Post on 13-Mar-2023
License # Last Name First Name Title NPI Site Name Address Active Date
RN747434 ABAS ARCELYN VILLANUEVA
NP 1023203882 HIGH DESERT WOMENS MEMORIAL MEDICAL CTR APC
2680 E FLORENCE AVEHUNTINGTON PARK 90255-4708
9/11/2019
A72880 ABBOTT LARA ACCAD MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/8/2003
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/8/2003
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/8/2003
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/8/2003
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/8/2003
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/8/2003
A141310 ABDALLAH AGUSTIN M MD 1982617692 CO OF L.A. - ROYBAL COMPREHENSIVE HEALTH
245 S FETTERLY AVELOS ANGELES 90022-1605
7/2/2019
A36609 ABDEL-MALEK SHAHIRA SHAFIK MD 1285753723 CENTURY WOMEN MEDICAL GROUP INC
2030 W PICO BLVDLOS ANGELES 90006-5011
7/6/2018
Monday, June 06, 2022 Page 1 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A36609 ABDEL-MALEK SHAHIRA SHAFIK MD 1508088840 ABDEL- MALEK, SHAHIRA MD INC 3100 E FLORENCE AVE STE 1HUNTINGTON PK 90255-5848
9/24/1997
1558703017 CENTURY FAMILY MEDICAL GROUP INC
16900 LAKEWOOD BLVD SUITE 308BELLFLOWER 90706-5580
9/12/2018
A106876 ABDELMELEK SAM WELSON MD 1922490960 AGHABY COMPREHENSIVE COMMUNITY HEALTH CENTER
349 W COMPTON BLVDCOMPTON 90220-3110
6/12/2017
A46128 ABDIAN LOGHMAN MD 1710077961 L AND P MEDICAL GROUP INC 1107 S ALVARADO ST STE 102LOS ANGELES 90006-4161
11/13/2000
A109793 ABDIAN PEDRAM SHAWN MD 1710077961 L AND P MEDICAL GROUP INC 1107 S ALVARADO ST STE 102LOS ANGELES 90006-4161
2/27/2012
A53854 ABRAHAM GIZEL AWADALLAH
MD 1033144704 ABRAHAM, GIZEL A MD 1510 S CENTRAL AVE STE 510GLENDALE 91204-2543
12/6/1999
A141443 ABRAHAM JERRY PUTHENPURAKAL
MD 1417378597 KEDREN COMMUNITY HEALTH CENTER INC
4211 SOUTH AVALON BLVD SUITE ALOS ANGELES 90011-5622
9/17/2021
RN833467 ABRAMIAN ARIN VAHAN NP 1275545725 SERRA COMMUNITY MEDICAL CLINIC
9375 SAN FERNANDO RDSUN VALLEY 91352-1418
11/8/2021
1487298477 SFV HEALTH CENTER INC 8426 SUNLAND BLVDSUN VALLEY 91352-3436
1/24/2022
20A4561 ADAMS JOHN DONALD JR DO 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
7/7/2016
G81919 ADHAMI AFSHIN SHAWN MD 1932315827 ADHAMI, SHAWN A MD INC 1000 W WHITTIER BLVDMONTEBELLO 90640-4639
10/18/2005
1104991686 ADHAMI, AFSHIN S MD 3030 TYLER AVEEL MONTE 91731-3352
12/25/2000
RN745674 ADLAO MARIROSE LANDICHO
NP 1700023942 CHAVA, SREEDHAR MD INC 3580 SANTA ANITA AVE SUITE AEL MONTE 91731-2455
8/6/2018
1104163781 CHAVA, SREEDHAR MD INC 1651 N HACIENDA BLVDLA PUENTE 91744-1137
3/3/2015
Monday, June 06, 2022 Page 2 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A52362 ADLER JACQUELINE DIANE
MD 1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
2/26/2020
A26189 ADLER ROBERT MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
RN608791 ADRANEDA ALDRINE ALBA NP 1932428828 SOUTHERN CALIFORNIA MEDICAL CENTER INC
8825 WHITTIER BLVDPICO RIVERA 90660-2600
11/29/2021
1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
11/29/2021
1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
11/29/2021
RN804322 ADRIANO MAE KHRISTINE UBALDO
NP 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
12/15/2017
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
12/15/2017
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
12/15/2017
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
12/15/2017
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
12/15/2017
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
12/15/2017
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
12/15/2017
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
12/15/2017
Monday, June 06, 2022 Page 3 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN804322 ADRIANO MAE KHRISTINE UBALDO
NP 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
RN699309 ADRIANZEN MARIANGELA NP 1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
2/8/2022
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
2/8/2022
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
2/8/2022
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/8/2022
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/8/2022
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
2/8/2022
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
2/8/2022
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
2/8/2022
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
2/8/2022
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
2/8/2022
RN531081 ADRINEDA MERILYN SANTOS NP 1508872912 CO OF L.A. - WILMINGTON SUBCENTER
1325 BROAD AVEWILMINGTON 90744-2604
11/29/2021
RN445890 AGBO OKWII G NP 1942756937 CITY MEDICAL GROUP INC 1508 E. FLORENCE AVENUELOS ANGELES 90001-2536
3/15/2021
Monday, June 06, 2022 Page 4 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN639277 AGLUGUB JAIME LACARA NP 1487086989 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2614 S GRAND AVENUELOS ANGELES, CA 90007-2607
8/1/2017
C51785 AGRAWAL GYANESH MD 1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
3/4/2013
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
3/4/2013
A119499 AGRAWAL NISHA MD 1942255195 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 E CESAR E CHAVEZ AVE STE 230LOS ANGELES 90033-2496
11/25/2015
G66921 AGUILAR DAVID GILBERT MD 1730291287 AGUILAR, DAVID G MD 7705 SEVILLE AVE STE DHUNTINGTON PARK, CA 90255
5/16/2016
A64940 AGUILAR FELIX MD 1427046754 CHINATOWN SERVICE CENTER FAMILY HEALTH CLINIC
767 N HILL ST., STE 200LOS ANGELES 90012-2365
2/9/2021
A118876 AGUILAR MICHELLE ILEANA
MD 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
1/18/2018
PA22413 AGUILAR VALERIE RAQUEL PA 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/20/2019
20A7451 AGUILUZ JACQUELINE BALAYAN
DO 1851306724 AGUILUZ, JACQUELINE B DO TOWNE CENTER FAMILY MED
21508 NORWALK BLVDHAWAIIAN GARDENS 90716-1122
8/31/2004
RN746240 AGUINALDO PATRICIA C NP 1750469318 SGHIATTI, VINCENT R APC 6316 HOLMES AVELOS ANGELES 90001-1824
5/13/2013
A126281 AHANKOOB NONA MD 1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
5/1/2019
1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
5/20/2019
A111521 AHDOOT DAFNA MD 1801921952A ROY MEDICAL GROUP INC 16063 VANOWEN STVAN NUYS 91406-4810
7/3/2019
1801921952B ROY MEDICAL GROUP INC 21001 SHERMAN WAY STE 15CANOGA PARK 91303-1760
11/26/2014
Monday, June 06, 2022 Page 5 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A111521 AHDOOT DAFNA MD 1801921952E ROY MEDICAL GROUP INC 8001 LAUREL CANYON BLVD STE 109NORTH HOLLYWOOD 91605-1400
9/3/2020
20A9028 AHMADIAN NAZANIN DO 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
A164190 AHMED AMEER MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
2/23/2021
A101248 AHMED RASIQ ABDUL JABBAR
MD 1942416045 MENDOZA, MANUEL F MD INC 11735 FIRESTONE BLVDNORWALK 90650-2808
10/13/2011
A92596 AHMED TAHA MOHAMED MD 1962069393 ST JOHN COMMUNITY HEALTH CENTER
2112 S GAREY AVE STE CPOMONA 91766-5600
9/14/2021
A42047 AINTABLIAN IGHIA MD 1750770608 AINTABLIAN, IGHIA MD APC 1510 SOUTH CENTRAL AVE SUITE 450GLENDALE 91204-2510
8/25/1989
A65390 AIYEGBUSI MODUPE ABIMBOLA
MD 1710084959 AIYEGBUSI AND BRAIMAH AMC 3661 TORRANCE BLVD STE 103TORRANCE 90503-4812
4/1/2013
20A7610 AKHAVAN AFSHIN DO 1821210329A AKHAVAN, AFSHIN DO A PROFESSIONAL CORPORATION
2409 S VERMONT AVELOS ANGELES 90007-1661
9/20/2005
1821210329B AKHAVAN, AFSHIN DO A 530 E WASHINGTON BLVDLOS ANGELES 90015-3723
7/21/2011
RN805670 AKHIGBE OYINADE MODUPE
NP 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
8/21/2018
1346607603 UNIFIED CARE MEDICAL GROUP INC
2040 PACIFIC COAST HWY UNIT SLOMITA 90717-2660
4/20/2021
A151867 AKINTUJOYE OLUWATOYIN MOFESOLA
MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
11/6/2019
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
12/4/2019
RN498018 AKINWOLE YEMI KAYODE NP 1801154463 TOTAL CARE MEDICAL CLINIC INC 1110 W ANAHEIM ST STE 6WILMINGTON 90744-4131
10/11/2018
Monday, June 06, 2022 Page 6 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A122651 AL ATASSI KAOSAR DALIA MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
8/24/2017
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
A78360 ALAEV VICTORIA MD 1871573360 COMPREHENSIVE COMMUNITY HEALTH CTR-NO HOLLYWOOD
12157 VICTORY BLVDN HOLLYWOOD 91606-3204
7/25/2002
C152422 AL-AHMAD LAMIS MD 1164061461 SEQUOIA QUALITY HEALTH INC 2007 WILSHIRE BLVD FL 3, 1ALOS ANGELES 90057-3519
12/3/2020
A128535 ALAS-SEGURA MONIKA CHRISTINA
MD 1396756938STB
LAC USC MEDICAL CENTER - OUTPATIENT PEDIATRIC DEPT.
2010 ZONAL AVE OPD 5 EASTLOS ANGELES 90033-0123
11/30/2016
G74533 ALBURY DENISE ANTOINETTE
MD 1821411281 ALBURY, DENISE A MD INC 133 N PRAIRIE AVE STE BINGLEWOOD 90301-4879
2/24/2009
RN289658 ALCANTARA-FERNANDEZ
ROWENA REYES NP 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
6/29/2005
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
6/29/2005
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
6/29/2005
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
6/29/2005
Monday, June 06, 2022 Page 7 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN289658 ALCANTARA-FERNANDEZ
ROWENA REYES NP 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
6/29/2005
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
6/29/2005
RN805621 ALCID JULIE ANNE NP 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
12/6/2021
A119750 ALFONSO KAREN KAY GRAGASIN
MD 1205167350B MEMORIALCARE MEDICAL FOUNDATION
22719 HAWTHORNE BLVDTORRANCE 90505-3613
2/3/2020
A50859 ALI ALIYA IMRAN MD 1962513846 ALI, ALIYA I MD 12826 PHILADELPHIA ST STE AWHITTIER 90601-4127
6/27/1996
A134720 ALKAYED KHALDOUN JAMAL
MD 1467490425B HARBOR COMMUNITY CLINIC, INC 425 S PACIFIC AVESAN PEDRO 90731
4/22/2021
C51874 ALLEYNE ROBIN ANDREW MD 1043462443 CLINICA FAMILIAR SAN LUCAS 11050 S ATLANTIC AVELYNWOOD 90262-3068
4/30/2021
RN698861 ALUNAN PATRICK S NP 1538278270 AZURIN, ELEANOR MD INC 3045 E FLORENCE AVEHUNTINGTON PK 90255-5837
2/23/2017
PA57194 ALVARADO CARLOS DE JESUS
PA 1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
6/5/2020
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
6/5/2020
PA55748 ALVAREZ RACHAEL REBUJIO
PA 1245383488 AUSTIN, EDWARD MD 1331 E COMPTON BLVDCOMPTON 90221-3401
6/15/2020
A144136 ALVAREZ CASILLAS
VICTOR HUGO MD 1164668786 PREMIER FAMILY MEDICINE ASSOCIATES, INC
1601 N MONTE VISTA AVE STE 100CLAREMONT 91711-6601
8/29/2017
Monday, June 06, 2022 Page 8 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A144136 ALVAREZ CASILLAS
VICTOR HUGO MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
4/21/2021
20A13338 ALVIR MARJORIE ANNE DO 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
7/16/2020
1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
9/26/2019
RN498049 ALWANI SHIREEN NP 1457744476 COMMUNITY MEDICINE, INC 8540 ALONDRA BLVD SUITE B-2PARAMOUNT 90723-5200
9/6/2017
1497397806 COMMUNITY MEDICINE, INC INTERMITTENT
8800 ALONDRA BLVD SUITE CBELLFLOWER 90706-4302
10/14/2020
PA20626 AMADOR LETICIA ISABEL PA 1760947451 LOYOLA FAMILY HEALTH CENTER 4225 TWEEDY BLVD STE. BSOUTH GATE 90280-6217
5/12/2022
RN95130198 AMAYA JESSICA PAOLA NP 1316044522 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
1530 S OLIVE STLOS ANGELES 90015-3023
8/18/2017
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2018
RN95106058 AMBRIZ SONYA NP 1477069375 GAGE MEDICAL CLINIC INC. R OF HUNTINGTON PARK
3203 E FLORENCE AVEHUNTINGTON PARK 90255-5831
11/29/2021
1003053943 GAGE MEDICAL CLINIC INC 985 W VERNON AVELOS ANGELES 90037-3038
4/25/2022
A40490 AMIN JAY MD 1861711863 AME MEDICAL GROUP INC 11938 PARAMOUNT BLVD.DOWNEY 90242-2306
5/13/2020
PA16689 ANABO ARVIN ALMAZAN PA 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
6/26/2020
Monday, June 06, 2022 Page 9 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A163145 ANANTH MINA PARVATI MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
12/3/2020
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
A135425 ANAYA YOHUALLI BALDERAS-MEDINA
MD 1467465641STA
CO OF L.A. - MID VALLEY COMP HC
7515 VAN NUYS BLVDVAN NUYS 91405-1949
9/19/2017
1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
9/1/2016
PA15711 ANDA MIGUEL ANGEL PA 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
4/27/2006
1255542601C ALTAMED MEDICAL AND DENTAL- ESTRADA COURTS
1305 S CONCORD STREET STE 18LOS ANGELES 90023-3503
10/8/2007
1255542601B ALTAMED MEDICAL AND DENTAL -WILLIAMS MEAD
268 E BLOOM STREET STE 322LOS ANGELES 90012-1973
12/19/2007
1255542601D ALTAMED MEDICAL AND DENTAL/RAMONA GARDENS
1424 CRUSADO LANE STE 168LOS ANGELES 90033-1512
12/6/2007
PA14668 ANDAL IEDA PA 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
1/26/2007
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
1/26/2007
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
1/26/2007
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
Monday, June 06, 2022 Page 10 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA14668 ANDAL IEDA PA 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
1/26/2007
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
1/26/2007
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
1/26/2007
A116905 ANDERSON ASHAUNTA TUMBLIN
MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
8/16/2019
G48857 ANDERSON MARTIN MATHEW MD 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/10/2001
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/19/2001
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
5/11/1999
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/19/2001
Monday, June 06, 2022 Page 11 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G48857 ANDERSON MARTIN MATHEW MD 1124054564 VENICE FAMILY CLINIC- ROBERT LEVINE FAM HEALTH
905 VENICE BLVDVENICE 90291-4904
6/29/2015
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/2/1989
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/19/2001
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
RN503339 ANDERSON PATRICIA NATALIE
NP 1124106646 LANARK FAMILY MED CLINIC 8040 VAN NUYS BLVDPANORAMA CITY 91402-6010
12/4/2019
1316455363 YASHARPOUR MEDICAL DOCTOR, INC., APMC
7400 VAN NUYS BLVD., STE 120VAN NUYS 91405-1972
7/1/2019
1255849238 YASHARPOUR MEDICAL DOCTOR, INC APMC
6330 VAN NUYS BLVDVAN NUYS 91401-2610
6/7/2019
A150502 ANDERSON SANCHIA MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
9/26/2019
RN95079674 ANDRADE JACQUELINE NP 1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
9/14/2021
A134344 ANDRADE RIA R. MD 1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
8/24/2016
A54706 ANDRES BLANCA GENA MD 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
9/24/2002
1124054564 VENICE FAMILY CLINIC- ROBERT LEVINE FAM HEALTH
905 VENICE BLVDVENICE 90291-4904
6/29/2015
A125066 ANGULO MARCO ANTONIO MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
9/14/2021
Monday, June 06, 2022 Page 12 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
C41801 ANTONIO ADELAIDA BRINAS
MD 1801921952B ROY MEDICAL GROUP INC 21001 SHERMAN WAY STE 15CANOGA PARK 91303-1760
6/7/2011
1801921952A ROY MEDICAL GROUP INC 16063 VANOWEN STVAN NUYS 91406-4810
7/3/2019
20A13819 ANTOSSYAN MERI DO 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
8/23/2018
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
8/23/2018
1548876626C VITUITY-PRIMARY CARE GLENDALE
1560 E. CHEVY CHASE DR. SUITE 355GLENDALE 91206-4159
5/12/2022
PA19004 APARICIO JUAN CARLOS PA 1477069375 GAGE MEDICAL CLINIC INC. R OF HUNTINGTON PARK
3203 E FLORENCE AVEHUNTINGTON PARK 90255-5831
11/29/2021
1003053943 GAGE MEDICAL CLINIC INC 985 W VERNON AVELOS ANGELES 90037-3038
1/25/2016
A44427 ARASTU ANWAR HUSAIN MD 1831493394 ANWAR AND VASEEMA ARASTU MD INC
