2020 addendum to/suplemento al supplemental provider ... · yazdani, sohrab . accepting new...
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H5928_20_274_PNO_MAY_C
H5928_20_274_PNO_MAY_C_SP
2020 Addendum to/Suplemento Al
Supplemental Provider Directory Directorio de proveedores complementarios de 2020
Supplemental Providers/ Proveedores Complementarios Delta Dental of California
(Delta Dental), Vision Service Plan (VSP) & American Specialty Health (ASH)
Counties/ Condados: Fresno, Los Angeles, Merced, Orange, Riverside, San Bernardino,
San Diego, San Joaquin, Santa Clara & Stanislaus
Please refer to your 2020 Supplemental Provider Directory, for important plan information,
as well as a listing of additional Blue Shield of California Promise Health Plan providers. This
Addendum is a list of updates of provider information for the month of May 2020. The
hardcopy provider directory and addendum together are the most up to date provider
information. You can also visit www.blueshieldca.com/promise/medicare or call at the
telephone number below for provider information.
Blue Shield of California Promise Health Plan Customer Care operations
1-800-544-0088 (TTY 711) From 8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and
8 a.m.– 8 p.m. weekdays, from Apr. 1st – Sept. 30th.
Por favor consulte su Directorio de Proveedores complementarios 2020, para información
importante sobre su plan, al igual que la lista de proveedores adicionales para el plan Blue
Shield of California Promise Health Plan. Este apéndice consiste en una lista de actualizaciones
de la información sobre los proveedores para el mes de mayo del 2020. El directorio de
proveedores y el apéndice en papel contienen la información más actualizada sobre los
proveedores. También puede visitar www.blueshieldca.com/promise/medicare o llamar
a Servicios para Miembros de Blue Shield of California Promise Health Plan al número de
teléfono a continuación para información sobre los proveedores complementarios.
Servicios para Miembros de Blue Shield of California Promise Health Plan:
1-800-544-0088 (TTY 711) de 8:00 a.m. a 8:00 p.m., siete días a la semana, del 1 de octubre al
31 de marzo y de 8:00 a.m. a 8:00 p.m. de lunes a viernes,desde el 1 de abril hasta el 30 de
septiembre.
Este suplemento fue actualizado en mayo del 2020.
This addendum is current as of May 2020.
www.blueshieldca.com/promise/medicarewww.blueshieldca.com/promise/medicare
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Table of Contents/Tabla de contenido
LIST OF NETWORK PROVIDERS ........................................................................................ 1
LISTA DE PROVEEDORES DE LA RED ............................................................................... 1
FRESNO COUNTY/CONDADO DE FRESNO
Dental Providers/Proveedores Dentales ............................................................................1
Acupuncture and Chiropractic Providers/
Proveedores de Acupuntura y quiropráctica...................................................................2
LOS ANGELES COUNTY/CONDADO DE LOS ANGELES
Dental Providers/Proveedores Dentales ............................................................................3
Vision Providers/Proveedores de visión..............................................................................72
Acupuncture and Chiropractic Providers/
Proveedores de Acupuntura y quiropráctica...................................................................146
MERCED COUNTY/CONDADO DE MERCED
Dental Providers/Proveedores Dentales ............................................................................186
ORANGE COUNTY/CONDADO DE ORANGE
Dental Providers/Proveedores Dentales ............................................................................187
Vision Providers/Proveedores de visión..............................................................................217
Acupuncture and Chiropractic Providers/
Proveedores de Acupuntura y quiropráctica...................................................................240
RIVERSIDE COUNTY/CONDADO DE RIVERSIDE
Dental Providers/Proveedores Dentales ............................................................................259
Acupuncture and Chiropractic Providers/
Proveedores de Acupuntura y quiropráctica...................................................................287
SAN BERNARDINO COUNTY/CONDADO DE SAN BERNARDINO
Dental Providers/Proveedores Dentales ............................................................................294
Acupuncture and Chiropractic Providers/
Proveedores de Acupuntura y quiropráctica...................................................................317
SAN DIEGO COUNTY/CONDADO DE SAN DIEGO
