Notice RE: Terminated Providers
Notice to all Participants and Beneficiaries enrolled in the ILWU-PMA Coastwise Indemnity Plan:
This page contains a complete and current list of all providers and healthcare facilities whose services are no longer covered by the Plan. The list is organized by termination date.
This page contains a complete and current list of all providers and healthcare facilities whose services are no longer covered by the Plan. The list is organized by termination date.
List of Terminated Providers
Browse the list of terminated providers below, or use the search box to narrow the list by the name of the provider or associated organization.
Terminated Providers
| Effective Date: February 21, 2020 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Ata Mazaheri, M.D. |
Creative Surgery Alliance, Inc.
R&R Surgical Institute
Advanced Gi Surgery
Providence Health and Services
Surgery Center of South Bay
Torrance Memorial Medical Center
|
1560 E. Chevy Chase Dr., Suite 450, Glendale, CA 91206-4197
21143 Hawthorne Blvd., Suite 428, Torrance, CA 90503
|
| Ramin Mir Roohipour, M.D. |
R&R Surgical Institute
Torrance Hernia Center
Providence Health and Service
Surgery Center of South Bay
Torrance Bariatric Institute
Torrance Memorial
|
3400 Lomita Blvd., Suite 200, Torrance, CA 90505-4909
21143 Hawthorne Blvd., Suite 401, Torrance, CA 90503
|
| R&R Surgical Institute |
Ramin Mir Roohipour, M.D.
Ata Mazaheri, M.D.
|
21250 Hawthorne Blvd., Suite 435, Torrance, CA 90503-5504
|
| Creative Surgery Alliance, Inc. |
Ata Mazaheri, M.D.
|
46-E Peninsula Center, Unit 138, Rolling Hills Estates, CA 90274
|
| Effective Date: January 2020 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| James Hurvitz, M.D. |
26314 W. Bravo Ln., Calabasas, CA 91302-1082
|
|
| Barnett Grier, M.D. |
14718 Hawthorne Blvd., Lawndale, CA 90260-1523
|
|
| Alexander Zamanian, M.D. |
14642 Newport Ave., Suite 310, Tustin, CA 92780-6057
|
|
| Randy Rosen, Md.D. |
120 S. Spalding Dr., Suite 301, Beverly Hills, CA 90212-1800
|
|
| Jose Lopez, P.A. |
1963 Milan Ave., South Pasadena, CA 91030-4651
|
|
| Ramyar Moussavi, D.P.M. |
1442 Irvine Blvd., Suite 125, Tustin, CA 92780
|
|
| Effective Date: December 25, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Agatha Osuji, N.P. |
3530 Atlantic Ave., Ste 101, Long Beach, CA 90807-4569
|
|
| Thomas Dosumu-Johnson, M.D. |
3682 Katella Ave., Ste 2, Los Alamitos, CA 90720-3120
|
|
| Mariana Concepcion Moualem, F.N.P. |
1800 Western Ave., Ste. 305, San Bernardino, CA 92411-1354
|
|
| Effective Date: October 23, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Ghassan Khamiseh, M.D. |
1267 W. 7th Street, Upland, CA 91786
|
|
| Ray Salari, M.D. |
11901 Santa Monica Blvd., Suite 204, West Los Angeles, CA 90025
|
|
| Effective Date: September 20, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Andrew Jarminski, M.D. |
Rejuvenate Aesthetics
Trivium Wellness Center
True Care Medical Group, Inc
Inland Incare Medical Associates, Inc.
ARJ Medical, Inc
Orange Country Vein and Genesis Medical Aesthetics
Downey Orthopedic Medical Group
Montgomery Chiropractic
Southern California Orthopedic Medical Group
|
15901 Hawthorne Blvd., Suite 250, Lawndale, CA 90260
1423 W. 8th St., San Pedro, CA 90732-3803
212 Capistrano Cir., Fullerton, CA 92835-1718
155 W. Hospitality Ln., San Bernardino, CA 92408-3305
2980 N. Beverly Glen Cir. Ste. 301, Los Angeles, CA 90077-1726
8832 Sierra Ave., Fontana, CA 92335-8649
4237 Atlantic Ave., Long Beach, CA 90807-2801
7203 Greenleaf Ave., Whittier, CA 90602-1372
3602 Inland Empire Blvd. Ste. B120, Ontario, CA 91764
1902 Royalty Dr. Ste. 120, Pomona, CA 91767-3030
334 Amberwick Ln., Brea, CA 92821
6927 Brockton Ave. Ste. 1A, Riverside, CA 92506
|
| Effective Date: August 28, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Waterfront Wellness Center Inc. |
John Blalock, D.C.
|
531 N. Avalon Blvd., Wilmington, CA 90744
523 Main St., El Segundo, CA 90245-3006
|
| Duc Tran, L.Ac. |
Waterfront Wellness Center Inc.
