Michael D. Drobot Pacific Hospital of Long Beach
Additional Case Information Case number Injured Worker Employer Claims administrator ADJ2259171 DOLORES MORENO 7UP BOTTLING COMPANY 7UP/RC BOTTLING CO ADJ1719616 LIRA LEBRON 99 CENT STORES 99" ONLY STORE ADJ1719616 LIRA LEBRON 99 CENTS ONLY STORE 99" ONLY STORE ADJ496698 JERONIMO GALLARDO SOUTHWEST MARINE ACCLAIM IRVINE ADJ7190535 BETTY MYLES COUNTY OF LOS ANGELES ACCLAMATION 802108 SANTA CLARITA ADJ8071516 ZHENIK AKOPYAN COUNTY OF L A DEPT OF CHILDREN ACCLAMATION 802108 SANTA CLARITA FAM ADJ846180 MICHAEL NESREEN L A COUNTY PROBATION DEPT ACCLAMATION 802108 SANTA CLARITA ADJ4284751 LADONNA ROBINSON GRANADA HILLS HOSP ACCLAMATION FRESNO ADJ4284751 LADONNA ROBINSON GRANADA HILLS HOSPITAL ACCLAMATION FRESNO ADJ4308441 DENISE RODRIGUEZ DANIEL FREEMAN MEMORIAL ACCLAMATION FRESNO HOSPITAL ADJ6451880 CHARITO NUNEZ CITY OF DELANO ACCLAMATION FRESNO ADJ1242640 L KENYA SMITH WIGGS COUNTY OF LOS ANGELES ACCLAMATION SANTA CLARITA ADJ6748230 RUSSELL REED COUNTY OF LOS ANGELES ACCLAMATION SANTA CLARITA ADJ6748230 RUSSELL REED OFFICE OF THE COUNTY COUNSEL ACCLAMATION SANTA CLARITA
ADJ7904002 JO ANN WILLIAMS COUNTY OF LOS ANGELES DEPT OF ACCLAMATION SANTA CLARITA CHILD SERVICES ADJ1103380 BARBARA MCGOWAN INLAND PAPERBOARD & PACKAGING ACE INC ADJ1472382 ORA DICKSON LOCKHEED MARTIN ACE ADJ1548254 LAWRENCE GONZALEZ TIMEC ACE ADJ1548254 LAWRENCE GONZALEZ TIMEC INC ACE ADJ203871 JELKA SKORIC AMPCO PARKING ACE ADJ2349516 ARMANDO SANCHEZ RELIANCE STEEL ACE ADJ2411123 KEVIN NICHOLS FOLEY ELECTRIC ACE ADJ2429736 JOSE CARRILLO ACE ADJ3650236 EVELYN ALDANA SELECT STAFFING ACE ADJ598884 ROBERTO ATONAL SELECT PERSONNEL ACE ADJ7804777 JUAN TORRES PIERRE SPRINKLER AND LANDSCAPE ACE
ADJ4212052 VICTOR MORENO ASPEN DISTRIBUTION ACE AMERICAN INSURANCE COMPANY ADJ4212052 VICTOR MORENO PACIFIC EXTERIORS INC ACE AMERICAN INSURANCE COMPANY ADJ1788202 IRENE NAVARRO CITY OF EL MONTE ADMINSURE DIAMOND BAR ADJ1941549 JOSE MACIEL WHITTIER UNION HIGH SCHOOL ADMINSURE DIAMOND BAR ADJ290765 JANICE ASHFORD CITY OF INGLEWOOD ADMINSURE DIAMOND BAR ADJ290765 JANICE ASHFORD CITY OF INGLEWOOD POLICE DEPT ADMINSURE DIAMOND BAR
ADJ3365600 HUGO ESPARZA COUNTY SANITATION DIST L A ADMINSURE DIAMOND BAR COUNTY ADJ6780464 KATHY ROBINSON CITY OF HOPE ADMINSURE DIAMOND BAR ADJ7512141 SHELLEY BENJAMIN CITY OF INGLEWOOD ADMINSURE DIAMOND BAR ADJ7767004 RAMONA LAFRANCE CITY OF INGLEWOOD ADMINSURE DIAMOND BAR ADJ8045665 JOSE LUIS ARCOS LOS ANGELES COMMUNITY COLLEGES ADMINSURE DIAMOND BAR
ADJ8396668 JAMES MARSH CITY OF DOWNEY FIRE DEPT ADMINSURE DIAMOND BAR ADJ3792880 MIGUEL FLORES BBSI/SABROSO ADVANTAGE ROCKLIN
Page 1 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1129988 GENEVIEVE CLAVREUL GLENDALE ADVENTIST MEDICAL ADVENTIST HEALTH ROSEVILLE CNTR ADJ7139227 JOSE ARAGON GLENDALE ADVENTIST MEDICAL ADVENTIST HEALTH ROSEVILLE CENTER ADJ1357308 RUTH CHARLES GELSON'S MARKET AIG AMERICAN INTL CLAIMS SERVICES ADJ1357308 RUTH CHARLES GELSON'S MARKET #6 AIG AMERICAN INTL CLAIMS SERVICES ADJ1921048 STEVE CORDRAY ENTERTAINMENT PARTNERS AIG AMERICAN INTL CLAIMS SERVICES ADJ1921048 STEVE CORDRAY WARNER BROTHERS AIG AMERICAN INTL CLAIMS SERVICES ADJ3263529 LISA PRICE HAPI MANAGEMENT INC AIG AMERICAN INTL CLAIMS SERVICES ADJ3363262 FRANCES SAUNDERS TIPPIN BOEING COMPANY AIG AMERICAN INTL CLAIMS SERVICES
ADJ3363262 FRANCES SAUNDERS TIPPIN THE BOEING COMPANY AIG AMERICAN INTL CLAIMS SERVICES
ADJ3887877 NELIA SARDIDO G.T.E. VERIZON AIG AMERICAN INTL CLAIMS SERVICES ADJ3073005 JOAQUIN RIVERA BENS ASPHALT SEAL AND COATING AIG CLAIM SERVICES
ADJ1062268 ROBERT SOWMA RAINBOW ENGINEERING AIG CLAIMS CONCORD ADJ1139914 MATEO SILVA AIG CLAIMS CONCORD ADJ1357308 RUTH CHARLES GELSON'S MARKET AIG CLAIMS CONCORD ADJ1357308 RUTH CHARLES GELSON'S MARKET #6 AIG CLAIMS CONCORD ADJ2180310 MARTHA VIRGEN ROYAL COURT AIG CLAIMS CONCORD ADJ2536003 ROBIN CRADER BECKMAN COULTER INC AIG CLAIMS CONCORD ADJ2643505 ANNIE COVIN NORTHROP GRUMMAN AIG CLAIMS CONCORD ADJ3902747 CHRISTOPHER COLLINS WAREHOUSE EQUIPMENT AIG CLAIMS CONCORD ADJ3902747 CHRISTOPHER COLLINS WAREHOUSE EQUIPMENT, INC. AIG CLAIMS CONCORD ADJ4183519 CYNTHIA THOMPSON DRAKE CERTIVO AIG CLAIMS CONCORD ADJ4183519 CYNTHIA THOMPSON DRAKE CERTIVO INC AIG CLAIMS CONCORD ADJ926199 MICHELLE EVANS BANK OF AMERICA AIG CLAIMS CONCORD ADJ1030031 JOSE AREVALO TOBIN, LUCKS & GOLDMAN AIG CLAIMS COSTA MESA ADJ1046462 TAMMY TROGLIN ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA ADJ1386722 EDDIE VALDIVIA NORTHROP GRUMMAN AIG CLAIMS COSTA MESA ADJ1432513 DAVID RIDDING KEDREN COMMUNITY HEALTH AIG CLAIMS COSTA MESA CENTER ADJ1480265 MARIA CEBALLOS J.C. PENNY LOGISTICS AIG CLAIMS COSTA MESA ADJ1593443 ANTONIO REYES AIG CLAIMS COSTA MESA ADJ1861342 DAWN WALKER SKYWEST AIRLINES AIG CLAIMS COSTA MESA ADJ1863051 KELSEY MADDOX TRADER JOE'E AIG CLAIMS COSTA MESA ADJ1921048 STEVE CORDRAY ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA ADJ1921048 STEVE CORDRAY WARNER BROTHERS AIG CLAIMS COSTA MESA ADJ2127502 JOSE ORTEGA MARQUEZ HARBOR RAIL SERVICES OF AIG CLAIMS COSTA MESA CALIFORNIA ADJ2176209 MIGUEL DELGADILLO LANE FRAMING SYSTEMS INC AIG CLAIMS COSTA MESA ADJ2364181 JOSE ANGEL TAPIA IXTA POTENTIAL INDUSTRIES AIG CLAIMS COSTA MESA
ADJ2443167 FRANK MARISCAL CTR PRINTING AIG CLAIMS COSTA MESA ADJ2501329 JOSHUA PINA AUTO CHLOR SYSTEMS AIG CLAIMS COSTA MESA ADJ251786 LINDA SMITH ARNOLD ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA
Page 2 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ2630657 SANDRA MORTON LEHMAN BROTHERS HOLDING INC AIG CLAIMS COSTA MESA
ADJ2677684 ROSSLYN ELMORE MORRIS MCDONNELL DOUGLAS CORP. AIG CLAIMS COSTA MESA
ADJ2705470 DALE ERVIN STAFF MARK AIG CLAIMS COSTA MESA ADJ273194 JAMES GOODMAN MGE UPS SYSTEMS AIG CLAIMS COSTA MESA ADJ3036684 RUTH STILL VERIZON AIG CLAIMS COSTA MESA ADJ3073005 JOAQUIN RIVERA BENS ASPHALT SEAL AND COATING AIG CLAIMS COSTA MESA
ADJ3136111 DAVID T DURBORAW AXIUM INTERNATIONAL AIG CLAIMS COSTA MESA ADJ3136111 DAVID T DURBORAW CAST & CREW PRODUCTION AIG CLAIMS COSTA MESA PAYROLL INC ADJ3136111 DAVID T DURBORAW ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA ADJ3154751 AMY MARTIN MONTAGE RESORT AIG CLAIMS COSTA MESA ADJ3222155 CARMEN GIL J.C. PENNEY AIG CLAIMS COSTA MESA ADJ3231061 STEPHEN TREVINO BRIAN KORINER AIG CLAIMS COSTA MESA ADJ3477816 GIL CRENSHAW NORTHROP GRUMMAN AIG CLAIMS COSTA MESA ADJ3640706 RICHARD TEALOR CROWN DISPOSAL COMPANY INC AIG CLAIMS COSTA MESA
ADJ3672183 ALFONSO CORRAL AIG CLAIMS COSTA MESA ADJ3854079 JOSE GARCIA WING LEE FARMS AIG CLAIMS COSTA MESA ADJ3977675 KEITH SIMIEN CRST INTERNATIONAL AIG CLAIMS COSTA MESA INCORPORATED ADJ3988151 ROSE CALDERON LASERLYTE AIG CLAIMS COSTA MESA ADJ4305002 LOUISE COLEMAN TTCC, INC. AIG CLAIMS COSTA MESA ADJ4367196 ENRIQUE CUEVAS SIMMONS AIG CLAIMS COSTA MESA ADJ4417255 RONNIE HURST ALLIAD WASTE AIG CLAIMS COSTA MESA ADJ4700809 RAY RAMIREZ NATIONAL OAK DISTRIBUTORS AIG CLAIMS COSTA MESA ADJ6506806 PERLA SOSA CPR STAFFING AIG CLAIMS COSTA MESA ADJ666229 CANDIDA SILVA PEERLESS BUILDING AIG CLAIMS COSTA MESA ADJ6699463 CLEMENCIA SUAREZ LOPEZ WAL MART AIG CLAIMS COSTA MESA
ADJ6711322 ANTONIO OLIVO CITI STAFF SOLUTIONS INC AIG CLAIMS COSTA MESA DECEASED ADJ6724087 MAYRA ROQUEZ JAM INDUSTRIES INC DBA JAM AIG CLAIMS COSTA MESA WAREHOUSE ADJ6737703 MARIA TOVAR AIG CLAIMS COSTA MESA ADJ6852886 CHRISTOPHER MOORE G-2 SECURE STAFF AIG CLAIMS COSTA MESA ADJ6946204 LORETTA DARDEN SHELLDS FOR FAMILIES AIG CLAIMS COSTA MESA ADJ6961509 KAREN MAZON PORTS AMERICA AIG CLAIMS COSTA MESA ADJ6963945 CHRISTOPHER PASCUZZO ENTERTAINMENT PARTNERS AIG CLAIMS COSTA MESA
ADJ7002068 SUSAN MILLER SONUS HEARING CARE AIG CLAIMS COSTA MESA ADJ7176344 JORGE GARCIA LEMUS SMART PARTY RENTALS INC AIG CLAIMS COSTA MESA ADJ7232700 LEE SHEPARD BURRTEC WASTE GROUP INC AIG CLAIMS COSTA MESA ADJ7305003 DAVID CAST NORTHROP GRUMMAN AIG CLAIMS COSTA MESA ADJ7305247 LUIZ IRIAS LI SOUTHERN CALIFORNIA PIZZA AIG CLAIMS COSTA MESA COMPANY PIZZA HUT
Page 3 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7410042 DONALD KENNEY BRITISH TELECOM AIG CLAIMS COSTA MESA ADJ7447861 LAURA DE GALVEZ UNIFIED CARE SERVICES INC DBA AIG CLAIMS COSTA MESA PACIFIC PALM HEALTHCARE ADJ750791 ARTURO CONTRERAS NOVESTAFF RESOURCE GROUP, LLC. AIG CLAIMS COSTA MESA
ADJ750791 ARTURO CONTRERAS UEBTF LOS ANGELES AIG CLAIMS COSTA MESA ADJ7578897 EDWARD ORTIZ CRAFT RESOURCES AIG CLAIMS COSTA MESA ADJ7608132 HARVEY AMEZCUA PENHALL AIG CLAIMS COSTA MESA ADJ7638366 JOSE MARTINEZ CPS EXPRESS AIG CLAIMS COSTA MESA ADJ7686424 GUADALUPE RODELO SOURCE INTERLINK RETAIL SERVICES AIG CLAIMS COSTA MESA
ADJ7789932 MARLON BLANDON BIZJET SERVICES AIG CLAIMS COSTA MESA ADJ7880142 GERARDO CONTRERAS PACIFIC TANK LINES AIG CLAIMS COSTA MESA ADJ8113244 MARTHA GOMEZ TECTRANS INC AIG CLAIMS COSTA MESA ADJ8131001 FERNANDO ALVAREZ JR HOLLYWOOD PARK RACING AIG CLAIMS COSTA MESA ASSOCIATION ADJ817041 ALEJANDRO MORENO J.C. PENNEY AIG CLAIMS COSTA MESA ADJ8240130 FRANCISCO GONZALEZ ROCK TENN AIG CLAIMS COSTA MESA ADJ860176 MERCY GEE ALVARADO PARKWAY INSTITUTE AIG CLAIMS COSTA MESA ADJ2127502 JOSE ORTEGA MARQUEZ HARBOR RAIL SERVICES OF AIG CLAIMS PHOENIX CALIFORNIA ADJ6605588 DAVID SANTISTEVAN GEVITY PEOPLE 1ST AIG CLAIMS PHOENIX ADJ6737703 MARIA TOVAR AIG CLAIMS SAN DIEGO ADJ7056112 JULIO PEREZ PERSONNEL PLUS AGENCY INC AIG CLAIMS SAN DIEGO ADJ7136263 ROSA GUEVARRA FRESH FOOD CONCEPTS AIG CLAIMS SAN DIEGO ADJ7329727 KRISSY KORN ENTERTAINMENT PARTNERS AIG CLAIMS SAN DIEGO ADJ7346458 MAURICIO MORALES AMERICAN GUNITE INCORP AIG CLAIMS SAN DIEGO ADJ7346458 MAURICIO MORALES UNINSURED EMPLOYERS FUND AIG CLAIMS SAN DIEGO ADJ7514118 MICHAEL PHILLIPS CRST INTERNATIONAL AIG CLAIMS SAN DIEGO ADJ7589739 RANULFO GARCIA CROWN DISPOSAL CO INC AIG CLAIMS SAN DIEGO ADJ7637915 JUAN SORIANO PERSONNEL PLUS AIG CLAIMS SAN DIEGO ADJ7673467 ANTONIO ZENDEJAS DEERE & COMPANY AIG CLAIMS SAN DIEGO ADJ7842128 EDWIN RODRIGUEZ SOUTHERN CALIFORNIA PIZZA AIG CLAIMS SAN DIEGO COMPANY ADJ8039543 MARTHA CASAS PERSONNEL PLUS AIG CLAIMS SAN DIEGO ADJ8321209 JAHANA SOTO PERSONNEL PLUS AIG CLAIMS SAN DIEGO ADJ3426267 THOMAS DAY COUNTY OF LA/PROBATION DEPT AIMS
ADJ5827299 SHEILA LABOMME COUNTY OF LOS ANGELES AIMS INC. ADJ1211630 JOSE LUA DIAZ UNIVERSAL SODEXHO ALASKA NATIONAL SEATTLE ADJ4372048 JOSE LUA DIAZ UNIVERSAL SODEXHO ALASKA NATIONAL SEATTLE ADJ6544953 CALIXTO DILLON CONNECT TELEVISON ALASKA NATIONAL WALNUT CREEK ADJ6759057 ALFREDO LEYVA JADE INC ALASKA NATIONAL WALNUT CREEK ADJ7363129 JOSEFINA ETRATA VILLA MESA CARE CENTER ALASKA NATIONAL WALNUT CREEK ADJ2854178 BELITA RIGOLI VONS WAREHOUSE ALBERTSONS HOLDINGS FULLERTON BETANCOURT ADJ3318078 GLORIA ROJAS VONS MARKET ALBERTSONS HOLDINGS FULLERTON ADJ601181 MARIA ANDERSON PAVILION #233 ALBERTSONS HOLDINGS FULLERTON
Page 4 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ6569802 JOE ORIGEL VONS COMPANIES, INC. ALBERTSONS HOLDINGS FULLERTON ADJ8667338 FRANCIS APONTE ALBERTSONS INC ALBERTSONS INC ADJ4230430 LINDA SMITH UNITED AIRLINES ALEXIS RISK MGT ADJ896033 MICHAEL WRIGHT HANFORD GLASS COMPANY ALISTAR INS CO IN LIQUIDATION ADJ3876482 ANTONIO MELGAREJO MCSTARLITE CO ALLIANZ BURBANK ADJ3876482 ANTONIO MELGAREJO MCSTARLITE CO ALLIANZ INSURANCE COMPANY ADJ746480 ROSA GARCIA L.A. SMOKING AND CURING ALLIANZ INSURANCE COMPANY ADJ162927 MARIA VIANA THE GRAFTON ON SUNSET ALLIANZ RESOLUTION PETALUMA ADJ3520155 MARISELA URIBE DR. MORRIS AKHAMZADEH/FAMILY ALLIANZ RESOLUTION RANCHO CORDOVA DENT. ADJ7647732 BRAY PANFILO CHARTER FURNITURE ALLIANZ RESOLUTION RANCHO CORDOVA
ADJ7702149 DEBORAH HAASE SAFEWORK INC ALLIANZ RESOLUTION RANCHO CORDOVA
ADJ8175645 MARTHA ROCHA MC1 FOODS ALLIANZ RESOLUTION RANCHO CORDOVA
ADJ8188419 JULIO MUNOZ INDUSTRIAL METAL SUPPLY ALLIANZ RESOLUTION RANCHO CORDOVA
ADJ830119 DESTINY MORGAN DESERT DUNES ANIMAL HOSPITAL ALLIANZ RESOLUTION RANCHO CORDOVA
ADJ1254664 LETICIA SANDOVAL CENTRAL PARKING SYSTEM ALTERNATIVE SERVICE CITRUS HEIGHTS ADJ1341056 GUADALUPE SANCHEZ INTERCOMMUNITY NURSING CENTER AMERICAN CASUALTY
ADJ1563144 GARY CUSUMANO TREND OFF SET PRINTERS AMERICAN CASUALTY ADJ1649554 MARIA MEZA ANZA APT AMERICAN CASUALTY ADJ1819572 RONALD WARD ASCENT MEDIA GROUP AMERICAN CASUALTY ADJ1921048 STEVE CORDRAY ENTERTAINMENT PARTNERS AMERICAN CASUALTY ADJ1921048 STEVE CORDRAY WARNER BROTHERS AMERICAN CASUALTY ADJ212263 DONNA MILLER HOLY CROSS MEDICAL CENTER AMERICAN CASUALTY ADJ3275386 MARIA GARCIA DE JESUS MGH GOURMET INC AMERICAN CASUALTY ADJ3669642 LUISA O CONNOR UNIVERSAL PROTECTION SERVICES AMERICAN CASUALTY
ADJ1801513 SOFIA DEL CARMEN AMERICAN CLAIMS SAN DIEGO ZELAYA ADJ3163359 LISSETTE AGUILAR MCDONALDS AMERICAN CLAIMS SAN DIEGO ADJ7146789 DANNY PHILLIPS CONTINENTAL MARBLE AND TILE AMERICAN CLAIMS SAN DIEGO
ADJ7146789 DANNY PHILLIPS ESIS FREMONT AMERICAN CLAIMS SAN DIEGO ADJ7523496 HELGA RAMIREZ TRIAS LLC AMERICAN CLAIMS SAN DIEGO ADJ7904218 MARTHA DURAN CHECK CASHIERS AMERICAN CLAIMS SAN DIEGO ADJ8330151 SANTIAGO CORONADO R T FRAMING CORPORATION AMERICAN CLAIMS SAN DIEGO ADJ8411444 BEVERLY ORANGE AVALON VILLA CARE CENTER AMERICAN CLAIMS SAN DIEGO ADJ3538802 GUADALUPE BUENO ALAHAMBRA BUILDING AMERICAN COMMERCIAL ADJ3649101 EDWARD DAVIS PERSONNEL PLOS ANAHEIM AMERICAN COMMERCIAL ADJ4201565 MELECIO GONZALEZ TEMPLE ISRAEL OF HOLLYWOOD AMERICAN COMMERCIAL ADJ1460361 MARIA BAFILE DEBILIO FOOD DISTRIB. AMERICAN COMMERCIAL SAN DIEGO ADJ1545119 TROY FUCONE PACIFIC WEST LITHO INC AMERICAN COMMERCIAL SAN DIEGO
Page 5 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1749683 ALFREDO ZATARIAN JAYAR MANUFACTURING COMPANY AMERICAN COMMERCIAL SAN DIEGO
ADJ3076419 JOANNE OSBY DRC AMERICAN COMMERCIAL SAN DIEGO ADJ3076419 JOANNE OSBY UEF AMERICAN COMMERCIAL SAN DIEGO ADJ4264155 LISA WARNER MERCEDES BENZ OF LAGUNA NIGUEL AMERICAN COMMERCIAL SAN DIEGO
ADJ4522208 ESPIRIDION CONTRERAS ROYAL CABINETS AMERICAN COMMERCIAL SAN DIEGO
ADJ6939275 AGUSTIN VELAZQUEZ BROOKER ASSOCIATES INC AMTRUST CONCORD ACEVEDO ADJ3153732 DENEANE STEVENSON CERTIFIED GROCERS OF CALIFORNIA AMTRUST COVINA
ADJ1545119 TROY FUCONE PACIFIC WEST LITHO INC AMTRUST IRVINE ADJ443823 RICHARD ZOSCHKE REDWOOD FIRE & CASUALTY AMTRUST IRVINE INSURANCE C ADJ443823 RICHARD ZOSCHKE SUREFIRE, LLC AMTRUST IRVINE ADJ7058838 RICHARD SUTTON CERRITOS FORD AMTRUST IRVINE ADJ7129093 SANTIAGO HERRERA RAINBOW AMTRUST IRVINE ADJ7346458 MAURICIO MORALES AMERICAN GUNITE INCORP AMTRUST IRVINE ADJ7346458 MAURICIO MORALES UNINSURED EMPLOYERS FUND AMTRUST IRVINE ADJ7431227 GUADALUPE AQUINO PICASSO STYLE INC AMTRUST IRVINE ADJ7552608 ELIZABETH EISENFELD SOUTHERN CALIFORNIA NESSAH AMTRUST IRVINE EDUCATIONAL CULTURAL CENTER
ADJ7733498 MINOO DANESHRAD NESSAH EDUCATIONAL AND AMTRUST IRVINE CULTURAL CENTER ADJ3185843 FERNANDO CAMPOS CPE/DANMAR RETIREMENT VILLA AMTRUST NORTH AMERICA/TECHNOLOGY INSURANCE ADJ1679828 JUAN CARLOS DIAZ JKP INC APPLIED RISK OMAHA ADJ2898367 SEAN QUINLIVAN PETE'S PLUMBING APPLIED RISK OMAHA ADJ3331582 MICHAEL LOPEZ SOLO TERMITE CONTROL APPLIED RISK OMAHA ADJ6784010 ALEJO RUBIO CATALINA YACHTS APPLIED RISK OMAHA ADJ7437470 JOSE BECERRA COAST CHEM EXTERMINATING APPLIED RISK OMAHA ADJ7937467 ROSARIO LARA MY C INC DBA GOLDILOCKS CORP APPLIED RISK OMAHA
ADJ817604 SHIRLEY BOESSNECK SAMS CLUB ARCMI ADJ3465583 SIPRIANO HUITRON CEMCO,INC ARGONAUT FRESNO ADJ4652794 ALICIA PENALVER AGRI-CEL, INC. ARGONAUT FRESNO ADJ3345793 ROSENDO VELIZ FAIRCHILD FASTENER GRP ARROWOOD INDEMNITY COMPANY CHARLOTTE ADJ3471970 ANDREA LOPEZ KRAGEN AUTO PARTS ARROWOOD INDEMNITY COMPANY CHARLOTTE ADJ4113415 JHOANA MORALES WESTSIDE PACKAGING, INC. ASIC ADJ4062533 JOSE REYES ASSOC CONCRETE PRODUCTS ASSOCIATED CONCRETE PRODUCTS/AUFAIT RISK MANAGEMENT SERVICE
Page 6 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4062533 JOSE REYES ASSOCIATED CONCRETE PRODUCTS ASSOCIATED CONCRETE PRODUCTS/AUFAIT RISK MANAGEMENT SERVICE
ADJ6985332 FAKHRI TAHERI IHASET ASSURANCE CO OF AMERICA SACRAMENTO
ADJ1690845 MARY NASH PACIFIC BELL AT & T TECHNOLOGIES/HELMSMAN MANAGEMENT SERVICES INC ADJ2876773 VERONICA BAILEY FALLBROOK UNION HIGH SCHOOL ATHENS ADMINISTRATORS CONCORD DISTRIC ADJ3875469 MARIA PRECIADO HOUSING AUTHORITY ATHENS ADMINISTRATORS CONCORD ADJ6625078 ARLENE NELSON ATHENS ADMINISTRATORS CONCORD ADJ6744645 PASTOR ESTRADA LA PARTY RENTS ATHENS ADMINISTRATORS CONCORD ADJ7988038 CHRISTEN VINCENT ABF FREIGHT SYSTEMS ATHENS ADMINISTRATORS CONCORD ADJ7028491 ROSE LOPEZ PRESBYTERIAN COMMUNITY ATHENS ADMINISTRATORS ORANGE HOSPITAL ADJ3283627 JULIO MORALES SAFE PLATING INC ATHENS ADMINISTRATORS SACRAMENTO ADJ2054212 SILVANO GUERRERO THE QUIKRETE CO ATLANTIC MUTUAL INSURANCE CO ADJ6882755 JONATHAN HAMMER P AND R PAPER SUPPLY COMPANY AVIZENT 4740 EL DORADO HILLS
ADJ6684842 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA ANA BARRETT BUSINESS SACRAMENTO
ADJ6694885 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA ANA BARRETT BUSINESS SACRAMENTO
ADJ8246437 SALVADOR LARIOS BRO PACK INC BARRETT BUSINESS SACRAMENTO ADJ6684842 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA ANA BARRETT BUSINESS SACRAMENTO
ADJ6694885 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA ANA BARRETT BUSINESS SACRAMENTO
ADJ6759338 COBI JONES LOS ANGELES GALAXY BERKLEY SPECIALTY IRVING ADJ6759338 COBI JONES MAJOR LEAGUE SOCCER BERKLEY SPECIALTY IRVING ADJ7269278 ANTE RAZOV LOS ANGELES GALAXY BERKLEY SPECIALTY IRVING ADJ7380036 BOBBY YOUNG UNITED PIMPING SERVICE INC BERKLEY SPECIALTY IRVING ADJ8199704 OLIVER ROSS ARIZONA CARDINALS BERKLEY SPECIALTY IRVING ADJ1164224 ANTONIO PEREZ AMERICAN LANDSCAPE BERKSHIRE HATHAWAY PASADENA MAINTENANCE ADJ1164224 ANTONIO PEREZ AMERICAN LANDSCAPE BERKSHIRE HATHAWAY PASADENA MAINTENENCE ADJ2949920 MARINA SILVA PLAZA DE LA RAZA HEAD START INC BERKSHIRE HATHAWAY PASADENA
ADJ443823 RICHARD ZOSCHKE REDWOOD FIRE & CASUALTY BERKSHIRE HATHAWAY PASADENA INSURANCE C ADJ443823 RICHARD ZOSCHKE SUREFIRE, LLC BERKSHIRE HATHAWAY PASADENA ADJ6814391 LUCY JASSO LEGAL AID FOUNDATION OF LOS BERKSHIRE HATHAWAY PASADENA ANGELES ADJ6828953 PETE GARABITO UNITY COURIER BERKSHIRE HATHAWAY PASADENA ADJ6828953 PETE GARABITO UNITY COURIER BERKSHIRE HATHAWAY SAN DIEGO ADJ7487053 AGUSTINA CONTRERAS RAYS WRAP INC. BERKSHIRE HATHAWAY SAN DIEGO ADJ1623288 KENNETH ECHAVARRIA AIR GOURMET INC BERKSHIRE HATHAWAY SAN FRANCISCO
Page 7 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4384574 MARIA DUENAS LB PROPERTY MANAGEMENT BERKSHIRE HATHAWAY SAN FRANCISCO ADJ6744645 PASTOR ESTRADA LA PARTY RENTS BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7244721 ALMA CASTILLO DIANA'S MEXICAN FOOD BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7447845 ERNESTO HERMOSILLO EVYCA BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7733498 MINOO DANESHRAD NESSAH EDUCATIONAL AND BERKSHIRE HATHAWAY SAN FRANCISCO CULTURAL CENTER ADJ8068932 GREGORY POWELL BLUE DAISY CEMENT PRODUCTS INC BERKSHIRE HATHAWAY SAN FRANCISCO
ADJ8120012 MARCOS GONZALES ROSS & BARROWS INC BERKSHIRE HATHAWAY SAN FRANCISCO ADJ7900772 CARMEN BARRANCO BOEING BOEING ADJ3650313 JORGE DOMINGUEZ AM PERSONNEL PARTNERS, INC. BROADSPIRE ADJ3650313 JORGE DOMINGUEZ BARRATT AMERICAN INCORPORATED BROADSPIRE
ADJ3650313 JORGE DOMINGUEZ FORD PLASTERING BROADSPIRE ADJ7925389 LUIS QUINTERO AMERICANOS USA BROADSPIRE 12586 FRESNO CLOSED ADJ1069951 LINDA CERDA GLORY USA, INC. BROADSPIRE 24016 FRESNO ADJ1308857 ULUALO ASUEGA STAFF MARK BROADSPIRE 24016 FRESNO ADJ1423647 DIANA MORALES SO CAL AUTO AUCTION BROADSPIRE 24016 FRESNO ADJ1423647 DIANA MORALES SOUTHERN CALIFORNIA AUTO BROADSPIRE 24016 FRESNO AUCTION ADJ1673870 SOFIA CERDA 99 CENTS ONLY STORE BROADSPIRE 24016 FRESNO ADJ2381097 JOHN RHODES C.R. ENGLAND BROADSPIRE 24016 FRESNO ADJ2804761 RUBEN PEREZ ARAUJO CENTIMARK CORPORATION BROADSPIRE 24016 FRESNO ADJ317660 LORENZO GARCIA LINDBERG HEAT TREATING BROADSPIRE 24016 FRESNO COMPANY ADJ4681462 BETTY CHAN LOS ANGELES FIREMANS CREDIT BROADSPIRE 24016 FRESNO UNION ADJ7859341 TUYET TATE AMETEK BROADSPIRE 24016 FRESNO ADJ8207921 MIGUEL MEDINA MV TRANSPORTATION BROADSPIRE 24016 FRESNO ADJ1044616 ALFRED SANCHEZ THE BOEING CO BROADSPIRE BREA ADJ1116165 GILBERT AGUILAR AJILON COMMUNICATIONS BROADSPIRE BREA ADJ1311205 GARY CLEVENGER POOL WELL SERVICES BROADSPIRE BREA ADJ1781346 ROBERT AZALBARIAN SAM'S SHELL #1 BROADSPIRE BREA ADJ1921048 STEVE CORDRAY ENTERTAINMENT PARTNERS BROADSPIRE BREA ADJ1921048 STEVE CORDRAY WARNER BROTHERS BROADSPIRE BREA ADJ2656740 JOHN FANOUS THE BOEING COMPANY BROADSPIRE BREA ADJ3088000 BRIAN ROJAS DUNN-EDWARDS CORPORATION BROADSPIRE BREA
ADJ3193103 MARIA STEVENS DIAKIS UNIVERSITY OF SOUTHERN BROADSPIRE BREA CALIFORNIA ADJ3363262 FRANCES SAUNDERS TIPPIN BOEING COMPANY BROADSPIRE BREA
ADJ3363262 FRANCES SAUNDERS TIPPIN THE BOEING COMPANY BROADSPIRE BREA
ADJ4032540 DONALD DOTY BOEING CO. BROADSPIRE BREA ADJ4320776 JOHN MARTIN TRW BROADSPIRE BREA ADJ4364675 SILVIA HUERTAS JACK IN THE BOX BROADSPIRE BREA
Page 8 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4606617 ROBERT MOYA BRAND SCAFFOLD RENTAL AND BROADSPIRE BREA ERECTION ADJ6567956 MATTY CAMPOS USC BROADSPIRE BREA ADJ6778624 PAUL CALLOWAY SECURITAS SECURITY SERVICE BROADSPIRE BREA ADJ6989046 OSCAR LARA MAXUM PETROLIUM INC BROADSPIRE BREA ADJ7083510 THOMAS MELENDEZ STRAUB DISTRIBURING COMPANY BROADSPIRE BREA
ADJ7181841 LIDIA VELAZQUEZ USC BROADSPIRE BREA ADJ7285453 MARIA VARGAS SMURFIT STONE BROADSPIRE BREA ADJ7481451 RAMON PALAFOX TEXTRON INC BROADSPIRE BREA ADJ8142625 ALEJANDRO RIEGER HOBART BROADSPIRE BREA ADJ8383846 LONGMY HUYNH GENERAL DYNAMICS BROADSPIRE BREA ADJ1023285 MARINA GONZALEZ PROFESSIONAL STAFFING BROADSPIRE CIGA GLENDALE CLOSED ADJ1023285 MARINA GONZALEZ PROFESSIONAL STAFFING SERVICES BROADSPIRE CIGA GLENDALE CLOSED
ADJ1023285 MARINA GONZALEZ SIMPLE TECHNOLOGY BROADSPIRE CIGA GLENDALE CLOSED ADJ105997 SAMUEL HYNES TAMCO STEEL BROADSPIRE CIGA GLENDALE CLOSED ADJ1253139 BRENDA BECKER BESTFORMS BROADSPIRE CIGA GLENDALE CLOSED ADJ1315320 SARA PEDRAZA SOUTH COAST MEDICAL CENTER BROADSPIRE CIGA GLENDALE CLOSED ADJ1579947 ELAINE VASQUEZ LA HABRA VILLA BROADSPIRE CIGA GLENDALE CLOSED ADJ2757596 SERGIO VALENZUELA ELITE PERSONNEL SERVICE BROADSPIRE CIGA GLENDALE CLOSED ADJ2757596 SERGIO VALENZUELA SOUTHLAND BOX CO. BROADSPIRE CIGA GLENDALE CLOSED ADJ2817792 DOROTHY GOULD HARVEST FARMS BROADSPIRE CIGA GLENDALE CLOSED ADJ2859662 MARICELA PANTOJA ROGER'S FOODS BROADSPIRE CIGA GLENDALE CLOSED ADJ2890022 SHEILA CIANCANELLI HYDRA BATHS INC. BROADSPIRE CIGA GLENDALE CLOSED ADJ3162883 JOSE GARCIA UNITED ALLOYS INC BROADSPIRE CIGA GLENDALE CLOSED ADJ4019325 ALLEN SHEPARD SWIFT TRANSPORTATION BROADSPIRE CIGA GLENDALE CLOSED ADJ4113415 JHOANA MORALES WESTSIDE PACKAGING, INC. BROADSPIRE CIGA GLENDALE CLOSED ADJ576480 ARSENIO GARCIA TEMPSTAR SERVICES BROADSPIRE CIGA GLENDALE CLOSED ADJ576480 ARSENIO GARCIA WET SEAL BROADSPIRE CIGA GLENDALE CLOSED ADJ746480 ROSA GARCIA L.A. SMOKING AND CURING BROADSPIRE CIGA GLENDALE CLOSED ADJ896033 MICHAEL WRIGHT HANFORD GLASS COMPANY BROADSPIRE CIGA GLENDALE CLOSED ADJ7875869 REINA ELIZABETH OBERTHUR TECHNOLOGIES OF BROADSPIRE CONCORD ORELLANA AMERICA CORP ADJ8286541 MARIA TORRES PENTAIR WATER POOL AND SPA BROADSPIRE CONCORD ADJ1286605 LAURO GUERRERO UNIVERSAL ALLOY BROADSPIRE INSURANCE COMPANIES ADJ2646272 SUZAN GUBRUD FRESH START BAKERY BROADSPIRE INSURANCE COMPANIES ADJ3756070 ANDRES CORTEZ DUNHAM ROOFING, INC. BROADSPIRE INSURANCE COMPANIES ADJ4358198 KAREN BROWN POUNCY PACIFIC CARE OF CALIFORNIA BROADSPIRE INSURANCE COMPANIES
ADJ546036 MARIBEL GOMEZ ANGELICA TEXTILES SERVICES BROADSPIRE INSURANCE COMPANIES ADJ1140089 SCOTT CANNELL TIERNAY METALS BROADSPIRE SACRAMENTO ADJ1140089 SCOTT CANNELL TIERNEY METALS BROADSPIRE SACRAMENTO ADJ1202959 GEORGE MARTINEZ US FOOD SERVICE BROADSPIRE SACRAMENTO ADJ1305070 MARK MARGOLIS ALBERTSONS BROADSPIRE SACRAMENTO ADJ1333680 REYNA CASTILLO COURTESY EMPLOYMENT SERVICES BROADSPIRE SACRAMENTO
ADJ2013835 JAMES MOORE BOEING BROADSPIRE SACRAMENTO
Page 9 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ2695773 JANINE PERDEW ALBERTSONS BROADSPIRE SACRAMENTO ADJ2859662 MARICELA PANTOJA ROGER'S FOODS BROADSPIRE SACRAMENTO ADJ3335294 BERT SASSENBERG RENZENBERGER, INC. BROADSPIRE SACRAMENTO ADJ3590636 DONALD REICHENECKER OWENS & MINOR BROADSPIRE SACRAMENTO
ADJ3732140 GARY SIMS BOYD COFFEE CO BROADSPIRE SACRAMENTO ADJ3934528 CECILIA LEDEZMA STAPLES BROADSPIRE SACRAMENTO ADJ4038941 RONALD HIGHLEY NEWPORT DIVERSIFIED BROADSPIRE SACRAMENTO ADJ406953 LARRY SPRATT BRAND SCAFFOLD BROADSPIRE SACRAMENTO ADJ4238525 SHANNON HILL LEMIEUX JOHNSON & JOHNSON BROADSPIRE SACRAMENTO