Dental Providers/Proveedores Dentales ............................................................................322
Vision Providers/Proveedores de visión..............................................................................332
Acupuncture and Chiropractic Providers/
Proveedores de Acupuntura y quiropráctica...................................................................369
SAN JOAQUIN COUNTY/CONDADO DE SAN JOAQUIN
Dental Providers/Proveedores Dentales ............................................................................379
Acupuncture and Chiropractic Providers/
Proveedores de Acupuntura y quiropráctica...................................................................382
SANTA CLARA COUNTY/CONDADO DE SANTA CLARA
Dental Providers/Proveedores Dentales ............................................................................386
Acupuncture and Chiropractic Providers/
Proveedores de Acupuntura y quiropráctica...................................................................401
STANISLAUS COUNTY/CONDADO DE STANISLAUS
Dental Providers/Proveedores Dentales ............................................................................404
Acupuncture and Chiropractic Providers/
B
-
Proveedores de Acupuntura y quiropráctica...................................................................405
SECTION 3 - INDEX..............................................................................................................406
SECCIÓN 3 - ÍNDICE ...........................................................................................................406
C
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FRESNO COUNTY DENTAL PROVIDERS
CLOVIS
Bayrakdarian, Ishkhan
Accepting New Members: Yes
451 Clovis Ave Ste 105
Clovis, CA 93612-1197
(559) 298-4322
Hours: M-F 9AM-6PM
Accessibility: 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.
Evans, Ryan
Accepting New Members: Yes
1315 Shaw Ave Ste 102
Clovis, CA 93612-3963
(559) 321-0886
Hours: M-W 7:30AM-5:30PM, TH
10AM-8PM, F 8AM-1PM
Accessibility: 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.
FRESNO
Bayrakdarian, Ishkhan
Accepting New Members: Yes
1616 W Shaw Ave Ste A6
Fresno, CA 93711-3513
(559) 222-2522
Hours: M-F 9AM-6PM
Accessibility: 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.
Tran, Kim
Accepting New Members: Yes
7475 N 1st St Ste 103
Fresno, CA 93720-2849
(559) 431-7645
Hours: TH 9AM-5:30PM
Accessibility: 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.
SANGER
Tran, Kim
Accepting New Members: Yes
263 Academy Ave
Sanger, CA 93657-2128
(559) 876-1031
Hours: M-W 9AM-5:30PM
Accessibility: 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.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
1
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FRESNO COUNTY ACUPUNCTURE AND CHIROPRACTIC PROVIDERS
FRESNO
Gutierrez, Juan DC
Accepting New Members: Yes
2505 Merced St
Fresno, CA 93721-1811
(559) 445-0391
www.omnifamilyhealth.org
Hours: M-F 8AM-5PM
Accessibility: P, EB, R, W;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ORANGE COVE
Boghozian, George DC
Accepting New Members: Yes
445 11th St
Orange Cove, CA 93646-2211
(559) 626-4031
www.uhcofsjv.org
Hours: M 8AM-8PM, TU-F
8AM-5:30PM
Accessibility: P, EB, R, W;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
REEDLEY
Boghozian, George DC
Accepting New Members: Yes
1560 E Manning Ave
Reedley, CA 93654-2346
(559) 638-2019
www.uhcsjv.org
Hours: M 10:30AM-8PM, TU-F
8AM-5:30PM
Accessibility: P, EB, R, W;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gutierrez, Juan DC
Accepting New Members: Yes
1530 E Manning Ave
Reedley, CA 93654-2346
(559) 638-8187
www.omnifamilyhealth.org
Hours: M-F 8AM-5PM
Accessibility: P, EB, W;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
2
www.omnifamilyhealth.orgwww.uhcsjv.orgwww.uhcofsjv.orgwww.omnifamilyhealth.org
-
LOS ANGELES COUNTY DENTAL PROVIDERS
AGOURA HILLS
Costandi, John
Accepting New Members: Yes
5029 Kanan Rd
Agoura Hills, CA 91301-2515
(818) 991-9852
Hours: M,W,TH 9AM-6PM, TU
11AM-8PM, F 9AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Peri, Jonathan
Accepting New Members: Yes
5029 Kanan Rd
Agoura Hills, CA 91301-2515
(818) 991-9852
Hours: M,W,TH 9AM-6PM, TU
11AM-8PM, F 9AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
ALHAMBRA
Yazdani, Sohrab
Accepting New Members: Yes
747 S Garfield Ave
Alhambra, CA 91801-4438
(626) 289-6815
Hours: M-W,F 10AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
ARTESIA
Humphries, Sage
Accepting New Members: Yes
18000 Pioneer Blvd Ste 207
Artesia, CA 90701-4416
(562) 860-1333
Hours: TU 9:30AM-6:30PM, TH,F
9AM-6PM
Accessibility: 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.
