provider directory - cvpgcvpg.org/documents/cvpg_directory-region3.pdf · provider directory region...

PROVIDER DIRECTORYREGION 3

Serving the communities of Arcadia, Duarte and Monrovia

Dear Physician Provider, As Chief Executive Officer and President of Citrus Valley Physicians Group (CVPG), I would like to welcome you to our network of health care providers. CVPG was established in 1992 to service the San Gabriel and Pomona Valley areas. Over the past 25 years, our organization has developed a proven track record in managed care and provider service. Currently, we are servicing Pomona and its neighboring cities, San Gabriel Valley, Glendale, San Fernando Valley, and Long Beach areas. We are contracted providers with L.A. Care Health Plan, Blue Cross, Blue Shield, Central Health Plan, Cigna, Easy Choice, Health Net, and Humana. Our plans encompass the Senior, Medicare Advantage, Medi-Cal, In-Home Supportive Services (LA Care I.H.H.S.), and the Commercial population. Our team of experts are ready to work with your practice on a long term basis to develop new business strategies, retain your existing patient base, and to provide exceptional service to your patients and personnel. I look forward to working with your practice to deliver quality and accessible care to the communities we serve together. Thank you for considering CVPG as a valued partner. Have a wonderful and blessed day! Sincerely,C.K. Rao M.D., A.A.F.P.President

Tel: (866) 495-6990 • Fax: (866) 921-2477 • TTY: (888) 486-0866

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Providers Page

Primary Care Providers 3

Specialists 4-9

Ancillary 10-11

Capitated Specialists 12

Additions/Notes 13-16


Serving the communities of Arcadia, Duarte and Monrovia

For latest updates to provider information please refer to www.cvpg.org

If you have any serious questions or concernsplease contact the Corporate Office:

Phone: (949) 474-6999 ext 2 • Fax: (949) 474-6997Email: [email protected]

PRIMARY CARE PROVIDERS REGION 3FAMILY PRACTICE

Donald B. Balacuit, DO Family Practice 416 S Myrtle Ave Monrovia 91016 Phone (626) 357-3296 Fax (626) 359-5608

Noaman Hanif, MD Family Practice 1161 Huntington Dr Duarte 91010 Phone (626) 359-6727 Fax (626) 359-6722

Paul S. Sucgang, DO Family Practice 416 W Las Tunas Dr, Ste 201 San Gabriel 91776 Phone (626) 389-8448 Fax (626) 768-7585

GENERAL PRACTICE

Peter Colina Balacuit, MD General Practice 416 S Myrtle Ave Monrovia 91016 Phone (626) 357-3296 Fax (626) 359-5608

INTERNAL MEDICINE

Vijay V. Patel, MD Internal Medicine 611 S First Ave Arcadia 91006 Phone (626) 446-8818 Fax (626) 446-8810

Kirit C. Shah, MD Internal Medicine 900 S First Ave, Ste A Arcadia 91006 Phone (626) 445-5577 Fax (626) 445-2155

931 Buena Vista St, Ste 504 Duarte 91010 Phone (626) 358-2576 Fax (626) 358-2287

PRIMARY CARE PROVIDERS

3 For latest updates to provider information please refer to www.cvpg.com

SPECIALISTSREGION 3ACUPUNCTURE

Shu-Hong Tina Hou, LACAcupuncture12979 Central Ave. Chino, CA 91710-4122Phone (909) 628-1955Fax (909) 628-1085

ALLERGY & IMMUNOLOGY

Sheila M Bonilla, MD Allergy & Immunology 612 W Duarte Rd, Ste 702 Arcadia 91007 Phone (626) 445-1853 Fax (626) 354-1220

Stephen C. Wong, MD Allergy & Immunology 1850 S Azusa Ave, Ste206 Hacienda Heights 91745 Phone (626) 810-5450 Fax (626) 810-0391

CARDIOLOGY

Joseph Ahdoot, MD Pediatric Cardiology 50 Bellefontaine St, Ste 405 Pasadena 91105 Phone (626) 796-9259 Fax (626) 449-8560