|
531 N. Avalon Blvd., Wilmington, CA 90744
|
| Scott Adam, D.C. |
Waterfront Wellness Center Inc.
|
531 N. Avalon Blvd., Wilmington, CA 90744
23341 Golden Springs Dr. Ste. 202, Diamond Bar, CA 91765-2058
|
| Leo Matsumoto, D.C. |
Waterfront Wellness Center Inc.
|
531 N. Avalon Blvd., Wilmington, CA 90744
14120 Beach Blvd. Ste. 214, Westminster, CA 92683-4454
|
| Eugene Sung, D.C. |
Waterfront Wellness Center Inc.
|
531 N. Avalon Blvd., Wilmington, CA 90744
24548 Hawthorne Blvd., Torrance, CA 90505-6807
|
| Reliable Diagnostic Services Inc. |
Lynn Juanita Goodloe, M.D., Patricia Wynn Jones, M.D.
|
30 N. Raymond Ave., #208, Pasadena, CA 91103
P.O. Box 16771, Encino, CA 91316-9998
|
| George Mednik, M.D., Ph.D. |
Reliable Diagnostic Services
|
30 N. Raymond Ave., #208, Pasadena, CA 91103
P.O. Box 16771, Encino, CA 91316-9998
8425 W. 3rd St. Ste. 206, Los Angeles, CA 90048
|
| Energy Wellness Rejuvenation Inc. |
John Glavinovich, M.D., Western Acute Care Physicians Inc.,
Garden Grove Emergency Physician Medical Group
|
456 Panorama Drive, Laguna Beach, CA 92651
4330 Barranca Parkway Ste. 112, Irvine, CA 92604
|
| Robert Hutchman, M.D. |
517 E. Wilson Ave., STE 103B, Glendale, CA 91206
|
|
| Jesse Mitchell, M.D. |
400 Newport Center Dr. STE 210, Newport Beach, CA 92660
|
|
| Valeriano Luz, N.P. |
Zumaya Medical Group
|
9818 Paramount Blvd., STE C, Downey, CA 90240
|
| Randall Caldron, M.D. |
Nova Medical Center
|
7230 Medical Center Dr., STE 302, West Hills, CA 91307
1423 W. 8th St., San Pedro, CA 90732-3803
|
| Richard Henry Graves, III, D.P.M. |
304 Cherry Ave., Long Beach, CA 90802
|
|
| Ali Ahmad, M.D. |
Ali Ahmad Medical Corp.
Ali Ahmad Family Medicine
The Medical Dock
Bella Terra Urgen Care
Beach Skin MD
Beach Body MD
Longshore Medical Group
San Pedro Healing Arts Medical Clinic
|
1428 W. 7th St., STE B, San Pedro, CA 90732
350 W. 5th St., STE 105, San Pedro, CA 90731
16111 Beach Blvd., Huntington Beach, CA 92647
|
| Effective Date: June 29, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| John Nicola, D.C. |
Ohana Wellness Center
Ohana Medical Management Corporation
|
441 E. Carson St., Suite L, Carson, CA 90745
441 E. Carson St., Suite J, Carson, CA 90745
|
| Effective Date: June 13, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Phillip Schoenwetter, M.D. |
787 W. 9th St., San Pedro, CA 90731
|
|
| Effective Date: March 30, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Rockford Nathan Bennett, D.C. |
Rockford Bennett Chiropractic Corporation
|
165 W 6th St., San Pedro, CA 90731-3313
|
| John Anthony Pirritano, D.C. |
Avalon Chiropractic Institute
Pirritano Guzman Chiropractic Corporation
Pirritano Chiropractic Corporation
Pirritano Guzman Chiropractic, Inc.