12675 LA MIRADA BLVD STE 200LA MIRADA 90638-2236
9/22/2011
A44428 ARASTU VASEEMA SULTANA
MD 1831493394 ANWAR AND VASEEMA ARASTU MD INC
12675 LA MIRADA BLVD STE 200LA MIRADA 90638-2236
6/28/1988
A54501 ARAVAGIRI VASUKI MD 1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
12/12/2012
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
5/9/2007
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
11/20/2002
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
1/23/2004
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
Monday, June 06, 2022 Page 13 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A54501 ARAVAGIRI VASUKI MD 1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
A35390 ARBID MASAD ISA MD 1881795003 SAN MATEO MEDICAL CLINIC INC 4055 WHITTIER BLVDLOS ANGELES 90023-2536
6/19/1992
A46476 ARBOLEDA ANTONIO LORENZO
MD 1831426642B LAKESIDE MEDICAL 191 S BUENA VISTA STREET SUITE 200-240BURBANK 91505
5/17/2017
A63506 AREVALO RODOLFO ANTONIO
MD 1790738243 MODERN CONCEPTS MED GRP 1217 W WHITTIER BLVDMONTEBELLO 90640-4642
3/29/2011
1386859619 MODERN CONCEPTS MED GRP INC
1701 CESAR CHAVEZ AVE STE 354LOS ANGELES 90033-0000
8/23/2011
G78062 ARNOLD-CLARK JANET SUZANNE MD 1245343052STA
CO OF L.A. - MARTIN LUTHER KING, JR/DREW MEDICAL CTR
1721 E 120TH STREETLOS ANGELES 90059
5/1/2019
PA15146 AROCHE MAYRA L PA 1942255195 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 E CESAR E CHAVEZ AVE STE 230LOS ANGELES 90033-2496
12/11/2007
A131380 AROMIN MELISSA JO MD 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
RN745212 ARREDONDO ADRIANA NP 1679553192 COMPREHENSIVE COMMUNITY HEALTH CTR-EAGLE ROCK
1704 COLORADO BLVDLOS ANGELES 90041-1338
8/29/2016
G48417 ARROYO MANUEL MD 1720196702 HIGH DESERT MEDICAL GRP INC 43839 15TH ST WLANCASTER 93534-4756
6/29/2021
A129850 ARUNRUT TEDA MD 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
9/15/2017
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
9/15/2017
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
9/15/2017
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
9/15/2017
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
9/15/2017
Monday, June 06, 2022 Page 14 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A129850 ARUNRUT TEDA MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
9/15/2017
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
9/15/2017
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
9/15/2017
PA19458 ASANOVA ELENA PA 1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/4/2010
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/4/2010
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/4/2010
1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
12/2/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/4/2010
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/4/2010
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
10/4/2010
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/4/2010
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
Monday, June 06, 2022 Page 15 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA19458 ASANOVA ELENA PA 1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/4/2010
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A49733 ASHBURN NORMAN KEITH MD 1184655730 ASHBURN, NORMAN K MD INC 2211 WEST MAGNOLIA BLVD STE 210BURBANK 91506-1771
12/29/2005
A66267 ASHFAQ ROBILA MD 1386708634 JWCH INSTITUTE, INC JWCH NORWALK REGIONAL
12360 FIRESTONE BLVDNORWALK 90650-4324
2/23/2016
A62932 ASKARINAM ALBERT MD 1427043389 TARZANA TREATMENT CENTER FAMILY MEDICAL CLINIC
8330 RESEDA BLVDNORTHRIDGE 91324-4619
12/22/2021
A71831 ASNANI MONICA GUL MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/23/2004
C154956 ASSADI KHATEREH A MD 1720571789 UNICARE COMMUNITY HEALTH AFFILIATED
741 S ALVARADO STLOS ANGELES 90057-2903
2/1/2021
A121879 ATALLA MARTA IMA MD 1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
11/29/2021
1356963417 ATALLA MEDICAL GROUP 557 N. MACLAY AVESAN FERNANDO 91340-2424
5/11/2021
1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
11/29/2021
1932428828 SOUTHERN CALIFORNIA MEDICAL CENTER INC
8825 WHITTIER BLVDPICO RIVERA 90660-2600
11/29/2021
RN95035566 ATI MANISHA NP 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
3/19/2019
A167093 ATIS PATRICK DUCLAIR
MD 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
RN477277 AUBREY CECILIA REYES NP 1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
Monday, June 06, 2022 Page 16 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN477277 AUBREY CECILIA REYES NP 1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
7/7/2020
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
7/7/2020
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
7/7/2020
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
7/7/2020
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
3/22/2020
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
3/2/2020
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
3/2/2020
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
3/2/2020
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
7/7/2020
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
7/7/2020
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
3/2/2020
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
7/7/2020
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
7/7/2020
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
7/7/2020
A128745 AUNG MOE MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/22/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/22/2019
Monday, June 06, 2022 Page 17 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A128745 AUNG MOE MD 1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/22/2019
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/22/2019
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
8/4/2020
RN666897 AURE LIEZL DIMARANAN
NP 1134668304 TENDER CARE COMMUNITY CLINIC INC
7862 FIRESTONE BLVDDOWNEY 90241-4221
12/4/2019
A42707 AUSTIN ARMAITY VAGHAIWALLA
MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
11/30/2012
G66313 AUSTIN EDWARD MD 1245383488 AUSTIN, EDWARD MD 1331 E COMPTON BLVDCOMPTON 90221-3401
8/7/1998
RN624885 AVILA MELDY YIRANY NP 1205859733B SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
3529 FIRESTONE BLVDSOUTH GATE 90280-3031
10/28/2019
A95714 AVILA SANDRA GABRIELA
MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
11/30/2012
A76844 AWADA ALI MOHAMAD MD 1356531297 AWADA, ALI MD INC 12301 S HAWTHORNE BLVDHAWTHORNE 90250-2369
4/4/2006
A106240 AYAD MARIANNE BOTROS
MD 1225188204 ST ANTHONY MEDICAL CTR IMPERIAL CLINIC
837 W IMPERIAL HWYLOS ANGELES 90044-4110
4/29/2016
1952451031 ST ANTHONY MEDICAL CTR PICO CLINIC
2515 W PICO BLVDLOS ANGELES 90006-4003
4/29/2016
RN703254 AYLLON MADELEINE MATILDE
NP 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
12/5/2018
A95715 AZADI-RAD AYAT MD 1154593929 AZADI-RAD, AYAT MD 7232 VAN NUYS BLVD STE 201VAN NUYS 91405-2231
11/2/2010
A121880 AZAR NICOLA FARIS MD 1811397888 COMPLETE CARE COMMUNITY HEALTH CENTER INC
5831 FIRESTONE BLVD SUITE ESOUTH GATE 90280-3718
2/19/2015
RN491991 AZCARATE ANNETTE ANTONIA
NP 1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
Monday, June 06, 2022 Page 18 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN491991 AZCARATE ANNETTE ANTONIA
NP 1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
2/17/2022
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
2/17/2022
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
2/17/2022
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
2/17/2022
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
2/17/2022
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
2/17/2022
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
2/17/2022
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
2/17/2022
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
2/17/2022
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
2/17/2022
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
2/17/2022
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
2/17/2022
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
2/17/2022
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
2/17/2022
1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
2/8/2022
A173565 AZHAR MUNIR REHAN MD 1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/16/2021
Monday, June 06, 2022 Page 19 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A173565 AZHAR MUNIR REHAN MD 1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
12/16/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/16/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
12/16/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/16/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
12/16/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/16/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/16/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/16/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/16/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/16/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/16/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/16/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/16/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
12/16/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/16/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/16/2021
Monday, June 06, 2022 Page 20 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A163697 AZHIR RAMIN MD 1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
11/10/2021
1023287679STD
T.H.E. CLINIC, INC 3206 W 50TH AVENUELOS ANGELES 90043
11/10/2021
1023287679STE
T.H.E. CLINIC, INC 10321 HAWTHORNE BLVDINGLEWOOD 90304
11/10/2021
1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
11/10/2021
PA52225 AZIMTASH SAHAR PA 1447703400 HEALTH ACCESS FOR ALL INC 1919 WEST 7TH ST 2ND & 3RD FLOORLOS ANGELES 90057-4103
1/10/2019
A53449 AZINGE MEZIA OGUGUA MD 1659379634 AZINGE-OBASI, MEZIA O MD DOCTOR PAUL MEMORIAL MED
3450 W 43RD ST STE 106LOS ANGELES 90008-4944
3/11/2010
A35304 AZIZ-ZADEH NASSER MD 1093723371 AZIZ-ZADEH, NASSER MD 1141 W REDONDO BEACH BLVD STE 407GARDENA 90247-3582
7/1/1992
A42474 AZMY KAMEL MORCOS MD 1831426642A LAKESIDE MEDICAL 1500 W WEST COVINA PKWYWEST COVINA 91790-2703
4/21/2008
PA15626 AZPEITIA HILDA PA 1740757996 FAMILY MEDICINE HEADQUARTERS
521 N AZUSA AVEAZUSA 91702-2936
5/28/2020
A66742 AZURIN ELEANOR VERZOSA
MD 1538278270 AZURIN, ELEANOR MD INC 3045 E FLORENCE AVEHUNTINGTON PK 90255-5837
3/13/2002
A36302 AZURIN NARCISO MANZANILLO
MD 1659479269 NARCISO M AZURIN MD INC 4075 TWEEDY BLVDSOUTH GATE 90280-6146
12/25/2000
A132890 AZURIN ROBERT ANTHONY
MD 1659479269 NARCISO M AZURIN MD INC 4075 TWEEDY BLVDSOUTH GATE 90280-6146
7/22/2015
RN836616 BABALOLA ERICA OMOWUNMI
NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
1/11/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
1/11/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
1/11/2021
Monday, June 06, 2022 Page 21 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN836616 BABALOLA ERICA OMOWUNMI
NP 1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
1/11/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
1/11/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
1/11/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/11/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
1/11/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/11/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
1/11/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
1/11/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
1/11/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
1/11/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
1/11/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
PA54204 BACH THUY PHUONG PA 1164668786 PREMIER FAMILY MEDICINE ASSOCIATES, INC
1601 N MONTE VISTA AVE STE 100CLAREMONT 91711-6601
2/8/2022
A52570 BADYMOGHADDAM YAGHOUB MD 1932225208 BADYMOGHADDAM, YAGHOUB 5726 E OLYMPIC BLVDLOS ANGELES 90022-5120
1/24/2008
Monday, June 06, 2022 Page 22 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A101749 BAIG SHAHIDA MD 1720171242 UNIVERSITY MUSLIM MED UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELES 90044-6105
8/17/2020
1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
9/2/2020
C158468 BAILEY CRAIG MD 1134668304 TENDER CARE COMMUNITY CLINIC INC
7862 FIRESTONE BLVDDOWNEY 90241-4221
12/16/2019
G45710 BAKER CYNTHIA N MD 1679691810 HOLLYWOOD SUNSET FREE CLINIC
3324 SUNSET BLVDLOS ANGELES 90026-2190
6/14/2004
C55678 BALA PADMA MD 1326278490I JANESRI DE SILVA MD A PROFE 777 TRUMAN STREET 104 AND 105SAN FERNANDO 91340-3383
12/9/2020
1053410506A PEDIATRIC AFFILIATES MEDICAL GROUP INC
7345 MEDICAL CENTER DRIVE SUITE 400WEST HILLS 91307-1963
3/15/2021
20A13696 BALAKHANI SHAHRYAR DO 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
3/17/2015
A76470 BALETTE LILY C MD 1902960388 BALETTE, LILY C MD 1141 WEST REDONDO BEACH BLVD STE 211GARDENA 90247-3584
6/2/2009
G53313 BALLOU NICOLETTE LEE MD 1083251532 PRIME WELLNESS COMMUNITY HEALTH CENTER
8610 S. SEPULVEDA BLVD. SUITE 104LOS ANGELES 90045-4009
5/25/2022
1790304707 NICOLLETTE L. BALLOU, M.D. APC 3831 HUGHES AVE STE 602CULVER CITY 90232-6845
4/8/2021
A105197 BALTAIAN LILIT MD 1508109794 BALTAIAN, LILIT MD INC 7412 FOOTHILL BLVDTUJUNGA 91042-2722
3/19/2012
A93640 BAMBRAH-DHAMIJA
MEHTAB MD 1437375953 WALK-IN MEDICAL CARE 18326 PIONEER BLVDARTESIA 90701-5533
10/11/2007
20A15221 BANDARPALLE SUSHANT DO 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/23/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
10/23/2017
Monday, June 06, 2022 Page 23 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A15221 BANDARPALLE SUSHANT DO 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
10/23/2017
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
10/23/2017
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
10/23/2017
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
10/23/2017
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
10/23/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
10/23/2017
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
10/23/2017
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
10/23/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
10/23/2017
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
10/23/2017
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
10/23/2017
A44079 BANTA DANTE A MD 1215100417 BANTA, DANTE A MD INC 875 N WESTERN AVELOS ANGELES 90029-3759
12/21/1997
Monday, June 06, 2022 Page 24 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A104447 BANTA VERONICA MORALES
MD 1215100417 BANTA, DANTE A MD INC 875 N WESTERN AVELOS ANGELES 90029-3759
6/4/2014
PA21314 BARADI MARNEL CHRIZALD CAY
PA 1598829350 JWCH INSTITUTE, INC 954 N VERMONT AVELOS ANGELES 90029-3529
1/18/2019
A50813 BARANCO RACHEL ANNETTE
MD 1225177751 CRENSHAW HEALTHCARE CORPORATION
3756 SANTA ROSALIA DR SUITE 400LOS ANGELES 90008-3614
12/30/2009
1477649119A WATTS HEALTHCARE CORPORATION
10300 COMPTON AVELOS ANGELES 90002-3628
7/28/2003
A111855 BARBA CESAR L MD 1831287978 WESTSIDE FAMILY HLTH CTR 1711 OCEAN PARK BLVDSANTA MONICA 90405-4901
11/27/2018
1558397067 VENICE FAMILY CLINIC 2509 PICO BLVDSANTA MONICA 90405-1828
4/30/2021
A68075 BARBOSA JEFFREY TODD MD 1518971241 CO OF L.A. - LONG BEACH CHC 1333 CHESTNUT AVENUELONG BEACH 90813-2944
9/15/2009
1508872912 CO OF L.A. - WILMINGTON SUBCENTER
1325 BROAD AVEWILMINGTON 90744-2604
11/29/2021
A44541 BARKODAR JOHN MD 1265572903 BROOKDALE MEDICAL CENTER INC.