BALDWIN PARK
Kelleyan, Antranig
Accepting New Members: Yes
13734 Ramona Blvd
Baldwin Park, CA 91706-4021
(626) 960-6616
Hours: M 9AM-6PM, TU
11AM-7PM, F 10AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Patel, Prakash
Accepting New Members: Yes
4138 Maine Ave Ste N3
Baldwin Park, CA 91706-3302
(626) 960-6395
Hours: M-TH 10AM-7PM, F
10AM-2PM
Accessibility: 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.
Sirjani, Mohammad
Accepting New Members: Yes
4000 La Rica Ave Ste D
Baldwin Park, CA 91706-3163
(626) 430-9171
Hours: M-TH 9AM-7PM, F
8AM-5PM, SA 8AM-4PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
BELLFLOWER
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
3
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Cannon, William
Accepting New Members: Yes
15745 Bellflower Blvd
Bellflower, CA 90706-3864
(562) 866-1159
Hours: M-F 9AM-7PM, SA
8AM-4:30PM
Accessibility: 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.
Kilmer, Gordon
Accepting New Members: Yes
15745 Bellflower Blvd
Bellflower, CA 90706-3864
(562) 866-1159
Hours: M-F 9AM-7PM, SA
8AM-4:30PM
Accessibility: 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.
Ku, Lisa
Accepting New Members: Yes
15745 Bellflower Blvd
Bellflower, CA 90706-3864
(562) 866-1159
Hours: M-F 9AM-7PM, SA
8AM-4:30PM
Accessibility: 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.
Sisodia, Manisha
Accepting New Members: Yes
15745 Bellflower Blvd
Bellflower, CA 90706-3864
(562) 866-1159
Hours: M-F 9AM-7PM, SA
8AM-4:30PM
Accessibility: 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.
Well, Hillel
Accepting New Members: Yes
15745 Bellflower Blvd
Bellflower, CA 90706-3864
(562) 866-1159
Hours: M-F 9AM-7PM, SA
8AM-4:30PM
Accessibility: 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.
BEVERLY HILLS
Zinati, Behrooz
Accepting New Members: Yes
8500 Wilshire Blvd Ste 818
Beverly Hills, CA 90211-3106
(310) 652-2010
Hours: M-W 9AM-5PM, F
8AM-12PM
Accessibility: 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
Ghotanian, Rene
Accepting New Members: Yes
500 E Olive Ave Ste 250
Burbank, CA 91501-2171
(818) 846-2600
Hours: M,W,TH 9AM-5PM, TU
7:30AM-4PM, F 9AM-12PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
4
-
LOS ANGELES COUNTY DENTAL PROVIDERS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CANOGA PARK
Elnaggar, Maged
Accepting New Members: Yes
20913 Sherman Way
Canoga Park, CA 91303-1743
(818) 992-4600
Hours: M,W,F 9AM-6PM, TU,TH
10AM-7PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Ely, Joshua
Accepting New Members: Yes
22142 Sherman Way Ste 201
Canoga Park, CA 91303-1136
(818) 444-0644
Hours: M-TH 8AM-5PM, F
7AM-4PM
Accessibility: 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.
