H0148_20_141_PNO_LA_FEB_FA_Accepted Date 02/15/2020

2020

اههناوخراد و نادگنهدتامدخ تسرهفBlue Shield Promise Cal MediConnect Plan

(Medicare-Medicaid Plan)

Los Angeles:یتناک:

Blue Shield Promise Cal MediConnect امب ا ها اد ه یمیت ی امهب م م عاطبب ما ب اد دماعاط شد به ا ضمیمه ین ید هم 2020ا ها اد دما به ا

باعاطبب اد دماعاط ینت به ا ضمیمه ین م به اد دما ییی

ا ها اد دما www.blueshieldca.com/promise/calmediconnect بایا ید هم هیروفٔ اع دمام به یدت می

Blue Shield Promise Cal MediConnect دیریگب سا ریز نفلت هرش هب.

یاضعا تامدخ Blue Shield Promise Cal MediConnect: 1-855-905-3825 (TTY: 711) ، تاعس زا ،هتفه یاهزور ما رد 8:00 تا صبح8:00شب

یختا تا لماشه طالع ا ضمیمه ین 2020 هیروفٔدشابیم

مندرجات فهرست

1 ...................................................................................................................... شبکه دهندگان ارائه فهرست

HEALTHCARE PARTNERS

1 .................................................................................................................................................. متخصصان

2 ..................................................................................................................................................سوزنی طب

50 .......................................................................................................................روا سالمت خدمات دهندگان ارائه

73 ....................................................................................................................................... بینش دهندگان ارائه

131 ........................................................................................................................... روانی بهداشت امکانات

134 ...................................................................................................................................دهنده ارائه شاخص

137 ....................................................................................................................................صخاش یزاسوراد

ه هرامش Blue Shield Promise Cal MediConnect Plan اب شب 8 حبص ات 8 زور هتفه زا ،افطلت فه ، یلاد سویراد گار(TTY:711) 1-855-905-3825سامتت دریگب. نیا سامت ناگیار یم دشاب. یارب تاعالطا ،رتشیب زا بو یاس

www.blueshieldca.com/promise/calmediconnectدیدزاب دینک.

I

LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS

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.

in the provider record;

demographic, phone and/or

panel status.

Surgery Thoracic

LOS ANGELES

90033

Barr, Mark MD

1520 San Pablo St Ste 4300

Los Angeles, CA 90033

(323) 442-5849

License: G75945

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

(*) 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 1change

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

AGOURA HILLS

91301

Vu, Hoang LAc;DOM

30200 Agoura Rd Ste 140

Agoura Hills, CA 91301

(818) 852-7159

www.doctorgu.com

License: AC16311

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 8AM-6PM, SA

8AM-2PM

PTA: No

Cultural Competency: NR

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.

ALHAMBRA

91801

Chang, Chung Young LAc

1000 S Garfield Ave

Alhambra, CA 91801

(626) 281-3383

www.TzuchiMedicalGroup.co

m

License: AC8360

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 8AM-5PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Chen, Jeng-shiang LAc

1000 S Garfield Ave

Alhambra, CA 91801

(626) 281-3383

www.touchiclinics.org

License: AC10577

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 8AM-5PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Fu, Michael DC

1300 E Main St Ste 110

Alhambra, CA 91801

(626) 588-2101

License: DC25694

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9:30AM-7PM, SA

9AM-1PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

2

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Lai, Yi-hsien LAc

1000 S Garfield Ave

Alhambra, CA 91801

(626) 281-3383

http://www.tzuchiclinics.org/

License: AC8087

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 8AM-5PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Chi-yi LAc

1000 S Garfield Ave

Alhambra, CA 91801

(626) 281-3383

www.tzuchimedicalfoundatio

n.org

License: AC8867

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 8AM-5PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Steven LAc

1000 S Garfield Ave

Alhambra, CA 91801

(626) 281-3383

License: AC14534

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 8AM-5PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Wang, Chiao-nien LAc

1000 S Garfield Ave

Alhambra, CA 91801

(626) 281-3383

www.tzuchimedicalgroup.co

m

License: AC4403

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH-SA 8AM-5PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

3

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Accessibility: P, EB, R, 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.

ALTADENA

91001

Fong, Ryan LAc

2177 Lake Ave

Altadena, CA 91001

(323) 423-3061

www.fongacu.com

License: AC13791

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-5:30PM, SA

9AM-12:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

ARCADIA

91006

Chung Morita, Jonie DC

202 S 1st Ave

Arcadia, CA 91006

(626) 235-8818

www.betterhealthchiropractic

db.com

License: DC28353

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 9AM-6:30PM, SA

10AM-1PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Feng, Charles DC

202 S 1st Ave

Arcadia, CA 91006

(626) 447-4888

www.allprohealthcenter.com

License: DC29776

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-1PM

PTA: No

Other Language: Chinese,

Vietnamese, Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

91007

Wong, Thomas DC

612 W Duarte Rd Ste 306

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

4

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Arcadia, CA 91007 License: AC8362 PTA: No

(626) 623-6362

www.facebook.com/pages/c

ategory/Chiropractor/Dr-Th

License: DC30431

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,F 9AM-7PM, W

9AM-12PM, SA 2PM-8PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

ARTESIA

90701

Lee, Yang-chau LAc

12225 South St Ste 105

Artesia, CA 90701

(562) 924-7238

www.AcucareAcupuncture.c

om

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W-F 9AM-6PM, TU

2AM-6PM, SA 2AM-5PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

BALDWIN PARK

91706

Chen, Yuying LAc

3946 Maine Ave

Baldwin Park, CA 91706

(626) 672-0303

License: AC14906

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

Other Language: Spanish,

Chinese, Mandarin,

Indonesian

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

BURBANK

91506

Ho, Diep LAc

2300 W Victory Blvd Ste E

Burbank, CA 91506

(626) 576-4644

License: AC4732

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: SU 9AM-2PM, TU,TH

9AM-7PM

PTA: No

Other Language: Vietnamese

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

5

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Lee, In Sook LAc

2300 W Victory Blvd Ste E

Burbank, CA 91506

(818) 805-6084

License: AC7030

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: SU 10AM-4PM, M-W,F

9AM-5PM, TH 9AM-8PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

St Juste, Carlo LAc

1220 W Olive Ave

Burbank, CA 91506

(818) 848-2225

www.csjacupuncture.com

License: AC14551

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,F 8AM-11AM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

CANYON COUNTRY

91387

Sanchez, Rodrigo DC

18500 Via Princessa Ste 3

Canyon Country, CA 91387

(661) 940-7171

License: DC26487

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-5:30PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

CITY OF INDUSTRY

91745

Pham, Tung LAc

15221 Gale Ave

City Of Industry, CA 91745

(626) 626-5567

License: AC15439

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 3PM-7PM, W,TH

1PM-7PM, F 10AM-2PM

PTA: No

Other Language: Spanish,

Vietnamese, Mandarin

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

6

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Cultural Competency: NR

Accessibility: P, EB, R, 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.

91748

Fu, Michael DC

1661 Hanover Rd Ste 225

City Of Industry, CA 91748

(626) 810-8143

License: DC25694

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 10AM-7PM, F

2PM-7PM, SA 10AM-1PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Hong, Sung LAc

17595 Almahurst St Ste 100b

City Of Industry, CA 91748

(562) 881-4280

License: 15700

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-SA 10AM-6PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Hong, Sung DC

17595 Almahurst St Ste 100b

City Of Industry, CA 91748

(626) 363-4383

License: DC32324

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 10AM-6PM, SA

10AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

COVINA

91723

Joukar, Mehrdad LAc;DOM

275 W San Bernardino Rd

Covina, CA 91723

(626) 967-3553

www.MehrdadJoukar.com

License: AC15905

Credentials and/or board

certification: No

Accepting New Members: Yes

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

7

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Hours: M-F 8AM-5PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Miller, Soo LAc;DOM

275 W San Bernardino Rd

Covina, CA 91723

(626) 967-3553

License: AC9146

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 2PM-5:30PM, F

9AM-1PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

DIAMOND BAR

91765

Chung Morita, Jonie DC

1130 S Diamond Bar Blvd

Diamond Bar, CA 91765

(909) 860-1661

http://betterhealthchiro.my-fr

ee.website/

License: DC28353

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-6:30PM,

TU,SA 10AM-1PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Siegel, Gregory DC

566 N Diamond Bar Blvd

Diamond Bar, CA 91765

(562) 945-1310

License: DC15681

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU 2PM-6:30PM, TH

1:30PM-6:30PM, SA 11AM-3PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

DOWNEY

90240

Lee, Jason LAc

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

8

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

8358 Florence Ave

Downey, CA 90240

(562) 622-4444

www.moralesholistic.com

License: AC18030

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-7PM, TU,TH

10AM-7PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lee, Jason DC

8358 Florence Ave

Downey, CA 90240

(562) 622-4444

www.moralesholistic.com

License: DC33980

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-7PM, TU,TH

10AM-7PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Morales, Roberto DC

8358 Florence Ave

Downey, CA 90240

(562) 622-4444

www.moralesholistic.com

License: DC16644

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-7PM, TU,TH

10AM-7PM

PTA: No

Other Language: Spanish,

French

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90241

Fushimi, Yuriko LAc

9470 Firestone Blvd

Downey, CA 90241

(562) 401-4094

www.ableptc.com

License: AC17032

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Japanese

Cultural Competency: NR

Accessibility: P, EB, R; 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

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

9

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

in the provider record;

demographic, phone and/or

panel status.

Zarrabi, Cathrine DC

11820 Downey Ave

Downey, CA 90241

(562) 927-1116

www.zarrabichiro.com

License: DC23415

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W 9AM-7PM, TU,TH

2PM-7PM, F 9AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

EAGLE ROCK

90041

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

EL MONTE

91732

90242

Bao, Tien DC

12115 Paramount Blvd

Downey, CA 90242

(562) 250-2002

License: DC27009

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Vietnamese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Tajyar, Amber LAc

2501 Colorado Blvd Ste E

Eagle Rock, CA 90041

(323) 687-3222

License: AC4905

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: F 1AM-7PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Chen, Yuying LAc

11812 Garvey Ave

El Monte, CA 91732

(626) 672-0303

www.amplusacupuncture.co

m

License: AC14906

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-W,F 9:30AM-6:30PM,

SA 9AM-3PM

PTA: No

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

10

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Other Language: Spanish,

Chinese, Mandarin,

Indonesian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

GARDENA

90247

Kim, William June-ki LAc

2015 W Redondo Beach Blvd

Ste F

Gardena, CA 90247

(424) 340-9357

License: AC5763

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W-F 9:30AM-6:30PM,

TU 9:30AM-6PM, SA

9:30AM-3:30PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Oh, Meesuk LAc

2015 W Redondo Beach Blvd

Ste F

Gardena, CA 90247

(424) 340-9357

License: AC17055

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W-F 9:30AM-6:30PM,

TU 9AM-6:30PM, SA

9:30AM-3:30PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Oh, Se Yeong LAc

2015 W Redondo Beach Blvd

Ste F

Gardena, CA 90247

(424) 340-9357

danielacu.com

License: AC10176

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9:30AM-6:30PM, SA

9:30AM-3:30PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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;

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

11

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

demographic, phone and/or

panel status.

GLENDALE

91203

Joukar, Mehrdad LAc;DOM

411 N Central Ave Ste 610

Glendale, CA 91203

(818) 244-6792

www.MehrdadJoukar.com

License: AC15905

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Miller, Soo LAc;DOM

411 N Central Ave Ste 610

Glendale, CA 91203

(818) 244-6792

License: AC9146

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 9AM-1PM, F

1:30PM-5:30PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

91204

Canabal, Manuel LAc

1220 S Central Ave Ste 104

Glendale, CA 91204

(818) 240-7511

License: AC12605

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 8AM-1:30PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Yaghjian, Ara DC

706 W Broadway Ste 100

Glendale, CA 91204

(818) 247-9097

License: DC14289

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 4PM-6PM, TU,TH

10AM-12PM

PTA: No

Other Language: Arabic,

Classical Armenian

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

their accessibility needs when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

12

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

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.

91208

Lee, In Sook LAc

1808 Verdugo Blvd Ste 319

Glendale, CA 91208

(818) 805-6084

License: AC7030

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: SU 10AM-4PM, M-F

9AM-5PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

GLENDORA

91740

Doty, Brian LAc

1135 E Route 66 Ste 106

Glendora, CA 91740

(626) 382-9715

GlendoraAcupuncture.com

License: AC9049

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-12PM, TU,TH

12:15PM-8PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Doty, Brian LAc

2060 E Route 66 Ste 201

Glendora, CA 91740

(626) 382-9715

GlendoraAcupuncture.com

License: AC9049

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 12:15PM-7PM, TU,TH

9AM-12PM, W 12:15PM-8PM, F

12:15PM-6PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

91741

Seok, Puchun LAc

242 S Glendora Ave

Glendora, CA 91741

(626) 335-1918

License: AC11582

Credentials and/or board

certification: No

Accepting New Members: Yes

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

13

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Hours: M-F 9AM-5PM, SA

9AM-3PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

HACIENDA HEIGHTS

91745

Hong, Zhen-li LAc

2020 S Hacienda Blvd Ste D

Hacienda Heights, CA 91745

(626) 855-1158

License: AC5692

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-TH 9AM-7PM, SA

8:30AM-1PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Huo, Wayne LAc

2020 S Hacienda Blvd Ste D

Hacienda Heights, CA 91745

(626) 855-1158

License: 16081

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-TH 9AM-7PM, SA

8:30AM-1PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Charles DC

2020 S Hacienda Blvd Ste D

Hacienda Heights, CA 91745

(626) 855-1158

License: DC26220

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-TH 9AM-7PM, SA

8:30AM-1PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lu, Yang LAc

2020 S Hacienda Blvd Ste D

Hacienda Heights, CA 91745

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

14

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

(626) 855-1558

License: 18057

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-7PM, SA

8:30AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

LAKEWOOD

90712

Feng, Charles DC

5220 Clark Ave Ste 445

Lakewood, CA 90712

(562) 867-6183

www.allprohealthcenter.com

License: DC29776

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-1PM

PTA: No

Other Language: Chinese,

Vietnamese, Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

LANCASTER

93534

Sanchez, Rodrigo DC

42544 10th St W Ste G

Lancaster, CA 93534

(661) 940-7171

License: DC26487

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W 8AM-6PM, TU,TH

9AM-5PM, F 8AM-3PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

LAWNDALE

90260

Zarrabi, Cathrine DC

15725 Hawthorne Blvd Ste 106

Lawndale, CA 90260

(310) 650-9068

www.zarrabichiro.com

License: DC23415

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W 9AM-7PM, TU,TH

2PM-7PM, F 9AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

15

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

LONG BEACH

90803

Lin, Steven LAc

5855 E Naples Plz Ste 111

Long Beach, CA 90803

(502) 888-3399

License: AC14534

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 10AM-5PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90813

Yeganeh Hajahmadi,

Mahmoud LAc

980 Atlantic Ave Fl 3

Long Beach, CA 90813

(562) 624-0776

License: AC15561

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-5PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90815

Blakely, David DC

2220 Clark Ave

Long Beach, CA 90815

(562) 597-4181

License: DC13938

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: EB, 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.