ADJ4523497 ANTHONY BECKER AMERICAN DRUG STORES BROADSPIRE SACRAMENTO ADJ6882300 CARLOS HUERTA MCDPETERSONHERB GA ENTERPRISES BROADSPIRE SACRAMENTO
ADJ6972089 DANA VAN AUKEN CAST AND CREW PRODUCTION BROADSPIRE SACRAMENTO ADJ6972089 DANA VAN AUKEN ENTERTAINMENT PARTNERS BROADSPIRE SACRAMENTO ADJ6972089 DANA VAN AUKEN FILM PAYMENT SERVICES BROADSPIRE SACRAMENTO ADJ6972089 DANA VAN AUKEN REEL PAYROLL INC BROADSPIRE SACRAMENTO ADJ7706751 MARIA AVILA FRENCH CRAFT LEATHER GOODS INC BROADSPIRE SACRAMENTO
ADJ791635 DONALD REICHENECKER OWENS & MINOR BROADSPIRE SACRAMENTO
ADJ2856536 JOSE NEVAREZ SEE'S CANDY BROADSPIRE SERVICES ADJ2856536 JOSE NEVAREZ SEES CANDY BROADSPIRE SERVICES ADJ1566681 ENRIQUE MACIAS CHECK MATE BUCKEYE CERRITOS CLOSED ADJ200259 JOEL SANCHEZ CHECK MATE STAFFING BUCKEYE CERRITOS CLOSED ADJ200259 JOEL SANCHEZ MERRICK ENGINEERING INC BUCKEYE CERRITOS CLOSED ADJ272143 ALEJANDRO SOSA NEW NUMATECH BUCKEYE CERRITOS CLOSED ADJ2948575 JOSE RAMIREZ CHECK MATE AGENCY BUCKEYE CERRITOS CLOSED ADJ2948575 JOSE RAMIREZ SUPERIOR ASSEMBLY DISTRIBUTION BUCKEYE CERRITOS CLOSED
ADJ3650313 JORGE DOMINGUEZ AM PERSONNEL PARTNERS, INC. BUCKEYE CERRITOS CLOSED ADJ3650313 JORGE DOMINGUEZ BARRATT AMERICAN INCORPORATED BUCKEYE CERRITOS CLOSED
ADJ3650313 JORGE DOMINGUEZ FORD PLASTERING BUCKEYE CERRITOS CLOSED ADJ431885 MINOR CARDONA CHECKMATE STAFFING BUCKEYE CERRITOS CLOSED ADJ4382097 GEMMA MILLNER DIVERSIFIED PARATRANSIT INC BUCKEYE CERRITOS CLOSED ADJ4622151 CYNTHIA AGUILAR DIVERSIFIED PARIT TRANSIT BUCKEYE CERRITOS CLOSED ADJ676071 JAIME REYES CHECKMATE STAFFING BUCKEYE CERRITOS CLOSED ADJ2855238 JOSE VASQUEZ IDEAL STAFFING INC CA SELF INSURED SECURITY FUND ESTATE MAINSTAY ADJ1364894 FLETCHER RAYNOR CITY OF RIDGECREST CALIF COMPENSATION & FIRE CO/BROADSPIRE
ADJ1364894 FLETCHER RAYNOR SASS CALIF COMPENSATION & FIRE CO/BROADSPIRE
ADJ1924892 ROBERTO JIMENEZ BURGER KING - GE ENTERPRIESE CALIF COMPENSATION & FIRE CO/BROADSPIRE
Page 10 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ3345965 JENNIFER GUERRERO RUIZ FOODS PRODUCTS INC CALIF COMPENSATION & FIRE CO/BROADSPIRE
ADJ367455 VICTORIA SARGENT DENNY'S/QLC MANAGEMENT CALIF COMPENSATION & FIRE CO/BROADSPIRE
ADJ367455 VICTORIA SARGENT DONAHUE ENTERPRISES CALIF COMPENSATION & FIRE CO/BROADSPIRE
ADJ4184795 MARIA ELENA CALDERON AF GILMORE COMPANY CALIF COMPENSATION & FIRE CO/BROADSPIRE
ADJ1299994 DANIEL SANDOVAL CARLTON FORGE WEST CALIFORNIA CASUALTY INSURANCE CO/GAB ROBINS NORTH AMERICA INC ADJ1299994 DANIEL SANDOVAL CARLTON FORGE WORKS CALIFORNIA CASUALTY INSURANCE CO/GAB ROBINS NORTH AMERICA INC ADJ1156697 OFELIA SARINO CITY OF LOS ANGELES CAMBRIDGE ADJ3434414 CHRISTOPHER BERNAL LOS ANGELES COUNTY PROBATION CAMBRIDGE INTEGRATED DEPT ADJ3663324 ESTEBANA GONZALES SPOTLESS PLASTIC USA CAMBRIDGE INTEGRATED SERVICE ADJ2222094 SYLVIA TORRES MERLE NORMAN COSMETICS CAMBRIDGE INTEGRATED SERVICE ADJ127237 PAUL SCHWARTZ GREGG ELECTRIC CAMBRIDGE INTEGRATED SERVICES ADJ2381097 JOHN RHODES C.R. ENGLAND CAMBRIDGE INTEGRATED SERVICES GROUP
ADJ1350011 VALERIE SHUMAKE AIS INSURANCE CAMBRIDGE PASADENA CLOSED ADJ1354849 ALMA HOLGUIN HACIENDA-LA PUENTE SCHOOL DIST CAMBRIDGE PASADENA CLOSED
ADJ1448844 ENRIQUE MANCILLA PUCHE DENTAL LAB CAMBRIDGE PASADENA CLOSED ADJ174140 SANDRA BROWN COUNTY OF LA DCFS CAMBRIDGE PASADENA CLOSED ADJ2285295 JEANETTE SMITH ANADITE INC WESTERN DIV CAMBRIDGE PASADENA CLOSED ADJ3245361 CHERYL NAKISO L.A. COUNTY/DPSS CAMBRIDGE PASADENA CLOSED ADJ3306755 MICHELLE FRITZ LOS ANGELES COUNTY DPSS CAMBRIDGE PASADENA CLOSED ADJ3434817 ANA FRANCO CITY OF LA HOUSING AUTHORITY CAMBRIDGE PASADENA CLOSED
ADJ3434817 ANA FRANCO CITY OF LA/HOUSING AUTHORITY CAMBRIDGE PASADENA CLOSED
ADJ3460127 FLOYD LUCAS DECEASED THE BOEING CO CAMBRIDGE PASADENA CLOSED
ADJ3833368 IRENE DELGADILLO MEMORIAL MEDICAL GROUP CAMBRIDGE PASADENA CLOSED ADJ3914162 SIDNEY PEARSON LAC-USC MEDICAL CNTR CAMBRIDGE PASADENA CLOSED ADJ4347928 SALVADOR SANCHEZ ANAHEIM TERRACE CARE CENTER CAMBRIDGE PASADENA CLOSED
ADJ4645734 MICHAEL CROUGH MCDONNELL DOUGLAG AIRCRAFT CAMBRIDGE PASADENA CLOSED
ADJ4676910 PATRICIA SABIJON OLIVE VIEW MEDICAL CNTR CAMBRIDGE PASADENA CLOSED ADJ846180 MICHAEL NESREEN L A COUNTY PROBATION DEPT CAMBRIDGE PASADENA CLOSED ADJ1252993 JOANNE BARNES CITY NATIONAL BANK CAMBRIDGE SAN DIEGO CLOSED ADJ1286605 LAURO GUERRERO UNIVERSAL ALLOY CAMBRIDGE SAN DIEGO CLOSED ADJ132852 FRANCES VACA AQUARIUM OF THE PACIFIC CAMBRIDGE SAN DIEGO CLOSED ADJ1621412 CARLOS ORREGO RESEDA AUTO & ELECTRIC CAMBRIDGE SAN DIEGO CLOSED ADJ2185675 ANGEL SHOFNER AHMED SYED NORTH AMERICAN CAMBRIDGE SAN DIEGO CLOSED GROUP
Page 11 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ2185675 ANGEL SHOFNER FANTASTIC SAMS CAMBRIDGE SAN DIEGO CLOSED ADJ313717 RAMON MARQUEZ WESTLAND GRAPHICS CAMBRIDGE SAN DIEGO CLOSED ADJ3259223 CHRISTOPHER LOPEZ SOUTH TITLE CORPORATION CAMBRIDGE SAN DIEGO CLOSED ADJ3259223 CHRISTOPHER LOPEZ SOUTHLAND TITLE CORP CAMBRIDGE SAN DIEGO CLOSED ADJ3990441 SHARON ROWELL ANAHEIM UNIFIED SCHOOL DISTRICT CAMBRIDGE SAN DIEGO CLOSED
ADJ3990441 SHARON ROWELL ANAHEIM UNION HIGH SCH DIST CAMBRIDGE SAN DIEGO CLOSED ADJ3995603 HERMINEGILDA CHAVEZ AUTO ZONE CAMBRIDGE SAN DIEGO CLOSED
ADJ3995603 HERMINEGILDA CHAVEZ CHIEF AUTO PARTS CAMBRIDGE SAN DIEGO CLOSED
ADJ406518 JAVIER RIOS HARRISON-NICHOLS COMPANY CAMBRIDGE SAN DIEGO CLOSED ADJ4231027 MIKE DEHOYOS SYSTEMS SOURCE INC. CAMBRIDGE SAN DIEGO CLOSED ADJ7482272 JULIO ESCALANTE BILTMORE HOTEL CANNON COCHRAN CONCORD ADJ1781346 ROBERT AZALBARIAN SAM'S SHELL #1 CANNON COCHRAN IRVINE ADJ7939474 JOHN MCCRATIC UNITED ROAD TOWING CANNON COCHRAN IRVINE ADJ7500629 RAMON SALAZAR REPUBLIC SERVICES CANNON COCHRAN SCOTTSDALE ADJ7768399 ESTHER DEL CAMPO ROSE VILLA HEALTHCARE CENTER CARL WARREN TUSTIN
ADJ7346458 MAURICIO MORALES AMERICAN GUNITE INCORP CASTLEPOINT NATIONAL INS IRVINE ADJ7346458 MAURICIO MORALES UNINSURED EMPLOYERS FUND CASTLEPOINT NATIONAL INS IRVINE ADJ1535502 CLEOTIDE CRUZ TRANS BOX SYSTEMS CHUBB GROUP LOS ANGELES ADJ2940195 EDWARD REYES LIQUI-BOX CHUBB GROUP LOS ANGELES ADJ4233069 MARIA MONTESINOS SUPERBRA CHUBB GROUP LOS ANGELES ADJ4357182 DANIEL MARTINEZ PRIMARY STEEL CHUBB GROUP LOS ANGELES ADJ6459504 LINDA MYERS SULLIVAN AND CROMWELL CHUBB GROUP LOS ANGELES ADJ6827065 GLEN MURRAY BOSTON BRUINS CHUBB GROUP LOS ANGELES ADJ6827065 GLEN MURRAY PITTSBURGH PENGUINS CHUBB GROUP LOS ANGELES ADJ6831999 ANITA LOPEZ DE LOPEZ SANTA MONICA BEACH HOTEL CHUBB GROUP LOS ANGELES CORPORATION ADJ7051002 SUSAN MCKINNEY PHNS INC CHUBB GROUP LOS ANGELES ADJ7079221 HELEN BATES TICKET MASTER CHUBB GROUP LOS ANGELES ADJ7361488 LOUIS RITTENHOUSE TIFFANY AND COMPANY CHUBB GROUP LOS ANGELES ADJ7410042 DONALD KENNEY BRITISH TELECOM CHUBB GROUP LOS ANGELES ADJ7457407 KAYELLE MORGAN PURPLE COMMUNICATIONS INC CHUBB GROUP LOS ANGELES ADJ7561994 NOE PAZ PRIMARY COLOR PRINTING CHUBB GROUP LOS ANGELES ADJ7624479 MARIA REYES ADAM NUTRITION CHUBB GROUP LOS ANGELES ADJ7822727 ANA NARKORN MCCULLOCH TRUST CHUBB GROUP LOS ANGELES ADJ804550 VENUS REDE DURAN TONAWANDA PICTURES CHUBB GROUP LOS ANGELES ADJ8048910 RICARDO CHILLON HYATT REGENCY CHUBB GROUP LOS ANGELES ADJ3709853 MARIA THOMPSON COMMUNITY BAPTIST CHURCH OF CHURCH MUTUAL MERRILL MANHATT ADJ8384175 GILBERT CANTY VISTA DEL MAR SENIOR LIVING CHURCH MUTUAL MERRILL ADJ2673188 NONITO ZAMORA I WAS FRAMED INC CIGA ADJ1074010 ESAM NADROUS PARADISE THEATER CIGA GLENDALE ADJ117564 CATRINA WILLIAMS DIVERSIFIED PHOTO GRAPHICS CIGA GLENDALE SUPPLY ADJ1308857 ULUALO ASUEGA STAFF MARK CIGA GLENDALE
Page 12 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1680667 JANET MLADY FLETCHER VERDUGO HILLS HOSPITAL CIGA GLENDALE
ADJ2673188 NONITO ZAMORA I WAS FRAMED INC CIGA GLENDALE ADJ3455123 CARMELO PEREYRA FOSTER PRINTING CO CIGA GLENDALE ADJ3460127 FLOYD LUCAS DECEASED THE BOEING CO CIGA GLENDALE
ADJ3650313 JORGE DOMINGUEZ AM PERSONNEL PARTNERS, INC. CIGA GLENDALE ADJ3650313 JORGE DOMINGUEZ BARRATT AMERICAN INCORPORATED CIGA GLENDALE
ADJ3650313 JORGE DOMINGUEZ FORD PLASTERING CIGA GLENDALE ADJ3672183 ALFONSO CORRAL CIGA GLENDALE ADJ7476261 DANNY LEE TOLER CIGA GLENDALE ADJ7484505 FRANCISCO VILCHIS PACIFIC FLOOR COVERING CIGA GLENDALE MONDRAGON ADJ750791 ARTURO CONTRERAS NOVESTAFF RESOURCE GROUP, LLC. CIGA GLENDALE
ADJ750791 ARTURO CONTRERAS UEBTF LOS ANGELES CIGA GLENDALE ADJ8250681 MARIA SHARGAY TOP PRIORITY COURIER CIGA GLENDALE ADJ8469449 FRANK RICE TAMPA BAY BUCCANEERS CIGA GLENDALE ADJ1581308 CAROL DEL REAL PINAACLE TECHNOLOGY SERVICES CIGA TRISTAR RANCHO CORDOVA
ADJ576480 ARSENIO GARCIA TEMPSTAR SERVICES CIGA TRISTAR RANCHO CORDOVA ADJ576480 ARSENIO GARCIA WET SEAL CIGA TRISTAR RANCHO CORDOVA ADJ684643 PAUL JACKSON CLEGG INDUSTRIES INC CIGA TRISTAR RANCHO CORDOVA ADJ3663324 ESTEBANA GONZALES SPOTLESS PLASTIC USA CIGNA ADJ1167904 APRIL PAYNE COUNTY OF LOS ANGELES CIS/PRESIDIUM ADJ1513760 LESLIE GORDON MOULTON PLAZA PHARMACY CITATION/FREMONT INSURANCE CO ADJ894396 RUBEN RICO HARVEST PRODUCE CITATION/FREMONT INSURANCE CO/CAMBRIDGE INTEGRATED SERVICES GROUP
ADJ689855 THOMAS BROOKS CITY OF LOS ANGELES/DEPT WATER CITY ATTORNEY'S OFFICE POWE ADJ7767004 RAMONA LAFRANCE CITY OF INGLEWOOD CITY OF INGLEWOOD ADJ7143227 PAULINO CABRAL CITY OF LA PUBLIC WORK CITY OF LA PUBLIC WORK SANATATION SANATATION ADJ1354925 ROSA BRIONES CITY OF LONG BEACH CITY OF LONG BEACH ADJ1291176 SHERRY TOWNSEND CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ152197 YOLANDA NESBY CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ1547810 BELEN CASTRO CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ1775760 MAURY BULLARD CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ1942560 ROGER MARKEL CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ2086386 IAN SALAVARIA CITY OF LA/OFFICE OF THE CITY CITY OF LOS ANGELES ATTY/ ADJ2086386 IAN SALAVARIA LOS ANGELES WORLD AIRPORTS CITY OF LOS ANGELES ADJ2548467 MICHAEL PUGA CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ2605713 ANGELIA COYNE MTA CITY OF LOS ANGELES ADJ2913933 SHERRI GONZALEZ CITY OF LOS ANGELES CITY OF LOS ANGELES
Page 13 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ3026190 ANNIE AUZENNE CITY OF LOS ANGELES POLICE DEPT CITY OF LOS ANGELES
ADJ3053419 ROBERTO CORONA CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ3131361 ANN MEDINA CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ3318388 MATILDA VALLES CITY OF LOS ANGELES ADJ3385689 SABRINA WILLIAMS CITY OF LOS ANGELES/LAPD CITY OF LOS ANGELES ADJ342227 ROLAND DARNELL CITY OF LOS ANGELES-DEPT OF AI CITY OF LOS ANGELES GARLAND ADJ3637682 ROSEMARY ARROYO L.A.P.D. CITY OF LOS ANGELES ADJ3657796 BRIDGETTE BARNES CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ3932432 JANIS ROACH CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ4095783 LANE WELLS LOS ANGELES DEPT OF PUBLIC CITY OF LOS ANGELES WORKS ADJ4271541 DANILO YAP LOS ANGELES DEPARTMENT OF CITY OF LOS ANGELES WATER & ADJ616136 LINDA WALKER LOS ANGELES POLICE DEPT CITY OF LOS ANGELES ADJ6672457 ESTELA SANCHEZ CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ6672457 ESTELA SANCHEZ CITY OF LOS ANGELES DEPT OF CITY OF LOS ANGELES GENERAL SERVICES ADJ6759075 SANDRA RODRIGUEZ CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ6945132 VASDEV SINGH CITY OF LOS ANGELES OFFICE OF CITY OF LOS ANGELES FINANCE ADJ7083355 SHARLENE SUTHERLAND CITY OF LOS ANGELES CITY OF LOS ANGELES
ADJ7143227 PAULINO CABRAL CITY OF LA PUBLIC WORK CITY OF LOS ANGELES SANATATION ADJ717684 LYDIA GARCIA CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ7371318 JULIE WALTERS CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ7427851 RODNEY BEVERLY CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ779674 CAESAR RIVAS CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ7825078 REGINA DONALDSON CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ7842154 MIKA NEAL CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ7870087 PATRICIA WOOD CITY OF LOS ANGELES PUBLIC WORKS CITY OF LOS ANGELES STREET LIGHTING ADJ788955 CYNTHIA HILL CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ8013900 BRENDA CASTRO CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ807086 JULIE ALEXIS TUEGEL CITY OF L.A./DEPT.OF RECREATION CITY OF LOS ANGELES
ADJ8071453 DOUG BELL CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ8605369 EILEEN STUART CITY OF LOS ANGELES LAPD CITY OF LOS ANGELES ADJ905973 TERRY THOMAS CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ6672457 ESTELA SANCHEZ CITY OF LOS ANGELES CITY OF LOS ANGELES DEPT OF GENERAL SERVICES ADJ6672457 ESTELA SANCHEZ CITY OF LOS ANGELES DEPT OF CITY OF LOS ANGELES DEPT OF GENERAL GENERAL SERVICES SERVICES ADJ8605369 EILEEN STUART CITY OF LOS ANGELES LAPD CITY OF LOS ANGELES LAPD ADJ8486513 CLAY STOWERS CITY OF SAN BERNARDINO CITY OF SAN BERNARDINO ADJ6760885 ROBERT YAMANE CITY OF SANTA MONICA CITY OF SANTA MONICA
Page 14 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ8243929 MICHAEL WILEY CITY OF SANTA MONICA CITY OF SANTA MONICA ADJ8314466 JOHN BAYLISS CITY OF SANTA MONICA CITY OF SANTA MONICA ADJ7064604 JOSEPH YOUNG CITY OF VENTURA FIRE DEPARTMENT CITY OF VENTURA FIRE DEPARTMENT
ADJ1351571 JAVIER LARIOS G & M MATTRESS & FOAM CORP CLAIMQUEST INC ADJ1351571 JAVIER LARIOS POWER P.E.O. (FOR G&M MATTRESS) CLAIMQUEST INC
ADJ1719616 LIRA LEBRON 99 CENT STORES CLAIMQUEST INC ADJ1719616 LIRA LEBRON 99 CENTS ONLY STORE CLAIMQUEST INC ADJ2154585 JUAN CADENAS ST HART CONTAINER CORPORATION CLAIMQUEST INC
ADJ2842446 DAVID LANDIN PACIFIC SECURITY SYSTEMS CLAIMQUEST WALNUT ADJ3650313 JORGE DOMINGUEZ AM PERSONNEL PARTNERS, INC. CLAIMQUEST WALNUT ADJ3650313 JORGE DOMINGUEZ BARRATT AMERICAN INCORPORATED CLAIMQUEST WALNUT
ADJ3650313 JORGE DOMINGUEZ FORD PLASTERING CLAIMQUEST WALNUT ADJ7480247 VIDAL ORDONEZ MERCHANTS BUILDING CLAIMQUEST WALNUT MAINTENANCE LLC ADJ7484505 FRANCISCO VILCHIS PACIFIC FLOOR COVERING CLAIMQUEST WALNUT MONDRAGON ADJ1923391 MIGUEL GOMEZ ROYAL ROOFING COMPANY CLAIMS ADMINISTRATION (INDEPENDING ADJ1923391 MIGUEL GOMEZ UEBTF LOS ANGELES CLAIMS ADMINISTRATION (INDEPENDING ADJ3504138 LADONNE GREEN PROJECT INDEPENDENT CLARENDON NATIONAL INSURANCE CO ADJ3504138 LADONNE GREEN SU CASA FAMILY SUPPORT CLARENDON NATIONAL INSURANCE CO ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSP CLARENDON NATIONAL INSURANCE CO/BROADSPIRE ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSPITAL CLARENDON NATIONAL INSURANCE CO/BROADSPIRE ADJ4498874 LUIS ROBLES CLOUGHERTY PACKING CLOUGHERTY PACKING CO ADJ4000411 FLIP NIMMANANT FARMER JOHN/HORMEL FOODS CLOUGHERTY PACKING LOS ANGELES ADJ2459616 MICHELE PALMER ANTELOPE VALLEY UNION HIGH CNA CASUALTY OF CALIFORNIA SCHOOL ADJ4624427 MARY ROCCO LANCASTER SCHOOL DIST CNA CASUALTY OF CALIFORNIA ADJ1921048 STEVE CORDRAY ENTERTAINMENT PARTNERS CNA CLAIMS PLUS BREA ADJ1921048 STEVE CORDRAY WARNER BROTHERS CNA CLAIMS PLUS BREA ADJ2173767 MARIA FERNANDEZ PARADISE BUILDING SERVICE CNA CLAIMS PLUS BREA ADJ3275386 MARIA GARCIA DE JESUS MGH GOURMET INC CNA CLAIMS PLUS BREA ADJ3669642 LUISA O CONNOR UNIVERSAL PROTECTION SERVICES CNA CLAIMS PLUS BREA
ADJ7236976 TOMMY LUONG HAWAIIAN GARDENS CASINO CNA CLAIMS PLUS BREA ADJ7370852 JUAN DAVILA FOASBERG LAUNDRY CNA CLAIMS PLUS BREA ADJ7444114 JOSE LAZARIT AJAY BERI CORPORATION SUBWAY CNA CLAIMS PLUS BREA NO 28347 ADJ7491185 SENAIDA BENITEZ INFINITY INSURANCE CNA CLAIMS PLUS BREA ADJ7586982 OCTAVIO CASTELLANOS WARE DISPOSAL INC CNA CLAIMS PLUS BREA
ADJ7640342 MARIO TAPIA V5 CAR WASH CNA CLAIMS PLUS BREA
Page 15 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ8172255 TOMMIE AMOS UNIVERSAL PROTECTION SERVICE LP CNA CLAIMS PLUS BREA
ADJ8645585 OSCAR GONZALEZ ELECTRIZE CNA CLAIMS PLUS BREA ADJ1341056 GUADALUPE SANCHEZ INTERCOMMUNITY NURSING CENTER CNA CLAIMS PLUS PORTLAND
ADJ1942382 MARGARET SIMMS STATE FARM INSURANCE CNA CLAIMS PLUS PORTLAND ADJ2001914 ELVIA GONZALEZ HAAS AUTOMATION CNA CLAIMS PLUS PORTLAND ADJ212263 DONNA MILLER HOLY CROSS MEDICAL CENTER CNA CLAIMS PLUS PORTLAND ADJ3923996 BRENDA PHILLIPS STIRI-OSS INC CNA CLAIMS PLUS PORTLAND ADJ7959519 MARIA ESTRADA ANZA APARTMENTS CNA CLAIMS PLUS PORTLAND ADJ3198657 PETE VASQUEZ PEPSI COLA SAN JOAQUIN BOTTLING CNA CLAIMS PLUS SAN FRANCISCO
ADJ807100 RICHARD TURGEON ABM ENGINEERING SERVICES CNA CLAIMS PLUS SAN FRANCISCO ADJ2377517 MICHAEL GOEKEN RIVERSIDE COUNTY SHERIFF'S DEPT CNTY OF RIVERSIDE WORK COMP DIV
ADJ4301180 BELINDA WINFIELD DEPT OF PUBLIC HEALTH / RIVERSIDE CNTY OF RIVERSIDE WORK COMP DIV
ADJ7175248 KARAPET TOROSYAN COACH AMERICA COACH AMERICA ADJ2666892 SCOTT CORWIN US FOOD SERVICE COMCO MANAGEMENT SIERRA MADRE ADJ3090987 DONNA ARGENT TOLLE INLAND VALLEY REGIONAL MED CTR COMCO MANAGEMENT SIERRA MADRE
ADJ1891702 JESUS LICEA MAERSK LINES COMMERCIAL INSURANCE CO. ADJ1242705 RALEIGH ALCARAZ SUNWEST ELECTRIC, INC. COMP LINK INC ADJ1242705 RALEIGH ALCARAZ SUNWEST ELECTRIC, INC. COMPLINK IRVINE ADJ1665131 JEANNETTE CAJIGAL STORM INDUSTRIES INC COMPWEST NEWPORT BEACH ADJ4200229 RUFINO RODRIGUEZ BAY CITIES CONTAINER CORP COMPWEST NEWPORT BEACH ADJ6691870 HUGO AMADOR STRINGERS GIFT BASKETS COMPWEST NEWPORT BEACH HERNANDEZ ADJ7691042 FRANKLIN GUARDADO HUXTABLES KITCHEN INC COMPWEST NEWPORT BEACH ADJ7715435 MERCED GONZALEZ GAR LABORATORIES COMPWEST NEWPORT BEACH ADJ1856376 DONNETTE LOUD LACMTA CONSTITUTION STATE SERVICE CO ADJ212263 DONNA MILLER HOLY CROSS MEDICAL CENTER CONTINENTAL RISK MANAGEMENT ADJ1364894 FLETCHER RAYNOR CITY OF RIDGECREST CORVEL CHINO ADJ1364894 FLETCHER RAYNOR SASS CORVEL CHINO ADJ2143562 DANNY BRADFIELD LYNWOOD USD CORVEL CHINO ADJ2471312 ROSEMARY VAUGHN COUNTY OF ORANGE CORVEL CHINO ADJ2471312 ROSEMARY VAUGHN SUPERIOR COURT OF CA CORVEL CHINO ADJ2962943 SAMUEL COLE COMPTON UNIFIED SCHOOL DIST CORVEL CHINO
ADJ3536913 ANDREW PILCHER CITY OF RIALTO CORVEL CHINO ADJ4087514 ERMELINDA HARWOOD DURHAM SCHOOL SERVICE CORVEL CHINO OCHOA ADJ4600692 NINFA MENDEZ POMONA UNIFIED SCHOOL DISTRICT CORVEL CHINO
ADJ6915527 DANIEL SOLIS PASADENA UNIFIED SCHOOL CORVEL CHINO DISTRICT ADJ7011336 BLANCA SERRANO PRIME HEALTH CARE SERVICES CORVEL CHINO ADJ7193990 JESUS JIM CLOUGHERTY PARKING LLC CORVEL CHINO
Page 16 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7503779 JULIA BERO CENTINELA HOSPITAL CORVEL CHINO ADJ7706875 DAMITA SMITH COMPTON UNIFIED SCHOOL CORVEL CHINO DISTRICT ADJ7755542 JULIO CASASOLA BOERNER TRUCK CENTER CORVEL CHINO ADJ7852902 ELESHA AGUIRRE VENTURA SUPERIOR COURTS CORVEL CHINO ADJ8159898 NORMA GARCIA COUNTY OF LOS ANGELES CORVEL CHINO ADJ8205923 MATTHEW HICKMAN COACHELLA VALLEY WATER CORVEL CHINO DISTRICT ADJ1039793 DANIELA TAMAYO COUNTY OF VENTURA CORVEL CORPORATION ADJ1039793 DANIELA TAMAYO COUNTY OF VENTURA CORVEL OXNARD ADJ4076124 EFREN BALBUENA AJAX BOILER, INC. CORVEL SACRAMENTO ADJ6430823 STEVEN GUERRERO BANK OF AMERICA CORVEL SACRAMENTO ADJ7500183 RAMON MARTIN T D COMMUNICATION CORVEL SACRAMENTO ADJ8902662 PATRICK HEDRICK WHITES STEEL INC CORVEL SACRAMENTO ADJ6596192 ANA CAMPOS HDSI MANAGEMENT INC CORVEL SAN DIEGO ADJ7663575 KIMBERLY WILKERSON COUNTY OF LA DEPT OF CHILDREN COUNTY OF LA DEPT OF CHILDREN AND AND FAMILY SERVICES FAMILY SERVICES ADJ7479678 CARLA OWENS COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ADJ7582924 LISA COLEMAN COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ADJ7690343 GLORIA CORTEZ COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ADJ7709574 DAVID GALINDO COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ADJ7710943 CHARLES DOREMUS COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ADJ7939631 VAL CHACON COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ADJ8113583 ANITRA CHATMAN COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ADJ8382059 EDWARD GANDARA COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ADJ913365 GLORIA WILLIAMS LOS ANGELES COUNTY/DPSS COUNTY OF LOS ANGELES ADJ6657844 RICHARD ENGERSBACH COUNTY OF LOS ANGELES SHERIFFS COUNTY OF LOS ANGELES SHERIFFS DEPT DEPT ADJ1168353 FRANCISCO BLANCO COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES/CAMBRIDGE INTEGRATED SERVICES GROUP ADJ6729300 PRISCILLA BAEZA COUNTY OF LOS ANGELES/DPSS COUNTY OF LOS ANGELES/DPSS ADJ2231855 LUIS BUSTOS COUNTY OF LOS ANGELES SHERIFF COUNTY OF LOS ANGELES/TRISTAR CLAIMS DEPT MGMT #2 ADJ2231855 LUIS BUSTOS COUNTY OF LOS ANGELES SHERIFFS COUNTY OF LOS ANGELES/TRISTAR CLAIMS DEPT MGMT #2 ADJ7099636 GALE GUERRA COUNTY OF SAN BERNARDINO COUNTY OF SAN BERNARDINO ADJ1456596 MAGGIE WHITEHAIR COUNTY OF SAN BERNARDINO COUNTY OF SAN BERNARDINO/SAN BERNARDINO COUNTY RISK MGMT DIV ADJ3172634 MICHAEL HUSE SAN BERNARDINO COUNTY MEDICAL COUNTY OF SAN BERNARDINO/SAN CTR BERNARDINO COUNTY RISK MGMT DIV ADJ3128769 ALNEDIUS BURTON RALLY STAFFING CRAWFORD & CO. ADJ625356 CHAUNCEE HICKS RALLY STAFFING CRAWFORD & CO. ADJ2216746 ANITA SCHAEFFER MEDI RIDE CRAWFORD & COMPANY ADJ3128769 ALNEDIUS BURTON RALLY STAFFING CRAWFORD & COMPANY ADJ2171718 FRED FARLEY LOS ANGELES COUNTY FIRE CRAWFORD AND CO ADJ2735904 LARRY SPEARS SHERIFF'S DEPARTMENT CRAWFORD AND CO ADJ2831300 JOHN CASTANEDA COUNTY OF LOS ANGELES CRAWFORD AND CO ADJ4013338 IRMA OLAQUE LAIDLAW TRANSIT CRAWFORD AND CO
Page 17 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ494644 HELEN ARIIZUMI COUNTY OF LA SUPERIOR COURT CRAWFORD AND CO
ADJ6684842 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA ANA CRS COMMERCIAL BBSI SANTA ANA
ADJ6684842 GABRIEL VILLA CRS COMMERCIAL BBSI SANTA ANA CRS COMMERCIAL BBSI SANTA ANA
ADJ398278 MARIA SALAZAR SUN GLASS PRODUCTS CRUM FORSTER ORANGE ADJ4266982 HARRY CHICAS J. ROBERT SCOTT, INC. CRUM FORSTER ORANGE ADJ6668417 JUAN CHAVEZ SWEETNER PRODUCTS CRUM FORSTER ORANGE ADJ6757965 GEOVANNY MONTANO EL SUPER Z BODEGA LATINA CRUM FORSTER ORANGE ADJ6784010 ALEJO RUBIO CATALINA YACHTS CRUM FORSTER ORANGE ADJ6898941 SOLEDAD MORENO O C HEADSTART CRUM FORSTER ORANGE ADJ6973286 AMPARO OROS ORANGE COUNTY HEAD START INC CRUM FORSTER ORANGE
ADJ7037184 MARIA BOTELLO TROJAN BATTERY COMPANY CRUM FORSTER ORANGE ADJ7231505 MARIA PERDOMO ACME AUTO HEADLING CO CRUM FORSTER ORANGE ADJ7498536 EFRAIN BARCO IPS CORPORATION CRUM FORSTER ORANGE ADJ8235740 STEVEN STORM THIBIANT INTERNATIONAL INC CRUM FORSTER ORANGE ADJ977341 OSARO AKHIONBARE LIVE HOME INC CRUM FORSTER ORANGE ADJ7103397 JOSE PERALTA PARKING CONCEPTS INC CRUM FORSTER RICHARDSON ADJ7678850 TINA COTY IPC THE HOSPITALIST COMPANY CRUM FORSTER RICHARDSON ADJ7818550 FRANK BIELAWA DEPARTMENT OF CORRECTIONS AND DEPARTMENT OF CORRECTIONS AND REHABILITATION REHABILITATION ADJ8567568 GARY CURRIER DEPARTMENT OF CORRECTIONS AND DEPARTMENT OF CORRECTIONS AND REHABILITATION REHABILITATION ADJ8062137 ROBERT TOCCO DEPARTMENT OF WATER AND DEPARTMENT OF WATER AND POWER POWER ADJ6756982 LEAH GARVER DEPT OF CORRECTIONS AND REHAB DEPT OF CORRECTIONS AND REHAB
ADJ3907604 AIDA DELGADILLO LOS ANGELES COUNTY TAX DEPT OF SOCIAL SERVICES COLLECTOR ADJ4031234 CAROLYN MCLAURIN LOS ANGELES DEPART OF WATER & DEPT WATER & POWER OF CITY OF L A POWER ADJ1321576 GUSTAVO BARRIOS DISNEYLAND DISNEY ANAHEIM ADJ4271541 DANILO YAP LOS ANGELES DEPARTMENT OF DWP LOS ANGELES WATER & ADJ8062137 ROBERT TOCCO DEPARTMENT OF WATER AND DWP LOS ANGELES POWER ADJ3345793 ROSENDO VELIZ FAIRCHILD FASTENER GRP DYNAMIC CLAIMS IRVINE ADJ7119442 ROBERT GUY DYNAMIC CLAIMS IRVINE ADJ4452453 ANTHONY BRISENO BATH MASTERS, INC EMPLOYERS COMP GLENDALE ADJ6871785 SHAROL JOHNSON LAKESIDE MEDICAL GROUP EMPLOYERS COMP GLENDALE ADJ6929435 JIMMY FLORES SOICHER MARIN EMPLOYERS COMP GLENDALE ADJ7074277 FELIX RODRIGUEZ LE PARC HOMEOWNERS EMPLOYERS COMP GLENDALE ASSOCIATION ADJ7194044 SUSANA LOPEZ CLINICA MEDICA BERNALES EMPLOYERS COMP GLENDALE ADJ7476702 QUINTILA CRUZ CROWN PLAZA VENTURA BEACH EMPLOYERS COMP GLENDALE ADJ7530211 REYNER ABREU JUICE IT UP EMPLOYERS COMP GLENDALE
Page 18 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7636364 ALEJANDRO RAMIREZ ARION INTERNATIONAL EMPLOYERS COMP GLENDALE ADJ8055050 KENNETH MORALES AEOLUS DOWN INC EMPLOYERS COMP GLENDALE ADJ8418094 ARMANDO GOMEZ PERFORMANCE PAINT AND BODY EMPLOYERS COMP GLENDALE
ADJ8427382 SUSANA GUAJARDO ALL STAR HR EMPLOYERS COMP GLENDALE ADJ8427382 SUSANA GUAJARDO MCKENNA LABS EMPLOYERS COMP GLENDALE ADJ6871785 SHAROL JOHNSON LAKESIDE MEDICAL GROUP EMPLOYERS COMP NEWBURY PARK ADJ7146789 DANNY PHILLIPS CONTINENTAL MARBLE AND TILE EMPLOYERS COMPENSATION
ADJ7146789 DANNY PHILLIPS ESIS FREMONT EMPLOYERS COMPENSATION ADJ7822747 YOLANDA HUERTA AMERICAN MOVING PARTS EMPLOYERS COMPENSATION ADJ4338093 MARLENE QUINTERO PARK PLACE MEDICAL CENTER EMPLOYERS COMPENSATION INSURANCE ADJ3995603 HERMINEGILDA CHAVEZ AUTO ZONE EMPLOYERS INSURANCE OF WAUSAU