Lang, Rudolph
Accepting New Members: Yes
22142 Sherman Way Ste 201
Canoga Park, CA 91303-1136
(818) 444-0644
Hours: M-TH 8AM-5PM, F
7AM-4PM
Accessibility: 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.
Mirzaians, Ara
Accepting New Members: Yes
22142 Sherman Way Ste 201
Canoga Park, CA 91303-1136
(818) 444-0644
Hours: M-TH 8AM-5PM, F
7AM-4PM
Accessibility: 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.
CANYON COUNTRY
Jil-agopian, Ara
Accepting New Members: Yes
27225 Camp Plenty Rd Ste 10a
Canyon Country, CA
91351-2654
(661) 252-7641
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
CERRITOS
Cho, Esther
Accepting New Members: Yes
12657 166th St
Cerritos, CA 90703-2101
(562) 926-6502
Hours: M,TH,F 9AM-6PM, TU,W
10AM-7PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
CHATSWORTH
Dove, Edward
Accepting New Members: Yes
20523 Devonshire St
Chatsworth, CA 91311-3208
(818) 773-0911
Hours: M-F 8AM-5PM
Accessibility: Members should
call the provider’s office to
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
5
-
LOS ANGELES COUNTY DENTAL PROVIDERS
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
CITY OF INDUSTRY
Faeldan Suarez, Marissa
Accepting New Members: Yes
16018 Amar Rd
City Of Industry, CA
91744-2203
(626) 968-7525
Hours: TU-TH 9AM-6PM, F
8AM-6PM
Accessibility: 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.
Vu, Catherine
Accepting New Members: Yes
21750 Valley Blvd Ste C
City Of Industry, CA
91789-0939
(909) 595-0807
Hours: M 8AM-5PM, TU,TH
9AM-6PM, W 8:30AM-5:30PM, F
8AM-4PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
COMPTON
Alexandrian, Nareg
Accepting New Members: Yes
2001 E Compton Blvd
Compton, CA 90221-3548
(310) 639-7970
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Bennett, Trevor
Accepting New Members: Yes
2001 E Compton Blvd
Compton, CA 90221-3548
(310) 639-7970
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Caballero, Jane
Accepting New Members: Yes
2001 E Compton Blvd
Compton, CA 90221-3548
(310) 639-7970
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Deirmenjian, Barouir
Accepting New Members: Yes
2001 E Compton Blvd
Compton, CA 90221-3548
(310) 639-7970
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Flores, Jorge
Accepting New Members: Yes
2001 E Compton Blvd
Compton, CA 90221-3548
(310) 639-7970
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Levi, Benjamin
Accepting New Members: Yes
2001 E Compton Blvd
Compton, CA 90221-3548
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
6
-
LOS ANGELES COUNTY DENTAL PROVIDERS
(310) 639-7970
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
COVINA
Amini, Farhad
Accepting New Members: Yes
259 E Workman St
Covina, CA 91723-3507
(626) 332-0638
Hours: M-SU 8AM-8PM
Accessibility: 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.
Arabpour, Fatemeh
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Aranguren, Gustavo
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Bardi, Fariborz
Accepting New Members: Yes
100 S Citrus Ave Ste 201
Covina, CA 91723-2683
(626) 967-1337
Hours: M-F 9AM-5PM
Accessibility: 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.
Becker, Magnolia
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Chang, Peipei
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Ching, Helen
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
7
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Cohen-sedgh, Soleyman
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Cooper, Gordon
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Dorsey, Kevin
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Edalat, Poria
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Fathi, Bahareh
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Harouni, Saman
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Lee, John
Accepting New Members: Yes
100 S Citrus Ave Ste 201
Covina, CA 91723-2683
(626) 967-1337
Hours: M-F 9AM-5PM
Accessibility: 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.
Lee, Rachel
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
8
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Effective_Date: 27-APR-20 Hours: M,W 9AM-5PM, TU needs.
Machhadani, Aiham
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Manouchehr-pour,
Manouchehr
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Motakef, Mehdi
Accepting New Members: Yes
217 W Badillo St
Covina, CA 91723-1907
(626) 974-0707
9AM-6PM, TH 10AM-7PM, F
8:30AM-2PM
Accessibility: 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.