Dawson, Jonathan LAc

5512 E Britton Dr Ste 100

Long Beach, CA 90815

(562) 594-6644

www.LifeChoiceWellnessCent

er.com

License: AC16431

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 8AM-6PM, TH

1PM-6PM, SA 9AM-1PM

PTA: No

Cultural Competency: NR

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

16

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Accessibility: P, EB, R, 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.

Dawson, Jonathan DC

5512 E Britton Dr Ste 100

Long Beach, CA 90815

(949) 600-7988

www.lifechoicewellnesscenter

.com

License: DC32839

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Steven LAc

2700 N Bellflower Blvd Ste 116

Long Beach, CA 90815

(502) 888-3399

License: AC14534

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TH 10AM-5PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

LOS ANGELES

90006

Chuang, Gina Hua Qin LAc

2140 W Olympic Blvd Ste 200

Los Angeles, CA 90006

(213) 804-1684

License: AC7175

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 8AM-2PM,

TU,TH,SA 8AM-6PM

PTA: No

Other Language: Chinese,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Kim, William June-ki LAc

1940 W Olympic Blvd

Los Angeles, CA 90006

(213) 389-3929

License: AC5763

Credentials and/or board

certification: No

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

17

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-4PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, R, 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.

Oh, Se Yeong LAc

1940 W Olympic Blvd

Los Angeles, CA 90006

(213) 389-3929

License: AC10176

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-3PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, R, 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.

Ryu, Hu Ki LAc

2655 W Olympic Blvd Ste 205

Los Angeles, CA 90006

(213) 820-6040

hillsacupuncture.com

License: AC10645

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: W,F 9AM-6PM

PTA: No

Other Language: Chinese,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90010

Cho, Eun LAc

3020 Wilshire Blvd Ste 222

Los Angeles, CA 90010

(213) 389-3003

www.okbalance.com

License: AC12268

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 10AM-6PM, SA

10AM-3PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

18

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Jung, Inho LAc

3545 Wilshire Blvd Ste 210

Los Angeles, CA 90010

(213) 388-8820

www.jungacupuncturegroup.

com

License: AC16791

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 9:30AM-6:30PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Park, Jae LAc

3020 Wilshire Blvd Ste 222

Los Angeles, CA 90010

(213) 389-3003

License: AC11917

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 10AM-6PM, SA

10AM-3PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90012

Lin, Yu-chen LAc

312 E 1st St Ste 220

Los Angeles, CA 90012

(213) 626-7682

License: AC4836

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 10AM-8PM

PTA: No

Other Language: Chinese,

Mandarin, Japanese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90023

Garcia, Jennifer LAc

810 S Indiana St

Los Angeles, CA 90023

(323) 835-7404

www.jennygarciaacupunctur

e.com

License: AC17088

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 10AM-7PM

PTA: No

Other Language: Spanish,

Portuguese

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

accessibility indicators are not

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

19

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

90024

Goel, Nadia DC

1722 Westwood Blvd Ste 201

Los Angeles, CA 90024

(310) 441-4000

www.drnadiagoel.com

License: DC26550

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-5PM, TU,TH

2PM-5PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Kim, William June-ki LAc

1008 Broxton Ave

Los Angeles, CA 90024

(424) 248-3115

License: AC5763

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-SA 10AM-7PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Oh, Meesuk LAc

1008 Broxton Ave

Los Angeles, CA 90024

(424) 248-3115

License: AC17055

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-SA 10AM-7PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Oh, Se Yeong LAc

1008 Broxton Ave

Los Angeles, CA 90024

(424) 248-3115

danielacu.com

License: AC10176

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 10AM-7PM, SA

10AM-3PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

20

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Accessibility: P, EB, R, 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.

Tabibian, Roya DC

1762 Westwood Blvd Ste 110

Los Angeles, CA 90024

(310) 202-2100

doctabibian.com

License: DC25185

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 8AM-7PM, SA

8AM-1PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90025

Lin, Yu-chen LAc

2130 Sawtelle Blvd Ste 306

Los Angeles, CA 90025

(310) 477-5899

License: AC4836

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 10:30AM-8PM, SA

10AM-6PM

PTA: No

Other Language: Chinese,

Mandarin, Japanese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90027

Quach, Sarika LAc

4443 Ambrose Ave

Los Angeles, CA 90027

(213) 600-8288

www.somaacuwellness.com

License: 18440

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-5PM

PTA: No

Cultural Competency: NR

Accessibility: R, 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.

90036

Zarrabi, Cathrine DC

5757 Wilshire Blvd Ste Pr4

Los Angeles, CA 90036

(323) 930-0240

www.zarrabichiro.com

License: DC23415

Credentials and/or board

certification: No

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

21

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Accepting New Members: Yes

Hours: M,W 9AM-7PM, TU,TH

3PM-7PM, F 9AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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

Lee, Sanghyun LAc

3809 1/2 Flower Dr

Los Angeles, CA 90037

(323) 375-0950

www.insightchoices.com

License: AC16795

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: SU 4PM-9PM, M

8AM-11PM

PTA: No

Other Language: Chinese,

Korean

Cultural Competency: NR

Accessibility: P, R; 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.

90038

Antoun, Cindy LAc

5600 Santa Monica Blvd Ste

304

Los Angeles, CA 90038

(323) 848-4580

License: AC15991

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU 9AM-6PM

PTA: No

Other Language: Arabic

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90041

Kim, Hye LAc

2501 Colorado Blvd Ste E

Los Angeles, CA 90041

(310) 292-3754

www.acupuncturemore.com

License: AC16790

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 10AM-7PM, SA

10AM-5PM

PTA: No

Other Language: Japanese,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

22

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

www.jungacupuncturegroup. Hours: TU,TH 10AM-6PM

com PTA: No

Santoro, Michelle DC

2501 Colorado Blvd Ste E

Los Angeles, CA 90041

(323) 687-3222

www.optimumhealthchiro.org

License: DC28508

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-7PM

PTA: No

Other Language: Spanish,

Hebrew

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90044

Jung, Inho LAc

6104 S Vermont Ave

Los Angeles, CA 90044

(213) 605-1133

License: AC16791

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W 9:30AM-6PM, SA

9:30AM-3PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90045

Cho, Eun LAc

8727 La Tijera Blvd

Los Angeles, CA 90045

(213) 389-3003

www.okbalance.com

License: AC12268

Credentials and/or board

certification: No

Accepting New Members: Yes

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Park, Jae LAc

8727 La Tijera Blvd

Los Angeles, CA 90045

(213) 389-3003

License: AC11917

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 10AM-6PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

23

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

90048

Kravchenko, Mayya DC

6221 Wilshire Blvd Ste 604

Los Angeles, CA 90048

(323) 933-2444

License: DC27793

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-2PM

PTA: No

Other Language: Spanish,

Russian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90057

Armani, Robert DC

2010 Wilshire Blvd Ste 506

Los Angeles, CA 90057

(213) 738-1051

www.ArmaniChiropractic.com

License: DC24963

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 8:30AM-6:30PM, SA

9AM-2PM

PTA: No

Other Language: Hebrew

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Nourian, Kambiz DC

2520 W 8th St Ste 106

Los Angeles, CA 90057

(213) 389-2526

License: DC21764

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-5PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90063

Bao, Tien DC

3800 E Cesar E Chavez Ave

Los Angeles, CA 90063

(323) 264-6296

License: DC27009

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 7AM-5PM

PTA: No

Other Language: Vietnamese

Cultural Competency: NR

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

24

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Accessibility: P, EB, R, 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.

90064

Garcia, Jennifer LAc

10801 National Blvd Ste 254

Los Angeles, CA 90064

(323) 835-7404

www.jennygarciaacupunctur

e.com

License: AC17088

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W 9AM-9PM, F

8AM-12PM, SA 3PM-8PM

PTA: No

Other Language: Spanish,

Portuguese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90066

Fox-rabinovich, Lola LAc

3030 Sawtelle Blvd

Los Angeles, CA 90066

(310) 390-9018

www.healthatlastusa.com/wla

License: 18302

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-W,F 9AM-7PM, SA

9AM-1PM

PTA: No

Other Language: Russian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Gutierrez, Andrew DC

12568 W Washington Blvd Ste

202

Los Angeles, CA 90066

(310) 482-3252

www.brigitterozenbergdc.co

m

License: DC31575

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-TH 8AM-8PM, F

9AM-5PM, SA 9AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Orselli, Rachel LAc

3807 Grand View Blvd

Los Angeles, CA 90066

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

25

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

(323) 872-2339

www.acupunctureinla.org

License: AC9366

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 9AM-5PM, TU,TH

8AM-5PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

MONROVIA

91016

Chung Morita, Jonie DC

120 W Olive Ave

Monrovia, CA 91016

(626) 235-8818

www.betterhealthchiropractic

db.com

License: DC28353

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 9:30AM-6:30PM, F

2:30AM-6:30PM, SA 9AM-12PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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

Lee, Yang-chau LAc

925 S Atlantic Blvd Ste 106

Monterey Park, CA 91754

(626) 679-3636

www.AcucareAcupuncture.c

om

License: AC8362

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,SA 9AM-12PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

MONTROSE

91020

Ho, Diep LAc

4142 Ocean View Blvd

Montrose, CA 91020

(626) 576-4644

License: AC4732

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Vietnamese

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

26

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

NORTH HOLLYWOOD

91607

Lee, Hyo LAc

5953 Laurel Canyon Blvd Ste A

North Hollywood, CA 91607

(408) 529-4947

License: 18006

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,TU,TH 9AM-5PM, SA

9AM-2PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

NORTHRIDGE

91324

Ryu, Hu Ki LAc

9535 Reseda Blvd Ste 101

Northridge, CA 91324

(818) 700-0901

License: AC10645

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,TU,TH,F 9AM-1PM, W

10AM-5PM, SA 10AM-1PM

PTA: No

Other Language: Chinese,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

PALMDALE

93550

Yeganeh Hajahmadi,

Mahmoud LAc

1850 E Palmdale Blvd

Palmdale, CA 93550

(661) 224-1114

License: AC15561

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-5PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

PANORAMA CITY

91402

Canabal, Manuel LAc

8134 Van Nuys Blvd Ste 100

Panorama City, CA 91402

(818) 904-6700

License: AC12605

Credentials and/or board

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

27

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

certification: No

Accepting New Members: Yes

Hours: M 8AM-5:30PM, W

10AM-5:30PM, F 8AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

PARAMOUNT

90723

Durrani, Asif DC

16444 Paramount Blvd Ste 103

Paramount, CA 90723

(562) 531-2290

www.drasifsdurranidc.com

License: DC24711

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 1PM-2PM

PTA: No

Other Language: Spanish,

Urdu, Hindi

Cultural Competency: NR

Accessibility: P, R, 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.

Durrani, Asif DC

16209 Paramount Blvd Ste 205

Paramount, CA 90723

(562) 531-2290

License: DC24711

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-5PM

PTA: No

Other Language: Spanish,

Urdu, Hindi

Cultural Competency: NR

Accessibility: P, EB, R, 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.

PASADENA

91101

Laveck, Londa LAc

133 S Hudson Ave Ste 4

Pasadena, CA 91101

(562) 760-2338

www.healthybodyandsoul.info

License: AC17034

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: SA 9AM-7PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

28

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

91104

Laveck, Londa LAc

1452 E Washington Blvd

Pasadena, CA 91104

(562) 760-2338

www.healthybodyandsoul.info

License: AC17034

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 10AM-7PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

91106

Fong, Ryan LAc

1060 E Green St Ste 106

Pasadena, CA 91106

(323) 423-3061

fongacu.com

License: AC13791

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-12:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lee, Jason LAc

935 E Green St

Pasadena, CA 91106

(626) 796-4141

www.moralesholistic.com

License: AC18030

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 10AM-6PM, TU,TH

9AM-7PM, SA 9AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lee, Jason DC

935 E Green St

Pasadena, CA 91106

(626) 796-4141

www.moralesholistic.com

License: DC33980

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 10AM-6PM, TU,TH

9AM-7PM, SA 9AM-2PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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;

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

29

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

demographic, phone and/or

panel status.

Morales, Roberto DC

935 E Green St

Pasadena, CA 91106

(626) 796-4141

www.moralesholistic.com

License: DC16644

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 10AM-6PM, TU,TH

9AM-7PM, SA 9AM-2PM

PTA: No

Other Language: Spanish,

French

Cultural Competency: NR

Accessibility: P, EB, R, 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.

91107

Yaghjian, Ara DC

2595 E Washington Blvd Ste

103

Pasadena, CA 91107

(626) 798-8951

License: DC14289

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-1PM, TU,TH

2PM-6PM, SA 10AM-12PM

PTA: No

Other Language: Arabic,

Classical Armenian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

POMONA

91767

Fushimi, Yuriko LAc

1902 Royalty Dr Ste 170

Pomona, CA 91767

(909) 620-9700

www.ableptc.com

License: AC17032

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Japanese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

91768

Rodriguez, Oscar DC

675 N Park Ave

Pomona, CA 91768

(909) 620-0808

License: DC25613

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

9AM-1PM

PTA: No

Other Language: Spanish

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

30

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Cultural Competency: NR

Accessibility: P, R, 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.

RESEDA

91335

Antoun, Cindy LAc

19231 Victory Blvd Ste 150

Reseda, CA 91335

(818) 492-9383

License: AC15991

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 10:30AM-6PM, TU,TH,F

9AM-6PM

PTA: No

Other Language: Arabic

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Brody, Bruce DC

19231 Victory Blvd Ste 352

Reseda, CA 91335

(818) 887-2225

brucebrodydc.com

License: DC20925

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-SU 9AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: EB, R, 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.