ADJ3995603 HERMINEGILDA CHAVEZ CHIEF AUTO PARTS EMPLOYERS INSURANCE OF WAUSAU
ADJ7795086 WEI QU RADNET MANAGEMENT INC EMPLOYERS PREFERRED GLENDALE ADJ115424 PONCIANO FUENTES AAA PACKING AND SHIPPING INC ENSTAR US ORANGE
ADJ2630604 ADOLFO MENDOZA RIALTO CONCRETE PRODUCTS ENSTAR US ORANGE ADJ4010082 CESAR CORTES GOMEZ CONSTRUCTION ENSTAR US ORANGE ADJ4212052 VICTOR MORENO ASPEN DISTRIBUTION ENSTAR US ORANGE ADJ4212052 VICTOR MORENO PACIFIC EXTERIORS INC ENSTAR US ORANGE ADJ6577293 CEVIN LACK FINAL PHASE INC ENSTAR US ORANGE ADJ6720440 TONY PHAM BETTS EXPRESS ENSTAR US ORANGE ADJ7494006 RAUL TOVAR SANA FE BUILDING EQUIPMENT ENSTAR US ORANGE ADJ7795086 WEI QU RADNET MANAGEMENT INC ENSTAR US ORANGE ADJ8158631 TODD SCOTT WINDOR ENSTAR US ORANGE ADJ1023285 MARINA GONZALEZ PROFESSIONAL STAFFING ESIS CHATSWORTH ADJ1023285 MARINA GONZALEZ PROFESSIONAL STAFFING SERVICES ESIS CHATSWORTH
ADJ1023285 MARINA GONZALEZ SIMPLE TECHNOLOGY ESIS CHATSWORTH ADJ1967544 JENNIFER STRONG LOCKHEED MARTIN ESIS CHATSWORTH ADJ2320713 JOSE TIRADO ABM INDUSTRIES INC ESIS CHATSWORTH ADJ2349516 ARMANDO SANCHEZ RELIANCE STEEL ESIS CHATSWORTH ADJ2384732 ARTURO JR RODRIGUEZ LOCKHEED MARTIN SKUNK WORKS ESIS CHATSWORTH
ADJ2429736 JOSE CARRILLO ESIS CHATSWORTH ADJ305396 JOSE CARRASCO KING MEAT, INC. ESIS CHATSWORTH ADJ354979 JOE MARTINEZ AUTHENTIC FITNESS ESIS CHATSWORTH ADJ3650236 EVELYN ALDANA SELECT STAFFING ESIS CHATSWORTH ADJ598884 ROBERTO ATONAL SELECT PERSONNEL ESIS CHATSWORTH ADJ6759338 COBI JONES LOS ANGELES GALAXY ESIS CHATSWORTH ADJ6759338 COBI JONES MAJOR LEAGUE SOCCER ESIS CHATSWORTH ADJ6933559 CHRISTINE BOYD WIS INTERNATIONAL ESIS CHATSWORTH ADJ7010898 CYNTHIA EVANS WDS WAREHOUSE DEMO SERVICES ESIS CHATSWORTH
ADJ7140230 ANABELLA SANCHEZ CHIPOTLE MEXICAN GRILL ESIS CHATSWORTH
Page 19 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ745634 MARIA TORRES ONE SOURCE ESIS CHATSWORTH ADJ7777352 MARGARET BROOKS WERNER ENTERPRISES ESIS CHATSWORTH ADJ7849800 SUGEY ESTRADA KOOSHAREM CORPORATION DBA ESIS CHATSWORTH SELECT STAFFING ADJ7879981 EARL BUELER CLP RESOURCES ESIS CHATSWORTH ADJ7921257 MELISSA PRIETO TIME WARNER CABLE INC ESIS CHATSWORTH ADJ7985342 YAIRO SIERRA PARSEC INC ESIS CHATSWORTH ADJ8063998 LAQUINTA HOSEIN KELLY SERVICES ESIS CHATSWORTH ADJ807100 RICHARD TURGEON ABM ENGINEERING SERVICES ESIS CHATSWORTH ADJ8176174 MARIBEL REYES SELECT STAFFING ESIS CHATSWORTH ADJ8198298 JACK JEWETT ESIS CHATSWORTH ADJ8233740 ILIANA BARRIOS BLOOMFIELD BAKERS ESIS CHATSWORTH ADJ8424503 DANNY WAFER HOSTESS BRANDS ESIS CHATSWORTH ADJ3663571 CECILIA LEDEZMA STAPLES ESIS CHATSWORTH ADJ7010898 CYNTHIA EVANS WDS WAREHOUSE DEMO SERVICES ESIS FREMONT
ADJ7146789 DANNY PHILLIPS CONTINENTAL MARBLE AND TILE ESIS FREMONT
ADJ7146789 DANNY PHILLIPS ESIS FREMONT ESIS FREMONT ADJ7269278 ANTE RAZOV LOS ANGELES GALAXY ESIS FREMONT ADJ7295407 GERARDO GUILLEN IRVINE VALENCIA GROWERS ESIS FREMONT ADJ7578481 MANUEL GIL AMERIPRIDE SERVICES INC ESIS FREMONT ADJ8315020 CLEMMIE GRAVES RON SAIDARA DDS ESIS FREMONT ADJ2320713 JOSE TIRADO ABM INDUSTRIES INC ESIS PORTLAND ADJ6823602 VALERIA CAPOZZI SONY PICTURES ESIS PORTLAND ADJ1103380 BARBARA MCGOWAN INLAND PAPERBOARD & PACKAGING ESIS TAMPA INC ADJ6759338 COBI JONES LOS ANGELES GALAXY ESIS TAMPA ADJ6759338 COBI JONES MAJOR LEAGUE SOCCER ESIS TAMPA ADJ7269278 ANTE RAZOV LOS ANGELES GALAXY ESIS TAMPA ADJ8277789 LYNN WILCHER DELTA AIRLINES ESIS TAMPA ADJ794548 DANIEL NAVARRETE LA PRINCESITA TORTILLERIA EVEREST NATIONAL INSURANCE CO ADJ2216629 JORGE SANCHEZ GELSONS MARKETS EVEREST NATIONAL INSURANCE OAKLAND
ADJ3974204 MARIA CORTINA EDGEWATER CONV HOSPITAL EVEREST NATIONAL INSURANCE OAKLAND
ADJ2948575 JOSE RAMIREZ CHECK MATE AGENCY EVEREST NATIONAL ORANGE INVALID ADJ2948575 JOSE RAMIREZ SUPERIOR ASSEMBLY DISTRIBUTION EVEREST NATIONAL ORANGE INVALID
ADJ4042638 RAMONA LOZANO A RUDIN DESIGNS EVEREST NATIONAL ORANGE INVALID ADJ6578710 RUBEN GARZA CALSTRIP INDUSTRIES EVEREST NATIONAL ORANGE INVALID ADJ1167159 PANFILO SALDANA COLOR SPOT NURSERIES EXPLORER INSURANCE/ICW ADJ6616863 LORI BATES EXPRESS EMPLOYMENT EXPRESS EMPLOYMENT PROFESSIONALS PROFESSIONALS ADJ1164224 ANTONIO PEREZ AMERICAN LANDSCAPE FARA ORANGE MAINTENANCE ADJ1164224 ANTONIO PEREZ AMERICAN LANDSCAPE FARA ORANGE MAINTENENCE
Page 20 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1772324 MERCEDES SANDOVAL CIMMS INC. FARA ORANGE ADJ4000411 FLIP NIMMANANT FARMER JOHN/HORMEL FOODS FARMER JOHN ADJ3348853 ENRIQUE SANCHEZ AMBER ALVAREZ GARCIA FARMERS PLEASANTON ADJ3348853 ENRIQUE SANCHEZ FRANK GARCIA FARMERS PLEASANTON ADJ3348853 ENRIQUE SANCHEZ TROPICAL ROCK FARMERS PLEASANTON ADJ3348853 ENRIQUE SANCHEZ UEBTF LOS ANGELES FARMERS PLEASANTON ADJ7671902 LIET BUI SOUTH BAY FABRICATION FARMERS PLEASANTON ADJ2203324 KRISTA DILLON HOT DIGGITY DOG FARMERS SANTA ANA ADJ3799621 SCOTT BREZNOCK OCEAN BREWING CO INC FARMERS SANTA ANA ADJ4038021 JOSE VILICANA AUTO CRAFT FARMERS SANTA ANA ADJ4648342 PEDRO FUENTES ALBERT J. BAN LUND FARMERS SANTA ANA ADJ6934397 ISRAEL SIERRA OSTIONERIA PLAYAS DE SINALOA FARMERS SANTA ANA ADJ7638558 SALOMON VALENTE CAPITAL SEAFOOD GROUP FARMERS SANTA ANA ADJ7930943 JORGE PEREZ JOHN & ETHEL SUN FARMERS SANTA ANA ADJ8000258 MARIA DE ROSARIO FACILITY MASTERS INC FARMERS SANTA ANA CHAVARIN ADJ123892 ADOLFO GOMEZ ROBERT PALMER DBA TITAN FARMERS WESTLAKE VILLAGE AUTOMOBILE ADJ1621412 CARLOS ORREGO RESEDA AUTO & ELECTRIC FARMERS WESTLAKE VILLAGE ADJ1661603 SANTOS TOVAR CALIFORNIA BUYERS FARMERS WESTLAKE VILLAGE ADJ3024787 EVELYN ZAPANTA RAYMOND TODD FARMERS WESTLAKE VILLAGE ADJ3312998 OSCAR NAVA ISLAND FLOOR COVERING/CARPET FARMERS WESTLAKE VILLAGE
ADJ3799621 SCOTT BREZNOCK OCEAN BREWING CO INC FARMERS WESTLAKE VILLAGE ADJ3965600 MARTA SANTIZO ELITE PERSONNEL SERVICES, INC. FARMERS WESTLAKE VILLAGE ADJ4523825 FRANCISCO DIAZ - KING PLUSH FARMERS WESTLAKE VILLAGE MIRANDA ADJ6611254 MARIA SALTO ALI GACHAIN AND DIANA GACHAIN FARMERS WESTLAKE VILLAGE
ADJ8038699 ALBERT RUBIO PARK PLAZA AUTOMOTIVE FARMERS WESTLAKE VILLAGE ADJ8136599 BERNARDO ORTIZ SIGNATURE MAINTENANCE FARMERS WESTLAKE VILLAGE MARTINEZ ADJ3875469 MARIA PRECIADO HOUSING AUTHORITY FEDERAL EXPRESS CORP/ATHENS ADMINISTRATORS ADJ2003630 ANNIE COLES MACY'S FEDERATED CLAIMS SERVICE GROUP ADJ2003630 ANNIE COLES MACYS WEST FEDERATED CLAIMS SERVICE GROUP ADJ1299994 DANIEL SANDOVAL CARLTON FORGE WEST FIREMANS FUND INSURANCE COMPANY/CALCO MEDICAL MANAGEMENT CORP
ADJ1299994 DANIEL SANDOVAL CARLTON FORGE WORKS FIREMANS FUND INSURANCE COMPANY/CALCO MEDICAL MANAGEMENT CORP
ADJ3174868 ABRAHAM CAPERS FLEETWOOD ENTERPRISES FLEETWOOD ENTERPRISES INC ADJ3174868 ABRAHAM CAPERS SELF INSURED SECURITIES FUND FLEETWOOD ENTERPRISES INC ADJ4024637 ZENAIDA GONZALEZ FLEETWOOD ENTERPRISES INC FLEETWOOD ENTERPRISES INC ARROYO ADJ4024637 ZENAIDA GONZALEZ FLEETWOOD HOMES FLEETWOOD ENTERPRISES INC ARROYO
Page 21 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4621751 KAREN ANDERSON LONG BEACH UNIFIED SCHOOL FLEMING & ASSOCIATES DISTRICT ADJ7545331 ESTEBAN CRUZ FAR EAST LANDSCAPE MAINTENANCE FLORISTS MUTUAL INS EDWARDSVILLE INC ADJ7992256 IGNACIO LUNA O` CONNELL LANDSCAPING FLORISTS MUTUAL INS EDWARDSVILLE MAINTNANCE ADJ751718 JULIE HERNANDEZ COUNTRY INN OF PORT HUENEME FREMONT COMP (29069)
ADJ117564 CATRINA WILLIAMS DIVERSIFIED PHOTO GRAPHICS FREMONT COMPENSATION INSURANCE CO SUPPLY ADJ3259223 CHRISTOPHER LOPEZ SOUTH TITLE CORPORATION FREMONT COMPENSATION INSURANCE CO
ADJ3259223 CHRISTOPHER LOPEZ SOUTHLAND TITLE CORP FREMONT COMPENSATION INSURANCE CO
ADJ3548804 VICTOR ESQUIVEL NATIONAL GENETICS INSTITUTE FREMONT COMPENSATION INSURANCE CO
ADJ751718 JULIE HERNANDEZ COUNTRY INN OF PORT HUENEME FREMONT INDEMNITY INSURANCE CO
ADJ3502707 RICARDO TORRES ESCAMILLA & SONS INC FRONTIER IN REHAB NEW YORK ADJ7545762 EDGAR NAVA JBL MOVING AND STORAGE FRYE CLAIMS HAYWARD ADJ4230430 LINDA SMITH UNITED AIRLINES GALLAGHER BASSETT 255397 SACRAMENTO
ADJ6807404 PAULINE NGUYEN YOSHINOYA AMERICA INC GALLAGHER BASSETT 255397 SACRAMENTO
ADJ6980403 DENESE DAVIDSON AMERICAN CORPORATE SECURITY GALLAGHER BASSETT 255397 SACRAMENTO
ADJ7162235 DELIA CASTILLO LA QUINTA INN AND SUITES GALLAGHER BASSETT 255397 SACRAMENTO
ADJ7798560 JANE WOHLFEIL SWIFT TRANSPORTATION GALLAGHER BASSETT 255397 SACRAMENTO
ADJ8516710 WILLIAM MARTAK SWIFT TRANPORTATION CO INC GALLAGHER BASSETT 255397 SACRAMENTO
ADJ6599290 MARTIN MELCHOR MK CONSTRUCTION GALLAGHER BASSETT 4040 SACRAMENTO ADJ6966307 LUIS PINONES ALLSCAPE ARCHITECTURAL GALLAGHER BASSETT 4040 SACRAMENTO LANDSCAPE LIGHTING ADJ6966307 LUIS PINONES PHILIPS ELECTRONICS NORTH GALLAGHER BASSETT 4040 SACRAMENTO AMERICA CORPORATION ADJ7879973 MARYANN CAZAREZ VEOLIA TRANSPORTATION GALLAGHER BASSETT 4040 SACRAMENTO ADJ8072856 ELIZABETH TAFOYA HOSPITALITY STAFFING SOLUTIONS GALLAGHER BASSETT 4040 SACRAMENTO
ADJ8143281 ROBERT GRIFFITH MINNESOTA VIKINGS GALLAGHER BASSETT 4040 SACRAMENTO ADJ8173896 NORIA VALIENTE AUTONATION POWER FOOD GALLAGHER BASSETT 4040 SACRAMENTO ADJ1074010 ESAM NADROUS PARADISE THEATER GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ1443430 ART MONTOYA CSX LINES GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ2113629 JEFF BAILEY FIRST CLASS GLASS INC GALLAGHER BASSETT 70003 ANAHEIM CLOSED
Page 22 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ2172344 MEREGILDO RAMIREZ SME ERECTORS GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ2172344 MEREGILDO RAMIREZ SME STEEL CONTRACTORS GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ2405930 ENRIQUE MANCILLA PIZZA HUT GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ2536003 ROBIN CRADER BECKMAN COULTER INC GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ2551935 MARIA ROMERO MCDONALDS RESTAURANT GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ3046200 HECTOR MARTINEZ SYSCO FOODS GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ3046604 ANGELICA GUTIERREZ MCDONALDS CORPORATION GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ3896516 ALEX RAMIREZ BRIDGESTONE AMERICAS HOLDING GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ4166687 GINA NEVARES MCMASTER-CARR SUPPLY CO GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ4356152 MARIA ROMERO MCDONALDS RESTAURANT GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ6581434 GRISELDA RUBALCAVA DART CONTAINER CORP GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ6755786 AN TONY YOUNG LOS ANGELES TIMES GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ7176475 OSCAR ALVARADO BROTHERS TOWING OF NORCO INC GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ873638 ANA OSORIO TRIBUNE COMPANY GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ891833 MARIO MARQUEZ VOPAK/WILMINGTON LIQUID GALLAGHER BASSETT 70003 ANAHEIM CLOSED
ADJ2151581 LILIAN ESPINOZA TINTLE CHARMING STORES GALLAGHER BASSETT BURBANK
ADJ4249228 LOURDES DUARTE CLEGG INDUSTRIES INC GALLAGHER BASSETT BURBANK ADJ4445031 SANDINA SIDMORE OPTION ONE MORTGAGE CORP GALLAGHER BASSETT BURBANK ADJ6759338 COBI JONES LOS ANGELES GALAXY GALLAGHER BASSETT BURBANK ADJ6759338 COBI JONES MAJOR LEAGUE SOCCER GALLAGHER BASSETT BURBANK ADJ7261396 JEFFARIE OWENS VIEW PARK COVALESSANT HOSPITAL GALLAGHER BASSETT BURBANK
ADJ1557067 PAULINE MARK GALLAGHER BASSETT CALABASAS ADJ1817438 ANDRES DEHARO FOAMEX GALLAGHER BASSETT CALABASAS ADJ3328246 ELISA ZUNIGA G&K SERVICES GALLAGHER BASSETT CALABASAS ADJ377301 WITOLD FRANCZAK WESSLEN CONSTRUCTION GALLAGHER BASSETT CALABASAS ADJ6533912 GERARD BEST 20TH CENTURY GALLAGHER BASSETT CALABASAS ADJ6694770 DULJO AVDIBASIC JOURNEY ELECTRICAL GALLAGHER BASSETT CALABASAS TECHNOLOGIES INC ADJ6861535 MARIA ROMERO SODEXHO GALLAGHER BASSETT CALABASAS ADJ7010597 MARINA GALAVIZ SODEXO INC GALLAGHER BASSETT CALABASAS
Page 23 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7176475 OSCAR ALVARADO BROTHERS TOWING OF NORCO INC GALLAGHER BASSETT CALABASAS
ADJ7255564 ELISSA SELVO FOX CABLE NETWORKS GALLAGHER BASSETT CALABASAS ADJ7306766 HARRISON SUMMERISE SODEXHO GALLAGHER BASSETT CALABASAS ADJ7310705 ZENAIDO PARRA LIVE NATION HOUSE OF BLUES GALLAGHER BASSETT CALABASAS ADJ7967236 MARGARITA NICOLAS SODEXO INC GALLAGHER BASSETT CALABASAS ADJ1689231 ARTURO PLANCARTE FAMILY TREE PRODUCE GALLAGHER BASSETT CORONA ADJ179617 MICHAEL RICCOBONO PCT/KENAN ADVANTAGE GROUP INC GALLAGHER BASSETT CORONA
ADJ1891702 JESUS LICEA MAERSK LINES GALLAGHER BASSETT CORONA ADJ2112764 RUBEN TAPIA AMERICAN GOLF CORP GALLAGHER BASSETT CORONA ADJ277029 JOSE DUARTE US GYPSUM GALLAGHER BASSETT CORONA ADJ3211317 MARIA ROSAS TACO BELL GALLAGHER BASSETT CORONA ADJ3211317 MARIA ROSAS UNITRANS INC GALLAGHER BASSETT CORONA ADJ3211317 MARIA ROSAS YUM BRANDS,INC. GALLAGHER BASSETT CORONA ADJ6537827 KEVIN BEDINGFIELD THEODORE ROBINS FORD GALLAGHER BASSETT CORONA ADJ6568102 UZZIEL AMBRIZ BFS RETAIL AND COMMERCIAL GALLAGHER BASSETT CORONA ADJ6702985 MARIANO MELCHOR PIZZA HUT/ SAN FERNANDO GALLAGHER BASSETT CORONA ADJ7013140 SOFIA RIVERA LAKE FORST NURSING CENTER GALLAGHER BASSETT CORONA ADJ7024443 RANDAL VANDERTUIG K HOVANANIAN HOMES GALLAGHER BASSETT CORONA ADJ7028159 WAYNE KITRELL M AND M ACTION TOWING GALLAGHER BASSETT CORONA ADJ7129858 NORMA GUERRERO PIZZA HUT GALLAGHER BASSETT CORONA ADJ7503235 RICARDO HERNANDEZ SIMONIZ JANSS MALL GALLAGHER BASSETT CORONA ADJ8321962 CHERYL JENKINS TUTOR TIME LEARNING CARE GROUP GALLAGHER BASSETT CORONA
ADJ8398567 LINDA SMITH BROOKDALE SENIOR LIVING GALLAGHER BASSETT CORONA ADJ8467309 ALFONSO LEON AUTONATION INC GALLAGHER BASSETT CORONA ADJ6939282 MARIA ELENA IBARRA PRICEWATERHOUSECOOPERS LLP GALLAGHER BASSETT GLENDALE
ADJ8048910 RICARDO CHILLON HYATT REGENCY GALLAGHER BASSETT GLENDALE ADJ6430823 STEVEN GUERRERO BANK OF AMERICA GALLAGHER BASSETT GOLD RIVER ADJ7147964 THERESA STONE BANK OF AMERICA GALLAGHER BASSETT GOLD RIVER ADJ7282201 RUFINO SANCHEZ WASTE MANAGEMENT GALLAGHER BASSETT GOLD RIVER ADJ7635173 JUAN RODRIGUEZ SEALY MATTRESS CO GALLAGHER BASSETT GOLD RIVER ADJ2216746 ANITA SCHAEFFER MEDI RIDE GALLAGHER BASSETT LAGUNA HILLS ADJ3732140 GARY SIMS BOYD COFFEE CO GALLAGHER BASSETT LAGUNA HILLS ADJ4013338 IRMA OLAQUE LAIDLAW TRANSIT GALLAGHER BASSETT LAGUNA HILLS ADJ6586492 JOSE MENJIVAR MASSIVE PRINTS GALLAGHER BASSETT LAGUNA HILLS ADJ6852886 CHRISTOPHER MOORE G-2 SECURE STAFF GALLAGHER BASSETT LAGUNA HILLS ADJ933594 JOSE MENJIVAR MASSIVE PRINTS GALLAGHER BASSETT LAGUNA HILLS ADJ1891702 JESUS LICEA MAERSK LINES GALLAGHER BASSETT LAS VEGAS ADJ7998498 JEANETTE ALVAREZ GALLAGHER BASSETT GALLAGHER BASSETT LAS VEGAS ADJ112728 EDWARD ROSS SAVE ON / CVS PHARMACY GALLAGHER BASSETT ONTARIO ADJ6759338 COBI JONES LOS ANGELES GALAXY GALLAGHER BASSETT ONTARIO ADJ6759338 COBI JONES MAJOR LEAGUE SOCCER GALLAGHER BASSETT ONTARIO ADJ8430296 LYDIA PENA SAVA SENIORCARE ADMINISTRATIVE GALLAGHER BASSETT ONTARIO SERVICES ADJ8486309 ARTEMIO LUNA DUNN EDWARDS GALLAGHER BASSETT ONTARIO
Page 24 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ3043881 EDMUNDO SUAREZ UNITED AIRLINES GALLAGHER BASSETT ORANGE ADJ3880736 MICHAEL STEWART CALIFORNIA COMMUNITY NEWS GALLAGHER BASSETT ORANGE ADJ3920506 ABRAHAM CHRISTIAN RING SECURITY AGENCY INC GALLAGHER BASSETT ORANGE ADJ4026089 RICHARD PERRY COMPTON UNIFIED SCHOOL DIST GALLAGHER BASSETT ORANGE
ADJ4026089 RICHARD PERRY COMPTON UNIFIED SCHOOL GALLAGHER BASSETT ORANGE DISTRICT ADJ4062533 JOSE REYES ASSOC CONCRETE PRODUCTS GALLAGHER BASSETT ORANGE ADJ4062533 JOSE REYES ASSOCIATED CONCRETE PRODUCTS GALLAGHER BASSETT ORANGE
ADJ6430823 STEVEN GUERRERO BANK OF AMERICA GALLAGHER BASSETT ORANGE ADJ6581434 GRISELDA RUBALCAVA DART CONTAINER CORP GALLAGHER BASSETT ORANGE ADJ6941579 MICHAEL SMITH U HAUL GALLAGHER BASSETT ORANGE ADJ7037231 THERESA TOPPS VEOLIA TRANSPORTATION GALLAGHER BASSETT ORANGE ADJ7392923 MANUEL ALONZO REAL MEX DBA EL TORITO GALLAGHER BASSETT ORANGE ADJ7526359 HARVEY MUNOZ ARCHER DANIELS MIDLAND CO GALLAGHER BASSETT ORANGE ADJ7902802 TRESE CORDOZA ACAPULCO MEXICAN RESTAURANT GALLAGHER BASSETT ORANGE
ADJ7998498 JEANETTE ALVAREZ GALLAGHER BASSETT GALLAGHER BASSETT ORANGE ADJ8045665 JOSE LUIS ARCOS LOS ANGELES COMMUNITY COLLEGES GALLAGHER BASSETT ORANGE
ADJ8108987 JACK STRICKLER LOS ANGELES TIMES GALLAGHER BASSETT ORANGE ADJ8142182 IVONNE SANCHEZ PANDA RESTAURANT GROUP INC GALLAGHER BASSETT ORANGE
ADJ1863051 KELSEY MADDOX TRADER JOE'E GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ2112764 RUBEN TAPIA AMERICAN GOLF CORP GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ3211351 CLIFFORD THOMPSON USF REDDAWAY GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ3243253 MINH NGUYEN USF BESTWAY GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ3575268 CARMEN AGUIRRE MEDINA AMERICAN RACING GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ3575268 CARMEN AGUIRRE MEDINA AMERICAN RACING EQUIPMENT GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ4713038 MARCOS LOPEZ PEACH PERSONNEL GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ4713038 MARCOS LOPEZ SUNDANCE SPAS INC GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ6712153 MARIA TRUJILLO MONTEREY PARK CONVALESCENT GALLAGHER BASSETT RANCHO CUCAMONGA HOSPITAL ADJ6814387 LETICIA IBARRA OCEAN BEAUTY SEAFOODS INC GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ6876253 ALMA PEREZ VILLAREAL MEMORIAL PARK & MORTUARY GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ7024443 RANDAL VANDERTUIG K HOVANANIAN HOMES GALLAGHER BASSETT RANCHO CUCAMONGA
Page 25 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7203790 BELEN SANCHEZ PARK REGENCY RETIREMENT GALLAGHER BASSETT RANCHO CUCAMONGA RESIDENCE ADJ7774238 MIRIAM PANTOJA PAYLESS SHOE SOURCE GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ7942828 ANTHONY BELL FEDEX GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ8450363 YVONNE TADROS YMCA OF GREATER LONG BEACH GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ8486309 ARTEMIO LUNA DUNN EDWARDS GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ8795651 ANDRES ESPINOZA MRS REDD'S PIE GALLAGHER BASSETT RANCHO CUCAMONGA
ADJ6966307 LUIS PINONES ALLSCAPE ARCHITECTURAL GALLAGHER BASSETT ROSEVILLE LANDSCAPE LIGHTING ADJ6966307 LUIS PINONES PHILIPS ELECTRONICS NORTH GALLAGHER BASSETT ROSEVILLE AMERICA CORPORATION ADJ6980403 DENESE DAVIDSON AMERICAN CORPORATE SECURITY GALLAGHER BASSETT ROSEVILLE
ADJ7003401 ART JARAMILLO WALDEN HOUSE GALLAGHER BASSETT ROSEVILLE ADJ7167269 JANINA COX RAND CORPOKAT10N GALLAGHER BASSETT ROSEVILLE ADJ7174699 ROSA ALDRETE STRATEGIC STAFFING ALLIANCE INC GALLAGHER BASSETT ROSEVILLE
ADJ7786647 REYNALDO SIERRA COVENANT TRANSPORT GALLAGHER BASSETT ROSEVILLE ADJ6523117 GILBERTO RUVALCABA KEER GALLAGHER BASSETT SACRAMENTO ADJ6759338 COBI JONES LOS ANGELES GALAXY GALLAGHER BASSETT SACRAMENTO ADJ6759338 COBI JONES MAJOR LEAGUE SOCCER GALLAGHER BASSETT SACRAMENTO ADJ7798560 JANE WOHLFEIL SWIFT TRANSPORTATION GALLAGHER BASSETT SACRAMENTO ADJ7957628 SANDRA NELSON ICEF PUBLIC SCHOOLS GALLAGHER BASSETT SACRAMENTO ADJ3226110 CELIA MENDEZ JACK IN THE BOX GALLAGHER BASSETT SAN DIEGO ADJ4589871 MAIDA ORELLANA 7-UP/RC BOTTLING COMPANIES OF GALLAGHER BASSETT SAN DIEGO SO CA ADJ6692329 DARLEY SHORT TRANS PACIFIC CONTAINER SERVICES GALLAGHER BASSETT SAN DIEGO CORP ADJ7562162 TIMOTHY SMITH U S FOOD SERVICE GALLAGHER BASSETT SAN DIEGO ADJ8205620 JUAN MARTINEZ SOKEN TRADE CORP GALLAGHER BASSETT SAN DIEGO ADJ8415535 DIANE BRENNAN FRONTIER AIRLINE GALLAGHER BASSETT SAN DIEGO ADJ1891702 JESUS LICEA MAERSK LINES GALLAGHER BASSETT SCOTTSDALE ADJ7392923 MANUEL ALONZO REAL MEX DBA EL TORITO GALLAGHER BASSETT SCOTTSDALE ADJ1557067 PAULINE MARK GALLAGHER BASSETT SERVICES ADJ458935 LETICIA DE LEON MAXINE SWIM GROUP INC GALLAGHER BASSETT SERVICES ADJ1817438 ANDRES DEHARO FOAMEX GALLAGHER BASSETT SERVICES INC ADJ1970035 BERTHA GUZMAN SALIB ENTERPRISES GALLAGHER BASSETT SERVICES INC ADJ2277275 ROSIE GONZAGA 20TH CENTURY FOX GALLAGHER BASSETT SERVICES INC ADJ7578368 MICHAEL VASQUEZ UPS GALLAGHER BASSETT UPS5141 LAKE FOREST
ADJ2471312 ROSEMARY VAUGHN COUNTY OF ORANGE GATES MCDONALD & CO ADJ2471312 ROSEMARY VAUGHN SUPERIOR COURT OF CA GATES MCDONALD & CO ADJ4083116 THELMA CANDELARIO KAREN & MARTIN MOHAN GOLDEN EAGLE ALISO VIEJO
Page 26 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ3040624 JOSE HERNANDEZ MAGNET SALES & MANUFACTURING GOLDEN EAGLE INSURANCE CO
ADJ4014122 BECKEY RILEY HOOSE NEWS GOLDEN EAGLE INSURANCE CO ADJ458935 LETICIA DE LEON MAXINE SWIM GROUP INC GOLDEN EAGLE INSURANCE CO ADJ852762 JOE SMITH GOLDEN EAGLE INSURANCE CO ADJ1491843 GONZALO SANDOVAL PHOENIX PAVING GOLDEN EAGLE ORANGE ADJ4038941 RONALD HIGHLEY NEWPORT DIVERSIFIED GOLDEN EAGLE ORANGE ADJ4096616 SOFIA ORTIZ RALPHS GROCERY GOLDEN EAGLE ORANGE ADJ2063594 PRESCILIANO LAGUNA NORTH AMERICAN TEXTILE CO GRANITE STATE INSURANCE COMPANY ADJ4053010 LAURIE BROWN BRUNSWICK SANDS BOWL HARTFORD ACCIDENT & INDEMNITY CO/SPECIALTY RISK SERVICES INC ADJ4212052 VICTOR MORENO ASPEN DISTRIBUTION HARTFORD ACCIDENT AND INDEMNITY COMPANY ADJ4212052 VICTOR MORENO PACIFIC EXTERIORS INC HARTFORD ACCIDENT AND INDEMNITY COMPANY ADJ3497846 JORGE MARTINEZ TRAFFIC CONTROL SERVICES HARTFORD SACRAMENTO ADJ3497846 JORGE MARTINEZ TRAFFIC CONTROL SYSTEMS HARTFORD SACRAMENTO ADJ447304 CYNTHIA MILLER COLORADO RIVER MEDICAL CENTER HARTFORD SACRAMENTO
ADJ460944 LILIA AGUILAR PILLOWTEX CORP. HARTFORD SACRAMENTO ADJ6502174 LINDA RHODES STEPHEN F LINDSAY MD INC & JOHN HARTFORD SACRAMENTO W PUCKETT MD INC ADJ6890655 ROMAN BUTLER STS EXCEL FOODS HARTFORD SACRAMENTO ADJ6985332 FAKHRI TAHERI IHASET HARTFORD SACRAMENTO ADJ7293368 ROSENDA SANDOVAL CASTEC INC HARTFORD SACRAMENTO ADJ7487053 AGUSTINA CONTRERAS RAYS WRAP INC. HARTFORD SACRAMENTO ADJ7520941 FIDEL RAMIREZ ADEL WIGGIN DIV HARTFORD SACRAMENTO ADJ7568577 CHARLES DIXON MA FOLKES HARTFORD SACRAMENTO ADJ7576206 MAI VU ATRON INC HARTFORD SACRAMENTO ADJ7594309 ANA DURAND ACOSTA WESTERN DENTAL SERVICE HARTFORD SACRAMENTO ADJ7600103 VINH QUANG TRAN QSC AUDIO HARTFORD SACRAMENTO ADJ7652196 JOSE MARTINEZ PREMIER MOUNTS HARTFORD SACRAMENTO ADJ7699267 CHRIS LUNTSFORD SMART SOURCE HARTFORD SACRAMENTO ADJ8062100 BLAINE COTTON CENTRAL ASTISTS HARTFORD SACRAMENTO ADJ8062382 DEBORA BATRES ROBERT L GORDON MARK EDELSTEIN HARTFORD SACRAMENTO HOWARD ADJ8188660 ANITA HERNANDEZ FUSION LINENS HARTFORD SACRAMENTO ADJ8218751 SHAWN JEWELL PRECISION OMB HARTFORD SACRAMENTO ADJ8264158 ANGELICA ARVIZU CONTRACT SERVICE GROUP INC HARTFORD SACRAMENTO ADJ4446499 JANET RILEY COUNTY OF LOS ANGELES HCM/HERTZ CLAIM MANAGEMENT ADJ3071975 DEIDRA HARPER SBC HELMSMAN MANAGEMENT ADJ3739661 JANNIE BLAKE MANUAL ARTS HIGH SCHOOL HELMSMAN MANAGEMENT ADJ3071975 DEIDRA HARPER SBC HELMSMAN MANAGEMENT GLENDALE ADJ7748926 ARTURO MAGALLANES JR UPS FREIGHT HELMSMAN MANAGEMENT GLENDALE
ADJ8290929 LILY RAINS VIVENDI UNIVERSAL ENTERTAINMENT HELMSMAN MANAGEMENT GLENDALE LLP ADJ8344472 KATHLEEN ROBINSON ALLSTATE INSURANCE COMPANY HELMSMAN MANAGEMENT GLENDALE
Page 27 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1491843 GONZALO SANDOVAL PHOENIX PAVING HELMSMAN MANAGEMENT ROCKLIN ADJ8340709 TRINA CONGER COSTCO HELMSMAN MANAGEMENT ROCKLIN ADJ8472627 EFREN CABRERA USED GYM EQUIPMENT HELMSMAN MANAGEMENT ROCKLIN ADJ1160976 DERICK TAYLOR LAUSD HELMSMAN MANAGEMENT SERVICE INC ADJ1168353 FRANCISCO BLANCO COUNTY OF LOS ANGELES HELMSMAN MANAGEMENT SERVICE INC ADJ2032286 DAVID MASON COUNTY OF LOS ANGELES HELMSMAN MANAGEMENT SERVICE INC ADJ2598466 CLAYTON CHAMBERS BECKMAN INSTRUMENTS HELMSMAN MANAGEMENT SERVICE INC ADJ3549419 ZETTA BROWN COUNTY OF LOS ANGELES/TREASURE HELMSMAN MANAGEMENT SERVICE INC
ADJ3269930 ARON THOMPSON LOS ANGELES COUNTY PROBATION HELMSMAN MANAGEMENT SERVICES
ADJ4039160 ELEANOR CHAGOLLA COUNTY OF L A /D P S S HELMSMAN MANAGEMENT SERVICES ADJ1420328 VIRGINIA MORALES EL TAPATIO HIGHLANDS INSURANCE CO ADJ1521253 JULIE MESA NORM REEVES HONDA OF CERRITOS HIGHLANDS INSURANCE COMPANY
ADJ4079093 DIANNE MILTMORE JIMBOS NATURALLY HIGHLANDS INSURANCE COMPANY ADJ4249228 LOURDES DUARTE CLEGG INDUSTRIES INC HIGHLANDS INSURANCE COMPANY ADJ1621412 CARLOS ORREGO RESEDA AUTO & ELECTRIC HIH AMERICA INS ADJ2515216 MARK WILLIAMS STEVEDORING SERVICES OF AMERICA HOMEPORT INSURANCE
ADJ2331910 BRIAN CODD STEVEDORING SERVICES OF AMERICA HOMEPORT INSURANCE COMPANY
ADJ4714463 MANUEL JIMENEZ ZAVALA MIKE CAMPBELL & ASSOCIATES HUMAN DYNAMICS CORP