Pak, Richard
Accepting New Members: Yes
100 S Citrus Ave Ste 201
Covina, CA 91723-2683
(626) 967-1337
Hours: M-F 9AM-5PM
Accessibility: 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.
Shamaizadeh, Afshin
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Sung, Ki-sung
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Tom, Robert
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Vahdatinia, Sina
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
9
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Yu, Quinn
Accepting New Members: Yes
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
(626) 858-9940
Hours: M-TH 9AM-7PM, F
8AM-5PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
CULVER CITY
Faeldan Suarez, Marissa
Accepting New Members: Yes
5432 Sepulveda Blvd Ste B
Culver City, CA 90230-5512
(310) 391-8787
Hours: M-TH 9AM-6PM, F
9AM-5PM
Accessibility: 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.
DIAMOND BAR
Abari, Robin
Accepting New Members: Yes
2040 S Brea Canyon Rd Ste
200
Diamond Bar, CA 91765-4052
(909) 396-9000
Hours: Please call provider for
hours of operations.
Accessibility: 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.
Bhatt, Jayant
Accepting New Members: Yes
1111 Grand Ave Ste G
Diamond Bar, CA 91765-2227
(909) 396-7474
Hours: M-F 9AM-6PM
Accessibility: 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.
DOWNEY
Costandi, John
Accepting New Members: Yes
10501 Lakewood Blvd Ste A-b
Downey, CA 90241-2709
(562) 862-2341
Hours: M,TH,F 8AM-5PM, TU,W
10AM-7PM, SA 7AM-3:30PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Peri, Jonathan
Accepting New Members: Yes
10501 Lakewood Blvd Ste A-b
Downey, CA 90241-2709
(562) 862-2341
Hours: M,TH,F 8AM-5PM, TU,W
10AM-7PM, SA 7AM-3:30PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Tabibnia, Gizel
Accepting New Members: Yes
9474 Firestone Blvd
Downey, CA 90241-5504
(562) 803-4224
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
10
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Hours: M-F 9AM-6PM, SA
8AM-3PM
Accessibility: 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.
ENCINO
Ghotanian, Rene
Accepting New Members: Yes
5363 Balboa Blvd Ste 346
Encino, CA 91316-2836
(818) 990-3551
Hours: M,W,TH 9AM-6PM, TU
7:30AM-4PM, F 9AM-12PM
Accessibility: 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.
Khazaii-tabari, Sheida
Accepting New Members: Yes
16133 Ventura Blvd Ste 1120
Encino, CA 91436-2415
(818) 788-0651
Hours: M,TU,TH,F 8AM-5PM
Accessibility: 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.
Nguyen, Trieu
Accepting New Members: Yes
16133 Ventura Blvd Ste 1120
Encino, CA 91436-2415
(818) 788-0651
Hours: M,TU,TH,F 8AM-5PM
Accessibility: 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.
GARDENA
Choudhry, Varuna
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Chung, Jae
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Conroy, Barton
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Gupta, Shilpa
Accepting New Members: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
11
-
LOS ANGELES COUNTY DENTAL PROVIDERS
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Han, Su
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Herbly, Basel
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Hilario, Micael
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Lee, Yoonjung
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Qayyum, Shamoon
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Riazi, Haleh
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
Tran, Tam
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
12
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Accepting New Members: Yes
15515 S Normandie Ave
Gardena, CA 90247-4013
(310) 953-0900
Hours: M-F 9AM-6PM, SA
8AM-4:30PM
Accessibility: 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.
GLENDALE
Ammar, Emad
Accepting New Members: Yes
418 E Glenoaks Blvd Ste 205
Glendale, CA 91207-2093
(818) 244-9944
Hours: TU,W 8AM-1PM, F
8AM-5PM
Accessibility: 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.
Bardi, Fariborz
Accepting New Members: Yes
1110 N Brand Blvd Ste 101
Glendale, CA 91202-2567
(818) 242-4770
Hours: M-F 9AM-5PM
Accessibility: 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.