2809 TWEEDY BLVDSOUTH GATE 90280-5538
10/30/2006
A113383 BARNERT ELIZABETH SARAH
MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
1/23/2017
PA16753 BARRAZA HENRY ROBERT PA 1679553192 COMPREHENSIVE COMMUNITY HEALTH CTR-EAGLE ROCK
1704 COLORADO BLVDLOS ANGELES 90041-1338
6/22/2016
A73702 BARRERA RAUL MD 1356775878 ALTAMED HEALTH SERVICES CORP
6336 PASSONS BLVDPICO RIVERA 90660-3355
7/20/2021
1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
8/5/2010
RN402735 BARRETT ANTOINETTE HOWARD
NP 1639172372STA
CEDARS-SINAI MED CTR (C.O.A.C.H. FOR KIDS PROG I)
8700 BEVERLY BLVD Suite 1473LOS ANGELES 90048-1804
12/25/2000
Monday, June 06, 2022 Page 25 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN693414 BARRIENTOS DANILO NP 1457781676 BENEVOLENCE INDUSTRIES INC 611 E IMPERIAL HWY, SUITE 107LOS ANGELES 90059-2358
2/12/2020
A132712 BARTH-ROGERS YOHANNA MD 1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
12/4/2019
1720171242 UNIVERSITY MUSLIM MED UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELES 90044-6105
1/26/2018
A61990 BASILIOS MAGED ZIKRY MD 1508872912 CO OF L.A. - WILMINGTON SUBCENTER
1325 BROAD AVEWILMINGTON 90744-2604
3/20/2006
1326459256 BASILIOS, MAGED MD INC 4505 E SLAUSON AVE STE EMAYWOOD 90270-4955
11/23/2004
20A18560 BASMADZHYAN ANDRE DO 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
3/2/2021
A35872 BASS BRENDA GAIL MD 1477627248 BASS, BRENDA G MD 9201 W SUNSET BLVD STE 408LOS ANGELES 90069-3705
11/13/1981
G44726 BATRES ERIC ROBERTO MD 1083735203 BATRES , ERIC R MD MEDICAL CORP
5101 FLORENCE AVE STE 4BELL 90201-3801
12/10/2004
A36896 BAUTISTA DAISY IBANEZ MD 1689691537 BAUTISTA, DAISY I MD A MEDICAL CORPORATION
1930 WILSHIRE BOULEVARD SUITE 803LOS ANGELES 90057-3636
3/16/2015
A100478 BAUTISTA MARIVIC ALBA MD 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
11/27/2013
A122963 BAVISETTY SUPRIYA MD 1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
7/30/2019
RN95157790 BAYOH FANTA MICHELLE NP 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
12/19/2019
20A14490 BEATY SARAH PACHECO DO 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
9/19/2018
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
10/18/2017
Monday, June 06, 2022 Page 26 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A14490 BEATY SARAH PACHECO DO 1548876626C VITUITY-PRIMARY CARE GLENDALE
1560 E. CHEVY CHASE DR. SUITE 355GLENDALE 91206-4159
5/12/2022
A44080 BEBAWY NAGY P MD 1922490960STA
AGHABY COMPREHENSIVE COMMUNITY HEALTH CTR
2542 E FLORENCE AVENUE STE BWALNUT PARK 90255
2/20/2013
A41548 BEESLEY ELLIS NORMAN JR
MD 1063470219 BEESLEY, ELLIS N JR MD 1127 WILSHIRE BLVD STE 707LOS ANGELES 90017-3908
11/20/1992
A85838 BEGOVIC SNEZANA MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
7/27/2010
A52472 BEHMANESH BEHZAD MD 1730265703 DAYANI, JILA MD 12626 RIVERSIDE DR STE 101N HOLLYWOOD 91607-3448
12/12/1996
1194801167 BEHMANESH, BEHZAD MD 2701 W ALAMEDA AVE SUITE 604BURBANK 91505-4411
3/27/2015
A41374 BEHROOZAN BENJAMIN MD 1194949180 BEHROOZAN, BENJAMIN MD INC 5255 W SUNSET BLVDLOS ANGELES 90027-5716
9/10/1987
1639234362 BENJAMIN BEHROOZAN MD INC. 2221 LINCOLN BLVD. STE. 200SANTA MONICA 90405-1320
4/24/1985
G67654 BEJINEZ-EASTMAN ANA GABRIELA MD 1831251610 INTERCOMMUNITY FAMILY MEDICAL ASSOC INC
12291 WASHINGTON BLVD STE 500WHITTIER 90606-2551
10/25/2004
A117874 BENDER DAVID I MD 1831426642B LAKESIDE MEDICAL 191 S BUENA VISTA STREET SUITE 200-240BURBANK 91505
4/11/2014
1831426642A LAKESIDE MEDICAL 1500 W WEST COVINA PKWYWEST COVINA 91790-2703
4/11/2014
RN800098 BENDIGO PAULA ANDREA MACAB
NP 1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
9/16/2016
A144542 BENEDICT DARCY ERYN MD 1982611919 CO OF L.A. - HUMPHREY COMPREHENSIVE HC
5850 S MAIN STLOS ANGELES 90003-1215
9/29/2020
Monday, June 06, 2022 Page 27 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G70134 BEN-ISAAC EYAL MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
RN95021967 BENITEZ MYLEN DANINA NP 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
7/2/2019
A99339 BENJAMIN HILMA ROSALIA MD 1326278490D JANESRI DE SILVA MD A PROF 8940 RESEDA BLVD STE 101NORTHRIDGE 91324-5833
8/21/2018
20A4228 BENOWITZ IRVIN S. DO 1396067500 AAA COMPREHENSIVE HEALTHCARE
7451 N LANKERSHIM BLVDNORTH HOLLYWOOD 91605-2803
2/12/2018
A123078 BERDEJO CARLA MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
11/17/2021
1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
11/17/2021
RN95050923 BERDUGO ANN KHOA NP 1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
10/12/2016
A45608 BERGANZA JOSE DALIO MD 1962560896 BERGANZA, JOSE D MD INC SAN JOSE MULTISPECIALTY
14514 RAMONA BLVD SUITE 3BALDWIN PARK 91706-3361
12/20/1998
RN95256937 BERGER BROOKE ASHLEY NP 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
2/8/2022
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
2/8/2022
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
2/8/2022
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
2/8/2022
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
2/8/2022
Monday, June 06, 2022 Page 28 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95256937 BERGER BROOKE ASHLEY NP 1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/8/2022
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/8/2022
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
2/8/2022
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
2/8/2022
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
2/8/2022
PA20619 BERHANE AMAN PA 1669881926 CENTRAL CITY COMMUNITY HEALTH CENTER INC
4126 N MAINE AVEBALDWIN PARK 91706-5010
6/12/2017
G26068 BERKOWITZ CAROL DIANE MD 1407878150 CO OF L.A. - HARBOR-UCLA MED CTR/ PEDS DEPT.
1000 W CARSON STREET L-4TORRANCE 90502-2004
5/20/1998
1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/23/2018
A120408 BERMON DAVID JAMES MD 1982611919 CO OF L.A. - HUMPHREY COMPREHENSIVE HC
5850 S MAIN STLOS ANGELES 90003-1215
10/19/2017
RN95066255 BERNAL BRENDA VICTORIA
NP 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
6/5/2020
RN416803 BERTAO TERESA IRMA NP 1386708634 JWCH INSTITUTE, INC JWCH NORWALK REGIONAL
12360 FIRESTONE BLVDNORWALK 90650-4324
9/16/2009
RN447579 BEVAN ELIZABETH ANNE NP 1518973940 CO OF L.A. - BELLFLOWER HEALTH CENTER
10005 E FLOWER STREETBELLFLOWER 90706-0000
6/7/2017
A149562 BHAKTA PAAYAL MD 1598829350 JWCH INSTITUTE, INC 954 N VERMONT AVELOS ANGELES 90029-3529
10/5/2017
1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
12/7/2017
1386708634 JWCH INSTITUTE, INC JWCH NORWALK REGIONAL
12360 FIRESTONE BLVDNORWALK 90650-4324
2/23/2022
Monday, June 06, 2022 Page 29 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A65630 BHATIA PARUL MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
9/24/2001
1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
10/25/2018
A50059 BHATT JATIN C MD 1225076383 ST FRANCIS MULTISPCLTY 3628 E IMPERIAL HWY STE 303LYNWOOD 90262-2646
1/1/2002
G77772 BHOLAT MICHELLE ANNE MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/28/2002
A138930 BIRNBERG JOELLE SARAH MD 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
5/1/2019
A45381 BISHARA ISHAK N MD 1972828085 DURFEE FAMILY CARE MEDICAL GROUP, APC
2006 DURFEE AVEEL MONTE 91733-3713
11/27/1996
PA52576 BLAKELY ADRIANA MARIE PA 1578808200 COMMUNITY HEALTH ALLIANCE OF PASADENA
10408 VACCO ST STE ASOUTH EL MONTE 91733-3328
9/18/2019
A124194 BLANKENBECKLER MELISSA CHRISTINE
MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
4/26/2018
A31530 BLESA MARTA IRENE MD 1972819977 BLESA, MARTA MD A PROFESSIONAL CORPORATION
5821 TEMPLE CITY BLVDTEMPLE CITY 91780-1837
9/8/2010
G75986 BLUMENTHAL RICHARD ALAN MD 1821429838 PROHEALTH PARTNERS A MEDICAL
711 EAST ROSECRANS AVECOMPTON 90221-2143
4/15/2016
1730519927 PROHEALTH PARTNERS A MEDICAL GROUP
12131 CARSON STHAWAIIAN GARDENS 90716-1154
11/8/2016
RN276215 BOGAR BETTY NP 1669799896 SOUTH CENTRAL FAMILY HEALTH CENTER (SCFHC)
2680 SATURN AVE STE 110, 220, 280HUNTINGTON PARK 90255-4568
6/5/2020
Monday, June 06, 2022 Page 30 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A136515 BOLOUR DAVID HAIM MD 1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
1/1/0001
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
1/1/0001
RN801786 BONIFACIO MARK GERALD M NP 1083726905 KOH, SANDY S MD INC 3419 TYLER AVEEL MONTE 91731-3103
8/23/2017
1134364748 KOH, SANDY S MD INC 2727 N PECK RDEL MONTE 91733-2434
8/23/2017
RN723109 BOORSMA DANAE JENEANE NP 1558379990 CO OF L.A. - SAN FERNANDO HEALTH CTR
1212 PICO STSAN FERNANDO 91340-3503
8/14/2017
1467465641STA
CO OF L.A. - MID VALLEY COMP HC
7515 VAN NUYS BLVDVAN NUYS 91405-1949
8/14/2017
1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
9/19/2017
20A8927 BOOZER JENNIFER ROSE DO 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
9/1/2021
A123079 BORBOR SHARIAR MD 1740757996 FAMILY MEDICINE HEADQUARTERS
521 N AZUSA AVEAZUSA 91702-2936
5/28/2020
RN689417 BORROMEO JOSEPHINE MENDEZONA
NP 1467490425B HARBOR COMMUNITY CLINIC, INC 425 S PACIFIC AVESAN PEDRO 90731
4/22/2021
A66056 BORSADA MINAL WILSON MD 1184134827 SAN JUDAS COMMUNITY HEALTH CENTER INC
1080 N WESTERN AVELOS ANGELES 90029-2310
5/14/2003
1396235883 SAN JUDAS COMMUNITY HEALTH CENTER INC
2972 WILSHIRE BLVD 1ST-2ND FLOORLOS ANGELES 90010-1101
1/28/2009
A45610 BOTROS NANCY E MD 1679626428 TOVAR, SONIA Y PROFESSIONAL CORPORATION NURSING
1019 E. HOLT AVEPOMONA, CA 91767
6/29/2015
1679626428 TOVAR, SONIA Y PROFESSIONAL CORPORATION NURSING
1019 E. HOLT AVEPOMONA, CA 91767
1/1/0001
RN95075153 BOTWIN JEANETTE BALDONADO
NP 1982075107C PEDIATRIC AND FAMILY MEDICAL INTERMITTENT
6618 VAN NUYS BLVDVAN NUYS 91405-4617
9/14/2021
Monday, June 06, 2022 Page 31 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95075153 BOTWIN JEANETTE BALDONADO
NP 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
2/1/2018
PA57088 BOVE NATASHA KIMBERLY
PA 1093809592 MONTES MEDICAL GROUP 832 S GREVILLEA AVEINGLEWOOD 90301-3312
6/26/2020
A107098 BOZORGNIA LEILA MD 1912264722 BOZORGNIA, LEILA MD INC 2990 S SEPULVEDA BLVD SUITE 202LOS ANGELES 90064-3973
2/25/2019
G46412 BRENT DINA KIKUE MD 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
11/23/2009
20A13507 BRIGGS JANET JEAN DO 1356362743STA
COMPREHENSIVE COMMUNITY HLTH CTR-HIGHLAND PARK
5059 YORK BLVDLOS ANGELES 90042-1713
2/16/2021
A24899 BROOKS BARRY STEWART MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
2/22/2007
G49006 BROOKS OLIVER TATE MD 1477649119A WATTS HEALTHCARE CORPORATION
10300 COMPTON AVELOS ANGELES 90002-3628
7/28/2003
1376681486 WATTS HEALTHCARE CORPORATION
10110 JUNIPER STLOS ANGELES 90002-3166
11/4/1999
1225177751 CRENSHAW HEALTHCARE CORPORATION
3756 SANTA ROSALIA DR SUITE 400LOS ANGELES 90008-3614
12/7/2015
1477649119B WATTS HEALTHCARE 316 E 111TH STREETLOS ANGELES 90061-3004
6/21/2016
A38857 BROUKHIM KAMRAN MD 1801805056A INTEGRATED HEALTHCARE MEDICAL GROUP, INC
2850 ARTESIA BLVD STE 105REDONDO BEACH 90278-3412
12/13/1999
A153229 BROWN KETIA LAUREN MD 1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
10/28/2019
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/11/2019
Monday, June 06, 2022 Page 32 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G72955 BROWN LLOYD JEFFREY MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/17/1987
A35180 BROWN LOLA BURNETT MD 1477649119A WATTS HEALTHCARE CORPORATION
10300 COMPTON AVELOS ANGELES 90002-3628
8/14/2017
A147392 BROWN PHILLIP CHARLES MD 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
6/21/2018
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/11/2019
1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
9/20/2018
20A10903 BROWNE DEREK MCGRATH DO 1205167350B MEMORIALCARE MEDICAL FOUNDATION
22719 HAWTHORNE BLVDTORRANCE 90505-3613
2/3/2020
A106277 BRUM PAVAN DANIELLE DIAS MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
4/26/2016
1700097540STA
NORTHEAST COMM CLINIC INTERMITTENT
5420 N FIGUEROA STLOS ANGELES 90042
9/18/2019
1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
6/4/2018
A138808 BRUNET BARBARA ANN MD 1710031588A PROVIDENCE FACEY MEDICAL FOUNDATION
14550 W SOLEDAD CANYON RDCANYON COUNTRY 91387-2200
10/20/2020
A80031 BRUNO YOVANA GRACIELA
MD 1760689426B YBPC MEDICAL CLINIC INC 1750 HUNTINGTON DR STE BDUARTE 91010-2136
3/11/2010
1003188160C MAYFLOWER MEDICAL GROUP, INC
1750 HUNTINGTON DR STE BDUARTE 91010-2536
9/14/2020
G66182 BRYANT MICHAEL DAVID MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
Monday, June 06, 2022 Page 33 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
C53527 BRYANT TANYA ELAINE MD 1356763155 UNICARE COMMUNITY HEALTH CENTER INC
1501 E HOLT AVENUE STE APOMONA 91767-5823
9/26/2019
A163180 BUCH VISHAAL NAISHADH
MD 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
10/16/2019
RN621135 BUCU ANGELINA D NP 1306194105 AMH COMPREHENSIVE MEDICAL CENTERS
711 NORTH ALVARADO ST SUITE 101LOS ANGELES 90026-4016
9/6/2017
RN480996 BUDD ROSANA MARTINEZ
NP 1881710861 TARZANA TREATMENT CENTER FMLY MED CLNC-LANCASTER
907 W LANCASTER BLVDLANCASTER 93534-2305
3/1/2017
G54991 BUENO MAURICIO EDUARDO
MD 1649223777 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 CESAR CHAVEZ STE 402LOS ANGELES 90033-2496
11/30/2001
A149470 BUENROSTRO ANDREA LOUISE MD 1356763155 UNICARE COMMUNITY HEALTH CENTER INC
1501 E HOLT AVENUE STE APOMONA 91767-5823
9/26/2019
1861925679 UNICARE COMMUNITY HEALTH CENTER INC
2409 N BROADWAYLOS ANGELES 90031-2218
10/6/2020
1720571789 UNICARE COMMUNITY HEALTH AFFILIATED
741 S ALVARADO STLOS ANGELES 90057-2903
2/1/2021
A163320 BUENROSTRO SILVIA ELENA MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
10/14/2021
20A15187 BUERGER ANASTASIA EILEEN
