTECA, CA 95336-5071 TOKHEIM CORBETT PHYSICAL PHYSICAL THERAPY 220 STANDIFORD AVESUITE F, (209) 824-9888 THERAPY INC MODESTO, CA 95350-1159 TOLBERT, JOHN - AUD ADVANCED HEARING AUDIOLOGY 2941 COCHRAN STREET STE 3, SIMI (800) 598-5300 PROVIDERS LLC VALLEY, CA 93065 TOLBERT, LINDA D - MD KAISER PERMANENTE DERMATOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER TOLUCA PHARMACY PHARMACY 11914 VENTURA BLVD, STUDIO CITY, (818) 761-1400 CA 91604 TOM REDGATE MEMORIAL TOM REDGATE MEMORIAL CHEMICAL DEPENDENCY 1775 CHESTNUT AVE, LONG BEACH, CA (562) 599-8444 RECOVERY CENTER (BCC) RECOVERY CENTER REHABILITATION HOSPITAL 90813 (INPATIENT) TOM, CINDY - PT PENINSULA ORTHOPEDIC PHYSICAL THERAPY 455 HICKEY BLVD STE 205, DALY CITY, (650) 746-3299 ASSOCIATES INC CA 94015

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 678 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TOMA, BASHAR - OT SYNERGY SPECIALIST OCCUPATIONAL THERAPY 8388 PARKWAY DR, LA MESA, CA 91942 (619) 797-1190 MEDICAL GROUP TOMASIN, JAMES - PT MAXIM PHYSICAL THERAPY PHYSICAL THERAPY 2321 COURT ST, REDDING, CA 96001 (530) 242-8480 TOMLINSON, SARAH - PT BISHOP CARE CENTER PHYSICAL THERAPY 151 PIONEER LN, BISHOP, CA 93514 (760) 872-1000 TON, JIMMY - MD (BCC) PRIMARY TREATING 210 W SAN BERNARDINO RD, COVINA, (626) 331-7331 PHYSICIAN CA 91723 TON, JIMMY - MD (BCC) GENERAL PRACTICE 210 W SAN BERNARDINO RD, COVINA, (626) 331-7331 CA 91723 TON, TOMY - DC (BCC) SOUTHERN CALIFORNIA CHIROPRACTIC MEDICINE 16200 AMBER VALLEY DR, WHITTIER, (562) 943-7125 UNIVERSITY HEALTH SYSTEM CA 90604 TACTICAL SPORTS MEDICINE TONE, RYAN - MD (BCC) ANESTHESIOLOGY 11234 ANDERSON ST MEDICAL CENTER (800) 679-4642 RM 2532, LOMA LINDA, CA 92354 TONG, JOHNATHAN - MD ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 TONG, KAREN - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1633 OLD BAYSHORE HWY STE 145, (650) 239-9075 BURLINGAME, CA 94010 TONTZ JR, WILLIAM - MD (BCC) CALIFORNIA ORTHOPAEDIC SPINE SURGERY 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 TONTZ JR, WILLIAM - MD (BCC) CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - SPINE 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 TOP DRUGS PHARMACY PHARMACY 11010 MAGNOLIA ST, GARDEN GROVE, (714) 583-8308 CA 92841 TOP UNITED PHARMACY PHARMACY 1730A S SAN GABRIEL BLVD, SAN (626) 573-4698 SERVICES GABRIEL, CA 91776 TOP-CARE PHARMACY PHARMACY 10251 ARTESIA BLVD STE A, (562) 461-0891 BELLFLOWER, CA 90706 TOPOROFF, BRUCE M - MD CARDIOTHORACIC SURGERY THORACIC AND CARDIAC 11234 ANDERSON ST SP RM 1617, (800) 679-4642 (BCC) LLUMC SURGERY LOMA LINDA , CA 92354 TORGSYN DISCOUNT PHARMACY 5614 GEARY BLVD, SAN FRANCISCO, (415) 752-3737 PHARMACY CA 94121 TORMED PHARMACY PHARMACY 3440 LOMITA BLVD STE 149, (310) 326-7706 TORRANCE, CA 90505 TOROUMIAN, SARA - MD (BCC) SANSUM CLINIC - PESETAS RHEUMATOLOGY 215 PESETAS LN, SANTA BARBARA, CA (805) 681-7858 MULTI-SPECIALTY CLINIC 93110 TORRANCE MEM MED CTR PHARMACY 3330 LOMITA BLVD, TORRANCE, CA (310) 517-4799 PHARMACY 90505 TORRANCE MEMORIAL TORRANCE MEMORIAL ACUTE CARE HOSPITAL 3330 LOMITA BLVD, TORRANCE, CA (310) 325-9110 MEDICAL CENTER (BCC) MEDICAL CENTER 90505 TORRANCE MEMORIAL TORRANCE MEMORIAL ACUTE BURN CARE FACILITY 3325 MEDICAL CENTER DR - (310) 517-4736 MEDICAL CENTER - BURN MEDICAL CENTER - BURN TORRANCE WEST TOWER, TORRANCE, CENTER (BCC) CENTER CA 90505 TORRANCE MEMORIAL PHY PHARMACY 510 N PROSPECT AVE STE 120, (310) 750-3372 NETOWRK REDONDO BEACH, CA 90277 TORRANCE PHARMACY AND PHARMACY 23600 TELO AVE STE 155, TORRANCE, (424) 250-1701 COMP CTR CA 90505 TORRANCE PHYSICAL PHYSICAL THERAPY 19000 HAWTHORNE BLVD STE 300, (310) 793-1800 THERAPY TORRANCE, CA 90503-1517 TORRANCE URGENT CARE URGENT CARE FACILITY 2196 SEPULVEDA BLVD, TORRANCE, (335) 193-3986 CA 90501 TORRES, GILBERT - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 27455 TIERRA ALTA WAY STE A, (951) 699-8563 GROUP INC TEMECULA, CA 92590 TORRES, GILBERT - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 2226 MEDICAL CENTER DR, STE 102, (951) 657-1400 GROUP INC PERRIS, CA 92571 TORRES, GILBERT - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 16702 VALLEY VIEW AVE, LA MIRADA, (714) 367-5360 GROUP INC CA 90638 TORRES, GILBERT - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 39201 STATE ST , FREMONT, CA 94538 (510) 791-5521 GROUP INC TORRES, GILBERT - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 2675 STEVENSON BLVD , FREMONT, CA (510) 791-5521 GROUP INC 94538 TORRES, GILBERT - PT (BCC) HEALTHPOINTE MEDICAL PHYSICAL THERAPY 5635 W LAS POSITAS BLVD, STE 410, (510) 791-5521 GROUP INC PLEASANTON, CA 94588

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 679 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TORRES, JARED - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 TORRES, JARED - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 7941 BEACH BLVD STE J, BUENA PARK, (714) 736-6855 CA 90620 TORRES, PAUL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 TORRES, PAUL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 TORRES, PAUL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 TORRES, PAUL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 TORRES, PAUL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 TORRES, PAUL - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 TORRES, STEPHEN M - MD LA BONE AND JOINT INSTITUTE ORTHOPEDIC SURGERY - 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) UPPER EXTREMITIES ENCINO, CA 91436 TORRES, STEPHEN M - MD LA BONE AND JOINT INSTITUTE ORTHOPEDIC SURGERY - 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) LOWER EXTREMITIES ENCINO, CA 91436 TORRES, STEPHEN M - MD LA BONE AND JOINT INSTITUTE ORTHOPEDIC SURGERY - HIP 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 TORRES, STEPHEN M - MD LA BONE AND JOINT INSTITUTE ORTHOPEDICS - UPPER 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) EXTREMITIES ENCINO, CA 91436 TORRES, STEPHEN M - MD LA BONE AND JOINT INSTITUTE ORTHOPEDICS - LOWER 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) EXTREMITIES ENCINO, CA 91436 TORRES, STEPHEN M - MD LA BONE AND JOINT INSTITUTE ORTHOPEDICS - HIP 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 TORREY, DONALD - CHT ORTHOPEDIC SPECIALISTS OF HAND THERAPY 2801 K ST STE 310, SACRAMENTO, CA (916) 389-7977 SACRAMENTO 95816 TORRICER, HILARION - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2838 OSWELL ST, BAKERSFIELD, CA (661) 873-7100 93306 TOTAL BODY CENTER PT PHYSICAL THERAPY 41 N GARFIELD AVE STE 102, (626) 282-1988 ALHAMBRA, CA 91801 TOTAL CARE PHARMACY PHARMACY 19409 SOLEDAD CANYON RD, SANTA (661) 250-3800 CLARITA, CA 91351 TOTAL CARE PHARMACY PHARMACY 1657 E 6TH ST, BEAUMONT, CA 92223 (951) 769-3105 TOTAL CARE PHYSICAL PHYSICAL THERAPY 2288 N SIERRA WAY, SAN (909) 883-5069 THERAPY BERNARDINO, CA 92405-3544 TOTAL CARE PHYSICAL PHYSICAL THERAPY 12139 MOUNT VERNON AVE STE 110, (909) 370-3396 THERAPY CA GRAND TERRACE, CA 92313-5500 TOTAL CARE RX PHARMACY PHARMACY 18682 BEACH BLVD STE 115, (714) 964-4004 HUNTINGTON BEACH, CA 92648 TOTAL CARE THERAPY PHYSICAL THERAPY 2620 MISSION ST, SAN FRANCISCO, CA (415) 826-1600 94110-3102 TOTAL PHYSICAL THERAPY PHYSICAL THERAPY 181 JAMACHA RD, EL CAJON, CA 92019 (619) 447-7774 TOTAL PHYSICAL THERAPY PHYSICAL THERAPY 2417 FENTON ST STE A, CHULA VISTA, (619) 591-7000 CA 91914-3517 TOTAL PHYSICAL THERAPY PHYSICAL THERAPY 320 BROADWAY STE B, CHULA VISTA, (619) 422-0404 CA 91910-3502 TOUCHETTE, DEBORAH - AUD ADVANCED HEARING AUDIOLOGY 5500 CLARK RD STE C, PARADISE, CA (800) 598-5300 PROVIDERS LLC 95969 TOUCHSTONES (BCC) TOUCHSTONES CHEMICAL DEPENDENCY 525 N PARKER ST, ORANGE, CA 92868 (714) 639-5542 REHABILITATION CENTER (OUTPATIENT) TOUKHLADJIAN, NEKTAR - PT ELITE PHYSICAL THERAPY PHYSICAL THERAPY 13633 VICTORY BLVD, VAN NUYS, CA (818) 988-7156 WELLNESS CTR 91401 TOUMAYAN, GREGORY - DC HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 290 N 10TH ST, STE 100, COLTON, CA (714) 367-5360 (BCC) GROUP INC 92324 TOUSSAINT, CHRISTINA - AUD ADVANCED HEARING AUDIOLOGY 30271 GOLDEN LANTERN STE B, (800) 598-5300 PROVIDERS LLC LAGUNA NIGUEL, CA 92677 TOVAR, SABRINA - PT MANGAN PHYSICAL THERAPY PHYSICAL THERAPY 29377 RANCHO CALIFORNIA RD STE (951) 296-0400 100, TEMECULA, CA 92591

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 680 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TOWER OUTPATIENT AMBULATORY SURGERY 8635 W 3RD ST STE 1085W, LOS (310) 659-9408 SURGERY CENTER CENTER ANGELES, CA 90048 TOWER PHARMACY PHARMACY 26732 CROWN VALLEY PKWY, MISSION (949) 364-1200 VIEJO, CA 92691 TOWER PHARMACY PHARMACY 350 S GLENOAKS BLVD, BURBANK, CA (818) 848-0220 91502 TOWER PHARMACY PHARMACY 501 E OLIVE AVE, TURLOCK, CA 95380 (209) 250-1786 TOWER PHYSICAL THERAPY PHYSICAL THERAPY 1768 MITCHELL RD STE 305, CERES, CA (209) 537-3900 95307-2156 TOWER PHYSICAL THERAPY PHYSICAL THERAPY 1801 COLORADO AVE STE 260, (209) 216-3360 TURLOCK, CA 95382-2708 TOWFIGHI, FARSHID - LAC CALIFORNIA HARMONY C/O DR ACUPUNCTURE 28040 DOROTHY DRIVE STE 104, (818) 255-6291 FARSHID TOWFIGHI NAMIN AUGORA HILLS, CA 91301 TOWN CENTER PHARMACY 72624 EL PASEO STE A1, PALM (760) 341-3984 COMPOUNDING PHCY DESERT, CA 92260 TOWN CENTER PHARMACY PHARMACY 535 W ACEQUIA AVE, VISALIA, CA 93291 (559) 734-5893 TOWN SQUARE PHARMACY PHARMACY 81709 DR CARREON BLVD, INDIO, CA (760) 342-4933 92201 TOWNSEND, KEVIN - AUD ADVANCED HEARING AUDIOLOGY 8241 ROCHESTER AVE , RANCHO (800) 598-5300 PROVIDERS LLC CUCAMONGA, CA 91730 TOY, HU, ALARIC - LAC WINDING RIVER MEDICINE ACUPUNCTURE 6000 FAIRWAY DR STE 2, ROCKLIN, CA (530) 723-5008 95677 TOY, STEPHEN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 TOY, STEPHEN - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 TRACY URGENT CARE (BCC) TRACY URGENT CARE URGENT CARE FACILITY 2160 W GRANT LINE RD STE 230, (209) 832-8700 TRACY, CA 95377 TRADONSKY, STEVEN - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE KNEE SAN DIEGO, CA 92108 TRADONSKY, STEVEN - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE LOWER EXTREMITIES SAN DIEGO, CA 92108 TRADONSKY, STEVEN - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SHOULDER SAN DIEGO, CA 92108 TRADONSKY, STEVEN - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE UPPER EXTREMITIES SAN DIEGO, CA 92108 TRADONSKY, STEVEN - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - KNEE 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 TRADONSKY, STEVEN - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - LOWER 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE EXTREMITIES SAN DIEGO, CA 92108 TRADONSKY, STEVEN - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - SHOULDER 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE SAN DIEGO, CA 92108 TRADONSKY, STEVEN - MD CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - UPPER 7485 MISSION VALLEY RD STE 104-A, (619) 291-8930 INSTITUTE EXTREMITIES SAN DIEGO, CA 92108 TRAINER, GABRIEL T - MD KAISER PERMANENTE ORTHOPEDICS 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER TRAN PHARMACY PHARMACY 14291 EUCLID ST STE D104, GARDEN (714) 554-3320 GROVE, CA 92843 TRAN PHARMACY PHARMACY 9856 WESTMINSTER AVE #123, (714) 539-3900 GARDEN GROVE, CA 92844 TRAN, CAROLINE - MD (BCC) ANESTHESIOLOGY 26730 CROWN VALLEY PKWY, MISSION (949) 364-2201 VIEJO, CA 92691 TRAN, CAROLINE - MD (BCC) ANESTHESIOLOGY 27700 MEDICAL CENTER RD, MISSION (949) 364-1400 VIEJO, CA 92691 TRAN, CAROLINE - MD (BCC) ANESTHESIOLOGY 31872 COAST HWY, LAGUNA BEACH, (949) 499-1311 CA 92651 TRAN, DO, NGUYEN - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 4205 SAN FELIPE RD STE 100, SAN (408) 238-1552 PHYSICAL THERAPY JOSE, CA 95135 TRAN, DUC A - MD (BCC) LOMA LINDA UNIVERSITY PHYSICAL MEDICINE AND 11406 LOMA LINDA DR #300, LOMA (800) 679-4642 HEALTH CARE - PHYSICAL MED REHABILITATION LINDA , CA 92354 & REHAB FP&S

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 681 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TRAN, HAI T - DO KAISER PERMANENTE OTAY PHYSICAL MEDICINE AND 4650 PALM AVE , SAN DIEGO, CA 92154 (833) 242-8500 MESA MEDICAL OFFICES REHABILITATION TRAN, HOANG - LAC TOTAL WELLNESS CENTER ACUPUNCTURE 19000 HAWTHORNE BLVD STE 130, (310) 370-2800 TORRANCE, CA 90503 TRAN, JIMMY B - DMD CITY DENTAL WESTMINSTER ORAL AND MAXILLOFACIAL 15424 BROOKHURST ST, (714) 775-0666 SURGERY WESTMINSTER , CA 92683 TRAN, LIEN Q - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH 95825 CENTER TRAN, LIEN Q - DO KAISER PERMANENTE ON THE PRIMARY TREATING 2016 MORSE AVE , SACRAMENTO, CA (916) 973-5499 JOB OCCUPATIONAL HEALTH PHYSICIAN 95825 CENTER TRAN, MAILAN - OD (BCC) ATLANTIS EYECARE OPTOMETRY 5991 E SPRING ST , LONG BEACH, CA (562) 938-9945 90808 TRAN, MELODY - PT PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 TRAN, NGUYEN - AUD ADVANCED HEARING AUDIOLOGY 1101 CALIFORNIA AVE STE 100, (800) 598-5300 PROVIDERS LLC CORONA, CA 92881 TRAN, PETER - OT DYNAMIX PHYSICAL THERAPY OCCUPATIONAL THERAPY 11190 WARNER AVE STE 309, (714) 716-4411 INC FOUNTAIN VALLEY, CA 92708 TRAN, RACHEL - DO KAISER PERMANENTE OTAY PHYSICAL MEDICINE AND 4650 PALM AVE , SAN DIEGO, CA 92154 (833) 242-8500 MESA MEDICAL OFFICES REHABILITATION TRAN, RICHARD - PT BROCKTON PHYSICAL PHYSICAL THERAPY 3908 10TH ST, RIVERSIDE, CA 92501 (951) 274-7744 THERAPY TRAN, SHERMAN N - MD (BCC) SPINE & SPORTS MEDICAL PHYSICAL MEDICINE AND 429 LLEWELLYN AVE , CAMPBELL , CA (408) 364-1616 GROUP REHABILITATION 95008 TRAN, SHERMAN NAM N - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1717 S MAIN STREET , MILPITAS, CA (408) 957-5700 CENTER - MILPITAS REHABILITATION 95035 TRAN, SHERMAN NAM N - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE REHABILITATION JOSE, CA 95112 TRANG, ANH, HUNG - LAC SAIGON ACUPUNCTURE ACUPUNCTURE 7400 EL CAJON BLVD STE 206207, LA (619) 319-7705 CENTER MESA, CA 91942 TRANG, DINH, THUY - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 399 TAYLOR BLVD STE 208, PLEASANT (925) 692-1160 HILL, CA 94523 TRANSIT PHYSICAL THERAPY PHYSICAL THERAPY 275 W HOSPITALITY LN STE 103, SAN (909) 567-2221 BERNARDINO, CA 92408 TRAUTMAN, KELLY - OT BASIL R BESH MD INC OCCUPATIONAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 TRAVERSO, ANGELA - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 TRAVERSO, ANGELA - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 987 UNIVERSITY AVE STE 18, LOS (408) 356-2800 GATOS, CA 95032 TREGONING, MASON - PT BARROWS TRAINING PHYSICAL THERAPY 500 E ALMOND AVE STE 5B, MADERA, (559) 674-7201 EDUCATION PHYSICAL CA 93637 THERAPY TREINEN, CAROL J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH REDWOOD CITY, CA 94063 CENTER TREINEN, CAROL J - MD KAISER PERMANENTE ON THE PHYSICAL MEDICINE AND 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH REHABILITATION REDWOOD CITY, CA 94063 CENTER TREINEN, CAROL J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH PHYSICIAN REDWOOD CITY, CA 94063 CENTER TRENT, CHRISTOPHER S - MD KAISER PERMANENTE GENERAL SURGERY 13652 CANTARA ST , PANORAMA CITY, (818) 375-2233 PANORAMA CITY MEDICAL CA 91402 CENTER TRI CITY MEDICAL CENTER TRI CITY MEDICAL CENTER ACUTE CARE HOSPITAL 4002 VISTA WAY, OCEANSIDE, CA 92056 (760) 724-8411 (BCC) TRI CITY PHYSICAL THERAPY PHYSICAL THERAPY 2805 WHIPPLE RD, UNION CITY, CA (510) 441-8906 94587-1233 TRI CITY PHYSICAL THERAPY PHYSICAL THERAPY 39210 STATE STSUITE 202, FREMONT, (510) 790-9480 CA 94538-1456

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 682 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TRI STAR PHARMACY PHARMACY 6540 STOCKTON BLVD STE 3B, (916) 701-5688 SACRAMENTO, CA 95823 TRI-CITIES PHYSICAL PHYSICAL THERAPY 19031 HWY 18 SUITE #100, APPLE (760) 946-2165 THERAPY VALLEY, CA 92307 TRI-CITY MEDICAL CENTER PHARMACY 4002 VISTA WAY FL 1, OCEANSIDE, CA (760) 940-5113 OUTPAT 92056 TRI-CITY PHARMACY PHARMACY 1132 CADILLAC CT, MILPITAS, CA 95035 (408) 935-9120 TRI-CITY PHYSICAL THERAPY PHYSICAL THERAPY 2805 WHIPPLE RD, UNION CITY, CA (510) 441-8906 94587 TRI-CITY PHYSICAL THERAPY PHYSICAL THERAPY 39210 STATE ST STE 202, FREMONT, (510) 790-9480 CA 94538 TRIBBLE, TED - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 4199 CAMPUS DR STE 550, IRVINE, CA (800) 803-2086 GROUP INC 92612 TRIBBLE, TED - PSYD GENESIS PSYCHOLOGY PSYCHOLOGY 8880 RIO SAN DIEGO DR FL 8, SAN (800) 803-2086 GROUP INC DIEGO, CA 92108 TRILLIUM PHARMACY PHARMACY 239 S JUNIPER ST, ESCONDIDO, CA (760) 480-4080 92025 TRIMBLE, GUY - DC HUDAVI WELLNESS CHIROPRACTIC MEDICINE 5550 E 7TH ST, LONG BEACH, CA 90804 (562) 433-2177 TRIMBLE, JIMMY - AUD ADVANCED HEARING AUDIOLOGY 2360 S AZUSA AVE STE A-3, WEST (800) 598-5300 PROVIDERS LLC COVINA, CA 91792 TRINITY HOSPITAL (BCC) TRINITY HOSPITAL ACUTE CARE HOSPITAL 60 EASTER AVE, WEAVERVILLE, CA (530) 623-5541 96093 TRINITY MISSION PHARMACY PHARMACY 16569 BROOKHURST ST, FOUNTAIN (714) 839-3033 VALLEY, CA 92708 TRINITY PHARMACY PHARMACY 1335 S GRAND AVE, GLENDORA, CA (626) 335-2700 91740 TRINTY CARE RX PHARMACY 8381 KATELLA AVE STE O, STANTON, (714) 484-9910 CA 90680 TRIPP, PAUL, ANTHONY - DC HOLISTIC MEDICAL CLINIC CHIROPRACTIC MEDICINE 405 N GARFIELD AVE, MONTEREY (626) 280-4884 PARK, CA 91754 TROLAN, WILLIAM H - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN FRANCISCO, CA 94080 FRANCISCO TRONO, NATHANAEL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD TRONO, NATHANAEL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA TRONO, NATHANAEL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY TRONO, NATHANAEL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS TRONO, NATHANAEL - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT TROXELL, JANEY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 TROXELL, SHERRI, M - PT TROXELL MOHR PHYSICAL PHYSICAL THERAPY 2351 W CLEVELAND AVE, MADERA, CA (559) 661-1611 THERAPY 93637 TROXELL, WAYNE, HENRY - PT TROXELL MOHR PHYSICAL PHYSICAL THERAPY 2351 W CLEVELAND AVE, MADERA, CA (559) 661-1611 THERAPY 93637 TRUBELL, GARY, ALLEN - PT VIBRANTCARE PHYSICAL THERAPY 2400 DEL PASO RD STE 132, (916) 886-2940 SACRAMENTO, CA 95834 TRUCARE HEALTH PHARMACY 1234 W CHAPMAN AVE, ORANGE, CA (714) 532-6713 92868 TRUCARE PHARMACY PHARMACY 12918 HARBOR BLVD, GARDEN GROVE, (714) 583-9550 CA 92840 TRUCKEE PHYSICAL THERAPY PHYSICAL THERAPY 11053 DONNER PASS RD, TRUCKEE, CA (530) 587-4790 96161-4839

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 683 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TRUDELLE, CHRISTINIA - PTA CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 8569 BOND RD STE 150, ELK GROVE, (916) 714-1177 CA 95624 TRUE CARE FAMILY PHARMACY 22030 SHERMAN WAY STE 100, (818) 878-3227 PHARMACY CANOGA PARK, CA 91303 TRUE CARE PHARMACY PHARMACY 421 N BROOKHURST ST, ANAHEIM, CA (714) 947-4770 92801 TRUE CARE PHARMACY PHARMACY 421 N BROOKHURST ST, ANAHEIM, CA (714) 947-4770 92801 TRUELLE, CHRISTINA - PTA CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 2288 AUBURN BLVD STE 107, (916) 446-1497 SACRAMENTO, CA 95821 TRUJILLO, LAURA - LMT MORALES ROBERTO P DC MASSAGE THERAPIST 935 E GREEN ST, PASADENA, CA 91106 (626) 796-4141 TRUJILLO-AGUIRRE, NATALIE F CONCENTRA MEDICAL PRIMARY TREATING 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 - MD CENTER - RANCHO PHYSICIAN CUCAMONGA, CA 91730 CUCAMONGA TRUJILLO-AGUIRRE, NATALIE F CONCENTRA MEDICAL FAMILY MEDICINE 9405 FAIRWAY VIEW PLACE , RANCHO (909) 481-7345 - MD CENTER - RANCHO CUCAMONGA, CA 91730 CUCAMONGA TRUONG, JOTIKA - LAC BODYMIND ACUPUNCTURE ACUPUNCTURE 10760 WARNER AVE STE 201, (714) 593-5356 PROF CORP FOUNTAIN VALLEY, CA 92708 TRUONG, JOTIKA - LAC BODYMIND ACUPUNCTURE ACUPUNCTURE 1310 W STEWART DR STE 606A, (714) 527-2641 PROF CORP ORANGE, CA 92868 TRUONG, JOTIKA - LAC BODYMIND ACUPUNCTURE ACUPUNCTURE 14522 MYFORD RD STE B, IRVINE, CA (949) 955-2655 PROF CORP 92606 TRUONG, JOTIKA - LAC BODYMIND ACUPUNCTURE ACUPUNCTURE 817 W 17TH ST, SANTA ANA, CA 92706 (714) 360-0040 PROF CORP TRUONG, MONE - LAC TRUONG CHIROPRACTIC ACUPUNCTURE 629 S FREMONT AVE, ALHAMBRA, CA (626) 458-6423 PROFESSIONAL 91803 CORPORATION TRUONG, NORMAN - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 289 W HUNTINGTON DR STE 103, (626) 396-8150 ASSOCIATES DBA ELITE ARCADIA, CA 91007 MOTION TRUONG, THOMAS - DC TRUONG CHIROPRACTIC CHIROPRACTIC MEDICINE 629 S FREMONT AVE, ALHAMBRA, CA (626) 458-6423 PROFESSIONAL 91803 CORPORATION TRUONG, VICTOR - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 1835 S LA CIENEGA BLVD STE A, LOS (310) 287-3711 SPORTS REHAB ANGELES, CA 90035 TRUONGVINH, ANDY - DC TRUONGVINH CHIROPRACTIC CHIROPRACTIC MEDICINE 21524 FOOTHILL BLVD, HAYWARD, CA (510) 461-0331 94541 TRUPP, PATRICIA - PT SAN JOSE PHYSICAL THERAPY PHYSICAL THERAPY 125 N JACKSON AVE STE 201, SAN (408) 254-7722 JOSE, CA 95116 TRURALLI, DARIN - PT COOPER PHYSICAL THERAPY PHYSICAL THERAPY 235 N GILBERT ST, HEMET, CA 92543 (951) 658-9000 TRUTALLI, MARCY - PT THE REHAB GROUP PHYSICAL THERAPY 40680 CALIFORNIA OAKS RD STE 2A, (951) 894-4800 MURRIETA, CA 92562 TRUXTUN PHARMACY PHARMACY 5925 TRUXTUN AVE STE B, (661) 324-7979 BAKERSFIELD, CA 93309 TRUXTUN PHARMACY DELANO PHARMACY 1228 JEFFERSON ST, DELANO, CA (661) 778-0111 93215 TSAI, ANNIE - MD (BCC) ANESTHESIOLOGY 15107 VANOWEN ST, VAN NUYS, CA (818) 782-6600 91405 TSAI, EUGENE - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 TSAI, JAMES - LAC TSAI ACUPUNCTURE GROUP ACUPUNCTURE 2815 JEFFERSON ST STE 202, (760) 720-7367 CARLSBAD, CA 92008 TSAI, JAMES Y - MD (BCC) LOMA LINDA UNIVERSITY HEMATOLOGY AND 11234 ANDERSON ST SP RM A600, (800) 679-4642 HEALTH CARE - ONCOLOGY LOMA LINDA, CA 92354 HEMATOLOGY/ONCOLOGY DEPT FP&S TSAO, ANTHONY - AUD ADVANCED HEARING AUDIOLOGY 1505 WILSON TER , GLENDALE, CA (800) 598-5300 PROVIDERS LLC 91206 TSAO, BRYAN E - MD (BCC) LOMA LINDA UNIVERSITY - NEUROLOGY 11370 ANDERSON ST STE B100, LOMA (800) 679-4642 DEPT OF NEUROLOGY LINDA , CA 92354 TSEGAYE, BANCHI - DC AIM FOR WELLNESS CHIROPRACTIC MEDICINE 8725 LA TIJERA BLVD, WESTCHESTER, (424) 331-5661 CA 90045

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 684 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TSENG, PHILIP H - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S TSH LODI PHYSICAL THERAPY PHYSICAL THERAPY 631 S HAM LN, LODI, CA 95242-3532 (209) 368-7433 TSO, CHI - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 289 W HUNTINGTON DR STE 103, (626) 396-8150 ASSOCIATES DBA ELITE ARCADIA, CA 91007 MOTION TSUJIMOTO, CURT - MD (BCC) ANESTHESIOLOGY 255 E BONITA AVE BLDG 3B, POMONA, (909) 593-3550 CA 91767 TSUNG, PATRICIA A - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 5251 VIEWRIDGE COURT , SAN DIEGO, (833) 242-8500 VIEWRIDGE MEDICAL OFFICES REHABILITATION CA 92123 TSURAI HEALTH CENTER PHARMACY 1600 WEEOT WAY, ARCATA, CA 95521 (707) 825-5050 TT PHARMACY PHARMACY 9091 EDINGER AVE STE B, (714) 622-5549 WESTMINSTER, CA 92683 TU, ALEXANDER H - MD KAISER PERMANENTE ON THE OPHTHALMOLOGY 1050 W PACIFIC COAST HWY , HARBOR (310) 527-5600 JOB SOUTH BAY MEDICAL CITY, CA 90804 CENTER TUCAY, MARIATERESA - OTA PINE CREEK CARE CENTER OCCUPATIONAL THERAPY 1139 CIRBY WAY, ROSEVILLE, CA 95661 (916) 782-7007 TUCKER, DONNA - AUD ADVANCED HEARING AUDIOLOGY 41800 ENTERPRISE CIR W STE A, (800) 598-5300 PROVIDERS LLC TEMECULA, CA 92590 TUCKER, KELLY J - MD (BCC) ORANGE COUNTY HEART CARDIOVASCULAR DISEASE 1140 W LA VETA AVE STE 640 - ST. (714) 564-3300 INSTITUTE AND RESEARCH (CARDIOLOGY) JOSEPH OUTPATIENT PAVILLION, CENTER ORANGE, CA 92868 TUJUNGA PHARMACY PHARMACY 7341 FOOTHILL BLVD, TUJUNGA, CA (818) 352-9200 91042 TULELAKE HEALTH CENTER TULELAKE HEALTH CENTER URGENT CARE FACILITY 498 MAIN ST, TULELAKE, CA 96134 (530) 667-2285 (BCC) TULLY MEDICAL CLINIC PHARMACY 1693 FLANIGAN DR STE 104, SAN JOSE, (408) 274-6698 PHARMACY CA 95121 TULLY, MICHAEL - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 31720 TEMECULA PKWY STE 101, (951) 691-4029 TEMECULA, CA 92592 TULLY, WILLIAM P - MD KAISER PERMANENTE ORTHOPEDICS 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER TUN, SOVANRITH - MD KAISER PERMANENTE ORTHOPEDICS 13730 ROSCOE BLVD , PANORAMA (818) 375-2233 PANORAMA CITY MEDICAL CITY, CA 91402 CENTER TUOLUMNE ME-WUK IND HLTH PHARMACY 18880 CHERRY VALLEY BLVD, (209) 928-5407 CTR TUOLUMNE, CA 95379 TUOMAINEN, SARAH, ANNE - MISSION PEAK ORTHOPAEDIC PHYSICAL THERAPY 39350 CIVIC CENTER DR STE 300, (510) 797-3933 PT MEDICAL GROUP INC FREMONT, CA 94538 TURK, JOSEPH - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - HIP 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 OAKS, CA 91360 TURK, JOSEPH - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 KNEE OAKS, CA 91360 TURK, JOSEPH - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 LOWER EXTREMITIES OAKS, CA 91360 TURK, JOSEPH - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDIC SURGERY - 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 UPPER EXTREMITIES OAKS, CA 91360 TURK, JOSEPH - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - HIP 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 OAKS, CA 91360 TURK, JOSEPH - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - KNEE 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 OAKS, CA 91360 TURK, JOSEPH - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - LOWER 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 EXTREMITIES OAKS, CA 91360 TURK, JOSEPH - MD (BCC) VENTURA ORTHOPEDICS ORTHOPEDICS - UPPER 2230 LYNN RD STE 220, THOUSAND (805) 379-4574 EXTREMITIES OAKS, CA 91360 TURLOCK PHYSICAL THERAPY PHYSICAL THERAPY 1199 DELBON AVE STE 4, TURLOCK, CA (209) 667-6040 95382-2006 TURLOCK'S NEW VISION PHARMACY 2016 W MONTE VISTA AVE, TURLOCK, (209) 250-2582 PHARMACY CA 95382 TURNER, AUSTEN - PT YUCAIPA PHYSICAL THERAPY PHYSICAL THERAPY 1630 W REDLANDS BLVD STE L, (909) 797-5155 REDLANDS, CA 92373

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 685 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TURNER, AUSTEN - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 1845 BUSINESS CENTER DR STE 127, (909) 890-9030 INC SAN BERNARDINO, CA 92408 TURNER, AUSTEN - PT YUCAIPA PHYSICAL THERAPY PHYSICAL THERAPY 33492 OAK GLEN RD STE H, YUCAIPA, (909) 797-5155 CA 92399 TURNER, JAMES, R - DC TURNER CHIROPRACTIC INC CHIROPRACTIC MEDICINE 2010 16TH ST, BAKERSFIELD, CA 93301 (661) 327-7838 TURNER, JUDI - MD (BCC) ANESTHESIOLOGY 757 WESTWOOD PLZ STE 3325, LOS (310) 267-8678 ANGELES, CA 90095 TURNER, MELINDA - PTA PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 520 N PROSPECT AVE STE 100, (310) 376-9222 THERAPYMAIN REDONDO BEACH, CA 90277 TURNING POINT PHYSICAL PHYSICAL THERAPY 9627 LAS TUNAS DR, TEMPLE CITY, CA (626) 292-1793 THERAPY 91780 TURRENTINE, CHRISTINE - PT MOTION MATTERS PT PHYSICAL THERAPY 1132 ACADEMY AVE STE 101, SANGER, (559) 876-1191 CA 93657 TUSTIN PHARMACY PHARMACY 13400 NEWPORT AVE, TUSTIN, CA (714) 731-1344 92780 TUSTIN PREMIER PHARMACY PHARMACY 217 S TUSTIN ST, ORANGE, CA 92866 (714) 790-4085 TUTTLE'S HOEN PHARMACY PHARMACY 4731 HOEN AVE, SANTA ROSA, CA (707) 528-4511 95405 TUTTLE, MICHAEL - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY WELLNESS CA 93003 TUTTLES DOYLE PARK PHARMACY 1220 SONOMA AVE, SANTA ROSA, CA (707) 546-9090 PHARMACY 95405 TWAIN HARTE PHARMACY PHARMACY 18711 TIFFENI DRIVE, STE 45 &, TWAIN (209) 586-3225 HARTE, CA 95383 TWETEN, SCOTT - MD (BCC) ANESTHESIOLOGY 3325 CHANATE RD, SANTA ROSA, CA (707) 576-4000 95404 TWIN CITIES COMMUNITY TWIN CITIES COMMUNITY ACUTE CARE HOSPITAL 1100 LAS TABLAS RD, TEMPLETON, CA (805) 434-3500 HOSPITAL INC (BCC) HOSPITAL INC 93465 TWIN TOWN TREATMENT TWIN TOWN TREATMENT CHEMICAL DEPENDENCY 4388 KATELLA AVE, LOS ALAMITOS, CA (562) 594-8844 CENTERS LOS ALAMITOS CENTERS LOS ALAMITOS REHABILITATION CENTER 90720 (BCC) (OUTPATIENT) TWIN TOWN TREATMENT TWIN TOWN TREATMENT CHEMICAL DEPENDENCY 27281 LAS RAMBLAS STE 140, MISSION (866) 594-8844 CENTERS MISSION VIEJO CENTERS MISSION VIEJO REHABILITATION CENTER VIEJO, CA 92691 (BCC) (OUTPATIENT) TWIN TOWN TREATMENT TWIN TOWN TREATMENT CHEMICAL DEPENDENCY 6180 LAUREL CANYON BLVD STE 275, (818) 985-0560 CENTERS NORTH CENTERS NORTH REHABILITATION CENTER NORTH HOLLYWOOD, CA 91606 HOLLYWOOD (BCC) HOLLYWOOD (OUTPATIENT) TWIN TOWN TREATMENT TWIN TOWN TREATMENT CHEMICAL DEPENDENCY 705 W LA VETA AVE STE 208, ORANGE, (714) 532-9295 CENTERS ORANGE (BCC) CENTERS ORANGE REHABILITATION CENTER CA 92868 (OUTPATIENT) TWIN TOWN TREATMENT TWIN TOWN TREATMENT CHEMICAL DEPENDENCY 20300 S VERMONT AVE STE 245, (866) 594-8844 CENTERS TORRANCE (BCC) CENTERS TORRANCE REHABILITATION CENTER TORRANCE, CA 90502 (OUTPATIENT) TWIN TOWN TREATMENT TWIN TOWN TREATMENT CHEMICAL DEPENDENCY 8739 SANTA MONICA BLVD, WEST (310) 623-1477 CENTERS WEST HOLLYWOOD CENTERS WEST HOLLYWOOD REHABILITATION CENTER HOLLYWOOD, CA 90069 (BCC) (OUTPATIENT) TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY & WELLNESS 93036-2602 TWO TREES PHYSICAL PHYSICAL THERAPY 2895 LOMA VISTA RD STE H, VENTURA, (805) 765-4773 THERAPY & WELLNESS CA 93003-1542 TWO TREES PHYSICAL PHYSICAL THERAPY 3418 LOMA VISTA RD STE A, VENTURA, (805) 765-4773 THERAPY & WELLNESS CA 93003-3015 TWO TREES PHYSICAL PHYSICAL THERAPY 5725 RALSTON ST STE 103, VENTURA, (805) 765-4773 THERAPY & WELLNESS CA 93003-6053 TWOREK, SHELLEY - PT RANCHO PHYSICAL THERAPY PHYSICAL THERAPY 12402 INDUSTRIAL BLVD STE B2, (760) 955-6061 VICTORVILLE, CA 92395 TYLER PHYSICAL THERAPY PHYSICAL THERAPY 3810 LA CRESCENTA AVE, LA (818) 369-7700 CRESCENTA, CA 91214-3914 TYLER PHYSICAL THERAPY PHYSICAL THERAPY 3810 LA CRESCENTA AVE, LA (818) 369-7700 CRESCENTA, CA 91214-3914 TYLER, LESLIE - PTA JAMES ROBERT MAWHINEY PHYSICAL THERAPY 78078 COUNTRY CLUB DR STE 205, (760) 345-9934 DBA SHELLEY A COOPER BERMUDA DUNES, CA 92203 PHYSICAL THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 686 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone TYNER, ELIZABETH "JULIA" - ADVANCED HEARING AUDIOLOGY 1079 EUCALYPTUS ST STE B, (800) 598-5300 AUD PROVIDERS LLC MANTECA, CA 95337 TYNER, ELIZABETH "JULIA" - ADVANCED HEARING AUDIOLOGY 1444 W MAIN ST STE A, RIPON, CA (800) 598-5300 AUD PROVIDERS LLC 95366 TYNER, ELIZABETH "JULIA" - ADVANCED HEARING AUDIOLOGY 530 W EATON AVE STE A, TRACY, CA (800) 598-5300 AUD PROVIDERS LLC 95376 TYSEE, STEVEN - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 520 N PROSPECT AVE STE 100, (310) 376-9222 THERAPYMAIN REDONDO BEACH, CA 90277 TYSSEE, STEVEN - PT PEAK ORTHOPEDIC PHYSICAL PHYSICAL THERAPY 31244 PALOS VERDES DR WEST STE (310) 544-7325 THERAPY 209, RANCHO PALOS VERDES, CA 90275 UC DAVIS CLINIC PHARMACY PHARMACY 2660 W COVELL BLVD, DAVIS, CA 95616 (530) 747-3051 UC DAVIS MEDICAL CENTER UC DAVIS MEDICAL CENTER ACUTE CARE HOSPITAL 2315 STOCKTON BLVD, SACRAMENTO, (916) 734-2011 (BCC) CA 95817 UC IRVINE HEALTH - PHARMACY 101 THE CITY DR S, ORANGE, CA 92868 (714) 456-5480 OUTPATIENT UC IRVINE HEALTH REGIONAL UC IRVINE HEALTH REGIONAL ACUTE BURN CARE FACILITY 101 THE CITY DR S BLDG 50, ORANGE, (714) 456-6170 BURN CENTER (BCC) BURN CENTER CA 92868 UC IRVINE MEDICAL CENTER UC IRVINE MEDICAL CENTER ACUTE CARE HOSPITAL 101 THE CITY DR S BLDG 1, ORANGE, (714) 456-7890 (BCC) CA 92868 UC SAN DIEGO HEALTH - UC SAN DIEGO HEALTH - URGENT CARE FACILITY 8899 UNIVERSITY CENTER LN STE 160, (858) 657-1600 OCCUPATIONAL MEDICINE OCCUPATIONAL MEDICINE SAN DIEGO, CA 92122 (BCC) UCDMC PHARMACY SERVICES PHARMACY 2315 STOCKTON BLVD, SACRAMENTO, (916) 734-3305 CA 95817 UCI FAMILY HEALTH CENTER PHARMACY 800 N MAIN ST, SANTA ANA, CA 92701 (714) 480-2400 PHCY UCI STUDENT HEALTH CTR PHARMACY 501 STUDENT HEALTH, IRVINE, CA (949) 824-1440 PHCY 92697 UCLA 16TH STREET PHARMACY 1223 16TH ST RM 1202, SANTA MONICA, (424) 259-8520 PHARMACY CA 90404 UCLA HEM ONC LAGUNA HILLS PHARMACY 24302 PASEO DE VALENCIA, STE 2, (949) 458-8252 LAGUNA HILLS, CA 92653 UCLA MED CTR CHS PHARMACY 300 STEIGN PLAZA ROOM 123, LOS (310) 267-3027 PHARMACY ANGELES, CA 90095 UCSD CENTER FOR UCSD CENTER FOR URGENT CARE FACILITY 330 LEWIS ST STE 100, SAN DIEGO, CA (619) 471-9210 OCCUPATIONAL AND OCCUPATIONAL AND 92103 ENVIRONMENTAL MEDICINE ENVIRONMENTAL MEDICINE (BCC) UCSD COMMUNITY PHARMACY PHARMACY 16950 VIA TAZON STE 1B, SAN DIEGO, (858) 249-4105 NORTH CA 92127 UCSD HEALTH-MEDICAL UCSD HEALTH-MEDICAL ACUTE CARE HOSPITAL 200 W ARBOR DR, SAN DIEGO, CA (619) 543-6222 OFFICES NORTH, HILLCREST OFFICES NORTH, HILLCREST 92103 (BCC) UCSD HOME INFUSION PHARMACY 9610 RIDGEHAVEN CT STE A, SAN (619) 543-5231 PHARMACY DIEGO, CA 92123 UCSD MEDICAL CENTER PHARMACY 200 W ARBOR DR # 8765, SAN DIEGO, (619) 543-3279 PHARMACY CA 92103 UCSD MEDICAL UCSD MEDICAL MENTAL HEALTH/PSYCHIATRIC 200 W ARBOR DR, SAN DIEGO, CA (619) 543-7505 CENTER-GERIATRIC CENTER-GERIATRIC HOSPITAL (INPATIENT) 92103 NEUROPSYCHIATRY UNIT NEUROPSYCHIATRY UNIT (BCC) UCSD MEDICAL OFFICES S PHARMACY 4168 FRONT ST RM 1-127, SAN DIEGO, (619) 543-5934 PHCY CA 92103 UCSD MOORES CANCER PHARMACY 3855 HEALTH SCIENCES DR, LA JOLLA, (858) 822-6088 CENTER CA 92093 UCSD-LA JOLLA JACOBS UCSD-LA JOLLA JACOBS ACUTE CARE HOSPITAL 9300 CAMPUS POINT DR, LA JOLLA, CA (858) 657-7000 MEDICAL CENTER (BCC) MEDICAL CENTER 92037 UCSD-SDCC RETAIL PHARMACY 1200 GARDEN VIEW RD STE 103, (760) 536-7686 PHARMACY ENCINITAS, CA 92024 UCSF CHILDRENS HOSPITAL UCSF CHILDRENS HOSPITAL SPECIALTY HOSPITAL - 505 PARNASSUS AVE, SAN (415) 476-1000 (BCC) CHILDREN FRANCISCO, CA 94143

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 687 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone UCSF MEDICAL CENTER (BCC) UCSF MEDICAL CENTER ACUTE CARE HOSPITAL 505 PARNASSUS AVE, SAN (415) 476-1000 FRANCISCO, CA 94143 UCSF MEDICAL CTR SF PHARMACY 505 PARNASSUS AVE, SAN (415) 353-1544 PHARMACY FRANCISCO, CA 94143 UDEZE, ALOYSIUS - DC VISTA WEST HEALTH CENTER CHIROPRACTIC MEDICINE 12613 VENICE BLVD, LOS ANGELES, CA (310) 390-9293 90066 UKEY, FRANKEY - OT GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 UKIAH PHYSICAL THERAPY PHYSICAL THERAPY 915 S DORA ST, UKIAH, CA 95482 (707) 462-8308 UKIAH VALLEY MED CTR - ER UKIAH VALLEY MED CTR - ER URGENT CARE FACILITY 232 Hospital Dr #B, UKIAH, CA 95482 (707) 467-4994 DEPT (BCC) DEPT UM, SANG, HYUN - LAC KING'S DOCTOR ACUPUNCTURE 322 N SAN DIMAS AVE, SAN DIMAS, CA (626) 688-9257 ACUPUNCTURESANG HYUN 91773 UM UM, SCOTT S - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER UM, TAE - PTA PRIME THERAPY AND PAIN PHYSICAL THERAPY 3421 ARLINGTON AVE STE 105, (951) 684-2865 CENTER RIVERSIDE, CA 92506 UMAIR, NAUSHEEN - MD CONCENTRA MEDICAL PRIMARY TREATING 190 LEAVESLEY RD STE 102, GILROY, (408) 848-0444 CENTER - GILROY PHYSICIAN CA 95020 UMAIR, NAUSHEEN - MD CONCENTRA MEDICAL FAMILY MEDICINE 190 LEAVESLEY RD STE 102, GILROY, (408) 848-0444 CENTER - GILROY CA 95020 UMALI, ROVILYN - OTA REO VISTA HEALTHCARE OCCUPATIONAL THERAPY 6061 BANBURY ST, SAN DIEGO, CA (619) 475-2211 CENTER 92139 UMC PHARMACY PHARMACY 1201 1/2 N VERMONT AVE, LOS (323) 661-2223 ANGELES, CA 90029 UMC PHARMACY PHARMACY 4318 W VICTORY BLVD, BURBANK, CA (818) 559-2223 91505 UNG, ALVIN W - DPM KAISER PERMANENTE LOS PODIATRY 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 UNG, SUSAN - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 UNI-MED PHARMACY PHARMACY 2490 HONOLULU AVE, MONTROSE, CA (818) 330-7031 91020 UNICARE PHARMACY AND PHARMACY 301 S FAIR OAKS AVE, PASADENA, CA (626) 793-7771 SUPPLY 91105 UNICARE PHYSICAL THERAPY, PHYSICAL THERAPY 14785 JEFFREY RD STE 108, IRVINE, CA (949) 857-2221 INC. 92618-0410 UNIPHARMA PHARMACY 10437 LOS ALAMITOS BLVD, LOS (562) 799-8844 ALAMITOS, CA 90720 UNITED FAMILY PHARMACY PHARMACY 1221 S SAN JACINTO AVE, SAN (951) 654-0995 JACINTO, CA 92583 UNITED HEALTH CENTERS PHARMACY 650 S ZEDIKER AVE, PARLIER, CA 93648 (512) 596-2930 PHARMACY UNITED HEALTH CENTERS PHARMACY 445 11TH ST, ORANGE COVE, CA 93646 (559) 626-4031 PHARMACY UNITED HEALTH CENTERS PHARMACY 121 BARBOZA ST BLDG 3, MENDOTA, (559) 655-5000 PHARMACY CA 93640 UNITED HEALTH CENTERS PHARMACY 517 S MADERA AVE, KERMAN, CA 93630 (559) 846-6330 PHARMACY UNITED HEALTH CENTERS PHARMACY 16928 11TH ST, HURON, CA 93234 (512) 596-2930 PHARMACY UNITED HEALTH CENTERS PHARMACY 476 E WASHINGTON AVE, EARLIMART, (661) 849-2781 PHARMACY CA 93219 UNITED HEALTH CENTERS PHARMACY 2502 JENSEN AVE, SANGER, CA 93657 (559) 875-6000 PHARMACY UNITED PACIFIC SURGERY AMBULATORY SURGERY 1154 N EUCLID ST, ANAHEIM, CA 92801 (714) 635-6272 CENTER CENTER UNITED PHARMACY PHARMACY 1129 S ROBERTSON BLVD, LOS (310) 247-0247 ANGELES, CA 90035 UNITED PHARMACY PHARMACY 2929 TELEGRAPH AVE, BERKELEY, CA (510) 843-3201 94705

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 688 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone UNITED PHARMACY PHARMACY 10841 WHITE OAK AVE, RANCHO (909) 941-6942 CUCAMONGA, CA 91730 UNITED PHARMACY PHARMACY 13841 ROSWELL AVE STE I, CHINO, CA (909) 312-4972 SOLUTIONS 91710 UNITED THERAPY NETWORK, PHYSICAL THERAPY 3700 E TACHEVAH DR STE 107, PALM (760) 459-0003 INC SPRINGS, CA 92262-7402 UNITED THERAPY NETWORK, PHYSICAL THERAPY 10470 FOOTHILL BLVD STE 101, (909) 948-0411 INC. RANCHO CUCAMONGA, CA 91730-3754 UNITED THERAPY NETWORK, PHYSICAL THERAPY 1845 BUSINESS CENTER DR STE 127, (909) 890-9030 INC. SAN BERNARDINO, CA 92408-3434 UNITED THERAPY NETWORK, PHYSICAL THERAPY 1902 ROYALTY DR STE 220, POMONA, (909) 622-0006 INC. CA 91767-3056 UNITED THERAPY NETWORK, PHYSICAL THERAPY 500 N CENTRAL AVE STE 440, (818) 549-9764 INC. GLENDALE, CA 91203-3951 UNITED THERAPY NETWORK, PHYSICAL THERAPY 802 MAGNOLIA AVE STE 107, CORONA, (951) 340-0070 INC. CA 92879-3125 UNITED THERAPY NETWORK, PHYSICAL THERAPY 855 N LARK ELLEN AVE STE J, WEST (626) 331-8355 INC. COVINA, CA 91791-1099 UNITED THERAPY PHYSICAL THERAPY 46900 MONROE ST STE 304, INDIO, CA (760) 289-3010 NETWORK,INC. 92201-4829 UNIV MEDICAL CENTER PHARMACY 290 N WAYTE LN STE 1500, FRESNO, (559) 459-3578 PHARMACY CA 93701 UNIVERSAL DRUGS PHARMACY 5181 W SUNSET BLVD, LOS ANGELES, (323) 666-7778 CA 90027 UNIVERSITY COMPOUNDING PHARMACY 1875 3RD AVE, SAN DIEGO, CA 92101 (619) 683-2005 PHCY UNRUH, CHACE - DC UNRUH CHIROPRACTIC CHIROPRACTIC MEDICINE 23043 LYONS AVE, SANTA CLARITA, CA (661) 288-0022 91321 UPADHYAY, VIPRA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 12562 GARDEN GROVE BLVD, GARDEN (714) 705-4027 CORP GROVE, CA 92843 UPADHYAY, VIPRA - PT ABLE PHYSICAL THERAPY PHYSICAL THERAPY 312 W CERRITOS AVE BLDG 7, (714) 947-1213 CORP ANAHEIM, CA 92805 UPLAND PHARMACY PHARMACY 1183 E FOOTHILL BLVD, UPLAND, CA (909) 608-1832 91786 UPPAL, GURVINDER - MD (BCC) ORTHOPAEDIC MEDICAL ORTHOPEDICS - SPINE 4354 LATHAM ST STE 100, RIVERSIDE, (951) 683-0650 GROUP OF RIVERSIDE CA 92501 UPPAL, GURVINDER - MD (BCC) ORTHOPAEDIC MEDICAL SPINE SURGERY 4354 LATHAM ST STE 100, RIVERSIDE, (951) 683-0650 GROUP OF RIVERSIDE CA 92501 UPTOWN DRUG PHARMACY 444 S FLOWER ST STE 100, LOS (213) 612-4300 ANGELES, CA 90071 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC SHOULDER ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ELBOW ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC KNEE ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC SHOULDER CA 91101 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC ELBOW CA 91101 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC KNEE CA 91101