|
601 N. Avalon Blvd., Suite D, Wilmington, CA 90744
535 W. Ninth St., Corona, CA 92882
|
| Effective Date: March 14, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| OC Wellness and Specialty Pharmacy |
2617 E. Chapman Ave., #111, Orange, CA 92869
|
|
| Effective Date: March 13, 2019 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Stephen David Taus, M.D. |
1366 W. 7th Street, San Pedro, CA 90732
|
|
| Effective Date: November 2, 2018 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| David E. Rivera, D.C. |
Eastview Wellness Center
|
29211 S. Western Ave., Suite C, Rancho Palos Verdes, CA 90275
1300 W. 6th St., Suite 3, San Pedro, CA 90732
639 W. 9th St., San Pedro, CA 90731
|
| Effective Date: October 25, 2018 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Rudy B. Herrerra, D.C. |
5397 Truxtun Ave., Bakersfield, CA 93309
6001A Truxtun Ave., #180, Bakersfield, CA 93309
|
|
| Seong M. Yoo, D.P.M. |
1551 Ocean Ave., Suite 200, Santa Monica, CA 90401
|
|
| Roya E. Dardashti, M.D. |
16250 Ventura Blvd., #345, Encino, CA 91436
|
|
| Edward N. Opoku, D.O. |
3850 Wilshire Blvd., Los Angeles, CA 90010
2222 Foothill Blvd., #E122, La Canada Flintridge, CA 91011
1555 W. 5th St., Oxnard, CA 91011
7012 Reseda Blvd., Suite A, Reseda, CA 91335
|
|
| Kent S. Northcote, M.D. |
2550 S. Parker Rd., Ste. 206, Aurora, CO 80014
135 Iroquois Dr., Boulder, CO 80303
8723 Wadsworth Blvd., Ste. D, Arvada, CO 80003
|
|
| Joseph M. Palumbo, D.O. |
201 State St., Erie, PA 16550
272 Benedict Ave., Norwalk, OH 44857
4039 Pebble Beach Dr., Canfield, OH 44406
265 West Main St., Ste. 103, Kent, OH 44240
|
|
| Effective Date: October 10, 2018 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Daniel A. Capen. M.D. |
15901 Hawthorne Blvd., #250, Lawndale, CA 90260
2151 E. Gonzales Rd., Ste. 201, Oxnard, CA 93036
750 W. Gonzales Rd., Ste. 170, Oxnard, CA 93036
6200 Wilshire Blvd., Ste. 910, Los Angeles, CA 90048
7700 Imperial Highway, Suite R, Downey, CA 90242
4849 Van Nuys Blvd., Suite 217, Van Nuys, CA 91403
|
|
| Timothy J. Hunt, M.D. |
15901 Hawthorne Blvd., Lawndale, CA 90260
3475 Torrance Blvd., Torrance, CA 90503
|
|
| Effective Date: April 20, 2018 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Frederick Scott Dattel, M.D. |
Kansas City Pediatrics
|
1004 Carondelet Drive, Suite 330, Kansas City, MO 64114
|
| Effective Date: March 2, 2018 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Joseph Roderick Altamirano, M.D. |
Altamirano Clinic
|
13372 Newport Ave., Suite A, Tustin, CA 92780
137 North Larchmont Blvd., Suite 201, Los Angeles, CA 90004
5300 Santa Monica Blvd., Suite 202, Los Angeles, CA 90029
|
| Thomas Shelton Powers, M.D. |
2112 E. 4th Street, Suite 100, Santa Ana, CA 92705
18821 Delaware Street, #205, Huntington Beach, CA 92648
|
|
| Kevin Tien Do, M.D. |
Executive Medical and Surgical Associates, Inc.
|
1428 W. 7th Street, San Pedro, CA 90732
P.O. Box 894773, Los Angeles, CA 90189
P.O. Box 5644, Sherman Oaks, CA 91413
|
| Paul Herman Jose Krynen, D.C. |
Paul H.J. Krynen, Chiropractic Corporation
Krynen Chiropractic Inc.
Stevedores Physicians Group
|
123 E F Street, #H, Wilmington, CA 90744
|
| Effective Date: November 3, 2017 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Lesline Rena Anderson, P.A. |
Pacific Rejuvenation Medical Center
Weekend Weight Loss Center
|
3427 W. 81st Street, Inglewood, CA 90305
14718 Hawthorne Blvd., Lawndale, CA 90260
6310 San Vicente Blvd. Ste. 220, Los Angeles, CA 90048
7230 Medical Center Dr. Ste. 302, West Hills, CA 91307
2695 E. Thousand Oaks Blvd., Thousand Oaks, CA 91362
230 N. Maryland Ave., Glendale, CA 91206
21780 S. Avalon Blvd., Carson, CA 90745
|
| Roozbeh Badii, M.D. |
Novel Inpatient Services
|
6193 Adeline Ct., Mc Lean, VA 22101
11120 New Hampshire Ave., Ste. 305, Silver Spring, MD 20904
7420 Marlboro Pike, Forestville, MD 20747