DO 1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
3/2/2020
1538342704 JWCH INSTITUTE INC 14371 CLARK AVENUEBELLFLOWER 90706-2901
5/20/2019
1124182977 JWCH INSTITUTE INC 3591 E IMPERIAL HIGHWAYLYNWOOD 90262-2684
5/20/2019
A127258 BUI LOAN NGOC PHUONG
MD 1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
8/8/2016
Monday, June 06, 2022 Page 34 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A127258 BUI LOAN NGOC PHUONG
MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2018
RN822747 BULAHAN ADELE CHIANG NP 1528270147 CENTURY MEDICAL CTR APC 3451 WEST CENTURY BLVDINGLEWOOD 90303-1218
6/6/2017
A48343 BULAON CARLOS OCAMPO
MD 1770649097 ARDMORE MED GROUP INC 3500 WHITTIER BLVD STE 105LOS ANGELES 90023-1746
12/25/2000
RN747722 BUNAG CHARLES RONALD PANCHO
NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
6/28/2021
A53604 BURSTEIN MARINA MD 1093808933A BURSTEIN MD PROFESSIONAL CORPORATION
6325 TOPANGA CANYON BLVD STE 224WOODLAND HILLS 91367-2006
7/21/2005
1093808933B BURSTEIN MD A PROFESSIONAL CORPORATION
5901 W OLYMPIC BLVD STE 503BLOS ANGELES 90036-4670
6/30/2015
1093808933B BURSTEIN MD A PROFESSIONAL CORPORATION
5901 W OLYMPIC BLVD STE 503BLOS ANGELES 90036-4670
1/1/0001
PA14077 BUSTAMANTE VIOLKYS PA 1386859619 MODERN CONCEPTS MED GRP INC
1701 CESAR CHAVEZ AVE STE 354LOS ANGELES 90033-0000
11/6/2019
A67268 BUTLER DERRICK LAMONT
MD 1023287679STA
T.H.E CLINIC, INC 10223 FIRMONA AVELENNOX 90304
4/22/2013
1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
5/6/2010
1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
4/7/2016
RN95027097 BYKOWSKI MARIA GUADALUPE ZAMBRANO
NP 1982657029 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
5823 YORK BLVD STE 1LOS ANGELES 90042-2634
12/19/2019
Monday, June 06, 2022 Page 35 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN317897 BYRA-COOK CYNTHIA J NP 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
11/5/2008
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
11/2/2008
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
11/5/2008
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
11/5/2008
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
11/5/2008
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
11/5/2008
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
11/5/2008
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
11/5/2008
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
11/5/2008
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
11/5/2008
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
11/5/2008
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
11/5/2008
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
11/5/2008
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
11/5/2008
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
Monday, June 06, 2022 Page 36 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A118143 CABRAL ALLAN D MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
11/1/2012
A108082 CABRAL MARISSA RACHEL
MD 1124460274 NORTHEAST COMMUNITY CLINICS
2975 ZOE AVENUEHUNTINGTON PARK 90255
12/4/2019
1124460274STD
NORTHEAST COMMUNITY CLINIC 4129 E GAGE AVEBELL 90201-1128
12/4/2019
A121640 CABRERA JUDITH MD 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
11/6/2013
A150290 CABRERA RICHARD FABIAN MD 1508379017 TRI-STATE COMMUNITY INTERMITTENT
4137 VERDUGO RDLOS ANGELES 90065-3820
9/1/2021
1760936884 BEVERLYCARE 101 E BEVERLY BLVD SUITE 303MONTEBELLO 90640-4316
11/13/2020
RN793561 CABUGAO CATHERINE JOY SABADO
NP 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
10/21/2021
1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
12/6/2021
A134532 CADENA SANDY DENISSE MD 1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
3/7/2016
1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
6/5/2020
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
RN668180 CADY CRYSTAL LIN NP 1356489629B SATEY, FARIBORZ D MD INC 627 W AVENUE Q STE DPALMDALE 93551-3891
7/3/2019
A62204 CAIRO KATHY PATRICIA MD 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
8/27/2001
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
Monday, June 06, 2022 Page 37 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A43174 CALATAYUD GRACIELA MD 1659419307 DEL ROSARIO MEDICAL CLINIC, INC
3400 E FLORENCE AVEHUNTINGTON PK 90255-5835
8/22/1996
A150994 CALDERON-SANDOVAL
JOANNA IVETTE MD 1497001226STB
VIA CARE COMMUNITY HEALTH CENTER, INC
5015 WHITTIER BLVDLOS ANGELES, CA 90022
12/16/2019
1497001226STA
VIA CARE COMMUNITY HEALTH CENTER INC.
501 S WOODS AVELOS ANGELES 90022
5/20/2021
1497001226STC
VIA CARE COMMUNITY HEALTH CENTER INC
4755 E CESAR CHAVEZ AVELOS ANGELES 90022
11/22/2019
1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
8/4/2021
A36963 CALIG SCOTT STEVEN MD 1740539576 CALIG, SCOTT MD INC 7301 MEDICAL CENTER DR STE 300WEST HILLS 91307-1910
2/19/2021
A98476 CALLAHAN KELLY LYNN MD 1407878150 CO OF L.A. - HARBOR-UCLA MED CTR/ PEDS DEPT.
1000 W CARSON STREET L-4TORRANCE 90502-2004
8/15/2013
1407878150STD
CO OF L.A. - HARBOR-UCLA MEDICAL CTR
21840 NORMANDIE AVE MFI 500TORRANCE 90502
8/25/2010
1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/23/2018
A74210 CALLEROS GUSTAVO MD 1386859619 MODERN CONCEPTS MED GRP INC
1701 CESAR CHAVEZ AVE STE 354LOS ANGELES 90033-0000
11/6/2019
RN670053 CALVACHI DIMAS GIOVANNI NP 1215263827 CLINICA DEL SOCORRO MEDICAL GROUP INC
1061 E VERNON AVE STE FLOS ANGELES 90011-3772
8/18/2021
PA18654 CAMACHO CAROLINA PA 1710261284A BELLA MEDICAL GROUP INC 2933 WHITTIER BLVDLOS ANGELES 90023-1528
3/21/2014
1710261284B BELLA MEDICAL GROUP INC 9916 SAN JUAN AVESOUTH GATE 90280-6108
2/1/2021
PA54667 CAMARENA SARA PA 1649792615 SOUTH CENTRAL FAMILY HEALTH CENTER
1028 E VERNON AVELOS ANGELES 90011-3717
7/8/2020
Monday, June 06, 2022 Page 38 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN659912 CAMARILLO FRANCISCO RIOS NP 1225302789B KHAMIS, SHERIF MD INC 2271 E PALMDALE BLVD SUITE EPALMDALE 93550-1340
1/26/2018
20A17433 CAMEROAMORTEGUI
FELIPE ORLANDO DO 1477924520 COMMUNITY HEALTH ALLIANCE OF PASADENA
3703 PECK ROADEL MONTE 91731-3543
11/6/2019
G69616 CAMPA DAVID ROLAND MD 1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
7/2/2019
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
7/2/2019
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
7/2/2019
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
9/18/2019
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
9/18/2019
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/18/2019
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
7/2/2019
A141748 CAMPBELL PATRICIA PATTALAVADEE
MD 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
A87587 CAMPERO NICOLAS MATHEW
MD 1982617692 CO OF L.A. - ROYBAL COMPREHENSIVE HEALTH
245 S FETTERLY AVELOS ANGELES 90022-1605
11/21/2006
1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
6/11/2015
A127874 CAMPOS ALLISON EYVONNE
MD 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
8/18/2015
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
8/18/2015
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
8/18/2015
Monday, June 06, 2022 Page 39 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A127874 CAMPOS ALLISON EYVONNE
MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
8/18/2015
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
8/18/2015
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
8/18/2015
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
8/18/2015
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
8/18/2015
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
A114042 CAMPOS BLANCA SAMIRA MD 1700097540A THE NORTHEAST COMMUNITY CLNC
200 E ANAHEIM STREETWILMINGTON 90744-4516
7/12/2011
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/11/2019
1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
9/3/2014
RN462606 CANGIALOSI THERESA ANNE NP 1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
1/22/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
1/22/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
1/22/2020
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
Monday, June 06, 2022 Page 40 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN462606 CANGIALOSI THERESA ANNE NP 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
1/22/2020
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
1/22/2020
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/22/2020
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
1/22/2020
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
1/22/2020
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/22/2020
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
1/22/2020
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
1/22/2020
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
1/22/2020
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
1/22/2020
A146300 CAPITENA ERIN CHRISTINE MD 1831251610 INTERCOMMUNITY FAMILY MEDICAL ASSOC INC
12291 WASHINGTON BLVD STE 500WHITTIER 90606-2551
2/26/2020
PA23221 CAPPADONA ABBY NICOLE PA 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
2/6/2017
Monday, June 06, 2022 Page 41 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN826443 CAPROW BRIANA MARIE NP 1912264722 BOZORGNIA, LEILA MD INC 2990 S SEPULVEDA BLVD SUITE 202LOS ANGELES 90064-3973
3/28/2019
PA19400 CARCAMO CLAUDIA LIZZETTE
PA 1114947058B CHOICE PROVIDERS MEDICAL GROUP INC
17709 CHATSWORTH STGRANADA HILLS 91344-5675
1/27/2020
A66675 CARCAMO RAFAEL MD 1881811404 FOOTHILL COMMUNITY MED CORP/SAN RAFAEL COMM MED
647 E ARROW HWYAZUSA 91702-5802
2/11/2002
A140333 CARDENAS CHARLES MICHAEL
MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
2/1/2018
PA53803 CARDENAS DEMETRIO PA 1497001226 VIA CARE COMMUNITY HEALTH CENTER INC
507 S. ATLANTIC BLVDLOS ANGELES, CA 90022-3211
10/26/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
1/1/0001
G15628 CARELLA JOSEPH A MD 1063551257 COMPREHENSIVE MEDICAL CENTER, INC
10301 GARVEY AVE STE 100EL MONTE 91733-2180
6/25/2009
1932249315 COMPREHENS MED CNTR INC CLINICA MED COMUNIDAD INC
2286 S. GAREY AVEPOMONA 91766-5645
4/29/2009
1205056033B TERESA MEDICAL CENTER INC. 326 N VERMONT AVELOS ANGELES 90004-4415
8/5/2009
1811397888 COMPLETE CARE COMMUNITY HEALTH CENTER INC
5831 FIRESTONE BLVD SUITE ESOUTH GATE 90280-3718
9/24/2010
A108171 CARIGMA CECILIA SANTIAGO
MD 1174719058 CARIGMA, CECILIA S MD 18821 PIONEER BLVD STE DCERRITOS 90701-5667
12/6/2011
RN95021968 CARRANZA ELIZABETH NP 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
6/4/2019
1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
10/16/2019
1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
4/1/2019
Monday, June 06, 2022 Page 42 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA14716 CARRILLO BERNARDO JOSE PA 1124460274STD
NORTHEAST COMMUNITY CLINIC 4129 E GAGE AVEBELL 90201-1128
5/5/2004
A154335 CARVALHO GISELLE DE MD 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
12/26/2018
A47793 CASABAR RUBEN SANGALANG
MD 1306194105STA
AMH COMPREHENSIVE MEDICAL CENTERS
6017 ATLANTIC BLVDMAYWOOD 90270
1/22/2020
A156385 CASAS CHRISTINA DIANE MD 1356489629B SATEY, FARIBORZ D MD INC 627 W AVENUE Q STE DPALMDALE 93551-3891
3/9/2020
1356489629A SATEY, FARIBORZ D MD INC 1707 W AVENUE JLANCASTER 93534-2703
3/9/2020
A139442 CASAS WILLIAM ENRIQUE
MD 1033634373 PREMIER FAMILY MEDICINE ASSOCIATES, INC
2333 FOOTHILL BLVDLA VERNE 91750-3027
10/25/2018
A147480 CASCIATO ALLISON NICHOLE
MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2019
A135366 CASELMAN NICHOLAS CHARLES
MD 1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
7/7/2020
RN698341 CASIMIRO KATRINA A NP 1942416045 MENDOZA, MANUEL F MD INC 11735 FIRESTONE BLVDNORWALK 90650-2808
10/28/2013
RN643659 CASPE CAROLINE MATIBAG
NP 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
3/20/2015
A140332 CASSIDY CARYN BRENN MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
A143076 CASTELBLANCO LILIANA MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
1/18/2018
A131181 CASTELLON-LOPEZ YELBA MARIAHELI
MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/9/2015
A76158 CASTILLO HECTOR RAPHAEL
MD 1891830568 MOSAIC FAMILY CARE MEDICAL GROUP INC
4857 HUNTINGTON DR NLOS ANGELES 90032-1939
12/27/2018
1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
10/31/2011
Monday, June 06, 2022 Page 43 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A44265 CASTILLO LUIS A MD 1770649097 ARDMORE MED GROUP INC 3500 WHITTIER BLVD STE 105LOS ANGELES 90023-1746
11/5/2003
1578624672 ARDMORE MEDICAL GROUP INC 3564 SANTA ANITA AVE STE. AEL MONTE 91731-2458
6/24/1999
RN403433 CASTILLO MARIA DEL CARMEN
NP 1962538173 SWEENY, ALFREDO MD INC SUNSET FAMILY MED CLINIC
4719 S BROADWAYLOS ANGELES 90037-3244
7/2/2019
1487832655 SOCAL HEALTHNET INC 5912 SANTA MONICA BLVDLOS ANGELES 90038-2043
5/3/2013
1851609176 GREEN CROSS MED NET INC 5832 S VERMONT AVELOS ANGELES 90044-3712
12/31/2014
A99115 CASTILLO MAURICIO JOSE MD 1568871143 EL PROYECTO DEL BARRIO INC 9140 VAN NUYS BLVD SUITE 207PANORAMA CITY 91402-6763
7/13/2018
A115737 CASTILLO PATRICIA RAE MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/23/2012
RN743396 CASTILLO ROLANDO NP 1770696023 EL PROYECTO DEL BARRIO INC AZUSA CLINIC
150 N AZUSA AVEAZUSA 91702-3521
5/24/2019
A126652 CASTILLO SANJUANA ALVAREZ
MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
10/20/2014
G51143 CASTRO DANIEL B MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
3/3/1998
G55673 CASTRO EDWARD MD 1942255195 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 E CESAR E CHAVEZ AVE STE 230LOS ANGELES 90033-2496
12/29/1992