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 689 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC CA 91101 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC CA 91101 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC CA 91101 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC CA 91101 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC CA 91101 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 (BCC) CLINIC SHOULDER ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 (BCC) CLINIC ELBOW ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 (BCC) CLINIC KNEE ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDIC SURGERY - HIP 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 (BCC) CLINIC ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - SHOULDER 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 (BCC) CLINIC ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - ELBOW 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 (BCC) CLINIC ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - KNEE 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 (BCC) CLINIC ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN-JOBE ORTHOPAEDIC ORTHOPEDICS - HIP 1700 CESAR E CHAVEZ STE 1400, LOS (323) 307-8913 (BCC) CLINIC ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN - JOBE ORTHOPAEDIC PRIMARY TREATING 1700 CESAR E CHAVEZ AVE STE 1400 , (310) 665-7200 (BCC) CLINIC PHYSICIAN LOS ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN - JOBE ORTHOPAEDIC PRIMARY TREATING 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC PHYSICIAN CA 91101 UQUILLAS, CARLOS A - MD KERLAN - JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC PHYSICIAN ANGELES, CA 90045 UQUILLAS, CARLOS A - MD KERLAN - JOBE ORTHOPAEDIC SPORTS MEDICINE 1700 CESAR E CHAVEZ AVE STE 1400 , (310) 665-7200 (BCC) CLINIC LOS ANGELES, CA 90033 UQUILLAS, CARLOS A - MD KERLAN - JOBE ORTHOPAEDIC SPORTS MEDICINE 301 N LAKE AVE STE 201, PASADENA, (626) 568-9030 (BCC) CLINIC CA 91101 UQUILLAS, CARLOS A - MD KERLAN - JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 400, LOS (310) 665-7200 (BCC) CLINIC ANGELES, CA 90045 URANKAR, RAKHEE - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 1887 MONTEREY RD STE 200, SAN (408) 288-3800 CENTER - SAN JOSE JOSE, CA 95112 UREY, MARCUS A - MD (BCC) UCSD CARDIOLOGY CARDIOVASCULAR DISEASE 4168 FRONT ST , SAN DIEGO , CA 92103 (619) 543-5742 (CARDIOLOGY) URGENT CARE CENTER OF URGENT CARE CENTER OF URGENT CARE FACILITY 2421 ENCINAL AVE STE A, ALAMEDA, (510) 995-8200 ALAMEDA (BCC) ALAMEDA CA 94501 URGENT CARE OF URGENT CARE OF URGENT CARE FACILITY 9700 EL CAMINO REAL STE 100, (805) 466-1330 ATASCADERO (BCC) ATASCADERO ATASCADERO, CA 93422 URGENT CARE OF MORRO BAY URGENT CARE OF MORRO BAY URGENT CARE FACILITY 783 QUINTANA RD STE 1, MORRO BAY, (805) 771-0108 (BCC) CA 93442 URGENTMED PASADENA URGENT CARE FACILITY 600 S LAKE AVE, PASADENA, CA 91106 (626) 817-6479 URIARTE, MICHAEL - PT SWANSON MCARTHUR PHYSICAL THERAPY 6601 MADISON AVE 200, CARMICHAEL, (916) 965-8900 PHYSICAL THERAPY CA 95608 URIONAGUENA, KELLEY - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 URQUICO, ANGELO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 URQUICO, ANGELO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 URQUICO, ANGELO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 URQUICO, ANGELO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 URQUICO, ANGELO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 690 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone URQUICO, ANGELO - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 URSICH, TIM, J - DC MARINA SPORTS MEDICINE CHIROPRACTIC MEDICINE 28633 S WESTERN AVE STE 200, (310) 832-2622 RANCHO PALOS VERDES, CA 90275 URTEAGA, MANUEL - DC URTEAGA CHIROPRACTIC CHIROPRACTIC MEDICINE 12466 WASHINGTON BLVD, WHITTIER, (323) 788-1414 SPORTS MEDICINE CA 90602 USC BURN UNIT ACUTE BURN CARE FACILITY 1100 N STATE ST, LOS ANGELES, CA (323) 409-4095 90033 USC HEALTH CENTER PHARMACY 1150 W JEFFERSON BLVD, LOS (213) 821-6100 PHARMACY ANGELES, CA 90089 USC MEDICAL PLAZA PHARMACY 1510 SAN PABLO ST STE 144, LOS (323) 442-5770 PHARMACY ANGELES, CA 90033 USC PHARMACY PHARMACY 3601 TROUSDALE PKWY, LOS (213) 740-2738 ANGELES, CA 90089 USC VERDUGO HILLS (BCC) USC VERDUGO HILLS MENTAL HEALTH/PSYCHIATRIC 1812 VERDUGO BLVD, GLENDALE, CA (818) 952-2210 HOSPITAL (INPATIENT) 91208 USC VERDUGO HILLS USC VERDUGO HILLS ACUTE CARE HOSPITAL 1812 VERDUGO BLVD, GLENDALE, CA (818) 790-7100 HOSPITAL (BCC) HOSPITAL 91208 USC VERDUGO HILLS PHARMACY 1808 VERDUGO BLVD STE 111, (818) 952-2223 PROFESSIONAL GLENDALE, CA 91208 UY, SENKOSAL - DC OPTIMUM CARE THERAPY CHIROPRACTIC MEDICINE 17906 PIONEER BLVD STE 101-102, (562) 865-2222 ARTESIA, CA 90701 UYEDA, JENNIFER - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 UZES, DANIELE, C - LAC PEOPLE'S INTEGRATIVE ACUPUNCTURE 4170 GROSS RD EXT STE 6, CAPITOLA, (831) 464-1605 MEDICINE CA 95010 VA HOME OF CA PHARMACY 123 CALIFORNIA DR, YOUNTVILLE, CA (707) 944-4616 94599 VACA VALLEY HOSPITAL (BCC) VACA VALLEY HOSPITAL ACUTE CARE HOSPITAL 1000 NUT TREE RD, VACAVILLE, CA (707) 624-7000 95687 VAFIADES, CHRIS - PT FYZICAL THERAPY BALANCE PHYSICAL THERAPY 1200 41ST AVE STE H, CAPITOLA, CA (831) 426-4325 CENTER 95010 VAHDAT, ARASH - MD CARDIOVASCULAR DISEASE 18370 BURBANK BLVD. STE 504, (818) 665-2065 (CARDIOLOGY) TARZANA, CA 91356 VAIL RANCH PHARMACY PHARMACY 32675 TEMECULA PKWY STE B, (951) 303-8300 TEMECULA, CA 92592 VALDEZ, CHRISTINE - LMT VALENTINE CHIROPRACTIC MASSAGE THERAPIST 1661 N RAYMOND AVE STE 105, (714) 738-0115 ANAHEIM, CA 92801 VALDEZ, JENNIFER - AUD ADVANCED HEARING AUDIOLOGY 420 BULLARD AVE STE 150, CLOVIS, (800) 598-5300 PROVIDERS LLC CA 93612 VALE ROAD PHARMACY PHARMACY 2023 VALE RD STE 101, SAN PABLO, CA (510) 232-2377 94806 VALENCIA PHARMACY PHARMACY 25050 PEACHLAND AVE STE 101, (661) 255-7910 NEWHALL, CA 91321 VALENCIA PHARMACY PHARMACY 23550 LYONS AVE STE 111, NEWHALL, (661) 255-7910 CA 91321 VALENCIA PHARMACY AT PHARMACY 23929 MCBEAN PKWY, VALENCIA, CA (661) 705-1330 HENRY MAY 91355 VALENCIA SURGICAL CENTER VALENCIA SURGICAL CENTER AMBULATORY SURGERY 24355 LYONS AVE STE 120, SANTA (661) 255-6644 (BCC) CENTER CLARITA, CA 91321 VALENCIA TOWN CENTER PHARMACY 26357 MCBEAN PKWY STE 140, (661) 291-1800 PHARMACY VALENCIA, CA 91355 VALENTINE, GREGORY - DC VALENTINE CHIROPRACTIC CHIROPRACTIC MEDICINE 1661 N RAYMOND AVE STE 105, (714) 738-0115 ANAHEIM, CA 92801 VALENZUELA, ANGELICA - PT PENINSULA ORTHOPEDIC PHYSICAL THERAPY 455 HICKEY BLVD STE 205, DALY CITY, (650) 746-3299 ASSOCIATES INC CA 94015 VALENZUELA, LEONARDO - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 VALENZUELA, STEPHANIE M - KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 MD FONTANA MEDICAL CENTER VALLE VERDE PHARMACY PHARMACY 240 GREEN VALLEY RD, FREEDOM, CA (831) 728-2239 95019

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 691 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VALLE, ARTURO - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY VALLE, ARTURO - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY VALLE, ARTURO - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY VALLE, ARTURO - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY VALLE, ARUTRO - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3145 ROSECRANS ST STE F, SAN (619) 223-7175 MEDICINE PHYSICAL DIEGO, CA 92110 THERAPY VALLE, ARUTRO - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3450 BONITA RD STE 105, CHULA (619) 425-1084 MEDICINE PHYSICAL VISTA, CA 91910 THERAPY VALLES, REUBEN - MD (BCC) ANESTHESIOLOGY 436 N BEDFORD DR STE 101, BEVERLY (310) 409-2300 HILLS, CA 90210 VALLES, REUBEN - MD (BCC) ANESTHESIOLOGY 5651 SEPULVEDA BLVD STE 101, (848) 442-9696 SHERMAN OAKS, CA 91411 VALLES, REUBEN - MD (BCC) ANESTHESIOLOGY 5901 W OLYMPIC BLVD STE 503, LOS (323) 934-8877 ANGELES, CA 90036 VALLES, REUBEN - MD (BCC) ANESTHESIOLOGY 8670 WILSHIRE BLVD STE 300, (310) 275-1646 BEVERLY HILLS, CA 90211 VALLES, REUBEN - MD (BCC) ANESTHESIOLOGY 9001 WILSHIRE BLVD STE 100, (310) 275-2339 BEVERLY HILLS, CA 90211 VALLES, RUBEN - MD ANESTHESIOLOGY 5900 W OLYMPIC BL, LOS ANGELES, (310) 657-5900 CA 90036 VALLEY CHILDRENS HOSPITAL VALLEY CHILDRENS HOSPITAL SPECIALTY HOSPITAL - 9300 VALLEY CHILDRENS PL, MADERA, (559) 353-3000 (BCC) CHILDREN CA 93636 VALLEY DRUGS PHARMACY 17313 E VALLEY BLVD, LA PUENTE, CA (626) 964-2301 91744 VALLEY HEALTH CTR AT PHARMACY 777 E SANTA CLARA ST, SAN JOSE, CA (408) 977-4500 DOWNTOWN 95112 VALLEY INDUSTRIAL AND VALLEY INDUSTRIAL AND URGENT CARE FACILITY 225 S CHINOWTH ST, VISALIA, CA 93291 (559) 627-3222 FAMILY MEDICAL GROUP (BCC) FAMILY MEDICAL GROUP VALLEY INDUSTRIAL MEDICAL VALLEY INDUSTRIAL MEDICAL URGENT CARE FACILITY 755 E TERRACE AVE, TULARE, CA (559) 685-8800 GROUP INC (BCC) GROUP INC 93274 VALLEY MEDICAL PHARMACY PHARMACY 630 MAIN ST, BRAWLEY, CA 92227 (760) 344-6303 VALLEY PALMS CARE CENTER VALLEY PALMS CARE CENTER SKILLED NURSING FACILITY 13400 SHERMAN WAY, VAN NUYS, CA (818) 503-4438 91605 VALLEY PHARMACY PHARMACY 1324 W AVENUE J STE 1, LANCASTER, (661) 942-8777 CA 93534 VALLEY PHARMACY PHARMACY 560 W PUTNAM AVE STE 2, (559) 854-7500 PORTERVILLE, CA 93257 VALLEY PHARMACY EXPRESS PHARMACY 835 C ST STE 180, GALT, CA 95632 (209) 745-2564 VALLEY PHARMACY SERVICES PHARMACY 500 N GARDEN ST, VISALIA, CA 93291 (559) 635-2674 VALLEY PHYSICAL THERAPY PHYSICAL THERAPY 1306 W AVENUE J STE 2, LANCASTER, (661) 948-0186 GROUP CA 93534-2936 VALLEY PHYSICIANS SURGERY AMBULATORY SURGERY 18330 ROSCOE BLVD, NORTHRIDGE, (747) 224-4004 CENTER AT NORTHRIDGE CENTER CA 91325 VALLEY PRESBYTERIAN VALLEY PRESBYTERIAN ACUTE CARE HOSPITAL 15107 VANOWEN ST, VAN NUYS, CA (818) 782-6600 HOSPITAL (BCC) HOSPITAL 91405 VALLEY PRESCRIPTION AND PHARMACY 330 E 13TH ST, MERCED, CA 95341 (209) 722-5765 COMP VALLEY PT & HAND CENTER PHYSICAL THERAPY 1815 E VALLEY PKWY STE 5, (760) 233-9655 ESCONDIDO, CA 92027-2550 VALLEY RECOVERY CENTER VALLEY RECOVERY CENTER CHEMICAL DEPENDENCY 2221 FAIR OAKS BLVD, SACRAMENTO, (916) 514-8500 OF CA (BCC) OF CA REHABILITATION CENTER CA 95825 (OUTPATIENT)

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 692 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VALLEY RX PHARMACY PHARMACY 5546 ROSEMEAD BLVD STE 101, (626) 285-6838 TEMPLE CITY, CA 91780 VALLEY SQUARE PHARMACY PHARMACY 1227 E VALLEY BLVD, ALHAMBRA, CA (626) 576-8622 91801 VALUE CARE PHARMACY PHARMACY 1045 N SHEPARD ST, ANAHEIM, CA (714) 210-1950 92806 VALUE RX PHARMACY 22 ODYSSEY STE 135, IRVINE, CA 92618 (949) 387-1133 VALUE SCRIPTS PHARMACY PHARMACY 9433 BOLSA AVE STE B, (714) 891-5280 WESTMINSTER, CA 92683 VALUSEK, MATTHEW - DC MATTHEW VALUSEK DC CHIROPRACTIC MEDICINE 1073 ROSS AVE STE B, EL CENTRO, CA (760) 352-1452 92243 VAN BUREN PHARMACY PHARMACY 5541 VAN BUREN BLVD, RIVERSIDE, CA (951) 525-3745 92503 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDIC SURGERY - 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) SHOULDER SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDIC SURGERY - 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) KNEE SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDIC SURGERY - 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) ANKLE SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDIC SURGERY - 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) ELBOW SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDICS - SHOULDER 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDICS - KNEE 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDICS - ANKLE 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDICS - ELBOW 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS ORTHOPEDICS - HIP 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS SPORTS MEDICINE 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) SAN CLEMENTE, CA 92673 VAN DER REIS, WILLIAM L - MD SEA VIEW ORTHOPAEDICS PRIMARY TREATING 653 CAMINO DE LOS MARES STE 109, (949) 661-2423 (BCC) PHYSICIAN SAN CLEMENTE, CA 92673 VAN GENT, BRITTNEY - AUS ADVANCED HEARING AUDIOLOGY 1776 YGNACIO VALLEY RD STE 600, (800) 598-5300 PROVIDERS LLC WALNUT CREEK, CA 94598 VAN NUYS HEALTHCARE SKILLED NURSING FACILITY 6835 HAZELTINE AVE, VAN NUYS, CA (818) 997-1841 CENTER 91405 VAN NUYS MEDICAL PHARMACY 8737 VAN NUYS BLVD UNIT B, (818) 810-6918 PHARMACY PANORAMA CITY, CA 91402 VAN PARK PHARMACY PHARMACY 14111 VAN NESS AVE STE 1, GARDENA, (310) 323-6260 CA 90249 VAN PETTEN, CAROL J - MD KAISER PERMANENTE NEUROLOGY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 VAN PHARMACY PHARMACY 14441 BROOKHURST ST STE 4, (714) 775-1789 GARDEN GROVE, CA 92843 VAN VORIS-SCATENA, KAISER PERMANENTE PODIATRY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 KIRSTEN - DPM SACRAMENTO MEDICAL 95825 CENTER VAN WOY, LANCE - DPM KAISER PERMANENTE PODIATRY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER VAN, ALEN, PAULA - OTA GARDEN CITY HEALTHCARE OCCUPATIONAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 VAN, CAMP, GREGORY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 VAN, CAMP, GREGORY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 VAN, CAMP, GREGORY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 693 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VAN, CAMP, GREGORY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 VAN, CAMP, GREGORY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 VAN, CAMP, GREGORY - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 VAN, CHAU, TOMMY - DC WEST COAST ORTHOPEDIC CHIROPRACTIC MEDICINE 2700 N MAIN ST STE 400, SANTA ANA, (949) 287-3231 INSTITUTE CA 92705 VAN, COMMENNE, ANDRE - PT CONGRESS ORTHOPAEDIC PHYSICAL THERAPY 800 S RAYMOND AVE FL 3, PASADENA, (626) 795-0800 ASSOCIATES DBA ELITE CA 91105 MOTION VAN, DYK, JACEY - OTA BISHOP CARE CENTER OCCUPATIONAL THERAPY 151 PIONEER LN, BISHOP, CA 93514 (760) 872-1000 VAN, GILDER, MICHAEL - PT G3 PHYSICAL THERAPY PHYSICAL THERAPY 227 N EL CAMINO REAL STE 100, (760) 230-2316 ENCINITAS, CA 92024 VAN, HO HAI - MD PACIFIC CARDIOVASCULAR CARDIOVASCULAR DISEASE 24022 CALLE DE LA PLATA STE 500, (877) 430-7337 CONSULTANTS (CARDIOLOGY) LAGUNA HILLS, CA 92653 VAN, HO HAI - MD PACIFIC CARDIOVASCULAR CARDIOVASCULAR DISEASE 724 S EL CAMINO REAL, SAN (877) 430-7337 CONSULTANTS (CARDIOLOGY) CLEMENTE, CA 92672 VAN, HO HAI - MD (BCC) CARDIOVASCULAR DISEASE 24022 CALLE DE LA PLATA STE 500, (877) 430-7337 (CARDIOLOGY) LAGUNA HILLS, CA 92653 VAN, KLAVEREN, REBECCA - GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 PT INJURY CTR BANOS, CA 93635 VAN, LANINGHAM, PAMELA - SANTA MONICA HAND HAND THERAPY 2001 WILSHIRE BLVD STE 310, SANTA (310) 829-3320 CHT THERAPY INC MONICA, CA 90403 VAN, LANINGHAM, PAMELA - PT SANTA MONICA HAND PHYSICAL THERAPY 2001 WILSHIRE BLVD STE 310, SANTA (310) 829-3320 THERAPY INC MONICA, CA 90403 VAN, LEUVEN, ANDREW, ACCELERATE PHYSICAL PHYSICAL THERAPY 1600 DOVE ST STE 100, NEWPORT (949) 502-3388 THOMAS - PT THERAPY BEACH, CA 92660 VAN, NESS, CORINNA - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 VANCE PHYSICAL THERAPY PHYSICAL THERAPY 511 W VISALIA RD, EXETER, CA (559) 592-7117 93221-1019 VANCE PHYSICAL THERAPY PHYSICAL THERAPY 511 W VISALIA RD, EXETER, CA (559) 592-7117 932211019 VANCE PHYSICAL THERAPY PHYSICAL THERAPY 511 W VISALIA RD, EXETER, CA (559) 592-7117 93221-1019 VANCE TRUP, MELINDA - AUD ADVANCED HEARING AUDIOLOGY 4748 ENGLE RD #107, CARMICHAEL , (800) 598-5300 PROVIDERS LLC CA 95608 VANCE, JOSHUA - PT VANCE PHYSICAL THERAPY PHYSICAL THERAPY 511 W VISALIA RD, EXETER, CA 93221 (559) 592-7117 VANCE, MARLAINA - PT DERYKE ASSOCIATES DBA PHYSICAL THERAPY 201 E HAMILTON AVE, CAMPBELL, CA (408) 376-0900 FYZICAL CAMPBELL 95008 VANCE, RAYMOND M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 VANCE, RAYMOND M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST LOWER EXTREMITIES DIEGO, CA 92103 VANCE, RAYMOND M - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST UPPER EXTREMITIES DIEGO, CA 92103 VANCE, RAYMOND M - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 VANCE, RAYMOND M - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST EXTREMITIES DIEGO, CA 92103 VANCE, RAYMOND M - MD CONCENTRA MEDICAL ORTHOPEDICS - SPINE 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 VANCE, RAYMOND M - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST EXTREMITIES DIEGO, CA 92103 VANCE, RAYMOND M - MD CONCENTRA MEDICAL SPINE SURGERY 3930 FOURTH AVE STE 200, SAN (619) 297-9610 CENTER - HILLCREST DIEGO, CA 92103 VANDAELENDENEN, REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 WILHELMINA - PT 165, LAGUNA HILLS, CA 92653 VANDENMEERDONK, REBECCA REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 - PT MEDICINE PHYSICAL MESA, CA 91942 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 694 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VANDENMEERENDONK, JACOB THE REHAB GROUP PHYSICAL THERAPY 31741 TEMECULA PKWY STE C, (951) 719-8155 - PT TEMECULA, CA 92592 VANDENMEERENDONK, JACOB THE REHAB GROUP PHYSICAL THERAPY 40680 CALIFORNIA OAKS RD STE 2A, (951) 894-4800 - PT MURRIETA, CA 92562 VANDERSLOOT, DEREK, JOHN SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 2301 CAMINO RAMON STE 160, SAN (925) 355-1900 - PT THERAPY RAMON, CA 94583 VANDERSLOOT, DEREK, JOHN SAN RAMON VALLEY PHYSICAL PHYSICAL THERAPY 380 DIABLO RD STE 201, DANVILLE, CA (925) 552-5787 - PT THERAPYMAIN 94526 VANDERWOUW, COREY, ANN, THRIVE NC PHYSICAL PHYSICAL THERAPY 569 SEARLS AVE STE B, NEVADA CITY, (530) 478-1933 BADER - PT THERAPY INC DBA FIT FOR CA 95959 LIFE VANEK, DIANE - DPM KAISER PERMANENTE WEST PODIATRY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER VANGS PHARMACY PHARMACY 7260 E SOUTHGATE DR STE E, (916) 393-5961 SACRAMENTO, CA 95823 VANGSNESS JR, CARLTON - ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5800 MD SHOULDER ANGELES, CA 90033 VANGSNESS JR, CARLTON - ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5800 MD UPPER EXTREMITIES ANGELES, CA 90033 VANGSNESS JR, CARLTON - ORTHOPEDICS - SHOULDER 1520 SAN PABLO ST STE 2000, LOS (323) 442-5800 MD ANGELES, CA 90033 VANGSNESS JR, CARLTON - ORTHOPEDICS - UPPER 1520 SAN PABLO ST STE 2000, LOS (323) 442-5800 MD EXTREMITIES ANGELES, CA 90033 VANNATTA, BRUCE - MD CARDIOVASCULAR DISEASE 3801 KATELLA AVE STE 401, LOS (562) 598-3200 (CARDIOLOGY) ALAMITOS, CA 90720 VANNESS, CORINNA - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1906 VISTA DEL LAGO DR STE A, (209) 772-0848 INJURY CTR VALLEY SPRINGS, CA 95252 VANTAGE POINT RECOVERY VANTAGE POINT RECOVERY CHEMICAL DEPENDENCY 123 HODENCAMP RD STE 205, (805) 777-7595 (BCC) REHABILITATION CENTER THOUSAND OAKS, CA 91360 (OUTPATIENT) VARDANIAN, ANDREW J - MD UCLA CENTER FOR WOUND PLASTIC & RECONSTRUCTIVE 200 UCLA MEDICAL PLAZA STE 530B, (310) 267-0172 (BCC) HEALING - PETER MORTON SURGERY LOS ANGELES, CA 90095 MEDICAL BLDG VARGAS, LINDA - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 2900, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 VARGAS, LINDA - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 VARGAS, LINDA - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 VARGAS, LINDA - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 LLUSM BEAUMONT, CA 92223 VARGAS, MARLENE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD VARGAS, MARLENE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 24051 NEWHALL RANCH RD, VALENCIA, (661) 290-5444 ORTHOPEDIC CA 91354 INSTITUTEVALENCIA VARGAS, MARLENE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 3605 ALAMO ST 200, SIMI VALLEY, CA (805) 578-8550 ORTHOPEDIC INSTITUTESIMI 93065 VALLEY VARGAS, MARLENE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 375 ROLLING OAKS DR, THOUSAND (805) 719-2661 ORTHOPEDIC OAKS, CA 91361 INSTITUTETHOUSAND OAKS VARGAS, MARLENE - OT SOUTHERN CALIFORNIA OCCUPATIONAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE MAIN ACCOUNT VARGISH, JESSICA - ATC DR ELIZABETH SERRA ATHLETIC TRAINER 2460 MISSION ST STE 203, SAN (415) 282-8989 FRANCISCO, CA 94110 VARGISH, JESSICA - ATC DR ELIZABETH SERRA ATHLETIC TRAINER 2638 INTRNL BLVD, OAKLAND, CA 94601 (510) 842-8158 VARGISH, JESSICA - LAC JESSICA VARGISH ACUPUNCTURE 2460 MISSION ST STE 203, SAN (415) 282-8989 ACUPUNCTURE FRANCISCO, CA 94110

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 695 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VARGISH, JESSICA - LAC JESSICA VARGISH ACUPUNCTURE 2638 INTRNL BLVD, OAKLAND, CA 94601 (510) 842-8158 ACUPUNCTURE VARGO PHYSICAL THERAPY PHYSICAL THERAPY 11225 TAMPA AVE, NORTHRIDGE, CA (818) 363-9970 91326-1610 VARGO PHYSICAL THERAPY PHYSICAL THERAPY 18039 SHERMAN WAY, RESEDA, CA (818) 343-4303 91335-4630 VARGO PHYSICAL THERAPY PHYSICAL THERAPY 25830 MCBEAN PKWY, VALENCIA, CA (661) 259-2621 91355-2004 VARGO PHYSICAL THERAPY PHYSICAL THERAPY 27125 SIERRA HWY STE 204, CANYON (661) 250-9890 COUNTRY, CA 91351-5429 VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505-1545 VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362-3607 VARGO PHYSICAL THERAPY PHYSICAL THERAPY 38656 MEDICAL CTR DR STE B, (661) 947-9977 PALMDALE, CA 93551-4483 VARGO PHYSICAL THERAPY PHYSICAL THERAPY 4211 TIERRA REJADA RD, MOORPARK, (805) 523-8076 CA 93021-3772 VARGO PHYSICAL THERAPY - PHYSICAL THERAPY 4955 VAN NUYS BLVD STE 317, (818) 990-9535 CA SHERMAN OAKS SHERMAN OAKS, CA 91403 VARGO, JAMES - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 VARGO, JAMES - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 VARGO, JEFFREY - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 VAROL, TOGAY S - MD (BCC) CARDIOVASCULAR DISEASE 1687 ERRINGER RD STE #105, SIMI (805) 584-9293 (CARDIOLOGY) VALLEY, CA 93065 VARSANI, POONAM - OD (BCC) ATLANTIS EYECARE OPTOMETRY 229 E BEVERLY BLVD, MONTEBELLO, (323) 728-7998 CA 90640 VARTANIAN, JOCELYN - PT PROPT PHYSICAL THERAPY 1870 S CENTRAL ST, VISALIA, CA 93277 (559) 713-6806 VASAK, LISA T - MD (BCC) DIGNITY HEALTH URGENT INTERNAL MEDICINE 5920 W MALL , ATASCADERO , CA 93422 (805) 461-2131 CARE VASCONI DRUGS PHARMACY 1381 MAIN ST, SAINT HELENA, CA 94574 (707) 963-1444 VASILE, DAN - DO (BCC) MERIDIAN URGENT CARE & PRIMARY TREATING 18522 US HWY 18 STE 102, APPLE (760) 242-1133 OCCUPATIONAL HEALTH PHYSICIAN VALLEY , CA 92307 CENTER VASILE, DAN - DO (BCC) MERIDIAN URGENT CARE & FAMILY MEDICINE 18522 US HWY 18 STE 102, APPLE (760) 242-1133 OCCUPATIONAL HEALTH VALLEY , CA 92307 CENTER VASQUEZ, ANTHONY, CARMEN WEST LAKE PHYSICAL PHYSICAL THERAPY 110 JENSEN CT STE 2C, THOUSAND (805) 413-1070 - PT THERAPY INC MAIN OAKS, CA 91360 VASQUEZ, DAVID - AUD ADVANCED HEARING AUDIOLOGY 5138 GEARY BLVD , SAN FRANCISCO, (800) 598-5300 PROVIDERS LLC CA 94118 VASQUEZ, ORLANDO - PT IMPERIAL PHYSICAL THERAPY PHYSICAL THERAPY 420 HEFFERNAN AVENUE SUITE 2B, (760) 768-4100 CALEXICO, CA 92231 VASSILEV, GREGORY - MD CONSERVATIVE CARE PAIN MANAGEMENT 6815 NOBLE AV E STE 105, VAN NUYS, (818) 781-6684 (BCC) SPECIALTY MEDICAL GROUP CA 91405 VATCHE CABAYAN MEDICAL PHARMACY 2970 HILLTOP MALL RD, RICHMOND, CA (510) 724-4586 94806 VAUGHAN, CHANTELLE, MARIE THRIVE NC PHYSICAL PHYSICAL THERAPY 569 SEARLS AVE STE B, NEVADA CITY, (530) 478-1933 - PT THERAPY INC DBA FIT FOR CA 95959 LIFE VAUGHN, LYNN - MD KAISER PERMANENTE LA OPHTHALMOLOGY 5 CENTERPOINTE DR , LA PALMA, CA (714) 830-6660 PALMA MEDICAL OFFICES 90623 VCH PMQ PHARMACY PHARMACY 6801 COLDWATER CANYON AVE, (818) 301-6378 NORTH HOLLYWOOD, CA 91605 VECCHETTI, COLLEEN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 VELA, ROBERT J - DO BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE 92506 VELA, ROBERT J - DO BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 7117 BROCKTON AVE , RIVERSIDE , CA (951) 782-3707 RIVERSIDE PHYSICIAN 92506

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 696 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VELANKAR, ASHWINI - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 VELANKAR, ASHWINL - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 800 EMBEDDED WAY STE 80, SAN (650) 571-5185 JOSE, CA 95138 VELASCO, ANDREW - PT THE REHAB GROUP PHYSICAL THERAPY 31741 TEMECULA PKWY STE C, (951) 719-8155 TEMECULA, CA 92592 VELASCO, ROBERTO U - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 VELASQUEZ, DAVID - DC (BCC) SOUTHERN CALIFORNIA CHIROPRACTIC MEDICINE 16200 AMBER VALLEY DR, WHITTIER, (562) 943-7125 UNIVERSITY HEALTH SYSTEM CA 90604 TACTICAL SPORTS MEDICINE VELAZQUEZ, LUIS - OTA SAN DIEGO POSTACUTE OCCUPATIONAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 VELAZQUEZ, NATHAN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE SHOULDER VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE KNEE VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE ELBOW VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE PHYSICIAN VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE SHOULDER VALENCIA, CA 91354 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE KNEE VALENCIA, CA 91354 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE ELBOW VALENCIA, CA 91354 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE PHYSICIAN VALENCIA, CA 91354 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 363-2273 ORTHOPEDIC INSTITUTE SHOULDER RANCH, CA 91326 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 363-2273 ORTHOPEDIC INSTITUTE KNEE RANCH, CA 91326 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDIC SURGERY - 19950 RINALDI ST STE 100, PORTER (818) 363-2273 ORTHOPEDIC INSTITUTE ELBOW RANCH, CA 91326 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - SHOULDER 19950 RINALDI ST STE 100, PORTER (818) 363-2273 ORTHOPEDIC INSTITUTE RANCH, CA 91326 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - KNEE 19950 RINALDI ST STE 100, PORTER (818) 363-2273 ORTHOPEDIC INSTITUTE RANCH, CA 91326 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA ORTHOPEDICS - ELBOW 19950 RINALDI ST STE 100, PORTER (818) 363-2273 ORTHOPEDIC INSTITUTE RANCH, CA 91326 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA SPORTS MEDICINE 19950 RINALDI ST STE 100, PORTER (818) 363-2273 ORTHOPEDIC INSTITUTE RANCH, CA 91326 VELLIOS, EVAN E - MD (BCC) SOUTHERN CALIFORNIA PRIMARY TREATING 19950 RINALDI ST STE 100, PORTER (818) 363-2273 ORTHOPEDIC INSTITUTE PHYSICIAN RANCH, CA 91326

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 697 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VELTMAN, JENNIFER A - MD LOMA LINDA UNIVERSITY INFECTIOUS DISEASE 11370 ANDERSON ST FMO STE 3100, (800) 679-4642 (BCC) HEALTH CARE - INTERNAL LOMA LINDA , CA 92354 MEDICINE SPECIALTIES GROUP VENDELBOSCH, MIRIAM - DC MIRIAM VENDELBOSCH DC CHIROPRACTIC MEDICINE 5308 DERRY AVE STE K, AGOURA (818) 865-6247 HILLS, CA 91301 VENEZIA, NICOLE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 VENEZIA, NICOLE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 VENICE FAMILY PHARMACY 604 ROSE AVE, VENICE, CA 90291 (310) 664-7756 VENICE PHARMACY PHARMACY 1514 S VERMONT AVE STE I-2, LOS (213) 381-6087 ANGELES, CA 90006 VENICE URGENT CARE URGENT CARE FACILITY 2006 S LINCOLN BLVD, VENICE, CA (310) 396-2273 90291 VENKATARAMANI, RAMEDEVI - BLESSED ORTHOPEDIC PHYSICAL THERAPY 3916 SEPULVEDA BLVD STE 204, (310) 945-5705 PT PHYSICAL THERAPY INC CULVER CITY, CA 90230 VENTANA PHARMACY PHARMACY 18133A VENTURA BLVD, TARZANA, CA (818) 757-8977 91356 VENTANA SURGICAL CENTER AMBULATORY SURGERY 18133 VENTURA BLVD STE 400, (818) 668-6200 (BCC) CENTER TARZANA, CA 91356 VENTURA CENTRAL PHARMACY 16661 VENTURA BLVD STE 111, (818) 990-1444 PHARMACY ENCINO, CA 91436 VENTURA COUNTY MEDICAL VENTURA COUNTY MEDICAL ACUTE CARE HOSPITAL 300 HILLMONT, VENTURA, CA 93003 (805) 652-6000 CENTER (BCC) CENTER VENTURA COUNTY VENTURA COUNTY URGENT CARE FACILITY 1901 HOLSER WALK STE 315, OXNARD, (805) 988-2273 OCCUPATIONAL MEDICAL OCCUPATIONAL MEDICAL CA 93036 CENTER (BCC) CENTER VENTURA COUNTY PHARMACY PHARMACY 3350 LOMA VISTA RD, VENTURA, CA (805) 765-6046 93003 VENTURA CTY MEDICAL VENTURA CTY MEDICAL ACUTE CARE HOSPITAL 825 N TENTH ST, SANTA PAULA, CA (805) 933-8632 CENTER SANTA PAULA CENTER SANTA PAULA 93060 HOSPITAL (BCC) HOSPITAL VENTURA URGENT CARE VENTURA URGENT CARE URGENT CARE FACILITY 5725 RALSTON ST STE 101, VENTURA, (805) 658-2273 CENTER INC (BCC) CENTER INC CA 93003 VENUTO, RALPH J - MD (BCC) CALIFORNIA ORTHOPAEDIC PRIMARY TREATING 360 SAN MIGUEL DR STE 701, (949) 759-3600 SPECIALISTS PHYSICIAN NEWPORT BEACH, CA 92660 VENUTO, RALPH J - MD (BCC) CALIFORNIA ORTHOPAEDIC SPORTS MEDICINE 360 SAN MIGUEL DR STE 701, (949) 759-3600 SPECIALISTS NEWPORT BEACH, CA 92660 VENUTO, RALPH J - MD (BCC) CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 360 SAN MIGUEL DR STE 701, (949) 759-3600 SPECIALISTS KNEE NEWPORT BEACH, CA 92660 VENUTO, RALPH J - MD (BCC) CALIFORNIA ORTHOPAEDIC ORTHOPEDIC SURGERY - 360 SAN MIGUEL DR STE 701, (949) 759-3600 SPECIALISTS SHOULDER NEWPORT BEACH, CA 92660 VENUTO, RALPH J - MD (BCC) CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - KNEE 360 SAN MIGUEL DR STE 701, (949) 759-3600 SPECIALISTS NEWPORT BEACH, CA 92660 VENUTO, RALPH J - MD (BCC) CALIFORNIA ORTHOPAEDIC ORTHOPEDICS - SHOULDER 360 SAN MIGUEL DR STE 701, (949) 759-3600 SPECIALISTS NEWPORT BEACH, CA 92660 VERCELES, EDWARD T - DO CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 3140 BALFOUR RD STE C , (925) 626-3801 CENTER - BRENTWOOD BRENTWOOD, CA 94513 VERCELES, EDWARD T - DO CONCENTRA MEDICAL PRIMARY TREATING 3140 BALFOUR RD STE C , (925) 626-3801 CENTER - BRENTWOOD PHYSICIAN BRENTWOOD, CA 94513 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - UPPER 2131 ELKS DR STE 200, SAN (909) 726-6100 EXTREMITIES BERNARDINO, CA 92404 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - LOWER 2131 ELKS DR STE 200, SAN (909) 726-6100 EXTREMITIES BERNARDINO, CA 92404 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 2131 ELKS DR STE 200, SAN (909) 726-6100 BERNARDINO, CA 92404 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 2131 ELKS DR STE 200, SAN (909) 726-6100 UPPER EXTREMITIES BERNARDINO, CA 92404 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 2131 ELKS DR STE 200, SAN (909) 726-6100 LOWER EXTREMITIES BERNARDINO, CA 92404 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 2131 ELKS DR STE 200, SAN (909) 726-6100 BERNARDINO, CA 92404

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 698 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - UPPER 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 EXTREMITIES REDLANDS, CA 92374 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - LOWER 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 EXTREMITIES REDLANDS, CA 92374 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 UPPER EXTREMITIES REDLANDS, CA 92374 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 LOWER EXTREMITIES REDLANDS, CA 92374 VERCIO, ROBERT C - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 VERDE, ALVA - MD (BCC) ANESTHESIOLOGY 1000 S ANAHEIM BLVD STE 300, (714) 833-5387 ANAHEIM, CA 92805 VERDE, ALVA - MD (BCC) ANESTHESIOLOGY 1025 S ANAHEIM BLVD, ANAHEIM, CA (714) 533-6220 92805 VERDE, ALVA - MD (BCC) ANESTHESIOLOGY 1111 W LA PALMA AVE, ANAHEIM, CA (714) 774-1450 92801 VERDE, ALVA - MD (BCC) ANESTHESIOLOGY 1741 W ROMNEYA DR STE F, ANAHEIM, (714) 408-9481 CA 92801 VERDE, ALVA - MD (BCC) ANESTHESIOLOGY 200 HOSPITAL CIRCLE, WESTMINSTER, (714) 893-4541 CA 92683 VERDE, ALVA - MD (BCC) ANESTHESIOLOGY 3033 W ORANGE AVE, ANAHEIM, CA (714) 827-3000 92804 VERDE, ALVA - MD (BCC) ANESTHESIOLOGY 7901 WALKER ST, LA PALMA, CA 90623 (714) 670-7400 VERDUGO CLINIC PHARMACY PHARMACY 1540 E COLORADO ST, GLENDALE, CA (818) 550-0218 91205 VERDUGO PLAZA PHCY PHARMACY 3039 W VALLEY BLVD, ALHAMBRA, CA (626) 281-3799 ALHAMBRA 91803 VERGIS, ANITA - PT OPTIMAL REHAB ABILITIES INC PHYSICAL THERAPY 7405 N CEDAR AVE STE 103, FRESNO, (559) 261-4100 CA 93720 VERHEUL, ERIC - PT ERIC W VERHEUL PHYSICAL PHYSICAL THERAPY 401 W LACEY BLVD, HANFORD, CA (559) 582-2781 THERAPY 93230 VERHEUL, MARGARET - PT ERIC W VERHEUL PHYSICAL PHYSICAL THERAPY 401 W LACEY BLVD, HANFORD, CA (559) 582-2781 THERAPY 93230 VERHOEVEN, KATHERINE - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1229 COMMERCE AVE, ATWATER, CA (209) 683-1386 INJURY CENTER 95301 VERMA, SIDHARTH - DC HEALING HANDS CHIROPRACTIC MEDICINE 494 HAWTHORNE AVE, OAKLAND, CA (510) 654-8547 CHIROPRACTIC DBA OAKBAY 94609 CHIROPRACTIC VERMILLION'S DRUG PHARMACY 1942 E ANAHEIM ST, LONG BEACH, CA (562) 591-0549 90813 VERMONT GALLERIA PHARMACY 440 S VERMONT AVE STE 109, LOS (213) 388-4100 PHARMACY ANGELES, CA 90020 VERMONT VO PHARMACY PHARMACY 2655 W OLYMPIC BLVD, LOS ANGELES, (213) 480-1503 CA 90006 VERNBRO MEDICAL PHARMACY 231 W VERNON AVE STE 100, LOS (323) 232-1111 PHARMACY ANGELES, CA 90037 VERNON CENTRAL BOTICA PHARMACY 4375 S CENTRAL AVE, LOS ANGELES, (323) 231-8992 PHARMACY CA 90011 VERNON MAIN PHARMACY PHARMACY 4401 S MAIN ST, LOS ANGELES, CA (323) 231-9307 90037 VERNON, ROBERT, PHILLIP - PROGRESSIVE SPECIALTY PHYSICAL THERAPY 700 17TH ST STE 202, MODESTO, CA (209) 572-4263 PTA THERAPY SERVICES LLC 95354 VERSAILLES PHARMACY PHARMACY 2801 ENCINAL AVE, ALAMEDA, CA (510) 523-4907 94501 VERWEIJ, NARUMON - PT EAST BAY PHYSICAL THERAPY PHYSICAL THERAPY 3571 SAN PABLO DAM ROAD, (510) 222-8080 RICHMOND, CA 94806 VESALI, FARIBA - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 1313 WEST 8TH ST STE 100, LOS (213) 401-1970 CENTER - LOS ANGELES - 8TH ANGELES, CA 90017 ST VEST, ISHAN - DC ACCIDENT INJURY CARE CTR CHIROPRACTIC MEDICINE 550 WASHINGTON ST STE 101, DALY (650) 994-4455 CITY, CA 94015

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 699 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VETERANS HOME PHARMACY PHARMACY 700 E NAPLES CT, CHULA VISTA, CA (619) 482-6020 91911 VETRONE, VINCENT, JAMES - SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 PT LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 VETRONE, VINCENT, JAMES - SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 PT LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 VHC AT BASCOM PHARMACY PHARMACY 750 S BASCOM AVE, SAN JOSE, CA (408) 885-2320 95128 VHC AT EAST VALLEY PHARMACY 1993 MCKEE RD, SAN JOSE, CA 95116 (408) 254-6392 PHARMACY VHC AT GILROY PHARMACY PHARMACY 7475 CAMINO ARROYO, GILROY, CA (408) 852-2212 95020 VHC AT LENZEN PHARMACY PHARMACY 976 LENZEN AVE, SAN JOSE, CA 95126 (408) 792-5169 VHC AT MOORPARK PHARMACY 2400 MOORPARK AVE STE 101, SAN (408) 885-7675 PHARMACY JOSE, CA 95128 VHC AT SILVERCREEK PHARMACY 143 N MAIN ST, MILPITAS, CA 95035 (408) 957-0919 PHARMACY VHC AT SUNNYVALE PHARMACY 660 FAIR OAKS AVE STE 1057, (408) 992-4830 PHARMACY SUNNYVALE, CA 94086 VHC AT TULLY PHARMACY PHARMACY 500 TULLY RD, SAN JOSE, CA 95111 (408) 817-1360 VIA LIDO DRUGS PHARMACY 3445 VIA LIDO, NEWPORT BEACH, CA (949) 723-8921 92663 VIA VERDE PRESCRIPTION PHARMACY 1152 VIA VERDE, SAN DIMAS, CA 91773 (909) 599-3444 SHOPPE VIARLUK, IRWIN - MD (BCC) HEALTHPOINTE MEDICAL PRIMARY TREATING 24361 EL TORO RD , LAGUNA WOODS, (949) 916-6321 GROUP INC PHYSICIAN CA 92637 VIARLUK, IRWIN - MD (BCC) HEALTHPOINTE MEDICAL FAMILY MEDICINE 24361 EL TORO RD , LAGUNA WOODS, (949) 916-6321 GROUP INC CA 92637 VIBRA HOSPITAL OF VIBRA HOSPITAL OF ACUTE CARE HOSPITAL 330 MONTROSE DR, FOLSOM, CA 95630 (916) 351-9151 SACRAMENTO LLC (BCC) SACRAMENTO LLC VIBRA HOSPITAL OF SAN VIBRA HOSPITAL OF SAN SPECIALTY HOSPITAL - 555 WASHINGTON ST, SAN DIEGO, CA (619) 260-8300 DIEGO LLC (BCC) DIEGO LLC REHABILITATION 92103 VIBRANT CARE PHARMACY PHARMACY 7400 MACARTHUR BLVD STE B, (510) 638-9851 OAKLAND, CA 94605 VICTOR SANTOS PHYSICAL PHYSICAL THERAPY 15643 SHERMAN WAY STE 450, VAN (818) 988-0288 THERAPY NUYS, CA 91406-4163 VICTOR VALLEY GLOBAL VICTOR VALLEY GLOBAL ACUTE CARE HOSPITAL 15248 11TH ST, VICTORVILLE, CA 92395 (760) 245-8691 MEDICAL CENTER (BCC) MEDICAL CENTER VICTOR, NOEL S - MD KAISER PERMANENTE GENERAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER VICTORY HEM AND PHARMACY 4940 VAN NUYS BLVD, SHERMAN OAKS, (818) 616-3998 ONCOLOGY CA 91403 VIDA DRUG STORE AND PHARMACY 437 N EUCLID AVE STE B, ONTARIO, CA (909) 983-0999 PHARMACY 91762 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 2701 TOURNEY RD STE 201-Y, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK VALENCIA, CA 91355 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 435 W ORANGE SHOW LN UNIT 108, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SAN BERNARDINO, CA 92408 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 6712 GREENLEAF AVE, WHITTIER, CA (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK 90601 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 900 E WASHINGTON ST STE 300, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK COLTON, CA 92324 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 12115 PARAMOUNT BLVD , DOWNEY, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK CA 90242 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 300 E ESPLANADE DR STE 900 (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK STANLEY MORGAN BLDG, OXNARD, CA 93036 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 5900 SEPULVEDA BLVD STE 370, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SHERMAN OAKS , CA 91411 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 610 PACIFIC COAST HWY STE 201, (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK SEAL BEACH, CA 90740 VIDART, DANIELLE M - MFT WESTERN PACIFIC MARRIAGE FAMILY THERAPY 6331 GREENLEAF AVE STE G , (818) 501-4700 (BCC) PSYCHOLOGICAL NETWORK WHITTIER, CA 90601

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 700 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VIEJO, PAOLO - PT ADVANCED THERAPY PHYSICAL THERAPY 2648 MAIN ST STE B, CHULA VISTA, CA (619) 575-2192 SERVICES INC 91911 VIELA, MINDAUGAS - MD (BCC) ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (661) 222-3100 MISSION HILLS, CA 91345 VIELA, MINDAUGAS - MD (BCC) ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 500-0523 91345 VIELA, MINDAUGAS - MD (BCC) ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 365-8051 BURBANK, CA 91505 VIELA, MINDAUGAS - MD (BCC) ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (818) 563-6757 91355 VIELA, MINDAUGAS - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 91505 VIELA, MINDAUGAS - MD (BCC) ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 256-2100 91206 VIET PHARMACY AND MED PHARMACY 4616 EL CAJON BLVD STE 6, SAN (619) 563-8212 SUPPLIES DIEGO, CA 92115 VIET TOWN PHARMACY PHARMACY 999 STORY RD UNIT 9024, SAN JOSE, (408) 610-9993 CA 95122 VIEWPOINT PHARMACY PHARMACY 209 W LAS TUNAS DR, SAN GABRIEL, (626) 943-7820 CA 91776 VIGIL, YULIANA - PTA GARDEN CITY HEALTHCARE PHYSICAL THERAPY 1310 W GRANGER AVE, MODESTO, CA (209) 524-4817 CENTER 95350 VIJAYAKUMAR, RAJIV - PT BLESSED ORTHOPEDIC PHYSICAL THERAPY 3916 SEPULVEDA BLVD STE 204, (310) 945-5705 PHYSICAL THERAPY INC CULVER CITY, CA 90230 VILLA PARK PHARMACY PHARMACY 17821 SANTIAGO BLVD, VILLA PARK, CA (714) 998-3030 92861 VILLAGE DRUG PHARMACY 225 MAIN ST, GREENVILLE, CA 95947 (530) 284-6618 VILLAGE PHARMACY PHARMACY 414 MAIN ST, WHEATLAND, CA 95692 (530) 633-2819 VILLAGE PHARMACY PHARMACY 587 E ELDER ST STE C, FALLBROOK, (760) 645-3021 CA 92028 VILLAGE ROAD PHARMACY PHARMACY 5412 VILLAGE RD, LONG BEACH, CA (562) 425-6434 90808 VILLAGE ROSE PHARMACY PHARMACY 7773 UNIVERSITY AVE, LA MESA, CA (619) 741-1344 91942 VILLALOBOS, NATALIA - PTA MOBILITY PHYSICAL THERAPY PHYSICAL THERAPY 3002 DOW AVE STE 318, TUSTIN, CA (714) 389-9306 INC 92780 VILLANUEVA, FERDINAND, SUNSHINE HEALTHCARE OCCUPATIONAL THERAPY 650 W DUARTE RD 102, ARCADIA, CA (626) 715-6137 BORROMEO - OT NETWORK 91007 VILLARREAL, HUMBERTO G - LOMA LINDA UNIVERSITY UROLOGY 11370 ANDERSON ST FMO 1100, LOMA (800) 679-4642 MD (BCC) HEALTH CARE - UROLOGY LINDA , CA 92354 DEPARTMENT FP&S VILLARREAL, HUMBERTO G - LOMA LINDA UNIVERSITY UROLOGY 81 S HIGHLAND SPRINGS AVE STE 303, (800) 679-4642 MD (BCC) HEALTH CARE - UROLOGY BEAUMONT, CA 92223 DEPARTMENT FP&S VILLEDA, ALDANA, ROBIN - PT ELITE ORTHOSPORT PHYSICAL PHYSICAL THERAPY 12121 WILSHIRE BLVD STE 100, LOS (310) 477-7774 THERAPY ANGELES, CA 90025 VINA PHARMACY PHARMACY 2308 N FRESNO ST, FRESNO, CA 93703 (559) 224-5210 VINA PHARMACY PHARMACY 18541 SHERMAN WAY STE 103, (818) 345-6534 RESEDA, CA 91335 VINCENT PHYSICAL THERAPY PHYSICAL THERAPY 2700 E FOOTHILL BLVD STE 121, (626) 449-4347 PASADENA, CA 91107-3443 VINEYARD PHARMACY AND PHARMACY 1900 MCHENRY AVE STE 202, (209) 838-0511 GIFTS ESCALON, CA 95320 VIP PHARMACY PHARMACY 13193 CENTRAL AVE STE 120, CHINO, (909) 573-0123 CA 91710 VIP PHARMACY PHARMACY 126 AVOCADO AVE STE 101, PERRIS, (951) 846-0022 CA 92571 VIP URGENT CARE (BCC) VIP URGENT CARE URGENT CARE FACILITY 18751 VENTURA BLVD, TARZANA, CA (818) 600-4144 91356 VIRADIA, PIYUSH R - MD (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY VIRADIA, PIYUSH R - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY PHYSICIAN