Chen, Quincy LAc;DOM

7620 Lindley Ave

Reseda, CA 91335

(818) 705-2633

www.ch-acupuncture.com

License: AC2859

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,TH 11AM-7PM, TU,F

10AM-7PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Edery, Gabriel DC

7439 Reseda Blvd

Reseda, CA 91335

(818) 345-4924

www.drgabyedery.com

License: DC32583

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

31

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W 8:30AM-6PM, TU,F

8:30AM-12PM

PTA: No

Other Language: Hebrew

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Nourian, Kambiz DC

7012 Reseda Blvd Ste D

Reseda, CA 91335

(818) 776-1205

License: DC21764

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-5PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Santoro, Michelle DC

19231 Victory Blvd Ste 255

Reseda, CA 91335

(818) 345-3900

License: DC28508

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-7PM

PTA: No

Other Language: Spanish,

Hebrew

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Tajyar, Amber LAc

19231 Victory Blvd Ste 255

Reseda, CA 91335

(818) 345-3900

License: AC4905

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 9AM-1PM, TU

1PM-6PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: 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

Chen, Quincy LAc;DOM

3235 San Gabriel Blvd

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

32

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Rosemead, CA 91770

(626) 288-1233

www.ch-acupuncture.com

License: AC2859

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: W,SA 11AM-6PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Pham, Tung LAc

8966 Garvey Ave Ste I

Rosemead, CA 91770

(626) 626-5567

License: AC15439

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: W,TH,SA,SU 9AM-5PM, M

9AM-1PM, F 2AM-5PM

PTA: No

Other Language: Spanish,

Vietnamese, Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

ROWLAND HEIGHTS

91748

Fong, Richard LAc

1818 Sierra Leone Ave Ste A

Rowland Heights, CA 91748

(626) 854-3451

License: AC3297

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 9AM-2PM, W,F

2PM-6PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Fong, Richard DC

1818 Sierra Leone Ave Ste A

Rowland Heights, CA 91748

(626) 854-3451

License: DC17488

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 9AM-1PM, W,F

2PM-6PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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;

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

33

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

demographic, phone and/or

panel status.

Hung, Alex LAc;DOM

18369 Colima Rd

Rowland Heights, CA 91748

(909) 973-4819

License: AC15637

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W-SA 10AM-5PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Hung, Alex LAc;DOM

1788 Sierra Leone Ave Ste 102

Rowland Heights, CA 91748

(909) 973-4819

License: AC15637

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W-SA 10AM-6PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

SAN GABRIEL

91776

Yang, Alan LAc

919 E Las Tunas Dr

San Gabriel, CA 91776

(626) 675-6299

License: AC10978

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-5PM

PTA: No

Other Language: Chinese,

Japanese

Cultural Competency: NR

Accessibility: P, R, 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.

SAN MARINO

91108

Hsu, Richard LAc

2343 Huntington Dr

San Marino, CA 91108

(626) 793-5700

www.alternativemedicalclinic.

com

License: AC6530

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: SU 9AM-12PM, M,F,SA

9AM-7PM, W 9AM-1PM

PTA: No

Other Language: Spanish,

Chinese

Cultural Competency: NR

Accessibility: P, EB, W;

Members should call the

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

34

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

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.

SANTA CLARITA

91321

Herta, Kelly DC

23043 Lyons Ave

Santa Clarita, CA 91321

(661) 288-0022

www.unruhspinecenter.com

License: DC30274

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TH 9AM-11:30AM, SA

9AM-12PM

PTA: No

Cultural Competency: NR

Accessibility: EB, 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.

SANTA MONICA

90404

Fox-rabinovich, Lola LAc

2428 Santa Monica Blvd Ste

308

Santa Monica, CA 90404

(310) 390-9018

www.healthatlastusa.com/wla

License: 18302

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-W,F 9AM-7PM, SA

9AM-1PM

PTA: No

Other Language: Russian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Hsu, Richard LAc

2222 Santa Monica Blvd Ste

105

Santa Monica, CA 90404

(626) 793-5700

www.alternativemedicalclinic.

com

License: AC6530

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 9AM-7PM

PTA: No

Other Language: Spanish,

Chinese

Cultural Competency: NR

Accessibility: P, EB, 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.

Seok, Puchun LAc

1228 15th St Ste E

Santa Monica, CA 90404

(310) 393-3868

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

35

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

License: AC11582

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-5PM, SA

9AM-1PM

PTA: No

Other Language: Spanish,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90405

Kim, Hye LAc

3435 Ocean Park Blvd Ste 110

Santa Monica, CA 90405

(310) 292-3754

www.acupuncturemore.com

License: AC16790

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-5PM

PTA: No

Other Language: Japanese,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

SHERMAN OAKS

91403

Chuang, Gina Hua Qin LAc

4849 Van Nuys Blvd Ste 206

Sherman Oaks, CA 91403

(818) 386-0629

License: AC7175

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 8AM-2PM, TU,TH

8AM-6PM, SA 8AM-3PM

PTA: No

Other Language: Chinese,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lee, Hyo LAc

4940 Van Nuys Blvd Ste 304

Sherman Oaks, CA 91403

(747) 998-5330

License: 18006

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: W,F 9AM-6PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

36

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

panel status.

91423

Hsu, Richard LAc;DOM

13425 Ventura Blvd Ste 100

Sherman Oaks, CA 91423

(818) 990-9345

alternativemedicalclinic.com

License: AC6530

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 3PM-7PM

PTA: No

Other Language: Spanish,

Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Logan, Conor LAc

14242 Ventura Blvd Ste 200

Sherman Oaks, CA 91423

(323) 213-9220

www.thelivingpoint.com

License: AC16258

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: F 7AM-7PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Logan, Zena LAc

14242 Ventura Blvd Ste 200

Sherman Oaks, CA 91423

(323) 213-9220

thelivingpoint.com

License: AC17122

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

SOUTH EL MONTE

91733

Chang, Chung Young LAc

10414 Vacco St

South El Monte, CA 91733

(626) 636-8706

www.TzuchiMedicalGroup.co

m

License: AC8360

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-6PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

37

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

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.

Chen, Jeng-shiang LAc

10414 Vacco St

South El Monte, CA 91733

(626) 636-8706

License: AC10577

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-6PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lai, Yi-hsien LAc

10414 Vacco St

South El Monte, CA 91733

(626) 636-8706

License: AC8087

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-6PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Chi-yi LAc

10414 Vacco St

South El Monte, CA 91733

(626) 636-8706

License: AC8867

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-5PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Steven LAc

10414 Vacco St

South El Monte, CA 91733

(626) 636-8706

License: AC14534

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-5PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: There was a change

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

38

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

in the provider record;

demographic, phone and/or

panel status.

Wang, Chiao-nien LAc

10414 Vacco St

South El Monte, CA 91733

(626) 636-8706

License: AC4403

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH-SA 9AM-6PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

SOUTH GATE

90280

Blakely, David DC

4476 Tweedy Blvd

South Gate, CA 90280

(323) 563-9499

License: DC13938

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,F 8AM-6PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: EB, 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.

SOUTH PASADENA

91030

Fong, Richard LAc

1949 Huntington Dr

South Pasadena, CA 91030

(626) 799-8855

License: AC3297

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 12:30PM-6PM, SA

9:30AM-1:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Fong, Richard DC

1949 Huntington Dr

South Pasadena, CA 91030

(626) 854-3451

License: DC17488

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 9AM-1PM, W,F

2PM-6PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

39

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

in the provider record;

demographic, phone and/or

panel status.

Quach, Sarika LAc

1800 Fair Oaks Ave Ste A

South Pasadena, CA 91030

(213) 600-8288

www.somaacuwellness.com

License: 18440

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-5PM

PTA: No

Cultural Competency: NR

Accessibility: P, R, 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.

St Juste, Carlo LAc

1017 Fremont Ave Ste A

South Pasadena, CA 91030

(626) 441-4888

http://www.csjacupuncture.c

om

License: AC14551

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU 10AM-4PM, TH

10AM-6PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

SYLMAR

91342

Yang, Alan LAc

13519 Hubbard St

Sylmar, CA 91342

(818) 833-5977

License: AC10978

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-SA 9AM-6PM

PTA: No

Other Language: Chinese,

Japanese

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

TARZANA

91356

Goel, Nadia DC

18345 Ventura Blvd Ste 104

Tarzana, CA 91356

(818) 343-8800

www.drnadiagoel.com

License: DC26550

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,TU,TH-SA 9AM-5PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

accessibility indicators are not

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

40

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Logan, Conor LAc

18663 Ventura Blvd Ste 202

Tarzana, CA 91356

(323) 213-9220

thelivingpoint.com

License: AC16258

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TH 6AM-6PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Logan, Zena LAc

18663 Ventura Blvd Ste 202

Tarzana, CA 91356

(323) 213-9220

thelivingpoint.com

License: AC17122

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TH 9AM-3PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

TEMPLE CITY

91780

Chen, Yuying LAc

9722 Las Tunas Dr

Temple City, CA 91780

(626) 672-0303

www.amplusacupuncture.co

m

License: AC14906

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 10AM-6:30PM

PTA: No

Other Language: Spanish,

Chinese, Mandarin,

Indonesian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Hong, Zhen-li LAc

10405 Lower Azusa Rd

Temple City, CA 91780

(626) 444-8588

License: AC5692

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-W,F 9AM-7PM, TH

9AM-1PM, SA 8:30AM-1PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

41

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Accessibility: P, EB, R, 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.

Huo, Wayne LAc

10405 Lower Azusa Rd

Temple City, CA 91780

(626) 444-8588

License: 16081

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-W,F 9AM-7PM, TH

9AM-1PM, SA 8:30AM-1PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Charles DC

10405 Lower Azusa Rd

Temple City, CA 91780

(626) 444-8588

License: DC26220

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-W,F 9AM-7PM, TH

9AM-1PM, SA 8:30AM-1PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lu, Yang LAc

10405 Lower Azusa Rd

Temple City, CA 91780

(626) 444-8588

License: 18057

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-W,F 9AM-7PM, TH

9AM-1PM, SA 8:30AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

TORRANCE

90501

Wong, Thomas DC

2204 Torrance Blvd Ste 101b

Torrance, CA 90501

(310) 773-9868

License: DC30431

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 9AM-7PM, W

1:30PM-7PM, SA 9AM-12PM

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

42

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

90504

Zwickel, Joseph DC

2326 Redondo Beach Blvd

Torrance, CA 90504

(310) 523-4494

License: DC22907

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-6PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, 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.

VALENCIA

91355

Herta, Kelly DC

23838 Valencia Blvd Ste 105

Valencia, CA 91355

(661) 288-0022

www.unruhspinecenter.com

License: DC30274

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W 9AM-5:45PM, F

8:30AM-5PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

VALLEY VILLAGE

91607

Kravchenko, Mayya DC

12626 Riverside Dr Ste 510

Valley Village, CA 91607

(818) 623-9633

License: DC27793

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-6PM

PTA: No

Other Language: Spanish,

Russian

Cultural Competency: NR

Accessibility: P, EB, R, 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.

VAN NUYS

91401

Armani, Robert DC

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

43

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

6525 Van Nuys Blvd

Van Nuys, CA 91401

(818) 988-2123

www.armanichiropractic.com

License: DC24963

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 9AM-7PM

PTA: No

Other Language: Hebrew

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Tabibian, Roya DC

13760 Victory Blvd

Van Nuys, CA 91401

(310) 202-2100

License: DC25185

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Persian

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

91405

Lin, Hope LAc

15216 Vanowen St Ste 2c

Van Nuys, CA 91405

(818) 439-7769

License: AC7493

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M 9AM-6PM, W

9AM-12PM, TH 9:30AM-3PM,

SA 9:30AM-12PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, 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.

91406

Gutierrez, Andrew DC

15710 1/2 Vanowen St

Van Nuys, CA 91406

(818) 901-1505

www.brigitterozenbergdc.co

m

License: DC31575

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-TH 10AM-7PM, SA

10AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

44

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

VENICE

90291

Orselli, Rachel LAc

1106 Garfield Ave

Venice, CA 90291

(323) 872-2339

www.acupunctureinla.org

License: AC9366

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,TU,TH 9AM-5PM, F

2AM-5PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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.

WEST COVINA

91790

Rodriguez, Oscar DC

741 S Orange Ave Ste 175

West Covina, CA 91790

(626) 854-1144

License: DC25613

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-TH 9AM-5PM, F

9AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, R, 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.

Yang, Alan LAc

1415 W Garvey Ave N Ste 110

West Covina, CA 91790

(626) 675-6299

License: AC10978

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-SA 9AM-6PM

PTA: No

Other Language: Chinese,

Japanese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

WEST HILLS

91304

Lin, Hope LAc

22110 Roscoe Blvd Ste 304

West Hills, CA 91304

(818) 439-7769

License: AC7493

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU 9AM-12:30PM, W

1:30PM-5:30PM, F 9AM-5PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, W;

Members should call the

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

45

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

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 HOLLYWOOD

90046

Lee, Sanghyun LAc

8265 W Sunset Blvd Ste 207

West Hollywood, CA 90046

(323) 375-0950

www.insightchoices.com

License: AC16795

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Chinese,

Korean

Cultural Competency: NR

Accessibility: P, EB, R, 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.

WHITTIER

90605

Siegel, Gregory DC

13710 Whittier Blvd Ste 105

Whittier, CA 90605

(562) 945-1310

www.whittierchiropracticacup

uncture.com

License: DC15681

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W,F 9AM-6PM, TU,TH

9AM-6:30PM, SA 8:30AM-11AM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

WILMINGTON

90744

Chang, Chung Young LAc

1355 Broad Ave

Wilmington, CA 90744

(310) 684-4466

www.TzuchiMedicalGroup.co

m

License: AC8360

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-6PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Chen, Jeng-shiang LAc

1355 Broad Ave

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

46

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

Wilmington, CA 90744

(310) 684-4466

License: AC10577

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,W,F,SA 9AM-6PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lai, Yi-hsien LAc

1355 Broad Ave

Wilmington, CA 90744

(310) 684-4466

License: AC8087

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-6PM

PTA: No

Other Language: Chinese

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Chi-yi LAc

1355 Broad Ave

Wilmington, CA 90744

(310) 684-4466

www.tzuchimedicalfoundatio

n.org

License: AC8867

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU-SA 9AM-5PM

PTA: No

Other Language: Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Lin, Steven LAc

1355 Broad Ave

Wilmington, CA 90744

(310) 684-4466

License: AC14534

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,F 9AM-5PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Wang, Chiao-nien LAc

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

47

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

1355 Broad Ave

Wilmington, CA 90744

(310) 684-4466

License: AC4403

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH-SA 9AM-5PM

PTA: No

Other Language: Chinese,

Mandarin

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Zwickel, Joseph DC

1314 N Avalon Blvd Ste A

Wilmington, CA 90744

(310) 523-4494

License: DC22907

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: TU,TH 9AM-6PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

WOODLAND HILLS

91364

Edery, Gabriel DC

22311 Ventura Blvd Ste 116

Woodland Hills, CA 91364

(818) 651-3252

www.drgabyedery.com

License: DC32583

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: SU 9AM-4PM, TU

12:30PM-6PM, TH 8:30AM-6PM,

F 1PM-5:30PM

PTA: No

Other Language: Hebrew

Cultural Competency: NR

Accessibility: P, EB, 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.