Dennis P. Burke, MD Pediatric Cardiology 50 W Bellefontaine St, Ste 405 Pasadena 91105 Phone (626) 796-9259 Fax (626) 449-8560

Robert D. Loitz, MD Pediatric Cardiology 50 Bellefontaine St, Ste 405 Pasadena 91105 Phone (626) 796-9259 Fax (626) 449-8560

DERMATOLOGY

Daniel P. Taheri, MDDermatology10884 Santa Monica Blvd, 3rd FloorLos Angeles 90025Phone (310) 446-4400Fax (310) 446-4408

ENDOCRINOLOGY

Rambod Amani-Yazdi, MD Endocrinology 1330 W Covina Blvd, Ste 206 San Dimas 91773 Phone (909) 267-9138 Fax (909) 267-9566

Arsalan Geula, MD Endocrinology 224 W College St Covina 91723 Phone (626) 332-9783 Fax (626) 966-8383

FAMILY PLANNING

Family Planning Associates Family Planning 1280 San Gabriel Blvd Rosemead 91770 Phone (626) 272-8800Fax (626) 572-3933

GASTROENTEROLOGY

Edward P. Laurance, MD Pediatric Gastroenterology 460 W Sierra Madre Blvd Sierra Madre 91105 Phone (626) 578-1020 Fax (626) 578-0067

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4For latest updates to provider information please refer to www.cvpg.org

Samuel (Samir) Mourani, MD Gastroenterology 488 E Santa Clara St, Ste 103 Arcadia 91006 Phone (626) 359-3330 Fax (626) 359-3339

Rangarao Panguluri, MD Gastroenterology 4111 Maine St Baldwin Park 91706 Phone (562) 693-9870 Fax (626) 960-3517

14350 E. Whittier Blvd., Ste 205 Whittier 90605 Phone (562) 693-9870

Elias A. Tarakji, MD Gastroenterology 488 E Santa Clara St, Ste 103 Arcadia 91006 Phone (626) 359-3330 Fax (626) 359-3339

INFECTIOUS DISEASE

Sohanjeet S. Bassi, MD Infectious Disease 1135 S Sunset Ave, Ste 208 West Covina 91723 Phone (626) 851-8880 Fax (626) 851-8001

Nasima Begum, MD Infectious Disease 1135 S Sunset Ave, Ste 208 West Covina 91723 Phone (626) 851-8880 Fax (626) 851-8001

Karen Guiang, MD Infectious Disease 1135 S Sunset Ave, Ste 208 West Covina 91723 Phone (626) 851-8880 Fax (626) 851-8001

Hua Jiang, MD Infectious Disease 1135 S Sunset Ave, Ste 208 West Covina 91723 Phone (626) 851-8880 Fax (626) 851-8001

MATERNAL FETAL MEDICINE

Kathleen E. Bradley, MD Maternal Fetal Medicine 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305

NEPHROLOGY

Ranjit A. Cordeiro, MD Nephrology 110 N Fourth Ave Covina 91723 Phone (626) 966-3499 Fax (626) 966-3433

Sukhpal K. Gill, MD Nephrology 550 W Duarte Rd, Ste 4 Arcadia CA 91007 Phone (626) 445-7500 Fax (626) 445-7555

Kenneth K. Wogensen, MD Neurology 1015 N First Ave, Ste A Arcadia 91006 Phone (626) 566-2859 Fax (626) 566-2850

OBSTETRICS/GYNECOLOGY

Daniel Barajas, MD OB/GYN 222 N Sunset Ave, Ste E West Covina 91790 Phone (626) 337-2777 Fax (626) 337-2331

SPECIALISTS

5For latest updates to provider information

please refer to www.cvpg.org

Stephen Y. Lee, MD OB/GYN 101 E Beverly Blvd, Ste 300 Montebello 90640 Phone (323) 727-0367 Fax (323) 727-1955

ONCOLOGY / HEMATOLOGY

Monty B. Polonsky, MD Oncology Hematology SCOA622 W Duarte Rd, Ste 202 Arcadia 91007 Phone (626) 446-4461 Fax (626) 445-0647

