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(MPN ID 3097) Roster of All Participating Providers 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
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