3001 Hospital Dr., Cheverly, MD 20785
7225 Charmant Dr., San Diego, CA 92122
3 Woodland Rd. Ste. 305, Stoneham, MA 02180
2222 Opitz Blvd., Woodbridge, VA 22191
69 Roaring Brook Dr., Southington, CT 06489
|
| Glenn Mark Balfour, M.D. |
2181 S. El Camino Real, Suite 201, San Diego, CA 92054
4712 Admiralty Way, Ste. 201, Oceanside, CA 92054
5520 Los Robles Dr., Carlsbad, CA 92008
|
|
| Effective Date: August 17, 2017 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Mitchell Cohen, M.D. |
11160 Warner Ave., Ste. 305, Fountain Valley, CA 92708
|
|
| Richard Seongjun Kim, M.D. |
28647 S. Western Ave., Rancho Palos Verdes, CA 90275
|
|
| Mohammad (Moe) T.E. Shokraei, M.D. |
6670 Reseda Blvd., Ste. 105, Reseda, CA 91335
|
|
| Mahyar David Yadidi, D.C. |
Synergy Healthcare & Wellness Center
|
505 S. Pacific Ave., Ste. 101, San Pedro, CA 90731
|
| Jeremy Aryee, P.T. |
Synergy Healthcare & Wellness Center
|
505 S. Pacific Ave., Ste. 101, San Pedro, CA 90731
|
| Emad Samuel, P.T. |
Synergy Healthcare & Wellness Center
|
505 S. Pacific Ave., Ste. 101, San Pedro, CA 90731
|
| Ashley Contorno, P.T. |
Synergy Healthcare & Wellness Center
|
505 S. Pacific Ave., Ste. 101, San Pedro, CA 90731
|
| Synergy Healthcare & Wellness Center |
505 S. Pacific Ave., Ste. 101, San Pedro, CA 90731
|
|
| Effective Date: May 17, 2017 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Karim Soliman, M.D. |
3661 Torrance Blvd. Ste. 200, Torrance, CA 90503
|
|
| Francisco J. Correa, M.D. |
1350 West 6th St. Ste. 3, San Pedro, CA 90732
|
|
| Effective Date: April 27, 2017 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Don Pham, D.O. |
29141 Chapel Park Drive, Wesley Chapel, FL 33543
10561 SW 207th Street, Cutler Bay, FL 33189
|
|
| Osman Dandan, P.A. |
15720 Lasselle Street, Apt. #P, Moreno Valley, CA 92551
7521 Edinger Avenue, #1203, Huntington Beach, CA 92647
|
|
| Effective Date: Feb 20, 2017 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Michael Gross, M.D. |
AltaMed Medical Group, Inc.
|
1814 W. Lincoln Ave., Anaheim, CA 92801
2040 Camfield Ave., Los Angeles, CA 90040
2280 Trafalgar Court, Henderson, Nevada 89074
2450 Fire Mesa St., Suite 120, Las Vegas, Nevada 89128
1750 E. Desert Inn Rd., #200, Las Vegas, Nevada 89169
|
| Clarence Warner, M.D. |
Olive Medical Center
Encino Urgent Care
Mid City Associates Medical Group
|
4420 N. 1st St., Suite 121, Fresno, CA 93726
7301 Sepulveda Blvd., Van Nuys, CA 91405
12610 Glenoaks Blvd., Sylmar, CA 91342
740 S. Olive St., Los Angeles, CA 90014
|
| Effective Date: Jan 13, 2017 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Mansoureh Barahemi, D.C. |
Natural Health Chiropractic
Image Chiropractic Clinic
|
1100 W. Town and Country Rd., #50, Orange, CA 92868
29050 S. Western Ave., #152, Rancho Palos Verdes, CA 90275
29050 S. Western Ave., #153, Rancho Palos Verdes, CA 90275
1861 N. Gaffey St., Stes. G & H, San Pedro, CA 90731
PO Box 2208, Orange, CA 92859
|
| Darren N. Hines, D.C. |
Training Room Unlimited
Quest Chiropractic
|
1157 Long Beach Blvd., Long Beach, CA 90813
522 W. 9th St., San Pedro, CA 90731
3756 Santa Rosalia Dr., Ste. 505, Los Angeles, CA 90008
17118 Bellflower Blvd., Bellflower, CA 90706
15517 Devonshire St., Mission Hills, CA 91345
16203 S. Clark Ave., Ste. D, Bellflower, CA 90706
|
| Michael Charles Edwards, M.D. |
Michael C. Edwards, M.D., Ph.D., Inc.
|
13701 Beach Blvd., Ste. A2, Westminster, CA 92683
16818 Hawthorne Blvd., Lawndale, CA 90260
1440 E. 1st St., Ste. 100, Santa Ana, CA 92701
|
| Patricia A. Washington, M.D. |
11 Corn Flower St., Coto De Caza, CA 92379
1310 W. Stewart Dr., Ste. 210, Orange, CA 92868
|
|
| Youssef Lalezarian, M.D. |
165 S. Layton Dr., Los Angeles, CA 90049
1740 S. Los Angeles St., Ste. 104, Los Angeles, CA 90015
5995 Topanga Canyon Blvd., Woodland Hills, CA 91367
|
|
| Boniface O. Onubah, M.D. |
Boniface O. Onubah, M.D., Inc.