Sharon J. Yee, MD Oncology Hematology SCOA622 W Duarte Rd, Ste 3202 Arcadia 91007 Phone (626) 446-4461 Fax (626) 445-0647

OPHTHALMOLOGY

John P. Beauclair, MD Ophthalmology CA Eye Care622 W Duarte Rd, Ste 103 Arcadia 91007 Phone (626) 445-4873 Fax (626) 445-4878

Calvin T. Eng, MD Ophthalmology CA Eye Care850 S Atlantic Blvd, Ste 301 Monterey Park 91754 Phone (626) 289-8260 Fax (626) 289-4242

Marta Liliana Mora, MD Ophthalmology CA Eye Care625 S Fair Oaks Ave, Ste 235 Pasadena 91105 Phone (626) 796-7006 Fax (626) 796-9990

Olivia C. Ong, MD Ophthalmology CA Eye CareGlaucoma Specialist 855 W Foothill Blvd Monrovia 91016 Phone (626) 305-9100 Fax (626) 305-9160

Raymond A. Shelton, MD Ophthalmology Glaucoma Specialist CA Eye Care855 W Foothill Blvd Monrovia 91016 Phone (626) 305-9100 Fax (626) 305-9150

Qui Vu, MD Ophthalmology CA Eye Care855 W Foothill Blvd Monrovia 91016 Phone (626) 305-9100 Fax (626) 305-9150

OPTOMETRY

David F. Camara, ODOptometryCA Eye Care855 W Foothill BlvdMonrovia 91016Phone (626) 305-9100Fax (626) 305-9150

Minh C. Le, ODOptometryCA Eye Care855 W Foothill BlvdMonrovia 91016Phone (626) 305-9100Fax (626) 305-9160

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Jennie GI Tran, ODOptometryCA Eye Care855 W Foothill BlvdMonrovia 91016Phone (626) 358-1080Fax (626) 358-0548

Rex B. Villegas, ODOptometryCA Eye Care855 W Foothill BlvdMonrovia 91016Phone (626) 358-1080Fax (626) 358-0548

OTOLARYNGOLOGY/ENT

Leon Bachoura, MD Otolaryngology/ENT 1334 W Covina Blvd, Ste 201 San Dimas 91773 Phone (909) 592-2078 Fax (909) 592-0279

Tim R. Kuson, MD Otolaryngology/ENT 1334 W Covina Blvd, Ste 201San Dimas 91773 Phone (909) 592-2078 Fax (909) 592-0279

PAIN MANAGEMENT

Benjamin Shwachman, MD Pain Management 315 N Third Ave, Ste 200 Covina 91723 Phone (626) 967-3176 (626) 967-8743

PERINATOLOGY

Mark A. Curran, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305

Gina V. Hanna, MD Perinatology 1135 S Sunset Ave , Ste 402West Covina 91790 (626) 337-4425 (626) 337-4305

Anna S. Leung, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305

Jeffrey P. Phelan, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305

Maria Hellen Rodriguez, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305

Brenda Ross, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305

PHYSICAL MEDICINE & REHABILITATION

John W. Lindberg, MD Physical Medicine & Rehabilitation 210 W San Bernardino Rd Covina 91723 Phone (626) 915-6261 Fax (626) 938-7579

1115 S Sunset Ave West Covina 91790 Phone (626) 472-9019 Fax (626) 814-2595

SPECIALISTS



PODIATRY

Hratch Demirjian, DPM Podiatry 1257 W San Bernardo Rd Covina 91722 Phone (626) 331-7391 Fax (626) 339-0613

Payman Hoshyarsar, DPM Podiatry 6433 Whittier Blvd Los Angeles 90022 Phone (323) 742-6673 Fax (323) 724-9926

10816 Valley Blvd El Monte 91731 Phone (626) 453-3555 Fax (626) 453-3556

PULMONOLOGY

Kamalakar Rambhatla, MD Pulmonology Critical Care Specialist 3580 Santa Anita Ave El Monte 91731 Phone (626) 442-3700 Fax (626) 442-3710

