-
HO 148_20_141 _PNO_LA_MAY_KO_Accepted Date 03/ 14/2020
2020 서비스 제공자 및 약국 명부 부록
Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid
Plan)
카운티 : : Los Angeles
중요한 플랜 정보와 추가 Blue Shield Promise Cal MediConnect 플랜 서비스 제공자 및
약국들에 대한 목록이 필요하신 경우, 2020년 서비스 제공자 및 약국 명부를 참조해 주십 시오. 본 부록은 5월 서비스
제공자 정보의 업데이트 목록입니다. 인쇄본 서비 스 제공자 명부 및 부록은 모두 최신 서비스 제공자 정보입니다. 또한
www.blueshieldca.com /promise/calmediconnect을 방문하시거나 아래의 전화번호로 Blue
Shield Promise Cal MediConnect 가입자 서비스부에 연락하셔서 서비스 제공자 및 약국 정보를 얻으실
수 있습니다.
Blue Shield Promise Cal MediConnect 가입 자 서비스부:
1-855-905-3825(TTY: 711 ) 주 7일 8:00 a.m. - 8:00 p.m.
본 부록은 5월2020 기준으로 최신본입니다.
blue '® california
Promise Health Plan
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네트워크 제공 업체
목록.....................................................................................................
1
ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
주치의..................................................................................................................................1
전문가..................................................................................................................................5
ALTAMED - MONTEREY PARK
주치의..................................................................................................................................14
전문가..................................................................................................................................15
ALTAMED HEALTH SERVICES CORPORATION
주치의..................................................................................................................................24
전문가..................................................................................................................................29
ANGELES IPA
주치의..................................................................................................................................50
전문가..................................................................................................................................52
APPLECARE MEDICAL GROUP- DOWNEY
주치의..................................................................................................................................55
전문가..................................................................................................................................58
APPLECARE MEDICAL GROUP- SELECT
주치의..................................................................................................................................60
전문가..................................................................................................................................63
APPLECARE MEDICAL GROUP- WHITTIER
주치의..................................................................................................................................65
전문가..................................................................................................................................66
APPLECARE MEDICAL GROUP-ST FRANCIS
주치의..................................................................................................................................68
COMMUNITY FAMILY CARE - VALLEY PRES
주치의..................................................................................................................................71
전문가..................................................................................................................................72
COMMUNITY FAMILY CARE-AV
주치의..................................................................................................................................76
FAMILY CARE SPECIALIST IPA
주치의..................................................................................................................................77
전문가..................................................................................................................................77
HEALTH CARE LA IPA
주치의..................................................................................................................................95
I
궁금한 사항이 있으시면 Blue Shield Promise Cal MediConnect Plan에
1-855-905-3825 (TTY:
711)번으로 주 7일 오전 8시-오후 8시 중에 연락해 주십시오. 통화는 무료입니다. 자세한 정보를
원하시면 www.blueshieldca.com/promise/calmediconnect 를 방문해 주십시오.
목차
-
전문가..................................................................................................................................107
HEALTHCARE PARTNERS
주치의..................................................................................................................................185
전문가..................................................................................................................................186
HEALTHCARE PARTNERS IPA - ARCADIA
전문가..................................................................................................................................216
HEALTHCARE PARTNERS IPA - EAST WEST
주치의..................................................................................................................................218
HEALTHCARE PARTNERS IPA - ELA
주치의..................................................................................................................................219
HEALTHCARE PARTNERS IPA - GLENDALE
주치의..................................................................................................................................220
전문가..................................................................................................................................222
HEALTHCARE PARTNERS IPA - LAC
주치의..................................................................................................................................225
HEALTHCARE PARTNERS IPA - LCM
주치의..................................................................................................................................226
전문가..................................................................................................................................230
HEALTHCARE PARTNERS IPA - LONG BEACH
주치의..................................................................................................................................233
전문가..................................................................................................................................234
HEALTHCARE PARTNERS IPA - NORTHRIDGE MEDICAL GROUP
주치의..................................................................................................................................238
전문가..................................................................................................................................239
HEALTHCARE PARTNERS IPA - PASADENA
주치의..................................................................................................................................241
HEALTHCARE PARTNERS IPA - SFV
주치의..................................................................................................................................243
전문가..................................................................................................................................245
HEALTHCARE PARTNERS IPA - SGV
주치의..................................................................................................................................247
HEALTHCARE PARTNERS IPA - SO BAY
주치의..................................................................................................................................248
전문가..................................................................................................................................250
HEALTHCARE PARTNERS IPA-HILLCREST
전문가..................................................................................................................................253
II
궁금한 사항이 있으시면 Blue Shield Promise Cal MediConnect Plan에
1-855-905-3825 (TTY:
711)번으로 주 7일 오전 8시-오후 8시 중에 연락해 주십시오. 통화는 무료입니다. 자세한 정보를
원하시면 www.blueshieldca.com/promise/calmediconnect 를 방문해 주십시오.