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 701 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VIRGIL PHARMACY PHARMACY 2999 W 6TH ST STE 103, LOS ANGELES, (213) 384-1200 CA 90020 VISALIA WALK IN MEDICAL VISALIA WALK IN MEDICAL URGENT CARE FACILITY 2431 W CALDWELL AVE, VISALIA, CA (559) 627-5555 CLINIC INC (BCC) CLINIC INC 93277 VISICHIO, DARIN - DC 360 SPORTS SPINE WELLNESS CHIROPRACTIC MEDICINE 18800 DELAWARE ST STE 1000, (714) 848-9319 INC HUNTINGTON BEACH, CA 92648 VISITACION VALLEY PHARMACY 100 LELAND AVE, SAN FRANCISCO, CA (415) 239-5811 PHARMACY 94134 VISTA CARE PHARMACY PHARMACY 12351 MARIPOSA RD # 11, (760) 843-7000 VICTORVILLE, CA 92395 VISTA DRUG PHARMACY 821 W 19TH ST, COSTA MESA, CA 92627 (949) 642-4500 VISTA ISABELLA CENTER PHARMACY 1964 VIA CTR, VISTA, CA 92081 (888) 748-7526 VISTA MEDICAL GROUP (BCC) VISTA MEDICAL GROUP URGENT CARE FACILITY 2071 COMPTON AVE STE 102, CORONA, (951) 549-0900 CA 92881 VISTA PHYSICAL THERAPY PHYSICAL THERAPY 115 MAIN ST, VISTA, CA 92084-6007 (760) 726-9660 AND REHAB PC VITACARE PHARMACY 2447 TELEGRAPH AVE, OAKLAND, CA (510) 832-7500 94612 VITALITY PHARMACY PHARMACY 210 BLUE RAVINE RD, STE 170, (916) 293-8687 FOLSOM, CA 95630 VITATO, NICOLE - PT BARROWS TRAINING PHYSICAL THERAPY 500 E ALMOND AVE STE 5B, MADERA, (559) 674-7201 EDUCATION PHYSICAL CA 93637 THERAPY VITIELLO, LAURIE - OT FORTANASCE ASSOCIATES OCCUPATIONAL THERAPY 671 W NAOMI AVE, ARCADIA, CA 91007 (626) 446-7027 PHYSICAL THERAPY VIVA PHARMACY PHARMACY 326 E HOLT BLVD STE E, ONTARIO, CA (909) 254-6911 91761 VM PHARMACY PHARMACY 23451 MADISON ST STE 100, (310) 378-0005 TORRANCE, CA 90505 VM PHARMACY PHARMACY 12626 SOUTH ST, CERRITOS, CA 90703 (562) 809-8679 VM PHARMACY PHARMACY 2220 CLARK AVE, LONG BEACH, CA (562) 498-8679 90815 VN DRUGS PHARMACY 13075 HARBOR BLVD, GARDEN GROVE, (714) 638-2888 CA 92843 VN PHARMACY PHARMACY 8244 E GARVEY AVE STE B, (626) 307-2711 ROSEMEAD, CA 91770 VO PHARMACY PHARMACY 12464 E WASHINGTON BLVD, (562) 646-3339 WHITTIER, CA 90602 VO, CHRISTINE A - DO (BCC) RIVERSIDE MEDICAL CLINIC - OCCUPATIONAL MEDICINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY VO, CHRISTINE A - DO (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY PHYSICIAN VO, DENNIS - DC INSTITUTE FOR RESTORATIVE CHIROPRACTIC MEDICINE 1460 DREW AVE STE 200, DAVIS, CA (530) 753-9011 HEALTHDENNIS T VO DC 95618 VO, DIEM - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER VO, DIEM - DO KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER VO, DIEM - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER VO, DIEM - DO KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER VO, DIEM - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER VO, DIEM - DO KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 702 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VO, TRUNG D - MD KAISER PERMANENTE VASCULAR SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER VOELZ, KIMBERLEY, KAUR - PT MONTEREY PENINSULA PHYSICAL THERAPY 6042 N FRESNO STREET SUITE 101, (559) 224-6754 ORTHOPAEDIC SPORTS FRESNO, CA 93710 MEDICINE INSTITUTE VOEPEL, KATHERINE - PT SPORT REHAB PHYSICAL PHYSICAL THERAPY 81 CERNON ST, VACAVILLE, CA 95688 (707) 447-9750 THERAPY VOGEL, ALAN - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 VOGT, DONALD G - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 850 EAST WASHINGTON ST , COLTON, (909) 370-0572 CENTER - COLTON CA 92324 VOGT, DONALD G - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 1760 CHICAGO AVE STE J3, RIVERSIDE, (951) 781-2200 CENTER - RIVERSIDE CHICAGO CA 92507 AVE VOGT, DONALD G - DPM CONCENTRA MEDICAL PODIATRIC SURGERY 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408 VOLK, MICHAEL L - MD (BCC) LOMA LINDA UNIVERSITY HEMATOLOGY AND 25865 BARTON RD STE STE 101, LOMA (800) 679-4642 HEALTH CARE - TRANSPLANT ONCOLOGY LINDA, CA 92354 INSTITUTE VOLKMAN, TRACY - AUD ADVANCED HEARING AUDIOLOGY 457 SUTTON WAY , GRASS VALLEY, CA (800) 598-5300 PROVIDERS LLC 95945 VOLPICELLI, LOUIS J - MD ORTHOPEDIC SURGERY - 4560 ADMIRALTY WAY STE 201, MARINA (310) 577-7555 (BCC) UPPER EXTREMITIES DEL REY, CA 90292 VOLPICELLI, LOUIS J - MD ORTHOPEDIC SURGERY - 4560 ADMIRALTY WAY STE 201, MARINA (310) 577-7555 (BCC) LOWER EXTREMITIES DEL REY, CA 90292 VOLPICELLI, LOUIS J - MD ORTHOPEDIC SURGERY - HIP 4560 ADMIRALTY WAY STE 201, MARINA (310) 577-7555 (BCC) DEL REY, CA 90292 VOLPICELLI, LOUIS J - MD ORTHOPEDICS - UPPER 4560 ADMIRALTY WAY STE 201, MARINA (310) 577-7555 (BCC) EXTREMITIES DEL REY, CA 90292 VOLPICELLI, LOUIS J - MD ORTHOPEDICS - LOWER 4560 ADMIRALTY WAY STE 201, MARINA (310) 577-7555 (BCC) EXTREMITIES DEL REY, CA 90292 VOLPICELLI, LOUIS J - MD ORTHOPEDICS - HIP 4560 ADMIRALTY WAY STE 201, MARINA (310) 577-7555 (BCC) DEL REY, CA 90292 VOLPICELLI, LOUIS J - MD ORTHOPEDICS - SPINE 4560 ADMIRALTY WAY STE 201, MARINA (310) 577-7555 (BCC) DEL REY, CA 90292 VOLUME DRUG PHARMACY PHARMACY 12925 MAGNOLIA BLVD, SHERMAN (818) 783-6100 OAKS, CA 91423 VON KOCH, CORNELIA S - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 1150 VETERANS BLVD , REDWOOD (650) 299-4785 REDWOOD CITY MEDICAL CITY, CA 94063 CENTER VONDACHENHAUSEN, ALEX - KEVIN SNIDER PHYSICAL PHYSICAL THERAPY 1920 BARNEY RD, ANDERSON, CA (530) 365-2142 PT THERAPY 96007 VONS PHARMACY PHARMACY 2250 OTAY LAKES RD, CHULA VISTA, (619) 656-3629 CA 91915 VONS PHARMACY PHARMACY 24325 CRENSHAW BLVD, TORRANCE, (310) 784-1025 CA 90503 VONS PHARMACY PHARMACY 32401 CAMINO CAPISTRANO, SAN JUAN (949) 661-3492 CAPISTRANO, CA 92675 VONS PHARMACY PHARMACY 1855 E COCHRAN ST, SIMI VALLEY, CA (805) 522-8063 93065 VONS PHARMACY PHARMACY 4001 INGLEWOOD AVE, REDONDO (310) 349-0863 BEACH, CA 90278 VONS PHARMACY PHARMACY 29530 RANCHO CALIFORNIA RD, (951) 695-7273 TEMECULA, CA 92591 VONS PHARMACY PHARMACY 3027 RANCHO VISTA BLVD, PALMDALE, (661) 575-2333 CA 93551 VONS PHARMACY PHARMACY 16830 SAN FERNANDO MSN BLVD, (818) 831-5059 GRANADA HILLS, CA 91344 VONS PHARMACY PHARMACY 11986 BERNARDO PLAZA DR, RANCHO (858) 485-1704 BERNARDO, CA 92128 VONS PHARMACY PHARMACY 535 MCKINLEY ST, CORONA, CA 92879 (951) 278-8284 VONS PHARMACY PHARMACY 2101 N ROSE AVE, OXNARD, CA 93030 (805) 981-1485

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 703 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VONS PHARMACY PHARMACY 1758 GRAND AVE, GROVER BEACH, CA (805) 481-2492 93433 VONS PHARMACY PHARMACY 4500 COFFEE RD, BAKERSFIELD, CA (661) 589-1484 93308 VONS PHARMACY PHARMACY 9000 MING AVE, BAKERSFIELD, CA (661) 663-0598 93311 VONS PHARMACY PHARMACY 500 E MANCHESTER BLVD, (310) 677-0501 INGLEWOOD, CA 90301 VONS PHARMACY PHARMACY 7789 FOOTHILL BLVD, TUJUNGA, CA (818) 353-5817 91042 VONS PHARMACY PHARMACY 2433 HARBOR BLVD, VENTURA, CA (805) 642-7811 93001 VONS PHARMACY PHARMACY 10016 SCRIPPS RANCH BLVD, SAN (858) 621-5120 DIEGO, CA 92131 VONS PHARMACY PHARMACY 1046 COAST VILLAGE RD STE B, (805) 969-4728 MONTECITO, CA 93108 VONS PHARMACY PHARMACY 520 W TEFFT ST, NIPOMO, CA 93444 (805) 931-1860 VONS PHARMACY PHARMACY 1650 HERNDON AVE, CLOVIS, CA 93611 (559) 297-6440 VONS PHARMACY PHARMACY 7390 CHERRY AVE, FONTANA, CA 92336 (909) 429-3933 VONS PHARMACY PHARMACY 522 N ORANGE ST, REDLANDS, CA (909) 748-7788 92374 VONS PHARMACY PHARMACY 1190 N MAIN ST, BISHOP, CA 93514 (760) 872-8114 VONS PHARMACY PHARMACY 15740 LAFORGE ST, WHITTIER, CA (562) 943-4288 90603 VONS PHARMACY PHARMACY 1790 N MOORPARK RD, THOUSAND (805) 497-8423 OAKS, CA 91360 VONS PHARMACY PHARMACY 9643 MISSION GORGE RD, SANTEE, CA (619) 596-5977 92071 VONS PHARMACY PHARMACY 155 W CALIFORNIA BLVD, PASADENA, (626) 577-2594 CA 91105 VONS PHARMACY PHARMACY 1440 W 25TH ST, SAN PEDRO, CA 90732 (310) 832-0319 VONS PHARMACY PHARMACY 351 W FELICITA AVE, ESCONDIDO, CA (760) 480-4900 92025 VONS PHARMACY PHARMACY 4550 ATLANTIC AVE, LONG BEACH, CA (562) 984-1428 90807 VONS PHARMACY PHARMACY 435 FOOTHILL BLVD, GLENDORA, CA (626) 963-3281 91740 VONS PHARMACY PHARMACY 2345 E VALLEY PKWY, ESCONDIDO, CA (760) 489-0981 92027 VONS PHARMACY PHARMACY 3900 BROAD ST, SAN LUIS OBISPO, CA (805) 541-1132 93401 VONS PHARMACY PHARMACY 57590 29 PALMS HWY, YUCCA VALLEY, (760) 365-0651 CA 92284 VONS PHARMACY PHARMACY 25850 THE OLD RD, VALENCIA, CA (661) 254-5824 91355 VONS PHARMACY PHARMACY 2048 E AVENIDA DE, THOUSAND OAKS, (805) 492-3511 CA 91360 VONS PHARMACY PHARMACY 5638 E KINGS CANYON RD, FRESNO, (559) 458-0240 CA 93727 VONS PHARMACY PHARMACY 33644 YUCAIPA BLVD, YUCAIPA, CA (909) 790-1961 92399 VONS PHARMACY PHARMACY 2684 N TUSTIN ST, ORANGE, CA 92865 (714) 637-2140 VONS PHARMACY PHARMACY 78271 HIGHWAY 111, LA QUINTA, CA (760) 564-2225 92253 VONS PHARMACY PHARMACY 931 LOMAS SANTA FE DR, SOLANA (858) 481-2894 BEACH, CA 92075 VONS PHARMACY PHARMACY 10675 SCRIPPS POWAY PKWY, SAN (858) 693-1545 DIEGO, CA 92131 VONS PHARMACY PHARMACY 350 N LEMON DR, WALNUT, CA 91789 (909) 595-7431 VONS PHARMACY PHARMACY 7544 GIRARD AVE, LA JOLLA, CA 92037 (858) 454-0932 VONS PHARMACY PHARMACY 24160 LYONS AVE, NEWHALL, CA 91321 (661) 259-9695 VONS PHARMACY PHARMACY 369 MAGNOLIA AVE, CORONA, CA (951) 549-1910 92879

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 704 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VONS PHARMACY PHARMACY 130 W FOOTHILL BLVD, MONROVIA, CA (626) 358-7542 91016 VONS PHARMACY PHARMACY 81 W FOOTHILL BLVD, UPLAND, CA (909) 981-1114 91786 VONS PHARMACY PHARMACY 13255 BLACK MOUNTAIN RD, SAN (858) 484-7241 DIEGO, CA 92129 VONS PHARMACY PHARMACY 3100 FOWLER AVE, CLOVIS, CA 93611 (559) 294-6730 VONS PHARMACY PHARMACY 7788 REGENTS RD, SAN DIEGO, CA (858) 455-6340 92122 VONS PHARMACY PHARMACY 5688 TELEPHONE RD, VENTURA, CA (805) 644-5922 93003 VONS PHARMACY PHARMACY 20445 YORBA LINDA BLVD, YORBA (714) 777-1680 LINDA, CA 92886 VONS PHARMACY PHARMACY 729 NORTH H ST, LOMPOC, CA 93436 (805) 735-4388 VONS PHARMACY PHARMACY 3645 MIDWAY DR, SAN DIEGO, CA (619) 222-9736 92110 VONS PHARMACY PHARMACY 3233 FOOTHILL BLVD, LA CRESCENTA, (818) 658-1030 CA 91214 VONS PHARMACY PHARMACY 8891 ATLANTA AVE, HUNTINGTON (714) 960-9640 BEACH, CA 92646 VONS PHARMACY PHARMACY 3461 W THIRD ST, LOS ANGELES, CA (213) 382-5971 90005 VONS PHARMACY PHARMACY 4520 SUNSET BLVD, LOS ANGELES, CA (323) 662-2121 90027 VONS PHARMACY PHARMACY 8969 SANTA MONICA BLVD, WEST (310) 273-5126 HOLLYWOOD, CA 90069 VONS PHARMACY PHARMACY 1221 GAFFEY ST, SAN PEDRO, CA (310) 832-9047 90732 VONS PHARMACY PHARMACY 311 W LOS FELIZ BLVD, GLENDALE, CA (818) 246-8189 91204 VONS PHARMACY PHARMACY 7311 N FIGUEROA BLVD, LOS (323) 254-7241 ANGELES, CA 90041 VONS PHARMACY PHARMACY 4733 E PALM CANYON DR, PALM (760) 324-8269 SPRINGS, CA 92264 VONS PHARMACY PHARMACY 27220 SUN CITY BLVD, SUN CITY, CA (951) 679-8889 92586 VONS PHARMACY PHARMACY 450 S VENTURA RD, OXNARD, CA 93030 (805) 240-7994 VONS PHARMACY PHARMACY 2355 E COLORADO BLVD, PASADENA, (626) 744-2619 CA 91107 VONS PHARMACY PHARMACY 481 OLD MAMMOTH RD, MAMMOTH (760) 934-4337 LAKES, CA 93546 VONS PHARMACY PHARMACY 6155 EL CAJON BLVD, SAN DIEGO, CA (619) 583-4160 92115 VONS PHARMACY PHARMACY 4145 30TH ST, SAN DIEGO, CA 92104 (619) 284-3582 VONS PHARMACY PHARMACY 3610 ADAMS AVE, SAN DIEGO, CA (619) 280-5514 92116 VONS PHARMACY PHARMACY 1000 W EL NORTE PKWY, ESCONDIDO, (760) 747-5910 CA 92026 VONS PHARMACY PHARMACY 475 W MAIN ST, BRAWLEY, CA 92227 (760) 351-3007 VONS PHARMACY PHARMACY 12199 HESPERIA RD, VICTORVILLE, CA (760) 241-8384 92392 VONS PHARMACY PHARMACY 8011 UNIVERSITY AVE, LA MESA, CA (619) 464-1102 91941 VONS PHARMACY PHARMACY 1201 AVOCADO AVE, EL CAJON, CA (619) 440-1915 92020 VONS PHARMACY PHARMACY 750 N IMPERIAL AVE, EL CENTRO, CA (760) 353-2720 92243 VONS PHARMACY PHARMACY 600 E BROADWAY, LONG BEACH, CA (562) 437-5162 90802 VONS PHARMACY PHARMACY 6040 TELEGRAPH RD, VENTURA, CA (805) 650-2155 93003 VONS PHARMACY PHARMACY 550 E BASELINE RD, CLAREMONT, CA (909) 451-1014 91711

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 705 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VONS PHARMACY PHARMACY 38995 SKY CANYON DR, MURRIETA, CA (951) 677-6375 92563 VONS PHARMACY PHARMACY 6170 HAMNER AVE, MIRA LOMA, CA (951) 360-1911 91752 VONS PHARMACY PHARMACY 2938 TAPO CANYON RD, SIMI VALLEY, (805) 426-6040 CA 93063 VONS PHARMACY PHARMACY 3520 RIVERSIDE PLAZA DR, RIVERSIDE, (951) 342-7930 CA 92506 VONS PHARMACY PHARMACY 4627 CARMEL MOUNTAIN RD, SAN (858) 523-1847 DIEGO, CA 92130 VONS PHARMACY PHARMACY 1291 S VICTORIA AVE, OXNARD, CA (805) 984-3268 93035 VONS PHARMACY PHARMACY 2495 TRUXTUN RD STE 100, SAN (619) 758-9004 DIEGO, CA 92106 VONS PHARMACY PHARMACY 1600 E FOOTHILLS BLVD, LA VERNE, CA (909) 593-2592 91750 VONS PHARMACY PHARMACY 1745 EASTLAKE PKWY, CHULA VISTA, (619) 421-4142 CA 91915 VONS PHARMACY PHARMACY 11800 DE PALMA RD, CORONA, CA (951) 603-0814 92883 VONS PHARMACY PHARMACY 4226 WOODRUFF AVE, LAKEWOOD, CA (562) 496-4155 90713 VONS PHARMACY PHARMACY 14200 PALM DR, DESERT HOT (760) 329-1889 SPRINGS, CA 92240 VONS PHARMACY PHARMACY 40044 HIGHWAY 49 STE D, OAKHURST, (559) 642-4255 CA 93644 VONS PHARMACY PHARMACY 3650 S BRISTOL ST, SANTA ANA, CA (714) 540-0393 92704 VONS PHARMACY PHARMACY 6951 EL CAMINO REAL, CARLSBAD, CA (760) 431-0437 92009 VONS PHARMACY PHARMACY 8949 N CEDAR AVE, FRESNO, CA 93720 (559) 438-1356 VONS PHARMACY PHARMACY 27320 ALICIA PKWY, LAGUNA NIGUEL, (949) 448-9537 CA 92656 VONS PHARMACY PHARMACY 710 BROADWAY, SANTA MONICA, CA (310) 260-0263 90401 VONS PHARMACY PHARMACY 1260 W REDONDO BEACH BLVD, (310) 767-7940 GARDENA, CA 90247 VONS PHARMACY PHARMACY 262 N EL CAMINO REAL, ENCINITAS, CA (760) 942-4195 92024 VONS PHARMACY PHARMACY 3850 VALLEY CENTRE DR, SAN DIEGO, (858) 793-4667 CA 92130 VONS PHARMACY PHARMACY 4033 W AVENUE L, LANCASTER, CA (661) 722-0861 93536 VONS PHARMACY PHARMACY 620 DENNERY RD, SAN DIEGO, CA (619) 428-3311 92154 VONS PHARMACY PHARMACY 3550 MURPHY CANYON RD, SAN (858) 292-4148 DIEGO, CA 92123 VONS PHARMACY PHARMACY 845 COLLEGE BLVD, OCEANSIDE, CA (760) 630-6252 92057 VONS PHARMACY PHARMACY 515 WASHINGTON ST, SAN DIEGO, CA (619) 299-0079 92103 VONS PHARMACY PHARMACY 16550 SOLEDAD CANYON RD, SANTA (661) 309-1983 CLARITA, CA 91387 VONS PHARMACY PHARMACY 3439 VIA MONTEBELLO, CARLSBAD, CA (760) 633-0168 92009 VONS PHARMACY PHARMACY 671 S RANCHO SANTE FE RD, SAN (760) 916-1042 MARCOS, CA 92078 VONS PHARMACY PHARMACY 3901 PORTOLA PKWY, IRVINE, CA 92602 (657) 273-5755 VORA, RATHIN N - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5300 MCCONNELL AVE 1ST FL, LOS (310) 202-3030 JOB PLAYA VISTA ANGELES, CA 90066 VORA, RATHIN N - MD KAISER PERMANENTE ON THE PRIMARY TREATING 5300 MCCONNELL AVE 1ST FL, LOS (310) 202-3030 JOB PLAYA VISTA PHYSICIAN ANGELES, CA 90066

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 706 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone VORA, RATHIN N - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES ANGELES, CA 90034 MEDICAL CENTER VORA, RATHIN N - MD KAISER PERMANENTE ON THE PRIMARY TREATING 5971 VENICE BLVD 4TH FLR, LOS (310) 202-3030 JOB WEST LOS ANGELES PHYSICIAN ANGELES, CA 90034 MEDICAL CENTER VOSA HAND THERAPY PHYSICAL THERAPY 14624 SHERMAN WAY STE 500, VAN (818) 902-2888 NUYS, CA 91405-2295 VOSA HAND THERAPY PHYSICAL THERAPY 23861 MCBEAN PKWY STE. 30, (661) 414-4523 VALENCIA, CA 91355-2058 VOSA HAND THERAPY PHYSICAL THERAPY 43807 10TH ST W STE C, LANCASTER, (661) 414-4523 CA 93534-4805 VOSS, JOSEPH, ANTHONY - NORTH COUNTY ACUPUNCTURE 2420 VISTA WAY STE 125, OCEANSIDE, (760) 434-3410 LAC ACUPUNCTURE CA 92054 VOSS, WENDY - PT CAPITOL PHYSICAL THERAPY PHYSICAL THERAPY 2288 AUBURN BLVD STE 107, (916) 446-1497 SACRAMENTO, CA 95821 VOSTMYER, JOHN - DC KLEMER CHIROPRACTIC MEDICINE 17400 IRVINE BLVD STE L, TUSTIN, CA (714) 508-1112 CHIROPRACTICOPTIMAL 92780 ORTHOPEDIC VOSTREJS, MICHAEL - MD KAISER PERMANENTE SAN ORTHOPEDIC SURGERY 2425 GEARY BLVD , SAN FRANCISCO, (415) 833-9600 FRANCISCO MEDICAL CENTER CA 94115 VOULOUMANOU, IONNA - LAC ACTIVEMED INTEGRATIVE ACUPUNCTURE 15611 POMERADO RD STE 100S, (858) 673-4400 HEALTH CENTER POWAY, CA 92064 VROOM, KRISTEN - PT GRACE PT/LAGUNA PHYSICAL THERAPY 31341 NIGUEL RD STE G, LAGUNA (949) 443-5442 ORTHOPEDIC REHABILITATION NIGUEL, CA 92677

VU PHARMACY PHARMACY 424 ARNEILL RD STE D, CAMARILLO, CA (805) 383-8340 93010 VU, CHI - PTA VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 VU, COLLIN C - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 18111 BROOKHURST ST STE 4300, (714) 378-7330 ONCOLOGY FOUNTAIN VALLEY , CA 92708 VU, COLLIN C - MD OC BLOOD & CANCER CARE HEMATOLOGY AND 24411 HEALTH CENTER DR STE 320, (714) 378-7330 ONCOLOGY LAGUNA HILLS , CA 92653 VU, PHAT - PT WEST COAST SPINE PHYSICAL THERAPY 6177 RIVER CREST DR STE A, (951) 653-4480 RESTORATION CENTER RIVERSIDE, CA 92507 VU, ROBERT H - MD (BCC) MEMORIALCARE MEDICAL PRIMARY TREATING 17762 BEACH BLVD STE 100, (714) 848-0800 GROUP PHYSICIAN HUNTINGTON BEACH, CA 92647 VU, ROBERT H - MD (BCC) MEMORIALCARE MEDICAL OCCUPATIONAL MEDICINE 17762 BEACH BLVD STE 100, (714) 848-0800 GROUP HUNTINGTON BEACH, CA 92647 VUONG, LONG, VI - PT ACUJIN HOLISTIC THERAPIES PHYSICAL THERAPY 4225 BALBOA AVE, SAN DIEGO, CA (619) 788-7632 92117 VUONG, NGAN - MD KAISER PERMANENTE PHYSICAL MEDICINE AND 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL REHABILITATION CA 91367 CENTER VYAS, KIRANKUMAR - MD ANESTHESIOLOGY 235 W MISSION BLVD, POMONA, CA (626) 275-2240 (BCC) 91766 W AND P PHARMACY PHARMACY 9205 WHITTIER BLVD, PICO RIVERA, CA (562) 566-3160 90660 WADAGBALKAR, NIKIA - PT WILLIAMSON HAHN PHYSICAL PHYSICAL THERAPY 1505 MERIDIAN AVE STE A, SAN JOSE, (408) 264-6643 THERAPY CA 95125 WADE, MARK - MD (BCC) CARDIOVASCULAR DISEASE 2075 SAN JOAQUIN HILLS RD, (949) 760-9222 (CARDIOLOGY) NEWPORT BEACH, CA 92660 WADE, MARK - MD (BCC) CARDIOVASCULAR DISEASE 25482 MARGUERITE PKWY STE 101, (877) 693-6266 (CARDIOLOGY) MISSION VIEJO, CA 92692 WADE, MARK - MD (BCC) CARDIOVASCULAR DISEASE 26831 ALISO CREEK RD STE 200, ALISO (949) 382-1909 (CARDIOLOGY) VIEJO, CA 92656 WADE, MARK - MD (BCC) CARDIOVASCULAR DISEASE 8970 KNOTT AVE, BUENA PARK, CA (877) 693-6266 (CARDIOLOGY) 90620 WADHWANI, RESHAM - MD KAISER PERMANENTE OPHTHALMOLOGY 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL CA 91367 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 707 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAGNER PHARMACY PHARMACY 1224 E MCFADDEN AVE, SANTA ANA, (714) 547-3590 CA 92705 WAGNER, PHILLIP L - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH CENTER WAGNER, PHILLIP L - MD KAISER PERMANENTE ON THE PRIMARY TREATING 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 JOB OCCUPATIONAL HEALTH PHYSICIAN CENTER WAGNER, ROBERT G - MD CONCENTRA MEDICAL PRIMARY TREATING 2850 SEVENTH ST STE 100, BERKELEY, (510) 845-5170 CENTER - BERKELEY PHYSICIAN CA 94710 WAGNER, ROBERT G - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 2850 SEVENTH ST STE 100, BERKELEY, (510) 845-5170 CENTER - BERKELEY CA 94710 WAGONER, MARJORIE - PT SCORE PHYSICAL THERAPY PHYSICAL THERAPY 1350 41ST AVE STE 100, CAPITOLA, CA (831) 706-2085 95010 WAHBA, DAVID K - MD (BCC) SOUTHERN CALIFORNIA PAIN MANAGEMENT 2400 BAHAMAS DR STE 200, (661) 328-5565 ORTHOPEDIC INSTITUTE BAKERSFIELD, CA 93309 WAHBA, DAVID K - MD (BCC) SOUTHERN CALIFORNIA PAIN MANAGEMENT 24051 NEWHALL RANCH RD BLDG C, (661) 254-6364 ORTHOPEDIC INSTITUTE VALENCIA, CA 91354 WAHBA, DAVID K - MD (BCC) SOUTHERN CALIFORNIA PAIN MANAGEMENT 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 ORTHOPEDIC INSTITUTE WAI, PHILIP Y - MD (BCC) LOMA LINDA UNIVERSITY TRANSPLANT SURGERY 11370 ANDERSON ST FMO STE 2100, (800) 679-4642 HEALTH CARE - GENERAL LOMA LINDA , CA 92354 SURGERY FP&S WAILING, KARIN, KIM - DC GROVES CHIROPRACTIC DBA CHIROPRACTIC MEDICINE 1225 E WARDLOW RD, LONG BEACH, (562) 997-0966 CHIROPRACTIC NEUROLOGY CA 90807 CENTER WAINESS, REID M - MD (BCC) ACUITY EYE GROUP & RETINA OPHTHALMOLOGY 301 W HUNTINGTON DR STE 107, (626) 574-0009 INSTITUTE - ARCADIA ARCADIA, CA 91007 WAISTELL, SEAN - PT THERAPY WORKS FITNESS PHYSICAL THERAPY 500 QUINTANA RD, MORRO BAY, CA (805) 772-7358 WORKS 93442 WAKIM, EMILE - MD (BCC) SPINE SURGERY 18800 DELAWARE ST STE 1100, (714) 841-5333 HUNTINGTON BEACH, CA 92648 WAKIM, EMILE - MD (BCC) ORTHOPEDIC SURGERY - HIP 18800 DELAWARE ST STE 1100, (714) 841-5333 HUNTINGTON BEACH, CA 92648 WAKIM, EMILE - MD (BCC) ORTHOPEDIC SURGERY - 18800 DELAWARE ST STE 1100, (714) 841-5333 LOWER EXTREMITIES HUNTINGTON BEACH, CA 92648 WAKIM, EMILE - MD (BCC) ORTHOPEDIC SURGERY - 18800 DELAWARE ST STE 1100, (714) 841-5333 UPPER EXTREMITIES HUNTINGTON BEACH, CA 92648 WAKIM, EMILE - MD (BCC) ORTHOPEDICS - HIP 18800 DELAWARE ST STE 1100, (714) 841-5333 HUNTINGTON BEACH, CA 92648 WAKIM, EMILE - MD (BCC) ORTHOPEDICS - LOWER 18800 DELAWARE ST STE 1100, (714) 841-5333 EXTREMITIES HUNTINGTON BEACH, CA 92648 WAKIM, EMILE - MD (BCC) ORTHOPEDICS - SPINE 18800 DELAWARE ST STE 1100, (714) 841-5333 HUNTINGTON BEACH, CA 92648 WAKIM, EMILE - MD (BCC) ORTHOPEDICS - UPPER 18800 DELAWARE ST STE 1100, (714) 841-5333 EXTREMITIES HUNTINGTON BEACH, CA 92648 WAKIM, NICOLE - LAC 360 SPORTS SPINE WELLNESS ACUPUNCTURE 18800 DELAWARE ST STE 1000, (714) 848-9319 INC HUNTINGTON BEACH, CA 92648 WAKSLAK, MENACHEM - MD THE HEART MEDICAL GROUP CARDIOVASCULAR DISEASE 16119 VANOWEN ST, VAN NUYS , CA (818) 904-6782 (BCC) (CARDIOLOGY) 91406 WAL-MART PHARMACY 1231 S SANDERSON AVE, HEMET, CA (951) 766-0155 92545 WAL-MART PHARMACY 79295 HIGHWAY 111, LA QUINTA, CA (760) 564-5125 92253 WAL-MART PHARMACY 5601 E RAMON RD, PALM SPRINGS, CA (760) 322-1488 92264 WAL-MART PHARMACY 1250 W HENDERSON AVE, (559) 783-2090 PORTERVILLE, CA 93257 WAL-MART PHARMACY 3400 FLORAL AVE, SELMA, CA 93662 (559) 891-1960 WAL-MART PHARMACY 3680 W SHAW AVE, FRESNO, CA 93711 (559) 277-8274 WAL-MART PHARMACY 301 MONTARA RD, BARSTOW, CA 92311 (760) 252-5022 WAL-MART PHARMACY 2900 MAIN ST, SUSANVILLE, CA 96130 (530) 251-2100

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 708 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAL-MART PHARMACY 2540 ROCKWOOD AVE, CALEXICO, CA (760) 768-5011 92231 WAL-MART PHARMACY 7901 WATT AVE, ANTELOPE, CA 95843 (916) 332-4427 WAL-MART PHARMACY 1150 HARTER RD, YUBA CITY, CA 95993 (530) 751-2701 WAL-MART PHARMACY 900 E WASHINGTON BLVD, CRESCENT (707) 464-1452 CITY, CA 95531 WAL-MART PHARMACY 1366 S RIVERSIDE AVE, RIALTO, CA (909) 820-7635 92376 WAL-MART PHARMACY 4210 E HIGHLAND AVE, HIGHLAND, CA (909) 425-8687 92346 WAL-MART PHARMACY 58501 29 PALMS HWY, YUCCA VALLEY, (760) 365-7551 CA 92284 WAL-MART PHARMACY 12549 FOOTHILL BLVD, RANCHO (909) 899-7742 CUCAMONGA, CA 91739 WAL-MART PHARMACY 6250 VALLEY SPRINGS PKWY, (951) 653-2969 RIVERSIDE, CA 92507 WAL-MART PHARMACY 13487 CAMINO CANADA, EL CAJON, CA (619) 561-2420 92021 WAL-MART PHARMACY 2050 W REDLANDS BLVD, REDLANDS, (909) 792-6260 CA 92373 WAL-MART PHARMACY 8465 ELK GROVE BLVD, ELK GROVE, (916) 684-7104 CA 95758 WAL-MART PHARMACY 479 N MCKINLEY ST, CORONA, CA (951) 270-0388 92879 WAL-MART PHARMACY 170 TOWN CENTER PKWY, SANTEE, CA (619) 449-8002 92071 WAL-MART PHARMACY 2111 FULKERTH RD, TURLOCK, CA (209) 634-8546 95380 WAL-MART PHARMACY 19821 RINALDI ST, PORTER RANCH, CA (818) 832-6592 91326 WAL-MART PHARMACY 4893 LONE TREE WAY, ANTIOCH, CA (925) 755-9600 94509 WAL-MART PHARMACY 1540 W FOOTHILL BLVD, UPLAND, CA (909) 920-0942 91786 WAL-MART PHARMACY 900 PLEASANT GROVE BLVD, (916) 786-6603 ROSEVILLE, CA 95678 WAL-MART PHARMACY 2700 LAS POSITAS RD, LIVERMORE, CA (925) 455-0116 94551 WAL-MART PHARMACY 1670 MITCHELL RD, CERES, CA 95307 (209) 541-0471 WAL-MART PHARMACY 5125 E KINGS CANYON RD, FRESNO, (559) 252-9518 CA 93727 WAL-MART PHARMACY 3010 W GRANT LINE RD, TRACY, CA (209) 836-1991 95304 WAL-MART PHARMACY 20251 US HIGHWAY 18, APPLE VALLEY, (760) 946-2430 CA 92307 WAL-MART PHARMACY 701 W CENTRAL AVE, LOMPOC, CA (805) 735-3343 93436 WAL-MART PHARMACY 7150 CAMINO ARROYO, GILROY, CA (408) 848-8171 95020 WAL-MART PHARMACY 1101 SANGUINETTI RD, SONORA, CA (209) 533-8273 95370 WAL-MART PHARMACY 30600 DYER ST, UNION CITY, CA 94587 (510) 475-5523 WAL-MART PHARMACY 2001 N ROSE AVE, OXNARD, CA 93030 (805) 981-9606 WAL-MART PHARMACY 3055 LOUGHBOROUGH DR, MERCED, (209) 384-1252 CA 95348 WAL-MART PHARMACY 2701 N TEXAS ST, FAIRFIELD, CA 94533 (707) 428-4795 WAL-MART PHARMACY 470 N AIRPORT AVE, WILLOWS, CA (530) 934-2042 95988 WAL-MART PHARMACY 3412 COLLEGE AVE, SAN DIEGO, CA (619) 858-0074 92115 WAL-MART PHARMACY 2770 CARSON ST, LAKEWOOD, CA (562) 429-9960 90712 WAL-MART PHARMACY 15960 DAM RD, CLEARLAKE, CA 95422 (707) 994-1671

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 709 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAL-MART PHARMACY 1155 AIRPORT PARK BLVD, UKIAH, CA (707) 468-0171 95482 WAL-MART PHARMACY 5200 VAN BUREN BLVD, RIVERSIDE, CA (951) 689-7581 92503 WAL-MART PHARMACY 10355 WICKLOW WAY, JACKSON, CA (209) 223-5193 95642 WAL-MART PHARMACY 25450 THE OLD RD, STEVENSON (661) 253-2357 RANCH, CA 91381 WAL-MART PHARMACY 2044 FOREST AVE, CHICO, CA 95928 (530) 899-8650 WAL-MART PHARMACY 1950 AUTO CENTER DR, GLENDORA, (909) 599-3955 CA 91740 WAL-MART PHARMACY 1800 UNIVERSITY DR, VISTA, CA 92083 (760) 945-2091 WAL-MART PHARMACY 14501 LAKEWOOD BLVD, PARAMOUNT, (562) 531-8617 CA 90723 WAL-MART PHARMACY 1800 N MAIN ST, SALINAS, CA 93906 (831) 751-0260 WAL-MART PHARMACY 1906 FORT JONES RD, YREKA, CA (530) 842-9060 96097 WAL-MART PHARMACY 1120 S MT VERNON AVE, COLTON, CA (909) 783-0390 92324 WAL-MART PHARMACY 1501 HELEN POWER DR, VACAVILLE, (707) 451-1397 CA 95687 WAL-MART PHARMACY 1515 DANA DR, REDDING, CA 96003 (530) 221-3166 WAL-MART PHARMACY 1800 N PERRIS BLVD, PERRIS, CA 92571 (951) 940-9190 WAL-MART PHARMACY 1110 E PROSPERITY AVE, TULARE, CA (559) 684-1327 93274 WAL-MART PHARMACY 4625 REDWOOD DR, ROHNERT PARK, (707) 586-3612 CA 94928 WAL-MART PHARMACY 12701 TOWNE CENTER DR, CERRITOS, (562) 924-0847 CA 90703 WAL-MART PHARMACY 41200 MURRIETA HOT SPRGS RD, (951) 461-1481 MURRIETA, CA 92562 WAL-MART PHARMACY 681 LINCOLN AVE, NAPA, CA 94559 (707) 224-7120 WAL-MART PHARMACY 1290 E ONTARIO AVE, CORONA, CA (951) 278-1645 92881 WAL-MART PHARMACY 10655 FOLSOM BLVD, RANCHO (916) 361-0515 CORDOVA, CA 95670 WAL-MART PHARMACY 6051 FLORIN RD, SACRAMENTO, CA (916) 427-9731 95827 WAL-MART PHARMACY 1021 ARNOLD DR, MARTINEZ, CA 94553 (925) 313-9059 WAL-MART PHARMACY 8230 TALBERT AVE, HUNTINGTON (714) 841-3681 BEACH, CA 92646 WAL-MART PHARMACY 37140 47TH ST E, PALMDALE, CA 93552 (661) 533-1029 WAL-MART PHARMACY 1731 E AVENUE J, LANCASTER, CA (661) 945-9568 93535 WAL-MART PHARMACY 7065 N INGRAM AVE, FRESNO, CA (559) 431-0747 93650 WAL-MART PHARMACY 17150 E GALE AVE, CITY OF INDUSTRY, (626) 854-1006 CA 91745 WAL-MART PHARMACY 80 RIO RANCHO RD, POMONA, CA (909) 620-4077 91766 WAL-MART PHARMACY 1018 RILEY ST, FOLSOM, CA 95630 (916) 983-5667 WAL-MART PHARMACY 1720 E MAIN ST, WOODLAND, CA 95776 (530) 668-1457 WAL-MART PHARMACY 17251 FOOTHILL BLVD, FONTANA, CA (909) 355-4885 92335 WAL-MART PHARMACY 1275 N AZUSA AVE, COVINA, CA 91722 (626) 339-6912 WAL-MART PHARMACY 3943 GRAND AVE, CHINO, CA 91710 (909) 590-7597 WAL-MART PHARMACY 1340 S BEACH BLVD, LA HABRA, CA (562) 694-4587 90631 WAL-MART PHARMACY 13425 COMMUNITY RD, POWAY, CA (858) 486-1801 92064 WAL-MART PHARMACY 1819 E NOBLE AVE, VISALIA, CA 93292 (559) 636-2305 WAL-MART PHARMACY 1205 S MAIN ST, MANTECA, CA 95337 (209) 824-2121 WAL-MART PHARMACY 2595 E IMPERIAL HWY, BREA, CA 92821 (714) 529-5394

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 710 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAL-MART PHARMACY 3600 W MCFADDEN AVE, SANTA ANA, (714) 775-7501 CA 92704 WAL-MART PHARMACY 2300 N TUSTIN ST, ORANGE, CA 92865 (714) 998-5697 WAL-MART PHARMACY 1601 S LOWER SACRAMENTO RD, LODI, (209) 368-6658 CA 95242 WAL-MART PHARMACY 13331 BEACH BLVD, WESTMINSTER, CA (714) 799-0039 92683 WAL-MART PHARMACY 8333 VAN NUYS BLVD, PANORAMA (818) 830-9846 CITY, CA 91402 WAL-MART PHARMACY 2100 VISTA WAY, OCEANSIDE, CA 92054 (760) 966-0143 WAL-MART PHARMACY 8500 WASHINGTON BLVD, PICO (562) 801-5378 RIVERA, CA 90660 WAL-MART PHARMACY 13310 TELEGRAPH RD, SANTA FE (562) 946-6935 SPRINGS, CA 90670 WAL-MART PHARMACY 7250 CARSON BLVD, LONG BEACH, CA (562) 425-8045 90808 WAL-MART PHARMACY 4300 MISSOURI FLAT RD, (530) 621-3447 PLACERVILLE, CA 95667 WAL-MART PHARMACY 8450 LA PALMA AVE, BUENA PARK, CA (714) 484-3555 90620 WAL-MART PHARMACY 4001 HALLMARK PKWY, SAN (909) 880-3652 BERNARDINO, CA 92407 WAL-MART PHARMACY 5454 CROSSING DR, ROCKLIN, CA (916) 783-8052 95677 WAL-MART PHARMACY 1200 HIGHLAND AVE, NATIONAL CITY, (619) 336-1607 CA 91950 WAL-MART PHARMACY 1131 N BEALE RD, MARYSVILLE, CA (530) 634-9760 95901 WAL-MART PHARMACY 32225 TEMECULA PKWY, TEMECULA, (951) 506-7631 CA 92592 WAL-MART PHARMACY 235 E DORSET DR, DIXON, CA 95620 (707) 693-6514 WAL-MART PHARMACY 732 CENTER DR, SAN MARCOS, CA (760) 233-8971 92069 WAL-MART PHARMACY 6433 FALLSBROOK AVE, WEST HILLS, (818) 719-8610 CA 91307 WAL-MART PHARMACY 11729 IMPERIAL HWY, NORWALK, CA (562) 929-6316 90650 WAL-MART PHARMACY 3405 MARRON RD, OCEANSIDE, CA (760) 730-7386 92056 WAL-MART PHARMACY 1360 EASTLAKE PKWY, CHULA VISTA, (619) 421-9432 CA 91915 WAL-MART PHARMACY 3250 BIG DALTON AVE, BALDWIN PARK, (626) 814-4790 CA 91706 WAL-MART PHARMACY 4840 SHAWLINE ST, SAN DIEGO, CA (858) 268-7840 92111 WAL-MART PHARMACY 777 STORY RD, SAN JOSE, CA 95122 (408) 885-1760 WAL-MART PHARMACY 605 FLETCHER PKWY, EL CAJON, CA (619) 440-0848 92020 WAL-MART PHARMACY 27931 KELLY JOHNSON PKWY, SANTA (661) 294-0018 CLARITA, CA 91355 WAL-MART PHARMACY 19503 NORMANDIE AVE, TORRANCE, (310) 782-6554 CA 90501 WAL-MART PHARMACY 44009 OSGOOD RD, FREMONT, CA (510) 651-3315 94539 WAL-MART PHARMACY 770 W EL MONTE WAY, DINUBA, CA (559) 591-0842 93618 WAL-MART PHARMACY 12721 MORENO BEACH DR, MORENO (951) 242-6599 VALLEY, CA 92555 WAL-MART PHARMACY 1150 BROADWAY, CHULA VISTA, CA (619) 591-4909 91911 WAL-MART PHARMACY 26471 CARL BOYER DR, SANTA (661) 259-0854 CLARITA, CA 91350 WAL-MART PHARMACY 1540 E 2ND ST, BEAUMONT, CA 92223 (951) 845-7994

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 711 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAL-MART PHARMACY 34500 MONTEREY AVE, PALM DESERT, (760) 328-3168 CA 92211 WAL-MART PHARMACY 5821 ANTELOPE RD, SACRAMENTO, CA (916) 729-6236 95842 WAL-MART PHARMACY 5000 RHONDA RD, ANDERSON, CA (530) 378-1680 96007 WAL-MART PHARMACY 40580 ALBRAE ST, FREMONT, CA 94538 (510) 440-8068 WAL-MART PHARMACY 1827 WALNUT GROVE AVE, (626) 573-5094 ROSEMEAD, CA 91770 WAL-MART PHARMACY 150 BEACH RD, MARINA, CA 93933 (831) 883-9920 WAL-MART PHARMACY 7010 AUBURN BLVD, CITRUS HEIGHTS, (916) 729-8069 CA 95621 WAL-MART PHARMACY 1400 HILLTOP MALL RD, RICHMOND, CA (510) 669-0386 94806 WAL-MART PHARMACY 1861 S SAN JACINTO AVE, SAN (951) 487-8409 JACINTO, CA 92583 WAL-MART PHARMACY 755 RIVER POINT CT, WEST (916) 373-2213 SACRAMENTO, CA 95605 WAL-MART PHARMACY 2761 JENSEN AVE, SANGER, CA 93657 (559) 875-1813 WAL-MART PHARMACY 8961 GREENBACK LN, ORANGEVALE, (916) 989-9380 CA 95662 WAL-MART PHARMACY 250 WILDCAT DR, BRAWLEY, CA 92227 (760) 351-1650 WAL-MART PHARMACY 3848 MCHENRY AVE, MODESTO, CA (209) 342-0960 95350 WAL-MART PHARMACY 15555 HESPERIAN BLVD, SAN (510) 351-0132 LEANDRO, CA 94579 WAL-MART PHARMACY 170 COCHRANE PLZ, MORGAN HILL, CA (408) 782-2360 95037 WAL-MART PHARMACY 5075 GOSFORD RD, BAKERSFIELD, CA (661) 282-2782 93313 WAL-MART PHARMACY 3661 TRUXEL RD, SACRAMENTO, CA (916) 928-9673 95833 WAL-MART PHARMACY 8400 ROSEDALE HWY, BAKERSFIELD, (661) 588-2378 CA 93312 WAL-MART PHARMACY 301 RANCH DR, MILPITAS, CA 95035 (408) 934-0204 WAL-MART PHARMACY 180 NIBLICK RD, PASO ROBLES, CA (805) 238-2626 93446 WAL-MART PHARMACY 31700 GRAPE ST, LAKE ELSINORE, CA (951) 245-4329 92530 WAL-MART PHARMACY 44665 VALLEY CENTRAL WAY, (661) 940-8891 LANCASTER, CA 93536 WAL-MART PHARMACY 1575 W PACHECO BLVD, LOS BANOS, (209) 826-9653 CA 93635 WAL-MART PHARMACY 1168 W BRANCH ST, ARROYO GRANDE, (805) 474-0900 CA 93420 WAL-MART PHARMACY 2225 PLAZA PKWY, MODESTO, CA (209) 524-4724 95350 WAL-MART PHARMACY 2150 N WATERMAN AVE, EL CENTRO, (760) 337-1603 CA 92243 WAL-MART PHARMACY 710 DENNERY RD, SAN DIEGO, CA (619) 428-4088 92154 WAL-MART PHARMACY 705 COLLEGE BLVD, OCEANSIDE, CA (760) 631-1857 92057 WAL-MART PHARMACY 440 N EUCLID ST, ANAHEIM, CA 92801 (714) 491-1778 WAL-MART PHARMACY 1919 DAVIS ST, SAN LEANDRO, CA (510) 569-9000 94577 WAL-MART PHARMACY 6650 HEMBREE LN, WINDSOR, CA 95492 (707) 836-7300 WAL-MART PHARMACY 2220 S BRADLEY RD, SANTA MARIA, CA (805) 349-1192 93455 WAL-MART PHARMACY 255 COCHRAN ST, SIMI VALLEY, CA (805) 581-6444 93065 WAL-MART PHARMACY 3223 E HAMMER LN, STOCKTON, CA (209) 473-8951 95212

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 712 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAL-MART PHARMACY 6225 COLONY ST, BAKERSFIELD, CA (661) 832-7997 93307 WAL-MART PHARMACY 465 CAL OAK RD, OROVILLE, CA 95965 (530) 534-1495 WAL-MART PHARMACY 1977 W CLEVELAND AVE, MADERA, CA (559) 675-7003 93637 WAL-MART PHARMACY 11896 AMARGOSA RD, VICTORVILLE, (760) 951-5188 CA 92392 WAL-MART PHARMACY 201 E BOWMAN RD, RIDGECREST, CA (760) 371-4979 93555 WAL-MART PHARMACY 608 LUTHER RD, RED BLUFF, CA 96080 (530) 529-4390 WAL-MART PHARMACY 26502 TOWNE CENTER DR, FOOTHILL (949) 837-0504 RANCH, CA 92610 WAL-MART PHARMACY 951 AVENIDA PICO, SAN CLEMENTE, CA (949) 498-6679 92673 WAL-MART PHARMACY 250 S 12TH AVE, HANFORD, CA 93230 (559) 583-6393 WAL-MART PHARMACY 2203 LOVERIDGE RD, PITTSBURG, CA (925) 427-2151 94565 WAL-MART PHARMACY 40130 10TH ST W, PALMDALE, CA 93551 (661) 267-6596 WAL-MART PHARMACY 2601 FASHION PL, BAKERSFIELD, CA (661) 873-8104 93306 WAL-MART PHARMACY 4501 ROSEWOOD DR, PLEASANTON, (925) 734-9024 CA 94588 WAL-MART PHARMACY 3382 MURPHY CANYON RD, SAN (858) 571-6971 DIEGO, CA 92123 WAL-MART PHARMACY 27470 ALICIA PKWY, LAGUNA NIGUEL, (949) 360-0923 CA 92677 WAL-MART PHARMACY 323 W SHAW AVE, CLOVIS, CA 93612 (559) 297-4391 WAL-MART PHARMACY 600 SHOWERS DR, MOUNTAIN VIEW, (650) 917-0878 CA 94040 WAL-MART PHARMACY 1600 S MOUNTAIN AVE, DUARTE, CA (626) 359-3938 91010 WAL-MART PHARMACY 75 N BROADWAY, CHULA VISTA, CA (619) 691-0873 91910 WAL-MART PHARMACY 1375 N DAVIS RD, SALINAS, CA 93907 (831) 998-9087 WAL-MART PHARMACY 800 COMMERCE AVE, ATWATER, CA (209) 676-3177 95301 WAL-MART PHARMACY 88 E ORANGETHORPE AVE, ANAHEIM, (714) 626-0014 CA 92801 WAL-MART PHARMACY 5095 ALMADEN EXPY, SAN JOSE, CA (408) 600-3261 95118 WAL-MART PHARMACY 3750 S MOONEY BLVD, VISALIA, CA (559) 802-4443 93277 WAL-MART PHARMACY 3300 BROADWAY BASHORE MALL, (707) 832-5274 EUREKA, CA 95501 WAL-MART PHARMACY 1550 LEUCADIA BLVD, ENCINITAS, CA (760) 704-0259 92024 WAL-MART PHARMACY 10355 TRINITY PWKY, STOCKTON, CA (209) 235-1505 95219 WAL-MART PHARMACY 1000 E IMPERIAL HWY, LA HABRA, CA (714) 869-0539 90631 WAL-MART PHARMACY 21132 BEACH BLVD, HUNTINGTON (714) 274-4499 BEACH, CA 92648 WAL-MART PHARMACY 30491 AVENIDA DE LAS FLORES, (949) 207-5155 RANCHO SANTA MARGARITA, CA 92688 WAL-MART PHARMACY 22015 HAWTHORNE BLVD, TORRANCE, (310) 750-1189 CA 90503 WAL-MART PHARMACY 13401 MAIN ST, HESPERIA, CA 92345 (760) 244-7035 WAL-MART PHARMACY 1189 E MARCH LN, STOCKTON, CA (209) 235-1264 95210 WAL-MART PHARMACY 1421 COFFEE RD, MODESTO, CA 95355 (209) 222-5616 WAL-MART PHARMACY 14530 NORDHOFF ST, PANORAMA CITY, (818) 672-0147 CA 91402

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 713 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAL-MART PHARMACY 9100 ALCOSTA BLVD, SAN RAMON, CA (925) 364-9217 94583 WAL-MART PHARMACY 1120 S ANAHEIM BLVD, ANAHEIM, CA (657) 208-5384 92805 WAL-MART PHARMACY 255 G ST, LINCOLN, CA 95648 (916) 209-5176 WAL-MART PHARMACY 2700 MARCONI AVE, SACRAMENTO, CA (916) 576-7319 95821 WAL-MART PHARMACY 4080 DOUGLAS BLVD, GRANITE BAY, (916) 380-3262 CA 95746 WAL-MART PHARMACY 2240 S BRADLEY BLVD, SANTA MARIA, (805) 348-4956 CA 93454 WAL-MART PHARMACY 1445 E FOOTHILL BLVD, UPLAND, CA (909) 942-4936 91786 WAL-MART PHARMACY 8810 GROSSMONT BLVD, LA MESA, CA (619) 403-5397 91942 WAL-MART PHARMACY 575 SATURN BLVD, SAN DIEGO, CA (619) 205-6147 92154 WAL-MART PHARMACY 10912 KATELLA AVE, GARDEN GROVE, (714) 620-3827 CA 92840 WAL-MART PHARMACY 12270 PARAMOUNT BLVD, DOWNEY, CA (562) 861-0479 90242 WAL-MART PHARMACY 6005 MADISON AVE, CARMICHAEL, CA (916) 534-1162 95608 WAL-MART PHARMACY 71 TECHNOLOGY DR, IRVINE, CA 92618 (949) 242-6594 WAL-MART PHARMACY 8455 ELK GROVE BLVD, ELK GROVE, (916) 509-3212 CA 95758 WAL-MART PHARMACY 2753 E EASTLAND CENTER DR, WEST (626) 332-4625 COVINA, CA 91791 WAL-MART PHARMACY 421 W ESPLANADE DR, OXNARD, CA (805) 278-1594 93036 WAL-MART PHARMACY 16555 VON KARMAN AVE STE A, IRVINE, (949) 623-7470 CA 92606 WAL-MART PHARMACY 4055 EVERGREEN VILLAGE SQ, SAN (408) 826-0341 JOSE, CA 95135 WAL-MART PHARMACY 1030 SPERRY AVE, PATTERSON, CA (209) 895-4420 95363 WAL-MART PHARMACY 2701 SAVIERS RD, OXNARD, CA 93033 (805) 200-5906 WAL-MART PHARMACY 10075 BRUCEVILLE RD, ELK GROVE, CA (916) 585-7809 95757 WAL-MART PHARMACY 1320 N DEMAREE ST, VISALIA, CA 93291 (559) 429-3267 WAL-MART PHARMACY 1185 HERNDON AVE, CLOVIS, CA 93612 (559) 321-0284 WAL-MART PHARMACY 6855 N WILLOW AVE, FRESNO, CA (559) 862-2065 93710 WAL-MART PHARMACY 2121 IMPERIAL AVE, SAN DIEGO, CA (619) 849-5834 92102 WAL-MART PHARMACY 500 S BLOSSER RD, SANTA MARIA, CA (805) 863-9182 93458 WAL-MART PHARMACY 14441 INGLEWOOD AVE, HAWTHORNE, (424) 336-2215 CA 90250 WAL-MART PHARMACY 3112 SANTA RITA RD, PLEASANTON, CA (925) 398-6372 94566 WAL-MART PHARMACY 1250 E GIBSON RD, WOODLAND, CA (530) 665-4309 95776 WAL-MART PHARMACY 501 SERENO DR, VALLEJO, CA 94590 (707) 653-1061 WAL-MART PHARMACY 941 ALAMO DR, VACAVILLE, CA 95687 (707) 359-3183 WAL-MART PHARMACY 19340 HAWTHORNE BLVD, TORRANCE, (310) 750-2409 CA 90503 WAL-MART PHARMACY 12840 BEACH BLVD, STANTON, CA (714) 230-0153 90680 WAL-MART PHARMACY 2050 NUT TREE RD, VACAVILLE, CA (707) 301-4282 95687 WAL-MART PHARMACY 530 WOOLLOMES AVE, DELANO, CA (661) 370-4078 93215