RN722724 CASTRO KATHREEN DEE NP 1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
5/20/2019
1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
5/20/2019
Monday, June 06, 2022 Page 44 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA13399 CASTRO LUIS A PA 1730282286 WALTER JAYASINGHE MD APC/LOS ANGELES MEDICAL CTR
2010 WILSHIRE BLVD FL 2LOS ANGELES 90057-3507
1/21/2002
1457460503 JAYASINGHE MED GROUP INC LOS ANGELES MEDICAL CTR
319 N SOTO STLOS ANGELES 90033-1837
12/3/2009
PA57320 CASTRO MARIA ELENA PA 1093809592 MONTES MEDICAL GROUP 832 S GREVILLEA AVEINGLEWOOD 90301-3312
6/26/2020
C134710 CATANZARITE MICHELLE LOUISE
MD 1164771747 THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE STE. 405CULVER CITY, CA 90230
6/2/2015
PA19996 CAYAGO RACHELLE GEROLA
PA 1679553192 COMPREHENSIVE COMMUNITY HEALTH CTR-EAGLE ROCK
1704 COLORADO BLVDLOS ANGELES 90041-1338
10/5/2012
A168115 CERVANTES NICOLE A MD 1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
9/8/2020
A45384 CHAMBI RICARDO ERLING MD 1295887024 LA LIBERTAD MEDICAL CLINIC INC 8225 LONG BEACH BLVD STE CSOUTH GATE 90280-2010
5/30/1996
PA19740 CHAMUL PATRICIA ELIZABETH
PA 1649223777 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 CESAR CHAVEZ STE 402LOS ANGELES 90033-2496
8/20/2013
C43036 CHAN CHOA MD 1992831671 CHAN, CHOA MD INC 1530 E CHEVY CHASE DR STE 202GLENDALE 91206-4139
3/8/2002
A40174 CHAN CONSTANT K S MD 1225347438 CHAN, CONSTANT K S MD INC 10007 STATE STREETLYNWOOD 90262-1514
10/25/1984
A48559 CHAN EVA Y MD 1508953894 CHAN, EVA YEE-FUN, MD 2707 E VALLEY BLVD STE 215WEST COVINA 91792
1/25/1993
A66465 CHAN OSWALD CHI-KIN MD 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
9/6/2007
1619471802 THE LOS ANGELES FREE CLINIC INTERMITTENT
137 N VIRGIL AVELOS ANGELES 90004-4811
12/28/2020
A156288 CHAN VINCENT KIN WAI MD 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
1/27/2020
A113843 CHAN YVONNE WEN MD 1417211426 POMONA COMMUNITY HEALTH CENTER
1450 EAST HOLT AVEPOMONA, CA 91767
3/9/2018
Monday, June 06, 2022 Page 45 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A113843 CHAN YVONNE WEN MD 1548643000 GARFIELD HEALTH CENTER 701 S ATLANTIC BLVD STE 100MONTEREY PARK 91754-3845
3/2/2020
1639177587 YU CARE MEDICAL GROUP INC 210 N GARFIELD AVE SUITE 316MONTEREY PARK 91754-1746
7/6/2021
RN780355 CHANCHUAN MAYSA NP 1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
11/8/2021
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
11/8/2021
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
11/8/2021
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
11/8/2021
A129125 CHANDE NEHA DILIP MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/9/2015
G70284 CHANDLER MARIA YOUNG MD 1699839993 THE CHILDRENS CLINIC SERVING INTERMITTENT
17660 LAKEWOOD BLVDBELLFLOWER 90706-6410
6/17/2014
A34158 CHANG BONG SOOK MD 1427131150 CHANG, BONG S MD 3671 W 6TH STLOS ANGELES 90020-3026
6/10/1983
RN537534 CHANG REBECCA WAN-NIEN
NP 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
3/7/2017
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
3/7/2017
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
3/7/2017
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
3/7/2017
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
3/7/2017
Monday, June 06, 2022 Page 46 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN537534 CHANG REBECCA WAN-NIEN
NP 1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
3/7/2017
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
3/7/2017
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
3/7/2017
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
3/7/2017
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
3/7/2017
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
3/7/2017
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
3/7/2017
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
3/7/2017
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
3/7/2017
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
A78427 CHANG ROXANNE SUI TZE PAN
MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
2/13/2019
A118395 CHANG WEN-SHI MD 1356362743STA
COMPREHENSIVE COMMUNITY HLTH CTR-HIGHLAND PARK
5059 YORK BLVDLOS ANGELES 90042-1713
5/8/2018
1679553192 COMPREHENSIVE COMMUNITY HEALTH CTR-EAGLE ROCK
1704 COLORADO BLVDLOS ANGELES 90041-1338
5/4/2015
RN95121520 CHAN-LOPEZ JULIA SOKNA NP 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
10/29/2020
G56722 CHAPA LAZARO G MD 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
8/1/2002
Monday, June 06, 2022 Page 47 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A48503 CHARCHIAN DAVID MIHRAN MD 1396962460 CHARCHIAN MEDICAL CORP 1030 S GLENDALE AVE STE 305GLENDALE 91205-2866
8/22/1997
A129136 CHATTOPADHYAY LILY MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
PA56980 CHAUV LISA PA 1700097540STA
NORTHEAST COMM CLINIC INTERMITTENT
5420 N FIGUEROA STLOS ANGELES 90042
6/5/2020
1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
6/24/2020
A102291 CHAVA SREEDHAR MD 1700023942 CHAVA, SREEDHAR MD INC 3580 SANTA ANITA AVE SUITE AEL MONTE 91731-2455
6/23/2009
1104163781 CHAVA, SREEDHAR MD INC 1651 N HACIENDA BLVDLA PUENTE 91744-1137
2/25/2014
A92965 CHAVEZ EDGAR ALEXANDER
MD 1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
4/30/2008
1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
10/31/2011
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
11/2/2016
PA57321 CHAVEZ MARLENE PA 1437487956 MONTES MEDICAL GROUP INC 4545 E 3RD ST STE 102LOS ANGELES 90022-1656
6/26/2020
1093809592 MONTES MEDICAL GROUP 832 S GREVILLEA AVEINGLEWOOD 90301-3312
6/26/2020
PA16050 CHAVEZ NOEL PA 1538278270 AZURIN, ELEANOR MD INC 3045 E FLORENCE AVEHUNTINGTON PK 90255-5837
2/23/2017
RN396449 CHAVEZ ROXANNE GULCK NP 1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
5/17/2017
Monday, June 06, 2022 Page 48 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A108680 CHAWLA FAISAL MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
9/29/2010
A67491 CHEN ALEX Y C MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
10/28/2019
RN788768 CHEN DAVID CHARLIS NP 1427046754 CHINATOWN SERVICE CENTER FAMILY HEALTH CLINIC
767 N HILL ST., STE 200LOS ANGELES 90012-2365
3/19/2019
1134482326 CHINATOWN SERVICE CENTER 320 S GARFIELD AVE SUITE 118ALHAMBRA, CA 91801-3886
3/19/2019
A132824 CHEN KEVIN MD 1982617692 CO OF L.A. - ROYBAL COMPREHENSIVE HEALTH
245 S FETTERLY AVELOS ANGELES 90022-1605
3/11/2021
A70027 CHEN LULU LIANG-YU MD 1649426990 CHEN, LULU L MD INC 1318 E FLORENCE AVELOS ANGELES 90001-1935
9/29/2010
1649426990 CHEN, LULU L MD INC 1318 E FLORENCE AVELOS ANGELES 90001-1935
8/13/2010
A128536 CHEN SHANON MD 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
11/3/2016
1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
10/25/2018
RN625978 CHEN THIDA MIN NP 1881795003 SAN MATEO MEDICAL CLINIC INC 4055 WHITTIER BLVDLOS ANGELES 90023-2536
5/21/2015
A89234 CHEN TIMOTHY M MD 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
9/7/2021
1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
11/20/2019
20A17902 CHEN WILLIAM DO 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
9/30/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/30/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
9/30/2021
Monday, June 06, 2022 Page 49 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A17902 CHEN WILLIAM DO 1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
9/30/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
9/30/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
9/30/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
9/30/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
9/30/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
9/30/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
9/30/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
9/30/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
9/30/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
9/30/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
9/30/2021
A55332 CHENG JOHN CHI-TAO MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
3/10/1998
RN589550 CHENG SOPHAN NP 1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
11/6/2019
RN95181885 CHENG VICKI PEI NP 1821210329B AKHAVAN, AFSHIN DO A 530 E WASHINGTON BLVDLOS ANGELES 90015-3723
9/17/2019
Monday, June 06, 2022 Page 50 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A16015 CHEN-JOEA CYNTHIA SHARLING
DO 1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/17/2020
1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
12/6/2021
A158532 CHEUNG JESSE JOWNWAH MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
3/2/2021
A83875 CHIEN DAVID WEI-CHAN MD 1710031588F FACEY MEDICAL FOUNDATION 19950 RINALDI ST SUITES 100 103 200PORTER RANCH, CA 91326-4141
4/1/2015
G66648 CHIENG AN PANG MD 1336189117 CHIENG, AN P MD INC EL SERENO MED GRP
3301 N EASTERN AVELOS ANGELES 90032-1931
9/20/2006
A56038 CHIRIBOGA DOUGLAS ALBERT
MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
10/3/2002
A138723 CHIRIBOGA HURTADO
JUAN JAVIER MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
5/23/2022
RN826866 CHIU CHING-YI NP 1386912202 EAST VALLEY COMMUNITY HEALTH CENTER INC
17840 VILLA CORTA STREETLA PUENTE 91744-5342
12/21/2017
A82092 CHO ARTHUR KWON MD 1639172372STA
CEDARS-SINAI MED CTR (C.O.A.C.H. FOR KIDS PROG I)
8700 BEVERLY BLVD Suite 1473LOS ANGELES 90048-1804
9/27/2010
1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
10/11/2017
A76624 CHO CATHERINE SOYOUNG
MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
7/2/2019
1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
9/29/2004
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
Monday, June 06, 2022 Page 51 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN675408 CHO JI YOUN NP 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
11/26/2014
1316044522 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
1530 S OLIVE STLOS ANGELES 90015-3023
4/4/2017
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2018
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
11/26/2014
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
11/26/2014
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
11/26/2014
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
11/26/2014
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
11/26/2014
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
11/26/2014
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
11/26/2014
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
11/26/2014
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
11/26/2014
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
11/26/2014
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
11/26/2014
Monday, June 06, 2022 Page 52 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN675408 CHO JI YOUN NP 1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
11/26/2014
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
11/26/2014
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
A157609 CHO JOANNE JEEYOUNG
MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
12/27/2021
A135365 CHO KAWING MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
A51503 CHOA JOSEPHINE W MD 1952323800 GOODFAITH FAMILY MEDICAL CLINIC
7770 GARVEY AVEROSEMEAD 91770
4/19/2006
A163089 CHOHLAS-WOOD REBECCA CATHERINE
MD 1598829350 JWCH INSTITUTE, INC 954 N VERMONT AVELOS ANGELES 90029-3529
10/16/2019
A114451 CHOI JOANNA MIMI MD 1316969934 CO OF L.A. - OLIVE VIEW -UCLA MED. CTR.- PEDIATRICS
14445 OLIVE VIEW DR.SYLMAR 91342-1437
2/16/2017
1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
7/30/2019
RN737076 CHOI MISUN NP 1386025773 L A STAR MEDICAL GROUP INC 4161 REDONDO BEACH BLVD SUITE 100LAWNDALE 90260-1477
9/16/2020
RN95180825 CHOI SOOJUNG NP 1437377454 KOREAN HEALTH EDUCATION KHEIR HEALTH SVS CTR
3727 W 6TH ST STE 200LOS ANGELES 90020-5108
12/16/2019
A157509 CHOKRON GARNEAU
SANDRA MD 1316033533 CLINICA MSR OSCAR A ROMERO 2032 MARENGO STLOS ANGELES 90033-1319
3/9/2020
1275629495 CLINICA MSR OSCAR ROMERO 123 S ALVARADO STREETLOS ANGELES 90057-2201
3/9/2020
A169901 CHOKSHI BHAVIN HARSHAVADAN
MD 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/30/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
9/30/2021
Monday, June 06, 2022 Page 53 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A169901 CHOKSHI BHAVIN HARSHAVADAN
MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
9/30/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
9/30/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
9/30/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
9/30/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
9/30/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
9/30/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
9/30/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
9/30/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
9/30/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
9/30/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
9/30/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
9/30/2021
A38969 CHON KYUNG BAE MD 1750463014 WHITTIER PEDIATRIC GROUP 8522 PAINTER AVEWHITTIER 90602-3335
6/5/2006
A165528 CHONG THOMAS WAN MD 1831243625STA
EAST VALLEY COMM HLTH INTERMITTENT
4368 SANTA ANITA AVEEL MONTE 91731
12/20/2021
Monday, June 06, 2022 Page 54 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A156327 CHOWDARY NAGA RAMYA MD 1003188160C MAYFLOWER MEDICAL GROUP, INC
1750 HUNTINGTON DR STE BDUARTE 91010-2536
9/14/2020