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HEALTHCARE PARTNERS IPA-TALBERT OC
주치의..................................................................................................................................254
HEALTHCARE PARTNERS IPA-TORRANCE
전문가..................................................................................................................................256
HEALTHCARE PARTNERS IPA-WESTSIDE
주치의..................................................................................................................................257
HEALTHCARE PARTNERS MEDICAL GROUP - ARCADIA
주치의..................................................................................................................................258
전문가..................................................................................................................................258
HEALTHCARE PARTNERS MEDICAL GROUP - ATLANTIC
전문가..................................................................................................................................260
HEALTHCARE PARTNERS MEDICAL GROUP - BURBANK
주치의..................................................................................................................................262
전문가..................................................................................................................................262
HEALTHCARE PARTNERS MEDICAL GROUP - CARSON
전문가..................................................................................................................................265
HEALTHCARE PARTNERS MEDICAL GROUP - DEL AMO
전문가..................................................................................................................................266
HEALTHCARE PARTNERS MEDICAL GROUP - EL MONTE
전문가..................................................................................................................................267
HEALTHCARE PARTNERS MEDICAL GROUP - GLEN OAKS
주치의..................................................................................................................................269
HEALTHCARE PARTNERS MEDICAL GROUP - GLENDALE
전문가..................................................................................................................................270
HEALTHCARE PARTNERS MEDICAL GROUP - GLENDORA
전문가..................................................................................................................................272
HEALTHCARE PARTNERS MEDICAL GROUP - LOS ANGELES
주치의..................................................................................................................................273
HEALTHCARE PARTNERS MEDICAL GROUP - MAGAN
전문가..................................................................................................................................274
HEALTHCARE PARTNERS MEDICAL GROUP - MANHATTAN BEACH
전문가..................................................................................................................................275
HEALTHCARE PARTNERS MEDICAL GROUP - MISSION HILLS
전문가..................................................................................................................................276
HEALTHCARE PARTNERS MEDICAL GROUP - MONTEBELLO
주치의..................................................................................................................................277
전문가..................................................................................................................................278
III
궁금한 사항이 있으시면 Blue Shield Promise Cal MediConnect Plan에
1-855-905-3825 (TTY:
711)번으로 주 7일 오전 8시-오후 8시 중에 연락해 주십시오. 통화는 무료입니다. 자세한 정보를
원하시면 www.blueshieldca.com/promise/calmediconnect 를 방문해 주십시오.
-
HEALTHCARE PARTNERS MEDICAL GROUP - MONTEREY PARK
전문가..................................................................................................................................280
HEALTHCARE PARTNERS MEDICAL GROUP - PASADENA MAIN
전문가..................................................................................................................................282
HEALTHCARE PARTNERS MEDICAL GROUP - REDONDO BEACH
주치의..................................................................................................................................283
HEALTHCARE PARTNERS MEDICAL GROUP - SEPULVEDA
전문가..................................................................................................................................284
HEALTHCARE PARTNERS MEDICAL GROUP - VALENCIA
전문가..................................................................................................................................285
HEALTHCARE PARTNERS MEDICAL GROUP - VAN NUYS
전문가..................................................................................................................................286
HEALTHCARE PARTNERS MEDICAL GROUP - WEST HILLS
전문가..................................................................................................................................287
HEALTHCARE PARTNERS MEDICAL GROUP- BIXBY KNOLLS LONG BEACH
전문가..................................................................................................................................288
HEALTHCARE PARTNERS MEDICAL GROUP- LOS ANGELES
전문가..................................................................................................................................290
HEALTHCARE PARTNERS MEDICAL GROUP-MAGNOLIA
전문가..................................................................................................................................291
HEALTHCARE PARTNERS MEDICAL GROUP-ROSCOE
전문가..................................................................................................................................293
HEALTHCARE PARTNERS MEDICAL GROUP-SAN ANTONIO
전문가..................................................................................................................................294
KOREAN AMERICAN MEDICAL GROUP
전문가..................................................................................................................................295
LOS ANGELES MEDICAL CENTER IPA
주치의..................................................................................................................................298
전문가..................................................................................................................................299
PHYSICIANS ASSOC SAN GABRIEL VALLEY
주치의..................................................................................................................................301
전문가..................................................................................................................................302
PREFERRED IPA OF CALIFORNIA
주치의..................................................................................................................................304
전문가..................................................................................................................................308
PRIMARY CARE ASSOCIATES OF CALIFORNIA
주치의..................................................................................................................................311
IV
궁금한 사항이 있으시면 Blue Shield Promise Cal MediConnect Plan에
1-855-905-3825 (TTY:
711)번으로 주 7일 오전 8시-오후 8시 중에 연락해 주십시오. 통화는 무료입니다. 자세한 정보를
원하시면 www.blueshieldca.com/promise/calmediconnect 를 방문해 주십시오.