Vu, Hoang LAc;DOM

20121 Ventura Blvd Ste 205

Woodland Hills, CA 91364

(818) 592-0355

www.doctorgu.com

License: AC16311

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M-F 8AM-6PM, SA

8AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, R, 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;

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

48

LOS ANGELES COUNTY ACUPUNCTURE PROVIDERS

demographic, phone and/or

panel status.

91367

Brody, Bruce DC

6325 Topanga Canyon Blvd

Ste 225

Woodland Hills, CA 91367

(818) 887-2225

www.brucebrodydc.com

License: DC20925

Credentials and/or board

certification: No

Accepting New Members: Yes

Hours: M,W 8:30AM-6PM, TU

8:30AM-5PM, F 8AM-6PM, SA

8AM-12PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, R, 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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

49

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

AGOURA HILLS

91301

Barrus, Kim PSY

30423 Canwood St Ste 130

Agoura Hills, CA 91301

(818) 707-7366

License: 6155

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-SA 8AM-6PM

PTA: No

Other Language: French

Cultural Competency: NR

Accessibility: EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Teller Holt, Giselle MFT

28720 Roadside Dr Ste 196

Agoura Hills, CA 91301

(323) 810-9233

License: 68798

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-SA 8AM-8PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: HIV/AIDS,

Serious Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 15-DEC-16

BELL GARDENS

90201

Sison Llanes, Maria Lucila MD

6001 Clara St

Bell Gardens, CA 90201

(562) 806-5000

License: A80090

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Tagalog

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-JUL-14

BURBANK

91506

Oliansky, Ingrid MFT

1508 W Verdugo Ave Ste C2 &

D1

Burbank, CA 91506

(818) 906-0406

License: 48975

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-SU 8AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: EB; Members

should call the provider’s

office to discuss their

accessibility needs when there

is limited access or when

accessibility indicators are not

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

50

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

present. Hours: SA,SU 8AM-4PM, M,TU

Special Expertise: Serious Wilmes-reitz, Mark PSY 10AM-8:30PM, W-F

Mental Illness 23945 Calabasas Rd Ste 202 10AM-10PM

UPDATE: NEW Provider Added. Calabasas, CA 91302 PTA: No

Effective_Date: 01-AUG-13

CALABASAS

91302

Caisin, Anna MFT

4768 Park Granada Ste 109

Calabasas, CA 91302

(818) 941-2977

License: 88486

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA 8AM-2PM

PTA: No

Other Language: Russian

Cultural Competency: NR

Accessibility: EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: NEW Provider Added.

Effective_Date: 29-APR-19

(818) 591-8270

License: 9368

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,W 10AM-8PM, TU,TH

2PM-8PM, F 1PM-8PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, R;

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: 01-AUG-13

CERRITOS

90703

Denbel, Yeshiwork MFT

17326 Edwards Rd Ste A115

Cerritos, CA 90703

(562) 921-5701

License: 36537

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: 01-AUG-13

CITY OF INDUSTRY

91746

Bautista, Cynthia PSY

13200 Crossroads Pkwy N Ste

335

City Of Industry, CA 91746

(562) 821-1491

License: 2012687

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-5:30PM,

M,TU 7AM-8PM, W-F 8AM-8PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

Members should call the

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

51

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

provider’s office to discuss

their accessibility needs when

there is limited access or when

accessibility indicators are not

present.

Special Expertise: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 08-MAY-18

CLAREMONT

91711

Chow, Linda PSY

540 W Baseline Rd Ste 3

Claremont, CA 91711

(909) 941-4870

License: 18165

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-F 8AM-5PM, SA

8AM-12PM

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-AUG-13

ENCINO

91316

Attento, Adriana MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 107387

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Brody, Dora MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: LCSW84925

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: HIV/AIDS,

Serious Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Deak, Gabi CSW

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: LCSW23059

Credentials and/or board

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

52

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Arabic

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Frank, Jennifer PSY

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: PSY30175

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Fruchtbaum, Irene PSY

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 18821

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Russian

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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.

Gershelis, Anna CSW

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 28777

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Russian

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

53

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Grazer, Sage CSW

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: LCSW76690

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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.

Jingozian, Vardui MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: LMFT97722

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Armenian

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Johnson Boykin, Kim PSY

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 16047

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Chronic

Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Kaiser, William PSY

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 13221

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

54

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Khachatryan, Shushanik MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: LMFT101316

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Armenian

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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.

Kooklan, Fariba MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 45702

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Persian

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Krinsky Atkins, Leah MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 81396

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Leonard, Elisa CSW

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: LCSW23997

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

Members should call the

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

55

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

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.

Martin, Silvana MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: MFC47088

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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.

Parodi, Jacqueline CSW

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 22172

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Perlman, Jonathan CSW

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 77031

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Quinones, Meisha MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: LMFT106290

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

56

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Rubish, Donald PSY

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: PSY4157

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Sandler, Anita MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 38555

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Schwartz, Sarah PSY

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 23574

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Stevens, Cynthia PSY

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: PAY8926

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

57

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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.

Stevens, Megan MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: LMFT106159

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: HIV/AIDS,

Serious Mental Illness,

Co-occuring Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Ufano Leon, Jeremee CSW

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 24624

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Yulzari, Lee MFT

17777 Ventura Blvd Ste 105

Encino, CA 91316

(213) 908-1234

License: 112653

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 8AM-10PM, M-F

7:30AM-10PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

58

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

91436

Briscoe, Marti CSW

16250 Ventura Blvd Ste 465

Encino, CA 91436

(818) 906-0406

License: 19101

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SU 9AM-5PM, M

8AM-9PM, TU 7AM-5PM, W

7AM-4PM, TH 9AM-8:30PM, F

11:30AM-8PM, SA 8:30AM-8PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, R;

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: 15-APR-17

GLENDALE

91202

Oh, Agnes PSY

1010 N Central Ave # 315

Glendale, CA 91202

(818) 441-1096

License: 23845

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Korean

Cultural Competency: NR

Accessibility: EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

91206

Vanounts, Mariam MFT

1487 E Chevy Chase Dr Ste

130

Glendale, CA 91206

(818) 240-0340

www.mclapsych.com

License: 47199

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-F 9AM-5PM

PTA: No

Other Language: German,

French, Armenian, Russian

Cultural Competency: NR

Accessibility: EB; 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: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-AUG-13

GLENDORA

91740

Abdullatif, Qutayba PSY

415 W Route 66 Ste 202

Glendora, CA 91740

(626) 963-4467

License: PSY28804

Accepting New Members: Yes

Hours: TH 9AM-4PM

PTA: No

Other Language: Arabic

Cultural Competency: NR

Accessibility: P, IB, E; Members

should call the provider’s

office to discuss their

accessibility needs when there

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

59

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

is limited access or when

accessibility indicators are not

present.

UPDATE: NEW Provider Added.

Effective_Date: 29-JUN-18

91741

Lipscomb, Allen CSW

150 E Meda Ave Ste 270

Glendora, CA 91741

(626) 513-2943

License: 28414

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-F 8AM-7PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, R;

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: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 15-SEP-16

Lipscomb, Allen CSW

167 N Glendora Ave Ste B

Glendora, CA 91741

(626) 513-2943

License: 28414

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-F 9AM-8PM, SA

9AM-3PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, R;

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: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 15-SEP-16

HUNTINGTON PARK

90255

Jaramillo, Carla PSY

6425 Miles Ave

Huntington Park, CA 90255

(562) 904-3999

License: 27512

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: NEW Provider Added.

Effective_Date: 15-JAN-17

LAKEWOOD

90712

Lynch, Ruth MFT

4010 Watson Plaza Dr Ste 285

Lakewood, CA 90712

(562) 497-1505

License: 47327

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TH 9AM-9:30PM, TU

9AM-6PM, W 9AM-5PM, F

9AM-7PM, SA 9AM-1PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Chronic

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

60

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Illness, HIV/AIDS, Serious

Mental Illness, Blindness or

Visual Impairment,

Co-occuring Disorders

UPDATE: NEW Provider Added.

Effective_Date: 15-AUG-16

LONG BEACH

90802

Dugan, Jennifer PSY

122 Lime Ave

Long Beach, CA 90802

(310) 621-0335

License: PSY13736

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Accessibility: P; 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: HIV/AIDS,

Serious Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-MAY-15

90804

Abjelina, Kenneth MD

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: A64789

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TH,F 9AM-7PM,

TU,W,SA 9AM-6PM

PTA: No

Other Language: Tagalog

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Abjelina, Kenneth MD

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: A64789

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TH,F 9AM-7PM, TU

9AM-6PM, W 9AM-9PM, SA

9AM-4PM

PTA: No

Other Language: Tagalog

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Agu, Janet NPA

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: 23549

Credentials and/or board

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

61

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TU,TH,F 9AM-6PM, W

9AM-9PM, SA 9AM-4PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Homelessness

UPDATE: NEW Provider Added.

Effective_Date: 12-JUN-18

Alhadeff, Jere CSW

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: LCSW24318

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TU,TH,F 9AM-6PM, W

9AM-9PM, SA 9AM-4PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: NEW Provider Added.

Effective_Date: 20-FEB-18

Alhadeff, Jere CSW

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: LCSW24318

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TU,TH,F 9AM-6PM, W

9AM-9PM, SA 9AM-4PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: NEW Provider Added.

Effective_Date: 10-MAY-15

Boulware, Dessirae PSY

1730 Grand Ave

Long Beach, CA 90804

(562) 904-3999

License: 28641

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

Special Expertise: Chronic

Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-DEC-16

Iskandar, Lucy MFT

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: 50579

Credentials and/or board

certification: Not Applicable

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

62

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Accepting New Members: Yes

Hours: M,TH,F 9AM-7PM, TU

9AM-6PM, W 9AM-9PM, SA

9AM-4PM

PTA: No

Other Language: Arabic

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Paramo, Melissa MFT

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: 51549

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TH,F 9AM-7PM, TU

9AM-6PM, W 9AM-9PM, SA

9AM-4PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Paul, Mariam MFT

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: 15544

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TH,F 9AM-7PM, TU

9AM-6PM, W 9AM-9PM, SA

9AM-4PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Wells, Trevor MD

5199 E Pacific Coast Hwy Ste

330n

Long Beach, CA 90804

(562) 365-2020

License: A119988

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TH,F 9AM-7PM,

TU,W,SA 9AM-6PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

63

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

90807

Monroe, Trevor PSY

4401 Atlantic Ave # 2

Long Beach, CA 90807

(562) 728-4565

License: 16406

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Accessibility: EB; 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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

90810

Boulware, Dessirae PSY

3294 Santa Fe Ave

Long Beach, CA 90810

(562) 904-3999

License: 28641

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

Special Expertise: Chronic

Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-DEC-16

90814

Brittain, Debra CSW

350 Redondo Ave Fl 2

Long Beach, CA 90814

(562) 599-9233

License: 22301

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

LOS ANGELES

90010

Bruzas, Jessica PSY

4929 Wilshire Blvd Ste 510

Los Angeles, CA 90010

(760) 300-3664

License: 28129

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA,SU 7AM-7PM, M-TH

8AM-5PM, F 8AM-7PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

64

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Disorders

UPDATE: NEW Provider Added.

Effective_Date: 02-JUL-19

Grosse, Sabina PSY

4929 Wilshire Blvd Ste 510

Los Angeles, CA 90010

(760) 300-3664

License: 21906

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-SU 7AM-7PM

PTA: No

Other Language: German

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Chronic

Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-DEC-16

Jaramillo, Carla PSY

4929 Wilshire Blvd Ste 510

Los Angeles, CA 90010

(760) 300-3664

License: 27512

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-SU 7AM-7PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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-NOV-16

Reininga, Eric PSY

4929 Wilshire Blvd Ste 510

Los Angeles, CA 90010

(760) 300-3664

License: 18803

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-SU 7AM-7PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Chronic

Illness

UPDATE: NEW Provider Added.

Effective_Date: 15-DEC-16

90017

Boulware, Dessirae PSY

415 S Union Ave

Los Angeles, CA 90017

(562) 904-3999

License: 28641

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

Special Expertise: Chronic

Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-DEC-16

90041

Bennet, Melanie PSY

2373 Colorado Blvd

Los Angeles, CA 90041

(562) 904-3999

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

65

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

License: 30334

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: NEW Provider Added.

Effective_Date: 18-SEP-19

Obi, Rachael NPA

2373 Colorado Blvd

Los Angeles, CA 90041

(562) 904-3999

License: 95011263

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: NEW Provider Added.

Effective_Date: 18-SEP-19

90044

Eipl, Kristina MD

10024 S Vermont Ave

Los Angeles, CA 90044

(323) 756-1412

License: A158218

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-F 8AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Afrikaans,

French, Spanish, Vietnamese

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Homelessness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

90047

Hefley, Priscilla MFT

1704 W Manchester Ave Ste

202a

Los Angeles, CA 90047

(424) 312-2311

License: ACSW79866

Credentials and/or board

certification: Not Available

Accepting New Members: Yes

Hours: SU 8AM-4PM, M-F

8AM-8PM, SA 8AM-4:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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.

Ifekwunigwe, Christopher CSW

1704 W Manchester Ave Ste

202a

Los Angeles, CA 90047

(424) 312-2311

License: 19633

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SU 8AM-4PM, M-F

8AM-8PM, SA 8AM-4:30PM

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

66

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Co-occuring

Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Mclafferty, Joel MFT

1704 W Manchester Ave Ste

202a

Los Angeles, CA 90047

(424) 312-2311

License: 43113

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SU 8AM-4PM, M-F

8AM-8PM, SA 8AM-4:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Patterson, Kala CSW

1704 W Manchester Ave Ste

202a

Los Angeles, CA 90047

(424) 312-2311

License: ACSW87251

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SU 8AM-4PM, M-F

8AM-8PM, SA 8AM-4:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: HIV/AIDS,

Serious Mental Illness,

Co-occuring Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Ramos Montelongo, Flor CSW

1704 W Manchester Ave Ste

202a

Los Angeles, CA 90047

(424) 312-2311

License: 84224

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SU 8AM-4PM, M-F

8AM-8PM, SA 8AM-4:30PM

PTA: No

Other Language: Spanish

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

67

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

panel status.

Sardin, Divinity MFT

1704 W Manchester Ave Ste

202a

Los Angeles, CA 90047

(424) 312-2311

License: 70351

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SU 8AM-4PM, M-F

8AM-8PM, SA 8AM-4:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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.

LYNWOOD

90262

Jaramillo, Carla PSY

3615 E Imperial Hwy

Lynwood, CA 90262

(562) 904-3999

License: 27512

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: NEW Provider Added.