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 714 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAL-MART PHARMACY 14061 W WHITESBRIDGE AVE, KERMAN, (559) 846-1209 CA 93630 WAL-MART PHARMACY 2480 GEER RD, TURLOCK, CA 95382 (209) 226-7007 WAL-MART PHARMACY 215 CALIFORNIA ST, WOODLAND, CA (530) 665-4640 95695 WAL-MART PHARMACY 1330 E GRAND AVE, ESCONDIDO, CA (760) 317-2275 92027 WAL-MART PHARMACY 1830 SHAW AVE, CLOVIS, CA 93611 (559) 862-2837 WAL-MART PHARMACY 5609 PACIFIC ST, ROCKLIN, CA 95677 (916) 824-0122 WAL-MART PHARMACY 1333 N MOUNTIAIN AVE, ONTARIO, CA (909) 321-3172 91762 WAL-MART PHARMACY 1425 N HACIENDA BLVD, LA PUENTE, (626) 251-1906 CA 91744 WAL-MART PHARMACY 1266 E VALLEY PKWY, ESCONDIDO, CA (760) 871-6762 92027 WAL-MART PHARMACY 72314 HIGHWAY 111, PALM DESERT, CA (760) 469-3441 92260 WAL-MART PHARMACY 14865 TELEGRAPH RD, LA MIRADA, CA (562) 567-6498 90638 WAL-MART PHARMACY 300 W BASE LINE RD, RIALTO, CA 92376 (909) 546-3061 WAL-MART PHARMACY 1046 MISSION AVE, OCEANSIDE, CA (760) 696-9908 92054 WAL-MART PHARMACY 2204 TAPO STREET, SIMI VALLEY, CA (805) 426-6817 93063 WAL-MART PHARMACY 11822 GILBERT ST, GARDEN GROVE, (714) 591-1307 CA 92841 WAL-MART PHARMACY 275 W VENTURA BLVD, CAMARILLO, CA (805) 233-3631 93010 WAL-MART PHARMACY 1739 S VICTORIA AVE, VENTURA, CA (805) 665-5562 93003 WAL-MART PHARMACY 300 N 2ND ST, EL CAJON, CA 92021 (619) 219-5252 WAL-MART PHARMACY 4651 FIRESTONE BLVD, SOUTH GATE, (323) 282-4802 CA 90280 WAL-MART PHARMACY 3255 MISSION COLLEGE BLVD, SANTA (408) 961-4480 CLARA, CA 95054 WAL-MART PHARMACY 121 N BEACH BLVD, ANAHEIM, CA 92801 (714) 822-3180 WAL-MART PHARMACY 83053 AVENUE 48, COACHELLA, CA (760) 262-8677 92236 WAL-MART PHARMACY 512 NORTH VENTU PARK RD, (805) 262-3413 THOUSAND OAKS, CA 91320 WAL-MART PHARMACY 12234 PALMDALE RD, VICTORVILLE, CA (760) 493-3279 92392 WAL-MART PHARMACY 8844 LIMONITE AVE, RIVERSIDE, CA (951) 968-7222 92509 WAL-MART PHARMACY 20226 AVALON BLVD, CARSON, CA (424) 233-3319 90746 WAL-MART PHARMACY 10470 TWIN CITIES ROAD, GALT, CA (209) 744-1965 95632 WAL-MART PHARMACY 4080 STEVENS CREEK BLVD, SAN (408) 556-4507 JOSE, CA 95129 WAL-MART PHARMACY 25755 BARTON RD, LOMA LINDA, CA (909) 283-7261 92354 WAL-MART PHARMACY 1804 E ASHLAN AVE, FRESNO, CA (559) 470-6967 93726 WAL-MART PHARMACY 901 GOLF COURSE DR, ROHNERT (707) 540-9312 PARK, CA 94928 WAL-MART PHARMACY 3111 N CHESTER AVE, BAKERSFIELD, (661) 368-7088 CA 93308 WAL-MART PHARMACY 82491 AVENUE 42, INDIO, CA 92203 (760) 262-5830 WAL-MART PHARMACY 1400 LEAD HILL BLVD, ROSEVILLE, CA (916) 724-0021 95661 WAL-MART PHARMACY 1450 MONTEREY RD, SAN JOSE, CA (408) 454-4509 95112

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 715 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WAL-MART PHARMACY 778 E ARROW HWY, POMONA, CA 91767 (909) 962-5044 WAL-MART PHARMACY 6197 SUNRISE BLVD, CITRUS HEIGHTS, (916) 560-0036 CA 95610 WAL-MART PHARMACY 3131 N CEDAR AVE, FRESNO, CA 93703 (559) 538-1376 WAL-MART PHARMACY 1560 W 6TH ST, CORONA, CA 92882 (951) 393-6406 WAL-MART PHARMACY 3705 E SOUTH ST, LONG BEACH, CA (424) 296-6532 90805 WAL-MART PHARMACY 3875 RANCHO VISTA BLVD, PALMDALE, (661) 202-3604 CA 93551 WAL-MART PHARMACY 4675 WATT AVE, NORTH HIGHLANDS, (916) 621-1455 CA 95660 WAL-MART PHARMACY 350 WALTERS RD, SUISUN CITY, CA (707) 639-4982 94585 WAL-MART PHARMACY 8915 GERBER RD, SACRAMENTO, CA (916) 897-5020 95829 WAL-MART PHARMACY 5037 E BRUNDAGE LN, BAKERSFIELD, (661) 448-8148 CA 93307 WAL-MART PHARMACY 4420 FLORIN RD, SACRAMENTO, CA (916) 533-0943 95823 WAL-MART PHARMACY 1180 S DIAMOND BAR BLVD, DIAMOND (909) 378-4057 BAR, CA 91765 WAL-MART PHARMACY 5625 CALLOWAY DR, BAKERSFIELD, CA (661) 368-7066 93312 WAL-MART PHARMACY 401 N CENTRAL AVE, WASCO, CA 93280 (661) 772-8059 WAL-MART PHARMACY 859 W FLORIDA AVE, HEMET, CA 92543 (951) 492-3026 WAL-MART PHARMACY 1301 N VICTORY PL, BURBANK, CA (747) 261-7242 91502 WAL-MART PHARMACY 9001 APOLLO WAY, DOWNEY, CA 90242 (562) 803-5345 WAL-MART PHARMACY 2100 N LONG BEACH BLVD, COMPTON, (562) 295-3869 CA 90221 WAL-MART PHARMACY 1249 ALLEN RD, BAKERSFIELD, CA (661) 535-6372 93314 WAL-MART PHARMACY 875 E H ST, CHULA VISTA, CA 91910 (619) 205-4257 WAL-MART PHARMACY 8270 DELTA SHORES CIR S, (916) 665-1052 SACRAMENTO, CA 95832 WAL-MART PHARMACY 44100 JEFFERSON ST STE F, INDIO, CA (619) 205-4247 92201 WAL-MART PHARMACY 400 TUCKER RD, TEHACHAPI, CA 93561 (661) 822-2012 WAL-MART PHARMACY 7011 N MAIN ST, AMERICAN CANYON, (707) 557-4195 CA 94503 WALASEK, ALINA E - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER WALASEK, ALINA E - MD KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER WALBURG, RICHARD A - DPM KAISER PERMANENTE LOS PODIATRY 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 WALGREENS PHARMACY 1830 W 11TH ST, TRACY, CA 95376 (209) 832-1498 WALGREENS PHARMACY 14100 BLOSSOM HILL RD, LOS GATOS, (408) 356-1152 CA 95032 WALGREENS PHARMACY 1311 E FLORIDA AVE, HEMET, CA 92544 (951) 652-5776 WALGREENS PHARMACY 33975 DATE PALM DR, CATHEDRAL (760) 202-3533 CITY, CA 92234 WALGREENS PHARMACY 1050 GILMAN ST, BERKELEY, CA 94710 (510) 528-8274 WALGREENS PHARMACY 3237 E CHAPMAN AVE, ORANGE, CA (714) 538-5609 92869 WALGREENS PHARMACY 440 BLOSSOM HILL RD, SAN JOSE, CA (408) 229-8013 95123 WALGREENS PHARMACY 1532 N MAIN ST, SALINAS, CA 93906 (831) 443-8717 WALGREENS PHARMACY 1660 WINCHESTER BLVD, CAMPBELL, (408) 378-7916 CA 95008

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 716 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 226 RESERVATION RD, MARINA, CA (831) 384-4700 93933 WALGREENS PHARMACY 860 EAST AVE, CHICO, CA 95926 (530) 899-0887 WALGREENS PHARMACY 100 W WALNUT AVE, VISALIA, CA 93277 (559) 635-7810 WALGREENS PHARMACY 2647 SPRINGS RD, VALLEJO, CA 94591 (707) 557-5974 WALGREENS PHARMACY 1833 N MILPITAS BLVD, MILPITAS, CA (408) 262-7774 95035 WALGREENS PHARMACY 12275 PERRIS BLVD, MORENO VALLEY, (951) 242-8717 CA 92557 WALGREENS PHARMACY 141 KEARNY ST, SAN FRANCISCO, CA (415) 834-0356 94108 WALGREENS PHARMACY 1750 NORIEGA ST, SAN FRANCISCO, CA (415) 664-5543 94122 WALGREENS PHARMACY 4170 EL CAMINO REAL, PALO ALTO, CA (650) 858-2007 94306 WALGREENS PHARMACY 44840 MONTEREY AVE, PALM DESERT, (760) 674-0716 CA 92260 WALGREENS PHARMACY 6100 MISSION ST, DALY CITY, CA 94014 (650) 992-3900 WALGREENS PHARMACY 200 N WINCHESTER BLVD, SANTA (408) 247-1894 CLARA, CA 95050 WALGREENS PHARMACY 15500 WASHINGTON AVE, SAN (510) 483-3917 LEANDRO, CA 94579 WALGREENS PHARMACY 75 N HAM LN, LODI, CA 95242 (209) 369-8575 WALGREENS PHARMACY 333 EL CAMINO REAL, SAN BRUNO, CA (650) 737-5735 94066 WALGREENS PHARMACY 780 E SANTA CLARA ST, SAN JOSE, CA (408) 287-0600 95112 WALGREENS PHARMACY 550 S RIVERSIDE AVE, RIALTO, CA (909) 874-6700 92376 WALGREENS PHARMACY 300 GOUGH ST, SAN FRANCISCO, CA (415) 581-0600 94102 WALGREENS PHARMACY 4610 SONOMA HWY, SANTA ROSA, CA (707) 538-9275 95409 WALGREENS PHARMACY 1150 MCDONALD AVE, RICHMOND, CA (510) 236-5748 94801 WALGREENS PHARMACY 2010 ALAMO DR, VACAVILLE, CA 95687 (707) 451-8304 WALGREENS PHARMACY 191 E 3RD AVE, SAN MATEO, CA 94401 (650) 342-2723 WALGREENS PHARMACY 2995 YGNACIO VALLEY RD, WALNUT (925) 256-7230 CREEK, CA 94598 WALGREENS PHARMACY 41400 BLACOW RD, FREMONT, CA (510) 440-8195 94538 WALGREENS PHARMACY 2101 E HATCH RD, MODESTO, CA 95351 (209) 538-8268 WALGREENS PHARMACY 1790 SHAW AVE, CLOVIS, CA 93611 (559) 299-5823 WALGREENS PHARMACY 840 OAKDALE RD, MODESTO, CA 95355 (209) 571-9075 WALGREENS PHARMACY 101 W IMPERIAL HWY, LA HABRA, CA (714) 447-9576 90631 WALGREENS PHARMACY 5055 TELEGRAPH AVE, OAKLAND, CA (510) 595-3605 94609 WALGREENS PHARMACY 1399 W SAN CARLOS ST, SAN JOSE, CA (408) 971-3098 95126 WALGREENS PHARMACY 7800 OLD REDWOOD HWY, COTATI, CA (707) 795-6014 94931 WALGREENS PHARMACY 1363 DIVISADERO ST, SAN FRANCISCO, (415) 931-9974 CA 94115 WALGREENS PHARMACY 1306 S MARY AVE STE 66, SUNNYVALE, (408) 732-2729 CA 94087 WALGREENS PHARMACY 5005 BALL RD, CYPRESS, CA 90630 (714) 886-1079 WALGREENS PHARMACY 3093 MARLOW RD, SANTA ROSA, CA (707) 569-8504 95403 WALGREENS PHARMACY 15 W HARDING WAY, STOCKTON, CA (209) 941-9632 95204 WALGREENS PHARMACY 1201 E YORBA LINDA BLVD, (714) 579-7451 PLACENTIA, CA 92870

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 717 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 8102 INTERNATIONAL BLVD, OAKLAND, (510) 633-3044 CA 94621 WALGREENS PHARMACY 7576 SKYWAY, PARADISE, CA 95969 (530) 876-8222 WALGREENS PHARMACY 1528 E FREMONT ST, STOCKTON, CA (209) 467-7861 95205 WALGREENS PHARMACY 1700 STANDIFORD AVE, MODESTO, CA (209) 527-5416 95350 WALGREENS PHARMACY 6144 DEWEY DR, CITRUS HEIGHTS, CA (916) 723-4118 95621 WALGREENS PHARMACY 1424 BROADWAY ST, EUREKA, CA (707) 441-1900 95501 WALGREENS PHARMACY 17522 BEACH BLVD, HUNTINGTON (714) 596-5272 BEACH, CA 92647 WALGREENS PHARMACY 34503 YUCAIPA BLVD, YUCAIPA, CA (909) 790-7464 92399 WALGREENS PHARMACY 1718 SOQUEL AVE, SANTA CRUZ, CA (831) 425-3911 95062 WALGREENS PHARMACY 11900 BEACH BLVD, STANTON, CA (714) 890-9063 90680 WALGREENS PHARMACY 111 S MAIN ST, ORANGE, CA 92868 (714) 289-3650 WALGREENS PHARMACY 946 S BROOKHURST ST, ANAHEIM, CA (714) 520-5575 92804 WALGREENS PHARMACY 1695 N SUNRISE WAY, PALM SPRINGS, (760) 325-9370 CA 92262 WALGREENS PHARMACY 227 SHORELINE HWY, MILL VALLEY, CA (415) 380-8402 94941 WALGREENS PHARMACY 5300 3RD ST, SAN FRANCISCO, CA (415) 671-0841 94124 WALGREENS PHARMACY 3860 DECOTO RD, FREMONT, CA 94555 (510) 793-9798 WALGREENS PHARMACY 1050 REDWOOD ST, VALLEJO, CA 94590 (707) 557-6948 WALGREENS PHARMACY 1376 KOOSER RD, SAN JOSE, CA 95118 (408) 448-2503 WALGREENS PHARMACY 111 W WASHINGTON AVE, ESCONDIDO, (760) 291-0299 CA 92025 WALGREENS PHARMACY 60 N HIGHLAND SPRINGS AVE, (951) 845-5984 BANNING, CA 92220 WALGREENS PHARMACY 3999 FOOTHILLS BLVD, ROSEVILLE, CA (916) 788-0890 95747 WALGREENS PHARMACY 20901 DEVONSHIRE ST, CHATSWORTH, (818) 341-4339 CA 91311 WALGREENS PHARMACY 4331 ANTELOPE RD, SACRAMENTO, CA (916) 722-3304 95843 WALGREENS PHARMACY 3655 ALHAMBRA AVE, MARTINEZ, CA (925) 372-0337 94553 WALGREENS PHARMACY 2201 ARDEN WAY, SACRAMENTO, CA (916) 929-7341 95825 WALGREENS PHARMACY 17010 CHATSWORTH ST, GRANADA (818) 360-0871 HILLS, CA 91344 WALGREENS PHARMACY 27951 BASELINE ST, HIGHLAND, CA (909) 864-5701 92346 WALGREENS PHARMACY 710 W GRANGEVILLE BLVD, HANFORD, (559) 582-9438 CA 93230 WALGREENS PHARMACY 7155 VAN NUYS BLVD, VAN NUYS, CA (818) 989-4281 91405 WALGREENS PHARMACY 2900 N MAIN ST, WALNUT CREEK, CA (925) 933-0307 94597 WALGREENS PHARMACY 4867 COLT ST, VENTURA, CA 93003 (805) 639-0917 WALGREENS PHARMACY 3500 COFFEE RD, MODESTO, CA 95355 (209) 341-0814 WALGREENS PHARMACY 24930 WESTERN AVE, HARBOR CITY, (310) 891-1264 CA 90710 WALGREENS PHARMACY 8770 W PICO BLVD, LOS ANGELES, CA (310) 275-2117 90035 WALGREENS PHARMACY 2900 STOCKTON BLVD, SACRAMENTO, (916) 739-1621 CA 95817

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 718 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 1661 MCKEE RD, SAN JOSE, CA 95116 (408) 347-1404 WALGREENS PHARMACY 2000 W WHITTIER BLVD, LA HABRA, CA (562) 690-5567 90631 WALGREENS PHARMACY 275 SACRAMENTO ST STE 2, SAN (415) 362-5227 FRANCISCO, CA 94111 WALGREENS PHARMACY 7787 SUNRISE BLVD, CITRUS HEIGHTS, (916) 722-1982 CA 95610 WALGREENS PHARMACY 2801 ADELINE ST, BERKELEY, CA 94703 (510) 981-8392 WALGREENS PHARMACY 621 I ST, CHULA VISTA, CA 91910 (619) 407-4057 WALGREENS PHARMACY 215 N 2ND ST, EL CAJON, CA 92021 (619) 401-0761 WALGREENS PHARMACY 3201 W 6TH ST, LOS ANGELES, CA (213) 251-0179 90020 WALGREENS PHARMACY 1351 W CAPITOL AVE, WEST (916) 371-3801 SACRAMENTO, CA 95691 WALGREENS PHARMACY 1574 E VALLEY PKWY, ESCONDIDO, CA (760) 839-7932 92027 WALGREENS PHARMACY 12001 EUCLID ST, GARDEN GROVE, CA (714) 530-1071 92840 WALGREENS PHARMACY 5913 CARSON ST, LAKEWOOD, CA (562) 429-9120 90713 WALGREENS PHARMACY 1510 N SANTA FE AVE, VISTA, CA 92083 (760) 724-3763 WALGREENS PHARMACY 6701 CARNELIAN ST, RANCHO (909) 581-1157 CUCAMONGA, CA 91701 WALGREENS PHARMACY 626 S CLOVIS AVE, FRESNO, CA 93727 (559) 251-0163 WALGREENS PHARMACY 7560 TOPANGA CANYON BLVD, (818) 340-4031 CANOGA PARK, CA 91303 WALGREENS PHARMACY 116 NEW MONTGOMERY ST, SAN (415) 344-0891 FRANCISCO, CA 94105 WALGREENS PHARMACY 2177 SUNSET BLVD, ROCKLIN, CA (916) 435-2181 95765 WALGREENS PHARMACY 831 E AVENUE K, LANCASTER, CA (661) 942-1782 93535 WALGREENS PHARMACY 210 MT HERMON RD, SCOTTS VALLEY, (831) 430-9113 CA 95066 WALGREENS PHARMACY 9180 FRANKLIN BLVD, ELK GROVE, CA (916) 427-3739 95758 WALGREENS PHARMACY 1042 NORD AVE, CHICO, CA 95926 (530) 566-1358 WALGREENS PHARMACY 2703 ORO DAM BLVD E, OROVILLE, CA (530) 534-1283 95966 WALGREENS PHARMACY 4810 E KINGS CANYON RD, FRESNO, (559) 458-0141 CA 93727 WALGREENS PHARMACY 7299 LAGUNA BLVD, ELK GROVE, CA (916) 691-4412 95758 WALGREENS PHARMACY 4041 N SIERRA WAY, SAN (909) 881-1813 BERNARDINO, CA 92407 WALGREENS PHARMACY 2690 PACIFIC COAST HWY, TORRANCE, (310) 517-0351 CA 90505 WALGREENS PHARMACY 11800 ARTESIA BLVD, ARTESIA, CA (562) 924-7718 90701 WALGREENS PHARMACY 2303 E VINEYARD AVE, OXNARD, CA (805) 983-8644 93036 WALGREENS PHARMACY 1815 HERNDON AVE, CLOVIS, CA 93611 (559) 325-1324 WALGREENS PHARMACY 1300 W YOSEMITE AVE, MADERA, CA (559) 673-8172 93637 WALGREENS PHARMACY 1100 RILEY ST, FOLSOM, CA 95630 (916) 983-5862 WALGREENS PHARMACY 58133 29 PALMS HWY, YUCCA VALLEY, (760) 369-4615 CA 92284 WALGREENS PHARMACY 8201 GREENLEAF AVE, WHITTIER, CA (562) 698-4906 90602 WALGREENS PHARMACY 6400 HAVEN AVE, RANCHO (909) 941-3857 CUCAMONGA, CA 91737 WALGREENS PHARMACY 1360 E PACHECO BLVD, LOS BANOS, (209) 826-2796 CA 93635

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 719 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 2627 PACIFIC AVE, LONG BEACH, CA (562) 490-9575 90806 WALGREENS PHARMACY 610 E NEES AVE, FRESNO, CA 93720 (559) 431-1379 WALGREENS PHARMACY 4201 DALE RD, MODESTO, CA 95356 (209) 545-5687 WALGREENS PHARMACY 6325 ROSEMEAD BLVD, SAN GABRIEL, (626) 285-5107 CA 91775 WALGREENS PHARMACY 230 N LA BREA AVE, INGLEWOOD, CA (310) 671-2471 90301 WALGREENS PHARMACY 1301 E 17TH ST, SANTA ANA, CA 92705 (714) 541-1747 WALGREENS PHARMACY 575 N SANBORN RD, SALINAS, CA 93905 (831) 751-9319 WALGREENS PHARMACY 9750 WOODMAN AVE, ARLETA, CA (818) 899-9950 91331 WALGREENS PHARMACY 9550 HAGEMAN RD, BAKERSFIELD, CA (661) 587-0838 93312 WALGREENS PHARMACY 1028 S SAN FERNANDO BLVD, (818) 729-9283 BURBANK, CA 91502 WALGREENS PHARMACY 1570 W CAMPBELL AVE, CAMPBELL, CA (408) 374-3038 95008 WALGREENS PHARMACY 745 E DUNNE AVE, MORGAN HILL, CA (408) 782-9591 95037 WALGREENS PHARMACY 2730 SHAFFER RD, ATWATER, CA 95301 (209) 357-9430 WALGREENS PHARMACY 707 N BROADWAY, SANTA MARIA, CA (805) 614-4667 93454 WALGREENS PHARMACY 12490 CENTRAL AVE, CHINO, CA 91710 (909) 464-9520 WALGREENS PHARMACY 643 SANTA CRUZ AVE, MENLO PARK, (650) 321-1530 CA 94025 WALGREENS PHARMACY 1071 N MAIN ST, MANTECA, CA 95336 (209) 825-5481 WALGREENS PHARMACY 3460 EL CAMINO REAL, SANTA CLARA, (408) 261-1047 CA 95051 WALGREENS PHARMACY 2050 IRVING ST, SAN FRANCISCO, CA (415) 664-4215 94122 WALGREENS PHARMACY 416 ALVARADO ST, MONTEREY, CA (831) 644-9057 93940 WALGREENS PHARMACY 1189 POTRERO AVE, SAN FRANCISCO, (415) 647-1397 CA 94110 WALGREENS PHARMACY 3000 S BRISTOL ST, SANTA ANA, CA (714) 427-3986 92704 WALGREENS PHARMACY 13052 NEWPORT AVE, TUSTIN, CA (714) 505-6021 92780 WALGREENS PHARMACY 18515 DEVONSHIRE ST, NORTHRIDGE, (818) 363-1067 CA 91324 WALGREENS PHARMACY 2950 S ARCHIBALD AVE, ONTARIO, CA (909) 923-9934 91761 WALGREENS PHARMACY 3630 SAN PABLO DAM RD, EL (510) 758-2365 SOBRANTE, CA 94803 WALGREENS PHARMACY 6325 FAIR OAKS BLVD, CARMICHAEL, (916) 480-0979 CA 95608 WALGREENS PHARMACY 1826 W ORANGETHORPE AVE, (714) 526-9257 FULLERTON, CA 92833 WALGREENS PHARMACY 1250 E CHAPMAN AVE, FULLERTON, CA (714) 680-9124 92831 WALGREENS PHARMACY 11950 VALLEY VIEW ST, GARDEN (714) 893-4196 GROVE, CA 92845 WALGREENS PHARMACY 535 S PACIFIC COAST HWY, REDONDO (310) 540-2228 BEACH, CA 90277 WALGREENS PHARMACY 140 E LIVE OAK AVE, ARCADIA, CA (626) 447-9117 91006 WALGREENS PHARMACY 18308 COLIMA RD, ROWLAND HEIGHTS, (626) 913-1033 CA 91748 WALGREENS PHARMACY 4200 ARDEN WAY, SACRAMENTO, CA (916) 485-4069 95864 WALGREENS PHARMACY 2840 W AVENUE L, LANCASTER, CA (661) 943-8683 93536

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 720 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 342 W CALAVERAS BLVD, MILPITAS, CA (408) 263-3963 95035 WALGREENS PHARMACY 5961 LA PALMA AVE, LA PALMA, CA (714) 670-8920 90623 WALGREENS PHARMACY 1055 FREMONT BLVD, SEASIDE, CA (831) 393-9231 93955 WALGREENS PHARMACY 4129 18TH ST, SAN FRANCISCO, CA (415) 551-7837 94114 WALGREENS PHARMACY 24382 MUIRLANDS BLVD, LAKE (949) 598-9088 FOREST, CA 92630 WALGREENS PHARMACY 4306 MING AVE, BAKERSFIELD, CA (661) 827-9058 93309 WALGREENS PHARMACY 550 S GRAND AVE, GLENDORA, CA (626) 857-0633 91741 WALGREENS PHARMACY 3570 ATLANTIC AVE, LONG BEACH, CA (562) 424-3963 90807 WALGREENS PHARMACY 903 E HUNTINGTON DR, MONROVIA, CA (626) 256-3247 91016 WALGREENS PHARMACY 1241 W FOOTHILL BLVD, UPLAND, CA (909) 985-2713 91786 WALGREENS PHARMACY 2399 S BROADWAY, SANTA MARIA, CA (805) 928-4633 93454 WALGREENS PHARMACY 2525 HARRIS ST, EUREKA, CA 95503 (707) 444-0521 WALGREENS PHARMACY 1016 W SHAW AVE, FRESNO, CA 93711 (559) 229-2361 WALGREENS PHARMACY 2995 SAN PABLO AVE, BERKELEY, CA (510) 548-2104 94702 WALGREENS PHARMACY 1219 N CEDAR AVE, FRESNO, CA 93703 (559) 498-8283 WALGREENS PHARMACY 1919 FRUITRIDGE RD, SACRAMENTO, (916) 457-5733 CA 95822 WALGREENS PHARMACY 1795 E CAPITOL EXPY, SAN JOSE, CA (408) 238-5890 95121 WALGREENS PHARMACY 10 W MAIN ST, WOODLAND, CA 95695 (530) 668-8589 WALGREENS PHARMACY 12002 HARBOR BLVD, GARDEN GROVE, (714) 663-2850 CA 92840 WALGREENS PHARMACY 1201 TARAVAL ST, SAN FRANCISCO, CA (415) 753-1305 94116 WALGREENS PHARMACY 22930 S WESTERN AVE, TORRANCE, CA (310) 517-1851 90501 WALGREENS PHARMACY 24081 EL TORO RD, LAGUNA HILLS, CA (949) 206-9632 92653 WALGREENS PHARMACY 1979 MISSION ST, SAN FRANCISCO, CA (415) 558-8749 94103 WALGREENS PHARMACY 21001 SAN RAMON VALLEY BLVD, SAN (925) 803-0893 RAMON, CA 94583 WALGREENS PHARMACY 40 CHESTER AVE, BAKERSFIELD, CA (661) 631-2837 93301 WALGREENS PHARMACY 1160 BROADWAY, BURLINGAME, CA (650) 347-3026 94010 WALGREENS PHARMACY 1640 R ST, MERCED, CA 95340 (209) 722-1645 WALGREENS PHARMACY 1810 FREEDOM BLVD, FREEDOM, CA (831) 768-0183 95019 WALGREENS PHARMACY 4645 MISSION ST, SAN FRANCISCO, CA (415) 585-6900 94112 WALGREENS PHARMACY 1401 BROADWAY, SACRAMENTO, CA (916) 440-0953 95818 WALGREENS PHARMACY 1086 W ARROW HWY, SAN DIMAS, CA (909) 305-1352 91773 WALGREENS PHARMACY 401 PARADISE RD STE A, MODESTO, (209) 575-3257 CA 95351 WALGREENS PHARMACY 795 E FOOTHILL BLVD, POMONA, CA (909) 624-3017 91767 WALGREENS PHARMACY 3098 G ST, MERCED, CA 95340 (209) 385-3438

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 721 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 498 CASTRO ST, SAN FRANCISCO, CA (415) 861-7358 94114 WALGREENS PHARMACY 10992 MAGNOLIA AVE, RIVERSIDE, CA (951) 688-4154 92505 WALGREENS PHARMACY 2799 S WHITE RD, SAN JOSE, CA 95148 (408) 528-9349 WALGREENS PHARMACY 25011 ALESSANDRO BLVD, MORENO (951) 485-1116 VALLEY, CA 92553 WALGREENS PHARMACY 2976 SEPULVEDA BLVD, TORRANCE, (310) 534-0078 CA 90505 WALGREENS PHARMACY 5467 WILSHIRE BLVD, LOS ANGELES, (323) 525-0646 CA 90036 WALGREENS PHARMACY 20011 BOLLINGER RD, CUPERTINO, CA (408) 973-8402 95014 WALGREENS PHARMACY 980 E CYPRESS AVE, REDDING, CA (530) 221-5028 96002 WALGREENS PHARMACY 20505 SHERMAN WAY, CANOGA PARK, (818) 719-6599 CA 91306 WALGREENS PHARMACY 1615 MERIDIAN AVE, SAN JOSE, CA (408) 978-5393 95125 WALGREENS PHARMACY 128 S STATE COLLEGE BLVD, ANAHEIM, (714) 778-2519 CA 92806 WALGREENS PHARMACY 500 GEARY ST, SAN FRANCISCO, CA (415) 673-8413 94102 WALGREENS PHARMACY 2120 POLK ST, SAN FRANCISCO, CA (415) 474-9752 94109 WALGREENS PHARMACY 934 N HACIENDA BLVD, LA PUENTE, CA (626) 934-1926 91744 WALGREENS PHARMACY 3201 DIVISADERO ST, SAN FRANCISCO, (415) 931-6417 CA 94123 WALGREENS PHARMACY 19501 BEACH BLVD, HUNTINGTON (714) 969-1368 BEACH, CA 92648 WALGREENS PHARMACY 2501 W MAGNOLIA BLVD, BURBANK, CA (818) 841-1685 91505 WALGREENS PHARMACY 1720 W LAPALMA AVE, ANAHEIM, CA (714) 991-3082 92801 WALGREENS PHARMACY 660 W MARCH LN, STOCKTON, CA (209) 478-0891 95207 WALGREENS PHARMACY 6012 WARNER AVE, HUNTINGTON (714) 375-5443 BEACH, CA 92647 WALGREENS PHARMACY 423 N SANTA CRUZ AVE, LOS GATOS, (408) 354-8029 CA 95030 WALGREENS PHARMACY 5900 CALLE REAL, GOLETA, CA 93117 (805) 967-3798 WALGREENS PHARMACY 4051 DOUGLAS BLVD, GRANITE BAY, (916) 791-7576 CA 95746 WALGREENS PHARMACY 1630 OCEAN AVE, SAN FRANCISCO, CA (415) 239-0804 94112 WALGREENS PHARMACY 118 E BASE LINE RD, RIALTO, CA 92376 (909) 562-0267 WALGREENS PHARMACY 1932 WILSHIRE BLVD, SANTA MONICA, (310) 829-9264 CA 90403 WALGREENS PHARMACY 937 N H ST, LOMPOC, CA 93436 (805) 737-5601 WALGREENS PHARMACY 23958 HESPERIAN BLVD, HAYWARD, CA (510) 786-9174 94541 WALGREENS PHARMACY 9031 ROSECRANS AVE, BELLFLOWER, (562) 531-1557 CA 90706 WALGREENS PHARMACY 49 W TULARE AVE, TULARE, CA 93274 (559) 685-9704 WALGREENS PHARMACY 2600 MOWRY AVE, FREMONT, CA 94538 (510) 742-9356 WALGREENS PHARMACY 17051 BEAR VALLEY RD, HESPERIA, CA (760) 948-7901 92345 WALGREENS PHARMACY 10407 SANTA MONICA BLVD, LOS (310) 481-7123 ANGELES, CA 90025 WALGREENS PHARMACY 37160 47TH ST E, PALMDALE, CA 93552 (661) 236-0015 WALGREENS PHARMACY 105 E EL CAMINO REAL, SUNNYVALE, (408) 991-9013 CA 94087

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 722 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 3434 HIGH ST, OAKLAND, CA 94619 (510) 261-1984 WALGREENS PHARMACY 100 N IMPERIAL AVE, EL CENTRO, CA (760) 335-4904 92243 WALGREENS PHARMACY 301 E 18TH ST, OAKLAND, CA 94606 (510) 271-0103 WALGREENS PHARMACY 3232 FOOTHILL BLVD, OAKLAND, CA (510) 261-4552 94601 WALGREENS PHARMACY 3398 MISSION ST, SAN FRANCISCO, CA (415) 824-6886 94110 WALGREENS PHARMACY 6010 N FIGARDEN DR, FRESNO, CA (559) 271-4926 93722 WALGREENS PHARMACY 3005 MIDWAY DR, SAN DIEGO, CA (619) 221-0834 92110 WALGREENS PHARMACY 30251 MURRIETA RD, MENIFEE, CA (951) 244-7210 92584 WALGREENS PHARMACY 27982 LA PAZ RD, LAGUNA NIGUEL, CA (949) 360-8215 92677 WALGREENS PHARMACY 1775 EUREKA WAY, REDDING, CA 96001 (530) 241-3294 WALGREENS PHARMACY 2494 SAN BRUNO AVE, SAN (415) 468-4274 FRANCISCO, CA 94134 WALGREENS PHARMACY 4351 E IMPERIAL HWY, LYNWOOD, CA (310) 609-2406 90262 WALGREENS PHARMACY 5224 COLDWATER CANYON AVE, VAN (818) 487-2715 NUYS, CA 91401 WALGREENS PHARMACY 5328 W CYPRESS AVE, VISALIA, CA (559) 741-9583 93277 WALGREENS PHARMACY 1634 E HIGHLAND AVE, SAN (909) 882-2836 BERNARDINO, CA 92404 WALGREENS PHARMACY 1760 STORY RD, SAN JOSE, CA 95122 (408) 251-9853 WALGREENS PHARMACY 11604 WHITTIER BLVD, WHITTIER, CA (562) 695-7416 90601 WALGREENS PHARMACY 1130 FOXWORTHY AVE, SAN JOSE, CA (408) 723-9905 95118 WALGREENS PHARMACY 1955 TEXAS ST STE 13, FAIRFIELD, CA (707) 428-0496 94533 WALGREENS PHARMACY 22 SAN PEDRO RD, DALY CITY, CA (650) 756-3412 94014 WALGREENS PHARMACY 18430 SHERMAN WAY, RESEDA, CA (818) 343-4513 91335 WALGREENS PHARMACY 2605 MIDDLEFIELD RD, PALO ALTO, CA (650) 566-9723 94306 WALGREENS PHARMACY 2550 OCEAN AVE, SAN FRANCISCO, CA (415) 587-9000 94132 WALGREENS PHARMACY 1333 CASTRO ST, SAN FRANCISCO, CA (415) 826-8533 94114 WALGREENS PHARMACY 4520 BALFOUR RD, BRENTWOOD, CA (925) 513-4055 94513 WALGREENS PHARMACY 320 BAY ST, SAN FRANCISCO, CA 94133 (415) 296-0521 WALGREENS PHARMACY 1414 EL CAMINO REAL, SAN CARLOS, (650) 637-9777 CA 94070 WALGREENS PHARMACY 1763 SANTA RITA RD, PLEASANTON, CA (925) 426-1562 94566 WALGREENS PHARMACY 3801 3RD ST STE 550, SAN FRANCISCO, (415) 285-8773 CA 94124 WALGREENS PHARMACY 602 10TH ST, MARYSVILLE, CA 95901 (530) 743-2594 WALGREENS PHARMACY 1138 W TENNYSON RD, HAYWARD, CA (510) 293-9031 94544 WALGREENS PHARMACY 5020 MADISON AVE, SACRAMENTO, CA (916) 339-9712 95841 WALGREENS PHARMACY 495 HOLT AVE, POMONA, CA 91767 (909) 469-9534 WALGREENS PHARMACY 8900 WASHINGTON BLVD, PICO (562) 222-1590 RIVERA, CA 90660 WALGREENS PHARMACY 820 SIR FRANCIS DUKE BLVD, SAN (415) 482-0191 ANSELMO, CA 94960

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 723 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 11907 VALLEY BLVD, EL MONTE, CA (626) 450-0536 91732 WALGREENS PHARMACY 303 2ND ST, LOS ALTOS, CA 94022 (650) 949-3378 WALGREENS PHARMACY 1781 COLUSA HWY, YUBA CITY, CA (530) 671-5301 95993 WALGREENS PHARMACY 27975 BRADLEY RD, SUN CITY, CA (951) 246-3092 92586 WALGREENS PHARMACY 150 S GRAND AVE, COVINA, CA 91724 (626) 966-8497 WALGREENS PHARMACY 6600 MAGNOLIA AVE, RIVERSIDE, CA (951) 786-9243 92506 WALGREENS PHARMACY 15740 WOODRUFF AVE, BELLFLOWER, (562) 867-5441 CA 90706 WALGREENS PHARMACY 199 PARNASSUS AVE, SAN (415) 661-5287 FRANCISCO, CA 94117 WALGREENS PHARMACY 1101 W TEHACHAPI BLVD, TEHACHAPI, (661) 823-0163 CA 93561 WALGREENS PHARMACY 8400 ELK GROVE FLORIN RD, ELK (916) 525-3563 GROVE, CA 95624 WALGREENS PHARMACY 120 W PARKRIDGE AVE, CORONA, CA (951) 278-1852 92880 WALGREENS PHARMACY 7878 CRESCENT AVE, BUENA PARK, CA (714) 226-0238 90620 WALGREENS PHARMACY 721 GREGORY LN, PLEASANT HILL, CA (925) 944-1592 94523 WALGREENS PHARMACY 29910 MURRIETA HOT SPNGS RD, (951) 894-1476 MURRIETA, CA 92563 WALGREENS PHARMACY 205 SHAW AVE, CLOVIS, CA 93612 (559) 325-1858 WALGREENS PHARMACY 8005 EL CAMINO REAL, ATASCADERO, (805) 462-9272 CA 93422 WALGREENS PHARMACY 459 POWELL ST, SAN FRANCISCO, CA (415) 984-0793 94102 WALGREENS PHARMACY 2901 RAILROAD AVE, PITTSBURG, CA (925) 439-8575 94565 WALGREENS PHARMACY 17383 MAIN ST, HESPERIA, CA 92345 (760) 948-0481 WALGREENS PHARMACY 8975 N CHESTNUT AVE, FRESNO, CA (559) 325-6439 93720 WALGREENS PHARMACY 4495 MACK RD, SACRAMENTO, CA (916) 399-0860 95823 WALGREENS PHARMACY 670 4TH ST, SAN FRANCISCO, CA 94107 (415) 856-0543 WALGREENS PHARMACY 4009 LINCOLN BLVD, MARINA DEL REY, (310) 823-7152 CA 90292 WALGREENS PHARMACY 1344 W REDONDO BEACH BLVD, (310) 353-5726 GARDENA, CA 90247 WALGREENS PHARMACY 1800 W SLAUSON AVE, LOS ANGELES, (323) 292-1941 CA 90047 WALGREENS PHARMACY 88 SPEAR ST, SAN FRANCISCO, CA (415) 856-0733 94105 WALGREENS PHARMACY 47900 WASHINGTON ST, LA QUINTA, CA (760) 771-1526 92253 WALGREENS PHARMACY 2222 COLORADO BLVD, LOS ANGELES, (323) 254-4593 CA 90041 WALGREENS PHARMACY 1400 BEAUMONT AVE, BEAUMONT, CA (951) 769-4295 92223 WALGREENS PHARMACY 3339 E ANAHEIM ST, LONG BEACH, CA (562) 597-5338 90804 WALGREENS PHARMACY 100 W ONTARIO AVE, CORONA, CA (951) 582-9551 92882 WALGREENS PHARMACY 1430 EASTLAKE PKWY, CHULA VISTA, (619) 591-7042 CA 91915 WALGREENS PHARMACY 13231 VICTORY BLVD, VAN NUYS, CA (818) 623-9358 91401 WALGREENS PHARMACY 885 EUCLID AVE, NATIONAL CITY, CA (619) 267-1950 91950

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 724 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 115 LAKE BLVD E, REDDING, CA 96003 (530) 229-1519 WALGREENS PHARMACY 4949 GOSFORD RD, BAKERSFIELD, CA (661) 858-0218 93313 WALGREENS PHARMACY 1101 S SANDERSON AVE, HEMET, CA (951) 929-0379 92545 WALGREENS PHARMACY 8917 TRAUTWEIN RD, RIVERSIDE, CA (951) 776-0470 92508 WALGREENS PHARMACY 1501 W WHITTIER BLVD, MONTEBELLO, (323) 727-9117 CA 90640 WALGREENS PHARMACY 1456 136TH AVE, SAN LEANDRO, CA (510) 618-1504 94578 WALGREENS PHARMACY 1145 MAIN ST, RED BLUFF, CA 96080 (530) 528-0478 WALGREENS PHARMACY 8766 NAVAJO RD, SAN DIEGO, CA 92119 (619) 667-8764 WALGREENS PHARMACY 7015 N WEST AVE, FRESNO, CA 93711 (559) 440-1404 WALGREENS PHARMACY 965 GENEVA AVE, SAN FRANCISCO, CA (415) 841-0507 94112 WALGREENS PHARMACY 5451 W SUNSET BLVD, LOS ANGELES, (323) 860-7970 CA 90027 WALGREENS PHARMACY 1625 W SUNSET BLVD, LOS ANGELES, (213) 482-9286 CA 90026 WALGREENS PHARMACY 101 DRUMMOND AVE, RIDGECREST, CA (760) 384-2358 93555 WALGREENS PHARMACY 2851 ROSE AVE, OXNARD, CA 93033 (805) 483-5635 WALGREENS PHARMACY 600 LONG BEACH BLVD, LONG BEACH, (562) 279-1027 CA 90802 WALGREENS PHARMACY 27983 SLOAN CANYON RD, CASTAIC, (661) 775-0840 CA 91384 WALGREENS PHARMACY 40420 MURRIETA HOT SPGS RD, (951) 698-7459 MURRIETA, CA 92563 WALGREENS PHARMACY 1301 W BASE LINE ST, SAN (909) 386-5724 BERNARDINO, CA 92411 WALGREENS PHARMACY 13655 BEAR VALLEY RD, VICTORVILLE, (760) 949-8930 CA 92392 WALGREENS PHARMACY 8052 WESTMINSTER BLVD, (714) 896-9589 WESTMINSTER, CA 92683 WALGREENS PHARMACY 4142 PACIFIC COAST HWY, TORRANCE, (310) 375-9019 CA 90505 WALGREENS PHARMACY 15316 NORDHOFF ST, NORTH HILLS, CA (818) 892-4249 91343 WALGREENS PHARMACY 30015 DATE PALM DR, CATHEDRAL (760) 770-3659 CITY, CA 92234 WALGREENS PHARMACY 14250 PRAIRE AVE, HAWTHORNE, CA (310) 978-9167 90250 WALGREENS PHARMACY 1280 W FOOTHILL, RIALTO, CA 92376 (909) 879-0305 WALGREENS PHARMACY 1111 3RD AVE, CHULA VISTA, CA 91911 (619) 691-1308 WALGREENS PHARMACY 7155 24TH ST, SACRAMENTO, CA 95822 (916) 399-9674 WALGREENS PHARMACY 8044 LIMONITE AVE, RIVERSIDE, CA (951) 685-0139 92509 WALGREENS PHARMACY 9200 ELK GROVE FLORIN RD, ELK (916) 687-3251 GROVE, CA 95624 WALGREENS PHARMACY 2595 E BIDWELL ST, FOLSOM, CA 95630 (916) 817-6533 WALGREENS PHARMACY 191 E YORBA LINDA BLVD, PLACENTIA, (714) 854-1767 CA 92870 WALGREENS PHARMACY 44100 JEFFERSON ST STE B, INDIO, CA (760) 772-2759 92201 WALGREENS PHARMACY 5260 DIAMOND HEIGHTS BLVD, SAN (415) 695-2808 FRANCISCO, CA 94131 WALGREENS PHARMACY 1802 S HARBOR BLVD, ANAHEIM, CA (714) 808-0126 92802 WALGREENS PHARMACY 43200 STATE HIGHWAY 74, HEMET, CA (951) 927-8570 92544 WALGREENS PHARMACY 3724 CRENSHAW BLVD, LOS ANGELES, (323) 292-7261 CA 90016

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 725 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 12109 APPLE VALLEY RD, APPLE (760) 240-5896 VALLEY, CA 92308 WALGREENS PHARMACY 15480 MAIN ST, HESPERIA, CA 92345 (760) 947-2283 WALGREENS PHARMACY 2551 W MAIN ST, ALHAMBRA, CA 91801 (626) 281-1637 WALGREENS PHARMACY 28460 HASKELL CANYON RD, SAUGUS, (661) 513-9240 CA 91390 WALGREENS PHARMACY 1700 E VISTA CHINO, PALM SPRINGS, (760) 864-1516 CA 92262 WALGREENS PHARMACY 670 N LAKE AVE, PASADENA, CA 91101 (626) 585-8926 WALGREENS PHARMACY 2453 S AZUSA AVE W, WEST COVINA, (626) 964-3101 CA 91792 WALGREENS PHARMACY 18296 COLLIER AVE, LAKE ELSINORE, (951) 471-2132 CA 92530 WALGREENS PHARMACY 102 N JACK TONE RD # R, RIPON, CA (209) 599-1639 95366 WALGREENS PHARMACY 19266 SOLEDAD CYN, SANTA CLARITA, (661) 251-9433 CA 91351 WALGREENS PHARMACY 3301 PANAMA LN, BAKERSFIELD, CA (661) 835-9383 93313 WALGREENS PHARMACY 310 SYCAMORE AVE, VISTA, CA 92083 (760) 630-5723 WALGREENS PHARMACY 16145 SIERRA LAKES PKWY, FONTANA, (909) 356-9167 CA 92336 WALGREENS PHARMACY 25533 MARGUERITE PKWY, MISSION (949) 707-0494 VIEJO, CA 92692 WALGREENS PHARMACY 460 W FELICITA AVE, ESCONDIDO, CA (760) 735-6025 92025 WALGREENS PHARMACY 308 E PERKINS ST, UKIAH, CA 95482 (707) 462-1265 WALGREENS PHARMACY 3222 UNIVERSITY AVE, SAN DIEGO, CA (619) 528-1793 92104 WALGREENS PHARMACY 2875 MAIN ST, SUSANVILLE, CA 96130 (530) 257-1020 WALGREENS PHARMACY 800 LUGONIA AVE, REDLANDS, CA (909) 307-6964 92374 WALGREENS PHARMACY 1418 E PROSPERITY AVE, TULARE, CA (559) 684-7963 93274 WALGREENS PHARMACY 9830 LONG BEACH BLVD, SOUTH GATE, (323) 357-3925 CA 90280 WALGREENS PHARMACY 6885 N WILLOW AVE, FRESNO, CA (559) 322-0698 93720 WALGREENS PHARMACY 170 W EL MONTE WAY, DINUBA, CA (559) 595-1649 93618 WALGREENS PHARMACY 80925 US HWY 111, INDIO, CA 92201 (760) 347-8274 WALGREENS PHARMACY 6316 IRVINE BLVD, IRVINE, CA 92620 (949) 451-1563 WALGREENS PHARMACY 988 SIERRA ST, KINGSBURG, CA 93631 (559) 897-9733 WALGREENS PHARMACY 40663 CALIFORNIA OAKS RD, (951) 304-1219 MURRIETA, CA 92562 WALGREENS PHARMACY 1065 S FORTUNA BLVD, FORTUNA, CA (707) 726-0377 95540 WALGREENS PHARMACY 2310 TELEGRAPH AVE, BERKELEY, CA (510) 848-5121 94704 WALGREENS PHARMACY 401 N AZUSA AVE, COVINA, CA 91722 (626) 332-0519 WALGREENS PHARMACY 5785 N 1ST ST, FRESNO, CA 93710 (559) 440-0152 WALGREENS PHARMACY 18568 VENTURA BLVD, TARZANA, CA (818) 776-1363 91356 WALGREENS PHARMACY 2424 N BRAWLEY AVE, FRESNO, CA (559) 277-5912 93722 WALGREENS PHARMACY 10955 MAGNOLIA BLVD, NORTH (818) 760-3820 HOLLYWOOD, CA 91601 WALGREENS PHARMACY 6570 LONE TREE WAY, BRENTWOOD, (925) 240-6043 CA 94513 WALGREENS PHARMACY 1580 VALENCIA ST, SAN FRANCISCO, (415) 970-8001 CA 94110 WALGREENS PHARMACY 3752 MISSION AVE, OCEANSIDE, CA (760) 722-9409 92058

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 726 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 3507 CANNON RD, OCEANSIDE, CA (760) 630-1327 92056 WALGREENS PHARMACY 45 S EL CAMINO REAL, MILLBRAE, CA (650) 697-3970 94030 WALGREENS PHARMACY 16020 PERRIS BLVD, MORENO VALLEY, (951) 247-2113 CA 92551 WALGREENS PHARMACY 3521 DEL PASO RD, SACRAMENTO, CA (916) 515-1866 95835 WALGREENS PHARMACY 6199 SUNRISE BLVD, CITRUS HEIGHTS, (916) 726-6802 CA 95610 WALGREENS PHARMACY 2331 S ATLANTIC BLVD, MONTEREY (323) 526-9102 PARK, CA 91754 WALGREENS PHARMACY 1236 N WATERMAN AVE, SAN (909) 885-7146 BERNARDINO, CA 92404 WALGREENS PHARMACY 2261 W ESPLANADE AVE, SAN (951) 487-2383 JACINTO, CA 92582 WALGREENS PHARMACY 78218 VARNER RD, PALM DESERT, CA (760) 200-4382 92211 WALGREENS PHARMACY 3250 LAKESHORE AVE STE B, (510) 271-0843 OAKLAND, CA 94610 WALGREENS PHARMACY 331 N SEPULVEDA BLVD, EL SEGUNDO, (310) 640-9651 CA 90245 WALGREENS PHARMACY 6819 WATT AVE, NORTH HIGHLANDS, (916) 339-0189 CA 95660 WALGREENS PHARMACY 15990 BROOKHURST ST, FOUNTAIN (714) 775-3974 VALLEY, CA 92708 WALGREENS PHARMACY 72027 DINAH SHORE DR, RANCHO (760) 321-4892 MIRAGE, CA 92270 WALGREENS PHARMACY 217 ALMA ST STE 200, PALO ALTO, CA (650) 326-3876 94301 WALGREENS PHARMACY 1131 S GLENDORA AVE, WEST COVINA, (626) 338-0904 CA 91790 WALGREENS PHARMACY 3643 PECK RD, EL MONTE, CA 91731 (626) 442-7868 WALGREENS PHARMACY 14780 HARLAN RD, LATHROP, CA 95330 (209) 858-2801 WALGREENS PHARMACY 310 S LAKE AVE, PASADENA, CA 91101 (626) 583-8066 WALGREENS PHARMACY 82900 AVENUE 42 STE D, INDIO, CA (760) 347-3524 92203 WALGREENS PHARMACY 4616 DE LONGPRE AVE, LOS ANGELES, (323) 644-2080 CA 90027 WALGREENS PHARMACY 2560 W BALL RD, ANAHEIM, CA 92804 (714) 229-9081 WALGREENS PHARMACY 7850 WEST LN, STOCKTON, CA 95210 (209) 473-9515 WALGREENS PHARMACY 253 E FOOTHILL BLVD, ARCADIA, CA (626) 256-3536 91006 WALGREENS PHARMACY 11983 HAWTHORNE BLVD, (310) 349-0130 HAWTHORNE, CA 90250 WALGREENS PHARMACY 2271 BALFOUR RD, BRENTWOOD, CA (925) 626-3491 94513 WALGREENS PHARMACY 250 FLORIN RD, SACRAMENTO, CA (916) 399-0650 95831 WALGREENS PHARMACY 82955 AVE 48 BLDG B, INDIO, CA 92201 (760) 342-2031 WALGREENS PHARMACY 42107 BIG BEAR BLVD, BIG BEAR LAKE, (909) 866-1076 CA 92315 WALGREENS PHARMACY 3331 W CENTURY BLVD, INGLEWOOD, (310) 671-1523 CA 90303 WALGREENS PHARMACY 23925 NEWHALL RANCH RD, SANTA (661) 255-7551 CLARITA, CA 91355 WALGREENS PHARMACY 2465 E PALM CANYON DR, PALM (760) 322-9351 SPRINGS, CA 92264 WALGREENS PHARMACY 140 LOS ANGELES AVE, MOORPARK, (805) 529-9601 CA 93021 WALGREENS PHARMACY 2420 N BLACKSTONE AVE, FRESNO, CA (559) 244-0974 93703