-
전문가..................................................................................................................................313
PROSPECT HEALTHSOURCE MEDICAL GROUP
주치의..................................................................................................................................321
전문가..................................................................................................................................322
PROSPECT MEDICAL GROUP-LOS ANGELES
주치의..................................................................................................................................332
전문가..................................................................................................................................334
PROSPECT MEDICAL GROUP-VAN NUYS
주치의..................................................................................................................................354
전문가..................................................................................................................................354
PROSPECT NWOC MEDICAL GROUP-LA
주치의..................................................................................................................................363
전문가..................................................................................................................................363
PROSPECT PROFESSIONAL CARE MED GRP LA
주치의..................................................................................................................................368
전문가..................................................................................................................................371
PROSPECT-DAEHAN
전문가..................................................................................................................................397
PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
주치의..................................................................................................................................398
전문가..................................................................................................................................399
PROSPECT-SAN MIGUEL IPA
전문가..................................................................................................................................410
SEOUL MEDICAL GROUP
주치의..................................................................................................................................416
전문가..................................................................................................................................417
TORRANCE MEMORIAL IPA
주치의..................................................................................................................................432
전문가..................................................................................................................................434
침 요법
................................................................................................................................436
정신 건강
제공자.................................................................................................................483
비전 제공 업체
....................................................................................................................512
정신 건강 시설
....................................................................................................................570
소매 및 체인
약국................................................................................................................571
가정 주입 약국
....................................................................................................................580
V
궁금한 사항이 있으시면 Blue Shield Promise Cal MediConnect Plan에
1-855-905-3825 (TTY:
711)번으로 주 7일 오전 8시-오후 8시 중에 연락해 주십시오. 통화는 무료입니다. 자세한 정보를
원하시면 www.blueshieldca.com/promise/calmediconnect 를 방문해 주십시오.
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장기 치료 약국
....................................................................................................................581
공급자 지수
.........................................................................................................................582
약국 지수
.............................................................................................................................590
VI
궁금한 사항이 있으시면 Blue Shield Promise Cal MediConnect Plan에
1-855-905-3825 (TTY:
711)번으로 주 7일 오전 8시-오후 8시 중에 연락해 주십시오. 통화는 무료입니다. 자세한 정보를
원하시면 www.blueshieldca.com/promise/calmediconnect 를 방문해 주십시오.
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
PRIMARY CARE PHYSICIANS
Family Practice
ALHAMBRA
91801
Aguilar, Felix MD
320 S Garfield Ave Ste 118
Alhambra, CA 91801
(626) 773-3388
Provider ID: 120629
License: A64940
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BALDWIN PARK
91706
Lee, Terry MD
14051 Ramona Pkwy
Baldwin Park, CA 91706
(626) 960-3753
Provider ID: 255891
License: G62452
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
91723
Gin, Jeffrey MD
218 W Badillo St
Covina, CA 91723
(310) 991-7718
Provider ID: 80685
License: A101609
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL MONTE
91731
Rose, Daniel MD
11026 Main St
El Monte, CA 91731
(626) 443-4300
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 1 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
Provider ID: 256072
License: A44506
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 03-APR-20
LOS ANGELES
90001
Akhavan, Parviz DO
723 E Manchester Ave
Los Angeles, CA 90001
(323) 750-2325
Provider ID: 208229
License: 20A7522
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90037
Akhavan, Parviz DO
5113 S Vermont Ave
Los Angeles, CA 90037
(323) 305-2220
Provider ID: 208230
License: 20A7522
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
91754
Tai, Liang Yu DO
210 N Garfield Ave Ste 203
Monterey Park, CA 91754
(626) 307-7397
Provider ID: 217200
License: 20A7444
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 2 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
in the provider record;
demographic, phone and/or
panel status.