RHEUMATOLOGY

Jaffar A. Tremazi, MD Rheumatology 1904 N Orange Grove AvePomona 91767Phone (909) 469-1823

SURGERY

Asok Doraiswamy, MD Surgery, Bariatric 612 W Duarte Rd, Ste 801 Arcadia 91007 Phone (626) 600-2094 Fax (626) 226-5827

James T Wu, MD Surgery, Cardio-Thoracic 260 S Los Robles Ave, Ste 118 Pasadena 91101 Phone (626) 666-5820 Fax (626) 666-5821

David Z. J. Chu, MD Surgery, General624 W. Duarte Rd., Ste 101 Arcadia 91007 Phone (626) 660-5862 Fax (626) 237-0166

Asok Doraiswamy, MD Surgery, General 612 W Duarte Rd, Ste 801 Arcadia 91007 Phone (626) 600-2094 Fax (626) 226-5827

Antonio K. Ong, MD Surgery, General 3505 Hart Ave, Ste 202 Rosemead 91770 Phone (626) 573-1160 Fax (626) 573-1162

David E. Zinke, MD Surgery, Neurological 1135 S Sunset Ave, Ste 315 West Covina 91790 Phone (626) 814-4721 Fax (626) 337-8381

David Z. J. Chu, MD Surgery, Oncology624 W. Duarte Rd., Ste 101 Arcadia 91007 Phone (626) 660-5862 Fax (626) 237-0166

Thomas Bryan, MD Surgery, Orthopaedic 1050 Lakes Dr, Ste 100 West Covina 91790 Phone (626) 918-6655 Fax (626) 918-6633

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Vic A. Osborne, MD Surgery, Orthopaedic 1050 Lakes Dr, Ste 100 West Covina 91790 Phone (626) 918-6655 Fax (626) 918-6633

Ranga C. Reddy, MD Surgery, Orthopaedic 172 W Badillo St Covina 91723 Phone (626) 996-1818 Fax (626) 332-8688

Soheil Samimi, MD Surgery, Orthopaedic 741 S Orange Ave, Ste 200 West Covina 91790 Phone (626) 338-7391 Fax (626) 814-8308

Babak Samimi, MD Surgery, Orthopaedic 741 S Orange Ave, Ste 200 West Covina 91790 Phone (626) 338-7391 Fax (626) 814-8308

James S. Shafer, MD Surgery, Orthopaedic 203 W Badillo St Covina 91723 Phone (626) 332-6238 Fax (626) 332-1044

Kee P. Wong, MD Surgery, Orthopaedic 1050 Lakes Dr, Ste 100 West Covina 91790 Phone (626) 918-6655 Fax (626) 918-6633

Neil Sherman, MD Pediatric Surgery 1135 S Sunset Ave, Ste 408 West Covina 91790 Phone (626) 338-5563 Fax (626) 814-0654

Devdas Wali MD Surgery, Plastic Reconstructive250 W First St, Ste 116Claremont 91711Phone (909) 624-4440Fax (909) 624-4448

James T. Wu, MD Surgery, Thoracic 260 S Los Robles Ave, Ste 118 Pasadena 91101 Phone (626) 666-5820 Fax (626) 666-5821

UROLOGY

Sung M. Choe, MD Urology 421 E Merced Ave West Covina 91790 Phone (626) 918-1881 Fax (626) 918-3618

John Y. Lee, MD Urology 421 E Merced Ave West Covina 91790 Phone (626) 918-1881 Fax (626) 918-3618

SPECIALISTS



ANCILLARY REGION 3

AUDIOLOGY

Connect Hearing, Inc Audiology 411 E. Huntington Dr, Ste 121 Arcadia 91006 Phone (626) 574-3138 Fax (626) 574-3195

SerendipityAudiology612 W Duarte Rd, Ste 601Arcadia 91007Phone (626) 445-2844Fax (626) 445-1169

416 W Las Tunas Dr, Ste 101 San Gabriel 91776Phone (626) 281-9889(626) 281-0399

CARDIAC MONITORING

Lifewatch, Inc.Cardiac Monitoring10255 West Higgins RoadRosemont 60018Phone (847) 720-2100Fax (847) 720-2111