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 727 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 2750 PINOLE VALLEY RD, PINOLE, CA (510) 222-9422 94564 WALGREENS PHARMACY 780 E EL CAMINO REAL, SUNNYVALE, (408) 738-9430 CA 94087 WALGREENS PHARMACY 1811 S SAN JACINTO AVE, SAN (951) 487-6185 JACINTO, CA 92583 WALGREENS PHARMACY 11930 STUDEBAKER RD, NORWALK, CA (562) 864-8138 90650 WALGREENS PHARMACY 13331 TELEGRAPH RD, WHITTIER, CA (562) 906-0973 90605 WALGREENS PHARMACY 5695 ALTON PKWY, IRVINE, CA 92618 (949) 726-0716 WALGREENS PHARMACY 5504 BALBOA AVE, SAN DIEGO, CA (858) 495-9155 92111 WALGREENS PHARMACY 12 W HANFORD ARMONA RD, (559) 925-6510 LEMOORE, CA 93245 WALGREENS PHARMACY 3571 N 1ST ST, SAN JOSE, CA 95134 (408) 876-6191 WALGREENS PHARMACY 265 W FOREST AVE, COALINGA, CA (559) 934-0461 93210 WALGREENS PHARMACY 6100 PACIFIC BLVD, HUNTINGTON (323) 826-9775 PARK, CA 90255 WALGREENS PHARMACY 30192 TOWN CENTER DR, LAGUNA (949) 495-8414 NIGUEL, CA 92677 WALGREENS PHARMACY 1285 S MISSION RD, FALLBROOK, CA (760) 451-2970 92028 WALGREENS PHARMACY 2020 W CLEVELAND AVE, MADERA, CA (559) 664-9170 93637 WALGREENS PHARMACY 26531 ALISO CREEK RD, ALISO VIEJO, (949) 448-0082 CA 92656 WALGREENS PHARMACY 787 L ST, CRESCENT CITY, CA 95531 (707) 464-3857 WALGREENS PHARMACY 45 CASTRO ST, SAN FRANCISCO, CA (415) 565-0991 94114 WALGREENS PHARMACY 640 UNIVERSITY AVE, SAN DIEGO, CA (619) 295-6688 92103 WALGREENS PHARMACY 555 S SUNRISE WAY STE 112, PALM (760) 323-1973 SPRINGS, CA 92264 WALGREENS PHARMACY 14102 RAMONA BLVD, BALDWIN PARK, (626) 337-1082 CA 91706 WALGREENS PHARMACY 6416 TAMPA BLVD, RESEDA, CA 91335 (818) 776-9014 WALGREENS PHARMACY 41169 GOODWIN WAY STE 110, (559) 353-6300 MADERA, CA 93636 WALGREENS PHARMACY 11121 SIERRA AVE, FONTANA, CA 92337 (909) 356-9715 WALGREENS PHARMACY 12120 NEW AIRPORT RD, AUBURN, CA (530) 888-9235 95603 WALGREENS PHARMACY 1300 BUSH ST, SAN FRANCISCO, CA (415) 771-3303 94109 WALGREENS PHARMACY 5280 GEARY BLVD, SAN FRANCISCO, (415) 668-2041 CA 94118 WALGREENS PHARMACY 1496 MARKET ST, SAN FRANCISCO, CA (415) 626-9972 94102 WALGREENS PHARMACY 200 WEST PORTAL AVE, SAN (415) 665-1008 FRANCISCO, CA 94127 WALGREENS PHARMACY 2293 RIVER OAKS BLVD, PLUMAS LAKE, (530) 634-9980 CA 95961 WALGREENS PHARMACY 10787 CAMINO RUIZ, SAN DIEGO, CA (858) 437-0761 92126 WALGREENS PHARMACY 9305 MISSION GORGE RD, SANTEE, CA (619) 258-8011 92071 WALGREENS PHARMACY 9018 FIRESTONE BLVD, DOWNEY, CA (562) 861-5089 90241 WALGREENS PHARMACY 4050 SUNRISE BLVD, RANCHO (916) 294-9566 CORDOVA, CA 95742 WALGREENS PHARMACY 1715 N BRISTOL ST, SANTA ANA, CA (714) 541-8257 92706

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 728 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 2795 FLORAL AVE, SELMA, CA 93662 (559) 891-9823 WALGREENS PHARMACY 1538 E CHAPMAN AVE, ORANGE, CA (714) 288-1790 92866 WALGREENS PHARMACY 770 1ST ST, GILROY, CA 95020 (408) 847-0983 WALGREENS PHARMACY 2011 N RIVERSIDE AVE, RIALTO, CA (909) 820-9230 92377 WALGREENS PHARMACY 3320 CHINO HILLS PKWY, CHINO HILLS, (909) 393-9056 CA 91709 WALGREENS PHARMACY 7001 WESTMINSTER BLVD, (714) 890-6021 WESTMINSTER, CA 92683 WALGREENS PHARMACY 901 HYDE ST, SAN FRANCISCO, CA (415) 409-4230 94109 WALGREENS PHARMACY 30592 SANTA MARGARITA PKWY, (949) 635-5966 RANCHO SANTA MARGARITA, CA 92688 WALGREENS PHARMACY 3019 FLOYD AVE, MODESTO, CA 95355 (209) 551-4867 WALGREENS PHARMACY 852 E MANNING AVE, REEDLEY, CA (559) 643-0367 93654 WALGREENS PHARMACY 21650 US HWY 18, APPLE VALLEY, CA (760) 240-0866 92307 WALGREENS PHARMACY 550 N VENTU PARK RD, THOUSAND (805) 375-4052 OAKS, CA 91320 WALGREENS PHARMACY 9728 WINTER GARDENS BLVD, (619) 938-0069 LAKESIDE, CA 92040 WALGREENS PHARMACY 520 PALMETTO AVE, PACIFICA, CA (650) 355-9901 94044 WALGREENS PHARMACY 2245 S EUCLID AVE, ONTARIO, CA (909) 984-0140 91762 WALGREENS PHARMACY 16100 VENTURA BLVD, ENCINO, CA (818) 788-6951 91436 WALGREENS PHARMACY 2589 JENSEN AVE, SANGER, CA 93657 (559) 875-4061 WALGREENS PHARMACY 1186 CALIMESA BLVD, CALIMESA, CA (909) 795-1147 92320 WALGREENS PHARMACY 481 S VENTURA RD, OXNARD, CA 93030 (805) 985-3504 WALGREENS PHARMACY 1834 W AVENUE J, LANCASTER, CA (661) 723-0363 93534 WALGREENS PHARMACY 5001 W AVE N, LANCASTER, CA 93536 (661) 722-5892 WALGREENS PHARMACY 11795 W OLYMPIC BLVD, LOS (310) 312-6506 ANGELES, CA 90064 WALGREENS PHARMACY 840 EL CAMINO AVE, SACRAMENTO, CA (916) 643-9940 95815 WALGREENS PHARMACY 3001 FOOTHILL BLVD, LA CRESCENTA, (818) 541-7840 CA 91214 WALGREENS PHARMACY 4771 W ASHLAN AVE, FRESNO, CA (559) 274-0559 93722 WALGREENS PHARMACY 1320 ENCINITAS BLVD, ENCINITAS, CA (760) 942-2018 92024 WALGREENS PHARMACY 3400 CESAR CHAVEZ, SAN FRANCISCO, (415) 285-0802 CA 94110 WALGREENS PHARMACY 995 SPERRY AVE, PATTERSON, CA (209) 894-3700 95363 WALGREENS PHARMACY 4220 MISSOURI FLAT RD, (530) 344-1062 PLACERVILLE, CA 95667 WALGREENS PHARMACY 33060 ANTELOPE RD, MURRIETA, CA (951) 301-0670 92563 WALGREENS PHARMACY 19001 BROOKHURST ST, HUNTINGTON (714) 593-1352 BEACH, CA 92646 WALGREENS PHARMACY 3001 TARAVAL ST, SAN FRANCISCO, CA (415) 759-0572 94116 WALGREENS PHARMACY 14885 TELEGRAPH RD, LA MIRADA, CA (562) 777-3405 90638 WALGREENS PHARMACY 1899 FILLMORE ST, SAN FRANCISCO, (415) 771-4603 CA 94115 WALGREENS PHARMACY 2300 OTIS DR, ALAMEDA, CA 94501 (510) 523-7043

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 729 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 260 EL CAMINO REAL, BURLINGAME, (650) 342-2977 CA 94010 WALGREENS PHARMACY 216 WESTLAKE CTR, DALY CITY, CA (650) 756-4535 94015 WALGREENS PHARMACY 615 BROADWAY, MILLBRAE, CA 94030 (650) 697-0166 WALGREENS PHARMACY 121 E EL CAMINO REAL, MOUNTAIN (650) 961-7555 VIEW, CA 94040 WALGREENS PHARMACY 2141 CHESTNUT ST, SAN FRANCISCO, (415) 567-9320 CA 94123 WALGREENS PHARMACY 2690 MISSION ST, SAN FRANCISCO, CA (415) 285-1576 94110 WALGREENS PHARMACY 135 POWELL ST, SAN FRANCISCO, CA (415) 391-7222 94102 WALGREENS PHARMACY 2140 EL CAMINO REAL, SANTA CLARA, (408) 246-1054 CA 95050 WALGREENS PHARMACY 2238 WESTBOROUGH BLVD, SOUTH (650) 873-0551 SAN FRANCISCO, CA 94080 WALGREENS PHARMACY 5829 LAKEWOOD BLVD, LAKEWOOD, (562) 817-5690 CA 90712 WALGREENS PHARMACY 1524 POLK ST, SAN FRANCISCO, CA (415) 673-4701 94109 WALGREENS PHARMACY 164 W JACKSON ST, HAYWARD, CA (510) 781-0900 94544 WALGREENS PHARMACY 5437 CLAYTON RD, CLAYTON, CA 94517 (925) 672-1356 WALGREENS PHARMACY 1130 BIRD AVE, SAN JOSE, CA 95125 (408) 295-7768 WALGREENS PHARMACY 2190 SHATTUCK AVE, BERKELEY, CA (510) 849-4691 94704 WALGREENS PHARMACY 790 VAN NESS AVE, SAN FRANCISCO, (415) 292-6155 CA 94102 WALGREENS PHARMACY 4172 N 1ST ST, FRESNO, CA 93726 (559) 243-0124 WALGREENS PHARMACY 1591 GEER RD, TURLOCK, CA 95380 (209) 669-6648 WALGREENS PHARMACY 1916 WEBSTER ST, ALAMEDA, CA 94501 (510) 864-2800 WALGREENS PHARMACY 15650 SAN PABLO AVE, SAN PABLO, CA (510) 243-1100 94806 WALGREENS PHARMACY 7929 LOWER SACRAMENTO RD, (209) 474-0880 STOCKTON, CA 95210 WALGREENS PHARMACY 730 MARKET ST, SAN FRANCISCO, CA (415) 397-4800 94102 WALGREENS PHARMACY 11565 SAN PABLO AVE, EL CERRITO, (510) 234-9300 CA 94530 WALGREENS PHARMACY 33 DRUMM ST, SAN FRANCISCO, CA (415) 989-6116 94111 WALGREENS PHARMACY 830 3RD ST, SAN RAFAEL, CA 94901 (415) 455-9919 WALGREENS PHARMACY 1661 W FLORIDA AVE, HEMET, CA 92543 (951) 929-5351 WALGREENS PHARMACY 3400 TELEGRAPH AVE, OAKLAND, CA (510) 597-0458 94609 WALGREENS PHARMACY 1101 MCHENRY AVE, MODESTO, CA (209) 577-8695 95350 WALGREENS PHARMACY 3315 S H ST, BAKERSFIELD, CA 93304 (661) 396-0634 WALGREENS PHARMACY 456 MISSION ST, SAN FRANCISCO, CA (415) 348-9600 94105 WALGREENS PHARMACY 1800 CONCORD AVE, CONCORD, CA (925) 674-9477 94520 WALGREENS PHARMACY 1301 MARKET ST, SAN FRANCISCO, CA (415) 861-4010 94103 WALGREENS PHARMACY 1301 FRANKLIN ST, SAN FRANCISCO, (415) 775-6706 CA 94109 WALGREENS PHARMACY 3446 W BALL RD, ANAHEIM, CA 92804 (714) 821-3112 WALGREENS PHARMACY 42010 WASHINGTON ST, BERMUDA (760) 772-9122 DUNES, CA 92203 WALGREENS PHARMACY 855 COLUSA AVE, YUBA CITY, CA 95991 (530) 674-5133 WALGREENS PHARMACY 2100 WEBSTER ST STE 105, SAN (415) 441-5742 FRANCISCO, CA 94115

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 730 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 399 EL CAMINO REAL, SOUTH SAN (650) 583-8685 FRANCISCO, CA 94080 WALGREENS PHARMACY 2628 MT VERNON AVE, BAKERSFIELD, (661) 871-3855 CA 93306 WALGREENS PHARMACY 4070 S EL CAMINO REAL, SAN MATEO, (650) 212-4600 CA 94403 WALGREENS PHARMACY 3416 DEER VALLEY RD, ANTIOCH, CA (925) 978-8000 94531 WALGREENS PHARMACY 3382 CASTRO VALLEY BLVD, CASTRO (510) 537-0072 VALLEY, CA 94546 WALGREENS PHARMACY 350 N CAPITOL AVE, SAN JOSE, CA (408) 259-9200 95133 WALGREENS PHARMACY 21463 FOOTHILL BLVD STE B, (510) 538-2745 HAYWARD, CA 94541 WALGREENS PHARMACY 300 MONTGOMERY ST, SAN (415) 788-2984 FRANCISCO, CA 94104 WALGREENS PHARMACY 745 CLEMENT ST, SAN FRANCISCO, CA (415) 668-5250 94118 WALGREENS PHARMACY 1333 BROADWAY, OAKLAND, CA 94612 (510) 832-2694 WALGREENS PHARMACY 16108 FOOTHILL BLVD, FONTANA, CA (909) 357-6900 92335 WALGREENS PHARMACY 1344 STOCKTON ST, SAN FRANCISCO, (415) 981-6274 CA 94133 WALGREENS PHARMACY 2680 UNION AVE, SAN JOSE, CA 95124 (408) 371-5426 WALGREENS PHARMACY 2145 MARKET ST, SAN FRANCISCO, CA (415) 355-0800 94114 WALGREENS PHARMACY 825 MARKET ST, SAN FRANCISCO, CA (415) 543-9502 94103 WALGREENS PHARMACY 25 POINT LOBOS AVE, SAN (415) 386-0736 FRANCISCO, CA 94121 WALGREENS PHARMACY 3601 CALIFORNIA ST, SAN FRANCISCO, (415) 668-5202 CA 94118 WALGREENS PHARMACY 2105 MORRILL AVE, SAN JOSE, CA (408) 263-5550 95132 WALGREENS PHARMACY 14001 PALM DR, DESERT HOT (760) 288-3210 SPRINGS, CA 92240 WALGREENS PHARMACY 900 RALSTON AVE, BELMONT, CA 94002 (650) 592-7224 WALGREENS PHARMACY 611 SAN RAMON VALLEY BLVD, (925) 743-0166 DANVILLE, CA 94526 WALGREENS PHARMACY 13691 SAN PABLO AVE, SAN PABLO, CA (510) 233-9467 94806 WALGREENS PHARMACY 828 NEWVILLE RD, ORLAND, CA 95963 (530) 865-9859 WALGREENS PHARMACY 490 N HUNINGTON DR, MONROVIA, CA (626) 408-6590 91016 WALGREENS PHARMACY 2417 SYCAMORE DR, SIMI VALLEY, CA (805) 426-3722 93065 WALGREENS PHARMACY 3010 N DEMAREE ST, VISALIA, CA 93291 (559) 734-5861 WALGREENS PHARMACY 880 SUTTON WAY, GRASS VALLEY, CA (530) 271-1021 95945 WALGREENS PHARMACY 300 UNIVERSITY AVE, PALO ALTO, CA (650) 326-3404 94301 WALGREENS PHARMACY 617 W 7TH ST, LOS ANGELES, CA 90017 (213) 694-2880 WALGREENS PHARMACY 1801 N ROSE AVE, OXNARD, CA 93030 (805) 604-7531 WALGREENS PHARMACY 2400 N SEPULVEDA BLVD, MANHATTAN (424) 241-1950 BEACH, CA 90266 WALGREENS PHARMACY 155 NORTHGATE ONE, SAN RAFAEL, CA (415) 479-2260 94903 WALGREENS PHARMACY 475 HIGHWAY 49, SUTTER CREEK, CA (209) 267-5128 95685 WALGREENS PHARMACY 13390 POWAY RD, POWAY, CA 92064 (858) 435-7580 WALGREENS PHARMACY 2810 S TRACY BLVD, TRACY, CA 95377 (209) 834-0248 WALGREENS PHARMACY 3300 BUENA VISTA RD BLDG A, (661) 665-9109 BAKERSFIELD, CA 93311

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 731 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 24790 VALLEY ST, SANTA CLARITA, CA (661) 670-2020 91321 WALGREENS PHARMACY 6444 VAN BUREN BLVD, RIVERSIDE, CA (951) 688-8627 92503 WALGREENS PHARMACY 2376 E COLORADO BLVD, PASADENA, (626) 768-4040 CA 91107 WALGREENS PHARMACY 444 W F ST, OAKDALE, CA 95361 (209) 845-2820 WALGREENS PHARMACY 1640 LINCOLN RD, YUBA CITY, CA 95993 (530) 674-3894 WALGREENS PHARMACY 1500 E GAGE AVE, LOS ANGELES, CA (323) 581-0964 90001 WALGREENS PHARMACY 50040 HARRISON ST, COACHELLA, CA (760) 391-5395 92236 WALGREENS PHARMACY 4181 OCEANSIDE BLVD, OCEANSIDE, (760) 536-7330 CA 92056 WALGREENS PHARMACY 2700 WILLOW PASS RD, BAY POINT, CA (925) 709-0317 94565 WALGREENS PHARMACY 700 TWELVE BRIDGES DR, LINCOLN, CA (916) 408-0176 95648 WALGREENS PHARMACY 4935 WARNER AVE, HUNTINGTON (714) 377-3756 BEACH, CA 92649 WALGREENS PHARMACY 14280 SAN PABLO AVE, SAN PABLO, CA (510) 730-7000 94806 WALGREENS PHARMACY 4014 PLAZA GOLDORADO CIR, (530) 676-2095 CAMERON PARK, CA 95682 WALGREENS PHARMACY 22477 EL TORO RD, LAKE FOREST, CA (949) 855-9832 92630 WALGREENS PHARMACY 416 W OLIVE AVE, PORTERVILLE, CA (559) 791-0104 93257 WALGREENS PHARMACY 1607 SHATTUCK AVE, BERKELEY, CA (510) 423-9430 94709 WALGREENS PHARMACY 1420 MEADOWVIEW RD, SACRAMENTO, (916) 421-0102 CA 95832 WALGREENS PHARMACY 1050 N HIGHLAND AVE, LOS ANGELES, (323) 463-1692 CA 90038 WALGREENS PHARMACY 8230 SARATOGA WAY, EL DORADO (916) 939-6439 HILLS, CA 95762 WALGREENS PHARMACY 160 DIAMOND DR, LAKE ELSINORE, CA (951) 674-3562 92530 WALGREENS PHARMACY 210 AMERICAN CANYON RD, AMERICAN (707) 557-0103 CANYON, CA 94503 WALGREENS PHARMACY 12574 LIMONITE AVE, EASTVALE, CA (951) 520-0187 91752 WALGREENS PHARMACY 8030 IMPERIAL HWY, DOWNEY, CA (562) 861-6186 90242 WALGREENS PHARMACY 15318 ROY ROGERS DR, VICTORVILLE, (760) 952-7555 CA 92394 WALGREENS PHARMACY 1435 HIGH ST, DELANO, CA 93215 (661) 721-2294 WALGREENS PHARMACY 4029 43RD ST STE 700, SAN DIEGO, CA (619) 521-9753 92105 WALGREENS PHARMACY 1685 TRANCAS ST, NAPA, CA 94558 (707) 257-1154 WALGREENS PHARMACY 2321 HAWTHORNE BLVD, REDONDO (310) 214-4891 BEACH, CA 90278 WALGREENS PHARMACY 1745 UNIVERSITY AVE, RIVERSIDE, CA (951) 684-5661 92507 WALGREENS PHARMACY 1905 W EL CAMINO REAL, MOUNTAIN (650) 967-3531 VIEW, CA 94040 WALGREENS PHARMACY 305 N BREED ST, LOS ANGELES, CA (323) 264-0347 90033 WALGREENS PHARMACY 1990 MONUMENT BLVD, CONCORD, CA (925) 689-7812 94520 WALGREENS PHARMACY 11000 VENTURA BLVD, STUDIO CITY, (818) 761-6563 CA 91604 WALGREENS PHARMACY 201 FRONT ST, SANTA CRUZ, CA 95060 (831) 421-9142

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 732 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 1175 COLUMBUS AVE, SAN (415) 345-1079 FRANCISCO, CA 94133 WALGREENS PHARMACY 3131 W HAMMER LN, STOCKTON, CA (209) 476-8819 95209 WALGREENS PHARMACY 22456 BARTON RD, GRAND TERRACE, (909) 824-2619 CA 92313 WALGREENS PHARMACY 918 E FOOTHILL BLVD, RIALTO, CA (909) 746-0131 92376 WALGREENS PHARMACY 7195 BROADWAY, LEMON GROVE, CA (619) 433-0172 91945 WALGREENS PHARMACY 2040 E MARIPOSA RD, STOCKTON, CA (209) 465-4167 95205 WALGREENS PHARMACY 1501 VINE ST, LOS ANGELES, CA 90028 (323) 467-7916 WALGREENS PHARMACY 925 ORANGE AVE, CORONADO, CA (619) 435-6354 92118 WALGREENS PHARMACY 1620 1ST ST, LIVERMORE, CA 94550 (925) 724-0131 WALGREENS PHARMACY 10701 FOLSOM BLVD, RANCHO (916) 340-0750 CORDOVA, CA 95670 WALGREENS PHARMACY 2590 N TEXAS ST, FAIRFIELD, CA 94533 (707) 399-9329 WALGREENS PHARMACY 301 UNIVERSITY AVE, SAN DIEGO, CA (619) 325-0423 92103 WALGREENS PHARMACY 600 TRES PINOS RD, HOLLISTER, CA (831) 638-1024 95023 WALGREENS PHARMACY 845 MARKET ST, SAN FRANCISCO, CA (415) 430-0003 94103 WALGREENS PHARMACY 460 S BROADWAY, LOS ANGELES, CA (213) 572-0127 90013 WALGREENS PHARMACY 4195 NORWOOD AVE, SACRAMENTO, (916) 418-0322 CA 95838 WALGREENS PHARMACY 500 PARNASSUS J LEVEL, SAN (415) 681-3394 FRANCISCO, CA 94143 WALGREENS PHARMACY 12184 PALMDALE RD, VICTORVILLE, CA (760) 561-7009 92394 WALGREENS PHARMACY 1020 29TH ST STE 140, SACRAMENTO, (916) 738-3300 CA 95816 WALGREENS PHARMACY 1911 LINCOLN BLVD, SANTA MONICA, (310) 526-4496 CA 90405 WALGREENS PHARMACY 8298 LANDER AVE, HILMAR, CA 95324 (209) 226-7496 WALGREENS PHARMACY 1600 PARK ST, ALAMEDA, CA 94501 (510) 214-0797 WALGREENS PHARMACY 2050 GLENOAKS BLVD, SAN (818) 741-1103 FERNANDO, CA 91340 WALGREENS PHARMACY 105 E GLENOAKS BLVD, GLENDALE, CA (818) 745-1173 91207 WALGREENS PHARMACY 1492 BLUE OAKS BLVD, ROSEVILLE, CA (916) 945-3896 95747 WALGREENS PHARMACY 602 EUCLID AVE, SAN DIEGO, CA 92114 (619) 321-1614 WALGREENS PHARMACY 3614 MT DIABLO BLVD, LAFAYETTE, CA (925) 385-2385 94549 WALGREENS PHARMACY 2323 16TH STREET STE 100, (661) 324-2545 BAKERSFIELD, CA 93301 WALGREENS PHARMACY 3745 S LABREA AVE, LOS ANGELES, CA (323) 801-0261 90016 WALGREENS PHARMACY 550 16TH ST RM 1200, SAN FRANCISCO, (415) 365-0512 CA 94158 WALGREENS PHARMACY 1726 SUPERIOR AVE, COSTA MESA, CA (949) 629-9714 92627 WALGREENS PHARMACY 1902 MARENGO ST STE 105, LOS (323) 405-0417 ANGELES, CA 90033 WALGREENS PHARMACY 4130 LA JOLLA VILLAGE DR, LA JOLLA, (858) 352-2242 CA 92037 WALGREENS PHARMACY 3009 BROADWAY, OAKLAND, CA 94611 (510) 285-0213 WALGREENS PHARMACY 795 EL CAMINO REAL, PALO ALTO, CA (650) 687-0154 94301

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 733 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALGREENS PHARMACY 1001 W CARSON ST STE K, TORRANCE, (310) 953-0627 CA 90502 WALGREENS PHARMACY 7000 INDIANA AVE STE 112, RIVERSIDE, (951) 892-7538 CA 92506 WALGREENS PHARMACY 5859 FOOTHILL BLVD, OAKLAND, CA (510) 564-0404 94605 WALGREENS PHARMACY 730 LONG BEACH BLVD STE A, LONG (562) 276-1538 BEACH, CA 90813 WALGREENS PHARMACY 28311 MARGUERITE PKWY, MISSION (949) 538-3038 VIEJO, CA 92692 WALGREENS PHARMACY 1100 VAN NESS AVE STE C, SAN (415) 783-1909 FRANCISCO, CA 94109 WALGREENS PHARMACY 1757 W SAN CARLOS ST, SAN JOSE, CA (408) 878-0112 95128 WALGREENS PHARMACY 866 CAMPUS DR, STANFORD, CA 94305 (650) 815-2000 WALGREENS PHARMACY 16201 HARBOR BLVD, FOUNTAIN (714) 839-3496 VALLEY, CA 92708 WALGREENS PHARMACY 1334 SARATOGA AVE, SAN JOSE, CA (408) 249-7333 95129 WALGREENS HOME CARE PHARMACY 9401 CHIVERS AVE, SUN VALLEY, CA (818) 351-3000 91352 WALGREENS HOME CARE PHARMACY 132 MISSION RANCH BLVD, CHICO, CA (530) 893-1337 95926 WALGREENS INFUSION PHARMACY 5800 DISTRICT BLVD UNIT 200, (661) 615-6000 SERVICES BAKERSFIELD, CA 93313 WALI, DEEPIKA - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 44151 15TH ST WEST , LANCASTER, CA (877) 828-3627 FOUNDATION 93534 WALI, SHILPA - MD KAISER PERMANENTE ON THE NEUROLOGY 13652 CANTARA ST , PANORAMA CITY, (818) 375-2233 JOB PANORAMA CITY MEDICAL CA 91402 CENTER WALKER PHYSICAL THERAPY PHYSICAL THERAPY 1111 W TWN AND CNTRY RD STE 1, (714) 997-5518 ORANGE, CA 92868-4635 WALKER PHYSICAL THERAPY PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (951) 672-0455 92586-6521 WALKER, LAWRENCE - MD ORTHOPEDIC SURGERY - 2131 ELKS DR STE 200, SAN (909) 726-6100 (BCC) LOWER EXTREMITIES BERNARDINO, CA 92404 WALKER, LAWRENCE - MD ORTHOPEDIC SURGERY - 2131 ELKS DR STE 200, SAN (909) 726-6100 (BCC) UPPER EXTREMITIES BERNARDINO, CA 92404 WALKER, LAWRENCE - MD ORTHOPEDICS - LOWER 2131 ELKS DR STE 200, SAN (909) 726-6100 (BCC) EXTREMITIES BERNARDINO, CA 92404 WALKER, LAWRENCE - MD ORTHOPEDICS - UPPER 2131 ELKS DR STE 200, SAN (909) 726-6100 (BCC) EXTREMITIES BERNARDINO, CA 92404 WALKER, LAWRENCE - MD ORTHOPEDIC SURGERY - 29099 HOSPITAL RD STE 114, LAKE (909) 336-3694 (BCC) LOWER EXTREMITIES ARROWHEAD, CA 92352 WALKER, LAWRENCE - MD ORTHOPEDIC SURGERY - 29099 HOSPITAL RD STE 114, LAKE (909) 336-3694 (BCC) UPPER EXTREMITIES ARROWHEAD, CA 92352 WALKER, LAWRENCE - MD ORTHOPEDICS - LOWER 29099 HOSPITAL RD STE 114, LAKE (909) 336-3694 (BCC) EXTREMITIES ARROWHEAD, CA 92352 WALKER, LAWRENCE - MD ORTHOPEDICS - UPPER 29099 HOSPITAL RD STE 114, LAKE (909) 336-3694 (BCC) EXTREMITIES ARROWHEAD, CA 92352 WALKER, LAWRENCE R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 2131 ELKS DR STE 200, SAN (909) 726-6100 (BCC) BERNARDINO, CA 92404 WALKER, LAWRENCE R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 2131 ELKS DR STE 200, SAN (909) 726-6100 (BCC) BERNARDINO, CA 92404 WALKER, LAWRENCE R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 29099 HOSPITAL RD STE 114, LAKE (909) 336-3694 (BCC) ARROWHEAD , CA 92352 WALKER, LAWRENCE R - MD ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 29099 HOSPITAL RD STE 114, LAKE (909) 336-3694 (BCC) ARROWHEAD , CA 92352 WALKER, MATTHEW - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 WALKER, PAUL C - MD (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON FMO ST STE 2100, (800) 679-4642 HEALTH CARE - HEAD & NECK LOMA LINDA, CA 92354 SURGERY FP&S

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 734 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALKER, ROBIN - PTA YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886 WALKER, SHANNON - PT WEST STAR PHYSICAL PHYSICAL THERAPY 780 N EUCLID ST STE 104, ANAHEIM, CA (714) 533-3416 THERAPY 92801 WALKER, TIFFANY - PT PROFESSIONAL PHYSICAL PHYSICAL THERAPY 2138 MARGUERITE ST, DOS PALOS, CA (209) 392-8830 THERAPY 93620 WALL, DIXIE - LAC ACUWORKS ACUPUNCTURE 17400 IRVINE BLVD STE L, TUSTIN, CA (714) 508-1112 92780 WALLACE, ANTHONY - PT PASO ROBLES PHYSICAL PHYSICAL THERAPY 2150 HERITAGE LOOP RD STE D, PASO (805) 237-0272 THERAPY ROBLES, CA 93446 WALLACE, ANTHONY - PT PASO ROBLES PHYSICAL PHYSICAL THERAPY 2975 UNION RD, PASO ROBLES, CA (805) 237-0272 THERAPY 93446 WALLACE, ANTHONY - PT PASO ROBLES PHYSICAL PHYSICAL THERAPY 5255 EL CAMINO REAL STE C, (805) 237-0272 THERAPY ATASCADERO, CA 93422 WALLACE, CASEY - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 WALLACE, JASON - PTA PACIFIC THERAPY SERVICES PHYSICAL THERAPY 400 E SANTA BARBARA ST STE B, (805) 525-6402 SANTA PAULA, CA 93060 WALLACE, KATHLEEN - AUD ADVANCED HEARING AUDIOLOGY 205 CLAYDELLE AVE STE 105, EL (800) 598-5300 PROVIDERS LLC CAJON, CA 92020 WALLACE, KATHLEEN - AUD ADVANCED HEARING AUDIOLOGY 16766 BERNARDO CENTER DR STE 206, (800) 598-5300 PROVIDERS LLC SAN DIEGO, CA 92128 WALLACE, MARK - MD (BCC) ANESTHESIOLOGY 200 W ARBOR DR, SAN DIEGO, CA (619) 543-5720 92103 WALLACE, MARK - MD (BCC) ANESTHESIOLOGY 9300 CAMPUS POINT DR, LA JOLLA, CA (858) 657-6035 92037 WALLACE, MARK - MD (BCC) ANESTHESIOLOGY 9350 CAMPUS POINT DR STE 2C, LA (619) 543-5720 JOLLA, CA 92037 WALLACE, ROGER - MD (BCC) EMERGENCY MEDICINE 23845 MCBEAN PKWY, VALENCIA, CA (661) 200-2000 91355 WALLINGTON, SARAH - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2051 STATHAM BLVD, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93033 WALLINGTON, SARAH - PT TWO TREES PHYSICAL PHYSICAL THERAPY 2100 SOLAR DR STE 204, OXNARD, CA (805) 765-4773 THERAPY WELLNESS 93036 WALLINGTON, SARAH - PT TWO TREES PHYSICAL PHYSICAL THERAPY 957 FAULKNER RD STE 105, SANTA (805) 765-4773 THERAPY WELLNESS PAULA, CA 93060 WALMART PHARMACY 5420 LA PALMA AVE, LA PALMA, CA (714) 822-3155 90623 WALNUT CREEK THERAPY PHYSICAL THERAPY 1601 YGNACIO VALLEY BLVD, WALNUT (925) 947-5300 CENTER CREEK, CA 94597-3122 WALNUT CREEK THERAPY PHYSICAL THERAPY 1981 N BROADWAY STE 180, WALNUT (925) 947-5300 CENTER CREEK, CA 94596 WALNUT VILLAGE PHARMACY PHARMACY 14433 CULVER DR, IRVINE, CA 92604 (949) 551-4343 WALSH, CATHERINE - MD KAISER PERMANENTE PLASTIC SURGERY 9962 SIERRA AVE, FONTANA, CA 92336 (909) 427-3917 FONTANA MEDICAL CENTER WALSH, CATHERINE - OT CARNAHAN THERAPY OCCUPATIONAL THERAPY 805 E WALNUT AVE, LOMPOC, CA 93436 (805) 735-3714 REHABILITATION WALSH, JOHN - DC JOHN WALSH DC CHIROPRACTIC MEDICINE 475 NORTHLAKE BLVD 207, TAHOE (530) 581-1407 CITY, CA 96145 WALTERS, PRISCILLA - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 1845 BUSINESS CENTER DR STE 127, (909) 890-9030 INC SAN BERNARDINO, CA 92408 WALTERS, RANDI - PT PERFORMANCE THERAPY PHYSICAL THERAPY 450 ROSEWOOD AVE STE 105, (805) 389-4781 CENTER CAMARILLO, CA 93010 WALTERS, SAMUEL J - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH RAFAEL, CA 94903 CENTER WALTERS, SAMUEL J - MD KAISER PERMANENTE ON THE PRIMARY TREATING 99 MONTECILLO RD MOB 2, SAN (415) 444-2900 JOB OCCUPATIONAL HEALTH PHYSICIAN RAFAEL, CA 94903 CENTER WALTMAN, RONALD - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 WALTON, LLOYD, EDWARD - IMOTION PHYSICAL THERAPY ACUPUNCTURE 555 MOWRY AVE STE E, FREMONT, CA (510) 745-7700 LAC INC 94536

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 735 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WALTRIP, LAUREN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 WALTZ, JOHN - PT SILVER CREEK FITNESS AND PHYSICAL THERAPY 4205 SAN FELIPE RD STE 100, SAN (408) 238-1552 PHYSICAL THERAPY JOSE, CA 95135 WALTZ, JOHN - PT SILVER CREEK PHYSICAL PHYSICAL THERAPY 500 E REMINGTON DR STE 10, (408) 389-3600 THERAPY SUNNYVALE SUNNYVALE, CA 94087 WANG, ALLEN YU-LUN - MD CONCENTRA MEDICAL PRIMARY TREATING 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE PHYSICIAN 92805 WANG, ALLEN YU-LUN - MD CONCENTRA MEDICAL PRIMARY TREATING 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PHYSICIAN PLACENTIA, CA 92870 WANG, ALLEN YU-LUN - MD CONCENTRA MEDICAL FAMILY MEDICINE 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 WANG, ALLEN YU-LUN - MD CONCENTRA MEDICAL FAMILY MEDICINE 640 SOUTH PLACENTIA AVE, (714) 579-7772 CENTER - PLACENTIA PLACENTIA, CA 92870 WANG, CHARLES - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 WANG, CHARLES - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 WANG, CHARLES - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 WANG, CHARLES - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 WANG, CHARLES - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 WANG, CHARLES - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 WANG, CHRISTINA Y - MD KAISER PERMANENTE ON THE INTERNAL MEDICINE 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PLAZA, SAN FRANCISCO, CA 94102 CENTER WANG, CHRISTINA Y - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PLAZA, SAN FRANCISCO, CA 94102 CENTER WANG, CHRISTINA Y - MD KAISER PERMANENTE ON THE PRIMARY TREATING 601 VAN NESS AVE STE 2008 OPERA (415) 833-9600 JOB OCCUPATIONAL HEALTH PHYSICIAN PLAZA, SAN FRANCISCO, CA 94102 CENTER WANG, ELAINE - LAC HUATOY CONSULTING ACUPUNCTURE 25 S RAYMOND AVE STE 100, (626) 289-9004 THERAPY INC ALHAMBRA, CA 91801 WANG, FANPING - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 2241 WANKEL WAY STE C , OXNARD, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CA 93030 WANG, FANPING - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 400 CAMARILLO RANCH RD STE 205, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CAMARILLO , CA 93010 WANG, FRANCES, JUEJIA - LAC FW HEALTH CLINIC ACUPUNCTURE 2105 BEVERLY BLVD STE 115, LOS (213) 353-4811 ANGELES, CA 90057 WANG, GRACE - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 1633 OLD BAYSHORE HWY STE 145, (650) 239-9075 BURLINGAME, CA 94010 WANG, HONG - LMT SPRING DAY WELLNESS LLC MASSAGE THERAPIST 280 REDWOOD SHORES PKWY, (650) 382-1988 REDWOOD CITY, CA 94065 WANG, HONG, JIANG - LMT NEW LIFE ACUPUNCTURE MASSAGE THERAPIST 1720 SO AMPHLETT BLVD STE 168, SAN (650) 572-1628 CLINIC MATEO, CA 94402 WANG, KENTEN - DO CONCENTRA MEDICAL PHYSICAL MEDICINE AND 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA REHABILITATION CA 90623 WANG, LING - LAC ORIENTAL MEDICAL PAIN ACUPUNCTURE 475 EL CAMINO REAL STE 418, (650) 692-1886 TREATMENT CTR WANG'S MILLBRAE, CA 94030 ACUPUNCTURE CLINIC WANG, MATHEW Y - MD KAISER PERMANENTE SUNSET OPHTHALMOLOGY 1515 N VERMONT AVE , LOS ANGELES, (323) 783-6621 VERMONT MEDICAL OFFICES CA 90027 WANG, RUIHUA - LAC ACUPUNCTURE HERBAL ACUPUNCTURE 25401 CABOT RD STE 109, LAGUNA (949) 215-5777 HEALING CENTER HILLS, CA 92653 WANG, SHUKUN - LAC PACIFICA ACUPUNCTURE ACUPUNCTURE 741 E CHAPMAN AVE, ORANGE, CA (714) 532-6699 92866 WANG, TAINAN - LAC WANG'S ACUPUNCTURE ACUPUNCTURE 4295 GESNER ST STE 1A, SAN DIEGO, (619) 684-1848 CLINIC CA 92117

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 736 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WANG, THOMAS W - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL SAN MARCOS, CA 92078 CENTER WANG, THOMAS W - MD KAISER PERMANENTE ON THE PRIMARY TREATING 400 CRAVEN RD MOB 3, 2ND FLOOR, (833) 242-8500 JOB SAN MARCOS MEDICAL PHYSICIAN SAN MARCOS, CA 92078 CENTER WANG, THOMAS W - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92120 CENTER WANG, THOMAS W - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4647 ZION AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92120 CENTER WANG, THOMAS W - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL CA 92154 CENTER WANG, THOMAS W - MD KAISER PERMANENTE ON THE PRIMARY TREATING 4650 PALM AVE 1ST FLR, SAN DIEGO, (833) 242-8500 JOB SAN DIEGO MEDICAL PHYSICIAN CA 92154 CENTER WANG, TINA - MD (BCC) CITY OF HOPE MEDICAL HEMATOLOGY AND 301 W HUNTINGTON DR STE 400, (626) 574-3657 FOUNDATION ONCOLOGY ARCADIA, CA 91007 WANG, TINA - MD (BCC) CITY OF HOPE MEDICAL ONCOLOGY 301 W HUNTINGTON DR STE 120, (626) 218-9840 FOUNDATION ARCADIA , CA 91007 WANG, WEI - DC XIANG TCM CONSULTING CHIROPRACTIC MEDICINE 6850 REGIONAL ST STE 190, DUBLIN, (408) 981-8661 CA 94568 WANG, WENLIANG - PT AVID PHYSICAL THERAPY PHYSICAL THERAPY 81557 DOCTOR CARREON BLVD STE (760) 347-6195 C4, INDIO, CA 92201 WANG, XIAOWU - LAC EL DORADO HILLS CHINESE ACUPUNCTURE 1200 SUNCAST LN STE 1, EL DORADO (916) 939-0188 ACUPUNCTURE CENTER HILLS, CA 95762 WANG, XUEBIN - DC XUEBIN WANG DC LAC CHIROPRACTIC MEDICINE 22730 HAWTHORNE BLVD 102, (310) 328-8898 TORRANCE, CA 90808 WANG, XUEBIN - LAC XUEBIN WANG DC LAC ACUPUNCTURE 22730 HAWTHORNE BLVD 102, (310) 328-8898 TORRANCE, CA 90808 WANG, XUNZHANG - MD SMIDT HEART INSTUTUTE - CARDIOVASCULAR DISEASE 127 S SAN VICENTE BLVD STE A3600, (310) 423-2726 CEDARS SINAI (CARDIOLOGY) LOS ANGELES , CA 90048 WANG, YI - LAC WANG?S ACUPUNCTURE ACUPUNCTURE 928 SAN PABLO AVE, ALBANY, CA 94706 (510) 517-6341 CENTER WANGCASTUERA, MEISHAN - MEISHAN WANGCASTUERA ACUPUNCTURE 3330 E FOOTHILL BLVD UNIT 231, (626) 487-0188 LAC LAC PASADENA, CA 91107 WANGELINE, MARTHA - PTA BODY IN BALANCE PHYSICAL PHYSICAL THERAPY 1009 ALAMO DR, VACAVILLE, CA 95688 (707) 421-2959 THERAPY WANGLER, MICHAEL - MD ANESTHESIOLOGY 11550 INDIAN HILLS RD STE 160, (818) 256-2100 (BCC) MISSION HILLS, CA 91345 WANGLER, MICHAEL - MD ANESTHESIOLOGY 15031 RINALDI ST, MISSION HILLS, CA (818) 365-8051 (BCC) 91345 WANGLER, MICHAEL - MD ANESTHESIOLOGY 2701 W ALAMEDA AVE STE 401, (818) 563-6757 (BCC) BURBANK, CA 91505 WANGLER, MICHAEL - MD ANESTHESIOLOGY 27420 TOURNEY RD, VALENCIA, CA (661) 222-3100 (BCC) 91355 WANGLER, MICHAEL - MD ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 (BCC) 91505 WANGLER, MICHAEL - MD ANESTHESIOLOGY 824 N GLENDALE AVE, GLENDALE, CA (818) 500-0523 (BCC) 91206 WARD, REBECCA - PT THE REHAB GROUP PHYSICAL THERAPY 40680 CALIFORNIA OAKS RD STE 2A, (951) 894-4800 MURRIETA, CA 92562 WARDA, JESSE - AUD ADVANCED HEARING AUDIOLOGY 807 DOUGLAS BLVD STE 100, (800) 598-5300 PROVIDERS LLC ROSEVILLE, CA 95678 WARDENBURG, MARK - DC IRVINE PHYSICAL MEDICINE CHIROPRACTIC MEDICINE 18124 CULVER DR STE F, IRVINE, CA (949) 552-9393 AND REHAB 92612 WARDS PHARMACY PHARMACY 653 LONG BEACH BLVD, LONG BEACH, (562) 437-0678 CA 90802 WARE, ANTHONY - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 395-0884 MAIN ACCOUNT MARINO, CA 91108

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 737 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WARE, ANTHONY - PT DYNAMX PHYSICAL THERAPY PHYSICAL THERAPY 2701 OCEAN PARK BLVD STE 110, (310) 392-0025 SANTA MONICA, CA 90405 WARGON, CRAIG A - DPM KAISER PERMANENTE SANTA PODIATRY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 140 1ST FLR, SANTA CLARA, CA 95051 WARM SPRINGS PHYSICAL PHYSICAL THERAPY 46923 WARM SPRINGS BLVD # 103, (510) 651-6215 THERAPY FREMONT, CA 94539 WARNER PEDIATRIC THERAPY PHYSICAL THERAPY 2210 ENCINITAS BLVD STE I, (760) 230-1699 ENCINITAS, CA 92024 WARNER VICTORY PHARMACY PHARMACY 6325 TOPANGA CANYON BLVD, (818) 346-1901 WOODLAND HILLS, CA 91367 WARNER VILLAGE PHARMACY PHARMACY 10900 WARNER AVE STE 114, (714) 963-3300 FOUNTAIN VALLEY, CA 92708 WARNER, ETHAN - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 505 N EUCLID ST STE 680, ANAHEIM, CA (714) 780-0010 SPORTS THERAPY 92801 WARNOCK, IDEN - PT COTATIROHNERT PARK PHYSICAL THERAPY 7840 OLD REDWOOD HWY, COTATI, CA (707) 795-1636 PHYSICAL THERAPY 94931 WARSHAUER, DEBORAH, DEBORAH WARSHAUER ACUPUNCTURE 22554 VENTURA BLVD STE 129, (818) 222-1001 SNYDER - LAC ACUPUNCTURE DOULA WOODLAND HILLS, CA 91364 WASHINGTON HOSPITAL WASHINGTON HOSPITAL ACUTE CARE HOSPITAL 2000 MOWRY AVE, FREMONT, CA 94538 (510) 791-3430 FREMONT (BCC) FREMONT WASHINGTON PHARMACY PHARMACY 2487 E WASHINGTON BLVD, (626) 791-5000 PASADENA, CA 91104 WASHINGTON URGENT CARE WASHINGTON URGENT CARE URGENT CARE FACILITY 2500 MOWRY AVE STE 212, FREMONT, (510) 791-2273 (BCC) CA 94538 WASHINGTON, JR, DENNIS - JAMES ROBERT MAWHINEY PHYSICAL THERAPY 78078 COUNTRY CLUB DR STE 205, (760) 345-9934 PTA DBA SHELLEY A COOPER BERMUDA DUNES, CA 92203 PHYSICAL THERAPY WASOFF, RANDY - DC WASOFF RANDY B DC CHIROPRACTIC MEDICINE 4444 W RIVERSIDE DR STE 101, (818) 845-8500 BURBANK, CA 91505 WASSEF, ANDREW A - MD SPORTS AND SPINE ORTHOPEDIC SURGERY - 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS KNEE TORRANCE, CA 90505 WASSEF, ANDREW A - MD SPORTS AND SPINE ORTHOPEDICS - KNEE 23456 HAWTHORNE BLVD STE 200, (310) 375-8700 (BCC) ORTHOPAEDICS TORRANCE, CA 90505 WASSEF, ANDREW A - MD SPORTS AND SPINE ORTHOPEDIC SURGERY - 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS KNEE SEGUNDO , CA 90245 WASSEF, ANDREW A - MD SPORTS AND SPINE ORTHOPEDICS - KNEE 2361 ROSECRANS AVE STE 165, EL (310) 775-2331 (BCC) ORTHOPAEDICS SEGUNDO , CA 90245 WASSERMAN, BRUCE - LAC INDUSTRIAL TREATMENT ACUPUNCTURE 4001 E FLORENCE AVE, BELL, CA 90201 (323) 562-0595 REHAB CENTER INC WASSERMAN, BRUCE - LAC INDUSTRIAL TREATMENT ACUPUNCTURE 5400 BALBOA BLVD STE 301, ENCINO, (818) 257-6122 REHAB CENTER INC CA 91316 WASSERMAN, BRUCE - LAC INDUSTRIAL TREATMENT ACUPUNCTURE 6400 CANOGA AVE STE 333, (818) 703-8460 REHAB CENTER INC WOODLAND HILLS, CA 91367 WASSERMAN, BRUCE - LAC INDUSTRIAL TREATMENT ACUPUNCTURE 8215 VAN NUYS BLVD STE 310, (818) 902-3800 REHAB CENTER INC PANORAMA CITY, CA 91402 WASSERMAN, CHARLES B - JAIME E MEDVENE & PSYCHOLOGY 30200 AGOURA RD , AGOURA HILLS , (818) 981-7845 PHD (BCC) ASSOCIATES CA 91301 WAT, LINDA - MD (BCC) ANESTHESIOLOGY 11234 ANDERSON ST MEDICAL CENTER (800) 679-4642 RM 2532, LOMA LINDA, CA 92354 WATANABE, NATSUKO - PT RISING SUN PHYSICAL PHYSICAL THERAPY 20301 SW ACACIA ST STE 150, (949) 274-9551 THERAPY AND WELLNESS NEWPORT BEACH, CA 92660 WATCHER, MELISSA A - MD PREMIER DERMATOLOGY DERMATOLOGY 20162 SW BIRCH ST STE 250, (949) 251-0427 (BCC) ASSOCIATES OF ORANGE NEWPORT BEACH, CA 92660 COUNTY WATER & SPORTS PHYSICAL PHYSICAL THERAPY 12625 HIGH BLUFF DR STE 105, SAN (858) 227-9707 THERAPY, INC DIEGO, CA 92130-2053 WATER & SPORTS PHYSICAL PHYSICAL THERAPY 10300 CAMPUS POINT DRIVE, SAN (858) 724-0392 THERAPY, INC. DIEGO, CA 92121 WATER & SPORTS PHYSICAL PHYSICAL THERAPY 2999 MISSION BLVD STE 101, SAN (858) 488-3597 THERAPY, INC. DIEGO, CA 92109-8076 WATER & SPORTS PHYSICAL PHYSICAL THERAPY 3535 GENERAL ATOMICS COURT, SAN (858) 488-3597 THERAPY, INC. DIEGO, CA 92121

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 738 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WATER & SPORTS PHYSICAL PHYSICAL THERAPY 3777 TOWNSGATE DR, SAN DIEGO, CA (858) 488-3597 THERAPY, INC. 92130-2595 WATER & SPORTS PHYSICAL PHYSICAL THERAPY 4126 EXECUTIVE DR, LA JOLLA, CA (858) 724-0392 THERAPY, INC. 92037-1348 WATER & SPORTS PHYSICAL PHYSICAL THERAPY 501 W. BROADWAY, SAN DIEGO, CA (619) 237-9027 THERAPY, INC. 92101 WATER & SPORTS PHYSICAL PHYSICAL THERAPY 543 ORANGE AVE, CORONADO, CA (858) 488-3597 THERAPY, INC. 92118-1826 WATER & SPORTS PHYSICAL PHYSICAL THERAPY 9875 AVIARY DR, SAN DIEGO, CA (858) 488-3597 THERAPY, INC. 92131-1701 WATER & SPORTS PHYSICAL PHYSICAL THERAPY 9972 SCRIPPS RANCH BLVD, SAN (619) 810-0007 THERAPY, INC. DIEGO, CA 92131-1825 WATERHOUSE, DAWN - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 1800 WESTWIND DRIVE BUILDING 500, (661) 616-4006 BAKERSFIELD, CA 93301 WATERMAN PHARMACY PHARMACY 2150 N WATERMAN AVE STE 104, SAN (909) 882-5800 BERNARDINO, CA 92404 WATKINS IV, ROBERT G - MD MARINA ORTHOPEDICS SPINE ORTHOPEDICS - SPINE 4640 ADMIRALTY WAY STE 600, MARINA (310) 448-7890 CENTER DEL REY, CA 90262 WATKINS IV, ROBERT G - MD MARINA ORTHOPEDICS SPINE SPINE SURGERY 4640 ADMIRALTY WAY STE 600, MARINA (310) 448-7890 CENTER DEL REY, CA 90262 WATKINS, BARRY E - MD (BCC) LOMA LINDA UNIVERSITY HAND SURGERY 25455 BARTON RD PP102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA, CA 92354 SURGERY FP&S WATKINS, BARRY E - MD (BCC) LOMA LINDA UNIVERSITY HAND SURGERY 25455 BARTON RD PP102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA, CA 92354 SURGERY FP&S WATKINS, JULIA, LUISE - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 WATKINS, JULIE - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 WATKINS, ROBERT - MD MARINA ORTHOPEDICS - ORTHOPEDICS - SPINE 4640 ADMIRALTY WAY STE 600, MARINA (310) 448-7890 SPINE CENTER DEL REY, CA 90292 WATKINS, ROBERT - MD MARINA ORTHOPEDICS - SPINE SURGERY 4640 ADMIRALTY WAY STE 600, MARINA (310) 448-7890 SPINE CENTER DEL REY, CA 90292 WATSON, ELIZABETH M - MD KAISER PERMANENTE SO SAN ORTHOPEDIC SURGERY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 WATSONS PHARMACY AND PHARMACY 8622 GARVEY AVE STE 102, (626) 280-2223 HOME HLTH ROSEMEAD, CA 91770 WATSONVILLE COMM HOSP PHARMACY 75 NIELSON ST, WATSONVILLE, CA (831) 763-6440 OP PHCY 95076 WATSONVILLE COMMUNITY WATSONVILLE COMMUNITY ACUTE CARE HOSPITAL 75 NEILSON ST, WATSONVILLE, CA (831) 724-4741 HOSPITAL (BCC) HOSPITAL 95076 WATSONVILLE PHARMACY PHARMACY 1433 FREEDOM BLVD, WATSONVILLE, (831) 728-1818 CA 95076 WATTS PROFESSIONAL PHARMACY 9909 COMPTON AVE, LOS ANGELES, CA (323) 564-3218 PHARMACY 90002 WATTS, EMILY - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 WEAVER, WESLEY - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 WEBB, NATHAN - LAC ACTIVEMED INTEGRATIVE ACUPUNCTURE 15611 POMERADO RD STE 100S, (858) 673-4400 HEALTH CENTER POWAY, CA 92064 WEBB, NATHAN - LAC ACTIVEMED INTEGRATIVE ACUPUNCTURE 317 N EL CAMINO REAL STE 306, (858) 673-4400 HEALTH CENTER ENCINITAS, CA 92024 WEBBER, TERRENCE - MD EMERGENCY MEDICINE 1328 22ND ST, SANTA MONICA, CA (310) 576-7267 (BCC) 90404 WEBBER, TERRENCE - MD EMERGENCY MEDICINE 2121 WILSHIRE BLVD STE 201, SANTA (626) 795-6596 (BCC) MONICA, CA 90403 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP PRIMARY TREATING 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) PHYSICIAN ANGELES, CA 90033 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP PRIMARY TREATING 1818 VERDUGO BLVD STE 300, (818) 658-5920 (BCC) PHYSICIAN GLENDALE, CA 91208