Boniface O. Onubah, M.D. Incorporated
|
1812 W. Burbank Blvd., Ste. 8, Burbank, CA 91506
13428 Maxella Ave., #909, Marina del Rey, CA 90292
14560 Magnolia St., Ste. 101, Westminster, CA 92683
2501 W. Burbank Blvd., #308, Burbank, CA 91505
20926 Ventura Blvd., #47526, Woodland Hills, CA 91316
|
| Saeed (Sid) Kamrava, M.D. |
Enhanced Aesthetics & Gynecology
Rejuvenation Surgicenter
Tarzana Garden OB/GYN
|
17525 Ventura Blvd, Ste. 101, Encino, CA 91316
|
| Artis Woodward, M.D., Inc. |
Artis Woodward, M.D., A Professional Medical Corporation
Artis Woodward, M.D., A Professional Corporation
Modern Medicine, Inc.
Sunrise Surgery Center
Clover Surgical Center, Inc.
Westview Medical Clinic, Inc.
|
4477 W. 118th St., Ste. 300, Hawthorne, CA 90250
2120 W. 8th St., #330, Los Angeles, CA 90057
18607 Ventura Blvd., Ste. 110, Tarzana, CA 91356
16051 B. Brokehurst St., Mountain Valley, CA 92708
6340 Green Valley Cir., Ste. 3-110, Culver City, CA 90230
8700 Warner Ave., Ste. 200, Fountain Valley, CA 92708
13057 Kiwi Ln., Garden Grove, CA 92844
8342 Garden Grove Blvd., #10, Garden Grove, CA 92844
12134 Victory Blvd., Stes. E & F, North Hollywood, CA 91606
1800 Truman St., Irvine, CA 92620
6709 La Tiejera Blvd, Ste. 118, Los Angeles, CA 90045
5235 Melrose Ave., Los Angeles, CA 90038
1201 N. Pacific Ave., Glendale, CA 91202
|
| Susan Seideman, M.D. |
Susan E. Seideman, M.D., P.C.
|
23601 Avalon Blvd., Ste. 105, Carson, CA 90745
2014 Vanderbilt Ln., Redondo Beach, CA 90278
|
| Marc Richard Rose, M.D. |
Marc R. Rose, M.D., Inc.
|
3420 Bristol St., Ste. 700, Costa Mesa, CA 92626
3151 Airway Ave., Ste. M-3, Costa Mesa, CA 92626
|
| Effective Date: Dec 7, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Kevin J. Malone, D.C. |
17510 S. Broadway, Unit D, Gardena, CA 90248
123 E. F Street, #H, Wilmington, CA 90744
|
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Rustin C. Wilson, D.C. |
Rustin Wilson Chiropractic Corporation
Results Sports and Fitness Academy
Fitness Strong Gym
|
525 W. 7th St., San Pedro, CA 90731
2537-B Pacific Coast Highway, Torrance, CA 90505
3215 Overland Ave., #8167, Los Angeles, CA 90034
1724 Palos Verdes Dr. N., Ste. C/D, Harbor City, CA 90717
3540 Wilshire Blvd., Los Angeles, CA 90010
2601 Airport Dr., Torrance, CA 90505
74967 US Highway 111, Indian Wells, CA 92210
2244 Pacific Coast Highway, Ste. 106, Lomita, CA 90717
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| IV Solutions, Inc. |
3384 Motor Ave., Los Angeles, CA 90034
8927 Exposition Blvd., Los Angeles, CA 90034
1011 Venice Blvd., Ste. 102, Culver City, CA
|
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Donald Woo Lee, M.D. |
Prime Partners Medical Group, Inc.
Prime Partners Urgent Care
|
27555 Ynez Rd., Ste. 105, Temecula, CA 92592
31720 Temecula Pkwy, Ste. 200, Temecula, CA 92592
42217 Rio Nedo, Ste. A203, Temecula, CA 92590
31720 Highway 79 S., Temecula, CA 92592
32365 S. Pasadena Ave., Ste. 1156A, Wildomar, CA 92595
1105 S. State St., Hemet, CA 92543
10250 Country Club Dr., Ste. H, Mira Loma, CA 91752
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Roberto Hernandez Mariano, M.D. |
R&R Med. Spa, Inc.
|
12030 Riverside Dr., Ste. A, North Hollywood, CA 91607
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Paul Surinder Singh, D.O. |
2Singh Global Initiatives
Paul S. Singh OB/GYN Urogynecology, Inc.
Paul S. Singh and Georgina Singh, Living Revocable
Bakersfield Memorial Hospital
Kern Medical Center
|
276-C S. Mill St., Tehachapi, CA 93561
PO Box 2240, Tehachapi, CA 93581
424 N. San Mateo Dr., San Mateo, CA 94401
275 Sharon Rd., Menlo Park, CA 94025
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Kerry Louis Clisby, Jr. D.C. |
Clisby Chiropractic, Inc.