ADJ2148573 RODGER NAPIER WALT'S DIESEL ILLINOIS MIDWEST SPRINGFIELD ADJ3366924 RICHARD MARQUEZ CO OPPORTUNITY ILLINOIS MIDWEST SPRINGFIELD ADJ6613623 GERARDO PEREZ PARTY PRONTO ILLINOIS MIDWEST SPRINGFIELD ADJ6930945 SOO JANG EDWARD SKY INC DBA SURASANG ILLINOIS MIDWEST SPRINGFIELD RESTAURANT ADJ7224109 FRANCISCO ZAZUETA REXHALL INDUSTRIES ILLINOIS MIDWEST SPRINGFIELD ADJ7304477 CARMEN RUIZ CREATIVE CARE INC ILLINOIS MIDWEST SPRINGFIELD ADJ7333719 FRANCISCO MARTINEZ TORRAHOP DBA IHOP ILLINOIS MIDWEST SPRINGFIELD SOTO ADJ7589739 RANULFO GARCIA CROWN DISPOSAL CO INC ILLINOIS MIDWEST SPRINGFIELD ADJ7606360 LUCIA AYALA ZURITA KNOWL WOOD ENTERPRISES ILLINOIS MIDWEST SPRINGFIELD ADJ8028993 JORGE CHAVEZ MI PIACE RESTAURANTS ILLINOIS MIDWEST SPRINGFIELD ADJ6730204 ALLEN HORNSBY BOB AND DAVES TOWING INC IMPERIUM INSURANCE NEW YORK ADJ6730204 ALLEN HORNSBY CALIFORNIA COACH AUTO BODY IMPERIUM INSURANCE NEW YORK AND TOWING ADJ6730204 ALLEN HORNSBY KENNY'S AUTO SERVICE IMPERIUM INSURANCE NEW YORK ADJ3663324 ESTEBANA GONZALES SPOTLESS PLASTIC USA INDEMNITY INSURANCE OF NO AMERICA ADJ1366769 DOROTEO MONTERO GIBBEL BROTHERS INC INS CO OF NORTH AMERICA ADJ2172344 MEREGILDO RAMIREZ SME ERECTORS INSURANCE CO OF STATE OF PA/GALLAGHER BASSETT SERVICES INC ADJ2172344 MEREGILDO RAMIREZ SME STEEL CONTRACTORS INSURANCE CO OF STATE OF PA/GALLAGHER BASSETT SERVICES INC ADJ2569041 HUMBERTO GONZALEZ SUN & SUN INDUSTRIES INSURANCE CO OF THE WEST SAN DIEGO ADJ2569041 HUMBERTO GONZALEZ SUN INDUSTRIES INSURANCE CO OF THE WEST SAN DIEGO
Page 28 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4415129 TIMOTHY REMBAC KEN SMITH MASONRY INC INSURANCE CO OF THE WEST SAN DIEGO ADJ6738724 DANIEL DEJOHN MOUNTA1N VLEW LAND COMPANY INSURANCE CO OF THE WEST SAN DIEGO
ADJ7074277 FELIX RODRIGUEZ LE PARC HOMEOWNERS INSURANCE CO OF THE WEST SAN DIEGO ASSOCIATION ADJ7804777 JUAN TORRES PIERRE SPRINKLER AND LANDSCAPE INSURANCE CO OF THE WEST SAN DIEGO
ADJ7830089 HILARIO PEREZ ALMAC FELT CO INSURANCE CO OF THE WEST SAN DIEGO ADJ8100697 JOSE DE JESUS MORALES UGMC INSURANCE CO OF THE WEST SAN DIEGO ADJ290765 JANICE ASHFORD CITY OF INGLEWOOD INTEGRATED CLAIMS TORRANCE ADJ290765 JANICE ASHFORD CITY OF INGLEWOOD POLICE DEPT INTEGRATED CLAIMS TORRANCE
ADJ7512141 SHELLEY BENJAMIN CITY OF INGLEWOOD INTEGRATED CLAIMS TORRANCE ADJ7767004 RAMONA LAFRANCE CITY OF INGLEWOOD INTEGRATED CLAIMS TORRANCE ADJ1112224 HECTOR TOPETE COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ1230843 CORINA CASTRO LA COUNTY PARKS & RECREATIONS INTERCARE 14243 ORANGE
ADJ1783472 BARBARA BARTICK COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ1924617 JANICE PAYNE SUPERIOR COURT/COUNTY OF LA INTERCARE 14243 ORANGE
ADJ2841612 ALICE ALONSO L.A. COUNTY-DISTRICT ATTORNEY INTERCARE 14243 ORANGE
ADJ3208118 BRIDGET JOHNSON SIMS COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE
ADJ3452514 ELISA MORENO LA COUNTY SUPERIOR COURT INTERCARE 14243 ORANGE ADJ3477656 EZELL GIPSON COUNTY OF LOS ANGELES/CORONER INTERCARE 14243 ORANGE
ADJ3606965 RODNEY PREYER LA COUNTY PARKS & RECREATION INTERCARE 14243 ORANGE
ADJ4025175 BLANCA ARREOLA LA COUNTY SUPERIOR INTERCARE 14243 ORANGE COURT/BELLFLOWER ADJ408531 CHARLENE PADLO LOS ANGELES SUPERIOR COURT INTERCARE 14243 ORANGE ADJ6523265 ROSEMARY BASKOM COUNTY OF LOS ANGELES LA INTERCARE 14243 ORANGE SUPERIOR COURT ADJ6599441 ALICE ALONSO COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ6599441 ALICE ALONSO OFFICE OF THE COUNTY COUNSEL INTERCARE 14243 ORANGE
ADJ6641654 STELLA APARICIO COUNTY OF LOS ANGELES SUPERIOR INTERCARE 14243 ORANGE COURT ADJ6674530 SUSAN WATERMAN LOS ANGELES COUNTY SUPERIOR INTERCARE 14243 ORANGE COURT ADJ6735051 KIMBERLEE ALVAREZ LA COUNTY DEPT OF PARK AND REC INTERCARE 14243 ORANGE
ADJ6743883 CYNTHIA BARBEE LOS ANGELES COUNTY FIRE INTERCARE 14243 ORANGE DEPARTMENT ADJ7333405 BRINDA CHAVEZ LOS ANGELES SUPERIOR COURT INTERCARE 14243 ORANGE
Page 29 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7502603 NATOSHA SANDERS LOS ANGELES COUNTY SUPERIOR INTERCARE 14243 ORANGE BOWEN COURT DEPT OF TRAFFIC
ADJ7588195 CHERRYL BUTTS COUNTY OF LOS ANGELES CHILD INTERCARE 14243 ORANGE SUPPORT SERVICES ADJ7690343 GLORIA CORTEZ COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ7709574 DAVID GALINDO COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ7710943 CHARLES DOREMUS COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ7752545 DILVA ROSAS LOS ANGELES SUPERIOR COURT INTERCARE 14243 ORANGE ADJ7939631 VAL CHACON COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ8000301 YOLANDA CABADA LOS ANGELES COUNTY SHERIFFS DEPT INTERCARE 14243 ORANGE
ADJ8130638 BEATRIZ PABLO MAR PIZZA INTERCARE 14243 ORANGE ADJ8382059 EDWARD GANDARA COUNTY OF LOS ANGELES INTERCARE 14243 ORANGE ADJ872513 BARBARA SALAZAR LOS ANGELES COUNTY SUPERIOR INTERCARE 14243 ORANGE VILLAJIN COURT ADJ7641636 ESTER ANDERSON COUNTY OF LOS ANGELES CHILD INTERCARE 5915 ORANGE SUPPORT SERVICES ADJ1110485 KURT GALLARDO DYZNEE TOWING SERVICE INTERCARE CIGA GLENDALE ADJ3108458 GLEN CUNNINGHAM VINEYARD CHIRSTIAN FELLOWSHIP INTERCARE CIGA GLENDALE OF AN ADJ4245584 BARBARA SEOANE FURNITURE TRADING CO INTERCARE CIGA GLENDALE ADJ4442446 GAVINO VASQUEZ WEST STAR DAIRY INTERCARE CIGA GLENDALE ADJ7720401 JOSE MANUEL SALAS CV WINDOWS AND DOORS MV INTERCARE CIGA GLENDALE TORRES ADJ1311205 GARY CLEVENGER POOL WELL SERVICES INTERCARE FRESNO ADJ4557777 DENISE CRUZ WOODS REDLANDS COMMUNITY HOSPITAL INTERCARE INSURANCE SERVICES
ADJ2678985 NICOLE GOODEN ST ERNE HEALTHCARE INTERCARE IRVINE CLOSED ADJ2678985 NICOLE GOODEN ST. ERNE HEALTHCARE INTERCARE IRVINE CLOSED ADJ3185843 FERNANDO CAMPOS CPE/DANMAR RETIREMENT VILLA INTERCARE IRVINE CLOSED ADJ3995603 HERMINEGILDA CHAVEZ AUTO ZONE INTERCARE IRVINE CLOSED
ADJ3995603 HERMINEGILDA CHAVEZ CHIEF AUTO PARTS INTERCARE IRVINE CLOSED
ADJ4557777 DENISE CRUZ WOODS REDLANDS COMMUNITY HOSPITAL INTERCARE IRVINE CLOSED
ADJ533246 JORGE PRIETO COAST CONVERTER INTERCARE IRVINE CLOSED ADJ533246 JORGE PRIETO COAST CONVERTERS INTERCARE IRVINE CLOSED ADJ586036 ANITA MEDINA CAMPOS ACTION EMBROIDERY CORP INTERCARE IRVINE CLOSED
ADJ1074010 ESAM NADROUS PARADISE THEATER INTERCARE PASADENA ADJ1354849 ALMA HOLGUIN HACIENDA-LA PUENTE SCHOOL DIST INTERCARE PASADENA
ADJ1521253 JULIE MESA NORM REEVES HONDA OF CERRITOS INTERCARE PASADENA
ADJ2203053 ELSA AGUIRRE SELECT PERSONNEL INTERCARE PASADENA ADJ4179389 CYNTHIA GLASIER BODY WORKS EMPORIUM INTERCARE PASADENA
Page 30 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4179389 CYNTHIA GLASIER BODYWORK EMPORIUM, INC. INTERCARE PASADENA ADJ4557777 DENISE CRUZ WOODS REDLANDS COMMUNITY HOSPITAL INTERCARE PASADENA
ADJ7064604 JOSEPH YOUNG CITY OF VENTURA FIRE DEPARTMENT INTERCARE PASADENA
ADJ709641 LINDA LANGLEY MARINERS CHURCH INTERCARE PASADENA ADJ7114084 KAREN MATICICH BRASWELL`S CHATEAU VILLA LTD INTERCARE PASADENA ADJ7910754 MARIA ELENA PANIAGUA OLYMPIA CONVALESCENT HOSPITAL INTERCARE PASADENA
ADJ8330151 SANTIAGO CORONADO R T FRAMING CORPORATION INTERCARE PASADENA ADJ1074010 ESAM NADROUS PARADISE THEATER INTERCARE ROSEVILLE ADJ1115074 MICHAEL BARON MOON BEAN PRODUCTION INTERCARE ROSEVILLE ADJ2640752 CARLOS MACIAS N-U ENTERPRISES INTERCARE ROSEVILLE ADJ2678985 NICOLE GOODEN ST ERNE HEALTHCARE INTERCARE ROSEVILLE ADJ2678985 NICOLE GOODEN ST. ERNE HEALTHCARE INTERCARE ROSEVILLE ADJ4296342 VALERI BRANNON COUNTY OF LOS ANGELES INTERCARE ROSEVILLE ADJ548133 MARIA NAVARETE FOAM ROGER MN CORPORATION INTERCARE ROSEVILLE
ADJ6608581 ANTONIA VILLALBA DENNYS NO 6715 INTERCARE ROSEVILLE ADJ7523496 HELGA RAMIREZ TRIAS LLC INTERCARE ROSEVILLE ADJ2375030 MARTIN BERNAL WESTERN TEAR OFF DISPOSAL INC INTERCARE SACRAMENTO CLOSED
ADJ2855238 JOSE VASQUEZ IDEAL STAFFING INC INTERCARE SACRAMENTO CLOSED ADJ3108458 GLEN CUNNINGHAM VINEYARD CHIRSTIAN FELLOWSHIP INTERCARE SACRAMENTO CLOSED OF AN ADJ3365680 ALONDRA BROWNER METHODIST HOSPITAL OF SO INTERCARE SACRAMENTO CLOSED CALIFORNIA ADJ881498 JAMES SHAW SOUTH BAY FORD INTERCARE SACRAMENTO CLOSED ADJ3760450 MATTEO BUSCAINO INTERSTATE BRANDS INTERSTATE BRANDS SAN DIEGO ADJ4074598 LYDIA CASTILLO INTERSTATE BRANDS INTERSTATE BRANDS SAN DIEGO ADJ4518347 LYDIA RIOS CHAVEZ POMONA UNIFIED SCHOOL DIST JT2 INTEGRATED ONTARIO ADJ6848365 OSCAR BURGOS VALLEY PRESBYTERIAN HOSPITAL JT2 INTEGRATED ONTARIO ADJ7101859 FRANCES AIRADA KAISER KAISER ADJ6802971 MARIA BARRIERE KAISER FOUNDATION HOSPITAL KAISER FOUNDATION HOSPITAL ADJ7256873 RYAN CLEGG KAISER HOSPITAL KAISER HOSPITAL ADJ1011528 BRENDA LEAKE KAISER PERMANETE KAISER OAKLAND ADJ142151 THOMAS MORENO KAISER PERMANENTE KAISER OAKLAND ADJ2441835 ANNETTE NAJERA KAISER PERMANENTE KAISER OAKLAND ADJ4540979 VICKY MARINO KAISER PERMANENTE KAISER OAKLAND ADJ6802971 MARIA BARRIERE KAISER FOUNDATION HOSPITAL KAISER OAKLAND ADJ6808327 RENEE WEDGEWORTH KAISER PERMANENTE KAISER OAKLAND GLASS ADJ6894500 ISABEL VASQUEZ KAISER PERMANENTE KAISER OAKLAND ADJ6997376 GWENDOLYN SPENCER KAISER PERMANENTE KAISER OAKLAND ADJ7101859 FRANCES AIRADA KAISER KAISER OAKLAND ADJ7233713 TANYA WASHINGTON KAISER PERMANENTE MEDICAL KAISER OAKLAND GROUP ADJ7256873 RYAN CLEGG KAISER HOSPITAL KAISER OAKLAND
Page 31 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7355162 MANUELA RAMIREZ KAISER PERMANENTE KAISER OAKLAND ADJ8017049 JURY ROCHA KAISER PERMANENTE KAISER OAKLAND ADJ8377391 ELIZABETH CORONA KAISER PERMANENTE KAISER OAKLAND ADJ6894500 ISABEL VASQUEZ KAISER PERMANENTE KAISER PERMANENTE ADJ6997376 GWENDOLYN SPENCER KAISER PERMANENTE KAISER PERMANENTE ADJ7355162 MANUELA RAMIREZ KAISER PERMANENTE KAISER PERMANENTE ADJ8017049 JURY ROCHA KAISER PERMANENTE KAISER PERMANENTE ADJ2664599 EDWARD VULJAK MT SAN ANTONIO COLLEGE KEENAN & ASSOC ADJ8043410 JO RAY RIVERSIDE COUNTY OFFICE OF KEENAN ASSOCIATES RIVERSIDE EDUCATION ADJ2664599 EDWARD VULJAK MT SAN ANTONIO COLLEGE KEENAN ASSOCIATES TORRANCE ADJ3990441 SHARON ROWELL ANAHEIM UNIFIED SCHOOL DISTRICT KEENAN ASSOCIATES TORRANCE
ADJ3990441 SHARON ROWELL ANAHEIM UNION HIGH SCH DIST KEENAN ASSOCIATES TORRANCE ADJ4198803 TRAVIS MARTIN COMPTON COMMUNITY COLLEGE KEENAN ASSOCIATES TORRANCE
ADJ4609707 ROBERT RODRIGUEZ CULVER CITY UNIFIED SCHOOL KEENAN ASSOCIATES TORRANCE DISTRICT ADJ6954786 VICTORIA ASTURI ANAHEIM UNION HIGH SCHOOL KEENAN ASSOCIATES TORRANCE DISTRICT ADJ7019771 EDDIE WALKER HOAG MEMORIAL HOSPITAL KEENAN ASSOCIATES TORRANCE ADJ7028491 ROSE LOPEZ PRESBYTERIAN COMMUNITY KEENAN ASSOCIATES TORRANCE HOSPITAL ADJ7412806 LORETTA PADRON HOAG HOSPITAL KEENAN ASSOCIATES TORRANCE ADJ8004073 EVELEEN IBRAHIM TORRANCE UNIFIED SCHOOL KEENAN ASSOCIATES TORRANCE DISTRICT ADJ3590636 DONALD REICHENECKER OWENS & MINOR KEMPER INSURANCE COMPANIES
ADJ8402781 CHUCK TIFFANY CANTERBURY BASEBALL LLC AKA KENTUCKY EMPLOYERS MUTUAL INS FLORENCE FREEDOM ADJ8402781 CHUCK TIFFANY GRAND PRAIRIE PROFESSIONAL KENTUCKY EMPLOYERS MUTUAL INS BASEBALL LP ADJ8402781 CHUCK TIFFANY HAWAII BASEBALL LLC KENTUCKY EMPLOYERS MUTUAL INS ADJ8402781 CHUCK TIFFANY LOS ANGELES DODGERS KENTUCKY EMPLOYERS MUTUAL INS ADJ8402781 CHUCK TIFFANY ST GEORGE ROADRUNNERS ET AL KENTUCKY EMPLOYERS MUTUAL INS
ADJ6777137 MARY CHAVEZ LA COUNTY SHERIFFS DEPT LA COUNTY SHERIFFS DEPT ADJ6450006 ROCHELLE OKEKE LACMTA LACMTA ADJ7427348 ERNESTO PADILLA LACNY LOGISTICS LACNY LOGISTICS ADJ4062533 JOSE REYES ASSOC CONCRETE PRODUCTS LEGION INSURANCE COMPANY/SCOTT WETZEL SERVICES ADJ4062533 JOSE REYES ASSOCIATED CONCRETE PRODUCTS LEGION INSURANCE COMPANY/SCOTT WETZEL SERVICES ADJ1545119 TROY FUCONE PACIFIC WEST LITHO INC LIBERTY MUTUAL ADJ3096584 ALBERTO MOLINA ROYAL ELECTRIC COMPANY LIBERTY MUTUAL ADJ1252993 JOANNE BARNES CITY NATIONAL BANK LIBERTY MUTUAL 29073 GLENDALE ADJ1305625 ANGEL MARCUCCI COUNTY OF LOS ANGELES LIBERTY MUTUAL 29073 GLENDALE
Page 32 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1484619 MARLENE WELTERS COUNTY OF LOS LIBERTY MUTUAL 29073 GLENDALE ANGELES,MED.CENTER ADJ1661203 JUDY HUGHES PACIFIC BELL LIBERTY MUTUAL 29073 GLENDALE ADJ1690845 MARY NASH PACIFIC BELL LIBERTY MUTUAL 29073 GLENDALE ADJ1876116 JOANNE BARNES CITY NATIONAL BANK LIBERTY MUTUAL 29073 GLENDALE ADJ2467170 LISA DRUCKER SBC LIBERTY MUTUAL 29073 GLENDALE ADJ250567 BRENDETTA BHONES LA COUNTY/MCLARENS CHILDREN LIBERTY MUTUAL 29073 GLENDALE CENTER ADJ3360359 DEBBIE MUNCIE UPS LIBERTY MUTUAL 29073 GLENDALE ADJ3614205 PAUL MUNOZ UPS LIBERTY MUTUAL 29073 GLENDALE ADJ3838622 JODY DUNBAR SBC LIBERTY MUTUAL 29073 GLENDALE ADJ3933377 MARIA PARRA CITY OF LOS ANGELES/LAPD LIBERTY MUTUAL 29073 GLENDALE ADJ3933377 MARIA PARRA LORETO STREET ELEMENTARY LIBERTY MUTUAL 29073 GLENDALE ADJ4087635 JANICE ALVAREZ HERITAGE POINTE LIBERTY MUTUAL 29073 GLENDALE ADJ4144521 SHIRLEY WARD DEPT OF SOCIAL SERVICES LIBERTY MUTUAL 29073 GLENDALE ADJ4289444 SYLVIA TORRES MERLE NORMAN COSMETICS LIBERTY MUTUAL 29073 GLENDALE ADJ433160 JUAN MORENO FARA LIBERTY MUTUAL 29073 GLENDALE ADJ433160 JUAN MORENO HOLLYWOOD PARK LIBERTY MUTUAL 29073 GLENDALE ADJ433160 JUAN MORENO HOLLYWOOD PARK OPERATIN LIBERTY MUTUAL 29073 GLENDALE COMPANY ADJ6707057 REFUGIO GUTIERREZ J L S CONCRETE PUMPING INC LIBERTY MUTUAL 29073 GLENDALE ADJ6882605 ALFRED JACKSON ARS RESCUE ROOTER LIBERTY MUTUAL 29073 GLENDALE ADJ7210547 PATRICIA MUNOZ SAPUTO CHEESE USA INC LIBERTY MUTUAL 29073 GLENDALE ADJ7589739 RANULFO GARCIA CROWN DISPOSAL CO INC LIBERTY MUTUAL 29073 GLENDALE ADJ771228 BRENDETTA BHONES LA COUNTY / MCLARENS CHILD LIBERTY MUTUAL 29073 GLENDALE CENTER ADJ7804777 JUAN TORRES PIERRE SPRINKLER AND LANDSCAPE LIBERTY MUTUAL 29073 GLENDALE
ADJ7912831 ANDRES RODRIGUEZ FIRST FIRE SYSTEMS LIBERTY MUTUAL 29073 GLENDALE ADJ7946485 SHAWNTEL ROBERTO JANI KING LIBERTY MUTUAL 29073 GLENDALE ADJ8129097 EDUARDO ANTONIO CERADYNE INC LIBERTY MUTUAL 29073 GLENDALE AVALOS HERNANDEZ DIAZ
ADJ8233740 ILIANA BARRIOS BLOOMFIELD BAKERS LIBERTY MUTUAL 29073 GLENDALE ADJ1861342 DAWN WALKER SKYWEST AIRLINES LIBERTY MUTUAL BEAVERTON ADJ4087635 JANICE ALVAREZ HERITAGE POINTE LIBERTY MUTUAL BEAVERTON ADJ7481303 ANTONIA GONZALEZ THE TERRACES AT PARK MARINO LIBERTY MUTUAL BEAVERTON MENDOZA ADJ8472627 EFREN CABRERA USED GYM EQUIPMENT LIBERTY MUTUAL BEAVERTON ADJ2598466 CLAYTON CHAMBERS BECKMAN INSTRUMENTS LIBERTY MUTUAL INS ADJ1315320 SARA PEDRAZA SOUTH COAST MEDICAL CENTER LIBERTY MUTUAL ORANGE ADJ1687929 OSCAR ROSALES BOSTON BRICK AND STONE LIBERTY MUTUAL ORANGE ADJ1687929 OSCAR ROSALES PERSONNEL LEASING INC. LIBERTY MUTUAL ORANGE ADJ2001914 ELVIA GONZALEZ HAAS AUTOMATION LIBERTY MUTUAL ORANGE ADJ2142589 JOHN JAMES COAST IRON & STEEL LIBERTY MUTUAL ORANGE ADJ2423265 JESUS GARCIA CLEAN STEEL LIBERTY MUTUAL ORANGE ADJ3436569 TERRY SALGUERO UCI MEDICAL CENTER LIBERTY MUTUAL ORANGE ADJ3724502 CARLOS AREVALOS UNITED PARCEL SERVICE LIBERTY MUTUAL ORANGE
Page 33 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ6807404 PAULINE NGUYEN YOSHINOYA AMERICA INC LIBERTY MUTUAL ORANGE ADJ6905799 ANDRE BERRU LICON DOMTAR PAPER COMPANY, LLC LIBERTY MUTUAL ORANGE ADJ7037187 CLEOTILDE HERNANDEZ SABRITEC LIBERTY MUTUAL ORANGE
ADJ7485767 ALFREDO LIMON KENS BEVERAGE INC LIBERTY MUTUAL ORANGE ADJ7647732 BRAY PANFILO CHARTER FURNITURE LIBERTY MUTUAL ORANGE ADJ894848 MARIA TORREZ MOLLY MAID OF CALIFORNIA LIBERTY MUTUAL ORANGE ADJ3732140 GARY SIMS BOYD COFFEE CO LIBERTY MUTUAL RCG PORTLAND ADJ1463748 JOSE PINEDA MAGGIANO'S LITTLE ITALY LIBERTY MUTUAL ROCKLIN ADJ1471922 FRANCISCO MANZO PROFESSIONAL COMMUNITY LIBERTY MUTUAL ROCKLIN MANAGEMENT ADJ1471922 FRANCISCO MANZO PROFESSIONAL COMMUNITY MGMT LIBERTY MUTUAL ROCKLIN
ADJ1884198 ANNABEL TAJANLANGIT BORDERS BOOKS AND MUSIC LIBERTY MUTUAL ROCKLIN ADJ3734442 LAURA WERNER LIBERTY MUTUAL INSURANCE GROUP LIBERTY MUTUAL ROCKLIN
ADJ6724834 JESUS CHAFFINO JLS CONCRETE PUMPING LIBERTY MUTUAL ROCKLIN ADJ6772667 WEBBER KNIGHT WORLD WIDE FACILITIES LIBERTY MUTUAL ROCKLIN ADJ6822233 ROSA RIVERA GATE GOURMET INC LIBERTY MUTUAL ROCKLIN ADJ7586053 GLENDY VALDEZ CARL`S JR LIBERTY MUTUAL ROCKLIN ADJ7597721 TAREK ABDO NEIMAN MARCUS GROUP INC LIBERTY MUTUAL ROCKLIN ADJ7759920 JOSE PINEDA MAGGIANOS LITTLE ITALY LIBERTY MUTUAL ROCKLIN ADJ7946485 SHAWNTEL ROBERTO JANI KING LIBERTY MUTUAL ROCKLIN ADJ8134710 RUTH CASTILLO LOS ANGELES COUNTY MTA LOS ANGELES COUNTY MTA ADJ4095783 LANE WELLS LOS ANGELES DEPT OF PUBLIC LOS ANGELES DEPT OF PUBLIC WORKS WORKS ADJ231465 ROBERT WILLIAMS LACMTA LOS ANGELES METROPOLITAN AUTHORITY
ADJ2605713 ANGELIA COYNE MTA LOS ANGELES METROPOLITAN AUTHORITY
ADJ2917702 ZINA KELLEY MTA LOS ANGELES METROPOLITAN AUTHORITY
ADJ569546 GERALD NOLEN LACMTA LOS ANGELES METROPOLITAN AUTHORITY
ADJ634231 ELIHUE BROOMFIELD MTA LOS ANGELES METROPOLITAN AUTHORITY
ADJ7320644 LYDIA MAZARIEGOS METRO SAN GABRIEL VALLEY SECTOR LOS ANGELES METROPOLITAN AUTHORITY DIVISION ADJ7441121 PEDRO PENA LOS ANGELES PROBATION DEPT LOS ANGELES PROBATION DEPT ADJ7441121 PEDRO PENA LOS ANGELES PROBATION DEPT LOS ANGELES PROBATION DEPTI ADJ3447105 JOSEFINA GARCIA L.A.U.S.D.,(52ND ST. ELEM. SCHOOL) LOS ANGELES UNIFIED SCHOOL DIST/HELMSMAN MANAGEMENT SERVICES INC
ADJ3447105 JOSEFINA GARCIA LOS ANGELES UNIFIED SCHOOL DIST LOS ANGELES UNIFIED SCHOOL DIST/HELMSMAN MANAGEMENT SERVICES INC
ADJ6772864 PHILLIS NEWBORN LOS ANGELES UNIFIED SCHOOL LOS ANGELES UNIFIED SCHOOL DISTRICT DISTRICT
Page 34 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ8333198 JAMES WRIGHT LOS ANGELES UNIFIED SCHOOL LOS ANGELES UNIFIED SCHOOL DISTRICT DISTRICT ADJ7744200 RYAN BOBLETER TRI DIAMOND STAFFING LUMBERMENS UNDERWRITING BOCA RATON
ADJ7888192 SALVADOR SANCHEZ FOOTE AXLE FORGELLC LUMBERMENS UNDERWRITING BOCA RATON
ADJ7923715 BLANCA REBOLLAR ACCOUNTABILITY INC LUMBERMENS UNDERWRITING BOCA RATON
ADJ7930519 ANA JIFKINS DE DIOS DIAMOND STAFFING LUMBERMENS UNDERWRITING BOCA RATON
ADJ8250681 MARIA SHARGAY TOP PRIORITY COURIER LUMBERMENS UNDERWRITING BOCA RATON
ADJ1763727 MARTIN ERICKSON MOUNTAIN HIGH SKI RESORT LWP CLAIMS GLENDALE ADJ6620429 ANTONIO ACEVES ORTIZ TRANSPORTATION LWP CLAIMS SACRAMENTO ADJ6620429 ANTONIO ACEVES UEBTF LOS ANGELES LWP CLAIMS SACRAMENTO ADJ6620429 ANTONIO ACEVES UEBTF SACRAMENTO LWP CLAIMS SACRAMENTO ADJ6759057 ALFREDO LEYVA JADE INC LWP CLAIMS SACRAMENTO ADJ6882300 CARLOS HUERTA MCDPETERSONHERB GA ENTERPRISES LWP CLAIMS SACRAMENTO
ADJ7300143 MARIA SALAZAR PELICAN PRODUCTS INC LWP CLAIMS SACRAMENTO ADJ7853984 JULIETTE JARRETTE ANDREW INTLS LWP CLAIMS SACRAMENTO ADJ8005455 OSCAR VASQUEZ LWP CLAIMS SACRAMENTO ADJ8562736 JOSE FRAUSTO NORTHSTAR MOVING CORPORATION LWP CLAIMS SACRAMENTO
ADJ4179389 CYNTHIA GLASIER BODY WORKS EMPORIUM LWP CLAIMS SOLUTIONS ADJ4179389 CYNTHIA GLASIER BODYWORK EMPORIUM, INC. LWP CLAIMS SOLUTIONS ADJ4179389 CYNTHIA GLASIER BODY WORKS EMPORIUM LWP CLAIMS SOLUTIONS, INC. ADJ4179389 CYNTHIA GLASIER BODYWORK EMPORIUM, INC. LWP CLAIMS SOLUTIONS, INC. ADJ3854111 ALICIA GARIBAY FEDERATED LOGISTICS MACYS REDONDO BEACH ADJ4045308 TIFFANY RICHER BLOOMINGDALE'S MACYS REDONDO BEACH ADJ532561 JANET SOUZA MACY'S MACYS REDONDO BEACH ADJ7611196 PAUL SOBHANI MACY`S WEST STORES, INC. MACYS REDONDO BEACH ADJ7827727 MIRALBA CASTRO ROSAS MACYS REDONDO BEACH MACYS REDONDO BEACH
ADJ2003630 ANNIE COLES MACY'S MACYS WEST/BROADWAY STORES ADJ2003630 ANNIE COLES MACYS WEST MACYS WEST/BROADWAY STORES ADJ7809907 HIPOLITO FIGUEROA MAINSTAY BUSINESS SOLUTIONS MAINSTAY BUSINESS SOLUTIONS ADJ7655083 BRIAN PRIDEMORE MCCORMACK ROOFING MAINSTAY BUSINESS SOLUTIONS FOLSOM ADJ3497846 JORGE MARTINEZ TRAFFIC CONTROL SERVICES MARKEL SERVICES OMAHA ADJ3497846 JORGE MARTINEZ TRAFFIC CONTROL SYSTEMS MARKEL SERVICES OMAHA ADJ577350 KWANG YEO RANCHO CAR WASH & DETAIL MARKEL SERVICES OMAHA CENTER ADJ6671812 GERALDINE GUIMONT PAGE LEARNING ACADEMY INC MARKEL SERVICES OMAHA ADJ6687936 JORGE ORTEGA PLAHN LANDSCAPING MARKEL SERVICES OMAHA ADJ6910889 MARIA CHAVEZ FORTUNE AVENUE FOODS MARKEL SERVICES OMAHA ADJ6998509 OSBALDO ORTIZ CAR BODY REPAIR MARKEL SERVICES OMAHA ADJ7451395 GUILLERMO REYES JOEL ESCOBEDO MARKEL SERVICES OMAHA ADJ7480134 SUNG PAK BOBBY K CORP MARKEL SERVICES OMAHA
Page 35 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7832176 MARIA ZARATE CENTRAL COMMUNITY HEALTH CARE MARKEL SERVICES OMAHA CENTER ADJ8062810 RODRIGO CHAVEZ AMERICAN GLASS COMPANY MARKEL SERVICES OMAHA ADJ1061680 SANDRA MORAN MARINA BEACH MARRIOTT MARRIOTT HOT SPRINGS ADJ4630024 JULIE SCHULTZ MARRIOTT DESERT SPRINGS MARRIOTT HOT SPRINGS ADJ6516052 CARLOS PEREZ LA AIRPORT MARRIOTT HOTEL MARRIOTT HOT SPRINGS ADJ6784681 ELSA ALVARADO MARRIOTT HOTEL MARRIOTT HOT SPRINGS ADJ6784681 ELSA ALVARADO MARRIOTT HOTEL MARRIOTT HOTEL ADJ1435978 LORI BENSON ABBOTT LABORATORIES MATRIX RANCHO CUCAMONGA ADJ4024637 ZENAIDA GONZALEZ FLEETWOOD ENTERPRISES INC MATRIX RANCHO CUCAMONGA ARROYO ADJ4024637 ZENAIDA GONZALEZ FLEETWOOD HOMES MATRIX RANCHO CUCAMONGA ARROYO ADJ7998417 MYISHA JACKSON ECOLOGY AUTO PARTS MATRIX ROCKLIN ADJ6989046 OSCAR LARA MAXUM PETROLIUM INC MAXUM PETROLIUM INC ADJ6989064 OSCAR LARA MAXUM PETROLIUM INC MAXUM PETROLIUM INC ADJ7174699 ROSA ALDRETE STRATEGIC STAFFING ALLIANCE INC MEADOWBROOK INSURANCE LAS VEGAS
ADJ7518647 MARIA ELENA BARAJAS VELORIA FARM LABOR MEADOWBROOK INSURANCE LAS VEGAS CONTRACTING ADJ8218751 SHAWN JEWELL PRECISION OMB MEADOWBROOK INSURANCE LAS VEGAS ADJ2855238 JOSE VASQUEZ IDEAL STAFFING INC METRO RISK LONG BEACH ADJ3174868 ABRAHAM CAPERS FLEETWOOD ENTERPRISES METRO RISK LONG BEACH ADJ3174868 ABRAHAM CAPERS SELF INSURED SECURITIES FUND METRO RISK LONG BEACH ADJ4024637 ZENAIDA GONZALEZ FLEETWOOD ENTERPRISES INC METRO RISK LONG BEACH ARROYO ADJ4024637 ZENAIDA GONZALEZ FLEETWOOD HOMES METRO RISK LONG BEACH ARROYO ADJ6692246 MANUEL LEMUS WALLDESIGN INC METRO RISK LONG BEACH ADJ7655083 BRIAN PRIDEMORE MCCORMACK ROOFING METRO RISK LONG BEACH ADJ7809907 HIPOLITO FIGUEROA MAINSTAY BUSINESS SOLUTIONS METRO RISK LONG BEACH ADJ1621412 CARLOS ORREGO RESEDA AUTO & ELECTRIC MID CENTURY INSURANCE ORANGE ADJ3406521 JOSE LUCERO TABC INC MITSUI SUMITOMO INSURANCE GROUP ADJ950588 MISAEL AVILA T A B C MITSUI SUMITOMO MARINE MANAGEMENT
ADJ256445 JOYCE TAYLOR TABC TOYOTA MITSUI SUMITOMO UNIVERSAL CITY ADJ3406521 JOSE LUCERO TABC INC MITSUI SUMITOMO UNIVERSAL CITY ADJ7024648 AMIR ARIF JAPAN TELECOM, INC. MITSUI SUMITOMO UNIVERSAL CITY ADJ7149096 JAVIER CARO NUMERO UNO ACQUISITIONS MITSUI SUMITOMO UNIVERSAL CITY ADJ7987961 MARIA BOYD CHINA OCEAN SHIPPING MITSUI SUMITOMO UNIVERSAL CITY ADJ1772324 MERCEDES SANDOVAL CIMMS INC. MURPHY BEANE CULVER CITY ADJ7302699 CERELA RUIZ BROOKVALE INTERNATIONAL LLC NATIONAL INTERSTATE RICHFIELD
ADJ7302699 CERELA RUIZ CALIFORNIA CARTAGE CO NATIONAL INTERSTATE RICHFIELD ADJ7302699 CERELA RUIZ RALLY MANAGEMENT STAFFING NATIONAL INTERSTATE RICHFIELD ADJ7861175 ERICK ANTON GIESE TRUCKING NATIONAL INTERSTATE RICHFIELD ADJ3756070 ANDRES CORTEZ DUNHAM ROOFING, INC. NATIONAL UNION FIRE INSURANCE CO/BROADSPIRE
Page 36 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ2246754 ANI KARAMANUKYAN THERMADOR WASTE KING NI INDUSTRIES INC ADJ2246754 ANI KARAMANUKYAN WASTE KING NI INDUSTRIES INC ADJ2246754 ANI KARAMANUKYAN THERMADOR WASTE KING NI INDUSTRIES INC. ATTN: WORKERS' COMPENSATION ADJ2246754 ANI KARAMANUKYAN WASTE KING NI INDUSTRIES INC. ATTN: WORKERS' COMPENSATION ADJ3730664 ESTELA ZAMORA RIVERA NORDSTROM NORDSTROM SANTA ANA
ADJ645131 ROGER CZARN NORDSTROM NORDSTROMS ADJ3212743 BRIAN SOLOWAY LARRY MICHAEL EDWARDS NORTH AMERICAN RISK ALTAMONTE SPRINGS
ADJ7804777 JUAN TORRES PIERRE SPRINKLER AND LANDSCAPE OLD REPUBLIC BROOKFIELD
ADJ6977377 TRACY THOMAS SOREN MCADAM CHRISTENSEN ONE BEACON ANAHEIM ADJ7766364 LUTASHA BRADLEY LINGERIE FOOTBALL LEAGUE ONE BEACON CANTON ADJ7045716 YOLANDA GIBSON FIRST COMMERCE BANK ONE BEACON ENGLEWOOD ADJ6620429 ANTONIO ACEVES ORTIZ TRANSPORTATION ORTIZ TRANSPORTATION ADJ6620429 ANTONIO ACEVES UEBTF LOS ANGELES ORTIZ TRANSPORTATION ADJ6620429 ANTONIO ACEVES UEBTF SACRAMENTO ORTIZ TRANSPORTATION ADJ7462108 DONALD AYALA OXNARD SCHOOL DISTRICT OXNARD SCHOOL DISTRICT ADJ1376351 CESAR ROLDAN PACIFIC COLLISION CENTER PACIFIC COMP CLAIM THOU OAKS ADJ2566258 GUADALUPE GOMEZ GRAPHIC PRESS INC PACIFIC COMP CLAIM THOU OAKS ADJ2833273 JOSE LUIS LOPEZ G L VENEER COMPANY, INC PACIFIC COMP CLAIM THOU OAKS ADJ3154751 AMY MARTIN MONTAGE RESORT PACIFIC COMP CLAIM THOU OAKS ADJ345200 CHRIS PACK MEDWAY PLASTICS CORPORATION PACIFIC COMP CLAIM THOU OAKS
ADJ4200229 RUFINO RODRIGUEZ BAY CITIES CONTAINER CORP PACIFIC COMP CLAIM THOU OAKS ADJ4522208 ESPIRIDION CONTRERAS ROYAL CABINETS PACIFIC COMP CLAIM THOU OAKS
ADJ4682968 BERTHA MENDOZA BIG SAVER FOODS PACIFIC COMP CLAIM THOU OAKS ADJ6757965 GEOVANNY MONTANO EL SUPER Z BODEGA LATINA PACIFIC COMP CLAIM THOU OAKS ADJ6948560 MARTIN PALACIOS PACIFIC COAST WAREHOUSE PACIFIC COMP CLAIM THOU OAKS ADJ2819937 EDWARD LIZAMA PACIFIC EMPLYERS INC CO. PACIFIC EMPLOYERS INS ADJ1513760 LESLIE GORDON MOULTON PLAZA PHARMACY PACIFIC NATIONAL INSURANCE COMPANY