Effective_Date: 15-JAN-17

PASADENA

91105

Piccirillo, Vincenzo PSY

200 E Del Mar Blvd Ste 122

Pasadena, CA 91105

(626) 578-7111

License: 28240

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,TU,F 8AM-7PM, W

9AM-7PM, TH 9AM-8PM, SA

7AM-5PM

PTA: No

Other Language: French,

Italian, Portuguese, Spanish

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness, Homelessness,

Co-occuring Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

91106

Grattan, Gil PSY

1000 E Walnut St Ste 205

Pasadena, CA 91106

(818) 317-8866

License: 25878

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SA 9AM-7PM

PTA: No

Cultural Competency: NR

Accessibility: EB; Members

should call the provider’s

office to discuss their

accessibility needs when there

is limited access or when

accessibility indicators are not

present.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

68

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Special Expertise: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

SANTA CLARITA

91321

Oliansky, Ingrid MFT

22916 Lyons Ave Ste 402

Santa Clarita, CA 91321

(818) 906-0406

License: 48975

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SU 9AM-1PM, M

9AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: EB; 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: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 01-OCT-14

SHERMAN OAKS

91403

Oliansky, Ingrid MFT

14724 Ventura Blvd Ste 1100

Sherman Oaks, CA 91403

(818) 995-8292

License: 48975

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: SU 10AM-5PM, M-W,F

9AM-10PM, TH 9AM-11PM, SA

10AM-8PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 23-APR-19

TORRANCE

90505

Ntung, Helen NPA

23700 Camino Del Sol

Torrance, CA 90505

(310) 530-1151

License: 95008000

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Accessibility: P, IB, R; 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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

VAN NUYS

91411

Goldstein, Estelle MD

14541 Delano St

Van Nuys, CA 91411

(310) 515-8113

License: C50226

Credentials and/or board

certification: Not Applicable

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

69

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Accepting New Members: Yes

Hours: M-F 9AM-5PM, SA

7AM-2PM

PTA: No

Other Language: French,

Spanish, Yiddish

Cultural Competency: NR

Accessibility: P, EB, IB, E;

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: HIV/AIDS,

Serious Mental Illness,

Co-occuring Disorders

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Heidenfelder, Richard MD

14541 Delano St

Van Nuys, CA 91411

(310) 515-8113

License: A79836

Accepting New Members: Yes

Hours: M-F 9AM-5PM, SA

7AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E;

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.

Jones-pistol, Sheree MFT

14622 Victory Blvd # 2

Van Nuys, CA 91411

(818) 705-5652

License: LMFT36905

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-W,F 4PM-6PM, SA

7AM-1PM

PTA: No

Other Language: Persian,

Spanish

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: NEW Provider Added.

Effective_Date: 01-MAY-15

Morante, Pedro NPA

14541 Delano St

Van Nuys, CA 91411

(310) 515-8113

License: 95004061

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-F 9AM-5PM, SA

7AM-2PM

PTA: No

Other Language: Tagalog

Cultural Competency: NR

Accessibility: P, EB, IB, E;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Sczesny, Andrea NPA

14541 Delano St

Van Nuys, CA 91411

(310) 515-8113

License: 95004889

Credentials and/or board

certification: Not Applicable

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

70

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

Accepting New Members: Yes

Hours: M-F 9AM-5PM, SA

7AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Yacoub, Ehab MD

14541 Delano St

Van Nuys, CA 91411

(310) 515-8113

License: A76244

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-F 9AM-5PM, SA

7AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E;

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: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

WOODLAND HILLS

91364

Bavarsky, Anita PSY

23123 Ventura Blvd Ste 210

Woodland Hills, CA 91364

(818) 340-4999

License: 22481

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Hebrew,

Russian

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Booth, Thomas CSW

4869 Topanga Canyon Blvd

Ste 1

Woodland Hills, CA 91364

(818) 925-5528

License: 74254

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M,SA 8AM-9PM, TU-F

7PM-9PM

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

Special Expertise: Serious

Mental Illness

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

91367

Gershelis, Anna CSW

5855 Topanga Canyon Blvd

Ste 510

Woodland Hills, CA 91367

(213) 908-1234

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

71

LOS ANGELES COUNTY MENTAL HEALTH PROVIDERS

License: 28777

Credentials and/or board

certification: Not Applicable

Accepting New Members: Yes

Hours: M-SU 9AM-9PM

PTA: No

Other Language: Russian

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: Serious

Mental Illness

UPDATE: NEW Provider Added.

Effective_Date: 08-OCT-18

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

72

LOS ANGELES COUNTY VISION PROVIDERS

ARCADIA

91007

Chang, Tom MD

301 W Huntington Dr Ste 107

Arcadia, CA 91007

(626) 574-0188

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Kim, Melody OD

301 W Huntington Dr Ste 107

Arcadia, CA 91007

(626) 574-0188

License: 14726

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Korean,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Wainess, Reid MD

301 W Huntington Dr Ste 107

Arcadia, CA 91007

(626) 574-0188

License: A108766

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Hebrew,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

ARTESIA

90701

Chang, Michael OD

17801 Pioneer Blvd Ste F

Artesia, CA 90701

(562) 467-0813

License: 11341

Accepting New Members: Yes

Hours: M-SU 10AM-7PM

PTA: No

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chen, Joyce OD

17801 Pioneer Blvd Ste F

Artesia, CA 90701

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

73

LOS ANGELES COUNTY VISION PROVIDERS

(562) 467-0813

License: 13953

Accepting New Members: Yes

Hours: M-SU 10AM-7PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Hsu, Grace OD

17801 Pioneer Blvd Ste F

Artesia, CA 90701

(562) 467-0813

License: 15097

Accepting New Members: Yes

Hours: M-SU 10AM-7PM

PTA: No

Other Language: Portuguese,

Spanish, Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Johnson, Jeany OD

19038 Norwalk Blvd

Artesia, CA 90701

(562) 653-9500

License: 33670

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Korean

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Lee, Joseph MD

19038 Norwalk Blvd

Artesia, CA 90701

(562) 653-9500

License: A60445

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Japanese,

Korean, Spanish, Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ly, Richard OD

17801 Pioneer Blvd Ste F

Artesia, CA 90701

(562) 467-0813

License: 34078

Accepting New Members: Yes

Hours: M-SU 10AM-7PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

74

LOS ANGELES COUNTY VISION PROVIDERS

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, Helen OD

17801 Pioneer Blvd Ste F

Artesia, CA 90701

(562) 467-0813

License: 33583

Accepting New Members: Yes

Hours: M-SU 10AM-7PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Yim, Irene OD

19038 Norwalk Blvd

Artesia, CA 90701

(562) 653-9500

License: 9722

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Korean,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

BELLFLOWER

90706

Green, Eugene OD

9838 Flower St

Bellflower, CA 90706

(562) 920-1915

License: 7673

Accepting New Members: Yes

Hours: M,W 10AM-5PM

PTA: Yes

Other Language: Spanish,

Tagalog

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Latter, Mitchell MD

10230 Artesia Blvd Ste 204

Bellflower, CA 90706

(562) 920-8829

License: G40013

Accepting New Members: Yes

Hours: M-F 9AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

75

LOS ANGELES COUNTY VISION PROVIDERS

CITY OF INDUSTRY

91748

Chang, Tom MD

17833 Colima Rd

City Of Industry, CA 91748

(626) 965-8895

License: A69909

Accepting New Members: Yes

Hours: TU-F 9AM-5PM, SA

9AM-2PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chen, Brian MD

17833 Colima Rd

City Of Industry, CA 91748

(626) 965-8895

License: A127719

Accepting New Members: Yes

Hours: TU-F 9AM-5PM, SA

9AM-2PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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, Henry OD

17833 Colima Rd

City Of Industry, CA 91748

(626) 965-8895

License: 15159

Accepting New Members: Yes

Hours: TU-F 9AM-5PM, SA

9AM-2PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Wainess, Reid MD

17833 Colima Rd

City Of Industry, CA 91748

(626) 965-8895

License: A108766

Accepting New Members: Yes

Hours: TU-F 9AM-5PM, SA

9AM-2PM

PTA: No

Other Language: Hebrew,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

DOWNEY

90240

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

76

LOS ANGELES COUNTY VISION PROVIDERS

Okie, Theodore MD

8409 Florence Ave Ste 100

Downey, CA 90240

(562) 862-4444

License: G8937

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Peters, Joseph MD

8409 Florence Ave Ste 100

Downey, CA 90240

(562) 862-4444

License: G30203

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shammas, Hanna MD

8409 Florence Ave Ste 100

Downey, CA 90240

(562) 862-4444

License: A30800

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Other Language: Arabic,

French

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Swearingen, Michael OD

8409 Florence Ave Ste 100

Downey, CA 90240

(562) 862-4444

License: 5603

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90241

Edelstein, Arthur MD

11411 Brookshire Ave Ste 506

Downey, CA 90241

(562) 923-6256

License: G18506

Accepting New Members: Yes

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

77

LOS ANGELES COUNTY VISION PROVIDERS

Hours: M-F 9AM-6PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Falk, Randolph MD

11030 Valley Mall St

El Monte, CA 91731

(626) 444-4545

License: C41643

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 01-MAR-09

GLENDALE

91202

Amini, Payam MD

1025 N Brand Blvd Ste 200

Glendale, CA 91202

(818) 583-9933

License: A107595

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Moore, Lori MD

1025 N Brand Blvd Ste 200

Glendale, CA 91202

(818) 583-9933

License: G57630

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Patel, Jay MD

1025 N Brand Blvd Ste 200

Glendale, CA 91202

(818) 583-9933

License: A127433

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Gujarati,

Hindi, Polish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

78

LOS ANGELES COUNTY VISION PROVIDERS

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.

Shaw, Minh OD

1025 N Brand Blvd Ste 200

Glendale, CA 91202

(818) 583-9933

License: 13540

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shelton, Raymond MD

1025 N Brand Blvd Ste 200

Glendale, CA 91202

(818) 583-9933

License: G60028

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Villegas, Rex OD

1025 N Brand Blvd Ste 200

Glendale, CA 91202

(818) 583-9933

License: 12668

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

91203

Baghoumian, Marineh OD

435 Arden Ave Ste 430

Glendale, CA 91203

(818) 539-8016

License: 14842

Accepting New Members: Yes

Hours: M-F 8AM-4:30PM

PTA: No

Other Language: Armenian

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

79

LOS ANGELES COUNTY VISION PROVIDERS

Chang, Tom MD

435 Arden Ave Ste 430

Glendale, CA 91203

(818) 539-8016

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-4:30PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Kim, Melody OD

435 Arden Ave Ste 430

Glendale, CA 91203

(818) 539-8016

License: 14726

Accepting New Members: Yes

Hours: M-F 8AM-4:30PM

PTA: No

Other Language: Korean,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

GLENDORA

91741

Amini, Payam MD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: A107595

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Cairnie, Mary OD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 33545

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chu, Selena OD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 33549

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

80

LOS ANGELES COUNTY VISION PROVIDERS

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.

Diggory, Matthew OD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 33521

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Duan, Deborah OD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 34232

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Huang, Jeffrey DO

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 20A11984

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Luke, Priscilla MD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: A107548

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

81

LOS ANGELES COUNTY VISION PROVIDERS

Ochoa, Araceli OD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 33514

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ong, Olivia MD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: A66933

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Burmese,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Patel, Jay MD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: A127433

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Gujarati,

Hindi, Polish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Rezaei Abbassi, Nima MD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: A131669

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shaw, Minh OD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 13540

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Vietnamese

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

82

LOS ANGELES COUNTY VISION PROVIDERS

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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, Jennie OD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 14276

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Villegas, Rex OD

150 S Grand Ave Ste I

Glendora, CA 91741

(626) 335-2114

License: 12668

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

HOLLYWOOD

90028

Ordonez, Xavier OD

6464 W Sunset Blvd Ste 110

Hollywood, CA 90028

(323) 469-3131

License: 11089

Accepting New Members: Yes

Hours: TU-F 10AM-6PM, SA

9AM-3PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

HUNTINGTON PARK

90255

Arredondo, Alex OD

2675 Saturn Ave

Huntington Park, CA 90255

(323) 583-7900

License: 8658

Accepting New Members: Yes

Hours: M-F 9:30AM-6PM, SA

9AM-3PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

83

LOS ANGELES COUNTY VISION PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

De La Pena, William MD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: A31272

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Dominguez, Charles OD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: 12292

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Garcia, Eddie MD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: G53767

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Mandel, Benjamin MD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: A127151

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

84

LOS ANGELES COUNTY VISION PROVIDERS

Mayberry, Melissa MD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: A71074

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Mishima, Todd OD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: 9700

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Moayedpardazi, Hamideh MD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: A137200

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Nguyen, Meggie OD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: 15342

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Nguyen, Thien Thu OD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: 13098

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

85

LOS ANGELES COUNTY VISION PROVIDERS

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Perez, Evelyn OD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: 10155

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Roizenblatt, Roberto MD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: A109738

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Portuguese,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 18-JUN-14

Salib, George MD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: A71222

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Sanchez, Adriana OD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: 14769

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

86

LOS ANGELES COUNTY VISION PROVIDERS

Accessibility: P, EB, IB, E, R;

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.