Beachside Wellness Group
Allure Hollywood Studios
|
100 W. Broadway, Ste. 1400, Long Beach, CA 90802
1140 N. Western Ave., Los Angeles, CA 90029
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Mei Tsai, L.Ac. |
Ohana Wellness Center
Wellcare Acupuncture, Inc.
|
441 E. Carson St., Ste. L, Carson, CA 90745
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Hymie Fishenfeld, P.T. |
Pacific Coast Care Rehab, Inc.
Pollack Chiropractic
Lakewood Total Body and Wellness
Fitness Solutions Wellness Center, Inc.
Pacific Coast Kinesiology
Back In Motion Therapy, Inc.
|
PO Box 12426, Newport Beach, CA 92658
2892 N. Bellflower, Ste. 441, Long Beach, CA 90815
4134 Woodruff Ave., Lakewood, CA 90713
4154 Woodruff Ave., Lakewood, CA 90713
4158 Woodruff Ave., Lakewood, CA 90713
16512 Burke Ln., Huntington Beach, CA 92647
4121 Westerly Pl., Ste. 116, Newport Beach, CA 92660
16561 Bolsa Chica St., Ste. 106, Huntington Beach, CA 92649
27401 Los Altos, Ste. 485, Mission Viejo, CA 92691
PO Box 6411, San Pedro, CA 90734
2607 Pacific Ave., Manhattan Beach, CA 90266
28902 S. Western Ave., Rancho Palos Verdes, CA 90275
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Gulick and Rubens Chiropractic, Inc.: |
GURU Chiropractic
Port Medical Wellness, Inc.
William Geoffrey. Gulick, D.C.
Laurent Ruben Benhamou, D.C., a.k.a. Laurent Rubens
Keiko Komiyama, L.Ac.
|
445 W. 7th St., Ste. A, San Pedro, CA 90731
4360 Sepulveda Blvd., Culver City, CA 90230
601 W. 8th St., San Pedro, CA 90731
441 E. Carson St., Ste. L, Carson, CA 90745
PO Box 128, Pacific Palisades, CA 90272
1118 N. Avalon Blvd, Ste. 2, Wilmington, CA 90744
512 N. Avalon Blvd., Wilmington, CA 90744
601 W. 8th St., San Pedro, CA 90731
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| David Thompson Main, D.C. |
Christopher Ray Adams, D.C.
Sami Zia Atayan, L.Ac.
Align Health Center
Adams & Main Chiropractic, Inc.
Vrankovich Chiro, Inc.
Healthfit Chiro
The Pain Clinic
Excellent Anesthesia, PC
|
1118 N. Avalon Blvd., Ste. 2, Wilmington, CA 90744
512 N. Avalon Blvd, Wilmington, CA 90744
PO Box 11105, Oakland, CA 94611
311 Oak St., Ste. 115, Oakland, CA 94607
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Christopher Ray Adams, D.C.: |
David Thompson Main, D.C.
Sami Zia Atayan, L.Ac.
Align Health Center
Adams & Main Chiropractic, Inc.
|
1118 N. Avalon Blvd., Ste. 2, Wilmington, CA 90744
512 N. Avalon Blvd, Wilmington, CA 90744
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Brijesh Patel, D.C. |
Bee Well Holistic Center
|
5841 Bellflower, Lakewood, CA 90713
612 N. Avalon Blvd., Wilmington, CA 90744
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Sami Zia Atayan, L.Ac. |
David Thompson Main, D.C.
Christopher Ray Adams, D.C.
Gregory Cartmell, D.C.
Cartmell Chiropractic, Inc.
Red Sun Therapeutics, Inc.
|
1118 N. Avalon Blvd., Ste. 2, Wilmington, CA 90744
27151 Pembina Rd., Rancho Palos Verdes, CA 90275
928 N. Western Ave., San Pedro, CA 90732
2244 Pacific Coast Hwy., Ste. 107, Lomita, CA 90717
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Ajay Kalra, D.C. |
Kalra Chiropractic, Inc.
Optimum Health Chiropractic Center
Optimum Enterprises, Inc.
Chiropractic Therapy
|
1118522 W. 9th St., San Pedro, CA 90731
1600 S. Gaffey St., San Pedro, CA 90731
639 W. 9th St., San Pedro, CA 90731
1613 W. Carson St., Ste. 103, Torrance, CA 90501
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Vernell Deshan Lucas, D.C. |
Healing Touch Chiropractic & Wellness Center of Long Beach, LLC
Lucas Chiropractic & Wellness Center
Ernest Dae Kim, D.C., L.Ac.
|
2530 Atlantic Ave., Ste. A, Long Beach, CA 90806
14051 Paramount Blvd, Ste. C, Paramount, CA 90723
1335 N. Loma Ave., Long Beach, CA 90804
|
| Effective Date: June 23, 2016 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Alan Naim, D.C., Q.M.E. |
Naim Chiropractic & Sports Medicine Group, Inc.