NORWALK
90650
Bejinez-eastman, Ana MD
13820 San Antonio Dr
Norwalk, CA 90650
(562) 944-2181
Provider ID: 209015
License: G67654
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
91792
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792
(626) 965-1988
Provider ID: 109805
License: A82411
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
BALDWIN PARK
91706
Carrillo, Herman MD
14342 Ramona Blvd
Baldwin Park, CA 91706
(626) 338-4088
Provider ID: 210188
License: A45086
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
91754
Chen, David MD
210 N Garfield Ave Ste 203
Monterey Park, CA 91754
(626) 307-7397
Provider ID: 76753
License: A78258
Credentials and/or board
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 3 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Cantonese,
Chinese, Mandarin
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROSEMEAD
91770
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770
(626) 572-8692
Provider ID: 85818
License: A78287
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Mandarin, Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
COVINA
91722
Ha, Thomas MD
530 W Badillo St Ste E
Covina, CA 91722
(626) 858-5370
Provider ID: 209387
License: A43426
Credentials and/or board
certification: Yes
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90012
Wang, Shuo MD
711 W College St Ste 205
Los Angeles, CA 90012
(213) 261-0889
Provider ID: 216586
License: A76144
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 4 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
91754
Ganata, Victor MD
210 N Garfield Ave Ste 203
Monterey Park, CA 91754
(626) 307-7397
Provider ID: 85833
License: A95477
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROWLAND HEIGHTS
91748
Yung, Tin MD
1722 Desire Ave Ste 202
Rowland Heights, CA 91748
(626) 913-1288
Provider ID: 85824
License: G61730
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Chinese, Japanese,
Mandarin, Serbo-Croatian
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Dermatology
SHERMAN OAKS
91403
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403
(818) 906-6900
Provider ID: 23833
License: A77571
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 5 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
WHITTIER
90605
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605
(562) 945-2833
Provider ID: 22457
License: A36074
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Hebrew,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
LOS ANGELES
90057
Suchov, Mordo MD
201 S Alvarado St Ste 711
Los Angeles, CA 90057
(213) 483-4500
Provider ID: 4532
License: A39778
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
ALHAMBRA
91801
Yang, Honghao MD
1411 S Garfield Ave Ste 306 &
308
Alhambra, CA 91801
(626) 802-5272
Provider ID: 90898
License: A63882
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Armenian, Chinese,
Mandarin, Shanghaiese,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 6 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
91204
Afsari, Rouzbeh MD
1500 S Central Ave Ste 300
Glendale, CA 91204
(818) 500-4055
Provider ID: 76743
License: A124032
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204
(818) 500-4055
Provider ID: 1413
License: G52887
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1500 S Central Ave Ste 300
Glendale, CA 91204
(818) 500-4055
Provider ID: 38235
License: A75827
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Farsi, Russian, Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
LOS ANGELES
90031
Morrison-reyes, Joshua MD
2400 N Broadway
Los Angeles, CA 90031
(323) 221-6121
Provider ID: 100805
License: A125435
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 7 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Indonesian,
Mandarin, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Esmaili, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105
(626) 204-1410
Provider ID: 241969
License: A91049
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Farsi, Korean,
Persian, Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
HACIENDA HEIGHTS
91745
Wu, Joanna DPM
3180 Colima Rd Ste A
Hacienda Heights, CA 91745
(626) 961-1882
Provider ID: 247642
License: DPM4448
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91107
Ochoa, Araceli OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107
(626) 793-4166
Provider ID: 247593
License: OPT33514
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 8 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 17-JAN-20
SAN GABRIEL
91776
Ochoa, Araceli OD
207 S Santa Anita St Ste 310
San Gabriel, CA 91776
(626) 793-4166
Provider ID: 247594
License: OPT33514
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 17-JAN-20
Otolaryngology
MONTEREY PARK
91754
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754
(310) 514-2640
Provider ID: 238863
License: A151528
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physical Medicine /
Rehabilitation
LONG BEACH
90806
Chang, Seung MD
2683 Pacific Ave
Long Beach, CA 90806
(833) 476-7377
Provider ID: 256101
License: A133889
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Colon Surgery
ARCADIA
91007
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 9 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
Vukasin, Petar MD
301 W Huntington Dr Ste 618
Arcadia, CA 91007
(626) 898-8004
Provider ID: 82982
License: G74237
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Farsi, Serbian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
Hwee, Jonathan MD
612 W Duarte Rd Ste 804
Arcadia, CA 91007
(626) 600-2094
Provider ID: 256001
License: A160641
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CITY OF INDUSTRY
91748
Sim, Kenneth MD
18605 Gale Ave Ste 180
City Of Industry, CA 91748
(626) 457-6333
Provider ID: 255904
License: A40177
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Young MD
18605 Gale Ave Ste 180