Uchio, Alejandra MD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: A78760

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ung, Susan OD

2715 E Florence Ave

Huntington Park, CA 90255

(323) 581-0120

License: 12206

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

LAKEWOOD

90712

Gottlieb, Larry OD

322 Lakewood Center Mall

Lakewood, CA 90712

(562) 630-2020

License: 6451

Accepting New Members: Yes

Hours: SU 11AM-6PM, M-F

10AM-7PM, SA 10AM-6PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90713

Gottlieb, Larry OD

6418 Del Amo Blvd

Lakewood, CA 90713

(562) 420-2055

License: 6451

Accepting New Members: Yes

Hours: M-TH 10AM-7PM, F

10AM-6PM, SA 9AM-2PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

87

LOS ANGELES COUNTY VISION PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

LANCASTER

93534

Alasil, Tarek MD

44815 Fig Ave

Lancaster, CA 93534

(661) 206-9753

License: A108797

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Baghoumian, Marineh OD

44815 Fig Ave

Lancaster, CA 93534

(661) 206-9753

License: 14842

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Armenian

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chang, Tom MD

44815 Fig Ave

Lancaster, CA 93534

(661) 206-9753

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chen, Brian MD

44815 Fig Ave

Lancaster, CA 93534

(661) 206-9753

License: A127719

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Culotta, Anthony MD

44815 Fig Ave

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

88

LOS ANGELES COUNTY VISION PROVIDERS

Lancaster, CA 93534

(661) 206-9753

License: A97142

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Malek, Renia OD

44815 Fig Ave

Lancaster, CA 93534

(661) 206-9753

License: 33840

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Nguyen, Trung OD

44407 10th St W

Lancaster, CA 93534

(661) 942-3849

License: 13978

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 06-MAR-15

Tran, Henry OD

44815 Fig Ave

Lancaster, CA 93534

(661) 206-9753

License: 15159

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Wainess, Reid MD

44815 Fig Ave

Lancaster, CA 93534

(661) 206-9753

License: A108766

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Hebrew,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

accessibility indicators are not

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

89

LOS ANGELES COUNTY VISION PROVIDERS

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

LONG BEACH

90807

Chang, Michael OD

4700 Cherry Ave

Long Beach, CA 90807

(562) 980-0325

License: 11341

Accepting New Members: Yes

Hours: M-SA 10AM-7PM

PTA: No

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Goldstone, Alan OD

2280 E Carson St

Long Beach, CA 90807

(562) 422-2020

License: 12297

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-4PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Goldstone, Harvey OD

2280 E Carson St

Long Beach, CA 90807

(562) 422-2020

License: 5273

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-4PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Huang, Catherine OD

2280 E Carson St

Long Beach, CA 90807

(562) 422-2020

License: 33509

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-4PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

90

LOS ANGELES COUNTY VISION PROVIDERS

Ly, Richard OD

4700 Cherry Ave

Long Beach, CA 90807

(562) 980-0325

License: 34078

Accepting New Members: Yes

Hours: M-SA 10AM-7PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Nguyen, Thy OD

2280 E Carson St

Long Beach, CA 90807

(562) 422-2020

License: 12746

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-4PM

PTA: Yes

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90808

Alasil, Tarek MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A108797

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Bei, Ling MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A129618

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Boeckmann, Jessica MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A124361

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

91

LOS ANGELES COUNTY VISION PROVIDERS

Accessibility: P, EB, IB, E, R;

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.

Chang, Tom MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chen, Brian MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A127719

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chew, Wesley OD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: 14901

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Culotta, Anthony MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A97142

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

92

LOS ANGELES COUNTY VISION PROVIDERS

Grant-acquah, Kweku MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A126202

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Quach, Phuc OD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: 12891

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Renner, Morgan MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A142841

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Rose, Michael MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: G33914

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish,

Vietnamese, Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Wainess, Reid MD

3816 Woodruff Ave Ste 100

Long Beach, CA 90808

(562) 424-0931

License: A108766

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

93

LOS ANGELES COUNTY VISION PROVIDERS

Other Language: Hebrew,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

90006

Green, Eugene OD

1818 S Western Ave Ste 101

Los Angeles, CA 90006

(323) 731-2474

License: 7673

Accepting New Members: Yes

Hours: TU,F 10AM-5PM

PTA: No

Other Language: Spanish,

Tagalog

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90011

Stern, Lawrence OD

2020 S Central Ave Ste A

Los Angeles, CA 90011

(213) 973-3968

License: 33603

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90015

Eng, Calvin MD

1120 W Washington Blvd

Los Angeles, CA 90015

(213) 623-2225

License: G55239

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish,

Vietnamese, Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90017

Chang, Tom MD

1127 Wilshire Blvd Ste 504

Los Angeles, CA 90017

(213) 413-7301

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

94

LOS ANGELES COUNTY VISION PROVIDERS

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.

Grant-acquah, Kweku MD

1127 Wilshire Blvd Ste 504

Los Angeles, CA 90017

(213) 413-7301

License: A126202

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Kim, Melody OD

1127 Wilshire Blvd Ste 504

Los Angeles, CA 90017

(213) 413-7301

License: 14726

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Korean,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Wainess, Reid MD

1127 Wilshire Blvd Ste 504

Los Angeles, CA 90017

(213) 413-7301

License: A108766

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Hebrew,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90020

Johnson, Jeany OD

505 S Virgil Ave Ste 300

Los Angeles, CA 90020

(213) 384-5222

License: 33670

Accepting New Members: Yes

Hours: M-W,F,SA 9AM-5PM

PTA: Yes

Other Language: Korean

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

95

LOS ANGELES COUNTY VISION PROVIDERS

panel status.

Lee, Joseph MD

505 S Virgil Ave Ste 300

Los Angeles, CA 90020

(213) 384-5222

License: A60445

Accepting New Members: Yes

Hours: M-W,F,SA 9AM-5PM

PTA: Yes

Other Language: Japanese,

Korean, Spanish, Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Yim, Irene OD

505 S Virgil Ave Ste 300

Los Angeles, CA 90020

(213) 384-5222

License: 9722

Accepting New Members: Yes

Hours: M-W,F,SA 9AM-5PM

PTA: Yes

Other Language: Korean,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90023

Allen, Daniel OD

3350 Whittier Blvd

Los Angeles, CA 90023

(323) 268-1131

License: 15103

Accepting New Members: Yes

Hours: M-F 10AM-5:30PM, SA

10AM-2PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Perez, Luis OD

3350 Whittier Blvd

Los Angeles, CA 90023

(323) 268-1131

License: 12750

Accepting New Members: Yes

Hours: M-F 10AM-5:30PM, SA

10AM-2PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90026

Allen, Daniel OD

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

96

LOS ANGELES COUNTY VISION PROVIDERS

1509 W Sunset Blvd

Los Angeles, CA 90026

(213) 250-5768

License: 15103

Accepting New Members: Yes

Hours: M-F 9AM-5:30PM, SA

9AM-12PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chang, Bogard OD

1711 W Temple St Ste 7135

Los Angeles, CA 90026

(213) 413-8213

License: 11253

Accepting New Members: Yes

Hours: M-TH 9AM-6PM, F

9AM-5PM

PTA: No

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Perez, Luis OD

1509 W Sunset Blvd

Los Angeles, CA 90026

(213) 250-5768

License: 12750

Accepting New Members: Yes

Hours: M-F 9AM-5:30PM, SA

9AM-12PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90031

Chang, Tom MD

2400 N Broadway

Los Angeles, CA 90031

(323) 221-8000

License: A69909

Accepting New Members: Yes

Hours: M-F 8:30AM-5:30PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chen, Brian MD

2400 N Broadway

Los Angeles, CA 90031

(323) 221-8000

License: A127719

Accepting New Members: Yes

Hours: M-F 8:30AM-5:30PM

PTA: No

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

97

LOS ANGELES COUNTY VISION PROVIDERS

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Davis, Michael MD

2400 N Broadway

Los Angeles, CA 90031

(323) 221-8000

License: A111866

Accepting New Members: Yes

Hours: M-F 8:30AM-5:30PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Du, Elizabeth MD

2400 N Broadway

Los Angeles, CA 90031

(323) 221-8000

License: C142813

Accepting New Members: Yes

Hours: M-F 8:30AM-5:30PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Kim, Melody OD

2400 N Broadway

Los Angeles, CA 90031

(323) 221-8000

License: 14726

Accepting New Members: Yes

Hours: M-F 8:30AM-5:30PM

PTA: No

Other Language: Korean,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Rose, Michael MD

2400 N Broadway

Los Angeles, CA 90031

(323) 221-8000

License: G33914

Accepting New Members: Yes

Hours: M-F 8:30AM-5:30PM

PTA: No

Other Language: Spanish,

Vietnamese, Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

accessibility indicators are not

present.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

98

LOS ANGELES COUNTY VISION PROVIDERS

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Tran, Henry OD

2400 N Broadway

Los Angeles, CA 90031

(323) 221-8000

License: 15159

Accepting New Members: Yes

Hours: M-F 8:30AM-5:30PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Wainess, Reid MD

2400 N Broadway

Los Angeles, CA 90031

(323) 221-8000

License: A108766

Accepting New Members: Yes

Hours: M-F 8:30AM-5:30PM

PTA: No

Other Language: Hebrew,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90035

Kummer, Robert OD

1421 S Robertson Blvd

Los Angeles, CA 90035

(310) 274-0653

License: 5550

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 01-MAR-09

90045

Chang, Tom MD

8616 La Tijera Blvd Ste 102

Los Angeles, CA 90045

(310) 673-2020

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-4:30PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Culotta, Anthony MD

8616 La Tijera Blvd Ste 102

Los Angeles, CA 90045

(310) 673-2020

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

99

LOS ANGELES COUNTY VISION PROVIDERS

License: A97142 accessibility indicators are not License: 12891

Accepting New Members: Yes present. Accepting New Members: Yes

Hours: M-F 8AM-4:30PM UPDATE: There was a change Hours: M-F 8AM-4:30PM

PTA: No in the provider record; PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Goodwin Jr, Lawrence MD

8717 La Tijera Blvd

Los Angeles, CA 90045

(310) 674-2895

License: C40581

Accepting New Members: Yes

Hours: M,W,TH 9AM-5PM, TU,F

9AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

demographic, phone and/or

panel status.

Grant-acquah, Kweku MD

8616 La Tijera Blvd Ste 102

Los Angeles, CA 90045

(310) 673-2020

License: A126202

Accepting New Members: Yes

Hours: M-F 8AM-4:30PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Quach, Phuc OD

8616 La Tijera Blvd Ste 102

Los Angeles, CA 90045

(310) 673-2020

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Rose, Michael MD

8616 La Tijera Blvd Ste 102

Los Angeles, CA 90045

(310) 673-2020

License: G33914

Accepting New Members: Yes

Hours: M-F 8AM-4:30PM

PTA: No

Other Language: Spanish,

Vietnamese, Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

100

LOS ANGELES COUNTY VISION PROVIDERS

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.

Wainess, Reid MD

8616 La Tijera Blvd Ste 102

Los Angeles, CA 90045

(310) 673-2020

License: A108766

Accepting New Members: Yes

Hours: M-F 8AM-4:30PM

PTA: No

Other Language: Hebrew,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Roizenblatt, Roberto MD

139 S Alvarado St

Los Angeles, CA 90057

(213) 484-0170

License: A109738

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Portuguese,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 18-JUN-14

90058

Mohebbi, Ali OD

4433 S Alameda St Ste C12

Los Angeles, CA 90058

(323) 988-1033

License: 11257

Accepting New Members: Yes

Hours: M,W-SU 10AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

LYNWOOD

90262

Edelstein, Arthur MD

3737 Mlk Jr Blvd Ste 340

Lynwood, CA 90262

(310) 638-0402

License: G18506

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

101

LOS ANGELES COUNTY VISION PROVIDERS

panel status.

Mastan, Peter MD

3737 Mlk Jr Blvd Ste 340

Lynwood, CA 90262

(310) 638-0402

License: G12999

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 01-MAR-09

Mohebbi, Ali OD

3150 E Imperial Hwy Ste 202b

Lynwood, CA 90262

(310) 844-7961

License: 11257

Accepting New Members: Yes

Hours: M,TU,TH,SA,SU

10AM-6PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Okie, Theodore MD

3510 Mlk Jr Blvd

Lynwood, CA 90262

(310) 635-7550

License: G8937

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Peters, Joseph MD

3510 Mlk Jr Blvd

Lynwood, CA 90262

(310) 635-7550

License: G30203

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shammas, Hanna MD

3510 Mlk Jr Blvd

Lynwood, CA 90262

(310) 635-7550

License: A30800

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

102

LOS ANGELES COUNTY VISION PROVIDERS

PTA: No

Other Language: Arabic,

French

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

MAYWOOD

90270

Arredondo, Alex OD

4349 Slauson Ave Ste A

Maywood, CA 90270

(323) 581-0117

License: 8658

Accepting New Members: Yes

Hours: M-F 9:30AM-6PM, SA

9AM-2PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

MONROVIA

91016

Amini, Payam MD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: A107595

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Cairnie, Mary OD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: 33545

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chu, Selena OD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: 33549

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

103

LOS ANGELES COUNTY VISION PROVIDERS

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.

Diggory, Matthew OD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: 33521

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Duan, Deborah OD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: 34232

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Huang, Jeffrey DO

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: 20A11984

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Luke, Priscilla MD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: A107548

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ochoa, Araceli OD

855 W Foothill Blvd

Monrovia, CA 91016

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

104

LOS ANGELES COUNTY VISION PROVIDERS

(626) 358-1080

License: 33514

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ong, Olivia MD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: A66933

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Burmese,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Patel, Jay MD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: A127433

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Gujarati,

Hindi, Polish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Rezaei Abbassi, Nima MD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: A131669

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shaw, Minh OD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: 13540

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

105

LOS ANGELES COUNTY VISION PROVIDERS

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.

Shelton, Raymond MD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: G60028

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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, Jennie OD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: 14276

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Villegas, Rex OD

855 W Foothill Blvd

Monrovia, CA 91016

(626) 358-1080

License: 12668

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

De La Pena, William MD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: A31272

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

106

LOS ANGELES COUNTY VISION PROVIDERS

Dominguez, Charles OD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: 12292

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Garcia, Eddie MD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: G53767

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Mandel, Benjamin MD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: A127151

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Mayberry, Melissa MD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: A71074

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Mishima, Todd OD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: 9700

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

107

LOS ANGELES COUNTY VISION PROVIDERS

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Moayedpardazi, Hamideh MD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: A137200

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Nguyen, Meggie OD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: 15342

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Nguyen, Thien Thu OD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: 13098

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Perez, Evelyn OD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: 10155

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

108

LOS ANGELES COUNTY VISION PROVIDERS

in the provider record;

demographic, phone and/or

panel status.

Roizenblatt, Roberto MD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: A109738

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Portuguese,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 18-JUN-14

Salib, George MD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: A71222

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Sanchez, Adriana OD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: 14769

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Uchio, Alejandra MD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: A78760

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ung, Susan OD

2446 W Whittier Blvd

Montebello, CA 90640

(323) 728-5500

License: 12206

Accepting New Members: Yes

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

109

LOS ANGELES COUNTY VISION PROVIDERS

Hours: M-F 9AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

NORTH HILLS

91343

Cheung, Karen OD

9119 Haskell Ave

North Hills, CA 91343

(818) 763-8836

License: 11865

Accepting New Members: Yes

Hours: M-F 8AM-5PM, SA

8AM-3PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Sugimoto, Jean OD

9119 Haskell Ave

North Hills, CA 91343

(818) 763-8836

License: 33478

Accepting New Members: Yes

Hours: M-F 8AM-5PM, SA

8AM-3PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Zarabian, Elham OD

9119 Haskell Ave

North Hills, CA 91343

(818) 763-8836

License: 11991

Accepting New Members: Yes

Hours: M-F 8AM-5PM, SA

8AM-3PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

NORTH HOLLYWOOD

91605

Cheung, Karen OD

6801 Coldwater Canyon Ave

North Hollywood, CA 91605

(818) 764-7047

License: 11865

Accepting New Members: Yes

Hours: M-F 8AM-5PM, SA

8AM-3PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

110

LOS ANGELES COUNTY VISION PROVIDERS

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.