A66273 CHOWDHURY HASAN MURAD MD 1710031588C FACEY MEDICAL FOUNDATION 26357 MCBEAN PKWYVALENCIA 91355-4488
6/12/2013
A98249 CHU CHERYL TAM MD 1427046754 CHINATOWN SERVICE CENTER FAMILY HEALTH CLINIC
767 N HILL ST., STE 200LOS ANGELES 90012-2365
10/4/2017
1134482326 CHINATOWN SERVICE CENTER 320 S GARFIELD AVE SUITE 118ALHAMBRA, CA 91801-3886
12/2/2015
PA18202 CHUANG DICK CHAN PA 1306058565 STEWART AND STEWART MDS INC
1024 S GARFIELD AVEALHAMBRA 91801-4762
6/2/2009
A34104 CHUANG LILIAN SY MD 1326068354 CHUANG, LILIAN SY MD 3111 W BEVERLY BLVDMONTEBELLO 90640-2216
9/1/1981
PA21380 CHULYAN MANUK MIKE PA 1346557691 WHOLE FAMILY HEALTH, PC 1030 S GLENDALE AVE STE 200GLENDALE, CA 91205-2866
5/8/2018
20A6694 CHUMLEY NANOTCHKA M. DO 1487832655 SOCAL HEALTHNET INC 5912 SANTA MONICA BLVDLOS ANGELES 90038-2043
7/13/2021
1851609176 GREEN CROSS MED NET INC 5832 S VERMONT AVELOS ANGELES 90044-3712
6/7/2021
A111111 CHUNG GILMORE SEISOON
MD 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
9/18/2015
20A11437 CHUNG GLORIA HA PHUOC
DO 1134362205 CHUNG, GLORIA HA P DO 1101 E HOLT AVENUE SUITE GPOMONA 91767-5800
5/14/2015
20A6809 CHUNG WINNIE HUI-JU DO 1750575916 FARFALLA INC 3655 LOMITA BLVD. STE 211TORRANCE 90505-3947
1/16/2009
RN806567 CLARK BRITTANI JOLAI NP 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
11/30/2016
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
11/30/2016
Monday, June 06, 2022 Page 55 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN806567 CLARK BRITTANI JOLAI NP 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
11/30/2016
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
11/30/2016
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
11/30/2016
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
11/30/2016
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
11/30/2016
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
11/30/2016
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A127834 CLARK PAMELA MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
4/26/2018
RN474858 COBIAN ADRIANA NP 1093181448 EL PROYECTO DEL BARRIO INC 18250 ROSCOE BLVD SUITE 200NORTHRIDGE 91325-4226
1/29/2018
G87438 COLBY PAMELA SUZETTE
MD 1710031588C FACEY MEDICAL FOUNDATION 26357 MCBEAN PKWYVALENCIA 91355-4488
6/12/2013
PA22504 COLLINS JENNIFER ELIZABETH
PA 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
11/22/2019
A116007 COLLINS JOLENE ELIZABETH
MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/23/2012
1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
9/24/2012
Monday, June 06, 2022 Page 56 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A116007 COLLINS JOLENE ELIZABETH
MD 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
10/25/2018
A79079 COLLINS TANYA MARYNKA MD 1710031588B FACEY MEDICAL FOUNDATION 9111 CORBIN AVENORTHRIDGE 91324-2402
9/3/2019
A45090 COLOMA MARA ANTONIA MD 1942256094 HUNTINGTON PARK CLINICA MEDICA GENERAL,
6347 PACIFIC BLVDHUNTINGTON PARK 90255-4101
12/14/1994
RN95052712 CONROY KRYSTIN NP 1194866525 MAYER, RALPH MD 2568 CLARENDON AVEHUNTINGTON PK 90255-4073
11/20/2019
1700097540A THE NORTHEAST COMMUNITY CLNC
200 E ANAHEIM STREETWILMINGTON 90744-4516
4/12/2019
RN95071329 CONSTANTINO SION
KATHLEEN NP 1942255195 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 E CESAR E CHAVEZ AVE STE 230LOS ANGELES 90033-2496
9/3/2020
PA18278 CONTRERAS BENITO RUBEN PA 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
6/20/2008
20A10634 CONTRERAS VERONICA DEL ROCIO
DO 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
20A12050 COOK ANGIE BAGHERI DO 1356362743 COMPREHENSIVE COMMUNITY HEALTH CENTERS GLENDALE
801 S CHEVY CHASE DR STE 250GLENDALE 91205-4433
2/12/2019
A75090 COPE JACQUELINE RIVELA
MD 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
6/21/2018
RN684644 CORDERO ASH TAJARROS NP 1942416045 MENDOZA, MANUEL F MD INC 11735 FIRESTONE BLVDNORWALK 90650-2808
3/16/2016
PA13933 CORIOLAN PAUL PA 1508379017 TRI-STATE COMMUNITY INTERMITTENT
4137 VERDUGO RDLOS ANGELES 90065-3820
9/1/2021
RN504854 CORONA ANA HERNANDEZ NP 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
3/9/2005
A55253 CORONEL-PEREY ANNETTE ALMONTE
MD 1952670341 CORONEL-PEREY, ANNETTE A., MD INC
1045 W. REDONDO BEACH BLVD., STE. 100GARDENA 90247-3583
4/12/2001
RN95105857 CORTES ZUNIGA PAOLAH BAUDELIA
NP 1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
9/14/2021
Monday, June 06, 2022 Page 57 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G40179 COVINGTON ELIZABETH JEAN MD 1346350386 COVINGTON, ELIZABETH MD A PROFESSIONAL CORP
3701 STOCKER ST STE 101LOS ANGELES 90008-5145
10/19/1996
PA14143 CRAIG MONIQUE ROXANNE
PA 1952670341 CORONEL-PEREY, ANNETTE A., MD INC
1045 W. REDONDO BEACH BLVD., STE. 100GARDENA 90247-3583
5/20/2019
PA58174 CRANE KRISTELLE PA 1952641136 NORTHEAST COMMUNITY CLINICS
1403 LOMITA BLVD STE 100, 101, 106HARBOR CITY 90710-2084
7/15/2021
A151625 CRESPO MICHELLE MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
9/18/2019
RN616421 CRIPE SHANA NP 1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
10/27/2017
A48577 CRISTOBAL NOLASCO M MD 1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
4/12/2019
G35243 CROAD LINDA SCARAMELLA
MD 1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
9/12/2016
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/12/2016
A94455 CROSS CORINN MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
10/13/2010
A107277 CRUZ CELIA MD 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/4/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/4/2010
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
3/21/2014
Monday, June 06, 2022 Page 58 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A107277 CRUZ CELIA MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
10/4/2010
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/4/2010
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/4/2010
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/4/2010
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/4/2010
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A44484 CRUZ MARILOU GEGARE
MD 1619232808 CRUZ, MARILOU G MD INC 8535 FLORENCE AVE SUITE 201DOWNEY 90240-4014
5/11/1999
PA16619 CUDIAMAT CECILIA V PA 1821429838 PROHEALTH PARTNERS A MEDICAL
711 EAST ROSECRANS AVECOMPTON 90221-2143
4/15/2016
1730519927 PROHEALTH PARTNERS A MEDICAL GROUP
12131 CARSON STHAWAIIAN GARDENS 90716-1154
11/8/2016
A30674 CUENTO ALICIA PEKSON MD 1073880167 CUENTO, ALICIA MD INC 931 BUENA VISTA ST STE 100DUARTE 91010-1780
4/16/1981
A108688 CUENTO JOSEPH ANTHONY
MD 1073880167 CUENTO, ALICIA MD INC 931 BUENA VISTA ST STE 100DUARTE 91010-1780
3/21/2011
PA18770 CUEVAS-LOYA LUCY PA 1356498935 PARA LATINO MEDICAL CENTER INC
15717 PARAMOUNT BLVDPARAMOUNT 90723-5113
6/17/2008
RN530071 CULVERHOUSE TRICIA ANNE NP 1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
4/21/2006
Monday, June 06, 2022 Page 59 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN530071 CULVERHOUSE TRICIA ANNE NP 1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
4/21/2006
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
4/21/2006
A173552 CUNNINGHAM KARA FAYE MD 1700097540STA
NORTHEAST COMM CLINIC INTERMITTENT
5420 N FIGUEROA STLOS ANGELES 90042
8/17/2021
PA16299 CURRY MIGNE LENORE PA 1952670341 CORONEL-PEREY, ANNETTE A., MD INC
1045 W. REDONDO BEACH BLVD., STE. 100GARDENA 90247-3583
3/26/2012
RN632198 CUSI CATHERINE CATAM
NP 1427043389 TARZANA TREATMENT CENTER FAMILY MEDICAL CLINIC
8330 RESEDA BLVDNORTHRIDGE 91324-4619
11/23/2015
A51315 DADABHOY SHAHIDA MD 1639585482 DADABHOY, SHAHIDA A PROFESSIONAL CORPORATION
145 W WILLOW STREETPOMONA 91768-1829
1/3/2007
A40687 DADERIAN ASDGHIG DIKRANOUHI
MD 1972752368 DE NOVO HEALTH CARE INC 803 ROSECRANS AVEE RANCHO DOMINGUEZ 90221-2145
2/23/2016
RN749726 DAGALA SNOOKY GENALIN BASADRE
NP 1942416045 MENDOZA, MANUEL F MD INC 11735 FIRESTONE BLVDNORWALK 90650-2808
10/6/2020
C42844 DAKAK CHAFIK MD 1699822239 TERENCE T Z TAN MD INC 3301 BEECHWOOD AVENUELYNWOOD 90262-3301
1/21/2021
A64802 DALLA TOR NELSON E MD 1831251610 INTERCOMMUNITY FAMILY MEDICAL ASSOC INC
12291 WASHINGTON BLVD STE 500WHITTIER 90606-2551
4/21/2008
20A5106 DALY MARIA FRANCES DO 1235283094 CENTRAL CITY COMMUNITY HEALTH CENTER INC
5970 S CENTRAL AVELOS ANGELES 90001-1150
1/8/2016
A158872 DALY SHANNON MARGARET
MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
12/27/2021
A68803 DANDEKAR ABHAY SHARAD MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/23/2004
Monday, June 06, 2022 Page 60 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A56288 DANGANAN IMELDA YUJUICO MD 1255401139 YUJUICO-DANGANAN, IMELDA MD INC
16904 BELLFLOWER BLVDBELLFLOWER 90706-5904
11/30/2001
A45227 DANIEL CHANCELOR MD 1730299157 MORNINGSIDE PRIMARY CARE MEDICAL CENTER INC
617 W MANCHESTER AVELOS ANGELES 90044-0000
3/23/2006
PA13914 DARVISH PARVANEH PA 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
2/6/2017
A149508 DASOVICH GRACE MARK MD 1326278490B JANESRI DE SILVA MD A PROFESSIONAL CORP
240 S. LA CIENEGA BLVD SUITE 350BEVERLY HILLS 90211
4/15/2019
G72860 DASZKO JAROM ANDREW MD 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
12/6/2021
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
12/6/2021
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
12/6/2021
RN95051268 DATINGALING ANN ROCELYN OFELIA YAP
NP 1770685612 SANTO NINO MEDICAL CLINIC 14427 CHASE ST STE 100PANORAMA CITY 91402-3020
10/15/2018
G59129 DAUER WENDY MD 1518083856 DAUER, LEONARD I MD INC 15215 LEFFINGWELL RDWHITTIER 90604-2254
1/27/1993
PA52932 DAVIDI HILLA PA 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/19/2017
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/19/2017
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/19/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/19/2017
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/19/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/19/2017
Monday, June 06, 2022 Page 61 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA52932 DAVIDI HILLA PA 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/19/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/19/2017
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/19/2017
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/19/2017
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/19/2017
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/19/2017
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/19/2017
A62140 DAVIS DANIEL PAUL MD 1346250347 AVALON MEDICAL DEV CORP CENTER
100 FALLS CANYON ROADAVALON 90704-1563
6/19/2020
G52081 DAVIS PAMELA MARIE MD 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
4/27/1994
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
A66006 DAVYDOV ERIK E MD 1710031588I PROVIDENCE FACEY MEDICAL FOUNDATION
191 S BUENA VISTA ST SUITE 100BURBANK 91505-4562
9/21/2021
A52716 DAYANI JILA MD 1730265703 DAYANI, JILA MD 12626 RIVERSIDE DR STE 101N HOLLYWOOD 91607-3448
12/12/1996
Monday, June 06, 2022 Page 62 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A53001 DE ALDAY MARIETTA YUMENA
MD 1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
8/30/2010
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
3/31/2010
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
8/30/2010
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
8/30/2010
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
8/30/2010
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
11/8/2012
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/29/2008
G51149 DE ARTOLA IGNACIO JR MD 1831243625STA
EAST VALLEY COMM HLTH INTERMITTENT
4368 SANTA ANITA AVEEL MONTE 91731
12/20/2021
PA15259 DE BODA EDILITA PAREJA PA 1700057981 ST ISABEL FAMILY MEDICAL CLINIC, INC
1535 W LOMITA BLVDHARBOR CITY 90710-2024
7/7/2020
G42466 DE LA ROCHA HECTOR NAHUN MD 1508963653 BEVERLY PEDIATRIC MED GROUP INC
1417 W BEVERLY BLVD STE. 102MONTEBELLO 90640-4146
8/23/1983
A133853 DE LA TORRE ASIA ROCHELLE MD 1518973940 CO OF L.A. - BELLFLOWER HEALTH CENTER
10005 E FLOWER STREETBELLFLOWER 90706-0000
6/7/2017
A73468 DE LEON MARIA LOURDES CASTANOS
MD 1710261284A BELLA MEDICAL GROUP INC 2933 WHITTIER BLVDLOS ANGELES 90023-1528
7/2/2013
1710261284B BELLA MEDICAL GROUP INC 9916 SAN JUAN AVESOUTH GATE 90280-6108
2/1/2021
A88991 DE SILVA JANESRI WIJAYANGANI
MD 1326278490A DE SILVA, JANESRI MD APC 14426 GILMORE AVENUE UNIT BVAN NUYS 91401
2/18/2010
1326278490D JANESRI DE SILVA MD A PROF 8940 RESEDA BLVD STE 101NORTHRIDGE 91324-5833
5/25/2011
Monday, June 06, 2022 Page 63 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A88991 DE SILVA JANESRI WIJAYANGANI
MD 1326278490B JANESRI DE SILVA MD A PROFESSIONAL CORP
240 S. LA CIENEGA BLVD SUITE 350BEVERLY HILLS 90211
4/3/2008
1053410506B PEDIATRIC AFFILIATES MEDICAL GROUP INC
29525 CANWOOD ST STE. 111AGOURA HILLS 91301-1595
7/20/2021
1326278490J JANESRI DE SILVA MD APC 15141 WHITTIER BLVD STE 350WHITTIER 90603-2169
7/20/2021
1326278490F JANESRI DE SILVA M D A PROFE 1442 FOOTHILL BLVDLA CANADA FLINTRIDGE 91011-2107
11/21/2018
1326278490H JANESRI DE SILVA M D APC 75 N SANTA ANITA AVE STE 206ARCADIA 91006-3112
8/19/2020
1326278490I JANESRI DE SILVA MD A PROFE 777 TRUMAN STREET 104 AND 105SAN FERNANDO 91340-3383
12/9/2020
1053410506A PEDIATRIC AFFILIATES MEDICAL GROUP INC
7345 MEDICAL CENTER DRIVE SUITE 400WEST HILLS 91307-1963
3/15/2021
A70940 DEANDA MICHAEL DANIEL MD 1033634373 PREMIER FAMILY MEDICINE ASSOCIATES, INC
2333 FOOTHILL BLVDLA VERNE 91750-3027
10/25/2018
A169995 DEBNATH SHAPAN MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/29/2021
1952625303 SHEILA DEBNATH MD, INC 1220 S CENTRAL AVE STE 105GLENDALE 91204-3808