ADJ1942794 SAMUEL RICHARDSON CARDIS CORP PACIFIC STATES CASUALTY COMPANY/CALIFORNIA INS GUARANTEE ASSOC
ADJ1942794 SAMUEL RICHARDSON CARDIS CORPORATION PACIFIC STATES CASUALTY COMPANY/CALIFORNIA INS GUARANTEE ASSOC
ADJ7302699 CERELA RUIZ BROOKVALE INTERNATIONAL LLC PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7302699 CERELA RUIZ CALIFORNIA CARTAGE CO PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7302699 CERELA RUIZ RALLY MANAGEMENT STAFFING PATRIOT RISK CIGA RANCHO CORDOVA CLOSED
Page 37 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7720401 JOSE MANUEL SALAS CV WINDOWS AND DOORS MV PATRIOT RISK CIGA RANCHO CORDOVA TORRES CLOSED ADJ7828329 KIMBERLY VARGAS COLLEGE HEALTH ENTERPRISE PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ7947716 JOSE HENRIQUEZ SUPERIOR GROCERS PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ8180280 FRANCISCO GIL SUPERIOR GROCERIES BAKERSFIELD PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ8563505 MANUEL ARDON THE OLIVE BRANCH ASSISTED LIVING PATRIOT RISK CIGA RANCHO CORDOVA CLOSED ADJ1333680 REYNA CASTILLO COURTESY EMPLOYMENT SERVICES PAULA INSURANCE COMPANY
ADJ8330151 SANTIAGO CORONADO R T FRAMING CORPORATION PENNSYLVANIA MANUFACTURERS ADJ8002528 JOSE ENRIQUEZ POTENTIAL INDUSTRIES INC POTENTIAL INDUSTRIES INC ADJ1054155 HIRITI OKUBAMICHAEL PREFERRED EMPLOYERS SAN DIEGO ADJ2948274 KRISTEN DRAKE DEREK LEE, M.D. PREFERRED EMPLOYERS SAN DIEGO ADJ815575 MARIA ARMENTA DAYS INN MOTEL PREFERRED EMPLOYERS SAN DIEGO ADJ7028491 ROSE LOPEZ PRESBYTERIAN COMMUNITY PRESBYTERIAN COMMUNITY HOSPITAL HOSPITAL ADJ4370525 JAMES CARTER CITY OF LOS ANGELES PRESIDIUM ADJ7016252 JOSE LOPEZ PACIFIC HOSPITAL OF LONG BEACH PRIVATE ADJUSTING RANCHO CUCAMONGA
ADJ7346503 SANDRA BROWN SANTA ANITA CONVALESCENT PRIVATE ADJUSTING RANCHO CUCAMONGA HOSPITAL ADJ7910754 MARIA ELENA PANIAGUA OLYMPIA CONVALESCENT HOSPITAL PRIVATE ADJUSTING RANCHO CUCAMONGA
ADJ7956233 MILUSKA WHEELER PROVIDENCE LITTLE COMPANY OF PROVIDENCE LITTLE COMPANY OF MARY MARY ADJ6480318 ADALBERTO RUIZ CAL BUMPER QBE SPECIALTY INS SACRAMENTO ADJ7795086 WEI QU RADNET MANAGEMENT INC RADNET MANAGEMENT INC ADJ1325998 SHERLINE PRIEBE RALPHS RALPHS ADJ2397613 SUSAN MALDONADO RALPHS GROCERY COMPANY RALPHS ADJ632854 RICHARD PERKINS RALPHS GROCERY CO RALPHS ADJ772195 LORETTA KABADIAN RALPHS RALPHS ADJ4365919 VICTOR HYDE RALPHS GROCERY RALPHS GROCERY CO ADJ4557777 DENISE CRUZ WOODS REDLANDS COMMUNITY HOSPITAL REDLANDS COMMUNITY HOSPITAL
ADJ1351571 JAVIER LARIOS G & M MATTRESS & FOAM CORP REINSURANCE COMPANY OF AMERICA ADJ1351571 JAVIER LARIOS POWER P.E.O. (FOR G&M MATTRESS) REINSURANCE COMPANY OF AMERICA
ADJ2469368 ZOILA PINEDA AMBROSIO GRANO, JR. AND JUAN RELIANCE INSURANCE COMPANY/STERLING GRANO CLAIMS MANAGEMENT SERVICES
ADJ2469368 ZOILA PINEDA JUAN & AMBROSIO GRANO RELIANCE INSURANCE COMPANY/STERLING CLAIMS MANAGEMENT SERVICES
Page 38 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ2469368 ZOILA PINEDA LAS PALMAS CLUB RELIANCE INSURANCE COMPANY/STERLING CLAIMS MANAGEMENT SERVICES
ADJ2469368 ZOILA PINEDA UEBTF LOS ANGELES RELIANCE INSURANCE COMPANY/STERLING CLAIMS MANAGEMENT SERVICES
ADJ1433352 DENNIS PETERMAN MUFFIN PATCH REPUBLIC INDEMNITY ENCINO ADJ4140648 MARY BEATTY CONEXANT SYSTEMS INC RICOMP CLAIMS MANAGEMENT ADJ3828682 RONA SARWARY SHERMAN OAKS HOSPITAL RISICO CLAIMS MANAGEMENT FRESNO ADJ4010082 CESAR CORTES GOMEZ CONSTRUCTION RISICO CLAIMS MANAGEMENT FRESNO ADJ6480318 ADALBERTO RUIZ CAL BUMPER RISICO CLAIMS MANAGEMENT FRESNO ADJ7548256 DONNA COLEMAN LANDMARK ASSET MANAGEMENT RISICO CLAIMS MANAGEMENT FRESNO GROUP ADJ7599563 RUBEN DEL REAL KMK MANAGEMENT RISICO CLAIMS MANAGEMENT FRESNO ADJ2634490 TERESA ROGERS KATELLA ANIMAL CLINIC/W. VICKERS RISK ENTERPRISE 2314 BREA CLOSED
ADJ3034805 JESUS GARCIA C & D AEROSPACE RISK ENTERPRISE 2314 BREA CLOSED ADJ433160 JUAN MORENO FARA RISK ENTERPRISE 2314 BREA CLOSED ADJ433160 JUAN MORENO HOLLYWOOD PARK RISK ENTERPRISE 2314 BREA CLOSED ADJ433160 JUAN MORENO HOLLYWOOD PARK OPERATIN RISK ENTERPRISE 2314 BREA CLOSED COMPANY ADJ2948575 JOSE RAMIREZ CHECK MATE AGENCY RRPI INSURANCE SERVICES ADJ2948575 JOSE RAMIREZ SUPERIOR ASSEMBLY DISTRIBUTION RRPI INSURANCE SERVICES
ADJ1321695 DAVID PARIS SAVOLT, INC. SAFECO LOS ANGELES CLOSED ADJ3732140 GARY SIMS BOYD COFFEE CO SAFECO LOS ANGELES CLOSED ADJ4083116 THELMA CANDELARIO KAREN & MARTIN MOHAN SAFECO LOS ANGELES CLOSED ADJ6882755 JONATHAN HAMMER P AND R PAPER SUPPLY COMPANY SAFECO LOS ANGELES CLOSED
ADJ3071975 DEIDRA HARPER SBC SBC ADJ4644157 ANTONIO SANTILLAN CASTEC INC SCIF ADJ2423265 JESUS GARCIA CLEAN STEEL SCIF INSURED BAKERSFIELD ADJ4029584 PAUL YBANEZ CDC-NORTH KERN SCIF INSURED BAKERSFIELD ADJ4623414 DALE PAPPAS J. NOBLE BINNS SCIF INSURED BAKERSFIELD ADJ552343 DENNIS ROGERS CHEROKEE CABLE CONTRACTORS SCIF INSURED BAKERSFIELD
ADJ7165561 JORGE OCHOA COUNTERTOPS EXPRESS SCIF INSURED BAKERSFIELD ADJ1218269 JOSE GOMEZ PAINTER & ROOFING/MISONG CORP SCIF INSURED FRESNO
ADJ1383586 CARLOS VASQUEZ BELTECH INC SCIF INSURED FRESNO ADJ233369 NICOLAS GUTIERREZ CHOOLJIAN BROTHERS SCIF INSURED FRESNO ADJ2445845 ANDRES SALADO VINCO CONSTRUCTION CORP SCIF INSURED FRESNO ADJ3040748 JACQUELYN LAWSON SPIRES RESTAURANT SCIF INSURED FRESNO ADJ4415129 TIMOTHY REMBAC KEN SMITH MASONRY INC SCIF INSURED FRESNO ADJ528659 KAREN GUERRERO HEMET SURGERY CENTER SCIF INSURED FRESNO ADJ7170562 JEANETTE ALEXANDER FAIRVIEW DEVELOPMENTAL CENTER SCIF INSURED FRESNO
Page 39 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7348129 MEGAN STORY ARTISM BEHAVIOR CONSULTANTS, SCIF INSURED FRESNO INC ADJ7361014 STEPHEN PAGE STATE OF CALIFORNIA SCIF INSURED FRESNO ADJ7505155 JAY ALLEN STEINMAN ECKLES CONSTRUCTION SCIF INSURED FRESNO ADJ1296187 ELVA AURORA PLASCENCIA PLASTIC DRESS UP COMPANY SCIF INSURED GLENDALE
ADJ1330743 MARIA VIRAMONTES AGOURA HILLS SENIOR RETREAT SCIF INSURED GLENDALE ADJ142824 ELSA CRUZ AIRPORT CONCESSIONS, INC. SCIF INSURED GLENDALE ADJ1665131 JEANNETTE CAJIGAL STORM INDUSTRIES INC SCIF INSURED GLENDALE ADJ1749683 ALFREDO ZATARIAN JAYAR MANUFACTURING COMPANY SCIF INSURED GLENDALE
ADJ1833650 DAVID FUENTES IN MAINTENANCE SCIF INSURED GLENDALE ADJ1844115 GUSTAVO NUNEZ HILLS RESTAURANT SCIF INSURED GLENDALE ADJ1925823 JAVIER SORIANO ROSEMEAD MOTORS SCIF INSURED GLENDALE ADJ2055194 ERASMO GONZALEZ BAY CITIES CONTAINER SCIF INSURED GLENDALE CORPORATION ADJ2063594 PRESCILIANO LAGUNA NORTH AMERICAN TEXTILE CO SCIF INSURED GLENDALE ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSP SCIF INSURED GLENDALE ADJ2270033 DONNA HORNAK SHERMAN OAKS HOSPITAL SCIF INSURED GLENDALE ADJ2287041 KATHLEEN BROWN LEACH OIL SCIF INSURED GLENDALE ADJ2361959 ELOY TRUJILLO S.O.S INC SCIF INSURED GLENDALE ADJ2415039 SAUNDRA BROWN CONTINENTAL F C U SCIF INSURED GLENDALE ADJ2423265 JESUS GARCIA CLEAN STEEL SCIF INSURED GLENDALE ADJ2497892 SONIA RIVERA CONSOLIDATED FOUNDRIES SCIF INSURED GLENDALE ADJ2498393 ROCIO PAYAN 907 CLUB SCIF INSURED GLENDALE ADJ2503116 GUADALUPE VELASQUEZ SOFTUB INC SCIF INSURED GLENDALE
ADJ2605918 SILVIA VALDEZ INTERNATIONAL ART SCIF INSURED GLENDALE ADJ2673188 NONITO ZAMORA I WAS FRAMED INC SCIF INSURED GLENDALE ADJ2777755 ARSENIO AVALOS LA POPULAR SCIF INSURED GLENDALE ADJ2777755 ARSENIO AVALOS WEST VALLEY FURNITURE SCIF INSURED GLENDALE ADJ2792766 TIMOTHY SMITH KKW TRUCKING SCIF INSURED GLENDALE ADJ2846845 REGINO GUTIERREZ CLAUDES BODY & PAINT SHOP INC SCIF INSURED GLENDALE
ADJ2960069 ROSA MENDOZA AFFORDABLE SENIOR LIVING SINCE SCIF INSURED GLENDALE 1968 ADJ2985835 MICHELLE TURNER SCIF INSURED GLENDALE ADJ3053984 ARTURO REBOLLEDO K. WATANABE CORP SCIF INSURED GLENDALE ADJ3065398 SHARON BEALES CAL-LIFT INC SCIF INSURED GLENDALE ADJ3111880 ROBERTO LARA BUDDY BAR CASTING SCIF INSURED GLENDALE ADJ3113030 GRISELDA DOMINGUEZ TAMAYO RESTAURANT SCIF INSURED GLENDALE ADJ3215099 SOCORRO MUNOZ FOUNDATION FOR EARLY SCIF INSURED GLENDALE CHILDHOOD ED ADJ3224593 GREGORY MAYER LINDERO MASONRY SCIF INSURED GLENDALE ADJ3244236 STEPHEN ANDREW NUWAY LINEN SCIF INSURED GLENDALE ADJ3288473 AURORA REALIVASQUEZ TUR-BO JET PRODUCTS CO INC SCIF INSURED GLENDALE
Page 40 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ3294428 LORENA VILLEGAS PALOS VERDES HEALTH CARE CENTER SCIF INSURED GLENDALE
ADJ336832 JOSE ARMANDO PEREZ VALLEY COURIERS SCIF INSURED GLENDALE ADJ3373248 IVY IBAVEN CIBA INSURANCE SERVICES SCIF INSURED GLENDALE ADJ3396927 MARIO FLORES TORN & GLASSER SCIF INSURED GLENDALE ADJ3406993 THOMAS HALVORSON R & R MASONRY SCIF INSURED GLENDALE ADJ3434230 ALEJANDRA COVARRUBIAS RICO INTERNATIONAL SCIF INSURED GLENDALE
ADJ3445678 LINDA SHAFFER SUNLIT GARDENS SCIF INSURED GLENDALE ADJ3492835 LORENA VELAZQUEZ PAIN NET, INC. SCIF INSURED GLENDALE ADJ3509131 COLLEEN HOWE REVCARE SCIF INSURED GLENDALE ADJ3509131 COLLEEN HOWE REVCARE INC SCIF INSURED GLENDALE ADJ3532448 ANTONIO SANTILLAN CASTEC INC SCIF INSURED GLENDALE ADJ3603118 MANUEL APALATEQUI L.A. YUMA FRIEGHTS LINES, INC. SCIF INSURED GLENDALE ADJ367320 CRISTINA UGARTE FLINKMAN REALTY SCIF INSURED GLENDALE ADJ3677414 ROBERTO RIVAS PACIFIC COURIERS INC SCIF INSURED GLENDALE ADJ3687513 FRANK ZEPEDA CALIFORNIA MART SCIF INSURED GLENDALE ADJ371306 GILBERTO GONZALEZ ORANGE COUNTY SCAFFOLD INC. SCIF INSURED GLENDALE
ADJ3778585 JAVIER CORONEL MALONEY MEAT CO. SCIF INSURED GLENDALE ADJ397223 MARIA ARREOLA WILSON INDUSTRIES SCIF INSURED GLENDALE ADJ398278 MARIA SALAZAR SUN GLASS PRODUCTS SCIF INSURED GLENDALE ADJ4042638 RAMONA LOZANO A RUDIN DESIGNS SCIF INSURED GLENDALE ADJ4075417 CARL GONZALES STAFFORD'S QUALITY PAINTING SCIF INSURED GLENDALE ADJ4075736 FELIPE MEJIA MENA FIRE SAFE SYSTEMS, INC. SCIF INSURED GLENDALE ADJ4148092 JOSE LUIS RAMIREZ L.B. CONCEPTS SCIF INSURED GLENDALE ADJ4206936 YOKO DOMINGUEZ DMS STORE CARE INC SCIF INSURED GLENDALE ADJ4221587 MIGUEL CAMACHO CRC RIM INC SCIF INSURED GLENDALE ADJ433589 GLADYS GIRON IDEAL CATERING SCIF INSURED GLENDALE ADJ433589 GLADYS GIRON UEBTF LOS ANGELES SCIF INSURED GLENDALE ADJ4338093 MARLENE QUINTERO PARK PLACE MEDICAL CENTER SCIF INSURED GLENDALE ADJ4347928 SALVADOR SANCHEZ ANAHEIM TERRACE CARE CENTER SCIF INSURED GLENDALE
ADJ4357182 DANIEL MARTINEZ PRIMARY STEEL SCIF INSURED GLENDALE ADJ4398452 JEFF ROSS JS GLASS & MIRROR INC SCIF INSURED GLENDALE ADJ4465831 TIMOTHY TIRRE HOLIDAY PORCELAIN ENAMEL SCIF INSURED GLENDALE COMPANY ADJ4467720 JOSE AJA CONSOLIDATED EQUIPMENT CORP SCIF INSURED GLENDALE
ADJ4476995 OLIVIA MORFIN STAFFING SERVICES SCIF INSURED GLENDALE ADJ4529657 JERRY BRISCOE MEASURE COMP SCIF INSURED GLENDALE ADJ4644157 ANTONIO SANTILLAN CASTEC INC SCIF INSURED GLENDALE ADJ533246 JORGE PRIETO COAST CONVERTER SCIF INSURED GLENDALE ADJ533246 JORGE PRIETO COAST CONVERTERS SCIF INSURED GLENDALE ADJ6429739 JOSE VALLES ROYAL ROOT CO. #3 SCIF INSURED GLENDALE ADJ648245 BENJAMIN ORTIZ SCIF INSURED GLENDALE ADJ6634534 CYNTHIA GAMEZ SILVERMAN AND GOLDSZER SCIF INSURED GLENDALE ADJ6730204 ALLEN HORNSBY BOB AND DAVES TOWING INC SCIF INSURED GLENDALE
Page 41 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ6730204 ALLEN HORNSBY CALIFORNIA COACH AUTO BODY SCIF INSURED GLENDALE AND TOWING ADJ6730204 ALLEN HORNSBY KENNY'S AUTO SERVICE SCIF INSURED GLENDALE ADJ6744645 PASTOR ESTRADA LA PARTY RENTS SCIF INSURED GLENDALE ADJ6784010 ALEJO RUBIO CATALINA YACHTS SCIF INSURED GLENDALE ADJ6846161 JESUS SOTO JOSEPH J BERTRAND SCIF INSURED GLENDALE ADJ6870638 ALBA ZUNIGA SCIF INSURED GLENDALE ADJ6924960 GEORGE LABRECQUE LABOR SYSTEMS SCIF INSURED GLENDALE ADJ6930945 SOO JANG EDWARD SKY INC DBA SURASANG SCIF INSURED GLENDALE RESTAURANT ADJ6939775 LUIS GONZALEZ SOUTHERN CALIFORNIA ICE CO SCIF INSURED GLENDALE ADJ6971424 TERRY COVINGTON AMERICAN COMPUTER SUPPLIES INC SCIF INSURED GLENDALE
ADJ7014583 JOSE PEREZ EVANS AND SON TOUR SERV INC AKA SCIF INSURED GLENDALE CALIF TOUCH OF CLASS ADJ7028159 WAYNE KITRELL M AND M ACTION TOWING SCIF INSURED GLENDALE ADJ7203623 DOMINIC YANEZ HEALTH DEVICES INC SCIF INSURED GLENDALE ADJ7215676 BLANCA MURILLO CALIFORNIA FAIR PLAN SCIF INSURED GLENDALE ADJ7279312 BENJAMIN OCHOA BROWNCO CONSTRUCTION SCIF INSURED GLENDALE ADJ7379766 JEFFREY WEAVER URBAN BUILDERS, INC. SCIF INSURED GLENDALE ADJ7380036 BOBBY YOUNG UNITED PIMPING SERVICE INC SCIF INSURED GLENDALE ADJ7437470 JOSE BECERRA COAST CHEM EXTERMINATING SCIF INSURED GLENDALE ADJ7508664 DANIEL CERVANTES STONE ETC INC SCIF INSURED GLENDALE ADJ7690667 ANTONIO YAX BENALEX WINDOWS AND DOORS SCIF INSURED GLENDALE CORP ADJ7816423 RONNIE ANGUIANO DEL CAMPO TRUCKING SCIF INSURED GLENDALE ADJ7840950 SANDRA CARTER BARBOUR FLOYD MEDICAL ASSOC SCIF INSURED GLENDALE
ADJ8115142 DESTINY BIOSAH PROJECT INDEPENDENCE SCIF INSURED GLENDALE ADJ819174 VICTOR HARO C. LUJAN & COMPANY SCIF INSURED GLENDALE ADJ8402781 CHUCK TIFFANY CANTERBURY BASEBALL LLC AKA SCIF INSURED GLENDALE FLORENCE FREEDOM ADJ8402781 CHUCK TIFFANY GRAND PRAIRIE PROFESSIONAL SCIF INSURED GLENDALE BASEBALL LP ADJ8402781 CHUCK TIFFANY HAWAII BASEBALL LLC SCIF INSURED GLENDALE ADJ8402781 CHUCK TIFFANY LOS ANGELES DODGERS SCIF INSURED GLENDALE ADJ8402781 CHUCK TIFFANY ST GEORGE ROADRUNNERS ET AL SCIF INSURED GLENDALE
ADJ845436 GLENN MACDONALD JON KERTES CONSTRUCTION CO SCIF INSURED GLENDALE
ADJ912959 MELODY LARUE KREISS LBS FINANCIAL CREDIT UNION SCIF INSURED GLENDALE ADJ1048691 SIXTO GUILLERMO DESERT COASTAL TRANSPORT SCIF INSURED INLAND EMPIRE HUAPAYA ADJ1125444 KATHY SANCHEZ INFONXX SCIF INSURED INLAND EMPIRE ADJ1125444 KATHY SANCHEZ INFONXX INC SCIF INSURED INLAND EMPIRE ADJ1173510 ROSA GONZALEZ UPLAND CONVALESCENT HOSPITAL SCIF INSURED INLAND EMPIRE
ADJ1366096 ROY BEAMS CTS SCIF INSURED INLAND EMPIRE
Page 42 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1764405 VICTOR FLORES STK INTERNATIONAL, INC. SCIF INSURED INLAND EMPIRE ADJ1927566 ROBERT SMITH SAUNDERS & MCMILLIN SCIF INSURED INLAND EMPIRE ADJ200259 JOEL SANCHEZ CHECK MATE STAFFING SCIF INSURED INLAND EMPIRE ADJ200259 JOEL SANCHEZ MERRICK ENGINEERING INC SCIF INSURED INLAND EMPIRE ADJ2009087 DOROTHY AUGUSTINE PHS/MWA SCIF INSURED INLAND EMPIRE ADJ2039183 MICAELA CRUZ DYNAMIC NURSING SCIF INSURED INLAND EMPIRE ADJ207268 DONALD FOWLER BROOKSTONE EQUIPMENT SERVICES SCIF INSURED INLAND EMPIRE INC ADJ2107599 RAYMOND COTE INTERNATIONAL E-Z UP SCIF INSURED INLAND EMPIRE ADJ2284440 CRAIG DANIELSON EL & EL WOOD PRODUCTS CORP SCIF INSURED INLAND EMPIRE ADJ237230 ALFREDO LOPEZ PREMIER HOMES SCIF INSURED INLAND EMPIRE ADJ2465041 TOMAS RAMOS PERFORMANCE CONCRETE SCIF INSURED INLAND EMPIRE ADJ255494 JON RODEWALD KOR BARNABEY'S LLC SCIF INSURED INLAND EMPIRE ADJ2753691 JERRY RODRIGUEZ HANSEN CONSOLIDATORS SCIF INSURED INLAND EMPIRE ADJ2975177 JORGE VERASTEGUI SCIF INSURED INLAND EMPIRE ALVARADO ADJ325203 ANITA SCHAEFFER ADMINISTAFF CO INC SCIF INSURED INLAND EMPIRE ADJ325203 ANITA SCHAEFFER ARGUS PRO HEALTH SCIF INSURED INLAND EMPIRE ADJ3278964 ROBERTO SEPULVEDA ABC WINDOW COMPANY SCIF INSURED INLAND EMPIRE ADJ3416812 JAMES BUSCH NORTH COUNTY PUMP SCIF INSURED INLAND EMPIRE ADJ344371 MICHAEL GUILDING J T AUTOMOTIVE SCIF INSURED INLAND EMPIRE ADJ3719710 ROSA GONZALEZ UPLAND CONVALESCENT SCIF INSURED INLAND EMPIRE ADJ3747693 SALVADOR DURAN ALHAMBRA FOUNDRY COMPANY SCIF INSURED INLAND EMPIRE ADJ3853229 ROBERT LUDWICK DON'S AIRCONDITIONING SERVICE SCIF INSURED INLAND EMPIRE
ADJ4290345 DIANA ZAMORA J Z'S PARTY CHARM SCIF INSURED INLAND EMPIRE ADJ4361902 MARLENE GUADAMUZ GUARANTY MANAGEMENT CORP SCIF INSURED INLAND EMPIRE
ADJ4429497 LORENA VILLEGAS PALOS VERDES HEALTH CARE CENTER SCIF INSURED INLAND EMPIRE
ADJ603626 GERTRUDIS HERNANDEZ BERTOLINI SCIF INSURED INLAND EMPIRE
ADJ6790123 RONALD THRONSON ALLAN FENCE SCIF INSURED INLAND EMPIRE ADJ7018828 DERRELL GARCIA FREDS GLASS AND MIRROR SCIF INSURED INLAND EMPIRE ADJ7024442 CARLOS SERRANO VEIRS KLUK ROOFING SCIF INSURED INLAND EMPIRE ADJ7176429 KIRK KING KINGS POOL SERVICE SCIF INSURED INLAND EMPIRE ADJ7671874 YOLANDA DE LA TORRE SATANAS MEXICAN FOOD SCIF INSURED INLAND EMPIRE ADJ7719317 CAROL VARGAS SOUTH COAST CHILDRENS SCIF INSURED INLAND EMPIRE ADJ8047375 FRANCISCO RONQUILLO TRAIL LINES SCIF INSURED INLAND EMPIRE
ADJ1222132 BRENT MARTIN G.E. CONSTRUCTION SCIF INSURED OXNARD ADJ2153519 WILLIAM LITMAN ANACAPA HOSPITAL SCIF INSURED OXNARD ADJ2295179 ANNETTE FRANCO TECHSTYLES SCIF INSURED OXNARD ADJ260724 ERNIE RASCON ARCTURUS MFG SCIF INSURED OXNARD ADJ2809626 SALVADOR COVARRUBIAS ROSSCO HOLDINGS SCIF INSURED OXNARD
ADJ3373248 IVY IBAVEN CIBA INSURANCE SERVICES SCIF INSURED OXNARD ADJ354887 SIKUKA PANAPA SMITHSON FIRE PROTECTION SCIF INSURED OXNARD
Page 43 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ3933871 CHARLES PAGE REZAC MEYERS ATTORNEY S SCIF INSURED OXNARD ADJ642748 DELLA WALKER HOME INSTEAD SENIOR CARE SCIF INSURED OXNARD ADJ8067163 ROBERT CAMACHO AVENAL STATE PRISON SCIF INSURED OXNARD ADJ7741770 MARIA GARCIA ROYAL CATERING CO SCIF INSURED PLEASANTON ADJ714637 MICHAEL MALO CALIFORNIA HWY PATROL SCIF INSURED SAN DIEGO ADJ8869137 DOMINIC VELASQUEZ CENTINELLA STATE PRISON SCIF INSURED SAN DIEGO ADJ1723076 JESUS HERNANDEZ J AND L FARMS SCIF INSURED SAN JOSE ADJ7979492 MICHAEL COSGROVE GOLDEN BASEBALL LEAGUE SCIF INSURED SAN JOSE ADJ1110485 KURT GALLARDO DYZNEE TOWING SERVICE SCIF INSURED SANTA ANA ADJ113049 BARBARA SEOANE FURNITURE TRADING CO SCIF INSURED SANTA ANA ADJ1146069 ANTHONY VILLA WESTMONT INDUSTRIES SCIF INSURED SANTA ANA ADJ125914 DONALD TOUPE VAN ETTEN DRYWALL SCIF INSURED SANTA ANA ADJ1581910 LINDA BELSHE CAL STATE UNIVERSITY LONG BEACH SCIF INSURED SANTA ANA
ADJ1581910 LINDA BELSHE CSULB FOUNDATION SCIF INSURED SANTA ANA ADJ1614898 FRANCISCO SANCHEZ EAGLE RIDER SCIF INSURED SANTA ANA ADJ1709179 ED BYNG CALVARY CHAPEL OF COSTA MESA SCIF INSURED SANTA ANA
ADJ1764405 VICTOR FLORES STK INTERNATIONAL, INC. SCIF INSURED SANTA ANA ADJ1826305 SALLY NGHIEM VIETNAMESE LEAGUE OF ORANGE SCIF INSURED SANTA ANA COUNTY ADJ188754 MARIO RODRIGUEZ QUAKER CITY PLATING SCIF INSURED SANTA ANA ADJ189448 YOLANDA DE GASPAR JOB OPTIONS INC SCIF INSURED SANTA ANA ADJ2078909 EMILIO LOPEZ VILORIA CONSTRUCTION INC SCIF INSURED SANTA ANA ADJ2214600 MICHAEL THOMPSON TORREZ TRUCKING SCIF INSURED SANTA ANA ADJ2221138 DANIELL MORPHIS SMART SYSTEMS TECH. SCIF INSURED SANTA ANA ADJ2268459 HERB PACHECO SCOTT ROBINSON HONDA SCIF INSURED SANTA ANA ADJ2326468 MARIA GODINEZ AIR INDUSTRIES SCIF INSURED SANTA ANA ADJ2497538 JOSE MENDEZ U.S. GROWERS COLD STORAGE SCIF INSURED SANTA ANA ADJ2792766 TIMOTHY SMITH KKW TRUCKING SCIF INSURED SANTA ANA ADJ2837957 SUSAN AHN EASTWOOD INS SCIF INSURED SANTA ANA ADJ3040748 JACQUELYN LAWSON SPIRES RESTAURANT SCIF INSURED SANTA ANA ADJ3253900 MARIA AQUINO IMPERIAL TOY CORP SCIF INSURED SANTA ANA ADJ3253900 MARIA AQUINO KHALID AHMED HACIENDA HEIGHTS SCIF INSURED SANTA ANA
ADJ3394014 DONNA ABENT MARINA MEDICAL BILLING SERVICES SCIF INSURED SANTA ANA
ADJ3494021 CATHERINA YOUNG EASTER SEALS SCIF INSURED SANTA ANA ADJ3504138 LADONNE GREEN PROJECT INDEPENDENT SCIF INSURED SANTA ANA ADJ3504138 LADONNE GREEN SU CASA FAMILY SUPPORT SCIF INSURED SANTA ANA ADJ3507140 FRANCISCO OBANDO THOMPSON BUILDING MATERIALS SCIF INSURED SANTA ANA
ADJ373202 DONALD PHILLIPS AMERICAN CONTRACTING SCIF INSURED SANTA ANA ADJ3744523 MITCHELL MORENO CAUSEY ELECTRIC INC SCIF INSURED SANTA ANA ADJ3828451 VICTOR MENDOZA TOP INSTALLER SCIF INSURED SANTA ANA ADJ4027310 ALAN SPELL M & N COASTLINE AUTO/GOODYEAR SCIF INSURED SANTA ANA
Page 44 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4033269 JESUS FRUTOS ACADEMY MANUFACTURING CO., SCIF INSURED SANTA ANA INC. ADJ4069490 DEAN FRANKLIN HART BROS. ELECTRIC SCIF INSURED SANTA ANA ADJ4087635 JANICE ALVAREZ HERITAGE POINTE SCIF INSURED SANTA ANA ADJ4237705 MARTHA DABOUB NEWPORT HAND CENTER SCIF INSURED SANTA ANA ADJ4245584 BARBARA SEOANE FURNITURE TRADING CO SCIF INSURED SANTA ANA ADJ4295994 MARIA ZALDANA A.P. EXPRESS WORLDWIDE SCIF INSURED SANTA ANA ADJ4388525 ANITA FERNANDEZ CUSTOMIZE SCREENPRINTING & SCIF INSURED SANTA ANA DISTRIBU ADJ4415129 TIMOTHY REMBAC KEN SMITH MASONRY INC SCIF INSURED SANTA ANA ADJ4491590 CONCEPCION VELASQUEZ ERUSTON CORP SCIF INSURED SANTA ANA
ADJ4511565 JOSEPH CONTRERAS ICC SCIF INSURED SANTA ANA ADJ458935 LETICIA DE LEON MAXINE SWIM GROUP INC SCIF INSURED SANTA ANA ADJ6666743 BERNAVE SILVERIO HOYT ROOFS INC SCIF INSURED SANTA ANA ADJ6742057 JOSE ESPINOZA WILMINGTON WOODWORKING SCIF INSURED SANTA ANA ADJ6931866 DELFINO HERNANDEZ L&R TRANSPORTES, INC., DBA SCIF INSURED SANTA ANA FRONTERAS DEL NORTE ADJ7458446 ELIZABETH MONTES DIAMANTE BAR SCIF INSURED SANTA ANA ADJ7831833 ALBERTO VEGA B L PRICE SCIF INSURED SANTA ANA ADJ7831938 CANDY TOURVILLE FAIRVIEW DEVELOPMENTAL CENTER SCIF INSURED SANTA ANA
ADJ7834491 JUVENAL ALVAREZ REXWAY ROOFING SCIF INSURED SANTA ANA ADJ809195 LUZ HERRERA BALBOA MAXINE SWIM GROUP INC SCIF INSURED SANTA ANA ADJ8115142 DESTINY BIOSAH PROJECT INDEPENDENCE SCIF INSURED SANTA ANA ADJ8411199 MARK BERGINE RECAT INC SCIF INSURED SANTA ANA ADJ860891 JOHN WEBB SHORE STEEL INC SCIF INSURED SANTA ANA ADJ912959 MELODY LARUE KREISS LBS FINANCIAL CREDIT UNION SCIF INSURED SANTA ANA ADJ163167 MICHAEL VITALI ULTIMATE JUICE COMPANY SCIF INSURED SANTA ROSA ADJ7427348 ERNESTO PADILLA LACNY LOGISTICS SCIF INSURED SANTA ROSA ADJ891833 MARIO MARQUEZ VOPAK/WILMINGTON LIQUID SCIF LONGSHORE PLEASANTON ADJ3815656 LINDA SCOTT STATE COMP. INSRUANCE FUND SCIF SCIF EMPLOYEES ALL ADJ3815656 LINDA SCOTT STATE COMPENSATION INSURANCE SCIF SCIF EMPLOYEES ALL FUND ADJ3128349 JORGE CORONA PLAZA DEL SOL SCIF SCO MONTEREY PARK ADJ3128349 JORGE CORONA RICARDO NUNEZ SCIF SCO MONTEREY PARK ADJ6624702 SUZANNE BOYLE ME AND ED`S PIZZA PARLOR SCIF SCO MONTEREY PARK ADJ6624775 ABRAHAM JEON YOUNG AGAIN ADULT DAY HEALTH SCIF SCO MONTEREY PARK CARE ADJ7014583 JOSE PEREZ EVANS AND SON TOUR SERV INC AKA SCIF SCO MONTEREY PARK CALIF TOUCH OF CLASS ADJ7138683 RAMON PEREZ LOS TAPATIOS SCIF SCO MONTEREY PARK ADJ7180930 SILVESTRE DIONISIO ROYAL DINING SCIF SCO MONTEREY PARK ADJ7223042 JAMIE MANN MILL CREEK EQUESTRAIN CENTER SCIF SCO MONTEREY PARK
ADJ7330394 MARTIN GARCIA LUPE TEOS PIANO SCIF SCO MONTEREY PARK ADJ7411005 KENNETH SCHUMACHER JONES BROTHERS CONSTRUCTION SCIF SCO MONTEREY PARK
Page 45 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7007754 ADRIANA CENDEJAS SCIF SCO SAN BERNARDINO ADJ3128349 JORGE CORONA PLAZA DEL SOL SCIF STATE EMPLOYEES OXNARD ADJ3128349 JORGE CORONA RICARDO NUNEZ SCIF STATE EMPLOYEES OXNARD ADJ3304807 DEBRA COURTNEY CAMARILLO STATE HOSPITAL SCIF STATE EMPLOYEES OXNARD ADJ727774 ISELA MENDOZA PLEASANT VALLEY STATE PRISON SCIF STATE EMPLOYEES OXNARD ADJ1125444 KATHY SANCHEZ INFONXX SCIF STATE EMPLOYEES RIVERSIDE ADJ1125444 KATHY SANCHEZ INFONXX INC SCIF STATE EMPLOYEES RIVERSIDE ADJ1141411 WILLIAM HORTON ALBERT V O'NEAL SCIF STATE EMPLOYEES RIVERSIDE ADJ1141411 WILLIAM HORTON ALBERT'S TRUCKING SCIF STATE EMPLOYEES RIVERSIDE ADJ1141411 WILLIAM HORTON UEBTF LOS ANGELES SCIF STATE EMPLOYEES RIVERSIDE ADJ1718463 ZERINA MESIHOVIC COUNTY OF LOS ANGELES DPSS SCIF STATE EMPLOYEES RIVERSIDE ADJ6756982 LEAH GARVER DEPT OF CORRECTIONS AND REHAB SCIF STATE EMPLOYEES RIVERSIDE
ADJ710857 NICHOLAS ACORDI DEPARTMENT OF CORRECTIONS SCIF STATE EMPLOYEES RIVERSIDE ADJ749699 BLANCA GUERRERO IHSS SCIF STATE EMPLOYEES RIVERSIDE ADJ7818550 FRANK BIELAWA DEPARTMENT OF CORRECTIONS AND SCIF STATE EMPLOYEES RIVERSIDE REHABILITATION ADJ8567568 GARY CURRIER DEPARTMENT OF CORRECTIONS AND SCIF STATE EMPLOYEES RIVERSIDE REHABILITATION ADJ3323637 DARRYL BOSTON CALIFORNIA DEPT OF CORRECTIONS SCIF STATE EMPLOYEES SACRAMENTO
ADJ3957833 JOAN ROSS CALIFORNIA HIGHWAY PATROL SCIF STATE EMPLOYEES SACRAMENTO ADJ6992217 DOROTHY LOPEZ STATE OF CALIFORNIA CHP SCIF STATE EMPLOYEES SACRAMENTO ADJ714637 MICHAEL MALO CALIFORNIA HWY PATROL SCIF STATE EMPLOYEES SACRAMENTO ADJ1008019 VICTORIA ISAAC STATE OF CALIFORNIA DEPT. OF SCIF STATE EMPLOYEES SANTA ANA CORREC ADJ1334495 RAY RIVERA CAL POLY UNIVERSITY SCIF STATE EMPLOYEES SANTA ANA ADJ1401899 EDWARD BEADLE WASCO STATE PRISON SCIF STATE EMPLOYEES SANTA ANA ADJ2175401 CECILIA MARQUEZ DEPT OF MOTOR VEHICLES SCIF STATE EMPLOYEES SANTA ANA ADJ2461296 ATI FUIAVA CAL-TRANS SCIF STATE EMPLOYEES SANTA ANA ADJ2962063 CHARLENE SHEA DEPARTMENT OF MENTAL HEALTH SCIF STATE EMPLOYEES SANTA ANA
ADJ3505086 SIMONE BOULOS EDD SCIF STATE EMPLOYEES SANTA ANA ADJ4141215 DOREEN LABOY METROPOLITAN STATE HOSPITAL SCIF STATE EMPLOYEES SANTA ANA ADJ4703930 RICHARD ENRIQUEZ DEPARTMENT OF MOTOR VEHICLES SCIF STATE EMPLOYEES SANTA ANA