Premiere Sports Medicine Medical Group
Premiere Physical Therapy & Rehabilitation
Premiere Clinic Chiropractic
Premiere Chiropractic & Sports Medicine
Elite Chiropractic & Sports Medicine
Naim Medical Management, Inc.
Alan Naim Chiropractic Corporation
|
2255 E. Maple Ave., El Segundo, CA 90245
28382 S. Western Ave., Rancho Palos Verdes, CA 90275
512 N. Avalon Blvd., Wilmington, CA 90744
403 N. Pacific Coast Hwy., Ste., 201, Redondo Beach, CA 90277
|
| Effective Date: June 12, 2015 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Sebastian Altamirano, D.C. |
Altamirano Chiropractic
|
601 N. Avalon Blvd., Wilmington, CA 90744
|
| Effective Date: June 12, 2015 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| David Ehl, D.C. |
Dr. Ehl Chiropractic Corporation
Mobility Acupuncture
Seaside Healing Arts
WellCare Acupuncture
One Life Acupuncture
Ohana Wellness Center
Southland Spine and Rehabilitation Medical Center
|
441 E. Carson St., Ste. L, Carson, CA 90745
1520 Nutmeg Place, Ste. 110, Costa Mesa, CA 92626
4354 Latham Street, Ste. 100, Riverside, CA 92501
|
| Effective Date: June 12, 2015 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Terry W. Scott, M. D. |
Diamond Bar Ear, Nose, & Throat Specialty Medical Group, Inc.
Scott E.N.T. Specialty Group
|
1111 Grand Avenue, Suite E, Diamond Bar, CA 91765
|
| Effective Date: June 12, 2015 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Fouad I. Ghaly, M.D. |
The Ghaly Center for Regenerative Medicine
|
20911 Earl St., Ste. 330, Torrance, CA 90503
|
| Effective Date: June 12, 2015 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Joseph Roger Dunlap, D.C. |
Hudson Medical Group
Neurolink Medical Corporation
American Institute of Musculoskeletal Diagnostic Ultrasound
|
530 S. Lake Ave., Ste. 451, Pasadena, CA 91101
717 S. Averill Avenue, San Pedro, CA 90732
|
| Effective Date: June 12, 2015 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Danny S. Pham, P.T., Ph.D. |
Rehabilitation Excellence Services, Inc.
Rehab Excellence, Inc
Ohana Wellness Center
Excel Rehab Services, Inc.
|
441 E. Carson St., Ste. L, Carson, CA 90745
15606 Brookhurst St., Ste. A, Westminster, CA 92683
|
| Effective Date: June 12, 2015 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Armand Newman, M.D. |
Beverly Hills Ambulatory Surgery Center
|
9301 Wilshire Blvd., Ste. 301, Beverly Hills, CA 90210
|
| Effective Date: June 12, 2015 - September 30, 2015 (Reinstated effective October 1, 2015 - May 17th, 2017) | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Francisco J. Correa, M.D. |
1350 West 6th St., Ste. 3, San Pedro, CA 90732
|
|
| Effective Date: June 12, 2015 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Gary J. Schummer, Ph.D. |
ADD Treatment Center/Neurofeedback Center of Los Angeles
|
24050 Madison St., Ste. 111, Torrance, CA 90505
|
| Effective Date: October 26, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. John Dimowo |
Excellent Anesthesia PC
Pain Clinic
California Advanced Pain Institute
|
218 E. Anaheim St., Wilmington, CA 90744
5857 Pine Ave., Suite A, Chino Hills, CA 91709
1260 Pierre Rd., Walnut, CA 91789
5 Holland Suite 101, Irvine, CA 92618
P.O. Box 1809, Orange, CA 92856
1111 W. La Palma Ave., Anaheim, CA 92801
1120 W. La Palma Ave., Suite 2, Anaheim, CA 92801
|
| Effective Date: October 26, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. Edwin Samuel Kulubya |
Excellent Anesthesia PC
Pain Clinic
California Advanced Pain Institute
|
218 E. Anaheim St., Wilmington, CA 90744
5857 Pine Ave., Suite A, Chino Hills, CA 91709
1260 Pierre Rd., Walnut, CA 91789
5 Holland Suite 101, Irvine, CA 92618
P.O. Box 1809, Orange, CA 92856
1111 W. La Palma Ave., Anaheim, CA 92801
1120 W. La Palma Ave., Suite 2, Anaheim, CA 92801
|
| Effective Date: May 3, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Bharat Jayantilal Patel, M.D. |
Patel Urology, A Professional Medical Corporation
L.A. Urology Inc., A Professional Medical Corporation
|
8306 Wilshire Blvd., Suite 6700, Beverly Hills, CA 90211
12400 Ventura Blvd., Suite 1199, Studio City, CA 91604