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 739 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP ORTHOPEDIC SURGERY - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ANGELES, CA 90033 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP ORTHOPEDIC SURGERY - 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) SHOULDER ANGELES, CA 90033 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP ORTHOPEDICS - HIP 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ANGELES, CA 90033 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP ORTHOPEDICS - SHOULDER 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ANGELES, CA 90033 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP ORTHOPEDIC SURGERY - HIP 1818 VERDUGO BLVD STE 300, (818) 658-5920 (BCC) GLENDALE, CA 91208 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP ORTHOPEDIC SURGERY - 1818 VERDUGO BLVD STE 300, (818) 658-5920 (BCC) SHOULDER GLENDALE, CA 91208 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP ORTHOPEDICS - HIP 1818 VERDUGO BLVD STE 300, (818) 658-5920 (BCC) GLENDALE, CA 91208 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP ORTHOPEDICS - SHOULDER 1818 VERDUGO BLVD STE 300, (818) 658-5920 (BCC) GLENDALE, CA 91208 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP SPORTS MEDICINE 1520 SAN PABLO ST STE 2000, LOS (323) 442-5860 (BCC) ANGELES, CA 90033 WEBER, ALEXANDER E - MD USC CARE MEDICAL GROUP SPORTS MEDICINE 1818 VERDUGO BLVD STE 300, (818) 658-5920 (BCC) GLENDALE, CA 91208 WEBER, MORGAN - PT BACCI GLINN PT INC PHYSICAL THERAPY 331 N 11TH AVE, HANFORD, CA 93230 (559) 582-1027 WEBER, MORGAN - PT BACCI GLINN PT INC PHYSICAL THERAPY 5533 W HILLSDALE AVE STE A, VISALIA, (559) 733-2478 CA 93291 WEBER, ROBERT B - MD CARDIOVASCULAR DISEASE 12099 W WASHINGTON BLVD STE 300, (310) 558-9777 (CARDIOLOGY) LOS ANGELES, CA 90066 WEBER, SEAN - PTA DYNAMIX PHYSICAL THERAPY PHYSICAL THERAPY 11190 WARNER AVE STE 309, (714) 716-4411 INC FOUNTAIN VALLEY, CA 92708 WEBSTER'S PHARMACY PHARMACY 2450 LAKE AVE, ALTADENA, CA 91001 (626) 797-1163 WECARE SPECIALTY PHARMACY 7223 CHURCH ST STE A19, HIGHLAND, (909) 266-0016 PHARMACY CA 92346 WEDDINGTON, JOEL A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT LOWER EXTREMITIES OAKLAND, CA 94621 WEDDINGTON, JOEL A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT UPPER EXTREMITIES OAKLAND, CA 94621 WEDDINGTON, JOEL A - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT EXTREMITIES OAKLAND, CA 94621 WEDDINGTON, JOEL A - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT EXTREMITIES OAKLAND, CA 94621 WEDDINGTON, JOEL A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN UPPER EXTREMITIES FRANCISCO, CA 94080 FRANCISCO WEDDINGTON, JOEL A - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN EXTREMITIES FRANCISCO, CA 94080 FRANCISCO WEDDINGTON, JOEL A - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN EXTREMITIES FRANCISCO, CA 94080 FRANCISCO WEDDINGTON, JOEL A - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3 SOUTH LINDEN AVE, SOUTH SAN (650) 238-1500 CENTER - SOUTH SAN LOWER EXTREMITIES FRANCISCO, CA 94080 FRANCISCO WEDEMEYER, DAVID - DC WEDEMEYER CHIROPRACTIC CHIROPRACTIC MEDICINE 1758 ORANGE AVE, COSTA MESA, CA (949) 646-7070 92627 WEDEMEYER, MATTHEW K FEINBERG MEDICAL GROUP PAIN MANAGEMENT 825 EL CAMINO REAL , PALO ALTO, CA (650) 223-6400 (BCC) 94301 WEE, IN, JUN - LAC HEALING HAND ACUPUNCTURE 6319 N FRESNO ST STE 102, FRESNO, (213) 210-4006 ACUPUNCTURE CLINIC IN JUN CA 93710 WEE WEGENER, RANDALL - ATC RANDALL WEGENER ATHLETIC TRAINER 593 E ELDER ST STE A, FALLBROOK, (760) 451-2188 ACUPUNCTURIST INC CA 92028 WEI, JAMES C - MD KAISER PERMANENTE NEUROLOGY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 740 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP CA 90638 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP 92805 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL VASCULAR SURGERY 1171 RAILROAD ST, CORONA, CA 92882 (951) 272-1400 GROUP WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL VASCULAR SURGERY 16702 VALLEY VIEW AVE, LA MIRADA, (562) 921-0341 GROUP CA 90638 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL VASCULAR SURGERY 1717 E LINCOLN AVE, ANAHEIM, CA (714) 635-2642 GROUP 92805 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL VASCULAR SURGERY 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP GARDEN GROVE, CA 92841 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL GENERAL SURGERY 7052 ORANGEWOOD AVE STE 6, (714) 903-1100 GROUP GARDEN GROVE, CA 92841 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL HAND SURGERY 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL ORTHOPEDICS - HAND 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 WEIL, DAVID - MD (BCC) HEALTHPOINTE MEDICAL VASCULAR SURGERY 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP LONG BEACH, CA 90805 WEINBERG, SARA - LAC SARA WEINBERG MS LAC ACUPUNCTURE 3179 COLLEGE AVE, BERKELEY, CA (510) 316-1391 94705 WEINRAUB, GLENN M - DPM KAISER PERMANENTE SAN PODIATRY 2500 MERCED ST , SAN LEANDRO, CA (510) 675-4807 LEANDRO MEDICAL CENTER 94577 WEINRAUB, GLENN M - DPM KAISER PERMANENTE PODIATRY 39400 PASEO PADRE PARKWAY , (510) 248-3015 FREMONT MEDICAL CENTER FREMONT, CA 94538 WEINRIT, HELEN M - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH SACRAMENTO, CA 95823 CENTER WEINRIT, HELEN M - MD KAISER PERMANENTE ON THE PRIMARY TREATING 6600 BRUCEVILLE RD BLDG 3 2ND FLR, (916) 688-2005 JOB OCCUPATIONAL HEALTH PHYSICIAN SACRAMENTO, CA 95823 CENTER WEINZAPFEL, NINA P - PT KORE PHYSICAL THERAPY PHYSICAL THERAPY 2377 W FOOTHILL BLVD #20, UPLAND, (909) 608-2800 CA 91786 WEINZIMER, ROBERT - DC AMERICAN CHIROPRACTIC CHIROPRACTIC MEDICINE 535 H ST, CHULA VISTA, CA 91910 (619) 409-9000 SERVICES WEIPERT, BRANDON - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 WEIPERT, BRANDON - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 WEISER, WILLIAM M - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 WEISKOPF, MANUEL - MD ANESTHESIOLOGY 100 W CALIFORNIA BLVD, PASADENA, (626) 397-5000 CA 91105 WEISS, JENNIFER M - MD KAISER PERMANENTE LOS ORTHOPEDICS 4760 SUNSET BLVD , LOS ANGELES, CA (323) 783-6621 ANGELES MEDICAL CENTER 90027 WEISS, MARC D - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL CA 91367 CENTER WEISS, MARC D - MD KAISER PERMANENTE SURGERY - HEAD AND NECK 5601 DE SOTO AVE , WOODLAND HILLS, (818) 719-3006 WOODLAND HILLS MEDICAL CA 91367 CENTER WEISS, MICHAEL - PT SACRAMENTO SPINE PHYSICAL THERAPY 700 OAK AVENUE PKWY STE B, (916) 932-1210 PHYSICAL THERAPYFOLSOM FOLSOM, CA 95630 WEISSINGER, LILLY - PT RICHARD P CARR PHYSICAL PHYSICAL THERAPY 605 TENNANT AVE STE F, MORGAN (408) 778-3434 THERAPY INC HILL, CA 95037 WEISSMAN, LEE - AUD ADVANCED HEARING AUDIOLOGY 2154 4TH ST , SAN RAFAEL, CA 94901 (800) 598-5300 PROVIDERS LLC WEISSMAN, ROBERT - AUD ADVANCED HEARING AUDIOLOGY 50 ALESSANDRO PL STE 101, (800) 598-5300 PROVIDERS LLC PASADENA, CA 91105

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 741 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WELBORN, JOHN - MD ORTHOPEDIC SURGERY - 1700 SAN PABLO AVE STE F, PINOLE, (510) 724-4600 ANKLE CA 94564 WELBORN, JOHN - MD ORTHOPEDICS - ANKLE 1700 SAN PABLO AVE STE F, PINOLE, (510) 724-4600 CA 94564 WELCARE PHARMACY PHARMACY 1921 W SAN MARCOS BLVD, SAN (760) 727-3333 MARCOS, CA 92078 WELCH, WILLIAM - DC ENERGY CHIROPRACTIC MEDICINE 5083 ARLINGTON AVE, RIVERSIDE, CA (951) 689-5738 CHIROPRACTIC/WILLIAM J 92504 WELCH DC WELCH, WILLIAM - DC WELCH WILLIAM J DC CHIROPRACTIC MEDICINE 6888 LINCOLN AVE STE J2, BUENA (714) 828-2865 PARK, CA 90620 WELCH, WILLIAM - DC WILLIAM J WELCH DC CHIROPRACTIC MEDICINE 2576 HAMNER AVE, NORCO, CA 92860 (951) 256-7042 WELCOME PHARMACY PHARMACY 18379 PIONEER BLVD, ARTESIA, CA (562) 860-6336 90701 WELDON, ELIZABETH - LAC WELDON ACUPUNCTURE ACUPUNCTURE 3737 TELEGRAPH RD STE F, VENTURA, (805) 644-4520 HERBAL MEDICINE CA 93003 WELL CARE PHARMACY PHARMACY 1108 1/2 W GLENOAKS BLVD, (818) 551-0102 GLENDALE, CA 91202 WELL-CARE PHARMACY PHARMACY 3645 NORTHGATE BLVD STE F, (916) 649-1615 SACRAMENTO, CA 95834 WELLBROOK, THOMAS - DC THE CHIROPRACTIC CHIROPRACTIC MEDICINE 21669 REDWOOD RD, CASTRO VALLEY, (510) 582-7418 ADVANTAGE/THOMAS CA 94546 WELLBROOKDC WELLCARE RX PHARMACY 9114 EDINGER AVE, FOUNTAIN VALLEY, (714) 841-6700 CA 92708 WELLMAN'S PHARMACY PHARMACY 728 PACIFIC AVE STE 110, SAN (415) 788-8882 FRANCISCO, CA 94133 WELLMAN'S PHARMACY PHARMACY 1053 STOCKTON ST, SAN FRANCISCO, (415) 362-3622 CA 94108 WELLNESS BY DESIGN PT PHYSICAL THERAPY 2216 NEWPORT BLVD, COSTA MESA, (949) 631-9009 CA 92627-1711 WELLNESS PHARMACY PHARMACY 14777 LOS GATOS BLVD, LOS GATOS, (408) 356-4848 CA 95032 WELLNESS PHARMACY PHARMACY 5880 STOCKTON BLVD STE C, (916) 706-0278 SACRAMENTO, CA 95824 WELLNESS PHYSICAL PHYSICAL THERAPY 119 1/2 N SAN GABRIEL BLVD, SAN (626) 292-1668 THERAPY & REHABILITATION GABRIEL, CA 91775-2426 INC WELLNESSRX PHARMACY PHARMACY 5971 UNIVERSITY AVE STE 304, SAN (619) 582-1933 DIEGO, CA 92115 WELLNITZ, BRADFORD - DC WELLNITZ BRADFORD H DC CHIROPRACTIC MEDICINE 2234 FLETCHER PKWY STE E, EL (619) 464-2772 CAJON, CA 92020 WELLPLUS PHARMACY PHARMACY 3005 W BULLARD AVE, FRESNO, CA (559) 765-4364 93711 WELLS PHARMACY PHARMACY 534 N CAMPUS AVE, ONTARIO, CA (909) 949-6889 91764 WELLS, JENNIFER - DC BACK COUNTRY CHIROPRACTIC MEDICINE 911 6TH ST, NORCO, CA 92860 (951) 427-1820 CHIROPRACTIC WELLSPRING COMPOUNDING PHARMACY 2461 SHATTUCK AVE., BERKELEY, CA (510) 548-8777 PHCY 94704 WELLSPRING PHARMACY PHARMACY 4184 PIEDMONT AVE STE C, OAKLAND, (510) 428-1559 CA 94611 WELLSPRING PHYSICAL PHYSICAL THERAPY 2436 FOOTHILL BLVD STE C, (707) 942-8094 THERAPY CALISTOGA, CA 94515 WELLSPRING PT AND PILATES PHYSICAL THERAPY 2436 FOOTHILL BLVD, CALISTOGA, CA (707) 942-8094 BASED STUDIO 94515 WELLSPRING THERAPY PHYSICAL THERAPY 500 W GLENOAKS BLVD, GLENDALE, (818) 637-2127 CA 91202 WELLSPRING THERAPY INC PHYSICAL THERAPY 500 W GLENOAKS BLVD, GLENDALE, CA (818) 637-2127 91202-2813 WEMM, MEGAN - LAC ALLIED PAIN AND SPINE ACUPUNCTURE 14777 LOS GATOS BLVD STE 202, LOS (408) 528-8833 INSTITUTE GATOS, CA 95032

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 742 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WENDER, DAVID A - DO KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH CA 94611 CENTER WENDER, DAVID A - DO KAISER PERMANENTE ON THE PRIMARY TREATING 3701 BROADWAY STE 501, OAKLAND, (510) 752-1244 JOB OCCUPATIONAL HEALTH PHYSICIAN CA 94611 CENTER WENDER, JON D - MD KAISER PERMANENTE WEST OPHTHALMOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER WENLU, WU, WENDY - LAC CLEMENTS CHIROPRACTIC ACUPUNCTURE 3720 E ANAHEIM ST STE 180, LONG (562) 986-2865 CENTER BEACH, CA 90804 WEST ALONDRA MEDICAL PHARMACY 1410 W ALONDRA BLVD, COMPTON, CA (310) 631-8674 PHARMACY 90220 WEST BAY PHYSICAL PHYSICAL THERAPY 700 S CLAREMONT ST, SAN MATEO, CA (650) 342-7887 THERAPY 94402 WEST COAST RX PHARMACY 375 ROLLING OAKS DR, THOUSAND (805) 371-0700 OAKS, CA 91361 WEST COAST SPORTS PHYSICAL THERAPY 1137 2ND ST STE 103, SANTA MONICA, (310) 477-0018 PHYSICAL THERAPY INC CA 90403-5069 WEST COAST SPORTS PHYSICAL THERAPY 412 W. AVE, LANCASTER, CA 93534 (310) 477-0018 PHYSICAL THERAPY INC WEST COAST SPORTS PHYSICAL THERAPY 1200 ROSECRANS AVE STE 206, (310) 416-9777 PHYSICAL THERAPY INC MANHATTAN BEACH, CA 90266-2451 (MAIN) WEST COVINA PHARMACY PHARMACY 1661 HANOVER RD STE 104B, CITY OF (626) 839-9882 INDUSTRY, CA 91748 WEST DRUG PHARMACY 8526 WESTMINSTER BLVD, (714) 892-6916 WESTMINSTER, CA 92683 WEST HILLS HOSPITAL AND WEST HILLS HOSPITAL AND ACUTE CARE HOSPITAL 7300 MEDICAL CENTER DR, WEST (818) 676-4000 MEDICAL CENTER (BCC) MEDICAL CENTER HILLS, CA 91307 WEST KNOLL PHARMACY PHARMACY 8547 SANTA MONICA BLVD, WEST (310) 657-2027 HOLLYWOOD, CA 90069 WEST LOS ANGELES WEST LOS ANGELES URGENT CARE FACILITY 11645 WILSHIRE BLVD STE 825, LOS (310) 207-3320 INDUSTRIAL AND URGENT INDUSTRIAL AND URGENT ANGELES, CA 90025 CARE (BCC) CARE WEST LOS ANGELES URGENT URGENT CARE FACILITY 11560 W PICO BLVD, LOS ANGELES, CA (310) 477-8285 CARE 90064 WEST MARIN PHARMACY PHARMACY 11 4TH ST, PT REYES STATION, CA (415) 663-1121 94956 WEST OAKS URGENT CARE WEST OAKS URGENT CARE URGENT CARE FACILITY 1141 E THOUSAND OAKS BLVD, (805) 496-4200 (BCC) THOUSAND OAKS, CA 91362 WEST OCCUPATIONAL WEST OCCUPATIONAL URGENT CARE FACILITY 800 S LOWER SACRAMENTO RD, LODI, (209) 339-7441 MEDICINE UNIT (BCC) MEDICINE UNIT CA 95242 WEST PHARMACY PHARMACY 18061 BEACH BLVD, HUNTINGTON (714) 842-5390 BEACH, CA 92648 WEST POINT PHYSICIAL PHYSICAL THERAPY 1115 W AVENUE M14, PALMDALE, CA (661) 265-0060 THERAPY CENTER 93551-1407 WEST POINT PHYSICIAL PHYSICAL THERAPY 1431 W ROSAMOND BLVD STE 11, (661) 256-2700 THERAPY CENTER ROSAMOND, CA 93560-7428 WEST POINT PHYSICIAL PHYSICAL THERAPY 81880 DOCTOR CARREON BLVD STE (760) 863-0060 THERAPY CENTER A104, INDIO, CA 92201-5583 WEST POINT PHYSICIAL PHYSICAL THERAPY 9300 N LOOP BLVD, CALIFORNIA CITY, (760) 373-7338 THERAPY CENTER CA 93505-2269 WEST SIDE DRUG PHARMACY 1101 O ST, FIREBAUGH, CA 93622 (559) 659-2159 WEST STAR PHYSICAL PHYSICAL THERAPY 10116 INDIANA AVE, RIVERSIDE, CA (714) 236-7959 THERAPY 92503-5346 WEST STAR PHYSICAL PHYSICAL THERAPY 13637 HAWTHORNE BLVD STE 100, (714) 236-7959 THERAPY HAWTHORNE, CA 90250-5812 WEST STAR PHYSICAL PHYSICAL THERAPY 1625 W OLYMPIC BLVD STE 1045E, LOS (714) 236-7959 THERAPY ANGELES, CA 90015-3865 WEST STAR PHYSICAL PHYSICAL THERAPY 3939 ATLANTIC AVE, SUITE 224, LONG (562) 424-3090 THERAPY BEACH, CA 90807-3536

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 743 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WEST STAR PHYSICAL PHYSICAL THERAPY 600 S GRAND AVE STE 104, SANTA (714) 236-7959 THERAPY ANA, CA 92705-4152 WEST STAR PHYSICAL PHYSICAL THERAPY 780 N EUCLID ST STE 104, ANAHEIM, CA (714) 236-7959 THERAPY 92801-4125 WEST STAR PHYSICAL PHYSICAL THERAPY 9635 MONTE VISTA AVE STE 206, (714) 236-7959 THERAPY MONTCLAIR, CA 91763-2235 WEST VAL PHARMACY PHARMACY 5353 BALBOA BLVD, ENCINO, CA 91316 (818) 788-2411 WEST VALLEY PHARMACY PHARMACY 22554 VENTURA BLVD #100, (818) 222-9877 WOODLAND HILLS, CA 91364 WEST VALLEY PHYSICAL PHYSICAL THERAPY 5150 GRAVES AVE, SAN JOSE, CA (408) 253-4211 THERAPY 95129 WEST, GERALD I - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES WEST, GERALD I - MD KAISER PERMANENTE ON THE PRIMARY TREATING 10800 MAGNOLIA AVE MOB1 4TH (951) 353-4322 JOB RIVERSIDE MEDICAL PHYSICIAN FLOOR RM 408, RIVERSIDE, CA 92505 OFFICES WEST, GERALD I - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL ROOM 106, MORENO VALLEY, CA 92553 OFFICES WEST, GERALD I - MD KAISER PERMANENTE ON THE PRIMARY TREATING 12815 HEACOCK STREET 1ST FLR (951) 353-4322 JOB MORENO VALEY MEDICAL PHYSICIAN ROOM 106, MORENO VALLEY, CA 92553 OFFICES WEST, GERALD I - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL 205, WILDOMAR, CA 92563 OFFICES WEST, GERALD I - MD KAISER PERMANENTE ON THE PRIMARY TREATING 36450 INLAND VALLEY DRIVE ROOM (951) 353-4322 JOB WILDOMAR MEDICAL PHYSICIAN 205, WILDOMAR, CA 92563 OFFICES WEST, LINDA - PT SCOR SAN CLEMENTE PHYSICAL THERAPY 653 CAMINO DE LOS MARES STE 110, (949) 496-0122 ORTHOPAEDIC SAN CLEMENTE, CA 92673 REHABILITATION PHYSICAL THERAPY WEST, ROGER - DC WEST CHIROPRACTIC CHIROPRACTIC MEDICINE 23440 HAWTHORNE BLVD STE 235, (310) 373-0191 TORRANCE, CA 90505 WEST-END PHARMACY PHARMACY 965 HIGHWAY 99W STE 127, CORNING, (530) 824-4901 CA 96021 WESTCHESTER PHARMACY PHARMACY 8930 S SEPULVEDA BLVD, LOS (310) 670-3463 ANGELES, CA 90045 WESTCLIFF COMPOUNDING PHARMACY 1901 WESTCLIFF DR STE 3A, NEWPORT (949) 272-0775 PHARMACY BEACH, CA 92660 WESTCO DRUGS PHARMACY 1217 N CENTRAL AVE UNIT AA, (818) 696-2099 GLENDALE, CA 91202 WESTCOTT PHYSICAL PHYSICAL THERAPY 240 2ND ST, LOS ALTOS, CA 94022-3603 (650) 941-7600 THERAPY (S) WESTERN DRUG PHARMACY 501 WESTERN AVE, GLENDALE, CA (818) 242-5887 91201 WESTERN DRUG PHARMACY 416 E COLORADO ST, GLENDALE, CA (818) 243-2231 91205 WESTERN DRUG PHARMACY 445 W BROADWAY, GLENDALE, CA (818) 241-5996 91204 WESTERN DRUG MED SUPPLY PHARMACY 3604 SAN FERNANDO RD, GLENDALE, (818) 956-2104 PHCY CA 91204 WESTERN MEDICAL PHARMACY 1110 N WESTER AVE STE 101, LOS (323) 465-3112 PHARMACY ANGELES, CA 90029 WESTERN PHYSICAL THERAPY PHYSICAL THERAPY 9901 PARAMOUNT BLVD STE 116, (562) 928-0121 DOWNEY, CA 90240-3852 WESTERN SIERRA PHARMACY PHARMACY 844 OLD TUNNEL RD, GRASS VALLEY, (530) 273-0182 CA 95945 WESTERN UNIVERSITY PHARMACY 795 E 2ND ST STE 1, POMONA, CA (909) 706-3730 PHARMACY 91766 WESTHOUT, FRANKLIN D - MD CONCENTRA MEDICAL SURGERY 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA 90248

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 744 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WESTLAKE PHARMACY PHARMACY 529 S ALVARADO ST, LOS ANGELES, CA (213) 383-4262 90057 WESTLAKE PHYSICAL PHYSICAL THERAPY 48 PARK PLAZA DR STE 330, DALY (650) 992-0100 THERAPY CITY, CA 94015 WESTLAKE SPORTS THERAPY PHYSICAL THERAPY 4165 E THOUSAND OAKS BLVD STE (805) 371-9116 INC 150, WESTLAKE VILLAGE, CA 91362-3837 WESTLAKE SPORTS THERAPY PHYSICAL THERAPY 2080 NEWBURY RD, NEWBURY PARK, (805) 371-9116 INC. CA 91320-3387 WESTLAKE VILLAGE URGENT WESTLAKE VILLAGE URGENT URGENT CARE FACILITY 1220 LA VENTA DR STE 101, WESTLAKE (805) 379-9175 CARE (BCC) CARE VILLAGE, CA 91361 WESTLAKE, STEVEN - PTA MAXIM PHYSICAL THERAPY PHYSICAL THERAPY 2321 COURT ST, REDDING, CA 96001 (530) 242-8480 WESTMED PHARMACY PHARMACY 8342 GARDEN GROVE BLVD. STE 2, (714) 867-6707 GARDEN GROVE, CA 92844 WESTPHAL, WENDY - PT PASO ROBLES PHYSICAL PHYSICAL THERAPY 2150 HERITAGE LOOP RD STE D, PASO (805) 369-2323 THERAPY ROBLES, CA 93446 WESTPHAL, WENDY - PT PASO ROBLES PHYSICAL PHYSICAL THERAPY 2975 UNION RD, PASO ROBLES, CA (805) 237-0272 THERAPY 93446 WESTPHAL, WENDY - PT PASO ROBLES PHYSICAL PHYSICAL THERAPY 5255 EL CAMINO REAL STE C, (805) 237-0272 THERAPY ATASCADERO, CA 93422 WESTSIDE HAND THERAPY INC PHYSICAL THERAPY 101 S ROBERTSON BLVDSUITE 203, (310) 396-8564 LOS ANGELES, CA 90048-3209 WESTSIDE MEDICAL PHARMACY 1360 WESTWOOD BLVD STE C, LOS (310) 441-1200 PHARMACY ANGELES, CA 90024 WESTSIDE PHARMACY PHARMACY 11504 SANTA MONICA BLVD, LOS (310) 479-0200 ANGELES, CA 90025 WESTSIDE PHCY AND MDCL PHARMACY 1401 MISSION ST, SANTA CRUZ, CA (831) 423-7175 SUPPLY 95060 WESTWOOD CENTER PHARMACY 10921 WILSHIRE BLVD LBBY, LOS (310) 208-6666 PHARMACY ANGELES, CA 90024 WESTWOOD HILLS HAND PHYSICAL THERAPY 1033 GAYLEY AVE STE 201, LOS (310) 824-3499 THERAPY ANGELES, CA 90024-3426 WESTWOOD SURGERY AMBULATORY SURGERY 10884 SANTA MONICA BLVD STE 402, (310) 446-4647 CENTER INC CENTER LOS ANGELES, CA 90025 WETHERILL, JOANN - LMT BARATTA WELLNESS MASSAGE THERAPIST 6728 FAIR OAKS BLVD STE 300, (916) 979-0716 CARMICHAEL, CA 95608 WETTER, KRISTIN - PT SACRAMENTO SPINE PHYSICAL THERAPY 1650 LEAD HILL BLVD STE 300, (916) 677-1210 PHYSICAL ROSEVILLE, CA 95661 THERAPYROSEVILLE WEXLER, ANDREW M - MD KAISER PERMANENTE WEST PLASTIC SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER WEXLER, ANDREW M - MD KAISER PERMANENTE PLASTIC SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 WEXLER, ANDREW W - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 WHAN, LEE - LAC WOOREE ALTERNATIVE ACUPUNCTURE 2660 W WOODLAND DR STE 130, (714) 828-2345 MEDICAL GROUP ANAHEIM, CA 92801 WHEELER, STEVEN - MD NEUROLOGY 1401 AVOCADO AVE STE 105, (949) 760-1640 NEWPORT BEACH, CA 92660 WHELCHEL, SHARON - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 285-0443 MAIN ACCOUNT ANGELES, CA 90066 WHITAKER, GARRISON L - MD LA BONE AND JOINT INSTITUTE HAND SURGERY 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 WHITAKER, GARRISON L - MD LA BONE AND JOINT INSTITUTE ORTHOPEDICS - HAND 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 WHITAKER, GARRISON L - MD LA BONE AND JOINT INSTITUTE SPORTS MEDICINE 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) ENCINO, CA 91436 WHITAKER, GARRISON L - MD LA BONE AND JOINT INSTITUTE PRIMARY TREATING 16311 VENTURA BLVD STE 1150, (818) 477-0787 (BCC) PHYSICIAN ENCINO, CA 91436 WHITE CROSS PHARMACY PHARMACY 602 MAIN ST, BRAWLEY, CA 92227 (760) 344-3131 WHITE CROSS PHARMACY PHARMACY 1717 E VISTA CHINO STE B2, PALM (760) 322-6700 SPRINGS, CA 92262

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 745 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WHITE CROSS PHARMACY PHARMACY 7065 INDIANA AVE STE 310, RIVERSIDE, (951) 370-1336 CA 92506 WHITE FRONT PHARMACY PHARMACY 1175 BAKER ST., SUITE A-6, COSTA (714) 540-2882 MESA, CA 92626 WHITE MEMORIAL MEDICAL PHARMACY 1701 E CESAR E CHAVEZ AVE, LOS (323) 221-6000 PLAZA P ANGELES, CA 90033 WHITE, CHARLES - OT COMPLETE CARE PHYSICAL OCCUPATIONAL THERAPY 35900 BOB HOPE DR STE 115, RANCHO (760) 325-5950 THERAPY MIRAGE, CA 92270 WHITE, CHARLES - OT SAN DIEGO SPINE SPORT INC OCCUPATIONAL THERAPY 35900 BOB HOPE DR STE 115, RANCHO (760) 832-6569 MIRAGE, CA 92270 WHITE, CRAIG A - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 4224 RIVERWALK PKWY STE 100, (800) 679-4642 LLUSM RIVERSIDE, CA 92505 WHITE, CRAIG A - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 81 S HIGHLAND SPRINGS AVE STE 302, (800) 679-4642 LLUSM BEAUMONT, CA 92223 WHITE, CRAIG A - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 2900, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 WHITE, CRAIG A - MD (BCC) OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 LLUSM LOMA LINDA, CA 92354 WHITE, JON - MD (BCC) SPINE SURGERY 16300 SAND CANYON AVE STE 511, (714) 634-4567 IRVINE, CA 92618 WHITE, JON - MD (BCC) ORTHOPEDICS - SPINE 16300 SAND CANYON AVE STE 511, (714) 634-4567 IRVINE, CA 92618 WHITE, JON - MD (BCC) ORTHOPAEDIC SPECIALTY ORTHOPEDICS - SPINE 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY WHITE, JON - MD (BCC) ORTHOPAEDIC SPECIALTY SPINE SURGERY 280 S MAIN ST STE 200, ORANGE, CA (714) 634-4567 INSTITUTE MEDICAL GROUP 92868 OF ORANGE COUNTY WHITESIDE MANOR (BCC) WHITESIDE MANOR CHEMICAL DEPENDENCY 2452 WILSHIRE ST, RIVERSIDE, CA (951) 788-9515 REHABILITATION CENTER 92501 (OUTPATIENT) WHITESIDE MANOR (BCC) WHITESIDE MANOR CHEMICAL DEPENDENCY 2456 WILSHIRE ST, RIVERSIDE, CA (951) 788-9515 REHABILITATION CENTER 92501 (OUTPATIENT) WHITESIDE MANOR (BCC) WHITESIDE MANOR CHEMICAL DEPENDENCY 2709 ORANGE ST, RIVERSIDE, CA 92501 (951) 788-9515 REHABILITATION CENTER (OUTPATIENT) WHITESIDE, MICHAEL - OT LAMONT PHYSICAL THERAPY OCCUPATIONAL THERAPY 10130 MAIN ST STE A, LAMONT, CA (661) 845-0600 93241 WHITING, BONNIE - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 3400 CALLOWAY DR STE 603, (661) 615-6600 BAKERSFIELD, CA 93312 WHITTIER DRUGS PHARMACY 9209 COLIMA RD STE 1100, WHITTIER, (562) 789-5852 CA 90605 WHITTIER INTERCOMM PHARMACY 12291 WASHINGTON BLVD, WHITTIER, (562) 945-4166 PHARMACY CA 90606 WHITTINGTON, CATHERINE, SOUTHERN CALIFORNIA PHYSICAL THERAPY 2400 BAHAMAS DR 1ST FLR, (661) 328-5565 CLAIRE - PT ORTHOPEDIC BAKERSFIELD, CA 93309 INSTITUTEBAKERSFIELD WHITTINGTON, CATHERINE, SOUTHERN CALIFORNIA PHYSICAL THERAPY 6815 NOBLE AVE, VAN NUYS, CA 91405 (818) 901-6600 CLAIRE - PT ORTHOPEDIC INSTITUTE MAIN ACCOUNT WHOLE HEALTH PHARMACY PHARMACY 27725 SANTA MARGARITA PKWY 102, (949) 305-0788 MISSION VIEJO, CA 92691 WICK, GARY - PT REHABILITATION PHYSICAL THERAPY 1635 CREEKSIDE DR STE 101, FOLSOM, (916) 983-5611 OCCUPATIONAL CA 95630 CONSULTANTS WICKLER, CAROLINE - PT WALKER PHYSICAL THERAPY PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (951) 672-0455 92586 WICKMAN, AMY - MD (BCC) ALTA ORTHOPAEDICS SPINE SURGERY 2027 VILLAGE LN STE 101, SOLVANG, (805) 688-8821 CA 93463 WICKMAN, AMY - MD (BCC) ALTA ORTHOPAEDICS ORTHOPEDICS - SPINE 2027 VILLAGE LN STE 101, SOLVANG, (805) 688-8821 CA 93463

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 746 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WICKRAMASINGHE, CHANAKA - CARDIOVASCULAR DISEASE 39000 BOB HOPE DR, RANCHO MIRAGE, (760) 340-3911 MD (CARDIOLOGY) CA 92270 WIEDUWILT, MATTHEW J - MD MOORES CANCER CENTER - HEMATOLOGY AND 3855 HEALTH SCIENCES DR STE 1102, (858) 822-6200 (BCC) US SAN DIEGO HEALTH ONCOLOGY LA JOLLA , CA 92093 WIEGEL, JAMIE - DC HIGH DESERT CHIROPRACTIC CHIROPRACTIC MEDICINE 9179 G AVE, HESPERIA, CA 92345 (760) 244-0035 WIELER, MARTIN - MD WIELER & SEIN MEDICAL RADIOLOGY 1220 W HEMLOCK WAY, SANTA ANA, CA (714) 545-9441 GROUP 92707 WIENER, SCOTT - DC SCOTT CHIROPRACTIC CHIROPRACTIC MEDICINE 23734 VALENCIA BLVD STE 202, (661) 253-0221 VALENCIA, CA 91355 WIESELTIER, EDWARD H - DO CONCENTRA MEDICAL PHYSICAL MEDICINE AND 542 BROADWAY STE G, CHULA VISTA, (619) 425-8212 CENTER - CHULA VISTA REHABILITATION CA 91910 WIESELTIER, EDWARD H - DO CONCENTRA MEDICAL PHYSICAL MEDICINE AND 7590 MIRAMAR RD STE C, SAN DIEGO, (858) 549-4255 CENTER - MIRAMAR REHABILITATION CA 92126 WILBUR, MARK - DC MT DIABLO CHIROPRACTIC CHIROPRACTIC MEDICINE 2100 MONUMENT BLVD STE 16, (925) 676-1955 PLEASANT HILL, CA 94523 WILCOX, AARON P - MD KAISER PERMANENTE GENERAL SURGERY 3440 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEICAL CENTER 92806 WILCOX, MAURIANA - PT FITZPATRICK PHYSICAL PHYSICAL THERAPY 1252 BROADWAY STE B, PLACERVILLE, (530) 622-9410 THERAPY CA 95667 WILD, BRENT - PT MARKET PLACE PHYSICAL PHYSICAL THERAPY 14682 CENTRAL AVE, CHINO, CA 91710 (951) 684-2874 THERAPY WILD, KELLY, THERESA - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 103, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 WILD, KELLY, THERESA - PT SPORTS ORTHOPEDIC PHYSICAL THERAPY 4341 PIEDMONT AVE STE 201, (510) 547-1630 LEADERS PHYSICAL THERAPY OAKLAND, CA 94611 WILD, KEVIN - PT GROVE PHYSICAL THERAPY 127 HOSPITAL DR STE 101, VALLEJO, (707) 552-8795 ANDERSENGHIRINGHELLI CA 94589 PHYSICAL THERAPY WILDWOOD PHYSICAL PHYSICAL THERAPY 11392 PLEASANT VALLEY RD, PENN (530) 432-9660 THERAPY VALLEY, CA 95946-9001 WILEY, BRYAN V - MD KAISER PERMANENTE ORTHOPEDICS 2295 S VINEYARD , ONTARIO, CA 91761 (909) 427-3917 VINEYARD ONTARIO SURGERY CENTER WILEY, JULIANNE - AUD ADVANCED HEARING AUDIOLOGY 12637 HESPERIA RD STE B, (800) 598-5300 PROVIDERS LLC VICTORVILLE, CA 92395 WILIAMS, NADINE L - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC SHOULDER LINDA , CA 92354 SURGERY FP&S WILIAMS, NADINE L - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC KNEE LINDA , CA 92354 SURGERY FP&S WILIAMS, NADINE L - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - HIP 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S WILIAMS, NADINE L - MD (BCC) LOMA LINDA UNIVERSITY ORTHOPEDIC SURGERY - 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC ELBOW LINDA , CA 92354 SURGERY FP&S WILIAMS, NADINE L - MD (BCC) LOMA LINDA UNIVERSITY ONCOLOGY 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S WILKER, MOSHE - MD SPINE SURGERY 11980 SAN VICENTE BLVD STE 114, LOS (310) 337-7463 ANGELES, CA 90049 WILKER, MOSHE - MD ORTHOPEDICS - SPINE 11980 SAN VICENTE BLVD STE 114, LOS (310) 337-7463 ANGELES, CA 90049 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & ORTHOPEDICS - SPINE 1601 DOVE ST STE 170, NEWPORT (310) 337-7463 SPINE INSTITUTE BEACH, CA 92660 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & ORTHOPEDICS - SPINE 1881 COMERCECENTER E STE 112, (310) 337-7463 SPINE INSTITUTE SAN BERNARDINO, CA 92408 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & ORTHOPEDICS - SPINE 800 S CENTRAL AVE STE 206, (310) 337-7463 SPINE INSTITUTE GLENDALE , CA 91204 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & ORTHOPEDICS - SPINE 8445 ROSEMEAD BLVD, PICO RIVERA, (310) 337-7463 SPINE INSTITUTE CA 90660

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 747 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & ORTHOPEDICS - SPINE 10841 WHITE OAK AVE STE 208, (310) 337-7463 SPINE INSTITUTE RANCHO CUCAMONGA, CA 91730 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & ORTHOPEDICS - SPINE 6210 N FIRST ST STE 300, FRESNO, CA (310) 337-7463 SPINE INSTITUTE 93710 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & ORTHOPEDICS - SPINE 15504 S NORMANDIE AVE , GARDENA , (310) 337-7463 SPINE INSTITUTE CA 90247 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & ORTHOPEDICS - SPINE 25043 NARBONNE AVE, LOMITA, CA (310) 337-7463 SPINE INSTITUTE 90717 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & SPINE SURGERY 1601 DOVE ST STE 170, NEWPORT (310) 337-7463 SPINE INSTITUTE BEACH, CA 92660 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & SPINE SURGERY 1881 COMERCECENTER E STE 112, (310) 337-7463 SPINE INSTITUTE SAN BERNARDINO, CA 92408 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & SPINE SURGERY 800 S CENTRAL AVE STE 206, (310) 337-7463 SPINE INSTITUTE GLENDALE , CA 91204 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & SPINE SURGERY 8445 ROSEMEAD BLVD, PICO RIVERA, (310) 337-7463 SPINE INSTITUTE CA 90660 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & SPINE SURGERY 10841 WHITE OAK AVE STE 208, (310) 337-7463 SPINE INSTITUTE RANCHO CUCAMONGA, CA 91730 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & SPINE SURGERY 6210 N FIRST ST STE 300, FRESNO, CA (310) 337-7463 SPINE INSTITUTE 93710 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & SPINE SURGERY 15504 S NORMANDIE AVE , GARDENA , (310) 337-7463 SPINE INSTITUTE CA 90247 WILKER, MOSHE - MD (BCC) WILKER ORTHOPEDICS & SPINE SURGERY 25043 NARBONNE AVE, LOMITA, CA (310) 337-7463 SPINE INSTITUTE 90717 WILKERSON, ANJANA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 1321 W GARVEY AVE N, WEST COVINA, (626) 337-6335 SPORTS REHAB CA 91790 WILKERSON, MARC - DC WILKERSON CHIROPRACTIC CHIROPRACTIC MEDICINE 415 E OCEAN AVE STE A, LOMPOC, CA (805) 736-4537 93436 WILKES, CRAIG A - DPM CONCENTRA MEDICAL PODIATRY 2305 SUNSET BLVD, ROCKLIN, CA (916) 632-9606 CENTER - ROCKLIN 95765 WILKES, CRAIG A - DPM CONCENTRA MEDICAL PODIATRY 4700 NORTHGATE BLVD STE 100, (916) 929-6161 CENTER - SACRAMENTO - SACRAMENTO, CA 95834 NORTH WILKINS, KIP R - MD KAISER PERMANENTE DALE ORTHOPEDIC SURGERY 4601 DALE RD , MODESTO, CA 95356 (209) 735-4100 ROAD MEDICAL OFFICE WILKINS, KIP R - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 7373 WEST LN , STOCKTON, CA 95210 (209) 476-3115 STOCKTON MEDICAL OFFICE WILKINSON JR., GEORGE E - KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 MD LOS ANGELES MEDICAL CA 90034 CENTER WILKINSON, EVELYN - AUD ADVANCED HEARING AUDIOLOGY 994 W EL NORTE PARKWAY, (800) 598-5300 PROVIDERS LLC ESCONDIDO, CA 92026 WILKINSON, KINNITH - PT TELESMANIC REHABILITATION PHYSICAL THERAPY 746 G ST, REEDLEY, CA 93654 (559) 638-1171 INC DBA REEDLEY PHYSICAL THERAPY WILL, ALBERT D - MD (BCC) LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S WILLBANKS, KELLY - PT WALKER PHYSICAL THERAPY PHYSICAL THERAPY 29650 BRADLEY RD, SUN CITY, CA (951) 672-0455 92586 WILLHEIM, ANDREW - PT MORE PHYSICAL THERAPY PHYSICAL THERAPY 2145 THE ALAMEDA, SAN JOSE, CA (408) 248-6886 95126 WILLIAM, DAVID, CHRISTIE - DC WATSONVILLE CHIROPRACTIC CHIROPRACTIC MEDICINE 10 W 5TH ST, WATSONVILLE, CA 95076 (831) 728-4266 WILLIAM, KENT - DC HAGAN CHIROPRACTIC CHIROPRACTIC MEDICINE 95 JACKSON ST, HAYWARD, CA 94544 (510) 581-5813 WILLIAMS PHYSICAL THERAPY PHYSICAL THERAPY 1988 PARK MARINA DR, REDDING, CA (530) 241-1559 96001-0912 WILLIAMS PHYSICAL THERAPY, PHYSICAL THERAPY 970 PETIT AVE STE A, VENTURA, CA (805) 672-2801 INC. 93004-2215 WILLIAMS, ALAN R - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 2025 MORSE AVE , SACRAMENTO, CA (916) 973-5499 SACRAMENTO MEDICAL 95825 CENTER

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 748 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WILLIAMS, AMY - PTA NORTON EACRETT AND PHYSICAL THERAPY 2625 W ALAMEDA AVE STE 102, (818) 845-9010 ASSOCIATES PHYSICAL BURBANK, CA 91505 THERAPY PC WILLIAMS, CORRINE - PT HUMAN PERFORMANCE PHYSICAL THERAPY 2320 CALLE REAL, SANTA BARBARA, (805) 687-8553 CENTER CA 93105 WILLIAMS, ELYSE - PTA SOUTHSIDE PHYSICAL PHYSICAL THERAPY 22311 BROOKHURST ST STE 104, (714) 965-2222 THERAPY TRAINING CENTER HUNTINGTON BEACH, CA 92646 WILLIAMS, GRAY R - DPM KAISER PERMANENTE PODIATRY 975 SERENO DR , VALLEJO, CA 94589 (707) 651-1370 VALLEJO MEDICAL CENTER WILLIAMS, JEFFREY - DC WILLIAMS CHIROPRACTIC CHIROPRACTIC MEDICINE 230 N GLENDORA AVE, GLENDORA, CA (626) 914-5881 91741 WILLIAMS, KARMEN - PT WILLIAMS PHYSICAL THERAPY PHYSICAL THERAPY 970 PETIT AVE STE A, VENTURA, CA (805) 672-2801 INC 93004 WILLIAMS, LARRY S - MD KAISER PERMANENTE ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 GARFIELD MEDICAL OFFICES 92111 WILLIAMS, LORI D - PHD (BCC) PERSONA NEUROBEHAVIOR PSYCHOLOGY 516 W SHAW AVE STE 200, FRESNO , (800) 314-7273 GROUP CA 93704 WILLIAMS, MICHAEL - DC WILLIAMS CHIROPRACTIC CHIROPRACTIC MEDICINE 2811 W OLIVE AVE, BURBANK, CA 91505 (818) 843-2225 WILLIAMS, MICHAEL - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 WILLIAMS, RICHARD B - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 5601 DE SOTO AVE ENTRANCE 5 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER WILLIAMS, ROB - PT RESTOR PHYSICAL PHYSICAL THERAPY 17272 NEWHOPE ST STE G, FOUNTAIN (714) 754-7268 THERAPYMAIN VALLEY, CA 92708 WILLIAMS, ROB - PT RESTOR PHYSICAL THERAPY PHYSICAL THERAPY 351 HOSPITAL RD STE 007, NEWPORT (949) 525-9995 BEACH, CA 92663 WILLIAMS, TIMOTHY - DC WILLIAMS CHIROPRACTIC CHIROPRACTIC MEDICINE 9676 CAMPO RD STE B, SPRING (619) 465-9700 CLINIC VALLEY, CA 91977 WILLIAMS, VAN - PT WILLIAMS PHYSICAL THERAPY PHYSICAL THERAPY 1988 PARK MARINA DR, REDDING, CA (530) 241-1559 96001 WILLIAMS, VERNON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC NEUROLOGY 6801 PARK TERRACE STE 250, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 WILLIAMS, VERNON - MD (BCC) KERLAN - JOBE ORTHOPAEDIC PAIN MANAGEMENT 6801 PARK TERRACE STE 250, LOS (310) 665-7200 CLINIC ANGELES, CA 90045 WILLIAMS, WILLIAM B - MD KAISER PERMANENTE SANTA GENERAL SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 WILLIAMS, WILLIAM B - MD KAISER PERMANENTE SANTA SURGERY - HEAD AND NECK 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 WILLIAMSON HAHN PHYSICAL PHYSICAL THERAPY 1505 MERIDIAN AVE STE A, SAN JOSE, (408) 264-6643 THERAPY CA 95125-5353 WILLIAMSON, BRIAN - PT WILLIAMSON HAHN PHYSICAL PHYSICAL THERAPY 1505 MERIDIAN AVE STE A, SAN JOSE, (408) 264-6643 THERAPY CA 95125 WILLIAMSON, LENITA R - MD ORTHOPEDICS - ANKLE 2116 E ORANGEBURG AVE STE A , (209) 577-1411 (BCC) MODESTO, CA 95355 WILLIAN, JESSICA, ALYSON - SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 PT THERAPYTEMPLETON MAIN CA 93465 WILLIS, JEFFREY - DC JEFFREY WILLIS CHIROPRACTIC MEDICINE 24868 APPLE ST STE 101, SANTA (661) 290-2400 CHIROPRACTIC CORPORATION CLARITA, CA 91321

WILLOW CREEK PHARMACY PHARMACY 39050 HIGHWAY 299, WILLOW CREEK, (530) 629-3144 CA 95573 WILLOW ROCK CRISIS WILLOW ROCK CRISIS MENTAL HEALTH/PSYCHIATRIC 2050 FAIRMONT DR, SAN LEANDRO, CA (510) 895-5502 STABILIZATION UNIT (BCC) STABILIZATION UNIT HOSPITAL (INPATIENT) 94578 WILLOWS PHARMACY PHARMACY 226 N BUTTE ST, WILLOWS, CA 95988 (530) 934-7744 WILLSON, PATRICK - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 WILMINGTON COMMUNITY WILMINGTON COMMUNITY CHEMICAL DEPENDENCY 1318 N AVALON BLVD STE 1318A, (310) 549-2710 RECOVERY CENTER (BCC) RECOVERY CENTER REHABILITATION CENTER WILMINGTON, CA 90744 (OUTPATIENT) WILSHIRE CENTER FOR AMBULATORY SURGERY 1127 WILSHIRE BLVD STE 1515, LOS (213) 250-7243 AMBULATORY SURGERY INC CENTER ANGELES, CA 90017

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 749 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WILSHIRE GRAND PHARMACY PHARMACY 2974 WILSHIRE BLVD, LOS ANGELES, (213) 480-1300 CA 90010 WILSHIRE LA JOLLA PHARMACY 6360 WILSHIRE BLVD, LOS ANGELES, (323) 658-6611 PHARMACY CA 90048 WILSHIRE LE DOUX MEDICAL PHARMACY 8536 WILSHIRE BLVD STE 101, (310) 657-4090 PHCY BEVERLY HILLS, CA 90211 WILSHIRE MEDICAL PHARMACY 8920 WILSHIRE BLVD STE 108, (310) 657-0750 PHARMACY BEVERLY HILLS, CA 90211 WILSHIRE WESTGATE PHARMACY 11860 WILSHIRE BLVD, LOS ANGELES, (310) 477-8527 PHARMACY CA 90025 WILSON, AUNDREA N - MD CONCENTRA MEDICAL PRIMARY TREATING 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT PHYSICIAN OAKLAND, CA 94621 WILSON, AUNDREA N - MD CONCENTRA MEDICAL OCCUPATIONAL MEDICINE 333 HEGENBERGER RD STE 100, (510) 638-0701 CENTER - OAKLAND AIRPORT OAKLAND, CA 94621 WILSON, CHRISTINE - AUD ADVANCED HEARING AUDIOLOGY 3825 E THOUSAND OAKS BLVD STE O, (800) 598-5300 PROVIDERS LLC WESTLAKE VILLAGE, CA 91362 WILSON, ELANOR - AUD ADVANCED HEARING AUDIOLOGY 5000 CALIFORNIA AVE STE 280, (800) 598-5300 PROVIDERS LLC BAKERSFIELD, CA 93309 WILSON, ELEANOR - AUD ADVANCED HEARING AUDIOLOGY 695 TUCKER RD STE 103, TEHACHAPI, (800) 598-5300 PROVIDERS LLC CA 93561 WILSON, ERIC P - MD KAISER PERMANENTE SANTA ORTHOPEDIC SURGERY 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 WILSON, ERIC P - MD KAISER PERMANENTE SANTA ORTHOPEDICS 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 WILSON, ERIC P - MD KAISER PERMANENTE SANTA PRIMARY TREATING 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER PHYSICIAN 148 1ST FLR, SANTA CLARA, CA 95051 WILSON, ERIC P - MD KAISER PERMANENTE SANTA SPORTS MEDICINE 710 LAWRENCE EXPRESSWAY DEPT (408) 236-6160 CLARA MEDICAL CENTER 148 1ST FLR, SANTA CLARA, CA 95051 WILSON, JACK M - MD (BCC) RESTORATIVE WOUND INTERNAL MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED POWAY, CA 92064 GRP WILSON, JACK M - MD (BCC) RESTORATIVE WOUND EMERGENCY MEDICINE 15611 POMERADO RD STE 200 , (858) 613-6255 HEALING & HYPERBARIC MED POWAY, CA 92064 GRP WILSON, JEFFREY, DAVID - PT BODY WORKS PHYSICAL PHYSICAL THERAPY 4080 LOMA VISTA RD STE H, VENTURA, (805) 535-4400 THERAPY INC CA 93003 WILSON, LINDSAY - PT JBJC INC DBA PINE STREET PHYSICAL THERAPY 840 S FAIRMONT AVE STE 5, LODI, CA (209) 451-0063 PHYSICAL AND 95240 OCCUPATIONAL WILSON, MATTHEW - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 WILSON, MELISSA - AUD ADVANCED HEARING AUDIOLOGY 251 RHODE ISLAND ST , SAN (800) 598-5300 PROVIDERS LLC FRANCISCO, CA 94103 WILSON, MICHAEL - DC SYMMETRY HEALTH CHIROPRACTIC MEDICINE 4432 INGRAHAM ST, SAN DIEGO, CA (858) 270-2225 92109 WILSON, PATRICK - OT CALIFORNIA REHABILITATION OCCUPATIONAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 WILSON, PAUL J - OD (BCC) BEAR CREEK EYE CARE OPTOMETRY 36330 HIDDEN SPRINGS RD STE A , (951) 609-9099 OPTOMETRY WILDOMAR , CA 92595 WILSON, SANDRA C - MD (BCC) SANSUM CLINIC - PESETAS EMERGENCY MEDICINE 215 PESETAS LN, SANTA BARBARA, CA (805) 563-6110 URGENT CARE (SANTA 93110 BARBARA) WILSON, ZENUS J - MD CONCENTRA MEDICAL PRIMARY TREATING 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA PHYSICIAN CA 92123 WILSON, ZENUS J - MD CONCENTRA MEDICAL GENERAL PRACTICE 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 WILTON CARE PHARMACY PHARMACY 5660 HOLLYWOOD BLVD, LOS (323) 463-0800 ANGELES, CA 90028 WILTON PHARMACY PHARMACY 3511 W OLYMPIC BLVD, LOS ANGELES, (323) 731-0600 CA 90019 WILVERS, HUDSON - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 750 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WIN, CHIN, TA - LAC JOONG WON ACUPUNCTURE ACUPUNCTURE 18 ENDEAVOR STE 205, IRVINE, CA (949) 788-6688 HERBAL MEDICINE INC 92618 WINDSOR GARDENS SKILLED NURSING FACILITY 13000 VICTORY BLVD, NORTH (818) 985-5990 HEALTHCARE CENTER OF THE HOLLYWOOD, CA 91606 VALLEY WINNETKA PHARMACY PHARMACY 19944 VENTURA BLVD, WOODLAND (818) 854-6600 HILLS, CA 91364 WINNICK, SHAWN R - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER WINSTON, MARK - OD (BCC) OPTOMETRY 25834 THE OLD RD, STEVENSON (661) 259-3300 RANCH, CA 91381 WINSTON, MARK - OD (BCC) OPTOMETRY 9153 RESEDA BLVD, NORTHRIDGE, CA (818) 701-0123 91324 WINSTON, MICHAEL - MD (BCC) ANESTHESIOLOGY 18321 CLARK ST, TARZANA, CA 91356 (818) 708-5285 WINTER, TIMOTHY W - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 2900, (800) 679-4642 (BCC) LLUSM LOMA LINDA, CA 92354 WINTER, TIMOTHY W - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 11370 ANDERSON ST FMO STE 1800, (800) 679-4642 (BCC) LLUSM LOMA LINDA, CA 92354 WINTER, TIMOTHY W - MD OPHTHALMOLOGY DEPT FP&S OPHTHALMOLOGY 2195 CLUB CENTER DR STE A-L, SAN (800) 679-4642 (BCC) LLUSM BERNARDINO, CA 92408 WINTERS, REX J - MD HEARTSCAPE CARDIOVASCULAR DISEASE 10601 WALKER ST , CYPRESS, CA (714) 656-2141 CARDIOVASCULAR CENTER OF (CARDIOLOGY) 90630 ORANGE COUNTY WINTHER, ALICE - PHD PSYCHOLOGY 1008 W AVE M14 STE A, PALMDALE, CA (323) 258-8041 93551 WINTHER, ALICE - PHD PSYCHOLOGY 1430 TRUXTON AVE FL 5, BAKERSFIELD (323) 258-8041 , CA 93301 WINTHER, ALICE - PHD PSYCHOLOGY 643 S OLIVE ST STE 600, LOS ANGELES, (323) 258-8041 CA 90014 WINTHER, ALICE - PHD PSYCHOLOGY 9431 HAVEN AVE STE 100 , RANCHO (323) 258-8041 CUCAMONGA, CA 91730 WISDOM PHYSICAL THERAPY PHYSICAL THERAPY 301 N IMPERIAL AVE STE E, EL (760) 592-8148 INC. CENTRO, CA 92243-2338 WISE BUYS DRUGS PHARMACY 2 H ST, BAKERSFIELD, CA 93304 (661) 327-8444 WISE CARE PHARMACY PHARMACY 8980 KNOTT AVE, BUENA PARK, CA (323) 484-2953 90620 WITCHEY, KRISTEN - PT CV PHYSICAL THERAPY INC PHYSICAL THERAPY 1716 W HAMMER LN, STOCKTON, CA (209) 473-2383 STOCKTON MAIN 95209 WITCHEY, KRISTEN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 WITCZAK, JOHN - DO (BCC) HAND SURGERY 26921 CROWN VALLEY PKWY STE 201, (949) 348-2250 MISSION VIEJO, CA 92691 WITCZAK, JOHN - DO (BCC) ORTHOPEDICS - HAND 26921 CROWN VALLEY PKWY STE 201, (949) 348-2250 MISSION VIEJO, CA 92691 WITHEROW, SONIA - OT VASONA CREEK HEALTHCARE OCCUPATIONAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 WITRADO, ROLANDO - PT REBOUND PHYSICAL THERAPY PHYSICAL THERAPY 7206 N MILBURN AVE STE 102, (559) 271-3100 FRESNO, CA 93722 WITTER, BRET A - MD (BCC) LOS ALAMITOS CARDIOVASCULAR DISEASE 5300 KATELLA AVE , LOS ALAMITOS, CA (562) 446-2831 CARDIOVASCULAR (CARDIOLOGY) 90720 WITTIG, KRISTINA - MD (BCC) UROLOGY 23823 VALENCIA BLVD STE 250, SANTA (661) 799-1999 CLARITA, CA 91355 WITTIG, KRISTINA - MD (BCC) UROLOGY 44151 15TH ST W STE 101, LANCASTER, (661) 902-5600 CA 93534 WOHLSTADTER, THOMAS - DO ANESTHESIOLOGY 436 N BEDFORD DR STE 101, BEVERLY (310) 409-2300 (BCC) HILLS, CA 90210 WOHLSTADTER, THOMAS - DO ANESTHESIOLOGY 5651 SEPULVEDA BLVD STE 101, (848) 442-9696 (BCC) SHERMAN OAKS, CA 91411 WOHLSTADTER, THOMAS - DO ANESTHESIOLOGY 5901 W OLYMPIC BLVD STE 503, LOS (323) 934-8877 (BCC) ANGELES, CA 90036 WOHLSTADTER, THOMAS - DO ANESTHESIOLOGY 8670 WILSHIRE BLVD STE 300, (310) 275-1646 (BCC) BEVERLY HILLS, CA 90211