Lytle, John
Accepting New Members: Yes
500 N Central Ave Ste 710
Glendale, CA 91203-3386
(818) 240-1805
Hours: M,TU,TH 8AM-5PM, F
7AM-1PM
Accessibility: 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.
Stamper, Elgan
Accepting New Members: Yes
500 N Central Ave Ste 710
Glendale, CA 91203-3386
(818) 240-1805
Hours: M,TU,TH 8AM-5PM, F
7AM-1PM
Accessibility: 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.
GLENDORA
Ammar, Emad
Accepting New Members: Yes
175 N Pennsylvania Ave Ste 5
Glendora, CA 91741-3316
(626) 335-6888
Hours: M-TH 8AM-5PM, F
8AM-1PM
Accessibility: 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.
Au, Brandon
Accepting New Members: Yes
1814 E Route 66 Ste B
Glendora, CA 91740-3869
(626) 963-7000
Hours: M,W 10AM-7PM, TU,TH
9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: There was a change
in the provider record;
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
13
-
LOS ANGELES COUNTY DENTAL PROVIDERS
demographic, phone and/or
panel status.
GRANADA HILLS
Jil-agopian, Ara
Accepting New Members: Yes
10727 White Oak Ave Ste 215
Granada Hills, CA 91344-4662
(818) 832-4331
Hours: M,W-F 9AM-6PM, TU
10AM-7PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
HACIENDA HEIGHTS
Eftekharghoraishi, Kimia
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Eftekhari, Samin
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Farukhi, Naila
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Gonzalez, Veronica
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Henderson, Christopher
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Lee, Susan
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
14
-
LOS ANGELES COUNTY DENTAL PROVIDERS
needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moncayo, Max
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Nguyen, Vinh-thy
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Pham, Lee
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Ray, Parul
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Sauget, Paul
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Shetty, Swati
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Shoreibah, Taha
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: Members should
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
15
-
LOS ANGELES COUNTY DENTAL PROVIDERS
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.
Sumner, Todd
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Tchon, Samuel
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Wang, Lily
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Witcher, Daniel
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Yadegar, Joshua
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
Yuen, Bertina
Accepting New Members: Yes
17160 Colima Rd Ste C
Hacienda Heights, CA
91745-6785
(626) 581-7878
Hours: M-F 9AM-6PM
Accessibility: 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.
HARBOR CITY
Walia, Leiza
Accepting New Members: Yes
962 Sepulveda Blvd
Harbor City, CA 90710-1405
(310) 539-3456
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
16
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Hours: M,W 7AM-5PM, TU,TH
8AM-7PM, F 7AM-3PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
HAWTHORNE
Hossieni, Rozbeh
Accepting New Members: Yes
12730 Hawthorne Blvd Ste D
Hawthorne, CA 90250-3919
(310) 644-4000
Hours: M-TH 9AM-7PM, F
8AM-5PM, SA 8AM-4PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Rofael, Nawal
Accepting New Members: Yes
11938 Hawthorne Blvd
Hawthorne, CA 90250-3016
(310) 973-0945
Hours: M,TU,TH 9AM-5PM, F
9AM-4PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
HUNTINGTON PARK
Abner, Emil
Accepting New Members: Yes
2630 Zoe Ave
Huntington Park, CA
90255-4132
(323) 230-6366
Hours: M-F 9AM-6PM
Accessibility: 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.
Anand, Savneet
Accepting New Members: Yes
5802 Pacific Blvd
Huntington Park, CA
90255-2618
(323) 583-1644
Hours: M-F 9AM-6PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Arabpour, Fatemeh
Accepting New Members: Yes
2630 Zoe Ave
Huntington Park, CA
90255-4132
(323) 230-6366
Hours: M-F 9AM-6PM
Accessibility: 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.
Choi, Sunwoong
Accepting New Members: Yes
2630 Zoe Ave
Huntington Park, CA
90255-4132
(323) 230-6366
Hours: M-F 9AM-6PM
Accessibility: 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.