ADJ7932952 EUGENE WILLIAMS CAL TRANS SCIF STATE EMPLOYEES SANTA ANA ADJ192640 ALAN LOONEY TEMPLE-INLAND SEDGWICK 14153 RIVERSIDE ADJ7388184 MAURICIO RODRIGUEZ CR AND R SEDGWICK 14153 RIVERSIDE ADJ8497086 JUDITH MALOOF WEST ANAHEIM MEDICAL CENTER SEDGWICK 14153 RIVERSIDE ANAHEIM ADJ8667338 FRANCIS APONTE ALBERTSONS INC SEDGWICK 14153 RIVERSIDE ADJ7646553 YOLANDA HERNANDEZ BUD OF CALIFORNIA SEDGWICK 14154 SACRAMENTO ADJ7925389 LUIS QUINTERO AMERICANOS USA SEDGWICK 14154 SACRAMENTO ADJ1928884 ROBERT TELLES BED BATH & BEYOND SEDGWICK 14442 ORANGE ADJ3198657 PETE VASQUEZ PEPSI COLA SAN JOAQUIN BOTTLING SEDGWICK 14442 ORANGE
ADJ3413847 CONNIE JOHNSTON COSTCO WHOLESALE SEDGWICK 14442 ORANGE
Page 46 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4087514 ERMELINDA HARWOOD DURHAM SCHOOL SERVICE SEDGWICK 14442 ORANGE OCHOA ADJ4131269 DARCY ROBINSON KINDRED HOSPITAL SEDGWICK 14442 ORANGE ADJ6523117 GILBERTO RUVALCABA KEER SEDGWICK 14442 ORANGE ADJ6568102 UZZIEL AMBRIZ BFS RETAIL AND COMMERCIAL SEDGWICK 14442 ORANGE ADJ6772972 DAVID TORRES RIO TINTO MINERALS SEDGWICK 14442 ORANGE ADJ6788433 GAIL CAPLAN ST JOSEPHS HOSPITAL SEDGWICK 14442 ORANGE ADJ6882163 NELY BARGOLA ROSS STORES SEDGWICK 14442 ORANGE ADJ7165056 DAMEN WINSTON PEPSI BOTTLING GROUP NEWBERN SEDGWICK 14442 ORANGE TRANSPORT ADJ7320812 ELIAS AGUILAR BRIDGESTONE AMERICA TIRE SEDGWICK 14442 ORANGE OPERATIONS ADJ7562865 ROSA BATRES TARGET CORPORATION SEDGWICK 14442 ORANGE ADJ7811686 JUAN ONTIVEROS FIRESTONE TIRE & AUTO SERVICE SEDGWICK 14442 ORANGE ADJ7859337 CHARLES GRIMM VERIZON GTE SEDGWICK 14442 ORANGE ADJ7956233 MILUSKA WHEELER PROVIDENCE LITTLE COMPANY OF SEDGWICK 14442 ORANGE MARY ADJ8028767 DELINA GARCIA PUBLIC STORAGE SEDGWICK 14442 ORANGE ADJ8231540 NANCY CARRILLO ST MARYS MEDICAL CENTER SEDGWICK 14442 ORANGE ADJ8242062 SANDRA PALESTINO COSTCO WHOLESALE SEDGWICK 14442 ORANGE ADJ8340709 TRINA CONGER COSTCO SEDGWICK 14442 ORANGE ADJ3539520 JAMES DANIELS TRANS WORLD AIRLINES SEDGWICK 14450 LONG BEACH ADJ4451760 DANIEL ALMOND BOEING CO. SEDGWICK 14450 LONG BEACH ADJ6568102 UZZIEL AMBRIZ BFS RETAIL AND COMMERCIAL SEDGWICK 14450 LONG BEACH ADJ6822100 LIZETTE GAMEZ SMART & FINAL SEDGWICK 14450 LONG BEACH ADJ7103893 PATRICIA RAMIREZ TARGET CORPORATION SEDGWICK 14450 LONG BEACH ADJ7572187 NORMA SALCEDO RALPHS GROCERY COMPANY SEDGWICK 14450 LONG BEACH ADJ7591874 CHRISTIE KATHARY KMART SEDGWICK 14450 LONG BEACH EDWARDS ADJ7775441 CYNTHIA BROWN JENNY CRAIG SEDGWICK 14450 LONG BEACH ADJ7963695 RODNEY WILSON THE BOEING COMPANY SEDGWICK 14450 LONG BEACH ADJ3363262 FRANCES SAUNDERS TIPPIN BOEING COMPANY SEDGWICK 14458 ONTARIO
ADJ3363262 FRANCES SAUNDERS TIPPIN THE BOEING COMPANY SEDGWICK 14458 ONTARIO
ADJ3626113 THERESA CONTINI RALPH'S CORPORATION SEDGWICK 14458 ONTARIO ADJ2247649 KIM FOSTER UNIVERSITY CORPORATION SEDGWICK 14479 MCU IVOS VAN NUYS ADJ8091644 SERINA JOHNSON ST VINCENT MEDICAL CENTER SEDGWICK 14479 MCU IVOS VAN NUYS ADJ2125706 MODESTO CATALAN COLOR SPOT SEDGWICK 14522 VAN NUYS ADJ4591301 VICTOR GARCIA ST FRANCIS MEDICAL CENTER SEDGWICK 14522 VAN NUYS ADJ6860128 AMANDA RUSSELL THE UNIVERSITY CORPORATION SEDGWICK 14522 VAN NUYS ADJ7672005 SYLVIA APODACA FIRST DATA REMITCO INC SEDGWICK 14522 VAN NUYS ADJ8377617 ISMAEL UDASCO ST VINCENT MEDICAL CENTER SEDGWICK 14522 VAN NUYS ADJ8091644 SERINA JOHNSON ST VINCENT MEDICAL CENTER SEDGWICK 14535 OAKLAND ADJ6633028 STELLA ANDRE RALPHS GROCERY COMPANY SEDGWICK 14563 LONG BEACH ADJ6807474 DONUEL STALLWORTH LOS ANGELES UNIFIED SCHOOL SEDGWICK 14563 LONG BEACH DISTRICT ADJ7045668 WALTER COLLINS RALPHS GROCERY STORE SEDGWICK 14563 LONG BEACH
Page 47 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7318795 ELIZABETH WILLIS THE KROGER COMPANY SEDGWICK 14563 LONG BEACH ADJ7591874 CHRISTIE KATHARY KMART SEDGWICK 14563 LONG BEACH EDWARDS ADJ7949084 LEONEL QUINTERO RALPHS GROCERY SEDGWICK 14563 LONG BEACH ALMERAYA ADJ8059853 BELEN REZA LOWES SEDGWICK 14563 LONG BEACH ADJ8079888 LAURIE TALSTAD KEIDSER RALPHS GROCERY COMPANY SEDGWICK 14563 LONG BEACH
ADJ8193929 MARTHA HART RALPHS GROCERY STORE SEDGWICK 14563 LONG BEACH ADJ8255357 HOWARD CHAREST LOS ANGELES UNIFIED SCHOOL SEDGWICK 14563 LONG BEACH DISTRICT ADJ8387593 JOSE AMEZQUITA FOOD 4 LESS SEDGWICK 14563 LONG BEACH ADJ2423265 JESUS GARCIA CLEAN STEEL SEDGWICK 14573 SACRAMENTO ADJ7329709 TIMOTHY HANNA FEDERAL EXPRESS NATIONAL SEDGWICK 14573 SACRAMENTO ADJ7509958 ALDO CEPEDA GORDON TRUCKING INC SEDGWICK 14573 SACRAMENTO ADJ7866586 ROBERTO MARQUEZ CINTAS SEDGWICK 14573 SACRAMENTO ADJ1275544 TAUNA THOMPSON PACIFIC BELL SEDGWICK 14627 ONTARIO ADJ1986731 PATRICIA JOHNSON SBC/ATT SEDGWICK 14627 ONTARIO ADJ3071975 DEIDRA HARPER SBC SEDGWICK 14627 ONTARIO ADJ6673120 ESTER SHRUM AT AND T SEDGWICK 14627 ONTARIO ADJ6743384 ROBERT PEREZ AT AND T SEDGWICK 14627 ONTARIO ADJ7155087 MELVIN SMITH AT&T SEDGWICK 14627 ONTARIO ADJ8051546 LILLIAN GARCIA AT T SEDGWICK 14627 ONTARIO ADJ3027124 MARIA GUZMAN IRVINE MEDICAL CENTER SEDGWICK 14667 ORANGE ADJ3027124 MARIA GUZMAN REGENTS - UNIVERSITY OF SEDGWICK 14667 ORANGE CALIFORNIA ADJ1215230 DOROTHY MOORE CAL POLY POMONA UNIVERISTY SEDGWICK 2078 OAKLAND ADJ2247649 KIM FOSTER UNIVERSITY CORPORATION SEDGWICK 2078 OAKLAND ADJ1215230 DOROTHY MOORE CAL POLY POMONA UNIVERISTY SEDGWICK 3170 RANCHO CORDOVA ADJ6860128 AMANDA RUSSELL THE UNIVERSITY CORPORATION SEDGWICK 3170 RANCHO CORDOVA ADJ7442060 JUSTIN HENDEE CSU SAN BERNARDINO SEDGWICK 3170 RANCHO CORDOVA ADJ8431761 SAMUEL CASTRUITA CSU DOMINQUEZ HILLS SEDGWICK 3170 RANCHO CORDOVA ADJ6819987 LUISA MESONES SEDGWICK 51460 ONTARIO ADJ2924625 CATHERINE TARBET ALBERTSON'S SEDGWICK ALBERTSONS BREA ADJ4523497 ANTHONY BECKER AMERICAN DRUG STORES SEDGWICK ALBERTSONS BREA ADJ1578859 EDILIA BLEDSOE SAV-ON SEDGWICK BREA ADJ2216629 JORGE SANCHEZ GELSONS MARKETS SEDGWICK BREA ADJ2307296 MARIA MOSQUEDA ONE SOURCE SEDGWICK BREA ADJ2695773 JANINE PERDEW ALBERTSONS SEDGWICK BREA ADJ2951264 O'KEEFE ANTEE LOWE'S HOME IMPROVEMENT SEDGWICK BREA ADJ3426985 LISA BRUMFIELD CENTURY CITY HOSPITAL SEDGWICK BREA ADJ355156 MARTHA DIAZ ADECO EMPLOYMENT SERVICES SEDGWICK BREA ADJ355156 MARTHA DIAZ VOLT SERVICES GROUP SEDGWICK BREA ADJ3866615 OLIVIA SALAZAR TECHNICOLOR SEDGWICK BREA ADJ4023065 MARTHA MILLAN USC UNIVERSITY HOSPITAL SEDGWICK BREA ADJ4053010 LAURIE BROWN BRUNSWICK SANDS BOWL SEDGWICK BREA ADJ4571130 JESUS LUCERO COMMUNITY & MISSION HOSPITAL OF SEDGWICK BREA
Page 48 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4596408 REYNALDA GONZALEZ DOUBLE TREE HOTEL SEDGWICK BREA ADJ628072 CUI ZHEN FU ZONG WEN JUN SEDGWICK BREA ADJ6772667 WEBBER KNIGHT WORLD WIDE FACILITIES SEDGWICK BREA ADJ7281928 YVONNE ADAME AUTOMBILE CLUB OF SOUTHERN SEDGWICK BREA CALIFORNIA ADJ7392610 SAYED SHAH SOUTHERN CALIFORNIA SEDGWICK BREA AUTOMOBILE CLUB DBA AAA AUTO CLUB ADJ7472391 GLORIA BERMINGHAM LOWES SEDGWICK BREA ADJ7476534 JAIME ADAME CR&R INCORPORATED SEDGWICK BREA ADJ902591 MARIA DIAZ RADISSON PLAZA HOTEL SEDGWICK BREA ADJ2192468 PAUL DRUSKY INITIAL SECURITY SEDGWICK BURBANK ADJ3244236 STEPHEN ANDREW NUWAY LINEN SEDGWICK BURBANK ADJ7309195 YOLANDA GARCIA ARAMARK CLEANROOM SERVICES SEDGWICK BURBANK
ADJ8234651 ZULEMA MIRANDA ARAMARK SEDGWICK BURBANK ADJ8244599 ALEJANDRA VILLANUEVA ARAMARK CLEANROOM SERVICES SEDGWICK BURBANK
ADJ1023285 MARINA GONZALEZ PROFESSIONAL STAFFING SEDGWICK CIGA GLENDALE ADJ1023285 MARINA GONZALEZ PROFESSIONAL STAFFING SERVICES SEDGWICK CIGA GLENDALE
ADJ1023285 MARINA GONZALEZ SIMPLE TECHNOLOGY SEDGWICK CIGA GLENDALE ADJ1093811 HECTOR JIMENEZ CRESCENT TRUCK LINES SEDGWICK CIGA GLENDALE ADJ1513760 LESLIE GORDON MOULTON PLAZA PHARMACY SEDGWICK CIGA GLENDALE ADJ1630869 LEE TORRES ANAHEIM DOOR CO SEDGWICK CIGA GLENDALE ADJ1630869 LEE TORRES ANAHEIM DOOR COMPANY, INC SEDGWICK CIGA GLENDALE ADJ1763727 MARTIN ERICKSON MOUNTAIN HIGH SKI RESORT SEDGWICK CIGA GLENDALE ADJ1942456 MARIA REBECCA HRN SERVICES INC SEDGWICK CIGA GLENDALE DOMINGUEZ ADJ1943091 STEVE FAIRLEY MARTIN BROTHERS CO SEDGWICK CIGA GLENDALE ADJ1971926 EDY LEHRBASS GRIFFITH CO SEDGWICK CIGA GLENDALE ADJ2090837 MARTIN GARCIA TRIANGLE BRASS MFG SEDGWICK CIGA GLENDALE ADJ2535818 DANIEL WHITE HEMET UNIFIED SCHOOL DIST SEDGWICK CIGA GLENDALE ADJ2535818 DANIEL WHITE HEMET UNIFIED SCHOOL DISTRICT SEDGWICK CIGA GLENDALE
ADJ2677684 ROSSLYN ELMORE MORRIS MCDONNELL DOUGLAS CORP. SEDGWICK CIGA GLENDALE
ADJ2848828 JEANETTE SMITH ANADITE INC WESTERN DIV SEDGWICK CIGA GLENDALE ADJ2848828 JEANETTE SMITH ANADITE METAL FINISHING DIVISION SEDGWICK CIGA GLENDALE
ADJ2985835 MICHELLE TURNER SEDGWICK CIGA GLENDALE ADJ3299585 HERLINDA HERNANDEZ S.K. TEXTILE, INC. SEDGWICK CIGA GLENDALE ADJ3455123 CARMELO PEREYRA FOSTER PRINTING CO SEDGWICK CIGA GLENDALE ADJ3548804 VICTOR ESQUIVEL NATIONAL GENETICS INSTITUTE SEDGWICK CIGA GLENDALE ADJ365091 MARK JONES INDUSTRY COLOR PRINTING SEDGWICK CIGA GLENDALE ADJ3710635 JIM CONTRERAS PACIFIC MARINE MAINTENANCE SEDGWICK CIGA GLENDALE ADJ388925 ELIS MORENO PRIME WHEEL SEDGWICK CIGA GLENDALE ADJ388925 ELIS MORENO PRIME WHEEL CORPORATION SEDGWICK CIGA GLENDALE
Page 49 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4088091 ROSA PUJOL BLUE CROSS OF CALIFORNIA SEDGWICK CIGA GLENDALE ADJ4179389 CYNTHIA GLASIER BODY WORKS EMPORIUM SEDGWICK CIGA GLENDALE ADJ4179389 CYNTHIA GLASIER BODYWORK EMPORIUM, INC. SEDGWICK CIGA GLENDALE ADJ4231027 MIKE DEHOYOS SYSTEMS SOURCE INC. SEDGWICK CIGA GLENDALE ADJ4645734 MICHAEL CROUGH MCDONNELL DOUGLAG AIRCRAFT SEDGWICK CIGA GLENDALE
ADJ4681462 BETTY CHAN LOS ANGELES FIREMANS CREDIT SEDGWICK CIGA GLENDALE UNION ADJ622630 LINDA CASTILLO MOLINA MEDICAL CENTER SEDGWICK CIGA GLENDALE ADJ7176475 OSCAR ALVARADO BROTHERS TOWING OF NORCO INC SEDGWICK CIGA GLENDALE
ADJ894396 RUBEN RICO HARVEST PRODUCE SEDGWICK CIGA GLENDALE ADJ896033 MICHAEL WRIGHT HANFORD GLASS COMPANY SEDGWICK CIGA GLENDALE ADJ902591 MARIA DIAZ RADISSON PLAZA HOTEL SEDGWICK CIGA GLENDALE ADJ7979454 CARMEN CORTAZAR FULLERTON RESIDENTIAL MANOR SEDGWICK CIGA ORANGE
ADJ3436569 TERRY SALGUERO UCI MEDICAL CENTER SEDGWICK CLAIMS MANAGEMENT ADJ4131269 DARCY ROBINSON KINDRED HOSPITAL SEDGWICK CLAIMS MANAGEMENT ADJ1292559 MARIA LOPEZ SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ1580080 BETTY STANCIEL COACH USA SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ1580080 BETTY STANCIEL COACH USA ANTELOPE DIV SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ1750932 RODNEY RICE FRITO LAY INC. SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ1954265 MARY SMALL AXIUM ENTERTAINMENT SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ1954265 MARY SMALL CAST AND CREW PRODUCTION SEDGWICK CLAIMS MANAGEMENT SERVICES SERVICES INC ADJ1954265 MARY SMALL ENTERTAINMENT PARTNERS SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ2084889 STACEY ROUX COUNTY OF LOS ANGELES SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ2084889 STACEY ROUX L.A.U.S.D. SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ220777 ESSIE ROBERSON TARGET SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ2849194 KEITH PIERCE PNS STORES (BIG LOTS) SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ2886819 JINOUS BAHRAMI RALPHS SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ293247 MICHAEL GONZALES RALPHS GROCERY CO SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ3193103 MARIA STEVENS DIAKIS UNIVERSITY OF SOUTHERN SEDGWICK CLAIMS MANAGEMENT SERVICES CALIFORNIA ADJ3386967 PEGGY DRAPER COMPTON UNIFIED SCHOOL SEDGWICK CLAIMS MANAGEMENT SERVICES DISTRICT
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Case number Injured Worker Employer Claims administrator ADJ3572795 GARY DONNEL HARNAGE SEARS AUTO CENTER SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ3832099 MARY PANINGSORO U.S. AIRWAYS SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ3832099 MARY PANINGSORO US AIRWAYS SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ4096616 SOFIA ORTIZ RALPHS GROCERY SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ4234122 TINA MEDINA RALPHS GROCERY SEDGWICK CLAIMS MANAGEMENT SERVICES
ADJ3817160 JILL MAGUIRE RALPHS GROCERY SEDGWICK CLAIMS MANAGMENT SERVICES
ADJ1928884 ROBERT TELLES BED BATH & BEYOND SEDGWICK CMS ADJ1112044 AMELIA GONZALEZ COUNTY OF LOS ANGELES/DPSS SEDGWICK COLA ONTARIO ADJ1199269 TAMMY ELDRIDGE LOS ANGELES COUNTY SEDGWICK COLA ONTARIO DECEASED ADJ1269315 TANISHA HAIRSTON COUNTY OF LOS ANGELES/DPSS SEDGWICK COLA ONTARIO ADJ1305625 ANGEL MARCUCCI COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ1409388 BEVERLY WASHINGTON LA COUNTY REGISTER RECORDER SEDGWICK COLA ONTARIO
ADJ1464448 MARTHA GONZALEZ COUNTY OF LA/REGOSTRAR SEDGWICK COLA ONTARIO RECORDS/ ADJ1490377 APO JONES COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ1528846 VALERIE CLEMENT COUNTY OF LA/DPSS SEDGWICK COLA ONTARIO ADJ1701496 AISHA CHILDS COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO PROBATION ADJ2274703 JENNY AGUILAR LOS ANGELES COUNTY/DPSS SEDGWICK COLA ONTARIO ADJ274195 LYDIA ARELLANO LA COUNTY DEPT OF SOCIAL SEDGWICK COLA ONTARIO SERVICES ADJ298139 PATRICIA COOKSIE SEDGWICK COLA ONTARIO ADJ313551 CAMELIA LEE COUNTY OF LOS ANGELES/DPSS SEDGWICK COLA ONTARIO ADJ3252376 OLGA ABGARYAN COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ339206 THOMAS REDE MASONITE/DOOR FABRICATION SEDGWICK COLA ONTARIO ADJ3434414 CHRISTOPHER BERNAL LOS ANGELES COUNTY PROBATION SEDGWICK COLA ONTARIO DEPT ADJ3907604 AIDA DELGADILLO LOS ANGELES COUNTY TAX SEDGWICK COLA ONTARIO COLLECTOR ADJ4068081 SHEILA LANGLEY COUNTY OF LOS ANGELES/DPSS SEDGWICK COLA ONTARIO ADJ4132356 IRENE HERNANDEZ COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ4448585 ALBERT VALENZUELA L.A. COUNTY DEPT. OF SOCIAL SEDGWICK COLA ONTARIO SERVICE ADJ5827299 SHEILA LABOMME COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ602112 PAULETTE MASON COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO MELENDREZ ADJ6458077 MARY CONNER LOS ANGELES COUNTY PROBATION SEDGWICK COLA ONTARIO DEPT ADJ6500506 LILLIE THOMAS COUNTY OF LA SEDGWICK COLA ONTARIO ADJ6617506 MARIA MUNOZ COUNTY OF LOS ANGELES DPSS SEDGWICK COLA ONTARIO
Page 51 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ6701052 MARLENA GRAVES COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ6729300 PRISCILLA BAEZA COUNTY OF LOS ANGELES/DPSS SEDGWICK COLA ONTARIO ADJ6748230 RUSSELL REED COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ6748230 RUSSELL REED OFFICE OF THE COUNTY COUNSEL SEDGWICK COLA ONTARIO
ADJ6767727 ELLA BROWN COUNTY OF LOS ANGELES REGISTRAR SEDGWICK COLA ONTARIO RECORDER ADJ6792587 IVONNE ABBITT COUNTY OF LOS ANGELES DPSS SEDGWICK COLA ONTARIO ADJ6875194 RAINI COLE COUNTY OF LA DPSS WELFARE SEDGWICK COLA ONTARIO FRAUD INV ADJ7099485 BENJAMIN GAMBOA COUNTY OF LOS ANGELES DEPT OF SEDGWICK COLA ONTARIO PUBLIC WORKS ADJ7169247 JOYCE SAMIA SEDGWICK COLA ONTARIO ADJ7190800 ALICE RIVADENEIRA LOS ANGELES COUNTY SEDGWICK COLA ONTARIO ADJ7208671 JAIME BETANCOURT LA COUNTY PROBATION SEDGWICK COLA ONTARIO DEPARTMENT ADJ7273546 SUSANA FRAGOSO COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ7321285 NANCY VILLICANA LOS ANGELES COUNTY DEPT OF SEDGWICK COLA ONTARIO PUBLIC AND SOCIAL SERVICES ADJ7341285 MIRIAM OHANIAN LOS ANGELES COUNTY DPSS SEDGWICK COLA ONTARIO ADJ7430439 EVELYN HORTON LA COUNTY DEPT OF CHILDREN AND SEDGWICK COLA ONTARIO CAMERON FAMILY SERVICES ADJ7441121 PEDRO PENA LOS ANGELES PROBATION DEPT SEDGWICK COLA ONTARIO ADJ7478040 GLORIA YOUNG COUNTY OF LOS ANGELES DPSS SEDGWICK COLA ONTARIO ADJ7479678 CARLA OWENS COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ7577206 ARGO HYMAN COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ7635030 TENAYA TRIPPLETT FIELDS LA COUNTY PROBATION SEDGWICK COLA ONTARIO DEPARTMENT ADJ7647998 PAMELA HUNTER LA COUNTY PROBATION SEDGWICK COLA ONTARIO DEPARTMENT ADJ7663575 KIMBERLY WILKERSON COUNTY OF LA DEPT OF CHILDREN SEDGWICK COLA ONTARIO AND FAMILY SERVICES ADJ7678077 VALERY COLEMAN COUNTY OF LOS ANGELES DCFS SEDGWICK COLA ONTARIO ADJ7737970 MARIA ROSALES LOS ANGELES COUNTY SEDGWICK COLA ONTARIO ADJ7894189 EDDIE CHISM COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ7981874 JANEEN CAUDILLO COUNTY OF LOS ANGELES DEPT OF SEDGWICK COLA ONTARIO CHILDREN FAMILY SERVICES ADJ8071516 ZHENIK AKOPYAN COUNTY OF L A DEPT OF CHILDREN SEDGWICK COLA ONTARIO FAM ADJ8190096 OSCAR PLACENCIA L A COUNTY DEPT OF SOCIAL SEDGWICK COLA ONTARIO SERVICES ADJ8319064 DAVID TRAN COUNTY OF LOS ANGELES SEDGWICK COLA ONTARIO ADJ8376730 GLORIA ALVAREZ COUNTY OF LOS ANGELES DEPT OF SEDGWICK COLA ONTARIO PUBLIC SOCIAL SERVICES ADJ970109 JAMES WILBURN HOUSING AUTHORITY OF L.A. SEDGWICK COLA ONTARIO ADJ1009051 FEDERICO MOSSIEU AMERICAN RED CROSS SEDGWICK CONCORD ADJ1763727 MARTIN ERICKSON MOUNTAIN HIGH SKI RESORT SEDGWICK CONCORD ADJ1931014 PATRICIA CALDERON FEDERAL EXPRESS SEDGWICK CONCORD
Page 52 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ433160 JUAN MORENO FARA SEDGWICK CONCORD ADJ433160 JUAN MORENO HOLLYWOOD PARK SEDGWICK CONCORD ADJ433160 JUAN MORENO HOLLYWOOD PARK OPERATIN SEDGWICK CONCORD COMPANY ADJ2441835 ANNETTE NAJERA KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ3536224 JOANNE BRETADO KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ3566452 ROBERTO VELAZQUEZ KAISER FOUNDATION HOSPITALS SEDGWICK KAISER LEXINGTON ADJ4540979 VICKY MARINO KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ6675613 LEMUEL NAVARRETE KAISER PERMANENTE REGIONAL LAB SEDGWICK KAISER LEXINGTON
ADJ6675894 LEMUEL NAVARRETE KAISER PERMANENTE REGIONAL LAB SEDGWICK KAISER LEXINGTON
ADJ6788922 JOSEPH ROMERO KAISER PERMANENTE SEDGWICK KAISER LEXINGTON ADJ6802971 MARIA BARRIERE KAISER FOUNDATION HOSPITAL SEDGWICK KAISER LEXINGTON ADJ6808327 RENEE WEDGEWORTH KAISER PERMANENTE SEDGWICK KAISER LEXINGTON GLASS ADJ7233713 TANYA WASHINGTON KAISER PERMANENTE MEDICAL SEDGWICK KAISER LEXINGTON GROUP ADJ7758348 CLAUDIA IBARRA SOUTHERN CALIFORNIA SEDGWICK KAISER LEXINGTON PERMANENTE MEDICAL GROUP ADJ1556592 BETTE DAVIS VAN NUYS HIGH SCHOOL SEDGWICK PASADENA ADJ2355924 MARIA FABRO LAUSD SEDGWICK PASADENA ADJ2380797 RAMON DELEON AMERICAN HONDA MOTOR CO SEDGWICK PASADENA ADJ2832636 HAROLD HAMILTON LAUSD SEDGWICK PASADENA ADJ2889330 ALAN FRIEDMAN LAUSD SEDGWICK PASADENA ADJ3447105 JOSEFINA GARCIA L.A.U.S.D.,(52ND ST. ELEM. SCHOOL) SEDGWICK PASADENA
ADJ3447105 JOSEFINA GARCIA LOS ANGELES UNIFIED SCHOOL DIST SEDGWICK PASADENA
ADJ3448289 ANGELA WIENCKOWSKI LAUSD SEDGWICK PASADENA ADJ3671720 ESMERALDA MARISCAL L.A.U.S.D. SEDGWICK PASADENA ADJ3750605 JOSE LEM LAUSD SEDGWICK PASADENA ADJ3850642 MARIA DE LA LUZ FLORES PACOIMA ELEMENTARY SEDGWICK PASADENA
ADJ3933377 MARIA PARRA CITY OF LOS ANGELES/LAPD SEDGWICK PASADENA ADJ3933377 MARIA PARRA LORETO STREET ELEMENTARY SEDGWICK PASADENA ADJ3963872 MADELINE NAVA LAUSD SEDGWICK PASADENA ADJ526914 HILDA PENA TEJEDA LAUSD SEDGWICK PASADENA ADJ6697750 LINDA WALKER WALGREENS SEDGWICK PASADENA ADJ6772864 PHILLIS NEWBORN LOS ANGELES UNIFIED SCHOOL SEDGWICK PASADENA DISTRICT ADJ6856825 DELIA GOMEZ LAUSD SEDGWICK PASADENA ADJ6868829 JUAN SOSA LOS ANGELES UNIFIED SCHOOL SEDGWICK PASADENA DISTRICT ADJ705672 DORLENE PICAZZO LOS ANGELES USD SEDGWICK PASADENA ADJ7457611 BRENDA INOUYE LAUSD SEDGWICK PASADENA ADJ7639876 MIGUEL RODRIGUEZ LAUSD EL CAMINO REAL HIGH SEDGWICK PASADENA SCHOOL
Page 53 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ8013569 GARLAND GOFF LAUSD MLK ELEMENTARY SEDGWICK PASADENA ADJ8079888 LAURIE TALSTAD KEIDSER RALPHS GROCERY COMPANY SEDGWICK PASADENA
ADJ8215051 NORBERT NAGY SEARS HOLDINGS CORP SEDGWICK PASADENA ADJ8255357 HOWARD CHAREST LOS ANGELES UNIFIED SCHOOL SEDGWICK PASADENA DISTRICT ADJ8301880 LINDA ESCOBAR LOS ANGELES UNIFIED SCHOOL SEDGWICK PASADENA DISTRICT ADJ8333198 JAMES WRIGHT LOS ANGELES UNIFIED SCHOOL SEDGWICK PASADENA DISTRICT ADJ1026795 MARIA YOLANDA PACTIV CORPORATION SEDGWICK PLEASANTON LUNDGREN ADJ2857709 ROBERT WALL AIRBORNE EXPRESS SEDGWICK PLEASANTON ADJ325203 ANITA SCHAEFFER ADMINISTAFF CO INC SEDGWICK PLEASANTON ADJ325203 ANITA SCHAEFFER ARGUS PRO HEALTH SEDGWICK PLEASANTON ADJ4023065 MARTHA MILLAN USC UNIVERSITY HOSPITAL SEDGWICK PLEASANTON ADJ4274181 VICKI OBRIEN SIERRA VISTA HOSPITAL SEDGWICK PLEASANTON ADJ4274181 VICKI OBRIEN SIERRA VISTA REGIONAL MEDICAL SEDGWICK PLEASANTON CTR. ADJ6523020 JOSEPH EMMERSON JOANN FABRICS SEDGWICK PLEASANTON ADJ654833 RACHAEL RODRIGUEZ PIER 1 IMPORTS SEDGWICK PLEASANTON ADJ6852886 CHRISTOPHER MOORE G-2 SECURE STAFF SEDGWICK PLEASANTON ADJ7330115 CLAUDIA CALDERA RENT A WHEEL SEDGWICK PLEASANTON ADJ8173814 LUISA YANEZ DOUBLETREE HOTEL SEDGWICK PLEASANTON ADJ1364504 NARCISO GALENO EUREST DINING SERVICES SEDGWICK PORTLAND ADJ3571910 MARIA TERESA AGUILAR CROTHALL HEALTHCARE INC SEDGWICK PORTLAND ADJ3941567 RICHARD BURSON PARKHOUSE TIRE INC SEDGWICK PORTLAND ADJ518971 ANGEL ESPINOZA BON APPETIT MANAGEMENT SEDGWICK PORTLAND COMPANY ADJ7231496 SOKHEOUN SUM JAI BY WOLFGANG PUCK SEDGWICK PORTLAND ADJ989058 RICARDO CAMPOS SEDGWICK PORTLAND ADJ1673870 SOFIA CERDA 99 CENTS ONLY STORE SEDGWICK RIVERSIDE ADJ2192468 PAUL DRUSKY INITIAL SECURITY SEDGWICK RIVERSIDE ADJ2903253 LINDA GARCIA TYCO ELECTRONICS SEDGWICK RIVERSIDE ADJ3756945 DORIS AYALA 99 CENT ONLY STORE SEDGWICK RIVERSIDE ADJ7320812 ELIAS AGUILAR BRIDGESTONE AMERICA TIRE SEDGWICK RIVERSIDE OPERATIONS ADJ7530594 MARIA BOZULICH TXI RIVERSIDE CEMENTO SEDGWICK RIVERSIDE ADJ8100680 FINLEY LIDDELL GENERAL MOTORS SEDGWICK RIVERSIDE ADJ8402781 CHUCK TIFFANY CANTERBURY BASEBALL LLC AKA SEDGWICK RIVERSIDE FLORENCE FREEDOM ADJ8402781 CHUCK TIFFANY GRAND PRAIRIE PROFESSIONAL SEDGWICK RIVERSIDE BASEBALL LP ADJ8402781 CHUCK TIFFANY HAWAII BASEBALL LLC SEDGWICK RIVERSIDE ADJ8402781 CHUCK TIFFANY LOS ANGELES DODGERS SEDGWICK RIVERSIDE ADJ8402781 CHUCK TIFFANY ST GEORGE ROADRUNNERS ET AL SEDGWICK RIVERSIDE
ADJ1861342 DAWN WALKER SKYWEST AIRLINES SEDGWICK ROSEVILLE
Page 54 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ6748556 ALBERT AGUILERA WALGREENS PHARMACY SEDGWICK ROSEVILLE ADJ1196862 CECILIA ARMENTA UCLA BILLING DEPT SEDGWICK UC 14533 LOS ANGELES ADJ1677424 JEANNE LAPORTE AKA UCLA SEDGWICK UC 14533 LOS ANGELES MCCONNEL ADJ1751617 RITA WORTHEY UCLA MEDICAL CENTER SEDGWICK UC 14533 LOS ANGELES ADJ262105 BRIAN SWINK UCLA MEDICAL PLAZA SEDGWICK UC 14533 LOS ANGELES ADJ262105 BRIAN SWINK UCLA ORTHOPEDIC CLINIC SEDGWICK UC 14533 LOS ANGELES ADJ3287868 LILIANA CHALABI UCLA MEDICAL CNTR SEDGWICK UC 14533 LOS ANGELES ADJ3555060 JEANNE LAPORTE AKA UCLA SEDGWICK UC 14533 LOS ANGELES MCCONNEL ADJ4023065 MARTHA MILLAN USC UNIVERSITY HOSPITAL SEDGWICK UC 14533 LOS ANGELES ADJ6567956 MATTY CAMPOS USC SEDGWICK UC 14533 LOS ANGELES ADJ7467133 MITCHELL MCCONNELL UCLA SEDGWICK UC 14533 LOS ANGELES ADJ7607486 HILARIO LARRY HARO REGENTS OF THE UNIVERSITY OF CA SEDGWICK UC 14533 LOS ANGELES
ADJ7985110 FLOR CALLEJAS SANDOVAL UCLA MEDICAL CENTER SEDGWICK UC 14533 LOS ANGELES
ADJ2247649 KIM FOSTER UNIVERSITY CORPORATION SEDGWICK UC 14533 ROSEVILLE ADJ6860128 AMANDA RUSSELL THE UNIVERSITY CORPORATION SEDGWICK UC 14533 ROSEVILLE ADJ2898424 ANTONIA LOPEZ ST BERNARDINE MEDICAL CENTER SEDGWICK VAN NUYS
ADJ3369750 JAMES DAVISON ST. MARY MEDICAL CENTER SEDGWICK VAN NUYS ADJ4001050 ALICIA CRUZ CALIFORNIA HOSPITAL MEDICAL SEDGWICK VAN NUYS CENTER ADJ721984 CARLOTA HERNANDEZ ST JOHNS REGIONAL MEDICAL SEDGWICK VAN NUYS CENTER ADJ7649727 LORENA WAGNER CATHOLIC HEALTHCARE WEST SEDGWICK VAN NUYS ADJ2562769 FARAHNAZ JAHANBAHSH TARGET STORE SEDGWICK WALNUT CREEK
ADJ3832099 MARY PANINGSORO U.S. AIRWAYS SEDGWICK WALNUT CREEK ADJ3832099 MARY PANINGSORO US AIRWAYS SEDGWICK WALNUT CREEK ADJ4087514 ERMELINDA HARWOOD DURHAM SCHOOL SERVICE SEDGWICK WALNUT CREEK OCHOA ADJ6815852 KENNETH GOSSETT AMERICAN MEDICAL RESPONSE SEDGWICK WALNUT CREEK ADJ7175248 KARAPET TOROSYAN COACH AMERICA SEDGWICK WALNUT CREEK ADJ7775441 CYNTHIA BROWN JENNY CRAIG SEDGWICK WALNUT CREEK ADJ7848459 JOHN TU NATIONAL EXPRESS CORPORATION SEDGWICK WALNUT CREEK
ADJ8088757 MARCELINA MIRANDA TARGET SEDGWICK WALNUT CREEK ADJ8416850 MARIA ALBANES TARGET SEDGWICK WALNUT CREEK ADJ1321545 SUSAN CHOW RALPHS BROGERY SELF INSURED ADJ3345793 ROSENDO VELIZ FAIRCHILD FASTENER GRP SELF INSURERS SECURITY FUND OAKLAND ADJ2449825 FILIBERTO LEON NC DYNAMICS SENTRY SELECT STEVENS POINT ADJ3272542 DANIEL CRUZ BARROT CORPORATION SENTRY SELECT STEVENS POINT ADJ6748095 JUAN ZAMORA AY MAC PRECISION INC SENTRY SELECT STEVENS POINT ADJ7224279 MARINA BALTAZAR KELLWOOD COMPANY SENTRY SELECT STEVENS POINT ADJ7395721 MONICA BECERRA GUESS INC SENTRY SELECT STEVENS POINT