Sugimoto, Jean OD

6801 Coldwater Canyon Ave

North Hollywood, CA 91605

(818) 764-7047

License: 33478

Accepting New Members: Yes

Hours: M-F 8AM-5PM, SA

8AM-3PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Zarabian, Elham OD

6801 Coldwater Canyon Ave

North Hollywood, CA 91605

(818) 764-7047

License: 11991

Accepting New Members: Yes

Hours: M-F 8AM-5PM, SA

8AM-3PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

NORTHRIDGE

91324

Winston, Mark OD

9153 Reseda Blvd

Northridge, CA 91324

(818) 701-0123

License: 7679

Accepting New Members: Yes

Hours: TU 9AM-6PM, W

9AM-5PM, TH 11AM-8PM, F

10AM-6PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

91325

Chang, Andrew MD

18350 Roscoe Blvd Ste 101

Northridge, CA 91325

(818) 349-8300

License: G61183

Accepting New Members: Yes

Hours: M-F 8:30AM-5PM

PTA: No

Other Language: Spanish,

Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

111

LOS ANGELES COUNTY VISION PROVIDERS

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.

NORWALK

90650

Ciampa, Christopher OD

10949 Alondra Blvd

Norwalk, CA 90650

(562) 864-8590

License: 8948

Accepting New Members: Yes

Hours: M,TU,F 9AM-5PM, W,TH

9AM-7PM, SA 9AM-4PM

PTA: No

Other Language: Bulgarian,

Russian, Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Fishberg, Gary OD

12413 Norwalk Blvd

Norwalk, CA 90650

(562) 863-5807

License: 6656

Accepting New Members: Yes

Hours: M,F 9AM-6:30PM, TU,TH

9AM-5PM, W 9AM-6PM, SA

8:30AM-1:30PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Goodwin Jr, Lawrence MD

11916 Firestone Blvd

Norwalk, CA 90650

(562) 868-6826

License: C40581

Accepting New Members: Yes

Hours: M 11AM-5PM, TU,F

10:30AM-6PM, W

10:30AM-5PM, TH

10:30AM-9PM, SA

10:30AM-2PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

PARAMOUNT

90723

Ciampa, Christopher OD

15717 Paramount Blvd

Paramount, CA 90723

(562) 361-5515

License: 8948

Accepting New Members: Yes

Hours: M-F 9AM-5PM

PTA: No

Other Language: Bulgarian,

Russian, Spanish

Cultural Competency: CC

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

112

LOS ANGELES COUNTY VISION PROVIDERS

Accessibility: P, EB, IB, E, R;

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

Chang, Andrew MD

625 S Fair Oaks Ave Ste 235

Pasadena, CA 91105

(626) 796-7006

License: G61183

Accepting New Members: Yes

Hours: M 9AM-5PM, TU-TH

8AM-5PM, F 8AM-4PM

PTA: No

Other Language: Spanish,

Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chang, Tom MD

100 E California Blvd

Pasadena, CA 91105

(800) 432-2020

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Davis, Michael MD

100 E California Blvd

Pasadena, CA 91105

(800) 432-2020

License: A111866

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Kim, Melody OD

100 E California Blvd

Pasadena, CA 91105

(800) 432-2020

License: 14726

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Korean,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

accessibility indicators are not

present.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

113

LOS ANGELES COUNTY VISION PROVIDERS

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Malek, Renia OD

100 E California Blvd

Pasadena, CA 91105

(800) 432-2020

License: 33840

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

91107

Amini, Payam MD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: A107595

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Cairnie, Mary OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 33545

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Camara, David OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 10484

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chu, Selena OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 33549

Accepting New Members: Yes

Hours: M-F 8AM-5PM

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

114

LOS ANGELES COUNTY VISION PROVIDERS

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Diggory, Matthew OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 33521

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Duan, Deborah OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 34232

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Huang, Jeffrey DO

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 20A11984

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Luke, Priscilla MD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: A107548

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

115

LOS ANGELES COUNTY VISION PROVIDERS

panel status.

Moore, Lori MD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: G57630

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ochoa, Araceli OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 33514

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ong, Olivia MD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: A66933

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Burmese,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Patel, Jay MD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: A127433

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Gujarati,

Hindi, Polish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Rezaei Abbassi, Nima MD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: A131669

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

116

LOS ANGELES COUNTY VISION PROVIDERS

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shaw, Minh OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 13540

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shelton, Raymond MD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: G60028

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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, Jennie OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 14276

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Villegas, Rex OD

2619 E Colorado Blvd Ste 150

Pasadena, CA 91107

(626) 793-4168

License: 12668

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

117

LOS ANGELES COUNTY VISION PROVIDERS

in the provider record;

demographic, phone and/or

panel status.

POMONA

91767

Tran, Dai MD

1148 E Holt Ave

Pomona, CA 91767

(909) 622-2226

License: G83981

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

10AM-5PM

PTA: No

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Eng, Calvin MD

9212 Valley Blvd

Rosemead, CA 91770

(626) 288-2308

License: G55239

Accepting New Members: Yes

Hours: M-SA 10AM-6PM

PTA: No

Other Language: Spanish,

Vietnamese, Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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, Dai MD

9014 Garvey Ave Ste G

Rosemead, CA 91770

(626) 572-7171

License: G83981

Accepting New Members: Yes

Hours: M-TH 9AM-1PM, F

9AM-6PM, SA 1PM-5PM

PTA: No

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

Chang, Bogard OD

18337 Colima Rd

Rowland Heights, CA 91748

(626) 854-1131

License: 11253

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

9AM-4PM

PTA: Yes

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

118

LOS ANGELES COUNTY VISION PROVIDERS

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.

SAN GABRIEL

91776

Chen, Brian MD

207 S Santa Anita St Ste P25

San Gabriel, CA 91776

(626) 269-5355

License: A127719

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Kim, Melody OD

207 S Santa Anita St Ste P25

San Gabriel, CA 91776

(626) 269-5355

License: 14726

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Korean,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Wainess, Reid MD

207 S Santa Anita St Ste P25

San Gabriel, CA 91776

(626) 269-5355

License: A108766

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: No

Other Language: Hebrew,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

SAN PEDRO

90732

Alasil, Tarek MD

1360 W 6th St Ste 165

San Pedro, CA 90732

(562) 317-3892

License: A108797

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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;

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

119

LOS ANGELES COUNTY VISION PROVIDERS

demographic, phone and/or

panel status.

Chang, Tom MD

1360 W 6th St Ste 165

San Pedro, CA 90732

(562) 317-3892

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Dang, Lisa MD

1360 W 6th St Ste 165

San Pedro, CA 90732

(562) 317-3892

License: A154089

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Nguyen, Thy OD

1360 W 6th St Ste 165

San Pedro, CA 90732

(562) 317-3892

License: 12746

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Pham, Vy OD

1360 W 6th St Ste 165

San Pedro, CA 90732

(562) 317-3892

License: 33671

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Wong, Sharon OD

1360 W 6th St Ste 165

San Pedro, CA 90732

(562) 317-3892

License: 15137

Accepting New Members: Yes

Hours: M-F 8AM-5PM

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

120

LOS ANGELES COUNTY VISION PROVIDERS

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

SHERMAN OAKS

91423

Gabrielian, Karine MD

13739 Riverside Dr Ste A

Sherman Oaks, CA 91423

(818) 386-0008

License: A66613

Accepting New Members: Yes

Hours: M-SA 9AM-6PM

PTA: Yes

Other Language: Armenian,

Russian

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Hovanesian, Haroutun MD

13739 Riverside Dr Ste A

Sherman Oaks, CA 91423

(818) 386-0008

License: A67565

Accepting New Members: Yes

Hours: M-SA 9AM-6PM

PTA: Yes

Other Language: Armenian,

Russian, Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

SOUTH PASADENA

91030

Latter, Mitchell MD

1499 Huntington Dr Ste 508

South Pasadena, CA 91030

(626) 799-9588

License: G40013

Accepting New Members: Yes

Hours: M,W,F 9AM-5PM, TU

1:30PM-5PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

STEVENSON RANCH

91381

Winston, Mark OD

25834 The Old Rd

Stevenson Ranch, CA 91381

(661) 259-3300

License: 7679

Accepting New Members: Yes

Hours: M,W 9AM-6PM, TU,F

9AM-5PM, TH 9AM-1PM, SA

9AM-4PM

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

121

LOS ANGELES COUNTY VISION PROVIDERS

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

STUDIO CITY

91604

Henteleff, Ronald OD

12442 Moorpark St

Studio City, CA 91604

(818) 985-3433

License: 6687

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 01-APR-10

TARZANA

91356

Amini, Payam MD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: A107595

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Cairnie, Mary OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 33545

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Camara, David OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 10484

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

accessibility indicators are not

present.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

122

LOS ANGELES COUNTY VISION PROVIDERS

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Chu, Selena OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 33549

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Diggory, Matthew OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 33521

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Duan, Deborah OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 34232

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Huang, Jeffrey DO

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 20A11984

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Luke, Priscilla MD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: A107548

Accepting New Members: Yes

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

123

LOS ANGELES COUNTY VISION PROVIDERS

Hours: M-F 8AM-5PM in the provider record; Hours: M-F 8AM-5PM

PTA: Yes demographic, phone and/or PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Moore, Lori MD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: G57630

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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

panel status.

Ochoa, Araceli OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 33514

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Ong, Olivia MD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: A66933

Accepting New Members: Yes

Other Language: Burmese,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Patel, Jay MD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: A127433

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Gujarati,

Hindi, Polish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

124

LOS ANGELES COUNTY VISION PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Shaw, Minh OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 13540

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shelton, Raymond MD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: G60028

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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, Jennie OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 14276

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Villegas, Rex OD

18370 Burbank Blvd Ste 207

Tarzana, CA 91356

(818) 996-3400

License: 12668

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

TORRANCE

90505

Alasil, Tarek MD

3440 Lomita Blvd Ste 100

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

125

LOS ANGELES COUNTY VISION PROVIDERS

Torrance, CA 90505

(800) 898-2020

License: A108797

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chang, Bogard OD

23133 Hawthorne Blvd Ste 110

Torrance, CA 90505

(310) 375-8028

License: 11253

Accepting New Members: Yes

Hours: M 10AM-4PM, TU,F,SA

10AM-6PM

PTA: No

Other Language: Chinese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Chang, Tom MD

3440 Lomita Blvd Ste 100

Torrance, CA 90505

(800) 898-2020

License: A69909

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Dang, Lisa MD

3440 Lomita Blvd Ste 100

Torrance, CA 90505

(800) 898-2020

License: A154089

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Grant-acquah, Kweku MD

3440 Lomita Blvd Ste 100

Torrance, CA 90505

(800) 898-2020

License: A126202

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

Members should call the

provider’s office to discuss

their accessibility needs when

there is limited access or when

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

126

LOS ANGELES COUNTY VISION PROVIDERS

accessibility indicators are not

present.

UPDATE: There was a change

in the provider record;

demographic, phone and/or

panel status.

Nguyen, Thy OD

3440 Lomita Blvd Ste 100

Torrance, CA 90505

(800) 898-2020

License: 12746

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Spanish,

Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Pham, Vy OD

3440 Lomita Blvd Ste 100

Torrance, CA 90505

(800) 898-2020

License: 33671

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Vietnamese

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Tamayo, Robert OD

3525 Pacific Coast Hwy Ste E

Torrance, CA 90505

(310) 325-7799

License: 10737

Accepting New Members: Yes

Hours: M,TU,TH,F 9AM-6PM, SA

9AM-2PM

PTA: Yes

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Tu, Linh OD

3525 Pacific Coast Hwy Ste E

Torrance, CA 90505

(310) 325-7799

License: 11969

Accepting New Members: Yes

Hours: M,TU,TH,F 9AM-6PM, SA

9AM-2PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

127

LOS ANGELES COUNTY VISION PROVIDERS

Wong, Sharon OD

3440 Lomita Blvd Ste 100

Torrance, CA 90505

(800) 898-2020

License: 15137

Accepting New Members: Yes

Hours: M-F 8AM-5PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

VAN NUYS

91401

Gomes, Alex OD

5622 Van Nuys Blvd

Van Nuys, CA 91401

(818) 988-8744

License: 13501

Accepting New Members: Yes

Hours: M,TU,F 9AM-5PM, W,TH

10AM-6PM, SA 9AM-2PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

91405

Monderer, Bernard MD

15211 Vanowen St Ste 210

Van Nuys, CA 91405

(818) 786-0710

License: G34153

Accepting New Members: Yes

Hours: Contact facility for

hours of operation

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 01-MAR-09

Roizenblatt, Roberto MD

7100 Van Nuys Blvd Ste 120

Van Nuys, CA 91405

(818) 988-1111

License: A109738

Accepting New Members: Yes

Hours: M-F 9AM-6PM, SA

8AM-4PM

PTA: No

Other Language: Portuguese,

Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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: 18-JUN-14

WEST HILLS

91304

Gomes, Alex OD

7606 Fallbrook Ave Ste 8

West Hills, CA 91304

(818) 476-7949

License: 13501

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

128

LOS ANGELES COUNTY VISION PROVIDERS

Accepting New Members: Yes

Hours: TU,W,F 9AM-5PM, SA

9AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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 HOLLYWOOD

90046

Gabrielian, Karine MD

7739 Santa Monica Blvd

West Hollywood, CA 90046

(323) 656-7771

License: A66613

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Armenian,

Russian

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Hovanesian, Haroutun MD

7739 Santa Monica Blvd

West Hollywood, CA 90046

(323) 656-7771

License: A67565

Accepting New Members: Yes

Hours: M-F 9AM-6PM

PTA: No

Other Language: Armenian,

Russian, Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

WHITTIER

90601

Ordonez, Xavier OD

13124 Philadelphia St

Whittier, CA 90601

(562) 945-3589

License: 11089

Accepting New Members: Yes

Hours: M,TU,TH,F 9AM-5PM, W

10AM-6PM, SA 9AM-3PM

PTA: Yes

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

90602

Okie, Theodore MD

7957 Painter Ave Ste 203

Whittier, CA 90602

(562) 464-0590

License: G8937

Accepting New Members: Yes

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

129

LOS ANGELES COUNTY VISION PROVIDERS

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Other Language: Spanish

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Shammas, Hanna MD

7957 Painter Ave Ste 203

Whittier, CA 90602

(562) 464-0590

License: A30800

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Other Language: Arabic,

French

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Swearingen, Michael OD

7957 Painter Ave Ste 203

Whittier, CA 90602

(562) 464-0590

License: 5603

Accepting New Members: Yes

Hours: M-TH 9AM-5PM, F

8AM-1PM

PTA: No

Cultural Competency: CC

Accessibility: P, EB, IB, E, R;

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.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

130

LOS ANGELES COUNTY MENTAL HEALTH FACILITIES

BALDWIN PARK

91706

Central City Community

Health Center - Baldwin Park

4160 Maine Ave Ste B1 B2 B3

Baldwin Park, CA 91706

(626) 384-2400

NPI#: 1235283094

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

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: 01-JUL-14

Central City Community

Health Center - Baldwin Park

4160 Maine Ave Ste B1 B2 B3

Baldwin Park, CA 91706

(626) 384-2400

NPI#: 1235283094

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: NEW Provider Added.