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 751 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WOLF, MAUREEN - PT INGLEWOOD PHYSICAL PHYSICAL THERAPY 133 N PRAIRIE AVE STE A, (310) 673-9861 THERAPY INGLEWOOD, CA 90301 WOLFE, CARRIE - PT LAGUNA PHYSICAL THERAPY PHYSICAL THERAPY 9563 LAGUNA SPRINGS DR, ELK (916) 691-9822 HAND REHABILITATION GROVE, CA 95758 WOLFE, CATHERINE - PT HAYASHIDA ASSOCIATES PHYSICAL THERAPY 319 ANACAPA ST, SANTA BARBARA, CA (805) 898-1907 PHYSICAL THERAPY INC 93101 WOLFE, JERRY - DC WOLFE JERRY H DC CHIROPRACTIC MEDICINE 9265 ACTIVITY RD STE 111, SAN DIEGO, (858) 578-5775 CA 92126 WOLFE, TINA - PSYD CONCENTRA MEDICAL PSYCHOLOGY 5575 RUFFIN RD STE 100, SAN DIEGO, (858) 277-2744 CENTER - KEARNY MESA CA 92123 WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 10620 TREENA ST STE 230, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92131 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 12707 HIGH BLUFF DR STE 200, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92130 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 1455 FRAZEE RD STE 220, SAN DIEGO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92108 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 2302 MERILL CENTER DR , EL CENTRO, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92243 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 2365 S MELROSE DR , VISTA, CA 92081 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 3156 VISTA WAY STE 100, OCEANSIDE, (800) 270-5016 BEHAVIORAL MEDICINE & CA 92056 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 333 H ST STE 500, CHULA VISTA , CA (800) 270-5016 BEHAVIORAL MEDICINE & 91910 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 4002 VISTA WAY, OCEANSIDE, CA 92056 (800) 270-5016 BEHAVIORAL MEDICINE & MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 500 LA TERRAZA BLVD STE 150, (800) 270-5016 BEHAVIORAL MEDICINE & ESCONDIDO, CA 92025 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 5885 BROCKTON AVE , RIVERSIDE, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92506 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 6221 METROPOLITAN ST STE 201, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92009 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 6250 EL CAMINO REAL, CARLSBAD, CA (800) 270-5016 BEHAVIORAL MEDICINE & 92009 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 701 PALOMAR AIRPORT RD STE 300, (800) 270-5016 BEHAVIORAL MEDICINE & CARLSBAD, CA 92011 MEDICAL PSYCHOLOGY INC WOLFE, TINA - PSYD (BCC) INSTITUTES OF HEALTH PSYCHOLOGY 9246 LIGHTWAVE AVE STE 120, SAN (800) 270-5016 BEHAVIORAL MEDICINE & DIEGO, CA 92123 MEDICAL PSYCHOLOGY INC WOLFE, VALERIE M - MD KAISER PERMANENTE HAND SURGERY 275 W MACARTHUR BLVD , OAKLAND, (510) 752-1244 OAKLAND MEDICAL CENTER CA 94611 WOLFE, VALERIE M - MD KAISER PERMANENTE ORTHOPEDICS 275 W MACARTHUR BLVD , OAKLAND, (510) 752-1244 OAKLAND MEDICAL CENTER CA 94611 WOLFF, BRADLEY - DC WOLFF BRADLEY DC CHIROPRACTIC MEDICINE 1900 E TAHQTZ CYN WAY STE C1, (760) 327-3330 PALM SPRINGS, CA 92262 WOLFINGER, CHRISTOPHER - REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 PT MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 752 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WOLFINGER, CHRISTOPHER - REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 PT MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY WOLFINGER, CHRISTOPHER - REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 PT MEDICINE PHYSICAL 92123 THERAPY WOLFSOHN, STEFANY - MD ANESTHESIOLOGY 2300 WANKEL WAY, OXNARD, CA 93030 (805) 485-1908 (BCC) WOLFSOHN, STEFANY - MD ANESTHESIOLOGY 261 MOBIL AVE, CAMARILLO, CA 93010 (805) 484-8552 (BCC) WOLFSON, DELLA - AUD ADVANCED HEARING AUDIOLOGY 2353 WESTWOOD BLVD , LOS (800) 598-5300 PROVIDERS LLC ANGELES, CA 90064 WOLK, BRIAN J - MD (BCC) OCCUPATIONAL MEDICINE MEDICAL TOXICOLOGY 328 COMMERCIAL RD STE 101, SAN (800) 679-4642 CENTER - LLUHC BERNARDINO, CA 92408 WOLK, PETER J - MD (BCC) NORTHSTATE CARDIOLOGY CARDIOVASCULAR DISEASE 2860 OLIVE HWY STE B , OROVILLE, CA (530) 534-6517 CONSULTANTS (CARDIOLOGY) 95966 WOLLASTON, MATTHEW - PT SYNERGY HEALTH CENTER PHYSICAL THERAPY 3128 SANTA RITA RD, PLEASANTON, CA (925) 350-4742 URGENT CARE 94566 WOLLUM, DEBORAH - DC DRDEBORAH W WOLLUM DC CHIROPRACTIC MEDICINE 3200 E LOS ANGELES AVE STE 28, SIMI (805) 520-2780 VALLEY, CA 93065 WOLPERT, DEBBIE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 WOLPERT, ERIK - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 25830 MCBEAN PKWY, VALENCIA, CA (661) 259-2621 91355 WOLPERT, ERIK - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 WOLPERT, ERIK - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 WOMEN S TREATMENT WOMEN S TREATMENT CHEMICAL DEPENDENCY 844 PICO BLVD, SANTA MONICA, CA (310) 314-6200 PROGRAM (BCC) PROGRAM REHABILITATION HOSPITAL 90405 (INPATIENT) WON, JONGHOUN - LAC WOOREE ALTERNATIVE ACUPUNCTURE 2660 W WOODLAND DR STE 130, (714) 828-2345 MEDICAL GROUP ANAHEIM, CA 92801 WON, LAWRENCE A - MD KAISER PERMANENTE SAN ANESTHESIOLOGY 250 HOSPITAL PARKWAY , SAN JOSE, (408) 972-6800 JOSE MEDICAL CENTER CA 95119 WONG, ALAN - MD (BCC) ANESTHESIOLOGY 501 S BUENA VISTA ST, BURBANK, CA (818) 843-5111 91505 WONG, ALISON - MD KAISER PERMANENTE LA OPHTHALMOLOGY 5 CENTERPOINTE DR , LA PALMA, CA (714) 830-6660 PALMA MEDICAL OFFICES 90623 WONG, ALLAN - LAC ANGELICA KUO DC ACUPUNCTURE 330 S GARFIELD AVE STE 208, (626) 869-9468 ALHAMBRA, CA 91801 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS , CA 92374 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - ELBOW 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS , CA 92374 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS , CA 92374 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS HAND SURGERY 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 240, (909) 557-1600 ELBOW REDLANDS , CA 92374 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 240, (909) 557-1600 SHOULDER REDLANDS , CA 92374 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 240, (909) 557-1600 WRIST REDLANDS , CA 92374 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HAND 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS , CA 92374 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS , CA 92374

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 753 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - WRIST 1901 W LUGONIA AVE STE 240, (909) 557-1600 REDLANDS , CA 92374 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PKWY STE 200, (951) 977-2500 ELBOW RIVERSIDE, CA 92505 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PKWY STE 200, (951) 977-2500 SHOULDER RIVERSIDE, CA 92505 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 4234 RIVERWALK PKWY STE 200, (951) 977-2500 WRIST RIVERSIDE, CA 92505 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HAND 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - SHOULDER 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 WONG, ANDREW S - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - WRIST 4234 RIVERWALK PKWY STE 200, (951) 977-2500 RIVERSIDE, CA 92505 WONG, BRANDON - PT KULAGY PHYSICAL THERAPY PHYSICAL THERAPY 12655 W JEFFERSON BLVD, LOS (424) 285-0443 MAIN ACCOUNT ANGELES, CA 90066 WONG, BRIAN - PT STATE OF THE ART PHYSICAL PHYSICAL THERAPY 2492 WALNUT AVE STE 140, TUSTIN, CA (714) 544-2188 THERAPY 92780 WONG, DIANA - OTA SAN DIEGO POSTACUTE OCCUPATIONAL THERAPY 1201 S ORANGE AVE, EL CAJON, CA (619) 441-1988 CENTER 92020 WONG, EDMOND Y - MD CONCENTRA MEDICAL PRIMARY TREATING 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA PHYSICIAN 90248 WONG, EDMOND Y - MD CONCENTRA MEDICAL FAMILY MEDICINE 16630 S BROADWAY ST , GARDENA, CA (310) 768-8155 CENTER - GARDENA 90248 WONG, ELISA - LAC OHANA ACUPUNCTURE AND ACUPUNCTURE 120 W OLIVE AVE, MONROVIA, CA 91016 (626) 290-7999 HERBS WONG, JEANNIE - LAC JEANNIE WONG MARTIN ACUPUNCTURE 2513 COLORADO BLVD, LOS ANGELES, (818) 577-3925 CHIROPRACTIC CA 90041 WONG, JEANNIE - LAC WUXIA INTEGRATIVE ACUPUNCTURE 2595 E WASHINGTON BLVD STE 108, (626) 639-3887 MEDICINE PASADENA, CA 91107 WONG, JOHN - MD KAISER PERMANENTE OPHTHALMOLOGY 5601 DE SOTO AVE ENTRANCE 5 2ND (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER WONG, KEE P - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO SHOULDER WONG, KEE P - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO WONG, KELVIN - PT PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY 327 MAIN ST, EL SEGUNDO, CA 90245 (310) 725-8505 WONG, KEVIN - DC ORINDA CHIROPRACTIC CHIROPRACTIC MEDICINE 89 MORAGA WAY STE A, ORINDA, CA (925) 254-4040 CENTER 94563 WONG, MABEL - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 WONG, MATTHEW - PT EXPRESS CARE MEDICAL PHYSICAL THERAPY 8930 S SEPULVEDA BLVD STE 200, LOS (310) 641-8111 CLINIC ANGELES, CA 90045 WONG, MELANIE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 2180 W GRANT LINE RD, TRACY, CA (925) 463-0470 SPECIALISTS 95377 WONG, MELANIE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 4626 WILLOW RD STE 200, (925) 463-0470 SPECIALISTS PLEASANTON, CA 94588 WONG, MELANIE - PT TRIVALLEY ORTHOPEDIC PHYSICAL THERAPY 5601 NORRIS CANYON RD, SAN (925) 463-0470 SPECIALISTS RAMON, CA 94583 WONG, PATRICK L - MD CONCENTRA MEDICAL PHYSICAL MEDICINE AND 190 LEAVESLEY RD STE 102, GILROY, (408) 848-0444 CENTER - GILROY REHABILITATION CA 95020 WONG, RACHEL - PT BROCKTON PHYSICAL PHYSICAL THERAPY 3908 10TH ST, RIVERSIDE, CA 92501 (951) 274-7744 THERAPY WONG, SUEANNA - PT PENINSULA SPORTS MEDICINE PHYSICAL THERAPY 2945 JUNIPERO SERRA BLVD, DALY (650) 784-1349 AND REHAB CENTER CITY, CA 94014 WONG, YU-TUNG - MD (BCC) CEDARS-SINAI OTOLARYNGOLOGY (ENT) 8635 W 3RD ST STE 590W, LOS (310) 423-1220 OTOLARYNGOLOGY ANGELES, CA 90048 WONGWORAWAT, MONTRI D - LOMA LINDA UNIVERSITY HAND SURGERY 25455 BARTON RD STE 102B, LOMA (800) 679-4642 MD (BCC) HEALTH CENTER LINDA , CA 92354 WONGWORAWAT, MONTRI D - LOMA LINDA UNIVERSITY HAND SURGERY 25455 BARTON RD STE 102B, LOMA (800) 679-4642 MD (BCC) HEALTH CENTER LINDA , CA 92354

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 754 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WONNELL, LAURIE - DC LAURIE WONNELL DC CHIROPRACTIC MEDICINE 3800 PIEDMONT AVE, OAKLAND, CA (510) 655-6336 94611 WOO, ANDRE - OT DYNAMX PHYSICAL THERAPY OCCUPATIONAL THERAPY 2010 HUNTINGTON DR STE C, SAN (626) 234-2253 MAIN ACCOUNT MARINO, CA 91108 WOO, ANDRE - OT DYNAMX PHYSICAL THERAPY OCCUPATIONAL THERAPY 5901 W OLYMPIC BLVD STE 407, LOS (323) 917-5194 ANGELES, CA 90036 WOO, BRYAN - PT SAN LUIS PHYSICAL PHYSICAL THERAPY 350 POSADA LN STE 103, TEMPLETON, (805) 434-2050 THERAPYTEMPLETON MAIN CA 93465 WOOD III, DAVID L - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - UPPER 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 EXTREMITIES REDLANDS, CA 92374 WOOD III, DAVID L - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - LOWER 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 EXTREMITIES REDLANDS, CA 92374 WOOD III, DAVID L - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDICS - HIP 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 WOOD III, DAVID L - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 UPPER EXTREMITIES REDLANDS, CA 92374 WOOD III, DAVID L - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 LOWER EXTREMITIES REDLANDS, CA 92374 WOOD III, DAVID L - MD (BCC) ARROWHEAD ORTHOPAEDICS ORTHOPEDIC SURGERY - HIP 1901 W LUGONIA AVE STE 120, 210, 310, (909) 557-1600 REDLANDS, CA 92374 WOOD RANCH PHCY AND PHARMACY 1464 MADERA RD STE I-2, SIMI VALLEY, (805) 426-9500 COMPOUND CA 93065 WOOD, DAVID L - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE WOOD, DAVID L - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE LOWER EXTREMITIES WOOD, DAVID L - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE UPPER EXTREMITIES WOOD, DAVID L - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE WOOD, DAVID L - MD CONCENTRA MEDICAL ORTHOPEDICS - LOWER 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE EXTREMITIES WOOD, DAVID L - MD CONCENTRA MEDICAL ORTHOPEDICS - UPPER 2362 MORSE AVE , IRVINE, CA 92614 (949) 863-9103 CENTER - MORSE EXTREMITIES WOOD, JEFFREY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 1955 CITRACADO PKWY STE 201, (760) 294-6100 MEDICINE PHYSICAL ESCONDIDO, CA 92029 THERAPY WOOD, JEFFREY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3323 CARMEL MOUNTAIN RD STE 200, (858) 720-0991 MEDICINE PHYSICAL SAN DIEGO, CA 92121 THERAPY WOOD, JEFFREY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 3959 RUFFIN RD STE J, SAN DIEGO, CA (858) 279-5570 MEDICINE PHYSICAL 92123 THERAPY WOOD, JEFFREY - PT REHAB UNITED SPORTS PHYSICAL THERAPY 8881 FLETCHER PKWY STE 385, LA (619) 460-0137 MEDICINE PHYSICAL MESA, CA 91942 THERAPY WOOD, KENNETH - AUD ADVANCED HEARING AUDIOLOGY 572 RIO LINDO AVE STE 190, CHICO, (800) 598-5300 PROVIDERS LLC CA 95926 WOOD, LISA - AUD ADVANCED HEARING AUDIOLOGY 415 EAST CITRUS AVENUE, REDLANDS, (800) 598-5300 PROVIDERS LLC CA 92373 WOOD, RON - DC WOOD FAMILY CHIROPRACTIC CHIROPRACTIC MEDICINE 1901 N GLENOAKS BLVD STE A, (818) 557-1337 BURBANK, CA 91504 WOOD, THOMAS F - MD KAISER PERMANENTE GENERAL SURGERY 5601 DE SOTO AVE ENTRANCE 4 5TH (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER WOODHOUSE, EMMA S - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 WOODHOUSE, EMMA S - MD KAISER PERMANENTE ORTHOPEDICS 615 W AVENUE L , LANCASTER, CA (661) 726-2262 LANCASTER MEDICAL OFFICES 93534 WOODHOUSE, LOUELLA, BLUE LOTUS CENTER FOR ACUPUNCTURE 3320 3RD AVE STE B, SAN DIEGO, CA (619) 293-3094 SUSAN - LAC HEALTH 92103 WOODLAND CLINIC (BCC) WOODLAND CLINIC URGENT CARE FACILITY 2081 BRONZE STAR DR, WOODLAND, (530) 668-2660 CA 95776

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 755 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WOODLAND HILLS PHARMACY PHARMACY 20631 VENTURA BLVD STE 305, (855) 876-3060 WOODLAND HILLS, CA 91364 WOODLAND HILLS PHYSICAL PHYSICAL THERAPY 22151 CLARENDON ST, WOODLAND (818) 884-4810 THERAPY HILLS, CA 91367 WOODLAND HILLS RX PHARMACY 20011 VENTURA BLVD, WOODLAND (818) 564-4939 PHARMACY HILLS, CA 91364 WOODLAND MEMORIAL WOODLAND MEMORIAL ACUTE CARE HOSPITAL 1325 COTTONWOOD ST, WOODLAND, (855) 496-8573 HOSPITAL (BCC) HOSPITAL CA 95695 WOODS, OLIVIA - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 7900 DISTRICT BLVD UNIT A, (661) 377-1700 BAKERSFIELD, CA 93313 WOODSON, CHRISTOPHER J - HAND AND ORTHOPEDICS ORTHOPEDICS - LOWER 8555 FLORENCE AVE , DOWNEY, CA (562) 923-9351 MD (BCC) CENTER OF SOUTHERN EXTREMITIES 90240 CALIFORNIA WOODSON, CHRISTOPHER J - HAND AND ORTHOPEDICS ORTHOPEDICS - UPPER 8555 FLORENCE AVE , DOWNEY, CA (562) 923-9351 MD (BCC) CENTER OF SOUTHERN EXTREMITIES 90240 CALIFORNIA WOODWARD, KATE - PT EGGLETON LANGTON PHYSICAL THERAPY 2650 CAM DEL RIO N STE 200, SAN (619) 295-3000 PHYSICAL THERAPY DIEGO, CA 92108 MANAGEMENT SERVICES WOODWORTH, DANIELLE - OT MANUAL ORTHOPEDIC OCCUPATIONAL THERAPY 885 CANARIOS CT STE 110, CHULA (619) 656-5102 PHYSICAL THERAPY INC VISTA, CA 91910 WOODWORTH, PAUL H - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 WOOLLEY, CLAYTON - LAC CARLSBAD ACUPUNCTURE ACUPUNCTURE 2558 ROOSEVELT ST 203, CARLSBAD, (760) 331-3644 CA 92008 WOORI PHARMACY PHARMACY 266 S HARVARD BLVD STE 120, LOS (213) 384-6323 ANGELES, CA 90004 WORK PARTNERS WORK PARTNERS URGENT CARE FACILITY 3156 VISTA WAY STE 100, OCEANSIDE, (760) 681-5222 OCCUPATIONAL HEALTH OCCUPATIONAL HEALTH CA 92056 SPECIALISTS (BCC) SPECIALISTS WORKWELL MEDICAL GROUP WORKWELL MEDICAL GROUP URGENT CARE FACILITY 809 BROADWAY ST STE D, KING CITY, (831) 422-3701 (BCC) CA 93930 WORKWELL MEDICAL GROUP WORKWELL MEDICAL GROUP URGENT CARE FACILITY 831 S MAIN ST, SALINAS, CA 93901 (831) 422-3701 (BCC) WORKWELL MEDICAL GROUP WORKWELL MEDICAL GROUP URGENT CARE FACILITY 846 FREEDOM BLVD, WATSONVILLE, (831) 761-7225 (BCC) CA 95076 WORLD GYM PALM PT PHYSICAL THERAPY 72840 HIGHWAY 111, PALM DESERT, CA (760) 610-7558 92260 WORTHAM, DANIELLE - PT RJ PHYSICAL THERAPY PHYSICAL THERAPY 501 E HARDY ST STE 160, INGLEWOOD, (310) 412-0100 GROUP CA 90301 WORTHY, BRYAN - DC HEALTHWORTHY CHIROPRACTIC MEDICINE 2867 GROVE WAY, CASTRO VALLEY, CA (510) 278-4288 CHIROPRACTIC SERVICES 94546 WRAY, CHRISTOPHER - MD ANESTHESIOLOGY 757 WESTWOOD PLZ STE 3325, LOS (310) 267-8678 (BCC) ANGELES, CA 90095 WRESCH, KEITH R - MD CONCENTRA MEDICAL OBSTETRICS AND 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO GYNECOLOGY SAN BERNARDINO, CA 92408 WRIGHT, DON - DC THE PHYSICAL THERAPY CHIROPRACTIC MEDICINE 12813 VICTORY BLVD, NORTH (818) 623-8100 ACUPUNCTURE REHAB HOLLYWOOD, CA 91606 CENTER WRIGHT, DON - DC THE PHYSICAL THERAPY CHIROPRACTIC MEDICINE 4418 VINELAND AVE STE 220, TOLUCA (818) 623-8100 ACUPUNCTURE REHAB LAKE, CA 91602 CENTER MAIN ACCOUNT WRIGHT, KAREN - LAC PROACTIVEACUPUNCTURE ACUPUNCTURE 151 N SUNRISE AVE STE 1308, (916) 755-4950 INC ROSEVILLE, CA 95661 WRIGHT, KAREN, L - LAC PRO ACTIVE ACUPUNCTURE 151 N SUNRISE STE 1308, ROSEVILLE, (916) 755-4930 ACUPUNCTUREBRADLEY CA 95661 CIMINO WRIGHT, MITCH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 7900 DISTRICT BLVD UNIT A, (661) 616-9150 BAKERSFIELD, CA 93313 WRIGHT, MONICA - LMT PEOPLE'S INTEGRATIVE MASSAGE THERAPIST 4170 GROSS RD EXT STE 6, CAPITOLA, (831) 464-1605 MEDICINE CA 95010 WSPT NETWORK PHYSICAL THERAPY 12062 VALLEY VIEW ST STE 200, (951) 929-9891 GARDEN GROVE, CA 92845-1739

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 756 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WSPT NETWORK PHYSICAL THERAPY 12115 PARAMOUNT BLVD, DOWNEY, CA (951) 929-9913 90242 WSPT NETWORK PHYSICAL THERAPY 12351 HAWTHORNE BLVD SUITE C, (951) 929-9909 HAWTHORNE, CA 90250 WSPT NETWORK PHYSICAL THERAPY 13890 PALMDALE ROAD, VICTORVILLE, (951) 929-9896 CA 92392 WSPT NETWORK PHYSICAL THERAPY 155 W HOSPTY LN STE 100, SAN (951) 929-9906 BERNARDINO, CA 92408-3317 WSPT NETWORK PHYSICAL THERAPY 155 W HOSPTY LN STE 105, SAN (951) 929-9908 BERNARDINO, CA 92408-3317 WSPT NETWORK PHYSICAL THERAPY 15775 LAGUNA CANYON ROAD SUITE (714) 827-4822 110, IRVINE, CA 92618 WSPT NETWORK PHYSICAL THERAPY 1620 E. 2ND ST, BEAUMONT, CA 92223 (951) 929-9900 WSPT NETWORK PHYSICAL THERAPY 1850 PALMDALE BLVD, PALMDALE, CA (951) 929-9907 91203 WSPT NETWORK PHYSICAL THERAPY 18531 ROSCOE BLVD SUITE 215A, (951) 929-9910 NORTHRIDGE, CA 91324 WSPT NETWORK PHYSICAL THERAPY 23734 VALENCIA BLVD SUITE 201, (951) 929-9895 VALENCIA, CA 91355 WSPT NETWORK PHYSICAL THERAPY 275 W SAN BERNARDINO RD, COVINA, (951) 929-9899 CA 91723 WSPT NETWORK PHYSICAL THERAPY 2865 ATLANTIC AVE STE 117, LONG (562) 424-3090 BEACH, CA 90806 WSPT NETWORK PHYSICAL THERAPY 2897 W OLYM BLVD STE 202, LOS (909) 890-1888 ANGELES, CA 90006-2639 WSPT NETWORK PHYSICAL THERAPY 2897 W OLYMPIC BLVD SUITE 202, LOS (951) 929-9893 ANGELES, CA 90813 WSPT NETWORK PHYSICAL THERAPY 300 W OLYMPIC BLVD, LOS ANGELES, (951) 929-9894 CA 90015 WSPT NETWORK PHYSICAL THERAPY 3200 4TH AVE STE 100, SAN DIEGO, CA (951) 929-9892 92103-5716 WSPT NETWORK PHYSICAL THERAPY 323 N PRAIRE SUITE 237, INGLEWOOD, (951) 929-9901 CA 90301 WSPT NETWORK PHYSICAL THERAPY 3547 CAM DEL RIO S STE C, SAN (909) 882-9822 DIEGO, CA 92108-4024 WSPT NETWORK PHYSICAL THERAPY 3939 ATLANTIC AVE, LONG BEACH, CA (562) 424-3090 90807-3536 WSPT NETWORK PHYSICAL THERAPY 40976 CALIFORNIA OAKS RD, (951) 929-9904 MURRIETA, CA 92562 WSPT NETWORK PHYSICAL THERAPY 411 NORTH CENTERAL AVE SUITE 610, (951) 929-9898 GLENDALE, CA 91203 WSPT NETWORK PHYSICAL THERAPY 500 N ORANGE STREET, REDLANDS, (714) 827-4822 CA 92374 WSPT NETWORK PHYSICAL THERAPY 6276 RIVER CREST DRIVE, RIVERSIDE, (951) 929-9911 CA 92507 WSPT NETWORK PHYSICAL THERAPY 6801 LONG BEACH BLVD, LONG BEACH, (562) 424-3090 CA 90805 WSPT NETWORK PHYSICAL THERAPY 6841 MAGNOLIA AVE, RIVERSIDE, CA (951) 929-9911 92506 WSPT NETWORK PHYSICAL THERAPY 8134 VAN NUYS BLVD SUITE 100, (951) 929-9902 PANORAMA CITY, CA 91402 WSPT NETWORK PHYSICAL THERAPY 8215 VAN NUYS BLVD SUITE 212, (951) 929-9912 BEVERLY HILLS, CA 90211 WSPT NETWORK PHYSICAL THERAPY 9001 WILSHIRE BLVD SUITE 102, (951) 929-9897 BEVERLY HILLS, CA 90211 WSPT NETWORK PHYSICAL THERAPY 9048 SLAUSON AVE, PICO RIVERA, CA (951) 929-9903 90660 WSPT NETWORK PHYSICAL THERAPY 920 W ALAMEDA AVE, BURBANK, CA (951) 929-9910 91506-2802 WSPT NETWORK PHYSICAL THERAPY 9240 GARDEN GROVE BLVD SUITE 2, (951) 929-9905 GARDEN GROVE, CA 92843 WU, HUIMIN - PT DYNAMIX REHABILITATION PHYSICAL THERAPY 17042 BELLFLOWER BLVD, (562) 991-1324 BELLFLOWER, CA 90706

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 757 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone WU, HUIMIN - PT DYNAMIX REHABILITATION PHYSICAL THERAPY 7320 FIRESTONE BLVD STE 105, (562) 927-5820 DOWNEY, CA 90241 WU, JONATHAN A - MD KAISER PERMANENTE IRVINE UROLOGY 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 WU, MING, HUA - LAC ONENESS ACUPUNCTURE ACUPUNCTURE 350 VINTON AVE STE 102, POMONA, CA (909) 620-0101 HEALTHY GROUP 91767 WU, SHOU - LAC HEATHY STAR ACUPUNCTURE ACUPUNCTURE 11975 CARMEL MTN RD STE 604, SAN (858) 451-6565 CENTER DIEGO, CA 92128 WU, STEPHANIE - LAC STEPHANIE WU ACUPUNCTURE 2146 B SUTTER ST, SAN FRANCISCO, (650) 491-9399 ACUPUNCTURE CA 94115 WU, STEPHANIE - LAC STEPHANIE WU ACUPUNCTURE 3400 CALIFORNIA ST STE 100, SAN (650) 491-9399 ACUPUNCTURE FRANCISCO, CA 94118 WU, STEPHANIE - LAC STEPHANIE WU ACUPUNCTURE 605 MARKET ST SUITE 1250, SAN (650) 491-9399 ACUPUNCTURE FRANCISCO, CA 94105 WU, YIPING - MD (BCC) ANESTHESIOLOGY 1115 S SUNSET AVE, WEST COVINA, CA (626) 962-4011 91790 WU, ZHAO - LAC NORALAHI MEDICAL CLINIC ACUPUNCTURE 14000 E 14TH ST, SAN LEANDRO, CA (510) 351-4400 INC 94578 WYNNSON, TOM - MD ORANGE COAST ANESTHESIA, ANESTHESIOLOGY 2617 E CHAPMAN AVE, ORANGE, CA (714) 288-8051 INC 92869 XIA, JING - LAC CHINESE WEST MEDICAL ACUPUNCTURE 1028 2ND ST, SACRAMENTO, CA 95814 (916) 930-0808 CENTER XIAO, JIN - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 18600 S FIGUEROA ST STE 120, (310) 527-5600 JOB SOUTH BAY MEDICAL GARDENA, CA 90248 OFFICES XIAO, JIN - MD KAISER PERMANENTE ON THE PRIMARY TREATING 18600 S FIGUEROA ST STE 120, (310) 527-5600 JOB SOUTH BAY MEDICAL PHYSICIAN GARDENA, CA 90248 OFFICES XIAO, YIJAO - LMT JINGYU LIU MASSAGE THERAPIST 5151 LONE TREE WAY, ANTIOCH, CA (925) 698-9770 94531 XIE, HUI - LAC KANG FU ACUPUNCTURE ACUPUNCTURE 1615 N BROADWAY, WALNUT CREEK, (925) 930-5639 HERBAL CENTER CA 94596 XIE, ZHANG - LAC ALL WELLNESS NOW ACUPUNCTURE 2020 S HACIENDA BLVD STE L, (951) 371-8888 ACUPUNCTURE HACIENDA HEIGHTS, CA 91745 XIE, ZHIHONG - LAC ZHIHONG ACUPUNCTURE ACUPUNCTURE 400 RAMONA AVE STE 115, CORONA, (951) 340-0440 CLINIC CA 92879 XIN, BAO, YU - LAC XIN'S ACUPUNCTURE AND ACUPUNCTURE 15525 POMERADO RD STE E4, POWAY, (619) 272-1281 WELLNESS CA 92064 XU, HELEN X - MD - (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 28078 BAXTER RD STE 520, MURRIETA , (800) 679-4642 HEALTH CARE - HEAD & NECK CA 92563 SURGERY FP&S XU, HELEN X - MD - (BCC) LOMA LINDA UNIVERSITY SURGERY - HEAD AND NECK 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - HEAD & NECK LINDA, CA 92354 SURGERY FP&S XU, MING - LAC ALEJANDRO J KATZ ACU DBA ACUPUNCTURE 1414 S AZUSA AVE, WEST COVINA, CA (213) 387-4710 PAIN MANAGEMENT CENTER 91791 XU, MINYA - LAC GUAN MEDICAL CENTER ACUPUNCTURE 3460 OCEAN VIEW BLVD STE A, (818) 957-2289 GLENDALE, CA 91208 XU, SHIRLEY X - MD CONCENTRA MEDICAL PRIMARY TREATING 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD PHYSICIAN OXNARD, CA 93030 XU, SHIRLEY X - MD CONCENTRA MEDICAL FAMILY MEDICINE 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 XUE, JINGJIE - MD ANESTHESIOLOGY 18575 GALE AVE STE 198, CITY OF (626) 965-3880 INDUSTRY, CA 91748 YABUMOTO, KEITH N - MD CEDARS SINAI CARDIOLOGY - CARDIOVASCULAR DISEASE 390 N PACIFIC COAST HIGHWAY STE (310) 673-3945 (BCC) EL SEGUNDO (CARDIOLOGY) 1055, EL SEGUNDO , CA 90245 YACOUB, NORMA S - PSYD CONCENTRA MEDICAL PSYCHOLOGY 15302 EL PRADO RD , CHINO, CA 91710 (909) 393-7222 CENTER - CHINO YACOUB, NORMA S - PSYD CONCENTRA MEDICAL PSYCHOLOGY 17487 E HURLEY ST, CITY OF (626) 965-0959 CENTER - CITY OF INDUSTRY INDUSTRY, CA 91744 YACOUB, NORMA S - PSYD CONCENTRA MEDICAL PSYCHOLOGY 16300 ROSCOE BLVD STE 1A, VAN (818) 893-4426 CENTER - VAN NUYS NUYS , CA 91406

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 758 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YACOUB, NORMA S - PSYD CONCENTRA MEDICAL PSYCHOLOGY 1045 NORTH TUSTIN AVE, ORANGE, CA (714) 288-8303 CENTER - ORANGE 92867 YACOUBIAN, SHAHAN - MD ORTHOPEDIC SURGERY - HIP 2625 WEST ALAMEDA AVE STE 116, (818) 841-3936 BURBANK, CA 91505 YACOUBIAN, SHAHAN - MD ORTHOPEDIC SURGERY - 2625 WEST ALAMEDA AVE STE 116, (818) 841-3936 KNEE BURBANK, CA 91505 YACOUBIAN, SHAHAN - MD ORTHOPEDIC SURGERY - 2625 WEST ALAMEDA AVE STE 116, (818) 841-3936 LOWER EXTREMITIES BURBANK, CA 91505 YACOUBIAN, SHAHAN - MD ORTHOPEDIC SURGERY - 2625 WEST ALAMEDA AVE STE 116, (818) 841-3936 UPPER EXTREMITIES BURBANK, CA 91505 YACOUBIAN, SHAHAN - MD ORTHOPEDICS - HIP 2625 WEST ALAMEDA AVE STE 116, (818) 841-3936 BURBANK, CA 91505 YACOUBIAN, SHAHAN - MD ORTHOPEDICS - KNEE 2625 WEST ALAMEDA AVE STE 116, (818) 841-3936 BURBANK, CA 91505 YACOUBIAN, SHAHAN - MD ORTHOPEDICS - LOWER 2625 WEST ALAMEDA AVE STE 116, (818) 841-3936 EXTREMITIES BURBANK, CA 91505 YACOUBIAN, SHAHAN - MD ORTHOPEDICS - UPPER 2625 WEST ALAMEDA AVE STE 116, (818) 841-3936 EXTREMITIES BURBANK, CA 91505 YACOUBIAN, STEPHAN - MD ORTHOPEDIC SURGERY - HIP 2625 W ALAMEDA AVE STE 116, (818) 841-3936 (BCC) BURBANK, CA 91505 YACOUBIAN, STEPHAN - MD ORTHOPEDIC SURGERY - 2625 W ALAMEDA AVE STE 116, (818) 841-3936 (BCC) KNEE BURBANK, CA 91505 YACOUBIAN, STEPHAN - MD ORTHOPEDIC SURGERY - 2625 W ALAMEDA AVE STE 116, (818) 841-3936 (BCC) LOWER EXTREMITIES BURBANK, CA 91505 YACOUBIAN, STEPHAN - MD ORTHOPEDIC SURGERY - 2625 W ALAMEDA AVE STE 116, (818) 841-3936 (BCC) UPPER EXTREMITIES BURBANK, CA 91505 YACOUBIAN, STEPHAN - MD ORTHOPEDICS - HIP 2625 W ALAMEDA AVE STE 116, (818) 841-3936 (BCC) BURBANK, CA 91505 YACOUBIAN, STEPHAN - MD ORTHOPEDICS - KNEE 2625 W ALAMEDA AVE STE 116, (818) 841-3936 (BCC) BURBANK, CA 91505 YACOUBIAN, STEPHAN - MD ORTHOPEDICS - LOWER 2625 W ALAMEDA AVE STE 116, (818) 841-3936 (BCC) EXTREMITIES BURBANK, CA 91505 YACOUBIAN, STEPHAN - MD ORTHOPEDICS - UPPER 2625 W ALAMEDA AVE STE 116, (818) 841-3936 (BCC) EXTREMITIES BURBANK, CA 91505 YAGHOOBIAN, ARASH - MD PROACTIVE WORKS HEALTH ORTHOPEDICS - SPINE 39251 10TH ST W, PALMDALE, CA 93551 (661) 274-2000 (BCC) MEDICAL CENTER YAGHOOBIAN, ARASH - MD PROACTIVE WORKS HEALTH SPINE SURGERY 39251 10TH ST W, PALMDALE, CA 93551 (661) 274-2000 (BCC) MEDICAL CENTER YAMADA, RYAN - PT ELITE REHABILITATION PHYSICAL THERAPY 5152 HOLLISTR AV, SANTA BARBARA, (805) 681-9108 CENTER INC CA 93111 YAMAMOTO, KAYOKO - LAC REVIVE ACUPUNCTURE INC ACUPUNCTURE 43353 MISSION BLVD STE B, FREMONT, (510) 438-0128 CA 94539 YAMAUCHI, DAVE - MD (BCC) NUCLEAR MEDICINE 1500 E DUARTE RD, DUARTE, CA 91010 (626) 256-4673 YAMAZAKI, KAZUO - MD BIO-PATH MEDICAL GROUP PATHOLOGY 17150 NEWHOPE ST SUITE 117, (714) 433-1330 FOUNTAIN VALLEY, CA 92708 YAMIN, NADER - MD KAISER PERMANENTE IRVINE GENERAL SURGERY 6670 ALTON PKWY BUILDING 1, IRVINE, (714) 644-6450 MEDICAL CENTER CA 92618 YAMINI, SYAMAK - DPM (BCC) PODIATRY 16030 VENTURA BLDV STE 140, (818) 527-5885 ENCINO, CA 91436 YAMINI, SYAMAK - DPM (BCC) PODIATRY 1700 WESTWIND BLVD , LOS ANGELES , (818) 659-6594 CA 90024 YAMINI, SYAMAK - DPM (BCC) PODIATRY 19950 RINALDI ST STE 101D, PORTER (818) 659-6042 RANCH , CA 91326 YAN YAN PHARMACY PHARMACY 228 N GARFIELD AVE STE 101, (626) 572-7261 MONTEREY PARK, CA 91754 YAN, YU - LAC REAL HEALTH ACUPUNCTURE ACUPUNCTURE 5385 WALNUT AVE STE 7, CHINO, CA (909) 628-5880 AND HERBS 91710 YANEZ, PAULINO - MD KAISER PERMANENTE NEUROLOGICAL SURGERY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER YANG, ASHLEY - LAC BLESSED ORTHOPEDIC ACUPUNCTURE 3916 SEPULVEDA BLVD STE 204, (310) 945-5705 PHYSICAL THERAPY INC CULVER CITY, CA 90230 YANG, CHANG, QUING - LAC ACUFATHER ACUPUNCTURE 12340 SANTA MONICA BLVD STE 251, (310) 699-1028 LOS ANGELES, CA 90025

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 759 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YANG, CHEONG, HO - LAC ACUPUNCTURE PLUS ACUPUNCTURE 6727 CARNELIAN ST, RANCHO (909) 948-2100 CUCAMONGA, CA 91701 YANG, DALSEUNG - ATC JINGACHIM ORANGEWELL ATHLETIC TRAINER 11422 OLD RVR SCH RD, DOWNEY, CA (562) 928-8969 ACUPUNCTURE CLINIC 90241 YANG, DANIEL - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 8800 STOCKDALE HWY STE 150, (661) 377-1700 BAKERSFIELD, CA 93311 YANG, ELIZABETH - MD KAISER PERMANENTE OPHTHALMOLOGY 22550 SAVI RANCH PARKWAY , YORBA (714) 644-6450 HARBOR MACARTHUR LINDA, CA 92887 MEDICAL OFFICES YANG, ERIC S - MD (BCC) ID MED INFECTIOUS DISEASE 23430 HAWTHORNE BLVD STE 200, (310) 784-5880 TORRANCE , CA 90505 YANG, HAE, LIM - LAC MEDITREE ACUPUNCTURE ACUPUNCTURE 13519 HUBBARD ST, SYLMAR, CA 91342 (818) 833-5977 CLINIC YANG, HAITAO - MD KAISER PERMANENTE WEST ANESTHESIOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90049 CENTER YANG, HOWARD - LAC WEST ACUPUNCTURE ACUPUNCTURE 3150 E IMPERIAL HWY STE 200, (310) 609-2827 LYNWOOD, CA 90262 YANG, HOWARD - LAC WEST ACUPUNCTURE ACUPUNCTURE 57 LONG BEACH BLVD, LONG BEACH, (562) 436-8881 CA 90802 YANG, JENNIFER - PT UNICARE PHYSICAL THERAPY PHYSICAL THERAPY 14785 JEFFREY RD STE 108, IRVINE, CA (949) 857-2221 INC 92618 YANG, JING - LAC JING YANG ACUPUNCTURE 110 LA CASA VIA STE 102, WALNUT (925) 938-3908 CREEK, CA 94598 YANG, JONATHAN - PT HARBOR PHYSICAL THERAPY PHYSICAL THERAPY 1294 W 6TH ST STE 101, SAN PEDRO, (310) 547-1850 SPORTS MEDICINE CA 90731 YANG, KELLY - OT DYNAMIX REHABILITATION OCCUPATIONAL THERAPY 17042 BELLFLOWER BLVD, (562) 991-1324 BELLFLOWER, CA 90706 YANG, KELLY - OT DYNAMIX REHABILITATION OCCUPATIONAL THERAPY 7320 FIRESTONE BLVD STE 105, (562) 927-5820 DOWNEY, CA 90241 YANG, KIA - LAC KIA YANG LAC ACUPUNCTURE 7880 ALTA VALLEY DR STE 210, (916) 444-6047 SACRAMENTO, CA 95823 YANG, MIN, HO - LAC ACUSSINA WELLNESS ACUPUNCTURE 4220 W 3RD ST STE 205, LOS ANGELES, (213) 718-2259 CORPORATION CA 90020 YANG, ROGER - MD (BCC) EMERGENCY MEDICINE 100 W CALIFORNIA BLVD, PASADENA, (626) 397-5555 CA 91105 YANG, TERESA - PT VASONA CREEK HEALTHCARE PHYSICAL THERAPY 16412 LOS GATOS BLVD, LOS GATOS, (408) 357-8840 CENTER CA 95032 YANG, TZONG - PT UNICARE PHYSICAL THERAPY PHYSICAL THERAPY 14785 JEFFREY RD STE 108, IRVINE, CA (949) 857-2221 INC 92618 YANG, WOO, JIN - ATC SOORIM ACUPUNCTURE ATHLETIC TRAINER 23540 CRENSHAW BLVD, TORRANCE, (714) 864-0198 CA 90505 YANG, WOO, JIN - ATC SOORIM ACUPUNCTURE ATHLETIC TRAINER 780 N EUCLID ST STE 110, ANAHEIM, CA (657) 208-1153 CLINICSEONGAH A YANG 92801 YANG, XING - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 18600 S FIGUEROA ST STE 120, (310) 527-5600 JOB SOUTH BAY MEDICAL GARDENA, CA 90248 OFFICES YANG, XING - MD KAISER PERMANENTE ON THE PRIMARY TREATING 18600 S FIGUEROA ST STE 120, (310) 527-5600 JOB SOUTH BAY MEDICAL PHYSICIAN GARDENA, CA 90248 OFFICES YANG, YOUNG, MIN - LAC SERENITY WELLNESS CENTER ACUPUNCTURE 621 S VIRGIL AVE 202, LOS ANGELES, (213) 222-3552 LA INC CA 90006 YANNI, DANIEL - MD (BCC) NEUROLOGICAL SURGERY 351 HOSPITAL RD STE 218, NEWPORT (949) 515-0051 BEACH, CA 92663 YANUKYAN, HAYK - LAC AARON SON THERAPEUTIC ACUPUNCTURE 7188 SUNSET BLVD STE 200, LOS (323) 436-0006 SERVICES INC ANGELES, CA 90046 YAP, AMANDA - PT SAN DIEGO SPINE SPORT INC PHYSICAL THERAPY 1020 TIERRA DEL REY SUITE A1, CHULA (619) 585-7104 VISTA, CA 91910 YAP, KELLY K - MD (BCC) CITY OF HOPE MEDICAL HEMATOLOGY AND 301 W HUNTINGTON DR STE 400, (626) 574-3657 FOUNDATION ONCOLOGY ARCADIA, CA 91007 YARBOROUGH, CHARLES - LAC ELITE SPORTS MEDICINE ACUPUNCTURE 6200 CANOGA AVE STE 105, (818) 222-1120 WOODLAND HILLS, CA 91367

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 760 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YARNELL, BAYLISS - MD (BCC) EMERGENCY MEDICINE 4650 LINCOLN BLVD, MARINA DEL REY, (310) 823-8911 CA 90292 YASHAR, ARNOLD - MD KAISER PERMANENTE SAN ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 DIEGO MEDICAL CENTER 92111 YASMEH, SIAMEK - MD (BCC) LOMA LINDA UNIVERSITY SPINE SURGERY 25455 BARTON RD PF 102B, LOMA (800) 679-4642 HEALTH CARE - ORTHOPAEDIC LINDA , CA 92354 SURGERY FP&S YASMEH, SIAMEK - MD (BCC) LOMA LINDA UNIVERSITY SPINE SURGERY 900 E WASHINGTON ST STE 200, (909) 882-5867 FACULTY MEDICAL GROUP - COLTON , CA 92324 EMPIRE ORTHOPEDICS YASMIN'S PHARMACY PHARMACY 99 N LA CIENEGA BLVD, BEVERLY (310) 358-0200 HILLS, CA 90211 YASSINI, FARNOUSH - DC NEW AGE HEALTH BEAUTY CHIROPRACTIC MEDICINE 39111 PASEO PADRE PKWY STE 109, (510) 651-6202 FREMONT, CA 94538 YAU, DANIEL C - MD KAISER PERMANENTE OPHTHALMOLOGY 10800 MAGNOLIA AVE , RIVERSIDE, CA (951) 353-4322 RIVERSIDE MEDICAL CENTER 92505 YAZDANI, AZITA - PT SOUTHERN CALIFORNIA PHYSICAL THERAPY 3320 S HILL ST, LOS ANGELES, CA (213) 749-5386 MEDICAL GROUP 90007 YE, QILI - LAC ACUPUNCTURE CHINESE ACUPUNCTURE 4180 RUFFIN RD STE 165, SAN DIEGO, (619) 813-1758 MEDICINE CTR CA 92123 YEAGLEY, MAX - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 YEE'S PRESCRIPTION PHARMACY 1703 TERMINO AVE, LONG BEACH, CA (562) 597-7733 PHARMACY 90804 YEE, SUNG - LAC LUKE ACU INC DBA JOY ACU ACUPUNCTURE 401 N BROOKHEURST ST STE 106, (714) 820-3272 ANAHEIM, CA 92801 YEE, THEODORE C - MD KAISER PERMANENTE ORTHOPEDIC SURGERY 1 QUALITY DR 1ST FLR, VACAVILLE, CA (707) 624-2480 VACAVILLE MEDICAL CENTER 95688 YEEND, GREGORY - DC C V NECK BACK CLINIC CHIROPRACTIC MEDICINE 1441 6TH ST, COACHELLA, CA 92236 (760) 391-5265 YEGANEH, MAHMOUD - LAC YEGANEH ACUPUNCTURIST ACUPUNCTURE 1850 E PALMDALE BLVD, PALMDALE, (818) 244-6792 CA 93550 YEGANEHHAJAHMADI, YEGANEH ACUPUNCTURIST ACUPUNCTURE 980 ATLANTIC AVE 2ND FLOOR, LOS (562) 624-0776 MAHMOUD - LAC ANGELES, CA 90813 YEH'S PHARMACY PHARMACY 966 S WESTERN AVE STE 103, LOS (323) 733-7788 ANGELES, CA 90006 YEH, TIMOTHY S - LAC (BCC) YEH CENTER FOR NATURAL ACUPUNCTURE 195 N 2ND AVE , UPLAND , CA 91786 (909) 946-6444 MEDICINE YELDERMAN, MARK - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 YELDERMAN, MARK - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN YEN, AUDREY Y - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER YEN, NATHAN H - MD (BCC) RIVERSIDE MEDICAL CLINIC - FAMILY MEDICINE 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY YEN, NATHAN H - MD (BCC) RIVERSIDE MEDICAL CLINIC - PRIMARY TREATING 6405 DAY ST , RIVERSIDE , CA 92507 (951) 697-5611 MORENO VALLEY PHYSICIAN YENIKOMSHIAN, HAIG AGHEG - KECK MEDICINE OF USC PLASTIC & RECONSTRUCTIVE 1510 SAN PABLO ST STE 6200, LOS (323) 442-7920 MD (BCC) SURGERY ANGELES, CA 90033 YEON, CHOI, GRACE - LAC ANGEL GRACE HEALING ACUPUNCTURE 5757 W CENTURY BLVD STE 558, LOS (213) 268-7636 CLINIC ANGELES, CA 90045 YESAYAN, LILIT - AUD ADVANCED HEARING AUDIOLOGY 804 S VICTORY BLVD , BURBANK, CA (800) 598-5300 PROVIDERS LLC 91502 YEUNG, KEVIN - OT BASIL R BESH MD INC OCCUPATIONAL THERAPY 39180 FARWELL DR STE 231B, (510) 857-1000 FREMONT, CA 94538 YEUNG, STEPHEN W - DO LOMA LINDA UNIVERSITY NEUROLOGY 11370 ANDERSON ST FMO STE B100, (800) 679-4642 (BCC) HEALTH CARE - NEUROLOGY LOMA LINDA , CA 92354 DEPARTMENT FP&S YEW, ALEXANDRA - PT EMPOWER PHYSICAL PHYSICAL THERAPY 15944 LOS SERRANOS COUNTRY CLUB (909) 907-0805 THERAPY WELLNESS DR STE 250, CHINO HILLS, CA 91709 YGNACIO VALLEY PHYSICAL PHYSICAL THERAPY 530 LA GONDA WAYSUITE C, DANVILLE, (925) 820-0518 THERAPY CA 94526-1727 YGNACIO VALLEY PT PHYSICAL THERAPY 530 LA GONDA WAY STE C, DANVILLE, (925) 820-0518 CA 94526