Page 55 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7585034 IGNACIO RODRIGUEZ BEST BRANDS CORPORATION CMS SENTRY SELECT STEVENS POINT BAKERY PRODUCTS ADJ7946553 MARCELINO CERVANTES KAP MEDICAL SENTRY SELECT STEVENS POINT
ADJ7285453 MARIA VARGAS SMURFIT STONE SMURFIT STONE ADJ7854015 LARRY FLORES SO CA GAS COMPANY SO CA GAS COMPANY ADJ8124745 ZAKEE SINGLETON SO CALIF GAS COMPANY SO CALIF GAS COMPANY ADJ6912077 VICENTE VARGAS SOLAR TURBINES SOLAR TURBINES ADJ6912077 VICENTE VARGAS SOLAR TURBINES SOLAR TURBINES SAN DIEGO ADJ1347189 EDWARD FROST SOUTHERN CALIFORNIA EDISON CO SOUTHERN CAL EDISON ROSEMEAD
ADJ259380 BENITO LASCANO SOUTHERN CALIFORNIA EDISON CO SOUTHERN CAL EDISON ROSEMEAD
ADJ2631422 KENNETH PRUIKSMA SOUTHERN CALIFORNIA EDISON CO SOUTHERN CAL EDISON ROSEMEAD
ADJ2664799 MICHELLE CUNNINGHAM SOUTHERN CALIFORNIA EDISON SOUTHERN CAL EDISON ROSEMEAD
ADJ2664799 MICHELLE CUNNINGHAM SOUTHERN CALIFORNIA EDISON CO SOUTHERN CAL EDISON ROSEMEAD
ADJ518335 VIRGINIA DIZON SOUTHERN CALIFORNIA EDISON SOUTHERN CAL EDISON ROSEMEAD ADJ706831 RICHARD TERHAAR SO CAL EDISON CO SOUTHERN CAL EDISON ROSEMEAD ADJ157733 FRANK FRUTOS SOUTHERN CALIFORNIA GAS CO SOUTHERN CAL GAS LOS ANGELES ADJ3081053 ROBERT REEVES SO CAL GAS CO SOUTHERN CAL GAS LOS ANGELES ADJ3339216 JESSE ALEX GRIJALVA SOUTHERN CALIFORNIA GAS CO SOUTHERN CAL GAS LOS ANGELES ADJ3861762 LORENZO RAMIREZ SOUTHERN CALIFORNIA GAS CO SOUTHERN CAL GAS LOS ANGELES ADJ4524362 BARBARA HAMILTON SOUTHERN CALIFORNIA GAS CO SOUTHERN CAL GAS LOS ANGELES ADJ649840 BELINDA MIRANDA SOUTHERN CALIFORNIA GAS CO SOUTHERN CAL GAS LOS ANGELES ADJ7394745 VIVIAN ALVAREZ SO CAL GAS CO SOUTHERN CAL GAS LOS ANGELES ADJ7694783 RUSSELL DAHLQUIST SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS ANGELES COMPANY ADJ7854015 LARRY FLORES SO CA GAS COMPANY SOUTHERN CAL GAS LOS ANGELES ADJ8124745 ZAKEE SINGLETON SO CALIF GAS COMPANY SOUTHERN CAL GAS LOS ANGELES ADJ8252289 MANUEL SILVA SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS ANGELES COMPANY ADJ8689797 ROSALYN SQUIRES SOUTHERN CALIFORNIA GAS SOUTHERN CAL GAS LOS ANGELES COMPANY ADJ1369161 JUDY GHORBANZADEH VENTURA UNIFIED SCHOOL DIST SOUTHERN CALIF RISK MGMT ASSOC ADJ1369161 JUDY GHORBANZADEH VENTURA UNIFIED SCHOOL DISTRICT SOUTHERN CALIF RISK MGMT ASSOC
ADJ1347189 EDWARD FROST SOUTHERN CALIFORNIA EDISON CO SOUTHERN CALIF. EDISON
ADJ2770564 JAMES DAGEN SOUTHERN CALIFORNIA EDISON SOUTHERN CALIFORNIA EDISON ADJ518335 VIRGINIA DIZON SOUTHERN CALIFORNIA EDISON SOUTHERN CALIFORNIA EDISON ADJ157733 FRANK FRUTOS SOUTHERN CALIFORNIA GAS CO SOUTHERN CALIFORNIA GAS COMPANY ADJ7510609 SALVADOR AGUIRRE SOUTHERN CALIFORNIA GAS SOUTHERN CALIFORNIA GAS COMPANY COMPANY ADJ8689797 ROSALYN SQUIRES SOUTHERN CALIFORNIA GAS SOUTHERN CALIFORNIA GAS COMPANY COMPANY
Page 56 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7758348 CLAUDIA IBARRA SOUTHERN CALIFORNIA SOUTHERN CALIFORNIA PERMANENTE MEDICAL PERMANENTE MEDICAL GROUP GROUP ADJ112728 EDWARD ROSS SAVE ON / CVS PHARMACY SPECIALTY RISK BREA ADJ2235851 JUDY NABER NEW ALBERTSONS SPECIALTY RISK BREA ADJ2924625 CATHERINE TARBET ALBERTSON'S SPECIALTY RISK BREA ADJ3387029 SAVERIO BADALAMENTI ALBERTSON'S SPECIALTY RISK BREA ADJ4013338 IRMA OLAQUE LAIDLAW TRANSIT SPECIALTY RISK BREA ADJ4250514 ROSA DIAZ ALBERTSONS SPECIALTY RISK BREA ADJ4451572 RUBEN VIGIL ALBERTSON'S MARKET SPECIALTY RISK BREA ADJ6669016 ADRIANA NAVASARNIAN ALBERTSONS SPECIALTY RISK BREA
ADJ7271110 SUSIE MARTINEZ ALBERTSONS SPECIALTY RISK BREA ADJ8357411 MARIA LARA FRESH GRILL FOODS SPECIALTY RISK BREA ADJ8667338 FRANCIS APONTE ALBERTSONS INC SPECIALTY RISK BREA ADJ8832169 CRISTIAN CARDOZA TIPP ENTERPRISES LP SPECIALTY RISK BREA ADJ2960595 CHARLYN DAVIS TROYER CONTRACTING SPECIALTY RISK DALLAS ADJ6980403 DENESE DAVIDSON AMERICAN CORPORATE SECURITY SPECIALTY RISK DALLAS
ADJ7382345 FLORENCE GALBRAITH JOANNE STORES SPECIALTY RISK LEXINGTON ADJ2092179 RONNIE WALTON COACH USA SPECIALTY RISK RIVERSIDE ADJ2195921 SARA CHAVARRIA EMBASSY SUITES SPECIALTY RISK RIVERSIDE ADJ4083006 BRUCE ALLEN CERRITOS PONTIAC SPECIALTY RISK RIVERSIDE ADJ6477524 LUIS ACHTMANN CENVEO ANDERSON LITHOGRAPH SPECIALTY RISK RIVERSIDE
ADJ7374887 MICHAEL MARTINEZ PIRTEK COMMERCE SPECIALTY RISK RIVERSIDE ADJ7930898 GLORIA ESTRADA ACCENT CARE SPECIALTY RISK RIVERSIDE ADJ8198015 LLOYD CRABTREE J AND L MANAGEMENT LLC SPECIALTY RISK RIVERSIDE ADJ3917943 PETER CASAREZ UNIFIED WESTERN GROCERS SPRINGFIELD COVINA ADJ6678787 CLAUDIA ADAME VALLARTA SUPERMARKET SPRINGFIELD COVINA ADJ8119925 JOSE ROSALES SUPER KING MARKET SPRINGFIELD COVINA ADJ3369750 JAMES DAVISON ST. MARY MEDICAL CENTER ST MARY MEDICAL CENTER ADJ2654604 PRISCILLA MAYS ACS ST PAUL FIRE & MARINE INS CO ADJ1056467 RODERICK DECKER BANSHEE CONSTRUCTION COMPANY ST. PAUL FIRE & MARINE
ADJ1056467 RODERICK DECKER URS CONSULTING THORTEC ST. PAUL FIRE & MARINE ADJ446889 DAVID HUERTA ACI GLASS PRODUCTS ST. PAUL TRAVELERS ADJ136846 ELEAZAR VAZQUEZ GOLDEN STATE TRANSPORT STAFFING CONCEPTS, INC. ADJ2153519 WILLIAM LITMAN ANACAPA HOSPITAL STATE COMP INS FUND ADJ2295179 ANNETTE FRANCO TECHSTYLES STATE COMP INS FUND ADJ3288473 AURORA REALIVASQUEZ TUR-BO JET PRODUCTS CO INC STATE COMP INS FUND
ADJ3304807 DEBRA COURTNEY CAMARILLO STATE HOSPITAL STATE COMP INS FUND ADJ1123160 ROBERT STONE IDEAL HOME IMPROVEMENT STATE COMPENSATION INSURANCE FUND
ADJ1581910 LINDA BELSHE CAL STATE UNIVERSITY LONG BEACH STATE COMPENSATION INSURANCE FUND
ADJ1581910 LINDA BELSHE CSULB FOUNDATION STATE COMPENSATION INSURANCE FUND
Page 57 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1709179 ED BYNG CALVARY CHAPEL OF COSTA MESA STATE COMPENSATION INSURANCE FUND
ADJ3065398 SHARON BEALES CAL-LIFT INC STATE COMPENSATION INSURANCE FUND
ADJ3224593 GREGORY MAYER LINDERO MASONRY STATE COMPENSATION INSURANCE FUND
ADJ3398419 JOSE TORRECILLAS RICHARD G. SIMPSON STATE COMPENSATION INSURANCE FUND CONSTRUCTION ADJ3494021 CATHERINA YOUNG EASTER SEALS STATE COMPENSATION INSURANCE FUND
ADJ3815656 LINDA SCOTT STATE COMP. INSRUANCE FUND STATE COMPENSATION INSURANCE FUND/STATE COMP INSURANCE FUND ADJ3815656 LINDA SCOTT STATE COMPENSATION INSURANCE STATE COMPENSATION INSURANCE FUND FUND/STATE COMP INSURANCE FUND ADJ1054155 HIRITI OKUBAMICHAEL STATE FARM 21567 BAKERSFIELD CLOSED ADJ1683484 MONICA FUENTES I.P.M. SURGERY CENTER, INC. STATE FARM 21567 BAKERSFIELD CLOSED ADJ2131225 LETTIE O BRIEN KEEPSAKES STATE FARM 21567 BAKERSFIELD CLOSED ADJ2147000 ARTURO NAJERA KISMAT ENTERPRISES DBA JIFFY LUBE STATE FARM 21567 BAKERSFIELD CLOSED
ADJ3451202 MIRIAM SCHATZ ROSTAM KAVOOSSI MD STATE FARM 21567 BAKERSFIELD CLOSED ADJ1498258 SIMINDOHT SHAFIGI DAVID B. ANDERSON, M.D. STATE FARM BAKERSFIELD ADJ2057887 PEDRO MEDINA XEROGRAPHIC COMPATIBLES INC STATE FARM BAKERSFIELD
ADJ399293 CINDY PIERCE PALMER CANINE CAROUSEL STATE FARM BAKERSFIELD ADJ4116298 CATHERINE FLORES JOHN VOLLERS STATE FARM BAKERSFIELD ADJ4594818 MARIA AGUILAR MITCHEL SILVERMAN M.D STATE FARM BAKERSFIELD ADJ6651681 HARVEY BRESCH MELINDA MCCOYS FLOWERS STATE FARM BAKERSFIELD ADJ6663281 GLORIA CRUZ HOUSE OF BRIDES STATE FARM BAKERSFIELD ADJ7428121 OBDULIA BARRERA ALLAN AND CAROLINE NAKKEN STATE FARM BAKERSFIELD ADJ7876007 NICOLE JACOBS THE BONE ADVENTURE INC STATE FARM BAKERSFIELD ADJ6992217 DOROTHY LOPEZ STATE OF CALIFORNIA CHP STATE OF CALIFORNIA CHP ADJ8199704 OLIVER ROSS ARIZONA CARDINALS STATE WORKERS INS FUND POTTSVILLE ADJ2717587 MICHAEL KRUGER RANCHO SANTIAG COM COLLEGE SUPERIOR INDUSTRIES/SOUTHERN CALIF RISK MNGMNT ASSOC ADJ2717587 MICHAEL KRUGER RANCHO SANTIAGO COMMUNITY SUPERIOR INDUSTRIES/SOUTHERN CALIF RISK COLLEGE MNGMNT ASSOC ADJ576480 ARSENIO GARCIA TEMPSTAR SERVICES SUPERIOR NATIONAL INSURANCE CO ADJ576480 ARSENIO GARCIA WET SEAL SUPERIOR NATIONAL INSURANCE CO ADJ1030458 ARTURO GUTIERREZ R.G.S. SERVICE SUPERIOR NATIONAL INSURANCE CO/BROADSPIRE ADJ1291083 JESUS DURAN HEADWAY STAFFING SUPERIOR NATIONAL INSURANCE CO/PRIVATE ADJUSTING CLAIMS SERVICES ADJ7798560 JANE WOHLFEIL SWIFT TRANSPORTATION SWIFT TRANSPORTATION ADJ7318795 ELIZABETH WILLIS THE KROGER COMPANY THE KROGER COMPANY ADJ8235740 STEVEN STORM THIBIANT INTERNATIONAL INC THIBIANT INTERNATIONAL INC ADJ2757596 SERGIO VALENZUELA ELITE PERSONNEL SERVICE TOKIO MARINE PASADENA ADJ2757596 SERGIO VALENZUELA SOUTHLAND BOX CO. TOKIO MARINE PASADENA ADJ7483200 FEDERICO GUTIERREZ K-YUGE NURSERY TOKIO MARINE PASADENA
Page 58 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ8275983 NGOC HOANG PANASONIC CORPORATION OF TOKIO MARINE PASADENA NORTH ADJ8351265 TAIK AHN MITSUWA TOKIO MARINE PASADENA ADJ8004073 EVELEEN IBRAHIM TORRANCE UNIFIED SCHOOL TORRANCE UNIFIED SCHOOL DISTRICT DISTRICT ADJ7503235 RICARDO HERNANDEZ SIMONIZ JANSS MALL TOWER NATIONAL INSURANCE IRVINE ADJ7437470 JOSE BECERRA COAST CHEM EXTERMINATING TOWER SELECT INSURANCE IRVINE ADJ105997 SAMUEL HYNES TAMCO STEEL TRAVELERS DIAMOND BAR ADJ1187017 ELISA ANAYA HARMAN BECKER CALIFORNIA TRAVELERS DIAMOND BAR ADJ1471922 FRANCISCO MANZO PROFESSIONAL COMMUNITY TRAVELERS DIAMOND BAR MANAGEMENT ADJ1471922 FRANCISCO MANZO PROFESSIONAL COMMUNITY MGMT TRAVELERS DIAMOND BAR
ADJ167663 SANTIAGO RUIZ DIAMOND MATTRESS TRAVELERS DIAMOND BAR ADJ1996703 NUBIA STERTZ COMMERCE CASINO TRAVELERS DIAMOND BAR ADJ2063594 PRESCILIANO LAGUNA NORTH AMERICAN TEXTILE CO TRAVELERS DIAMOND BAR ADJ2276309 MARILYN JOHNSON INVENSYS/ROBERTSHAW CONTROLS TRAVELERS DIAMOND BAR
ADJ2875340 DUNG NGUYEN STANDARD CONCRETE PRODUCTS TRAVELERS DIAMOND BAR
ADJ3395228 DANIEL MERCHAIN GARFIELD MEDICAL CENTER TRAVELERS DIAMOND BAR ADJ3545303 TENNE PHAM HAWAIIAN GARDENS CASINO TRAVELERS DIAMOND BAR ADJ3566964 CHRISTOPHER ARDEN LITTLE CAESAR ENTERPRISES TRAVELERS DIAMOND BAR ADJ3732140 GARY SIMS BOYD COFFEE CO TRAVELERS DIAMOND BAR ADJ3773431 RICARDO GARCIA TELAIR INTERNATIONAL TRAVELERS DIAMOND BAR ADJ3844647 JUAN JOSE MARTINEZ FORWARD AIR, INC. TRAVELERS DIAMOND BAR ADJ388925 ELIS MORENO PRIME WHEEL TRAVELERS DIAMOND BAR ADJ388925 ELIS MORENO PRIME WHEEL CORPORATION TRAVELERS DIAMOND BAR ADJ3924904 MARIO CHAVEZ PINEDA COROVAN/EMPLOYEES LEASING CO. TRAVELERS DIAMOND BAR
ADJ3957764 LUZ VILLAREAL TRAVELERS DIAMOND BAR ADJ4083029 MARILU RUIZ HARBOR FREIGHT TRAVELERS DIAMOND BAR ADJ433160 JUAN MORENO FARA TRAVELERS DIAMOND BAR ADJ433160 JUAN MORENO HOLLYWOOD PARK TRAVELERS DIAMOND BAR ADJ433160 JUAN MORENO HOLLYWOOD PARK OPERATIN TRAVELERS DIAMOND BAR COMPANY ADJ532945 ROSA ROSALES COMMODITY SALES TRAVELERS DIAMOND BAR ADJ6599389 FEDERICO QUINTOR SCANTRON TRAVELERS DIAMOND BAR ADJ6648531 JOSE DIAZ CERVANTEZ KLAUSSNER FURNITURE TRAVELERS DIAMOND BAR ADJ6665748 FRANK PAU BEVERLY HILLS PROPERTIES TRAVELERS DIAMOND BAR ADJ6678787 CLAUDIA ADAME VALLARTA SUPERMARKET TRAVELERS DIAMOND BAR ADJ6788515 CIRA ROJAS HERNANDEZ CARLS JR TRAVELERS DIAMOND BAR
ADJ6821725 BELINDA MILLER ACCREDITED NURSING CARE TRAVELERS DIAMOND BAR ADJ6852886 CHRISTOPHER MOORE G-2 SECURE STAFF TRAVELERS DIAMOND BAR ADJ6870638 ALBA ZUNIGA TRAVELERS DIAMOND BAR ADJ7060329 MEHDI EBRAHIMI REHAB CARE GROUP TRAVELERS DIAMOND BAR ADJ7070483 ANDRES JIMENEZ MCMASTER CARR SUPPLY CO TRAVELERS DIAMOND BAR
Page 59 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7114141 LUPE PARRA EUROSTAR INC TRAVELERS DIAMOND BAR ADJ7207474 YASSAH TROBEL CITRUS VALLEY HEALTH PARTNERS TRAVELERS DIAMOND BAR
ADJ7350428 RIGOBERTO JIMENEZ INTERNATIONAL SEAL TRAVELERS DIAMOND BAR ADJ7428121 OBDULIA BARRERA ALLAN AND CAROLINE NAKKEN TRAVELERS DIAMOND BAR ADJ7430944 GHAZALEH F ABEDALI PACIFIC DENTAL SERVICES INC TRAVELERS DIAMOND BAR ADJ7486853 ALBERTO NUNEZ SEPHORA USA INC TRAVELERS DIAMOND BAR ADJ7509981 BARBARA NIXTER WHITTIER HOSPITAL MEDICAL TRAVELERS DIAMOND BAR CENTER ADJ7586053 GLENDY VALDEZ CARL`S JR TRAVELERS DIAMOND BAR ADJ7638558 SALOMON VALENTE CAPITAL SEAFOOD GROUP TRAVELERS DIAMOND BAR ADJ7665121 RAMON GONZALEZ FLOWSERVE CORPORATION TRAVELERS DIAMOND BAR ADJ7692898 MARIA RODRIGUEZ NIAGRA BOTTLING TRAVELERS DIAMOND BAR ADJ7717483 BETTY VELASCO JON DONAIRE TRAVELERS DIAMOND BAR ADJ7724535 DA VONGIE JENNINGS MCMASTER CARR SUPPLY COMPANY TRAVELERS DIAMOND BAR
ADJ7843507 ELEOBARDO PERFZ CALIFORNIA LANDSCAPE & DESIGN TRAVELERS DIAMOND BAR
ADJ8028774 JAVIER JAUREGUI RICH PRODUCTS CORP TRAVELERS DIAMOND BAR ADJ8043623 LUIS BARRAGAN GATE GOURMET TRAVELERS DIAMOND BAR ADJ8058366 BENCES MONDRAGON CONESYS INC TRAVELERS DIAMOND BAR ADJ8206945 VIRGINIA VELASQUEZ RICH PRODUCTS CORP TRAVELERS DIAMOND BAR ADJ7302699 CERELA RUIZ BROOKVALE INTERNATIONAL LLC TRAVELERS INSURANCE HARTFORD
ADJ7302699 CERELA RUIZ CALIFORNIA CARTAGE CO TRAVELERS INSURANCE HARTFORD ADJ7302699 CERELA RUIZ RALLY MANAGEMENT STAFFING TRAVELERS INSURANCE HARTFORD ADJ1229451 LEONARD SITA QUEST SOFTWARE INC TRAVELERS ORANGE ADJ1548254 LAWRENCE GONZALEZ TIMEC TRAVELERS ORANGE ADJ1548254 LAWRENCE GONZALEZ TIMEC INC TRAVELERS ORANGE ADJ216576 EARL LEROY MENARY HEALTHCARE SECURITY SERVICES TRAVELERS ORANGE
ADJ2668772 CARLOS CARRILLO ADECCO TRAVELERS ORANGE ADJ2715369 JOHN BAMBER A O REED & COMPANY TRAVELERS ORANGE ADJ2715369 JOHN BAMBER A.O. REED & COMPANY TRAVELERS ORANGE ADJ2973505 MANUEL OSUNA CHERNE CONTRACTING TRAVELERS ORANGE CORPORATION ADJ3133395 DAVE INOSTROZA FASTENAL CO TRAVELERS ORANGE ADJ3732140 GARY SIMS BOYD COFFEE CO TRAVELERS ORANGE ADJ388925 ELIS MORENO PRIME WHEEL TRAVELERS ORANGE ADJ388925 ELIS MORENO PRIME WHEEL CORPORATION TRAVELERS ORANGE ADJ4455236 MARIA VEGA VIRCO MANUFACTURING CORP. TRAVELERS ORANGE ADJ6821725 BELINDA MILLER ACCREDITED NURSING CARE TRAVELERS ORANGE ADJ6985332 FAKHRI TAHERI IHASET TRAVELERS ORANGE ADJ7427772 ANITA HERNANDEZ MOLINA TRAVELERS ORANGE ADJ2974796 PATSY COLLINS RITE AID TRAVELERS SACRAMENTO ADJ6804556 YOLANDA ALDANA QUEEN BEACH PRINTERS INC TRAVELERS SACRAMENTO ADJ6875186 ESPERANZA MORALES RITE AID TRAVELERS SACRAMENTO ADJ7600109 BRENDA NUNEZ BECKSTROM POSTING INC TRAVELERS SACRAMENTO
Page 60 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7762024 FLORIBERTA GALLEGOS CALIFORNIA RICE CENTER TRAVELERS SACRAMENTO ADJ7923935 CRISTINA CALDERON RITE AID CORPORATION TRAVELERS SACRAMENTO ADJ7968951 THONG VO B K CORPORATION DBA B K TRAVELERS SACRAMENTO PRECISION ELECTRONIC TEST INSTRU
ADJ8597972 CAROLINA IBLINGS FIRST CUT ENTERPRISES TRAVELERS SACRAMENTO ADJ905419 DEBORAH GAY JEFFREY EQUITY EXTERIOR INC. TRAVELERS SACRAMENTO ADJ1046661 LUZ VELIZ BMK INC TRAVELERS SAINT PAUL ADJ1056467 RODERICK DECKER BANSHEE CONSTRUCTION COMPANY TRAVELERS SAINT PAUL
ADJ1056467 RODERICK DECKER URS CONSULTING THORTEC TRAVELERS SAINT PAUL ADJ255494 JON RODEWALD KOR BARNABEY'S LLC TRAVELERS SAINT PAUL ADJ2809626 SALVADOR COVARRUBIAS ROSSCO HOLDINGS TRAVELERS SAINT PAUL
ADJ313584 RAYSELL VAUGHAN POMEROY IT SOLUTION TRAVELERS SAINT PAUL ADJ4141695 ROSALVA SANDOVAL PHOENIX SAHI PROPERTIES TRAVELERS SAINT PAUL ADJ7493212 FAREED BADAWI UNITED INSURANCE TRAVELERS SAINT PAUL ADJ7932721 MARIA SOTO MANAGEMENT APPLIED TRAVELERS SAINT PAUL PROGRAMMING INC ADJ1056467 RODERICK DECKER BANSHEE CONSTRUCTION COMPANY TRAVELERS WALNUT CREEK
ADJ1056467 RODERICK DECKER URS CONSULTING THORTEC TRAVELERS WALNUT CREEK ADJ1480326 JENNIFER FRANK CITIGROUP GLOBAL MARK TRAVELERS WALNUT CREEK BETANCOURT ADJ355156 MARTHA DIAZ ADECO EMPLOYMENT SERVICES TRAVELERS WALNUT CREEK ADJ355156 MARTHA DIAZ VOLT SERVICES GROUP TRAVELERS WALNUT CREEK ADJ4042638 RAMONA LOZANO A RUDIN DESIGNS TRAVELERS WALNUT CREEK ADJ6748630 JESUS GARCIA CLARK WESTERN BUILDING SYSTEMS TRAVELERS WALNUT CREEK
ADJ6755119 MARGARITA MONTOYA TOYS R US TRAVELERS WALNUT CREEK ADJ6966307 LUIS PINONES ALLSCAPE ARCHITECTURAL TRAVELERS WALNUT CREEK LANDSCAPE LIGHTING ADJ6966307 LUIS PINONES PHILIPS ELECTRONICS NORTH TRAVELERS WALNUT CREEK AMERICA CORPORATION ADJ7364504 RAQUEL RAMIREZ BAXSTRA INC TRAVELERS WALNUT CREEK ADJ8137608 LOURDEZ RODRIGUEZ TRUE FOOD KITCHEN TRAVELERS WALNUT CREEK QUINONEZ ADJ8242427 ESPERANZA QUEVEDO MIKE THOMPSONS RV TRAVELERS WALNUT CREEK ADJ8608569 JOSE ALFREDO ANGELES UEBTF LOS ANGELES TRINITY INSURE SERVICES MANDEVILLE ADJ2143562 DANNY BRADFIELD LYNWOOD USD TRISTAR 2805 SANTA ANA ADJ2150534 LATRICIA GOFF LONG BEACH TRANSIT TRISTAR 2805 SANTA ANA ADJ2429736 JOSE CARRILLO TRISTAR 2805 SANTA ANA ADJ2471312 ROSEMARY VAUGHN COUNTY OF ORANGE TRISTAR 2805 SANTA ANA ADJ2471312 ROSEMARY VAUGHN SUPERIOR COURT OF CA TRISTAR 2805 SANTA ANA ADJ4183226 CHERYL WRIGHT LUCKY STORES TRISTAR 2805 SANTA ANA ADJ6515877 ROSA LUGO TRUJILLO LAKE ELSINORE UNIFIED SCHOOL TRISTAR 2805 SANTA ANA DISTRICT ADJ2639360 JOHN HERNANDEZ CITY OF LOS ANGELES TRISTAR 29104 GLENDALE
Page 61 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4370525 JAMES CARTER CITY OF LOS ANGELES TRISTAR 29104 GLENDALE ADJ483721 JAMES CARTER CITY OF LOS ANGELES TRISTAR 29104 GLENDALE ADJ1156697 OFELIA SARINO CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ193017 DANIEL TAYLOR CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ1940056 KARI RESH DAVIS CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ221937 PHILLIP TATE CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ2285995 ROBERT SAITO CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ2757596 SERGIO VALENZUELA ELITE PERSONNEL SERVICE TRISTAR 29106 GLENDALE ADJ2757596 SERGIO VALENZUELA SOUTHLAND BOX CO. TRISTAR 29106 GLENDALE ADJ3678937 JEFFREY MULHEIM CITY OF LOS ANGELES PSI TRISTAR 29106 GLENDALE ADJ475862 HOWARD CHAN CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ6676244 MARLENE RAMOS CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ7842154 MIKA NEAL CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ8013900 BRENDA CASTRO CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ2640679 GLORIA VASQUEZ CEDARS SINAI MEDICAL CENTER TRISTAR 880287 SAN DIEGO CLOSED ADJ4457049 CHANDER ARORA CEDARS SINAI MEDICAL GROUP TRISTAR 880287 SAN DIEGO CLOSED ADJ1638375 REINA SOLIS RANSTAND WORK SOLUTION TRISTAR BREA ADJ7427348 ERNESTO PADILLA LACNY LOGISTICS TRISTAR BREA ADJ7694812 SALIB MANSOUR AMERICAN GUARD SERVICES TRISTAR BREA ADJ7735459 GHEORGHE MURESAN NEW JERSEY NETS TRISTAR BREA ADJ7735459 GHEORGHE MURESAN WASHINGTON WIZARDS TRISTAR BREA ADJ8069939 MIGUEL HERNANI VALLARTA SUPERMARKETS #25 TRISTAR BREA ADJ2950631 MARIAN SEATON COUNTY OF LOS ANGELES TRISTAR CONCORD ADJ3345793 ROSENDO VELIZ FAIRCHILD FASTENER GRP TRISTAR CONCORD ADJ4074598 LYDIA CASTILLO INTERSTATE BRANDS TRISTAR CONCORD ADJ7814650 NATALIA KNOX MARTIN LUTHER KING TRISTAR IRVINE CLOSED ADJ1066725 DARCUS TAYLOR COUNTY OF L A/USC MED CNTR TRISTAR LOS ANGELES ADJ2246754 ANI KARAMANUKYAN THERMADOR WASTE KING TRISTAR LOS ANGELES ADJ2246754 ANI KARAMANUKYAN WASTE KING TRISTAR LOS ANGELES ADJ2459179 AGUSTIN CASTILLEJO SUPERIOR INDUSTRIES TRISTAR LOS ANGELES INTERNATIONAL ADJ2640679 GLORIA VASQUEZ CEDARS SINAI MEDICAL CENTER TRISTAR LOS ANGELES ADJ3620201 RICARDO PULIDO CEDARS-SINAI HOSP TRISTAR LOS ANGELES ADJ4370507 ROSA TORRES REMEDY TEMP INC. TRISTAR LOS ANGELES ADJ533246 JORGE PRIETO COAST CONVERTER TRISTAR LOS ANGELES ADJ533246 JORGE PRIETO COAST CONVERTERS TRISTAR LOS ANGELES ADJ8447841 SHARON GRANT BURTON LONG BEACH USD TRISTAR LOS ANGELES
ADJ602785 SANDRA CANDLER RANCHO LOS AMIGOS TRISTAR RISK MANAGEMENT ADJ895382 LARRY WINSTON CITY OF LOS ANGELES TRISTAR RISK MANAGEMENT ADJ1181919 JULIE SCHULTZ LAKEWOOD REGIONAL MEDICAL TRISTAR SAN DIEGO CENTER ADJ2640679 GLORIA VASQUEZ CEDARS SINAI MEDICAL CENTER TRISTAR SAN DIEGO ADJ2946283 IRENE MCKEEGAN BROTMAN MEDICAL CENTER TRISTAR SAN DIEGO ADJ2999417 CHERYL SKIRVIN VALLEY HEALTH SYSTEMS TRISTAR SAN DIEGO ADJ3620201 RICARDO PULIDO CEDARS-SINAI HOSP TRISTAR SAN DIEGO ADJ7196437 CHAUNCENE LOCKE CEDARS SINAI HEATH SYSTEM TRISTAR SAN DIEGO ADJ813859 BARBARA BLACKMORE HCR-MANORCARE TRISTAR SAN DIEGO
Page 62 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1118791 ELVA ROSAS LOS ANGELES COUNTY/USC MEDICAL TRISTAR SANTA ANA CTR ADJ1209527 GERARD VERITY OLIVE VIEW UCLA MEDICAL CENTER TRISTAR SANTA ANA
ADJ1214058 LINDA SNIPES COUNTY OF LOS ANGELES TRISTAR SANTA ANA ADJ1645517 BLANCA ARREOLA CITY OF LA/HOUSING AUTHORITY TRISTAR SANTA ANA
ADJ1789835 YVONNE CATHEY KING DREW MEDICAL CENTER TRISTAR SANTA ANA ADJ180338 PARIS YOUNG COUNTY OF LOS ANGELES TRISTAR SANTA ANA ADJ1867841 EVANGELIA VITOGIANNIS COUNTY OF LA/DEPT OF MENTAL TRISTAR SANTA ANA HEALTH ADJ1964625 ELIZABETH MORENO LAC/USC TRISTAR SANTA ANA ADJ2121137 DELIA QUITCO COUNTY OF L.A. HARBOR UCLA TRISTAR SANTA ANA ADJ2719720 ELIZABETH MORENO LAC/USC TRISTAR SANTA ANA ADJ2798015 MOUNIR AZER COUNTY OF L.A./MLK HOSPITAL TRISTAR SANTA ANA ADJ2872409 ROSA MARIA DURAN LA COUNTY USC MEDICAL CENTER TRISTAR SANTA ANA
ADJ3192400 JENNIE GYIMESI COUNTY OF LA/OLIVE VIEW MEDICAL TRISTAR SANTA ANA CTR ADJ3507760 PAMELA BIDDLE HARBOR UCLA MEDICAL CENTER TRISTAR SANTA ANA MIDDLETON ADJ3632133 CHIJUANA THOMAS COUNTY OF LA/HUBERT HUMPHREY TRISTAR SANTA ANA HEALTH ADJ3974855 LINDA WILLIS COUNTY OF LOS ANGELES HEALTH TRISTAR SANTA ANA SVCS ADJ4525196 DEBRA HUEY COUNTY OF L.A./DEPT. OF HEALTH TRISTAR SANTA ANA SVC. ADJ515097 DORIS COLEMAN LOS ANGELES COUNTY KING TRISTAR SANTA ANA ADJ570695 FLORA CABALLERO WOMENS & CHILDRENS HOSPITAL TRISTAR SANTA ANA
ADJ6438317 RENEE KELLY LOS ANGELES COUNTY DMH TRISTAR SANTA ANA ADJ6478428 GERALDINE MITCHELL COUNTY OF LA RANCHO LOS TRISTAR SANTA ANA AMIGOS MED CTR ADJ6515877 ROSA LUGO TRUJILLO LAKE ELSINORE UNIFIED SCHOOL TRISTAR SANTA ANA DISTRICT ADJ6821476 YOLANDA DERRICO COUNTY OF LOS ANGELES TRISTAR SANTA ANA ADJ6971420 PATRICIA HEWITT COUNTY OF LOS ANGELES TRISTAR SANTA ANA DEPARTMENT OF HEALTH SERVICES
ADJ7053772 GASTON WILSON COUNTY OF LOS ANGELES TRISTAR SANTA ANA ADJ7303057 DONNA TERRY LAC MEDICAL CENTER TRISTAR SANTA ANA ADJ7814650 NATALIA KNOX MARTIN LUTHER KING TRISTAR SANTA ANA ADJ7921523 CARMEN AGUIRRE LOS ANGELES COUNTY TRISTAR SANTA ANA ADJ796531 BERTHA GUERRERO COUNTY OF LA/HEALTH SERVICES TRISTAR SANTA ANA
ADJ7985110 FLOR CALLEJAS SANDOVAL UCLA MEDICAL CENTER UCLA MEDICAL CENTER
Page 63 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ8136599 BERNARDO ORTIZ SIGNATURE MAINTENANCE USF AND G MARTINEZ ADJ8402781 CHUCK TIFFANY CANTERBURY BASEBALL LLC AKA UTAH WORKERS COMPENSATION FUND FLORENCE FREEDOM ADJ8402781 CHUCK TIFFANY GRAND PRAIRIE PROFESSIONAL UTAH WORKERS COMPENSATION FUND BASEBALL LP ADJ8402781 CHUCK TIFFANY HAWAII BASEBALL LLC UTAH WORKERS COMPENSATION FUND ADJ8402781 CHUCK TIFFANY LOS ANGELES DODGERS UTAH WORKERS COMPENSATION FUND ADJ8402781 CHUCK TIFFANY ST GEORGE ROADRUNNERS ET AL UTAH WORKERS COMPENSATION FUND
ADJ7192031 ROBERT PEREZ WARNER BROS STUDIOS WARNER BROS BURBANK ADJ7341855 LOUIS DEARY WARNER BROS WARNER BROS BURBANK ADJ1140089 SCOTT CANNELL TIERNAY METALS WAUSAU BEAVERTON ADJ1140089 SCOTT CANNELL TIERNEY METALS WAUSAU BEAVERTON ADJ1861342 DAWN WALKER SKYWEST AIRLINES WAUSAU BEAVERTON ADJ3684365 FRANCISCO CASTANEDA E.P.C. WAUSAU BEAVERTON
ADJ4482163 CHARLES THOMPSON LOCKHEED WAUSAU BEAVERTON ADJ4482163 CHARLES THOMPSON LOCKHEED MARTIN WAUSAU BEAVERTON ADJ6777353 LEOPOLDO PADILLA SOUTH GATE ENGINEERING LLC WAUSAU BEAVERTON ADJ6807404 PAULINE NGUYEN YOSHINOYA AMERICA INC WAUSAU BEAVERTON ADJ7039236 KEITH RAY JEPSEN DELTA PRINTING SOLUTIONS WAUSAU BEAVERTON ADJ7148268 KRISTINA CHESLOW SEQUOIA EQUITIES WAUSAU BEAVERTON ADJ8012013 GENOVEVA ACEVEDO MARKEITH ENTERPRISES INC 8904 WAUSAU BEAVERTON
ADJ8235740 STEVEN STORM THIBIANT INTERNATIONAL INC WAUSAU BEAVERTON ADJ6690898 DAWN WALKER SKYWEST AIRLINES WAUSAU BEAVERTON ADJ3340389 ANABERTA VILLALOBOS NORWALK-LA MIRADA SCHOOL DIST YORK 1498 SANTA ANA
ADJ7231621 LINDA MERCIER SAN DIEGO UNIFIED SCHOOL YORK 1498 SANTA ANA DISTRICT ADJ7552608 ELIZABETH EISENFELD SOUTHERN CALIFORNIA NESSAH YORK 1738 SANTA ANA EDUCATIONAL CULTURAL CENTER
ADJ2776764 DAVID HARVEY GLENDALE UNIFIED SCHOOL DIST YORK ANAHEIM ADJ3283627 JULIO MORALES SAFE PLATING INC YORK ANAHEIM ADJ4589871 MAIDA ORELLANA 7-UP/RC BOTTLING COMPANIES OF YORK ANAHEIM SO CA ADJ7542206 MARIA RODRIGUEZ THE BICYCLE CASINO YORK ANAHEIM ADJ7706402 CLAUDIA FUENTES THE BICYCLE CASINO YORK ANAHEIM ADJ7747907 GERMAN CRUZ STATHATOS DAMON YORK ANAHEIM ADJ7867789 ALEJANDRO FLORES ENTERPRISE RENT A CAR YORK ANAHEIM ADJ2103884 LINDA NEGRETE WALMART YORK EL DORADO HILLS ADJ4490816 GUADALUPE DE LA MORA WALMART YORK EL DORADO HILLS
ADJ6699463 CLEMENCIA SUAREZ LOPEZ WAL MART YORK EL DORADO HILLS
ADJ7483207 ANA RIVAS WALMART YORK EL DORADO HILLS
Page 64 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ817604 SHIRLEY BOESSNECK SAMS CLUB YORK EL DORADO HILLS ADJ1369161 JUDY GHORBANZADEH VENTURA UNIFIED SCHOOL DIST YORK OXNARD ADJ1369161 JUDY GHORBANZADEH VENTURA UNIFIED SCHOOL DISTRICT YORK OXNARD
