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Michael D. Drobot Pacific Hospital of Long Beach 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
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