Costandi, John
Accepting New Members: Yes
2630 Zoe Ave
Huntington Park, CA
90255-4132
(323) 230-6366
Hours: M-F 9AM-6PM
Accessibility: Members should
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
17
-
LOS ANGELES COUNTY DENTAL PROVIDERS
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Hammam, Mohamed
Accepting New Members: Yes
5501 Pacific Blvd
Huntington Park, CA
90255-2534
(323) 586-0600
Hours: M-TH 8AM-5PM, F
8AM-6:30PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
Palacios, Consuelo
Accepting New Members: Yes
2630 Zoe Ave
Huntington Park, CA
90255-4132
(323) 230-6366
Hours: M-F 9AM-6PM
Accessibility: 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.
Sarraf, Keivan
Accepting New Members: Yes
2630 Zoe Ave
Huntington Park, CA
90255-4132
(323) 230-6366
Hours: M-F 9AM-6PM
Accessibility: 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.
Sobol, Henry
Accepting New Members: Yes
2630 Zoe Ave
Huntington Park, CA
90255-4132
(323) 230-6366
Hours: M-F 9AM-6PM
Accessibility: 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.
Tran, Kevin
Accepting New Members: Yes
5501 Pacific Blvd
Huntington Park, CA
90255-2534
(323) 586-0600
Hours: M-TH 8AM-5PM, F
8AM-6:30PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
INGLEWOOD
Abtin, Dilshad
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Afshar, Nima
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: Members should
call the provider’s office to
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
18
-
LOS ANGELES COUNTY DENTAL PROVIDERS
discuss their accessibility
needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Amour, Pierre
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Chelimela, Ramya
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Choi, Julia
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Chung, Jae
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Desai, Amit
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Dio, Marivel
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Elhussiny, Naeil
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: Members should
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
19
-
LOS ANGELES COUNTY DENTAL PROVIDERS
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.
Erfan, Rojin
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Farshidi, Farzin
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Haghani, Soha
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Hilario, Micael
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Kashanchi, Saloumeh
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Knapp, Farideh
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Lee, Yoonjung
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
20
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Accessibility: 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.
Lopez, Weena
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Mallette, Kermit
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Namiri-kalantari, Ryan
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Naffas, Shahriar
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Nikoghosyan, Yulia
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Sidhu, Arshpreet
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Sisodia, Manisha
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
21
-
LOS ANGELES COUNTY DENTAL PROVIDERS
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Ye, Chong
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Zhong, Wei Qiang
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
Zolmajd, Elaheh
Accepting New Members: Yes
3561 W Century Blvd Ste D
Inglewood, CA 90303-1226
(323) 483-7041
Hours: M-F 9AM-7PM, SA
8AM-4PM
Accessibility: 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.
LA CANADA FLINTRIDGE
Lytle, John
Accepting New Members: Yes
1370 Foothill Blvd Ste 200
La Canada Flintridge, CA
91011-2117
(818) 952-8183
Hours: M,TU,TH,F 8AM-5PM
Accessibility: 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.
Stamper, Elgan
Accepting New Members: Yes
1370 Foothill Blvd Ste 200
La Canada Flintridge, CA
91011-2117
(818) 952-8183
Hours: M,TU,TH,F 8AM-5PM
Accessibility: 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.
LA MIRADA
Motakef, Mehdi
Accepting New Members: Yes
14930 Imperial Hwy Ste C
La Mirada, CA 90638-2100
(562) 941-0224
Hours: M 10AM-7PM, TU,TH
8AM-5PM, W,F 9AM-6PM
Accessibility: 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.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment
22
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LOS ANGELES COUNTY DENTAL PROVIDERS
Tran, Wendy
Accepting New Members: Yes
12271 La Mirada Blvd Ste 202
La Mirada, CA 90638-1336
(562) 444-8408
Hours: M-F 8:30AM-5:30PM, SA
8AM-2PM
Accessibility: Members should
call the provider’s office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 27-APR-20
LA PUENTE
Alexandrian, Nareg
Accepting New Members: Yes
15448 Amar Rd
La Puente, CA 91744-2802
(626) 810-8222
Hours: M