Effective_Date: 01-MAY-19

BURBANK

91504

All Inclusive Community

Health Center - Burbank

1311 N San Fernando Blvd

Burbank, CA 91504

(818) 843-9900

NPI#: 1093019051

Hours: M-F 8AM-5PM, SA

9AM-2PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: 01-OCT-15

LA PUENTE

91746

Central City Community

Health Center - La Puente

13742 Amar Rd

La Puente, CA 91746

(626) 919-0400

NPI#: 1235283094

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: NEW Provider Added.

Effective_Date: 01-MAY-19

Central City Community

Health Center - La Puente

13742 Amar Rd

La Puente, CA 91746

(626) 919-0400

NPI#: 1235283094

Hours: Contact facility for

hours of operation

PTA: No

Cultural Competency: NR

Members should call the

provider’s office to discuss

their accessibility needs.

UPDATE: NEW Provider Added.

Effective_Date: 01-JUL-14

LOS ANGELES

90001

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

131

LOS ANGELES COUNTY MENTAL HEALTH FACILITIES

Central City Community

Health Center - Los Angeles

5970 S Central Ave

Los Angeles, CA 90001

(323) 234-3280

NPI#: 1235283094

Hours: M-F 8:30AM-5:30PM, SA

8:30AM-2:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: 01-JUL-14

Central City Community

Health Center - Los Angeles

5970 S Central Ave

Los Angeles, CA 90001

(323) 234-3280

NPI#: 1235283094

Hours: M-F 8:30AM-5:30PM, SA

8:30AM-2:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, E, R;

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: 01-MAY-19

90027

Asian Pacific Health Care

Venture Inc - Jmhs Health

3939 Tracy St

Los Angeles, CA 90027

(323) 665-1129

NPI#: 1003951708

Hours: TU 8:30AM-12PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, R;

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: 01-JUL-14

Asian Pacific Health Care

Venture, Inc - Los Feliz Health

Ce

1530 Hillhurst Ave

Los Angeles, CA 90027

(323) 644-3880

NPI#: 1336208255

Hours: M,W 9AM-5:30PM, TU,TH

10AM-6:30PM

PTA: No

Cultural Competency: NR

Accessibility: P, EB, IB, R;

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: 01-JUL-14

90065

All Inclusive Community

Health Center - Los Angeles

3920 Eagle Rock Blvd Ste A

Los Angeles, CA 90065

(323) 255-5225

NPI#: 1174996177

Hours: M-F 8AM-5PM

PTA: No

Cultural Competency: NR

Accessibility: EB; Members

should call the provider’s

office to discuss their

accessibility needs when there

is limited access or when

accessibility indicators are not

present.

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

132

LOS ANGELES COUNTY MENTAL HEALTH FACILITIES

UPDATE: NEW Provider Added.

Effective_Date: 01-OCT-15

Accessiblity 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 MediconnectPlan 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. Call Member Services at

1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a

facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.

This list is subject to change.

133

PROVIDER INDEX

A Abdullatif, Qutayba...............59

Abjelina, Kenneth ..................61

Agu, Janet ..............................61

Alasil, Tarek .... 125, 88, 91, 119

Alhadeff, Jere.........................62

All Inclusive Community Health

Center - Burbank..................131

All Inclusive Community Health

Center - Los Angeles ...........132

Allen, Daniel............................96

Amini, Payam 114, 122, 78,

80, 103

Antoun, Cindy ................. 31, 22

Armani, Robert ................ 43, 24

Arredondo, Alex............ 83, 103

Asian Pacific Health Care

Venture Inc - Jmhs Health...132

Asian Pacific Health Care

Venture, Inc - Los Feliz Health

Ce ..........................................132

Attento, Adriana ....................52

B Baghoumian, Marineh.... 88, 79

Bao, Tien........................... 24, 10

Barr, Mark ..................................1

Barrus, Kim...............................50

Bautista, Cynthia ....................51

Bavarsky, Anita.......................71

Bei, Ling ...................................91

Bennet, Melanie.....................65

Blakely, David .................. 39, 16

Boeckmann, Jessica..............91

Booth, Thomas........................71

Boulware, Dessirae... 64, 65, 62

Briscoe, Marti ..........................59

Brittain, Debra......................... 64

Brody, Bruce .................... 49, 31

Brody, Dora.............................52

Bruzas, Jessica ........................64

Cairnie, Mary 114, 122, 80, 103

Caisin, Anna ...........................51

Camara, David ........... 122, 114

Canabal, Manuel ........... 27, 12

Central City Community Health

Center - Baldwin Park..........131

Central City Community Health

Center - La Puente ..............131

Central City Community Health

Center - Los Angeles ...........132

Chang, Andrew .......... 113, 111

Chang, Bogard .... 126, 97, 118

Chang, Chung Young 37, 46, 2

Chang, Michael .............. 90, 73

Chang, Tom 120, 126, 73, 76,

80, 88, 92, 94, 97, 99, 113

Chen, Brian 76, 88, 92, 97, 119

Chen, Jeng-shiang .... 38, 46, 2

Chen, Joyce ...........................73

Chen, Quincy .................. 32, 31

Chen, Yuying .............. 41, 5, 10

Cheung, Karen.....................110

Chew, Wesley.........................92

Cho, Eun........................... 23, 18

Chow, Linda ...........................52

Chu, Selena . 114, 123, 80, 103

Chuang, Gina Hua Qin .. 36, 17

Chung Morita, Jonie.... 4, 8, 26

Ciampa, Christopher ...........112

Culotta, Anthony ..... 92, 99, 88

D Dang, Lisa .................... 126, 120

Davis, Michael ............... 98, 113

Dawson, Jonathan ......... 17, 16

De La Pena, William...... 84, 106

Deak, Gabi .............................52

Denbel, Yeshiwork..................51

Diggory, Matthew 115, 123,

81, 104

Dominguez, Charles ..... 84, 107

Doty, Brian...............................13

Du, Elizabeth...........................98

Duan, Deborah 115, 123, 81,

104

Dugan, Jennifer...................... 61

Durrani, Asif .............................28

E Edelstein, Arthur............. 77, 101

Edery, Gabriel.................. 48, 31

Eipl, Kristina.............................. 66

Eng, Calvin..................... 94, 118

F Falk, Randolph........................78

Feng, Charles..................... 4, 15

Fishberg, Gary ......................112

Fong, Richard .................. 39, 33

Fong, Ryan......................... 4, 29

Fox-rabinovich, Lola........ 35, 25

Frank, Jennifer ........................53

Fruchtbaum, Irene .................53

Fu, Michael .......................... 7, 2

Fushimi, Yuriko.................... 9, 30

G Gabrielian, Karine ....... 129, 121

Garcia, Eddie ................ 84, 107

Garcia, Jennifer .............. 25, 19

Gershelis, Anna ............... 71, 53

Goel, Nadia ..................... 40, 20

Goldstein, Estelle ....................69

Goldstone, Alan .....................90

Goldstone, Harvey.................90

Gomes, Alex .........................128

Goodwin Jr, Lawrence 112, 100

Gottlieb, Larry .........................87

Grant-acquah, Kweku 126, 93,

95, 100

Grattan, Gil .............................68

Grazer, Sage...........................54

Green, Eugene................ 94, 75

Grosse, Sabina........................65

Gutierrez, Andrew........... 44, 25

H Hefley, Priscilla ........................66

Heidenfelder, Richard ...........70

Henteleff, Ronald .................122

Herta, Kelly ....................... 43, 35

Ho, Diep ............................. 5, 26

Hong, Sung ...............................7

Hong, Zhen-li .................... 41, 14

Hovanesian, Haroutun 129, 121

Hsu, Grace..............................74

Hsu, Richard.............. 35, 37, 34

Huang, Catherine ..................90

Huang, Jeffrey 115, 123, 81,

For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-

3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.

134

C

PROVIDER INDEX 104 Lu, Yang ........................... 42, 14 Patel, Jay 116, 124, 78, 82,

Hung, Alex............................... 34 Luke, Priscilla 115, 123, 81, 104 105

Huo, Wayne..................... 42, 14 Ly, Richard ....................... 91, 74 Patterson, Kala .......................67

Lynch, Ruth .............................60 Paul, Mariam ..........................63 I Perez, Evelyn.................. 86, 108

Ifekwunigwe, Christopher .....66

M Perez, Luis ......................... 97, 96

Iskandar, Lucy.........................62 Malek, Renia.................. 89, 114

Perlman, Jonathan ................56

Mandel, Benjamin......... 84, 107J Peters, Joseph ............... 77, 102

Martin, Silvana ........................56

Pham, Tung........................ 6, 33

Jaramillo, Carla ........ 65, 68, 60

Mastan, Peter .......................102

Pham, Vy...................... 127, 120

Jingozian, Vardui....................54

Mayberry, Melissa ......... 85, 107

Piccirillo, Vincenzo .................68

Johnson Boykin, Kim...............54

Mclafferty, Joel.......................67

Johnson, Jeany ............... 95, 74

Miller, Soo ........................... 8, 12

QJones-pistol, Sheree ...............70

Mishima, Todd ............... 85, 107 Quach, Phuc ................. 93, 100

Joukar, Mehrdad .............. 7, 12

Moayedpardazi, Hamideh 85, Quach, Sarika.................. 40, 21

Jung, Inho ........................ 23, 19

108 Quinones, Meisha ..................56

K Mohebbi, Ali ................ 102, 101 RMonderer, Bernard ..............128

Kaiser, William .........................54

Ramos Montelongo, Flor .......67

Monroe, Trevor .......................64

Khachatryan, Shushanik........ 55

Reininga, Eric ..........................65

Moore, Lori ............ 124, 78, 116

Kim, Hye ........................... 36, 22

Renner, Morgan .....................93

Morales, Roberto............... 9, 30

Kim, Melody 119, 73, 80, 95,

Rezaei Abbassi, Nima 116, 82,

Morante, Pedro ......................70

98, 113

105

Kim, William June-ki.. 17, 20, 11 N Rodriguez, Oscar............. 45, 30

Kooklan, Fariba ......................55

Nguyen, Meggie ........... 85, 108 Roizenblatt, Roberto 109, 128,

Kravchenko, Mayya ....... 43, 24

Nguyen, Thien Thu......... 85, 108 86, 101

Krinsky Atkins, Leah ................55

Nguyen, Thy .......... 127, 91, 120 Rose, Michael ......... 93, 98, 100

Kummer, Robert .....................99

Nguyen, Trung ........................89 Rubish, Donald .......................57

L Nourian, Kambiz .............. 32, 24 Ryu, Hu Ki.......................... 27, 18

Ntung, Helen........................... 69

Lai, Yi-hsien.................. 38, 47, 3 S Latter, Mitchell ............... 75, 121 O

Salib, George................. 86, 109

Laveck, Londa................. 29, 28

Obi, Rachael ..........................66 Sanchez, Adriana ......... 86, 109

Lee, Hyo ........................... 36, 27

Ochoa, Araceli 116, 124, 82, Sanchez, Rodrigo.............. 6, 15

Lee, In Sook........................ 6, 13

104 Sandler, Anita .........................57

Lee, Jason..................... 8, 9, 29

Oh, Agnes ...............................59 Santoro, Michelle ............ 32, 23

Lee, Joseph...................... 96, 74

Oh, Meesuk...................... 20, 11 Sardin, Divinity ........................68

Lee, Sanghyun................. 46, 22

Oh, Se Yeong ........... 18, 20, 11 Schwartz, Sarah......................57

Lee, Yang-chau ................ 5, 26

Okie, Theodore..... 129, 77, 102 Sczesny, Andrea.....................70

Leonard, Elisa..........................55

Oliansky, Ingrid ................ 69, 50 Seok, Puchun................... 35, 13

Lin, Charles....................... 42, 14

Ong, Olivia... 116, 124, 82, 105 Shammas, Hanna 130, 77, 102

Lin, Chi-yi ..................... 38, 47, 3

Ordonez, Xavier ............ 83, 129 Shaw, Minh 117, 125, 79, 82,

Lin, Hope .......................... 45, 44

Orselli, Rachel .................. 45, 25 105

Lin, Steven..... 17, 3, 38, 47, 16

Shelton, Raymond 117, 125,

Lin, Yu-chen ..................... 21, 19

P 79, 106

Lipscomb, Allen......................60 Paramo, Melissa .....................63

Siegel, Gregory.................. 8, 46

Logan, Conor .................. 41, 37 Park, Jae .......................... 23, 19

Sison Llanes, Maria Lucila......50

Logan, Zena..................... 41, 37 Parodi, Jacqueline.................56

St Juste, Carlo .................... 6, 40

For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-

3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.

135

PROVIDER INDEX Stern, Lawrence .....................94

Stevens, Cynthia ....................57

Stevens, Megan .....................58

Sugimoto, Jean ........... 111, 110

Swearingen, Michael.... 77, 130

T Tabibian, Roya ................ 44, 21

Tajyar, Amber .................. 32, 10

Tamayo, Robert....................127

Teller Holt, Giselle ...................50

Tran, Dai ................................118

Tran, Helen ..............................75

Tran, Henry ................ 89, 99, 76

Tran, Jennie.. 117, 125, 83, 106

Tu, Linh...................................127

U Uchio, Alejandra ........... 87, 109

Ufano Leon, Jeremee............ 58

Ung, Susan ..................... 87, 109

V Vanounts, Mariam .................59

Villegas, Rex 117, 125, 79, 83,

106

Vu, Hoang.......................... 48, 2

W Wainess, Reid 119, 73, 76, 89,

93, 95, 99, 101

Wang, Chiao-nien ..... 39, 47, 3

Wells, Trevor ............................63

Wilmes-reitz, Mark...................51

Winston, Mark .............. 121, 111

Wong, Sharon.............. 128, 120

Wong, Thomas................... 42, 4

Y Yacoub, Ehab ........................71

Yaghjian, Ara................... 30, 12

Yang, Alan ................ 40, 45, 34

Yeganeh Hajahmadi,

Mahmoud ........................ 27, 16

Yim, Irene ......................... 96, 75

Yulzari, Lee ..............................58

Z Zarabian, Elham .......... 111, 110

Zarrabi, Cathrine ...... 15, 21, 10

Zwickel, Joseph ............... 48, 43

For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-

3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.

136

PHARMACY INDEX

For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-

3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.

137

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