2010 Wilshire Blvd., Suite 801, Los Angeles, CA 90057
|
| Effective Date: May 3, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Michel Yadegari, M.D. |
Alias: Michael Yadegari
|
6265 Sepulveda Blvd., Van Nuys, CA 91411
5260 Wilbur Avenue, Suite 305, Tarzana, CA 91356
2701 West Alameda Avenue, Suite 602, Burbank, CA 91505
|
| Effective Date: May 3, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Andrew S . Morris, D.C. |
2557A Pacific Coast Hwy., Torrance, CA 90505
|
|
| Effective Date: May 3, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Nicholas A . Loloee, D.C. |
2557A Pacific Coast Hwy., Torrance, CA 90505
525 W. 7th St., San Pedro, CA 90731
|
|
| Effective Date: May 3, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Sonny Justin Rubin, M.D. |
11500 Brookshire Ave, Downey, CA 90241
3420 Bristol Street, Suite A, Costa Mesa, CA 92626
200 Pacific Coast Hwy., Unit 449, Huntington Beach, CA 92648
2557 Pacific Coast Hwy., Suite A, Torrance, CA 90505
26895 Aliso Creek Rd., Suite B, Aliso Viejo, CA 92656
|
|
| Effective Date: January 19, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. Mehdi Tahsini |
Alias: Tansini Sheik
Alias: Mehdi Tamsini
Alias: Matt Tahsini
BelleSleep Inc
Medical Plaza of San Pedro
Torrance Family & Urgent Care
Be Relax Beau
AI & T Inc.
San Pedro Family & Urgent Care
|
2573-B Pacific Coast Hwy., Torrance, CA 90505
2337-B Pacific Coast Hwy., Torrance, CA 90505
2357-B Pacific Coast Hwy., Torrance, CA 90505
529 W 7th St., San Pedro, CA 90731
1611 S. Catalina Ave. #L44, Redondo Beach, CA 90277
|
| Effective Date: January 19, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. Sutha Sachar |
Coastal View Gastroenterology
Medical Plaza of San Pedro
|
529 W. 7th St., San Pedro, CA 90731
2573B Pacific Coast Hwy., Torrance, CA 90505
|
| Effective Date: January 19, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. David S. Shawa |
The S.H.A.R.P. Treatment South Bay
|
2557 Pacific Coast Hwy, Suite A, Torrance, CA 90505
|
| Effective Date: January 19, 2014 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. Adam M. Weitzman |
The S.H.A.R.P. Treatment South Bay
Medical Plaza of San Pedro
San Pedro Family & Urgent Care
South Bay Pain Docs
Goodlife Physical Medicine Redondo Beach
Goodlife Chiropractic
Goodlife Physical Medicine El Segundo
Goodlife Physical Medicine Torrance
Goodlife Surgery Center
|
2557 Pacific Coast Hwy, Suite A, Torrance, CA 90505
529 W. 7th St., San Pedro, CA 90731
1300 S. Pacific Coast Hwy., #201, Redondo Beach, CA 90277
2218 Maple Ave., El Segundo, CA 90245
1231 Cabrillo Ave., #205, Torrance, CA 90501
|
| Effective Date: September 10, 2013 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Lynda Edwards-Moore, Marriage and Family Therapist |
Torrance, CA
|
|
| Effective Date: July 26, 2012 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Nora M. Oakley, Doctor of Chiropractic |
Seal Beach, CA
|
|
| Effective Date: May 1, 2012 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. Julian Omidi |
9001 Wilshire Blvd. Ste 106, Beverly Hills, CA 90211
P.O. Box 74947, Los Angeles, CA 90040
465 N. Roxbury Dr. Ste 1012, Beverly Hills, CA 90210
16850 Bear Valley Road, Victorville, CA 92395 90211
|
|
| Effective Date: May 1, 2012 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. Michael Omidi |
9001 Wilshire Blvd. Ste 106, Beverly Hills, CA 90211
|
|
| Effective Date: May 1, 2012 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Beverly Hills Surgery Center |
9001 Wilshire Blvd. Ste 106, Beverly Hills, CA 90211
|
|
| Effective Date: May 1, 2012 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Valley Surgical Center |
7320 Woodlake Ave., Ste 320, West Hills, CA 91307
8721 Santa Monica Blvd., Ste. 203, West Hollywood, CA 90063
|
|
| Effective Date: July 1, 2010 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. Nicol Lippman, M.D. |
San Pedro, CA
|
|
| Effective Date: August 15, 2007 | ||
|---|---|---|
| Provider | Associated Organization | Addresses |
| Dr. Lawrence Saks, M.D. |
Torrance, CA
|
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