ADJ7462108 DONALD AYALA OXNARD SCHOOL DISTRICT YORK OXNARD ADJ142207 JANICE JACKSON COUNTY OF LOS ANGELES/DIST. YORK PASADENA ATTY. ADJ1509309 WILLIAM HORWITZ COUNTY OF LOS ANGELES YORK PASADENA ADJ1535881 YVETTE DEANS COUNTY OF LOS ANGELES YORK PASADENA ADJ1764908 JACQUELINE SPENCER COUNTY OF LOS ANGELES YORK PASADENA INGMAN ADJ181011 ELENA MORA LOS ANGELES COUTNY JAIL YORK PASADENA ADJ1976848 GEORGE VASQUEZ COUNTY OF LOS ANGELES YORK PASADENA ADJ2084889 STACEY ROUX COUNTY OF LOS ANGELES YORK PASADENA ADJ2084889 STACEY ROUX L.A.U.S.D. YORK PASADENA ADJ2231855 LUIS BUSTOS COUNTY OF LOS ANGELES SHERIFF YORK PASADENA DEPT ADJ2231855 LUIS BUSTOS COUNTY OF LOS ANGELES SHERIFFS YORK PASADENA DEPT ADJ2320046 GEORGE AZER L.A. SHERIFF'S DEPARTMENT YORK PASADENA ADJ3101004 ANA BECERRA LA COUNTY/SHERIFF'S DEPT YORK PASADENA ADJ3318388 MATILDA VALLES YORK PASADENA ADJ3944658 ARMANDO BARRERA LOS ANGELES COUNTY YORK PASADENA ADJ4145230 STEVEN MARTIN LOS ANGELES COUNTY SHERIFF DEPT. YORK PASADENA
ADJ4250668 ROBERT TROY COUNTY OF LOS ANGELES YORK PASADENA ADJ4251528 LYDIA RICHARDSON COUNTY OF LOS ANGELES YORK PASADENA ADJ4284302 ANITA LIMBRICK COUNTY OF L.A./SHERIFF DEPT. YORK PASADENA ADJ4511142 KATIE CREED COUNTY OF LOS ANGELES YORK PASADENA ADJ469607 MICHAEL SMITH COUNTY OF LOS ANGELES YORK PASADENA ADJ6648620 JESUS VILLANUEVA COUNTY OF LOS ANGELES SHERIFFS YORK PASADENA DEPT ADJ6657844 RICHARD ENGERSBACH COUNTY OF LOS ANGELES SHERIFFS YORK PASADENA DEPT ADJ6777137 MARY CHAVEZ LA COUNTY SHERIFFS DEPT YORK PASADENA ADJ6809177 CESAR VALIENTE COUNTY OF LOS ANGELES YORK PASADENA ADJ6822493 VACHEL BROWN COUNTY OF LOS ANGELES YORK PASADENA ADJ7127050 ALLEN BUELTEL COUNTY OF LOS ANGELES YORK PASADENA ADJ7293417 TANYA GONZALES COUNTY OF LOS ANGELES YORK PASADENA ADJ7462649 LINDA CRAFT COUNTY OF LOS ANGELES YORK PASADENA ADJ7582924 LISA COLEMAN COUNTY OF LOS ANGELES YORK PASADENA ADJ7588103 KATHRYN WALKER LOS ANGELES COUNTY SHERIFFS DEPT YORK PASADENA
ADJ7741376 JUAN GONZALEZ COUNTY OF LOS ANGELES SHERIFFS YORK PASADENA DEPT ADJ7844618 PAMELA BROOM COUNTY OF LOS ANGELES SHERIFF YORK PASADENA
ADJ8113583 ANITRA CHATMAN COUNTY OF LOS ANGELES YORK PASADENA
Page 65 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ8172800 LUIS SIORDIA COUNTY OF LOS ANGELES YORK PASADENA ADJ8429424 CHRISTINE STEPHENS LOS ANGELES SHERIFF DEPT YORK PASADENA ADJ912416 REGINA MIMS LOS ANGELES COUNTY/SHERIFF'S YORK PASADENA DEPT. ADJ1364894 FLETCHER RAYNOR CITY OF RIDGECREST YORK RANCHO CUCAMONGA ADJ1364894 FLETCHER RAYNOR SASS YORK RANCHO CUCAMONGA ADJ1788202 IRENE NAVARRO CITY OF EL MONTE YORK RANCHO CUCAMONGA ADJ1829880 PAMELA FOWLER HUNTINGTON BEACH CITY SCHOOL YORK RANCHO CUCAMONGA DISTRI ADJ2013290 ELIZABETH GRAY CITY OF EL SEGUNDO YORK RANCHO CUCAMONGA ADJ2263468 NORMA ALEGRIA ANTELOPE VALLEY UNION HIGH YORK RANCHO CUCAMONGA SCHOOL ADJ2459179 AGUSTIN CASTILLEJO SUPERIOR INDUSTRIES YORK RANCHO CUCAMONGA INTERNATIONAL ADJ2717587 MICHAEL KRUGER RANCHO SANTIAG COM COLLEGE YORK RANCHO CUCAMONGA
ADJ2717587 MICHAEL KRUGER RANCHO SANTIAGO COMMUNITY YORK RANCHO CUCAMONGA COLLEGE ADJ3053697 MARTHA GARCIA COLTON UNIFIED SCHOOLS YORK RANCHO CUCAMONGA ADJ3747164 DAWN HUGHEY EL RANCHO UNIFIED SCHOOL DIST YORK RANCHO CUCAMONGA
ADJ3812974 JOANN TORRES PUPIL TRANSPORTATION YORK RANCHO CUCAMONGA COOPERATIVE ADJ4024963 SHARON CAMPBELL NORWALK TRANSPORTATION YORK RANCHO CUCAMONGA ADJ4516491 KURTIS CUSHMAN CENTINELA VALLEY UNION H.S. DIST. YORK RANCHO CUCAMONGA
ADJ4518347 LYDIA RIOS CHAVEZ POMONA UNIFIED SCHOOL DIST YORK RANCHO CUCAMONGA ADJ4599837 PETRA RUIZ LINDBURGH ELEMENTARY YORK RANCHO CUCAMONGA ADJ4600692 NINFA MENDEZ POMONA UNIFIED SCHOOL DISTRICT YORK RANCHO CUCAMONGA
ADJ675842 INOCENTE RODRIGUEZ LACCD YORK RANCHO CUCAMONGA ADJ7192022 DOLORES DUARTE CITY OF NORWALK YORK RANCHO CUCAMONGA ADJ7400908 RONNIE STEWART INGLEWOOD UNIFIED SCHOOL YORK RANCHO CUCAMONGA DISTRICT ADJ7844411 ANA CARMAN WHITTIER CITY SCHOOL DISTRICT YORK RANCHO CUCAMONGA
ADJ7861342 ALFIE JIMENEZ ROWLAND UNIFIED SCHOOL YORK RANCHO CUCAMONGA DISTRICT ADJ8433570 MOZELLE KRISMAN IN HOME SUPPORTIVE SERVICES INC YORK RANCHO CUCAMONGA
ADJ898480 BERENICE VITE LOS NIETOS UNIFIED SCHOOL YORK RANCHO CUCAMONGA DISTRICT ADJ1719616 LIRA LEBRON 99 CENT STORES YORK RIVERSIDE ADJ1719616 LIRA LEBRON 99 CENTS ONLY STORE YORK RIVERSIDE ADJ1928884 ROBERT TELLES BED BATH & BEYOND YORK RIVERSIDE ADJ3238206 SALLY NAJAR EL MONTE USD YORK RIVERSIDE ADJ3756945 DORIS AYALA 99 CENT ONLY STORE YORK RIVERSIDE ADJ6821729 STEPHANIE WHARTON CITY OF BELL GARDENS YORK RIVERSIDE
Page 66 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ6834823 BERTHA MELENDREZ SOUTH WHITTIER SCHOOL DISTRICT YORK RIVERSIDE
ADJ7753849 WILLIAM SENSING OAK PARK UNIFIED SCHOOL YORK RIVERSIDE DISTRICT ADJ8169437 ENRIQUETA PEREDA FULLERTON SCHOOL DISTRICT YORK RIVERSIDE ADJ898480 BERENICE VITE LOS NIETOS UNIFIED SCHOOL YORK RIVERSIDE DISTRICT ADJ2971018 TERESA CANDELARIA MONTEBELLO UNIFIED SCHOOL YORK ROSEVILLE DISTRICT ADJ6771168 GAIL WILSON LA CITY HOUSING AUTHORITY YORK ROSEVILLE ADJ7313362 ROBERT CHANG GLENDALE UNIFIED SCHOOL YORK ROSEVILLE DISTRICT ADJ7912831 ANDRES RODRIGUEZ FIRST FIRE SYSTEMS YORK ROSEVILLE ADJ8757683 MARIA LOZA IN HOME SUPPORT SERVICES YORK ROSEVILLE ADJ8486513 CLAY STOWERS CITY OF SAN BERNARDINO YORK SAN BERNARDINO ADJ2029763 DEBORAH DILLON ANTELOPE VALLEY HIGH SCHOOL YORK VALENCIA DIST ADJ3434817 ANA FRANCO CITY OF LA HOUSING AUTHORITY YORK VALENCIA
ADJ3434817 ANA FRANCO CITY OF LA/HOUSING AUTHORITY YORK VALENCIA
ADJ4586044 MIGUEL ORTEGA HOUSING AUTHORITY OF LOS YORK VALENCIA ANGELES ADJ6771168 GAIL WILSON LA CITY HOUSING AUTHORITY YORK VALENCIA ADJ7239410 JOSE ACOSTA SAN CONRADO CATHOLIC MISSION YORK VALENCIA DBA ST PETERS CHURCH ADJ7431227 GUADALUPE AQUINO PICASSO STYLE INC YORK VALENCIA ADJ367320 CRISTINA UGARTE FLINKMAN REALTY ZENITH ADJ7169952 VIVIANO OREGON GMC DAIRY FARMS ZENITH FRESNO ADJ7200740 LUIS GONZALEZ VOLKSWAGEN SANTA MONICA INC ZENITH ORANGE
ADJ7767174 ANA PEREZ DE CAPAY INC DBA FARM FRESH TO YOU ZENITH ORANGE VILLANUEVA ADJ1685818 JOHNNY MIRANDA GOLDEN STATE FRAMERS ZENITH PLEASANTON ADJ2429041 GERARDO LICEA WGG-MARTIN BERGER ZENITH PLEASANTON ADJ3250542 ARMANDO MONTELONGO BRUNTON ENTERPRISES ZENITH PLEASANTON
ADJ4681462 BETTY CHAN LOS ANGELES FIREMANS CREDIT ZENITH PLEASANTON UNION ADJ576480 ARSENIO GARCIA TEMPSTAR SERVICES ZENITH PLEASANTON ADJ576480 ARSENIO GARCIA WET SEAL ZENITH PLEASANTON ADJ1377214 CARLOS ANGUIANO VANDERGEEST LANDSCAPE CO ZENITH WOODLAND HILLS ADJ1821887 ALVIN PONDS PROTECTION PLUS ZENITH WOODLAND HILLS ADJ2167030 CATALINA ESCALERA PETER PEPPER PRODUCTS INC ZENITH WOODLAND HILLS ADJ2956013 FLAVIANO ARROYO BROOKS AUTO ZENITH WOODLAND HILLS ADJ325203 ANITA SCHAEFFER ADMINISTAFF CO INC ZENITH WOODLAND HILLS ADJ325203 ANITA SCHAEFFER ARGUS PRO HEALTH ZENITH WOODLAND HILLS ADJ367320 CRISTINA UGARTE FLINKMAN REALTY ZENITH WOODLAND HILLS
Page 67 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ4042638 RAMONA LOZANO A RUDIN DESIGNS ZENITH WOODLAND HILLS ADJ4201565 MELECIO GONZALEZ TEMPLE ISRAEL OF HOLLYWOOD ZENITH WOODLAND HILLS ADJ454073 IRENE GARCIA FRIEDA'S INC ZENITH WOODLAND HILLS ADJ638100 MONICA REVELES SCULLY SPORTSWEAR,INC. ZENITH WOODLAND HILLS ADJ6526928 ANA SALVADOR ZENITH WOODLAND HILLS ADJ7236242 GUSTAVO VILLALPANDO EL MONTE RV ZENITH WOODLAND HILLS
ADJ7431195 MARICELA SANCHEZ AMERICAN PRINTWORKS ZENITH WOODLAND HILLS ADJ7562334 CUAUHTEMOC BLANCAS SINAI CONSTRUCTION ZENITH WOODLAND HILLS
ADJ7567245 MAYRA MARTINEZ COLORADO FARMS ZENITH WOODLAND HILLS ADJ7889678 ANTONIO BELLOSO TECHNI CAST CORP ZENITH WOODLAND HILLS ADJ4358198 KAREN BROWN POUNCY PACIFIC CARE OF CALIFORNIA ZURICH INSURANCE
ADJ1566879 HUMBERTO RIVAS WATERHOUSE INC. ZURICH LOS ANGELES ADJ1628260 CLEOTILDE LARA SEE'S CANDIER ZURICH LOS ANGELES ADJ172616 CHRISTIAN LEMER CAST AND CREW PRODUCTION ZURICH LOS ANGELES SERVICES INC ADJ1785177 ANDREA LOPEZ KRAGEN AUTO PARTS ZURICH LOS ANGELES ADJ1928345 RAFAEL ORTIZ TRU GREEN ZURICH LOS ANGELES ADJ1954265 MARY SMALL AXIUM ENTERTAINMENT ZURICH LOS ANGELES ADJ1954265 MARY SMALL CAST AND CREW PRODUCTION ZURICH LOS ANGELES SERVICES INC ADJ1954265 MARY SMALL ENTERTAINMENT PARTNERS ZURICH LOS ANGELES ADJ199075 GUSTAVO ESTRADA CHINO CENTRAL RENTAL ZURICH LOS ANGELES ADJ2245042 MARIA HERNANDEZ JONS MARKETPLACE ZURICH LOS ANGELES ADJ2356027 PERRY MARTIN EXTENDED STAY OF AMERICA ZURICH LOS ANGELES ADJ2464742 JOAQUIN VELASQUEZ ISEC , INC ZURICH LOS ANGELES ADJ2856536 JOSE NEVAREZ SEE'S CANDY ZURICH LOS ANGELES ADJ2856536 JOSE NEVAREZ SEES CANDY ZURICH LOS ANGELES ADJ3136111 DAVID T DURBORAW AXIUM INTERNATIONAL ZURICH LOS ANGELES ADJ3136111 DAVID T DURBORAW CAST & CREW PRODUCTION ZURICH LOS ANGELES PAYROLL INC ADJ3136111 DAVID T DURBORAW ENTERTAINMENT PARTNERS ZURICH LOS ANGELES ADJ3965600 MARTA SANTIZO ELITE PERSONNEL SERVICES, INC. ZURICH LOS ANGELES ADJ4349278 MARIA VAZQUEZ SEVEN-UP BOTTLING CO ZURICH LOS ANGELES ADJ6821401 JOSE SANDOVAL CUEVAS MATTRESS INC DBA SPRING ZURICH LOS ANGELES PEDIE ADJ6827065 GLEN MURRAY BOSTON BRUINS ZURICH LOS ANGELES ADJ6827065 GLEN MURRAY PITTSBURGH PENGUINS ZURICH LOS ANGELES ADJ6963064 SYLVIA MCNEAL TIMEC ZURICH LOS ANGELES ADJ7146789 DANNY PHILLIPS CONTINENTAL MARBLE AND TILE ZURICH LOS ANGELES
ADJ7146789 DANNY PHILLIPS ESIS FREMONT ZURICH LOS ANGELES ADJ7171749 MELENCIO INOCENCIO DIVERSIFIED TRANSPORTATION CO ZURICH LOS ANGELES
ADJ7218526 SERAFIN OROZCO POTENTIAL INDUSTRIES ZURICH LOS ANGELES ADJ7293368 ROSENDA SANDOVAL CASTEC INC ZURICH LOS ANGELES
Page 68 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7364478 CANDY CONTRERAS INGRAM MICRO ZURICH LOS ANGELES ADJ7585034 IGNACIO RODRIGUEZ BEST BRANDS CORPORATION CMS ZURICH LOS ANGELES BAKERY PRODUCTS ADJ7656349 SARAH RAMIREZ SAPUTO CHEESE USA INC ZURICH LOS ANGELES ADJ7804777 JUAN TORRES PIERRE SPRINKLER AND LANDSCAPE ZURICH LOS ANGELES
ADJ7823668 ROBERTO CASILLAS BEAULIEU OF AMERICA ZURICH LOS ANGELES ADJ7884215 ELENA COVARRUBIAS WHITE APRON INC ZURICH LOS ANGELES ADJ7955310 MARLAND E HARRIS CALIFORNIA PIZZA KITCHEN LA ZURICH LOS ANGELES ADJ7976530 PONCIANO CONTRERAS PF CHANG S ZURICH LOS ANGELES
ADJ7986784 KEVIN MELLINGER IRWIN INDUSTRIES ZURICH LOS ANGELES ADJ8002528 JOSE ENRIQUEZ POTENTIAL INDUSTRIES INC ZURICH LOS ANGELES ADJ8100721 ANA ZEPEDA SHRINERS HOSPITAL FOR CHILDREN ZURICH LOS ANGELES
ADJ8319360 FRANK HWANG WESTERN FREIGHT CARRIERS INC ZURICH LOS ANGELES
ADJ8516241 MANUEL CARMONA IRON MOUNTAIN RECORDS ZURICH LOS ANGELES ADJ902591 MARIA DIAZ RADISSON PLAZA HOTEL ZURICH LOS ANGELES ADJ367675 JESUS RUBIO CONCRETE CONCEPTS INC ZURICH NORTH AMERICA CHICAGO ADJ902591 MARIA DIAZ RADISSON PLAZA HOTEL ZURICH NORTH AMERICA INVALID ADJ6901241 ALEJANDRO MORENO R L E DALMAS CONSTRUCTION ZURICH NORTH AMERICA NEW JERSEY ADJ6901241 ALEJANDRO MORENO UEBTF ANAHEIM ZURICH NORTH AMERICA NEW JERSEY ADJ3950168 MARVIN MCCLENDON INGLESIDE HOSPITAL ZURICH SACRAMENTO ADJ4069015 DEBRA CANO HEALTH LINK MEDI VAN ZURICH SACRAMENTO ADJ7302699 CERELA RUIZ BROOKVALE INTERNATIONAL LLC ZURICH SACRAMENTO
ADJ7302699 CERELA RUIZ CALIFORNIA CARTAGE CO ZURICH SACRAMENTO ADJ7302699 CERELA RUIZ RALLY MANAGEMENT STAFFING ZURICH SACRAMENTO ADJ2229194 JESUS RODRIGUEZ SPRING AIR MID ATLANTIC ZURICH SAN FRANCISCO ADJ362622 ROBERT SAMUELS ST MARYS ACADEMY ZURICH SAN FRANCISCO ADJ6699318 VERNON NICKELL ENSIGN ZURICH SAN FRANCISCO ADJ6985332 FAKHRI TAHERI IHASET ZURICH SAN FRANCISCO ADJ7558457 CARL YARDE DECEASED EIU ELECTRICAL & ZURICH SAN FRANCISCO INSTRUMENTATION UNLIMIT ADJ7882359 JOE ELIZALDE ORMAT TECHNOLOGIES ZURICH SAN FRANCISCO ADJ1066793 OCTAVIO GARCIA CAL SUNGOLD INC CHARTIS COSTA MESA MENDOZA ADJ1141859 GLADIS ROSALES CHECK MATE TEMP AGENCY UEF ADJ1160990 JUVENAL PENA JTK TEXTILES,M INC. JTK TEXTILES,M INC. ADJ1288464 FELICITA ZUNIGA MAGNOLIA ROYAL RETIREMENT CTR UEF
ADJ1288464 FELICITA ZUNIGA RICHARD SCOTTI UEF ADJ1288464 FELICITA ZUNIGA UEBTF LOS ANGELES UEF ADJ1399217 JASWINDER SINGH LAKHVINDER SINGH CHAHAL UEF ADJ1399217 JASWINDER SINGH UEBTF LOS ANGELES UEF ADJ1399217 JASWINDER SINGH VEN OAK MARKET UEF ADJ1410596 LORENA TINAJERO MARIA PHARMACY UEF
Page 69 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ1410596 LORENA TINAJERO UEF UEF ADJ1415063 TRIEU NGUYEN DUNG D NGUYEN DUNG D NGUYEN ADJ1438693 AURORA VELAZQUEZ FRISBLE MANAGEMENT FRISBLE MANAGEMENT ADJ1478063 VINH DUONG TDI ASSOCIATES UEF ADJ1478063 VINH DUONG UEBTF LOS ANGELES UEF ADJ1496532 MIGUEL ANGEL S.C. STAFFING SOLUTIONS, INC. HARTFORD SACRAMENTO CASTELLON ADJ1541975 FRANCISCO SANCHEZ UEBTF LOS ANGELES UEF ADJ1541975 FRANCISCO SANCHEZ UNITED SUPPLIES UEF ADJ1558392 ERIKA TIJERINO SUN PACIFIC TRUCKING SUN PACIFIC TRUCKING ADJ1597303 NHAN NGUYEN DMJ TRUCKING UEF ADJ1597303 NHAN NGUYEN UEBTF LOS ANGELES UEF ADJ1634367 ALEJANDRA ORELLANA H. K> CANNING INC UEF ADJ1634367 ALEJANDRA ORELLANA UEBTF LOS ANGELES UEF ADJ1691794 LUIS RIVERA ACE ROOFING SYSTEMS ACE ROOFING SYSTEMS ADJ1696638 MARIA ELVA RAMIREZ KACHELLES CASTLE CLEANING INC KACHELLES CASTLE CLEANING INC
ADJ1748184 TOMMY JACKSON THOMAS CARR & SONS TRUCKING UEF
ADJ1748184 TOMMY JACKSON UEBTF LOS ANGELES UEF ADJ1757666 RAYMOND DAVIS MAMMOET WESTERN YORK ADJ1776808 LINDA ARCARI EXTRA SPACE STORAGE COMMERCE & INDUSTRY INSURANCE CO ADJ1838077 MARTIN ROMERO GARDNER TRUCKING GARDNER TRUCKING ADJ1851241 CESAR LOPEZ UEBTF LOS ANGELES UEF ADJ1851241 CESAR LOPEZ USA TELECOM UEF ADJ1884809 ARMANDO MONTELONGO PLAS-TAL MFG ZENITH PLEASANTON ADJ1995283 ROBERTO RUIZ RAMIREZ JERRY SAUL DBA SUNNYMEAD JERRY SAUL DBA SUNNYMEAD HAMBURGERS HAMBURGERS ADJ1995283 ROBERTO RUIZ RAMIREZ SUNNYMEAD HAMBURGERS SUNNYMEAD HAMBURGERS
ADJ1995283 ROBERTO RUIZ RAMIREZ UEBTF LOS ANGELES UEBTF LOS ANGELES
ADJ2031678 JESUS MANZO BRAUN LINEN SERVICES BROADSPIRE BREA ADJ207112 WALTER ANTONIO CARLOS MARTINEZ CARLOS MARTINEZ MELGAR ADJ2113344 ULISES ALVAREZ FRED GAMM UEF ADJ2113344 ULISES ALVAREZ UEBTF LOS ANGELES UEF ADJ2126841 ESPERANZA LUCIA KELLERMEYER BUILDING SERVICES GALLAGHER BASSETT SACRAMENTO MELENDEZ ADJ2182342 MARLENE DULBERG C.W.B. SHREWBURY PLUMBING C.W.B. SHREWBURY PLUMBING ADJ222112 HECTOR ORTIZ JENNIFER'S BINDERY, INC. JENNIFER'S BINDERY, INC. ADJ2323461 RAJINDER PAL PRO LUBE N" TUNE BRAKES PROTECTIVE INSURANCE INDIANAPOLIS ADJ233735 CARLOS LOMELI LOPEZ TIRES, INC. LOPEZ TIRES, INC. ADJ2496408 JOSE REYES LATINO GROCERIES DISTRIBUTION LATINO GROCERIES DISTRIBUTION
ADJ2590910 ROCIO VARGAS PHITHAYA THAI RESTAURANT UEF ADJ2590910 ROCIO VARGAS UEBTF LOS ANGELES UEF
Page 70 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ2593429 CONSTANCE HALLIBURTON ENERGY HALLIBURTON ENERGY CUNNINGHAM ADJ2637647 JAIME URENA CHAVEZ TRUCKING COMPANY UEF ADJ2637647 JAIME URENA UEBTF LOS ANGELES UEF ADJ2678016 LORI MITCHELL ANTELOPE AUTOMOTIVE ANTELOPE AUTOMOTIVE ADJ2683862 MARGARITA BARRERA LAIDLAW TRANSIT LAIDLAW TRANSIT ADJ2715157 RAFAEL ROSAS INDIAN RIDGE COUNTRY CLUB, INC. LIBERTY MUTUAL ORANGE
ADJ2763427 JOSE LUEVANOS GSG MARBLE COMPANY UEF ADJ2763427 JOSE LUEVANOS MARY DEMIRJIAN UEF ADJ2763427 JOSE LUEVANOS UEBTF LOS ANGELES UEF ADJ2789426 RAUL MARTINEZ VOLUME DISTRIBUTORS, INC. VOLUME DISTRIBUTORS, INC. ADJ2839484 JULIO RAMIREZ POWER AIR CONDITIONING POWER AIR CONDITIONING ADJ2870296 GUSTAVO OCHOA CORTEZ FURNITURE MFG., INC. UEF ADJ2870296 GUSTAVO OCHOA CORTEZ MUEBLERIA UEF ADJ2870296 GUSTAVO OCHOA UEBTF LOS ANGELES UEF ADJ2884842 GUADALUPE BELTRAN NORMAN A. SCOTT DBA TIDY UEF JANITORIAL ADJ2884842 GUADALUPE BELTRAN UEBTF LOS ANGELES UEF ADJ2898233 SUSANA LOPEZ OCEANVIEW HEALTH CENTERS INC UEF
ADJ2898233 SUSANA LOPEZ UEBTF LOS ANGELES UEF ADJ3015282 YOLANDA LARIOS SODEXHO INC GALLAGHER BASSETT ADJ3065099 EDITH CRISTERNA EXCALIBER FUELS SCIF ADJ3159103 JOYCE KINJO LOS ANGELES POLICE DEPARTMENT CITY OF LOS ANGELES WORKERS' COMPENSATION DEPT. ADJ3276569 LONNIE CURTIS SAN DIEGO COUNTY WATER AUTHORITY LANGTON KAZER SANTA ANA ADJ3335646 SERAFIN RECINOS DJ WAREHOUSE UEBTF LOS ANGELES ADJ3335646 SERAFIN RECINOS UNINSURED EMPLOYERS FUND UEBTF LOS ANGELES ADJ3438142 DARLENE GONGORA ALL PETS VETERINARY HOSPITAL FIREMAN'S FUND INSURANCE COMPANY ADJ3446628 CHRISTOPHER LLOYD CRANEMASTER/CONTRACTORS UEBTF LOS ANGELES CRANE CO ADJ3446628 CHRISTOPHER LLOYD JEANETTE CHRISTINE WARD UEBTF LOS ANGELES ADJ3446628 CHRISTOPHER LLOYD UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ3476882 PAYTON ANDERSON NEW BEGINNINGS SCIF INSURED GLENDALE UNIT B ADJ3581598 ANDREW SABALA ALL CITY MANAGEMENT SERVICES INTERCARE
ADJ3595073 ABELINA ROBLES ALTERNATIVE CARE #1 ADJ3678787 VICTORIANO PEREZ TERSANA INC. UEBTF LOS ANGELES ADJ3678787 VICTORIANO PEREZ UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ3683908 HECTOR SANTANA DENNY'S RETAURANT IMPACT SOLUTIONS ADJ3737013 ROBERT MARTINEZ CITY OF LOS ANGELES CITY OF LOS ANGELES ADJ3749601 ENRIQUETA MENDOZA ONE SOURCE SPECIALTY RISK LA HABRA ADJ3782158 RICARDO CASTELAZO WORLD OF JEANS AND TOPS INC CIGA ADJ379663 JUDI ALBARRAN MCDONNELL DOUGLAS FREMONT COMP GLENDALE ADJ3925981 JOHN COTTRELL INTERNATIONAL TRANSPORTATION SERVIC
Page 71 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ3928236 DARLENE HALL AMERICAN AIRLINES SEDGWICK 14450 LONG BEACH ADJ3963453 SALVADOR NAVARRO LOS ANGELES UNIFIED SCHOOL SEDGWICK CMS DISTRICT ADJ3964058 MARIA MAYA MEE SOON LEE AND JOONG YEAL LEE ELLIOTT KIM LOS ANGELES DBA A FASHION ADJ3964058 MARIA MAYA UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ3987464 TRINIDAD RAMIREZ AMERICAN RAISING GALLAGHER BASSETT CALABASAS ADJ4039631 ROSEMARY DOMINGUEZ COUNTY OF LOS ANGELES SEDGWICK CMS
ADJ4086539 ROBERTO MORENO TRICON ADJ409665 JOSE GUTIERREZ TEPALCUCHECA MARKET UEBTF LOS ANGELES SANDOVAL ADJ420871 PAMELA NICHOLSON LOS ANGELES UNIFIED SCHOOL SEDGWICK CMS DISTRICT ADJ4232612 ENEDINA DELATORRE FREDDY MARIN ADJ4265930 BRENDIA HARPER VERIZON AIG CLAIMS SERVICES ADJ4279056 ROBIN TAW RAMIL ABAKHAD IND/SUBS UEBTF LOS ANGELES SHAREHOLDER ADJ4279056 ROBIN TAW ROMANO'S JEWELERS UEBTF LOS ANGELES ADJ4279056 ROBIN TAW UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ4309001 ELSA VELASQUEZ HANNY SCHWEIZER FARMERS PLEASANTON ADJ4493553 ELLA MEZHIBURSKAYA SUNNY MEDICAL TRANSPORTATION UEBTF LOS ANGELES
ADJ4493553 ELLA MEZHIBURSKAYA UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ4512540 SANTIAGO MEZA G.V. CONSTRUCTION AND UEBTF LOS ANGELES DEVELOPMENT ADJ4512540 SANTIAGO MEZA UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ4514942 SHAWN SCAVO WARNER BROTHERS ENTERTAINMENT WARNER BROS WORKERS COMPENSATION
ADJ4573306 KIMBERLY WILLIAMS STERLING ENTERPRISES UEBTF LOS ANGELES ADJ4573306 KIMBERLY WILLIAMS UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ4599355 BENITO VILLANUEVA SOCORRO'S RESTUARANT UEBTF LOS ANGELES ADJ4599355 BENITO VILLANUEVA UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ4636269 JOSEPH VALDEZ SUSANA WOODS DBA SIMI VALLEY SCIF INSURED GLENDALE MOBILE ADJ4664587 DAVID GARCIA S.G. CONSTRUCTION UEBTF LOS ANGELES ADJ4664587 DAVID GARCIA S.G. CONTRUCTION / SALVADOR UEBTF LOS ANGELES GODINEZ ADJ4664587 DAVID GARCIA UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ4678801 GARY CORTES FRANCISCO SANCHEZ DBA UEBTF LOS ANGELES FRANCISCO'S ADJ4678801 GARY CORTES FRANCISCO'S HALLOWEEN UEBTF LOS ANGELES ADJ4711416 DANIEL NAVARRETE LA PRINCESITA TORTILLERIA, INC. SPECIALTY RISK LA HABRA ADJ4713590 MARIA PONCE SOUTHERN CALIFORNIA GAS CO SOUTHERN CAL GAS LOS ANGELES ADJ5751571 YOLYE VEGA LITTLE CAESAR ENTERPRISES ST PAUL TRAVELERS ADJ617532 GUILLERMO BADE AAA UNDERCAR PARTS ADJ632678 MARIA DEAC MARGARETA CINDEA INDIV & DBA UEBTF LOS ANGELES CINDEA
Page 72 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ632678 MARIA DEAC UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ632678 MARIA DEAC UEBTF SACRAMENTO UEBTF LOS ANGELES ADJ6425219 LORI BRANNON KNIGHT TRANSPORTATION COVEL CHINO ADJ6462781 RUDOLPH SANCHEZ KING RELOCATION LWP CLAIMS SOLUTIONS ADJ6555277 JULIO SALDARIAGA R.J. WARNER CARPETS & FLOORS, INC. UEBTF LOS ANGELES
ADJ6555277 JULIO SALDARIAGA UNINSURED EMPLOYERS FUND UEBTF LOS ANGELES ADJ656318 CLAUDIA SANTANA DIRECT PRODUCE, INC. SCIF INSURED FRESNO ADJ667074 EFRAIN VILLANUEVA UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ667074 EFRAIN VILLANUEVA ZAZUETA FREIGHT UEBTF LOS ANGELES ADJ6709649 GLORIA AGUAYO QUICK TEST RESEARCH INC CHUBB GROUP ADJ6716944 WILLIAM KONIECZNY UEBTF ANAHEIM UEBTF LOS ANGELES ADJ6733943 FEDERICO MEDINA ROMAN FRESH BAKERY & GRILL ILLINOIS MIDWEST INSURANCE AGENCY ADJ6833003 EDDIE VALDEZ BRENT SCHWEBEL PLASTERING SCIF INSURED SACRAMENTO ADJ6870635 RAMON PALAFOX GARCIA J CONSLTRUCTION ADJ6871692 TERESA PICHARDO DON DIEGO POST NO 7420 VETERANS UEBTF LOS ANGELES OF FOREIGN WARS OF THE UNITED STATES CORP ADJ6871692 TERESA PICHARDO UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ6886475 LA TRICIA ANDERSON DAVID TOMA DDS UEBTF LOS ANGELES ADJ6886475 LA TRICIA ANDERSON DAVID TOMA DDS DBA SMILEBURST UEBTF LOS ANGELES DENTISTRY ADJ6886475 LA TRICIA ANDERSON SMILEBURST DENTISTRY UEBTF LOS ANGELES ADJ6886475 LA TRICIA ANDERSON UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ6888241 REMIJIA GUZMAN FTDI INCORPORATED GALLAGHER BASSETT SACRAMENTO ADJ6903058 MARK SESMA JOYCE GILES UEBTF LOS ANGELES ADJ6903058 MARK SESMA PEACE OF MIND ENTERPRISES UEBTF LOS ANGELES ADJ6929460 DANIEL VEGA RELIABLE CONTAINER CORP TRAVELERS DIAMOND BAR ADJ694922 JAMES FINN JR NEW YORK GIANTS BERKLEY SPECIALTY UNDERWRITING MGRS
ADJ6976878 NANCY VALLARTA FUTURE GENERATIONS PRESCHOOL SCIF CLAIMS DEPT INC ADJ6977353 MARIA AVILES NOBLE DISTRIBUTION SYSTEMS SCIF ADJ7037341 DARRELL BAILEY FERGUSON ENTERPRISES HELSMAN MANAGEMENT ROCKLIN ADJ7065187 THOMAS WUNSCH CITY OF LOS ANGELES TRISTAR 29106 GLENDALE ADJ7069336 ADEEB YASSA HAWAIIAN GARDENS CASINO CNA CLAIMS ADJ7137017 GUADALUPE HOLGUIN AVALON AT CERRITOS AMTRUST NORTH AMERICA CONTRERAS ADJ7247698 ARLEIN KIOMARA PAZ RED CATERING UEBTF LOS ANGELES ADJ7247698 ARLEIN KIOMARA PAZ UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ7402994 LUCILLE ALFORD COUNTY OF LOS ANGELES/OLIVE TRISTAR RISK MANAGEMENT VIEW ADJ7447671 MIGUEL MARAVILLA SEALY MATTRESS COMPANY GALLAGHER BASSETT GOLD RIVER ADJ7455005 CARLOS BARRILLAS OCB RESTURANT COMPANY LL ADJ7470406 CANDICE LEE SMITH HALLMARK CREATIONS TRAVELERS ADJ7471666 MARIA MALDONADO OAKWOOD TEMPORARY HOUSING LIBERTY MUTUAL 29073 GLENDALE
ADJ7536683 EVA CORPUS LOS ANGELES COUNTY
Page 73 Michael D. Drobot Pacific Hospital of Long Beach
Case number Injured Worker Employer Claims administrator ADJ7541039 ROMMEL TOMINES JONATHAN CLUB GALLAGHER BASSETT GOLD RIVER ADJ7587954 EDUVIJES QUEZADAS GALAXY INVESTMENTS LTD AMERICAN CLAIMS SAN DIEGO ADJ7591928 MIGUEL GUTIERREZ LDI MECHANICAL GALLAGHER BASSETTT CALABASAS ADJ7677937 MARIO SUAREZ HYCOR UEBTF LOS ANGELES ADJ771338 MAGGIE RIOS COUNTY OF LOS ANGELES INTERCARE ADJ7728253 MARCO HERNANDEZ MILLER ENVIRONMENTAL ZURICH SAN FRANCISCO ADJ7762497 JESUS REYES MARIO CAMARILLO NEW DIMENSION UEBTF LOS ANGELES PAINTING ADJ7762497 JESUS REYES UEBTF OAKLAND UEBTF LOS ANGELES ADJ7766974 MARIO JIMENEZ MOA DESIGN ILLINOIS MIDWEST SPRINGFIELD ADJ7776378 MARIA MENDOZA STAFFMARK INVESTMENT LLC CANNON COCHRAN IRVINE ADJ7816319 ABEL LOZA TORRES LIZZE CUSTOM PROCESSING ZURICH NORTH AMERICA ADJ7852821 ROBERT VANDER DUSSEN GENERAL ELECTRIC ELECTRIC INSURANCE COMPANY
ADJ7905841 MICHAEL CWIKLA HADLEY TOWING EQUIPMENT SCIF INSURED ANAHEIM ADJ7921247 DOUGLAS VILLAFRANCO PLS AZTECA OF CALIFORNIA AIG SAM RAMON WC CLAIMS
ADJ7923555 ANGELITA SANCHEZ CHAOLA INC DBA BAMBOO GRILL UEBTF LOS ANGELES ADJ7923555 ANGELITA SANCHEZ OD LEGAL LOS ANGELES UEBTF LOS ANGELES ADJ7923555 ANGELITA SANCHEZ UNINSURED EMPLOYERS BENEFIT UEBTF LOS ANGELES TRUST FUND ADJ7923555 ANGELITA SANCHEZ UNINSURED EMPLOYERS FUND UEBTF LOS ANGELES ADJ7949151 ALMA QUIROZ CZ PROPERTY MANAGEMENT SCIF INSURED ANAHEIM ADJ8017496 KEYVAN RAHNEMOON RADIO SHACK LIBERTY MUTUAL INSURANCE ADJ8028910 VIRGINIA PARDO SUPER CENTER CONCEPTS INC PATRIOT RISK SERVICES CIGA ADJ8159346 RAUL SANDOVAL GW ASSOCIATION SEDGWICK CMS ADJ8281617 ISRAEL TAPIA BRISTOL SPEED CAR WASH HANOVER INSURANCE GROUP WORCESTER
ADJ840531 MARIA MEDINA EL RINCON RESTAURANT ADJ844741 BENJAMIN MONTOYA PROPERTY FINE UEBTF LOS ANGELES ADJ844741 BENJAMIN MONTOYA UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ947073 KEUM SOON SEO JUSTIN DENTAL ART UEBTF LOS ANGELES ADJ947073 KEUM SOON SEO UEBTF LOS ANGELES UEBTF LOS ANGELES ADJ904752 CARMELO PEREYRA FOSTER PRINTING CO CIGA GLENDALE
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