City Of Industry, CA 91748
(626) 457-6333
Provider ID: 252367
License: A66589
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 10 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
Tran, Young MD
18605 Gale Ave Ste 180
City Of Industry, CA 91748
(626) 457-6333
Provider ID: 252367
License: A66589
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Cantonese,
Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wu, Bob MD
18605 Gale Ave Ste 180
City Of Industry, CA 91748
(626) 457-6333
Provider ID: 252405
License: A101512
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin, Spanish,
Taiwanese, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
Surgery Hand Plastic
GLENDALE
91206
Rizvi, Murtaza MD
1500 E Chevy Chase Dr Ste
401
Glendale, CA 91206
(818) 863-4444
Provider ID: 212250
License: A95879
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 11 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
Surgery Orthopedic
COVINA
91723
Gomez, Gregory MD
315 N 3rd Ave Ste 302
Covina, CA 91723
(626) 332-1194
Provider ID: 247552
License: A160904
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LOS ANGELES
90057
Cho, Yung MD
2200 W 3rd St Ste 400
Los Angeles, CA 90057
(213) 484-7303
Provider ID: 16602
License: A46321
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean,
Portuguese, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
91105
Borenstein, Todd MD
39 Congress St Ste 201
Pasadena, CA 91105
(626) 795-0282
Provider ID: 256036
License: A139526
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
91790
Gomez, Gregory MD
1135 S Sunset Ave Ste 200
West Covina, CA 91790
(626) 332-1194
Provider ID: 247553
License: A160904
Credentials and/or board
certification: No
Accepting New Members: Yes
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 12 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA
DBA ALLIED PACIFIC IPA
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
ALHAMBRA
91801
Wu, Dianne MD
1048 S Garfield Ave Ste 300
Alhambra, CA 91801
(626) 458-7564
Provider ID: 9554
License: G79383
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 13 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED - MONTEREY PARK
PRIMARY CARE PHYSICIANS
General Practice
PICO RIVERA
90660
Morris, Felicitacion MD
8207 Whittier Blvd
Pico Rivera, CA 90660
(562) 692-2522
Provider ID: 122450
License: A38732
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
LOS ANGELES
90012
Wang, Shuo MD
711 W College St Ste 205
Los Angeles, CA 90012
(213) 261-0889
Provider ID: 207190
License: A76144
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Chinese,
Mandarin, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90042
Bansal, Maneesh MD
5540 N Figueroa St
Los Angeles, CA 90042
(323) 478-1101
Provider ID: 55112
License: A100339
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Hindi,
Punjabi, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 14 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED - MONTEREY PARK
your primary care physician.
Cardiovascular Disease
90027
Ghazal, Joseph MD
1300 N Vermont Ave Ste 808
Los Angeles, CA 90027
(323) 913-4303
Provider ID: 43574
License: C53712
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Arabic,
Farsi, French, Korean,
Russian, Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
90033
Hyon, Maximiliano DO
1701 E Cesar E Chavez Ave
Ste 510
Los Angeles, CA 90033
(323) 987-1362
Provider ID: 255842
License: 20A13210
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hyon, Maximiliano DO
1828 E Cesar E Chavez Ave
Ste 4600
Los Angeles, CA 90033
(323) 307-8585
Provider ID: 255844
License: 20A13210
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Korean,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
90024
Javdan, Parviz MD
1762 Westwood Blvd Ste 110
Los Angeles, CA 90024
(310) 441-2000
Provider ID: 248023
License: A34960
Credentials and/or board
certification: Yes
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 15 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED - MONTEREY PARK
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Farsi, Persian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
90057
Suchov, Mordo MD
201 S Alvarado St Ste 711
Los Angeles, CA 90057
(213) 483-4500
Provider ID: 4532
License: A39778
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEBELLO
90640
Ibarra, Fernando MD
101 E Beverly Blvd Ste 401
Montebello, CA 90640
(323) 722-2260
Provider ID: 8163
License: A38493
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: Deafness or
Hard-of-Hearing, Co-occuring
Disorders
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LAKEWOOD
90805
Cheung, Eric DO
3300 E South St Ste 304
Lakewood, CA 90805
(562) 262-0550
Provider ID: 45406
License: 20A9006
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: German,
Russian, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners
PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior
Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR:
Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal
Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of
provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported.
Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no
cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request
services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please
call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m.,
seven days a week. The call is free. For
more information, visit
www.blueshieldca.com/promise/calmediconnect. (**)Provides
TeleServices Only
Call Member Services if you need information about a provider’s
other credentials and/or certifications,
completion of cultural competence training, and/or areas of
training and experience. This list is subject to 16 change
www.blueshieldca.com/promise/calmediconnect
-
LOS ANGELES COUNTY ME
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