7/8/2021
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/29/2021
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/29/2021
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/29/2021
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
11/29/2021
Monday, June 06, 2022 Page 64 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A41650 DEBNATH SHEILA MD 1952625303 SHEILA DEBNATH MD, INC 1220 S CENTRAL AVE STE 105GLENDALE 91204-3808
2/3/1995
PA20524 DECLUE KAREN ELISE PA 1356362743STA
COMPREHENSIVE COMMUNITY HLTH CTR-HIGHLAND PARK
5059 YORK BLVDLOS ANGELES 90042-1713
5/3/2011
20A17592 DEDRICK LANE KENNETH DO 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
2/28/2020
A171545 DEGIORGIO ANDREW CHARLES
MD 1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/22/2021
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
3/22/2021
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
3/22/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/22/2021
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
3/22/2021
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
3/22/2021
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/22/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/22/2021
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
3/22/2021
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/22/2021
A170251 DEGRO VALLADARES
KEISHLA JANICE MD 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/23/2022
Monday, June 06, 2022 Page 65 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A170251 DEGRO VALLADARES
KEISHLA JANICE MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/23/2022
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
3/23/2022
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
3/23/2022
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/23/2022
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
3/23/2022
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/23/2022
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
3/23/2022
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/23/2022
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
3/23/2022
PA12865 DEL TORO LYDA PA 1225099880 PEREZ, LUIS J MD APC 716 E MISSION BLVD STE DPOMONA 91766-2040
3/16/2016
A63341 DELBAKHSH PARVANEH MD 1871933945 SOUTH BAY FAMILY HEALTH CARE
270 E 223RD STREETCARSON 90745-3804
12/20/2018
1164061461 SEQUOIA QUALITY HEALTH INC 2007 WILSHIRE BLVD FL 3, 1ALOS ANGELES 90057-3519
12/3/2020
C38896 DELEAVER-RUSSELL
MARGO PATRICIA MD 1215113964A COMPLETE CARE COMM HLTH CTR
2928 E CESAR E CHAVEZ AVLOS ANGELES 90033-3110
4/6/2016
Monday, June 06, 2022 Page 66 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
C38896 DELEAVER-RUSSELL
MARGO PATRICIA MD 1215113964STA
COMPLETE CARE COMMUNITY HEALTH CENTER, INC
3831 HUGHES AVE., STE. 601CULVER CITY 90232
11/28/2018
A32018 DELEON LIBERATION BONGATO
MD 1760407621 J AND L DE LEON MEDICAL CORPORATION
16660 PARAMOUNT BLVD STE 211PARAMOUNT 90723-5469
6/22/2005
A33984 DELILLY MAYO RALPH III MD 1700097540C THE NORTHEAST COMMUNITY CLNC INTERMITTENT
1414 S GRAND AVE SUITE 200LOS ANGELES 90015-3072
12/3/2020
1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
1/22/2020
RN525790 DEMITRI MICHELLE FARADAY
NP 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/22/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/22/2019
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/22/2019
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/22/2019
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
A152687 DENG JING MD 1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
6/29/2018
A111949 DERIDDER CATHERINE ADRIAN
MD 1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
7/7/2020
A83108 DESAI AANAL JAY MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
9/7/2018
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
9/7/2018
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
9/7/2018
Monday, June 06, 2022 Page 67 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A83108 DESAI AANAL JAY MD 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
9/7/2018
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
8/14/2008
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
8/14/2008
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
8/14/2008
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
9/7/2018
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
9/7/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
9/7/2018
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
9/7/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A80894 DESAI PRITI NIMESHKUMAR
MD 1932235587 DESAI, PRITI N MD 315 N THIRD AVE STE 205COVINA 91723-1905
1/29/2010
A31923 DESAI RAMESH P MD 1699839993 THE CHILDRENS CLINIC SERVING INTERMITTENT
17660 LAKEWOOD BLVDBELLFLOWER 90706-6410
8/9/2012
A160526 DESAI SONAL MD 1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
9/23/2020
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
9/23/2020
Monday, June 06, 2022 Page 68 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A160526 DESAI SONAL MD 1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
9/23/2020
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
9/23/2020
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
9/23/2020
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/23/2020
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
9/23/2020
RN95029336 DESAI SONAM DATTANI NP 1457744476 COMMUNITY MEDICINE, INC 8540 ALONDRA BLVD SUITE B-2PARAMOUNT 90723-5200
6/26/2020
RN518190 DESCALLAR EDDIE YEE NP 1053367896 PAJA MEDICAL GROUP INC OLYMPIC FAMILIA CLNC INC
1800 WILSHIRE BLVDLOS ANGELES 90057-3602
2/9/2017
A173759 DESURE ARIELL ROSE MD 1396891909 SOUTH CENTRAL FAMILY HEALTH CTR
4425 S CENTRAL AVELOS ANGELES 90011-3629
1/6/2022
RN793910 DEUNGRIA TOM JOHN ROCCO MADRIDEJOS
NP 1356362743 COMPREHENSIVE COMMUNITY HEALTH CENTERS GLENDALE
801 S CHEVY CHASE DR STE 250GLENDALE 91205-4433
8/3/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
1/1/0001
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
20A11555 DEVARAJ JOSEPHINE MEE DO 1497001226STC
VIA CARE COMMUNITY HEALTH CENTER INC
4755 E CESAR CHAVEZ AVELOS ANGELES 90022
1/1/0001
A52694 DEVERA OSCAR SISON MD 1619090610 CROWN CITY MEDICAL GROUP 3208 SANTA ANITA AVE STE 200EL MONTE 91733-1360
12/25/2000
1508989500 CROWN CITY MEDICAL GRP INC 6601 RUGBY AVE. STE 300HUNTINGTON PK 90255-4040
10/24/1990
Monday, June 06, 2022 Page 69 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A52694 DEVERA OSCAR SISON MD 1790177582STA
ALTAMED HEALTH SERVICES CORPORATION
6601 RUGBY AVE STE 300HUNTINGTON PARK 90255-4046
12/16/2021
1982814745STB
ALTAMED COMM HEALTH CLINIC INTERMITTENT
2661 E WASHINGTON BLVDPASADENA 91107-0707
4/13/2022
1982814745STA
ALTAMED COMM HEALTH CLINIC INTERMITTENT
3208 SANTA ANITA AVE STE. 200EL MONTE 91733-1304
3/21/2022
1790177582STB
ALTAMED HEALTH SERVICES INTERMITTENT
1542 E FLORENCE AVELOS ANGELES 90001-2536
1/1/0001
RN95031816 DEVIRIAN CARLY ROSE NP 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
1/11/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
1/11/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/11/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
1/11/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
1/11/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
1/11/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
1/11/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
1/11/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
1/11/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
1/11/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/11/2021
Monday, June 06, 2022 Page 70 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95031816 DEVIRIAN CARLY ROSE NP 1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
1/11/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
1/1/0001
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
1/11/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
1/11/2021
G79134 DEWGARDE LYNN YVONNE MD 1477649119A WATTS HEALTHCARE CORPORATION
10300 COMPTON AVELOS ANGELES 90002-3628
7/28/2003
A42292 DHAMIJA KAILASH RAJ MD 1437375953 WALK-IN MEDICAL CARE 18326 PIONEER BLVDARTESIA 90701-5533
10/11/2007
A132129 DHIR NITIKA NARINDER MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
9/19/2017
PA14822 DI RAFFAELE SALVATORE V PA 1215263827 CLINICA DEL SOCORRO MEDICAL GROUP INC
1061 E VERNON AVE STE FLOS ANGELES 90011-3772
12/24/2015
G40195 DIAMOND LYNNE MARIE MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
5/8/2018
RN702140 DIAZ ALEXANDRA NP 1588908305 SOUTH CENTRAL FAMILY HEALTH CENTER
3410 S HOOPER AVELOS ANGELES, CA 90011-2161
4/26/2018
PA22144 DIAZ CARMEN GUADALUPE
PA 1669799896 SOUTH CENTRAL FAMILY HEALTH CENTER (SCFHC)
2680 SATURN AVE STE 110, 220, 280HUNTINGTON PARK 90255-4568
9/15/2021
1588908305 SOUTH CENTRAL FAMILY HEALTH CENTER
3410 S HOOPER AVELOS ANGELES, CA 90011-2161
4/26/2018
Monday, June 06, 2022 Page 71 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A16032 DIAZ DANIEL DO 1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
9/3/2020
1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
9/14/2021
A73348 DIAZ GLENN FELIX TAN MD 1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
8/1/2017
A86465 DIAZ GUILLERMO JR MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
6/11/2015
A76805 DIAZ JOSE MANUEL MD 1447703400 HEALTH ACCESS FOR ALL INC 1919 WEST 7TH ST 2ND & 3RD FLOORLOS ANGELES 90057-4103
1/10/2019
1295288348 HEALTH ACCESS FOR ALL INC 6208 SEVILLE AVEHUNTINGTON PARK 90255-2913
2/25/2019
1710261284B BELLA MEDICAL GROUP INC 9916 SAN JUAN AVESOUTH GATE 90280-6108
1/1/0001
1003824020 BAYLON, PAUL M MD 3118-3120 E FLORENCE AVEHUNTINGTON PARK 90255-5830
6/24/2014
PA20566 DIAZ MONICA PA 1710261284A BELLA MEDICAL GROUP INC 2933 WHITTIER BLVDLOS ANGELES 90023-1528
7/2/2013
PA58303 DIAZ SORTO JOSELYN PA 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/21/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/21/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
12/21/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/21/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/21/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/21/2021
Monday, June 06, 2022 Page 72 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA58303 DIAZ SORTO JOSELYN PA 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/21/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/21/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/21/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/21/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/21/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
12/21/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/21/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
12/21/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/21/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
12/21/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/21/2021
RN764496 DIAZ-ARVIZU MARIA DE JESUS NP 1205859733B SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
3529 FIRESTONE BLVDSOUTH GATE 90280-3031
11/6/2019
1205859733A SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
9306 ALONDRA BLVDBELLFLOWER 90706-4212
3/21/2022
A60216 DIEGO-MALIT ALICE MD 1225060643 DIEGO MEDICAL CORPORATION 23517 S. MAIN STREET SUITE 101CARSON 90745-5227
11/19/2001
PA21610 DIMACALI RACHEL ANN PA 1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
2/10/2016
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/3/2015
Monday, June 06, 2022 Page 73 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA21610 DIMACALI RACHEL ANN PA 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
3/21/2012
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
10/4/2012
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
11/10/2014
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/30/2013
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
3/21/2012
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
3/26/2012
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
3/14/2012
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
3/26/2012
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
3/21/2012
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
3/26/2012
A139786 DING CHAONAN MD 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
6/26/2020
Monday, June 06, 2022 Page 74 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA56041 DINH KIM PA 1033634373 PREMIER FAMILY MEDICINE ASSOCIATES, INC
2333 FOOTHILL BLVDLA VERNE 91750-3027
5/20/2019
A33986 DIOP ABDOULAYE MD 1548610322 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2710 W MANCHESTER BLVDINGLEWOOD 90305-2436
5/24/2018
PA54563 DO AMY PA 1700055746 MONTES MEDICAL GROUP INC 13820 SAN ANTONIO DRIVENORWALK 90650-4033
1/4/2018
A90656 DO LUONG TRUNG MD 1558306266 AMG, A PROF MEDICAL CORP 925 S GARFIELD AVEALHAMBRA 91801-4442
8/25/2006
A121644 DO STEPHANIE TRAN MD 1255472924 SOUTH BAY FAMILY HEALTHCARE CENTER-INGLEWOOD
1091 S LA BREA AVEINGLEWOOD 90301-3817
1/28/2014
1871933945 SOUTH BAY FAMILY HEALTH CARE
270 E 223RD STREETCARSON 90745-3804
6/13/2017
1255472924STA
SOUTH BAY FAMILY HEALTH CARE
323 N. PRAIRIE AVE., STE. 210INGLEWOOD, CA 90301
12/22/2014
A85251 DO THINH THE MD 1710031588D FACEY MEDICAL FOUNDATION 27924 SECO CANYON RDSANTA CLARITA 91350-3870
7/5/2013
A40613 DOAN YEN MD 1861587172 DOAN, YEN MD INC 1663 BEVERLY BLVD STE 201LOS ANGELES 90026-5747
10/10/1985
RN664361 DOBY KRISTA LYNNE NP 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/23/2018