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 761 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YHIP, JAMES P - MD (BCC) NORTHSTATE CARDIOLOGY CARDIOVASCULAR DISEASE 190 COHASSET RD , CHICO, CA 95926 (530) 342-0123 CONSULTANTS (CARDIOLOGY) YI, HAE - LAC TRADITIONAL CHINESE ACUPUNCTURE 1050 E BASE LINE ST, SAN (909) 381-8017 ACUPUNCTURE BERNARDINO, CA 92410 YI, MIN, JAE - LAC MJ ACUPUNCTURE ACUPUNCTURE 6226 E SPRING ST STE 300, LONG (562) 419-9275 CONSTITUTIONAL MEDICINE BEACH, CA 90815 YIAN, EDWARD H - MD KAISER PERMANENTE ORTHOPEDIC SURGERY - 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES SHOULDER 92806 YIAN, EDWARD H - MD KAISER PERMANENTE ORTHOPEDICS 3460 E LA PALMA AVE , ANAHEIM, CA (714) 644-6450 ANAHEIM MEDICAL OFFICES 92806 YIM, JOHN - MD (BCC) SURGERY 1500 E DUARTE RD, DUARTE, CA 91010 (626) 256-4673 YIN, TERESA - DC TERESA YIN WONG CHIROPRACTIC MEDICINE 39210 STATE ST STE 110, FREMONT, (510) 793-6302 CHIROPRACTIC CORP CA 94538 YING, SZU - LAC RETREAT ACUPUNCTURE INC ACUPUNCTURE 1801 BUSH ST STE 106, SAN (415) 441-7200 FRANCISCO, CA 94109 YING, SZU - LAC RETREAT ACUPUNCTURE INC ACUPUNCTURE 2960 HARBOR BLVD STE B, COSTA (949) 677-8498 MESA, CA 92626 YM DRUGS PHARMACY 6578 VAN NUYS BLVD, VAN NUYS, CA (818) 901-7080 91401 YNIGUEZ, JULIAN - PT JULIAN YNIQUEZ PHYSICAL PHYSICAL THERAPY 1220 HEMLOCK WAY 206, SANTA ANA, (714) 543-3500 THERAPY INC CA 92707 YNIGUEZ, JULIAN - PT JULIAN YNIQUEZ PHYSICAL PHYSICAL THERAPY 1220 HEMLOCK WAY STE 206, SANTA (714) 751-6662 THERAPY INC ANA, CA 92707 YNIGUEZ, JULIAN - PT LEE AND RODRIGUEZ PHYSICAL THERAPY 4121 10TH ST, RIVERSIDE, CA 92501 (951) 274-0421 CHIROPRACTIC INC DBA BROCKTON INTEGRATIVE REHAB YNIGUEZ, JULIAN - PT LEE AND RODRIGUEZ PHYSICAL THERAPY 675 N PARK AVE STE A, POMONA, CA (909) 622-6429 CHIROPRACTIC INC 91768 YO, CHRISTOPHER - MD KAISER PERMANENTE OPHTHALMOLOGY 1011 BALDWIN PARK BLVD , BALDWIN (562) 463-4357 BALDWIN PARK MEDICAL PARK, CA 91706 CENTER YODER, BRENT - PT GOLDEN BEAR PT SPORTS PHYSICAL THERAPY 1400 MERCEY SPRINGS RD STE I, LOS (209) 710-1011 INJURY CTR BANOS, CA 93635 YOKOO, TEIRIKI - MD (BCC) PHYSICAL MEDICINE AND 1110 CRENSHAW BLVD, TORRANCE, CA (310) 318-6500 REHABILITATION 90501 YOKOO, TEIRIKI - MD (BCC) PHYSICAL MEDICINE AND 1111 TOWN AND COUNTRY RD STE 6, (310) 318-6500 REHABILITATION ORANGE, CA 92868 YOKOO, TEIRIKI - MD (BCC) PHYSICAL MEDICINE AND 2677 ZOE AVE STE 107, HUNTINGTON (310) 318-6500 REHABILITATION PARK, CA 90255 YOKOO, TEIRIKI - MD (BCC) PHYSICAL MEDICINE AND 302 S LEMON AVE, WALNUT, CA 91789 (310) 318-6500 REHABILITATION YOKOO, TEIRIKI - MD (BCC) PHYSICAL MEDICINE AND 6700 INDIANA AVE STE 145, RIVERSIDE, (310) 318-6500 REHABILITATION CA 92506 YOKOO, TEIRIKI - MD (BCC) PHYSICAL MEDICINE AND 900 E WASHINGTON ST STE 300, (310) 318-6500 REHABILITATION COLTON, CA 92324 YOKOYAMA, YUICHI E - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER YONG, PARK, JEONG - LAC CHUNG DAM ACUPUNCTURE ACUPUNCTURE 1201 S VICTORY BLVD STE 205, (818) 669-4360 AND HERBS JEONGYONG BURBANK, CA 91502 PARK YOO, BYUNG - DC BYUNG DAVID YOO DC CHIROPRACTIC MEDICINE 625 W COLLEGE ST STE 206, LOS (213) 617-8163 ANGELES, CA 90012 YOO, JANIE, JIN - OT REHABCARE GROUP EAST INC OCCUPATIONAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 YOO, SAHNG, JAE - LAC HOLISTIC HEALING SOURCE ACUPUNCTURE 9602 BASELINE RD, RANCHO (909) 989-7000 CUCAMONGA, CA 91701 YOO, WON - DC DR WON S YOO DC CHIROPRACTIC MEDICINE 1489 WEBSTER ST STE 202, SAN (415) 931-3569 FRANCISCO, CA 94115 YOO, WON - DC DR WON S YOO DC CHIROPRACTIC MEDICINE 281 13TH ST, OAKLAND, CA 94612 (510) 465-8707 YOON, DONG - DC YOON CHIROPRACTIC INC CHIROPRACTIC MEDICINE 8281 GARDEN GROVE BLVD STE C, (714) 539-1717 GARDEN GROVE, CA 92844

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 762 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YOON, HAENG - LAC OMC ACUPUNCTURE CENTER ACUPUNCTURE 12598 CENTRAL AVE STE 119, CHINO, (714) 833-7558 CA 91710 YOON, JAE, HONG - LAC OC FAMILY ACUPUNCTURE ACUPUNCTURE 4600 BEACH BLVD STE M, BUENA (714) 880-5454 PARK, CA 90621 YOON, JI, HO, (JASON) - LAC BOUTIQUE ACUPUNCTURE ACUPUNCTURE 1800 PROFESSIONAL DR, (916) 473-7800 SACRAMENTO, CA 95825 YOON, KATHIE - LAC GARFIELD HEALTH CENTER ACUPUNCTURE 1711 W TEMPLE ST STE 6647, LOS (213) 365-9369 MEDICAL GROUP INC ANGELES, CA 90026 YOON, KATHIE - LAC GARFIELD HEALTH CENTER ACUPUNCTURE 320 S GARFIELD AVE STE 322, (626) 570-9892 MEDICAL GROUP INC ALHAMBRA, CA 91801 YOON, KYUNG - LAC LADERA ACUPUNCTURE ACUPUNCTURE 151 N KRAEMER BLVD STE 115, (714) 716-9373 CLINIC PLACENTIA, CA 92870 YOON, KYUNG, SOO - LAC LADERA ACUPUNCTURE ACUPUNCTURE 26151 MARGUERITE PARKWAY, (714) 716-9373 CLINIC MISSION VIEJO, CA 92692 YOON, PHILLIP - LAC SILLECT ORTHOPEDIC GROUP ACUPUNCTURE 1332 W HERNDON AVE STE 101, (559) 635-7400 FRESNO, CA 93711 YOON, PHILLIP - LAC SILLECT ORTHOPEDIC GROUP ACUPUNCTURE 1526 S MOONEY BLVD, VISALIA, CA (559) 412-7556 93277 YOON, PHILLIP - LAC SILLECT ORTHOPEDIC GROUP ACUPUNCTURE 2323 16TH ST, BAKERSFIELD, CA 93301 (661) 326-1576 YOON, RICHARD - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 5630 E SANTA ANA CANYON RD STE (714) 282-7701 SPORTS THERAPY 150, ANAHEIM, CA 92807 YOON, SEON - LAC SEON MI YOON ACUPUNCTURE 2513 COLORADO BLVD, LOS ANGELES, (818) 577-3925 CA 90041 YOON, STEVE H - MD - (BCC) KERLAN-JOBE ORTHOPAEDIC SPORTS MEDICINE 6801 PARK TERRACE STE 250, LOS (310) 665-7200 CLINIC ANGELES , CA 90045 YOON, STEVE H - MD - (BCC) KERLAN-JOBE ORTHOPAEDIC PRIMARY TREATING 6801 PARK TERRACE STE 250, LOS (310) 665-7200 CLINIC PHYSICIAN ANGELES , CA 90045 YOPA, NICOLLE - AUD ADVANCED HEARING AUDIOLOGY 2390 FARADAY AVE , CARLSBAD, CA (800) 598-5300 PROVIDERS LLC 92008 YOPA, NICOLLE - AUD ADVANCED HEARING AUDIOLOGY 39755 DATE ST , MURRIETA, CA 92563 (800) 598-5300 PROVIDERS LLC YORBA LINDA PHARMACY PHARMACY 5596 E LA PALMA AVE, ANAHEIM, CA (714) 993-1458 92807 YORBA LINDA PHYSICAL PHYSICAL THERAPY 16615 YORBA LINDA BLVD, YORBA (714) 577-0745 THERAPY LINDA, CA 92886-2046 YORBA PHYSICAL THERAPY PHYSICAL THERAPY 1075 YORBA PL # 107, PLACENTIA, CA (714) 524-3500 92870 YORK DISCOUNT PHARMACY PHARMACY 5821 YORK BLVD, LOS ANGELES, CA (323) 302-8090 90042 YORK, MICHAEL - DC COCHRAN JAMES A DC CHIROPRACTIC MEDICINE 5350 HOLLISTER AVE STE A3, SANTA (805) 681-7322 BARBARA, CA 93111 YORK, RACHEL - PT IN MOTION PHYSICAL PHYSICAL THERAPY 17332 VON KARMAN AVE STE 120, (949) 861-8600 THERAPY IRVINE, CA 92614 YORK, RACHEL - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 YOSEMITE PHYSICAL PHYSICAL THERAPY 2609 1ST ST, ATWATER, CA 95301-2906 (209) 356-1260 THERAPY, INC YOSEMITE PHYSICAL PHYSICAL THERAPY 786 LOUGHBOROUGH DR, MERCED, CA (209) 725-8680 THERAPY, INC. 95348-2626 YOSER, ADAM - DC ADAM J YOSER DC CHIROPRACTIC MEDICINE 13050 SAN VICENTE BLVD, LOS (310) 260-7611 ANGELES, CA 90049 YOSHINO, KENJI - PT KEN YOSHINO DPT ATC PHYSICAL THERAPY 34162 CAMBRIDGE RD, DANA POINT, (949) 351-0385 PHYSICAL THERAPY PC CA 92629 YOST, KAREN - ATC KAREN YOST LAC ATHLETIC TRAINER 31741 TEMECULA PKWY STE C, (760) 936-5050 TEMECULA, CA 92592 YOU, CHARLES - ATC RANCHO ACUPUNCTURE ATHLETIC TRAINER 8645 HAVEN AVE STE 700, RANCHO (213) 559-7629 CUCAMONGA, CA 91730 YOU, HYUN - LAC FONTANA FAMILY ACUPUNCTURE 9673 SIERRA AVE STE E, FONTANA, CA (213) 905-9855 ACUPUNCTURE 92335 YOU, JAEWOO - LAC ACU HERB CENTER ACUPUNCTURE 20914 NORDHOFF ST STE 102, (323) 877-6420 CHATSWORTH, CA 91311 YOU, JAEWOO - LAC ACU HERB CENTER ACUPUNCTURE 258 S OXFORD AVE STE 102, LOS (323) 877-6420 ANGELES, CA 90004

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 763 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YOU, JAEWOO - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 1045 ATLANTIC AVE STE 608, LONG (213) 386-7582 INC BEACH, CA 90813 YOU, JAEWOO - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 12321 HAWTHORNE BLVD SUITE C, (213) 386-7582 INC HAWTHORNE, CA 90250 YOU, JAEWOO - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 14650 AVIATION BLVD STE 225, (800) 385-1130 INC HAWTHORNE, CA 90250 YOU, JAEWOO - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 18531 ROSCOE BLVD STE 202, (213) 386-7582 INC NORTHRIDGE, CA 91324 YOU, JAEWOO - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 3440 LOMITA BLVD STE 440, (213) 386-7582 INC TORRANCE, CA 90505 YOU, JAEWOO - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 5827 PINE AVE STE A, CHINO HILLS, CA (800) 385-1130 INC 91709 YOU, JAEWOO - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 9635 MONTE VISTA AVE STE 203, (213) 386-7582 INC MONTCLAIR, CA 91763 YOU, JAEWOO - LAC ELIM ACUPUNCTURE GROUP ACUPUNCTURE 2897 W OLYM BLVD STE 202, LOS (213) 386-7582 INC MAIN ANGELES, CA 90006 YOU, JUNG - LAC NABOM ACUPUNCTURE REHAB ACUPUNCTURE 7002 MOODY ST STE 219, LA PALMA, CA (562) 402-7575 INC 90623 YOU, MIYOUNG - PT GOOD REHAB PHYSICAL PHYSICAL THERAPY 500 S VIRGIL AVE STE 308, LOS (213) 382-0088 THERAPY CLINIC INC ANGELES, CA 90020 YOUDERIAN, ARI - MD (BCC) ORTHOPEDICS - ELBOW 24331 EL TORO RD STE 200, LAGUNA (949) 586-3200 WOODS, CA 92637 YOUDERIAN, ARI - MD (BCC) ORTHOPEDIC SURGERY - 24331 EL TORO RD STE 200, LAGUNA (949) 586-3200 ELBOW WOODS, CA 92637 YOUDERIAN, ARI - MD (BCC) ORTHOPEDIC SURGERY - 24331 EL TORO RD STE 200, LAGUNA (949) 586-3200 SHOULDER WOODS, CA 92637 YOUDERIAN, ARI - MD (BCC) ORTHOPEDICS - SHOULDER 24331 EL TORO RD STE 200, LAGUNA (949) 586-3200 WOODS, CA 92637 YOUNAN TOWER PHARMACY PHARMACY 1801 COLORADO AVE STE 300, (209) 216-3340 TURLOCK, CA 95382 YOUNG'S PAYLESS PHARMACY PHARMACY 18980 N HIGHWAY 88, LOCKEFORD, CA (209) 727-3762 95237 YOUNG'S PHARMACY PHARMACY 7134 VAN NUYS BLVD, VAN NUYS, CA (818) 787-9339 91405 YOUNG, ARLYNN - PT AC URGENT CARE/GOLDEN PHYSICAL THERAPY 1000 S ANAHEIM BLVD STE 200, (714) 634-4884 WEST MEDICAL CENTER ANAHEIM, CA 92805 YOUNG, ARLYNN - PT CALIFORNIA ORTHOPEDIC PHYSICAL THERAPY 1000 S ANAHEIM BLVD STE 208, (213) 765-8088 INSTITUTE ANAHEIM, CA 92805 YOUNG, ARLYNN - PT CALIFORNIA ORTHOPEDIC PHYSICAL THERAPY 12659 166TH ST, CERRITOS, CA 90703 (562) 239-2152 INSTITUTE YOUNG, ARLYNN - PT CALIFORNIA ORTHOPEDIC PHYSICAL THERAPY 1513 S GRAND AVE STE 208, LOS (213) 765-8088 INSTITUTE ANGELES, CA 90015 YOUNG, ARLYNN - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 520 S VIRGIL AVE UNIT 201, LOS (213) 480-0021 ANGELES, CA 90020 YOUNG, CASSANDRA - LAC CASSANDRA YOUNG LAC ACUPUNCTURE 151 N SUNRISE AVE, ROSEVILLE, CA 9163042195Ow 95661 ner YOUNG, DAVID C - MD KAISER PERMANENTE SO SAN ORTHOPEDIC SURGERY 1200 EL CAMINO REAL , SOUTH SAN (650) 742-7110 FRANCISCO MEDICAL CENTER FRANCISCO, CA 94080 YOUNG, EDMOND - MD KAISER PERMANENTE SAN ORTHOPEDICS 5893 COPLEY DRIVE , SAN DIEGO, CA (833) 242-8500 DIEGO MEDICAL CENTER 92111 YOUNG, FRANK - MD (BCC) PRIMARY TREATING 2075 SAN JOAQUIN HILLS RD, (949) 382-1909 PHYSICIAN NEWPORT BEACH, CA 92660 YOUNG, FRANK - MD (BCC) PRIMARY TREATING 22461 ANTONIO PKWY STE A135, (877) 693-6266 PHYSICIAN RANCHO SANTA MARGARITA, CA 92688 YOUNG, FRANK - MD (BCC) PRIMARY TREATING 25482 MARGUERITE PKWY STE 101, (949) 207-3266 PHYSICIAN MISSION VIEJO, CA 92692 YOUNG, FRANK - MD (BCC) PRIMARY TREATING 26831 ALISO CREEK RD STE 200, ALISO (949) 760-9222 PHYSICIAN VIEJO, CA 92656 YOUNG, FRANK - MD (BCC) FAMILY MEDICINE 2075 SAN JOAQUIN HILLS RD, (949) 382-1909 NEWPORT BEACH, CA 92660 YOUNG, FRANK - MD (BCC) FAMILY MEDICINE 22461 ANTONIO PKWY STE A135, (877) 693-6266 RANCHO SANTA MARGARITA, CA 92688

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 764 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YOUNG, FRANK - MD (BCC) FAMILY MEDICINE 25482 MARGUERITE PKWY STE 101, (949) 207-3266 MISSION VIEJO, CA 92692 YOUNG, FRANK - MD (BCC) FAMILY MEDICINE 26831 ALISO CREEK RD STE 200, ALISO (949) 760-9222 VIEJO, CA 92656 YOUNG, HENRY - MD KAISER PERMANENTE GENERAL SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 YOUNG, HENRY - MD KAISER PERMANENTE HAND SURGERY 9449 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 YOUNG, HSIEN C - MD (BCC) SANSUM CLINIC - PUEBLO NEUROLOGY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 YOUNG, JESSE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3425 W VICTORY BLVD, BURBANK, CA (818) 955-8855 91505 YOUNG, JESSE - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 3753 E THOUSAND OAKS BLVD, (805) 497-7900 WESTLAKE VILLAGE, CA 91362 YOUNG, JESSE, ANDREW - PT VARGO PHYSICAL THERAPY PHYSICAL THERAPY 1240 TRUMAN ST, SAN FERNANDO, CA (818) 403-6559 91340 YOUNG, KYUNG, HONG - LAC HONG YOUNG KYUNG ACUPUNCTURE 515 S BEACH BLVD STE K, ANAHEIM, (562) 754-8335 CA 92804 YOUNG, LINDSAY - PT OPTIMAL REHAB ABILITIES INC PHYSICAL THERAPY 1581 18TH AVE, KINGSBURG, CA 93631 (559) 897-2070 YOUNG, LINDSAY - PT OPTIMAL REHAB ABILITIES INC PHYSICAL THERAPY 7405 N CEDAR AVE STE 103, FRESNO, (559) 261-4100 CA 93720 YOUNG, MATT - MD PLASTIC SURGERY 7325 MEDICAL CENTER DR STE 200, (818) 981-2050 WEST HILLS, CA 91307 YOUNG, ROBBY - AUD ADVANCED HEARING AUDIOLOGY 74059 HIGHWAY 111 STE 104, PALM (800) 598-5300 PROVIDERS LLC DESERT, CA 92260 YOUNG, ROSELYNN - AUD ADVANCED HEARING AUDIOLOGY 1411 SECRET RAVINE PKWY STE 110, (800) 598-5300 PROVIDERS LLC ROSEVILLE, CA 95661 YOUNG, SHANE - DC BOYSAN CHIROPRACTIC CHIROPRACTIC MEDICINE 20914 NORDHOFF ST STE 102, (844) 875-1811 CHATSWORTH, CA 91311 YOUNG, SHIN - LAC HEALTHPOINTE MEDICAL ACUPUNCTURE 5584 N PARAMOUNT BLVD STE 100, (562) 920-8394 GROUP INC LONG BEACH, CA 90805 YOUNG, SONNY S - DO CONCENTRA MEDICAL PRIMARY TREATING 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS PHYSICIAN CARLOS, CA 94070 YOUNG, SONNY S - DO CONCENTRA MEDICAL FAMILY MEDICINE 125 SHOREWAY RD STE A, SAN (650) 556-9420 CENTER - SAN CARLOS CARLOS, CA 94070 YOUNG, VICKY L - MD CONCENTRA MEDICAL PREVENTIVE MEDICINE 5810 EL CAMINO REAL STE A, (760) 929-8269 CENTER - CARLSBAD CARLSBAD, CA 92008 YOUR DRUG STORE PHARMACY 2303 NILES PT, BAKERSFIELD, CA 93306 (661) 325-2487 YOUR DRUG STORE PHARMACY 12370 HESPERIA RD STE 7, (760) 843-7200 VICTORVILLE, CA 92395 YOUR PHARMACY PHARMACY 1680 E 6TH ST STE A, BEAUMONT, CA (951) 845-8252 92223 YOUSEFI, KEYVAN - MD CEDARS-SINAI MEDICAL RHEUMATOLOGY 8631 W 3RD ST STE 1020E, LOS (310) 888-7727 FOUNDATION ANGELES, CA 90048 YOUSSEF, MINA - PT UNITED THERAPY NETWORK PHYSICAL THERAPY 3700 E TACHEVAH DR STE 107, PALM (760) 459-0003 INC SPRINGS, CA 92262 YOUSSEF, MINA - PT UNITED THERAPY PHYSICAL THERAPY 46900 MONROE ST BLDG C STE 304, (760) 289-3010 NETWORKINC INDIO, CA 92201 YOUSSEF, PETER - MD KAISER PERMANENTE LA OPHTHALMOLOGY 5 CENTERPOINTE DR , LA PALMA, CA (714) 830-6660 PALMA MEDICAL OFFICES 90623 YU, CHICHING - LAC SHIH FANG ACUPUNCTURE ACUPUNCTURE 760 WASHBURN AVE STE 23, CORONA, (951) 582-0999 CA 92882 YU, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 YU, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 YU, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 YU, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604 YU, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 765 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YU, CHRISTINA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 YU, CHRISTOPHER, CHEN - DC TRILOGY HEALTH WELLNESS CHIROPRACTIC MEDICINE 670 MONTEREY PASS RD STE 100, (626) 545-2880 MONTEREY PARK, CA 91754 YU, DEOKSANG - LAC ACUPUNCTURE WELLNESS BY ACUPUNCTURE 1100 W SHAW AVE STE 118, FRESNO, (559) 444-3269 CHARLES YU CA 93711 YU, FRANCIS C - MD (BCC) ALLERGY AND ASTHMA CLINIC ALLERGY AND IMMUNOLOGY 14150 CULVER DR STE 302, IRVINE, CA (949) 551-1001 OF IRVINE 92604 YU, HE, JIAN - LAC JIAN HE ACUPUNCTURE INC ACUPUNCTURE 3170 COLLINS DR STE B, MERCED, CA (209) 383-2225 95348 YU, JACK - MD KAISER PERMANENTE ON THE ORTHOPEDICS 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 JOB FONTANA MEDICAL CENTER YU, JIANGUO - AUD ADVANCED HEARING AUDIOLOGY 18405 COLIMA RD , ROWLAND (800) 598-5300 PROVIDERS LLC HEIGHTS, CA 91748 YU, KIANTI T - MD KAISER PERMANENTE NEUROLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER YU, MICHAEL Y - MD KAISER PERMANENTE ORTHOPEDICS 10800 MAGNOLIA AVE MEDICAL OFFICE (951) 353-4322 RIVERSIDE MEDICAL CENTER BLDG 2, RIVERSIDE, CA 92505 YU, MYUNGJUNE - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 266 S HARVARD BLVD STE 370, LOS (213) 908-7065 ANGELES, CA 90004 YU, MYUNGJUNE - PT RYU PHYSICAL THERAPY PHYSICAL THERAPY 520 S VIRGIL AVE UNIT 201, LOS (213) 480-0021 ANGELES, CA 90020 YU, NICOLAS R - MD (BCC) SOUTH BAY SURGICAL GENERAL SURGERY 480 4TH AVE STE 404 , CHULA VISTA , (619) 425-5184 ASSOCIATES MEDICAL GROUP CA 91910 INC YUAN, PHILIP - MD (BCC) MEMORIAL ORTHOPAEDIC ORTHOPEDICS - SPINE 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 SURGICAL GROUP 90806 YUAN, PHILIP - MD (BCC) MEMORIAL ORTHOPAEDIC SPINE SURGERY 2760 ATLANTIC AVE, LONG BEACH, CA (562) 239-9210 SURGICAL GROUP 90806 YUBA CITY OCCUPATIONAL YUBA CITY OCCUPATIONAL URGENT CARE FACILITY 1531 PLUMAS CT STE B, YUBA CITY, CA (530) 751-4900 HEALTH (BCC) HEALTH 95991 YUCAIPA CARE PHARMACY PHARMACY 33490 OAK GLEN RD, YUCAIPA, CA (909) 570-9771 92399 YUCAIPA PHYSICAL THERAPY PHYSICAL THERAPY 1630 W REDLANDS BLVD STE L, (909) 797-5155 REDLANDS, CA 92373-8032 YUCAIPA PHYSICAL THERAPY PHYSICAL THERAPY 33492 OAK GLEN RD STE H, YUCAIPA, (909) 797-5155 CA 92399-2096 YUCAIPA PT PHYSICAL THERAPY 33492 OKALAND RD STE H, YUCAIPA, (909) 797-5155 CA 92399 YUCAIPA URGENT CARE URGENT CARE FACILITY 33494 OAK GLEN RD, YUCAIPA, CA (909) 797-8900 92399 YUEN, PETER - LAC YUEN ACUPUNCTURE ACUPUNCTURE 112 E OLIVE AVE STE C, REDLANDS, CA (909) 792-1003 92373 YUENMCGUIRE, GAMI - LAC YUEN ACUPUNCTURE ACUPUNCTURE 112 E OLIVE AVE STE C, REDLANDS, CA (909) 792-1003 92373 YUH, BERTRAM E - MD (BCC) CITY OF HOPE NATIONAL SURGICAL ONCOLOGY 1500 DUARTE RD, DUARTE, CA 91010 (626) 256-4673 MEDICAL CENTER YUHAN, KEVIN R - MD KAISER PERMANENTE OPHTHALMOLOGY 23781 MAQUINA AVE , MISSION VIEJO, (949) 932-5899 MISSION VIEJO MEDICAL CA 92690 OFFICES YUMA IHS PHARMACY PHARMACY ONE INDIAN HILL RD, WINTERHAVEN, (760) 572-4120 CA 92283 YUN, HYE, SUNG - LAC CONTEMPORARY ACUPUNCTURE 8610 W 3RD ST, LOS ANGELES, CA (310) 657-8600 ALTERNATIVE MEDICINE INC 90048 YUN, LINDA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 13931 CARROLL WAY STE B, TUSTIN, (714) 988-8120 THERAPY CA 92780 YUN, LINDA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 239 E KATELLA AVE, ORANGE, CA (714) 538-0025 THERAPY 92867 YUN, LINDA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 24301 MUIRLANDS BLVD STE T, LAKE (949) 271-0012 THERAPY FOREST, CA 92630 YUN, LINDA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 250 E YALE LOOP STE 201, IRVINE, CA (949) 265-2442 THERAPY 92604

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 766 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone YUN, LINDA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 3230 E IMPERIAL HWY STE 100, BREA, (714) 256-5074 THERAPY CA 92821 YUN, LINDA - PT COURY BUEHLER PHYSICAL PHYSICAL THERAPY 755 N SHEPARD ST, ANAHEIM, CA (714) 630-6252 THERAPY 92806 YUN, MOON - MD (BCC) ANESTHESIOLOGY 1555 SOQUEL DR, SANTA CRUZ, CA (831) 462-7700 95065 YUNG, ALARICK K - MD CONCENTRA MEDICAL HAND SURGERY 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK BURBANK, CA 91505 YUNG, ALARICK K - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 2550 N HOLLYWOOD WAY STE #100, (818) 524-3730 CENTER - BURBANK BURBANK, CA 91505 YUNG, ALARICK K - MD CONCENTRA MEDICAL HAND SURGERY 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO 93012 YUNG, ALARICK K - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 4934 VERDUGO WAY , CAMARILLO, CA (805) 484-0095 CENTER - CAMARILLO 93012 YUNG, ALARICK K - MD CONCENTRA MEDICAL HAND SURGERY 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 YUNG, ALARICK K - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 1851 NORTH LOMBARD STE100, (805) 983-2234 CENTER - OXNARD OXNARD, CA 93030 YUNG, ALARICK K - MD (BCC) CALIFORNIA HAND CENTER OF GENERAL SURGERY 16055 VENTURA BLVD STE 120, (818) 386-5575 LOS ANGELES ENCINO, CA 91436 YUNG, ALARICK K - MD (BCC) COASTAL OCCUPATIONAL ORTHOPEDICS - HAND 1901 OUTLET CENTER DR STE 100 , (805) 988-3200 MEDICAL GROUP OXNARD , CA 93036 YUNG, ALARICK K - MD (BCC) COASTAL OCCUPATIONAL HAND SURGERY 1901 OUTLET CENTER DR STE 100 , (805) 988-3200 MEDICAL GROUP OXNARD , CA 93036 YUNG, ESTHER W - MD (BCC) LOMA LINDA UNIVERSITY GENERAL SURGERY 11370 ANDERSON ST STE 2100, LOMA (800) 679-4642 HEALTH CARE - GENERAL LINDA, CA 92354 SURGERY FP&S YUNG, ESTHER W - MD (BCC) LOMA LINDA UNIVERSITY GENERAL SURGERY 81 S HIGHLAND SPRINGS AVE STE 303, (800) 679-4642 HEALTH CARE - GENERAL BEAUMONT, CA 92223 SURGERY FP&S YUNG, EVAN - MD PATHOLOGY - CLINICAL 1200 NORTH STATE STREET, LOS (323) 409-4606 ANGELES, CA 90033 YUSON, JESSE - DC YUSON CHIROPRACTIC CHIROPRACTIC MEDICINE 15355 SHERMAN WAY STE Q, VAN (818) 627-6956 NUYS, CA 91406 YVETTE FLORES PHYSICAL PHYSICAL THERAPY 2634 WILSHIRE BLVD, SANTA MONICA, (800) 507-2634 THERAPY CA 90403 YVONNE, ANGELA - LAC ANGELA YVONNE ACUPUNCTURE 3934 MURPHY CYN RD STE B104, SAN (619) 917-2958 ACUPUNCTURE INC DIEGO, CA 92123 ZABALA, KEITH - PT TERRIO THERAPY FITNESS INC PHYSICAL THERAPY 2838 OSWELL ST, BAKERSFIELD, CA (661) 873-7100 93306 ZABIHI, RAMIN - MD (BCC) GASTROENTEROLOGY 26800 CROWN VALLEY PKWY STE 308, (949) 218-4488 MISSION VIEJO , CA 92691 ZACK, KATHLEEN - PT BECK AND CALE PHYSICAL PHYSICAL THERAPY 201 N COLLEGE DR STE 203, SANTA (805) 922-1724 THERAPY OF SANTA MARIA MARIA, CA 93454 ZADEII, GHOLAN - MD (BCC) DESERT CARE NETWORK - CARDIOVASCULAR DISEASE 1180 N INDIAN CANYON DR STE E205, (714) 428-6711 PRIMARY AND SPECIALTY (CARDIOLOGY) PALM SPRINGS, CA 92262 CARE ZADEII, GHOLAN - MD (BCC) DESERT CARE NETWORK - CARDIOVASCULAR DISEASE 58457 TWENTY NINE PALMS HWY STE (714) 428-6711 PRIMARY AND SPECIALTY (CARDIOLOGY) 200, YUCCA VALLEY , CA 92284 CARE ZAGER, SCOTT A - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 2241 WANKEL WAY STE C , OXNARD, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CA 93030 ZAGER, SCOTT A - MD (BCC) CABRILLO CARDIOLOGY CARDIOVASCULAR DISEASE 400 CAMARILLO RANCH RD STE 205, (805) 983-0922 MEDICAL GROUP (CARDIOLOGY) CAMARILLO , CA 93010 ZAGHI, DANIEL - MD KAISER PERMANENTE WEST DERMATOLOGY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER ZAHEER, SALMAN - MD (BCC) LOMA LINDA UNIVERSITY THORACIC AND CARDIAC 11234 ANDERSON ST SP RM 1617, (800) 679-4642 HEALTH CARE - SURGERY LOMA LINDA , CA 92354 INTERNATIONAL HEART INSTITUTE

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 767 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ZAHEER, SALMAN - MD (BCC) LOMA LINDA UNIVERSITY THORACIC AND CARDIAC 28078 BAXTER RD STE 510, MURRIETA , (800) 679-4642 HEALTH CARE - SURGERY CA 92563 CARDIOTHORACIC SURGERY MURRIETA ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL HAND SURGERY 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 6033 WEST CENTURY BLVD STE 200, (310) 215-1600 CENTER - AIRPORT LAX LOS ANGELES, CA 90045 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL HAND SURGERY 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 1101 S ANAHEIM BLVD , ANAHEIM, CA (714) 937-1919 CENTER - ANAHEIM-ORANGE 92805 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL HAND SURGERY 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 9700 DE SOTO AVE, CHATSWORTH, CA (818) 882-8100 CENTER - CHATSWORTH 91311 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL HAND SURGERY 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 40 CENTERPOINTE DRIVE , LA PALMA, (714) 522-8020 CENTER - LA PALMA CA 90623 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL HAND SURGERY 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 ZAHIRI, CHRISTOPHER A - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 25733 RYE CANYON RD , VALENCIA, CA (661) 295-2500 CENTER - VALENCIA 91355 ZAIDES, RITA - LAC RITA ZAIDES LAC ACUPUNCTURE 25982 PALA STE 150, MISSION VIEJO, (949) 586-5500 CA 92691 ZAKARIA, SHAHEEN - MD CONCENTRA MEDICAL SURGERY 599 INLAND CENTER DRIVE STE 105, (909) 889-2665 CENTER - SAN BERNARDINO SAN BERNARDINO, CA 92408 ZAKIN, DAVID - PHD BARRINGTON PSYCHIATRIC PSYCHOLOGY 11693 SAN VICENTE BLVD # 830, LOS (800) 771-7955 CENTER ANGELES, CA 90049 ZALL, MONA - DO (BCC) KERLAN - JOBE ORTHOPAEDIC PHYSICAL MEDICINE AND 1818 VERDUGO BLVD, STE 402, (310) 829-2663 CLINIC REHABILITATION GLENDALE, CA 91208 ZALL, MONA - DO (BCC) KERLAN - JOBE ORTHOPAEDIC PHYSICAL MEDICINE AND 2020 SANTA MONICA BLVD STE 400, (310) 829-2663 CLINIC REHABILITATION SANTA MONICA, CA 90404 ZALL, MONA - DO (BCC) KERLAN - JOBE ORTHOPAEDIC PHYSICAL MEDICINE AND 4644 LINCOLN BLVD STE 102, MARINA (310) 665-7200 CLINIC REHABILITATION DEL REY, CA 90292 ZALL, MONA - DO (BCC) KERLAN - JOBE ORTHOPAEDIC PHYSICAL MEDICINE AND 6801 PARK TERRACE STE 400, LOS (310) 665-7200 CLINIC REHABILITATION ANGELES, CA 90045 ZAMANIAN, REZA - PTA NORTH ORANGE PHYSICAL PHYSICAL THERAPY 33 CREEK RD SUITE 260 B, IRVINE, CA (949) 552-5572 THERAPY 92604 ZAMPESE, FERIN - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 6930 WARNER AVE, HUNTINGTON (714) 847-3800 SPORTS THERAPY BEACH, CA 92647 ZANG, FEI - PT PHYSICAL THERAPY PHYSICAL THERAPY 200 N ROBERTSON BLVD STE 301, (310) 273-8256 SPECIALISTS INC BEVERLY HILLS, CA 90211 ZAPPALA, KATRINA - PT ACTIVE CARE PHYSICAL PHYSICAL THERAPY 3019 GEARY BLVD, SAN FRANCISCO, (415) 387-6564 THERAPY CA 94118 ZARDOUZ, BIJAN - MD (BCC) NEUROLOGY 1220 HEMLOCK WAY STE 108, SANTA (714) 540-2272 ANA, CA 92707 ZARDOUZ, BIJAN - MD (BCC) NEUROLOGY 1681 N WATERMAN AVE, SAN (909) 883-2440 BERNARDINO, CA 92404 ZAREI, MARYAM - MD (BCC) FAMILY ALLERGY ASTHMA ALLERGY AND IMMUNOLOGY 15725 POMERADO RD STE 103, POWAY, (858) 521-0806 IMMUNOLOGY & SINUS CA 92064 CENTER PC ZARELLA, WADE - AUD ADVANCED HEARING AUDIOLOGY 39000 BOB HOPE DR , RANCHO (800) 598-5300 PROVIDERS LLC MIRAGE, CA 92270 ZAREMBA, JOSEPH - MD CONCENTRA - TELEHEALTH OCCUPATIONAL MEDICINE STATEWIDE, , CA (855) 835-6337 ZAREMBA, JOSEPH - MD CONCENTRA - TELEHEALTH PRIMARY TREATING STATEWIDE, , CA (855) 835-6337 PHYSICIAN ZARETSKY, ADEL - AUD ADVANCED HEARING AUDIOLOGY 6225 WILSHIRE BLVD STE 208, LOS (800) 598-5300 PROVIDERS LLC ANGELES, CA 90048 ZARGARYAN, MARINA - LAC ZARGARYAN ACUPUNCTURE ACUPUNCTURE 321 S BRAND BLVD, GLENDALE, CA (818) 507-0125 91204

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 768 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ZARNEGAR, SHAHRIAR - MD OPHTHALMOLOGY 910 E STOWELL RD, SANTA MARIA, CA (805) 925-2637 (BCC) 93454 ZARRABI, CATHRINE - DC CATHRINE ZARRABI DC CHIROPRACTIC MEDICINE 5757 WILSHIRE BLVD STE PR4, LOS (562) 927-1116 ANGELES, CA 90036 ZARRIN, YASSI - PHD (BCC) NEUROPSYCHOLOGY 15233 VENTURA BLVD 5TH FLR , (310) 274-7700 SHERMAN OAKS , CA 91403 ZARRIN, YASSI - PHD (BCC) NEUROPSYCHOLOGY 333 CITY BLVD WEST 17TH FLR, (310) 274-7700 ORANGE , CA 92868 ZARRIN, YASSI - PHD (BCC) NEUROPSYCHOLOGY 515 S FLOWER ST 36TH FLR, LOS (310) 274-7700 ANGELES, CA 90071 ZARRIN, YASSI - PHD (BCC) NEUROPSYCHOLOGY 6303 OWENSMOUTH 10TH FLR, (310) 274-7700 WOODLAND HILLS , CA 91367 ZARRIN, YASSI - PHD (BCC) NEUROPSYCHOLOGY 879 W 190TH ST STE 400, GARDENA, CA (310) 274-7700 90248 ZARRIN, YASSI - PHD (BCC) NEUROPSYCHOLOGY 9454 WILSHIRE BLVD PH 18, BEVERLY (310) 274-7700 HILLS , CA 90212 ZARRIN, YASSI - PHD (BCC) PSYCHOLOGY 15233 VENTURA BLVD 5TH FLR , (310) 274-7700 SHERMAN OAKS , CA 91403 ZARRIN, YASSI - PHD (BCC) PSYCHOLOGY 333 CITY BLVD WEST 17TH FLR, (310) 274-7700 ORANGE , CA 92868 ZARRIN, YASSI - PHD (BCC) PSYCHOLOGY 515 S FLOWER ST 36TH FLR, LOS (310) 274-7700 ANGELES, CA 90071 ZARRIN, YASSI - PHD (BCC) PSYCHOLOGY 6303 OWENSMOUTH 10TH FLR, (310) 274-7700 WOODLAND HILLS , CA 91367 ZARRIN, YASSI - PHD (BCC) PSYCHOLOGY 879 W 190TH ST STE 400, GARDENA, CA (310) 274-7700 90248 ZARRIN, YASSI - PHD (BCC) PSYCHOLOGY 9454 WILSHIRE BLVD PH 18, BEVERLY (310) 274-7700 HILLS , CA 90212 ZARUTSKY, EUGENE - DPM KAISER PERMANENTE PODIATRY 5601 DE SOTO AVE ENTRANCE 5 1ST (818) 719-3006 WOODLAND HILLS MEDICAL FLR, WOODLAND HILLS, CA 91367 CENTER ZAVALA, CHARLES - PT WEST STAR PHYSICAL PHYSICAL THERAPY 7807 EAST TELEGRAPH ROAD SUITES (323) 722-3529 THERAPY A & B, MONTEBELLO, CA 90640 ZAWAR, APURVA - PT REHABCARE GROUP EAST INC PHYSICAL THERAPY 24422 AVENIDA DE LA CARLOTA STE (949) 951-2770 165, LAGUNA HILLS, CA 92653 ZECCHETTO, MARIA - CHT SANTA MONICA HAND HAND THERAPY 2001 WILSHIRE BLVD STE 310, SANTA (310) 829-3320 THERAPY INC MONICA, CA 90403 ZECCHETTO, MARIA - OT SANTA MONICA HAND OCCUPATIONAL THERAPY 2001 WILSHIRE BLVD STE 310, SANTA (310) 829-3320 THERAPY INC MONICA, CA 90403 ZECHA, RICHARD - OT TOTAL CARE PHYSICAL OCCUPATIONAL THERAPY 1181 E HIGHLAND AVE STE B, SAN (909) 883-5069 THERAPY BERNARDINO, CA 92404 ZEISS, SHARON - LAC SYNERGY HEALTH CENTER ACUPUNCTURE 3128 SANTA RITA RD, PLEASANTON, CA (925) 350-4742 URGENT CARE 94566 ZELADA GETTY, JORGE L - MD KAISER PERMANENTE WEST GENERAL SURGERY 6041 CADILLAC AVE , LOS ANGELES, (310) 202-3030 LOS ANGELES MEDICAL CA 90034 CENTER ZELZAH PHARMACY PHARMACY 17911 VENTURA BLVD, ENCINO, CA (818) 609-0692 91316 ZEMBIK, SHERRY - PT STATE COLLEGE PHYSICAL PHYSICAL THERAPY 500 S ANAHEIM HLS RD STE 106, (714) 685-0700 THERAPY INC DBA ANAHEIM ANAHEIM, CA 92807 HILLS PHYSICAL THERAPY REHAB ZEN APOTHECARY PHARMACY 420 N MAIN ST STE 105, CORONA, CA (951) 475-7870 92880 ZEN PHARMACY PHARMACY 16455 MAIN ST STE 8, HESPERIA, CA (760) 998-2991 92345 ZENIMURA, KIRK - DC ZENIMURA KIRK S CHIROPRACTIC MEDICINE 5430 N PALM AVE STE 106, FRESNO, CA (559) 438-4141 93704 ZENITH PHARMACY PHARMACY 3919 BEVERLY BLVD STE 100, LOS (323) 665-8959 ANGELES, CA 90004 ZEREY, MARC - MD (BCC) SANSUM CLINIC - PUEBLO GENERAL SURGERY 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 769 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ZHANG, JACKIE, LIANG - LAC SUNSHINE HEALTHCARE ACUPUNCTURE 650 W DUARTE RD 102, ARCADIA, CA (626) 715-6137 NETWORK 91007 ZHANG, JIAYING - LAC QUALITY LIFE ACUPUNCTURE ACUPUNCTURE 260 S SUNNYVALE AVE STE 2, (650) 400-9957 HEALTHCARE SUNNYVALE, CA 94086 ZHANG, JING - LMT XIANG TCM CONSULTING MASSAGE THERAPIST 6850 REGIONAL ST STE 190, DUBLIN, (408) 981-8661 CA 94568 ZHANG, JOSEPHINE, YUESE - RAPHA ACUPUNCTURE ACUPUNCTURE 2651 E CHAPMAN AVE STE 105, (657) 445-6494 LAC FULLERTON, CA 92831 ZHANG, SHU - MD KAISER PERMANENTE ANESTHESIOLOGY 9961 SIERRA AVE , FONTANA, CA 92335 (909) 427-3917 FONTANA MEDICAL CENTER ZHANG, TRISTAN R - MD (BCC) THE SPINE AND ORTHOPEDIC PHYSICAL MEDICINE & 2725 16TH ST , BAKERSFIELD, CA 93301 (661) 864-1150 CENTER REHABILITATION ZHANG, TRISTAN R - MD (BCC) THE SPINE AND ORTHOPEDIC PHYSICAL MEDICINE & 326 W MAIN ST STE 120, SANTA MARIA , (805) 925-9997 CENTER REHABILITATION CA 93458 ZHANG, TRISTAN R - MD (BCC) THE SPINE AND ORTHOPEDIC PHYSICAL MEDICINE & 401 E CARRILLO ST , SANTA BARBARA , (805) 563-3307 CENTER REHABILITATION CA 93101 ZHANG, TRISTAN R - MD (BCC) THE SPINE AND ORTHOPEDIC PHYSICAL MEDICINE & 640 S B ST, OXNARD, CA 93030 (805) 485-7042 CENTER REHABILITATION ZHANG, YUAN, YUAN - LAC NEW LIFE ACUPUNCTURE ACUPUNCTURE 1720 SO AMPHLETT BLVD STE 168, SAN (650) 572-1628 CLINIC MATEO, CA 94402 ZHANG, YUAN, YUAN - LAC SPRING DAY WELLNESS LLC ACUPUNCTURE 280 REDWOOD SHORES PKWY, (650) 382-1988 REDWOOD CITY, CA 94065 ZHAO, ANITA Y - MD KAISER PERMANENTE ON THE OCCUPATIONAL MEDICINE 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH REDWOOD CITY, CA 94063 CENTER ZHAO, ANITA Y - MD KAISER PERMANENTE ON THE PRIMARY TREATING 1400 VETERANS BLVD 1ST FLR, (650) 299-4785 JOB OCCUPATIONAL HEALTH PHYSICIAN REDWOOD CITY, CA 94063 CENTER ZHAO, CRYSTAL - LAC CALIFORNIA ACUPUNCTURE ACUPUNCTURE 1025 B ST, HAYWARD, CA 94541 (510) 733-0288 CENTER ZHAO, GUI, JUN - LAC CHINESE MEDICINE ACUPUNCTURE 7040 TRASK AVE, WESTMINSTER, CA (714) 901-4399 ACUPUNCTURE 92683 ZHAO, HUI, FANG - LAC DRAGON ACUPUNCTURE ACUPUNCTURE 18 ENDEAVOR STE 301, IRVINE, CA (949) 727-0898 HERB CENTER 92618 ZHAO, WU - LAC NORALAHI MEDICAL CLINICS ACUPUNCTURE 101 S SAN MATEO DR STE 112, SAN (650) 755-6400 INCORPORATED MATEO, CA 94401 ZHAO, YAN S - MD (BCC) LOMA LINDA UNIVERSITY GASTROENTEROLOGY 11370 ANDERSON ST FMO #3625, LOMA (800) 679-4642 HEALTH CARE - INTERNAL LINDA, CA 92354 MEDICINE SPECIALTIES GROUP ZHENG, HAILIANG - PT GEORGE O LEUNG DC INC PHYSICAL THERAPY 112 E EMERSON AVE, MONTEREY (626) 572-8002 PARK, CA 91755 ZHENG, VICTORIA - MD (BCC) ANESTHESIOLOGY 3330 LOMITA BLVD, TORRANCE, CA (310) 517-4759 90505 ZHOU, MICHAEL - MD (BCC) ANESTHESIOLOGY 1 MEDICAL PLAZA DR, ROSEVILLE, CA (916) 481-6800 95661 ZHU, DAMING - MD CARDIOVASCULAR DISEASE 1004 FOWLER WAY SUITE 4 , (530) 626-9488 (CARDIOLOGY) PLACERVILLE, CA 95667 ZHU, YAN - LAC YAN ZHONG ZHU ACUPUNCTURE 373 S MONROE ST STE 301, SAN JOSE, (510) 736-3218 CA 95128 ZHUO, WEI - LAC GLANDORF ACUPUNCTURE 1111 W TWN AND CNTRY RD STE 6, (714) 667-6831 CHIROPRACTIC/MICHAEL J ORANGE, CA 92868 GLANDORF DC ZIA, AARON - DC (BCC) HEALTHPOINTE MEDICAL CHIROPRACTIC MEDICINE 754 N MOUNTAIN AVE , ONTARIO, CA (909) 460-4155 GROUP INC 91762 ZIARI, MOHAMMADBAGHER - HEMATOLOGY AND 1280 CORONA POINTE CT # 112, (951) 898-2828 MD ONCOLOGY CORONA, CA 92879 ZIDEK, MARGARET - PT HANDS ON REHAB INC PHYSICAL THERAPY 1601 DOVE ST STE 242, NEWPORT (949) 222-6444 EASTBLUFF BEACH, CA 92660 ZIDEK, MARGARET - PT HANDS ON REHAB INC PHYSICAL THERAPY 7921 PROFESSIONAL CIR, (714) 847-8751 HUNTINGTON BEACH, CA 92648 ZIELONKA, EVA - PTA CENTRAL OCCUPATIONAL PHYSICAL THERAPY 4300 CENTRAL AVE, RIVERSIDE, CA (951) 222-2206 MEDICINE PROVIDERS 92506

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 770 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ZIESK, ANGEL - AUD ADVANCED HEARING AUDIOLOGY 3003 LOMA VISTA RD STE C, VENTURA, (800) 598-5300 PROVIDERS LLC CA 93003 ZIMMERMAN, ANDRE - MD KAISER PERMANENTE ORTHOPEDICS 9353 E IMPERIAL HWY , DOWNEY, CA (562) 657-2200 IMPERIAL MEDICAL OFFICES 90242 ZIMMERMAN, GREG - LAC RETREAT ACUPUNCTURE INC ACUPUNCTURE 1801 BUSH ST STE 106, SAN (415) 441-7200 FRANCISCO, CA 94109 ZIMMERMAN, GREG - LAC RETREAT ACUPUNCTURE INC ACUPUNCTURE 2960 HARBOR BLVD STE B, COSTA (949) 677-8498 MESA, CA 92626 ZION DRUG PHARMACY 3900 W 3RD ST STE A, LOS ANGELES, (213) 382-6485 CA 90020 ZIRPINS, INGO - PT THRIVE NC PHYSICAL PHYSICAL THERAPY 569 SEARLS AVE STE B, NEVADA CITY, (530) 478-1933 THERAPY INC DBA FIT FOR CA 95959 LIFE ZISMAN, DAVID A - MD (BCC) SANSUM CLINIC - PUEBLO PULMONARY DISEASE 317 W PUEBLO ST, SANTA BARBARA, (805) 681-7858 MULTI-SPECIALTY CLINIC CA 93105 ZIV, ELI - MD (BCC) HAND SURGERY 2486 N PONDEROSA DR STE D114, (805) 383-0271 CAMARILLO, CA 93010 ZIV, ELI - MD (BCC) ORTHOPEDICS - HAND 2486 N PONDEROSA DR STE D114, (805) 383-0271 CAMARILLO, CA 93010 ZMOOS, STEPHEN - DC STEPHEN ZMOOS DC CHIROPRACTIC MEDICINE 5417 FLORIN RD, SACRAMENTO, CA (916) 484-4343 95823 ZOEY PHARMACY PHARMACY 18500 VIA PRINCESSA STE 4, SANTA (661) 298-5858 CLARITA, CA 91387 ZOHA'S PHARMACY PHARMACY 616 34TH ST, BAKERSFIELD, CA 93301 (661) 293-7979 ZOHAS PHARMACY PHARMACY 5458 CALIFORNIA AVE, BAKERSFIELD, (661) 322-7979 CA 93309 ZOHMAN, GARY L - MD KAISER PERMANENTE ORTHOPEDICS 200 N LEWIS AVE , ORANGE, CA 92868 (714) 644-6450 LAKEVIEW MEDICAL OFFICES ZOLG, ROBERT - PT CALIFORNIA REHABILITATION PHYSICAL THERAPY 12555 LAKEWOOD BLVD STE F, (562) 923-4704 SPORTS THERAPY DOWNEY, CA 90242 ZOLI RX PHARMACY PHARMACY 1700 LOMBARD ST STE 100, OXNARD, (805) 222-0819 CA 93030 ZOLLNER, CHARLES - DC KAKLEAS CHIROPRACTIC CHIROPRACTIC MEDICINE 4380 REDWOOD HWY STE B6, SAN (415) 499-8469 RAFAEL, CA 94903 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL HAND SURGERY 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE ELBOW 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE FOOT 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE SHOULDER 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE WRIST 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - FOOT 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL HAND SURGERY 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO ELBOW CA 90220 DOMINGUEZ

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 771 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO FOOT CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO SHOULDER CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO WRIST CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - FOOT 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 2499 S WILMINGTON AVE , COMPTON, (310) 638-1113 CENTER - COMPTON - RANCHO CA 90220 DOMINGUEZ ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - ELBOW 3430 GARFIELD AVE, COMMERCE, CA (323) 722-8481 CENTER - COMMERCE 90040 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL HAND SURGERY 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS ELBOW VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS FOOT VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - HIP 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS SHOULDER VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDIC SURGERY - 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS WRIST VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - FOOT 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - HAND 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - HIP 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - SHOULDER 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 ZOPPI, ANTHONY J - MD CONCENTRA MEDICAL ORTHOPEDICS - WRIST 16300 ROSCOE BOULEVARD STE 1-A, (818) 893-4426 CENTER - VAN NUYS VAN NUYS, CA 91406 ZOU, JACK - PT GENESIS REHAB THERAPY PHYSICAL THERAPY 266 S HARVARD BLVD SUITE 330, LOS (323) 939-0840 ANGELES, CA 90004 ZUNIGA, JULIA - PT PALM DESERT PHYSICAL PHYSICAL THERAPY 77622 COUNTRY CLUB DR STE G, PALM (760) 345-3087 THERAPY DESERT, CA 92211 ZUSMER, EMANUEL J - MD SANSUM CLINIC - PAIN PAIN MANAGEMENT 3916 STATE ST STE 300B, SANTA (805) 681-7858 (BCC) MANAGEMENT BARBARA, CA 93105

Roster Of All Participating Providers - Last Update 2021-09-29 16:29:10 - Page 772 City of Los Angeles Medical Provider Network (MPN ID 3097) Roster Of All Participating Providers Physician Name Facility Specialty Address Phone ZWEBER APOTHECARY PHARMACY 10800 PARAMOUNT BLVD, DOWNEY, CA (562) 861-1203 90241 ZWEBER APOTHECARY PHARMACY 11411 BROOKSHIRE AVE, DOWNEY, CA (562) 923-1256 90241 ZWETSLOOT, PAUL - PT HEALTH QUEST PT FITNESS PHYSICAL THERAPY 161 E LINCOLN AVE STE 116, WEED, CA (530) 938-3344 CTR 96094

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