CHIROPRACTIC

Charles C. Feng, DCChiropractic5220 Clark Ave, Ste 445Lakewood 90712Phone (562) 867-6183Fax (562) 866-4740

DME

Byram Healthcare DME P.O. BOX 277596 Atlanta 30384 Phone (770) 422-5516 Fax (770) 590-8563

Crown City Orthopedic DME 980 S Arroyo Pkwy, Ste 100 Pasadena 91105 Phone (626) 431-2890 Fax (626) 431-2892

GENETICS

Esoterix Genetic Laboratories Genetics 655 E Huntington Dr Monrovia 91016 Phone (800) 848-4436 Fax (626) 471-7510

HEMODIALYSIS

Mountain View Dialysis Center, Inc.Hemodialysis900 Mountain AveMonrovia 91016Phone (909) 542-2898Fax (909) 592-6000

Temple City Dialysis Facility, Inc.Hemodialysis9945 Lower Azusa RdTemple City 91780Phone (909) 542-2898Fax (909) 592-6000

HOSPITAL

Inter-Community Citrus Valley Medical Center Hospital 210 W San Bernardino Rd Covina 91723 Phone (626) 331-7331

ANCI

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SIGN LANGUAGE INTERPRETATION

Lifesigns, IncSign Language Interpretation2222 Laverne AveLos Angeles 90041Phone (888) 930-7776Fax (323) 550-4215

SLEEP STUDIES

Advanced Sleep Medicine Services, Inc. Sleep Studies1135 S. Sunset Ave., Ste 307West Covina, CA 91790Phone (877) 775-3377Fax (877) 855-6227

11500 W. Olympic Blvd., Ste 415Los Angeles, CA 90064-1524Phone (877) 775-3377 Fax (877) 855-6227

URGENT CARE

U.S. Healthworks Med. Grp.,Urgent Care6520 N. Irwindale Ave, Ste 100Irwindale 91702Phone (626)-812-0366Fax (626) 812-0943

ANCILLARY



CAPITATED SPECIALISTSREGION 3

CHEMOTHERAPY

SCOA - Southern California Oncology AssociatesFor a list of providers, please reference Oncology /Hematology providers.

HEMATOLOGY/ONCOLOGY

SCOA - Southern California Oncology AssociatesFor a list of providers, please reference Oncology /Hematology providers.

LABORATORY SERVICES

Laboratory Corporation Of America Laboratory Services 301 W. Huntington DriveArcadia 91007Phone (626) 462-1913Fax (626) 462-1915

330 W. Las Tunas Dr., Ste 2San Gabriel 91776Phone (626) 457-8903Fax (626) 943-9425

OPHTHALMOLOGY

California Eye Care CEC PROTOCOL: PCP’S are to submit initial authorization request for Ophthalmology services directly to Coast Healthcare Management. If the general Ophthalmologist needs to refer a member to a Sub-Specialist (Retina, Glaucoma,

Cornea, Plastics or tertiary services) his or her office staff will submit the request to CEC (California Eye Care). If the sub-specialists need to submit a request for a follow up visit or Surgery, they too are instructed to submit the request to CEC to authorize services.

For a list of providers, please refer to Ophthalmology providers.

PHYSICAL THERAPY

United Therapy Network Physical Therapy 855 N Lark Ellen Ave, Ste J West Covina 91791-1099 Phone (626) 331-8355 Fax (626) 331-8165

RADIATION ONCOLOGY

Covina Cancer Medical Center, Inc.

MENTAL HEALTH

Cornerstone Behavioral Health, Inc. (Senior Patients ONLY) Phone (714) 282-9713

CAPIT

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ADDITIONS:Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________

Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________







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NOTES:


Tel: (866) 495-6990 • Fax: (866) 921-2477 • TTY: (888) 486-0866 rev 10/2016

For latest updates to provider information please refer to www.cvpg.org

provider directory - cvpgcvpg.org/documents/cvpg_directory-region3.pdf · provider directory region...

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