1407878150 CO OF L.A. - HARBOR-UCLA MED CTR/ PEDS DEPT.
1000 W CARSON STREET L-4TORRANCE 90502-2004
8/15/2013
PA52600 DOMINGO MICHELLE MAE PA 1659479269 NARCISO M AZURIN MD INC 4075 TWEEDY BLVDSOUTH GATE 90280-6146
10/25/2018
A53766 DOMINGO MIGUEL ISLETA MD 1699955575 ACTIVE HEALTHCARE MEDICAL GROUP INC
512 S GLENDORA AVEWEST COVINA 91790-3022
7/2/2009
A43966 DOMINGUEZ EMIL RAY MD 1700115722B LOS NINOS CHILDRENS MEDICAL CLINIC APC
1240 N HACIENDA BLVD., STE 101LA PUENTE 91744-1663
1/25/2002
Monday, June 06, 2022 Page 75 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A43966 DOMINGUEZ EMIL RAY MD 1700115722A LOS NINOS CHILDREN MEDICAL CLINIC APC
409 E MERCED AVE SUITE AWEST COVINA 91790-5061
7/28/2005
RN387364 DOMINGUEZ SANTA NP 1346250347 AVALON MEDICAL DEV CORP CENTER
100 FALLS CANYON ROADAVALON 90704-1563
6/19/2020
RN424247 DOUGHTY JAMES ALAN NP 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
10/13/2004
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
10/13/2004
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
10/13/2004
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
10/13/2004
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
10/13/2004
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
10/13/2004
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
10/13/2004
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
10/13/2004
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
10/13/2004
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
10/13/2004
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
10/13/2004
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
10/13/2004
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
10/13/2004
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
10/13/2004
Monday, June 06, 2022 Page 76 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN424247 DOUGHTY JAMES ALAN NP 1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
G33975 DOWLING PATRICK THOMAS
MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/28/2002
RN516905 DOYLE KATHRYN ANN NP 1700181799 PLEITEZ, NURIA F MD INC 430 W BADILLO STCOVINA 91723-1829
2/28/2020
1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
11/30/2016
RN848404 DRORBAUGH NATALIE NP 1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
5/18/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
5/18/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
5/18/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
5/18/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
5/18/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
5/18/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
5/18/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
5/18/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
5/18/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
5/18/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
5/18/2021
Monday, June 06, 2022 Page 77 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN848404 DRORBAUGH NATALIE NP 1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
5/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
5/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
5/18/2021
RN443545 DUBOIS ELIZABETH NP 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
12/3/2020
RN95178675 DUBOIS ELIZABETH MARIE
NP 1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
A100268 DUDOVITZ REBECCA NICOLE
MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
7/30/2012
A114487 DUFFAUT CALVIN JOSEPH MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/9/2015
RN95174202 DUMLAO MAYBEL NP 1528074044 ELDESSOUKY, AMANI A MD INC 1704 W MANCHESTER AVE STE 109LOS ANGELES 90047-3034
4/25/2022
RN697296 DUONG MARGARETTE THI NP 1144385766 NGO, HY PHUNG MD INC 625 E VALLEY BLVD STE H & ISAN GABRIEL 91776
9/26/2019
C145488 EAKIN ELIANE FESTA MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
A162269 EAPEN RENE PADAPARAMPIL
MD 1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
5/18/2021
Monday, June 06, 2022 Page 78 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A162269 EAPEN RENE PADAPARAMPIL
MD 1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
5/18/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
5/18/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
5/18/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
5/18/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
5/18/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
5/18/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
5/18/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
5/18/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
5/18/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
5/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
5/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
5/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
5/18/2021
Monday, June 06, 2022 Page 79 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA15576 EATON MICHAEL ANTHONY
PA 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
10/26/2006
A134329 EDGE ISABEL GRACE MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
9/1/2021
A86266 EGEKEZE CAROLINE OZICHI MD 1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
3/11/2021
RN437005 EKEJIUBA ROSE NNEKA NP 1033267216 ADVANCED FAMILY CARE MEDICAL GROUP
1201 E FLORENCE AVELOS ANGELES 90001-2432
10/12/2016
C50675 ELACION JOSE-MARI LY MD 1710261284B BELLA MEDICAL GROUP INC 9916 SAN JUAN AVESOUTH GATE 90280-6108
2/1/2021
1306039300 DAHIYA SHYAM L MD INC 3650 SOUTH ST STE 412LAKEWOOD 90712-1500
11/18/2008
A56426 ELDESSOUKY AMANI AMIN MD 1528074044 ELDESSOUKY, AMANI A MD INC 1704 W MANCHESTER AVE STE 109LOS ANGELES 90047-3034
6/22/2006
G38036 ELLIOTT ROBERT CARL MD 1548610322 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2710 W MANCHESTER BLVDINGLEWOOD 90305-2436
5/24/2018
A143988 ELSHARKAWY MOHAMED YEHIA ABDELWAHED
MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
2/12/2019
RN293250 ELVIK SANDRA LYN NP 1407878150STD
CO OF L.A. - HARBOR-UCLA MEDICAL CTR
21840 NORMANDIE AVE MFI 500TORRANCE 90502
8/25/2010
RN503627 EMANUEL RICH NP 1881710861 TARZANA TREATMENT CENTER FMLY MED CLNC-LANCASTER
907 W LANCASTER BLVDLANCASTER 93534-2305
7/19/2018
RN698240 EMMONS JENNIFER ELISE NP 1467465641STA
CO OF L.A. - MID VALLEY COMP HC
7515 VAN NUYS BLVDVAN NUYS 91405-1949
2/5/2015
A33026 ENCINA ALBERTO YAP MD 1427043389 TARZANA TREATMENT CENTER FAMILY MEDICAL CLINIC
8330 RESEDA BLVDNORTHRIDGE 91324-4619
8/22/2002
1881710861 TARZANA TREATMENT CENTER FMLY MED CLNC-LANCASTER
907 W LANCASTER BLVDLANCASTER 93534-2305
11/4/2002
A76162 ENDENO-GALIMA ELIZABETH MORENO
MD 1538342704 JWCH INSTITUTE INC 14371 CLARK AVENUEBELLFLOWER 90706-2901
2/14/2017
Monday, June 06, 2022 Page 80 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A76162 ENDENO-GALIMA ELIZABETH MORENO
MD 1124182977 JWCH INSTITUTE INC 3591 E IMPERIAL HIGHWAYLYNWOOD 90262-2684
11/22/2017
A67492 ENDO CRAIG YOSHIO MD 1033634373 PREMIER FAMILY MEDICINE ASSOCIATES, INC
2333 FOOTHILL BLVDLA VERNE 91750-3027
10/25/2018
20A7282 ENDO TIFFANY P. LE DO 1033634373 PREMIER FAMILY MEDICINE ASSOCIATES, INC
2333 FOOTHILL BLVDLA VERNE 91750-3027
10/25/2018
A105384 ENGEL DAVID STEVEN MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
3/21/2014
RN742360 ENZLER CHRISTINE F NP 1548659105 BEHAVIORAL HEALTH SERVICES INC
2501 W EL SEGUNDO BLVD SUITE BHAWTHORNE 90250-3317
1/26/2018
G34397 ESCANDON LOUIS MD 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
12/17/2008
PA13666 ESCOBAR OSCAR A PA 1376888024 FLORENCE WESTERN MEDICAL CLINIC INC
13500 VAN NUYS BLVDPACOIMA 91331-3028
8/29/2013
A136029 ESCOVEDO CAMERON MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
3/2/2020
RN820485 ESGUERRA JILLIAN VIDAL NP 1750469318 SGHIATTI, VINCENT R APC 6316 HOLMES AVELOS ANGELES 90001-1824
11/29/2018
PA51733 ESPARZA RUBEN BARDO PA 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
3/1/2018
A51630 ESTRADA ELIZABETH SUGAPONG
MD 1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
5/9/2007
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
11/20/2002
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
11/8/2012
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
12/12/2012
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
5/9/2007
Monday, June 06, 2022 Page 81 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A51630 ESTRADA ELIZABETH SUGAPONG
MD 1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
A66392 EUGENIO JASMINE MERCENE
MD 1245343052STA
CO OF L.A. - MARTIN LUTHER KING, JR/DREW MEDICAL CTR
1721 E 120TH STREETLOS ANGELES 90059
9/15/2009
G68987 EVANS ELIZABETH DIANE
MD 1710031588F FACEY MEDICAL FOUNDATION 19950 RINALDI ST SUITES 100 103 200PORTER RANCH, CA 91326-4141
8/21/2018
RN95048676 EWUDO IZUNNA VINCENT NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/19/2017
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/19/2017
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/19/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/19/2017
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/19/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/19/2017
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/19/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/19/2017
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/19/2017
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/19/2017
Monday, June 06, 2022 Page 82 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95048676 EWUDO IZUNNA VINCENT NP 1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/19/2017
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/19/2017
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/19/2017
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
PA14712 EZAKI SACHI LYNNE PA 1881054997B EMANATE HEALTH MEDICAL GROUP
147 W. COLLEGE STREETCOVINA 91723-2008
2/4/2022
RN702203 EZE IJEOMA SCHOLA NP 1295288348 HEALTH ACCESS FOR ALL INC 6208 SEVILLE AVEHUNTINGTON PARK 90255-2913
2/25/2019
RN788781 EZIRIM RITA NNEDIMMA NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
3/8/2021
A56249 EZRA ESHAGH MD 1790797835 EZRA, ESHAGH MD INC 15424 NORDHOFF ST SUITE BNORTH HILLS 91343-6952
10/15/2007
A88169 FAIN-KARPUS MARIA MD 1902130016 KARPUS MEDICAL GROUP INC 20251 VENTURA BLVD., STE AWOODLAND HILLS 91364-2564
8/29/2011
PA54562 FAKHOURY HIND PA 1467633586 SHAFAI, JAMSHID MD INC MEDICAL GROUP INC
7601 ATLANTIC AVENUECUDAHY 90201-5019
11/29/2021
A43151 FAN BUNCHEN R MD 1750447264 SHIH, JENNIFER L MD 4124 ROSEMEAD BLVD STE AROSEMEAD 91770-4400
10/16/2017
1588665657 FAN, BUNCHEN R MD 4124 ROSEMEAD BLVD STE AROSEMEAD 91770-4400
2/17/1997
Monday, June 06, 2022 Page 83 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN564513 FANELLI NICOLE DOCAN NP 1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
5/12/2014
A134401 FANG KEVIN JUN-PAY MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
A61290 FARLEY MARLON M MD 1750325098 INGLEWOOD FAMILY MEDICAL CLINIC
3215 W IMPERIAL HWYINGLEWOOD 90303-2810
11/4/2005
A36865 FARROHI FAREADEH MD 1669487435 FARROHI, FAREADEH MD 18546 ROSCOE BLVD STE 211NORTHRIDGE 91324-5451
11/29/2000
A70571 FEATHERSTONE ELISHA LYNNAE MD 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
7/7/2004
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
11/27/2001
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
7/7/2004
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
6/1/2004
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2010
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
7/7/2004
Monday, June 06, 2022 Page 84 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A70571 FEATHERSTONE ELISHA LYNNAE MD 1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
7/7/2004
A142084 FEIFER ANASTASIA MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/23/2018
1407878150STD
CO OF L.A. - HARBOR-UCLA MEDICAL CTR
21840 NORMANDIE AVE MFI 500TORRANCE 90502
9/27/2017
G25732 FEIG STEVEN ALAN MD 1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
4/7/2016
A123457 FEIN ERIC HERSCHEL MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/2/2019
PA20838 FEINSTEIN EVAN E PA 1508989500 CROWN CITY MEDICAL GRP INC 6601 RUGBY AVE. STE 300HUNTINGTON PK 90255-4040
10/20/2014
1962525964 CROWN CITY MEDICAL GROUP INC
1542 E FLORENCE AVELOS ANGELES 90001-2536
10/20/2014
G32408 FELDMAN ROCHELLE COHEN
MD 1053368167 FELDMAN, ROCHELLE C MD 18520 VIA PRINCESSA STE C2CANYON CNTRY 91387-8326
5/19/2008
A110463 FELDSHER ZHANNA MD 1215113964A COMPLETE CARE COMM HLTH CTR
2928 E CESAR E CHAVEZ AVLOS ANGELES 90033-3110
5/9/2014
1811397888 COMPLETE CARE COMMUNITY HEALTH CENTER INC
5831 FIRESTONE BLVD SUITE ESOUTH GATE 90280-3718
6/19/2020
A121109 FELIX GLADYS MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
1/5/2016
A73914 FELIX HELENA ANESIA CUCHAPIN
MD 1083624423 EL PROYECTO DEL BARRIO FAMILY HEALTH CARE CLIN
8902 WOODMAN AVE STE 2ARLETA 91331-6401
4/16/2018
1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
5/31/2013
Monday, June 06, 2022 Page 85 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A73914 FELIX HELENA ANESIA CUCHAPIN
MD 1568871143 EL PROYECTO DEL BARRIO INC 9140 VAN NUYS BLVD SUITE 207PANORAMA CITY 91402-6763
4/26/2018
PA56862 FELIX KRISTYL PA 1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
7/16/2020
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
A123248 FELIX-MARQUEZ LUZ DEL CARMEN MD 1982611919 CO OF L.A. - HUMPHREY COMPREHENSIVE HC
5850 S MAIN STLOS ANGELES 90003-1215
10/19/2017
A75000 FELOBOUS SYLVIA MARY GUIRGUIS
MD 1801992565 SAN MIGUEL MEDICAL CLINIC, INC.
8204 LONG BEACH BLVD STE BSOUTH GATE 90280-2011
3/24/2006
1801184841 MAYWOOD FAMILY MEDICAL CENTER RAGAA Z ISKAROUS
5920 ATLANTIC BLVDMAYWOOD 90270-3101
1/10/2012
A124996 FERNANDES DANIELLE ELIZABETH
MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
4/26/2018
RN734520 FERNANDEZ JOSEPH CHRISTIAN
NP 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
9/27/2017
A61717 FERNANDO ELIZA MARIE MD 1609972777 RIO HONDO MEDICAL GROUP INC 12444 E WASHINGTON BLVDWHITTIER 90602-1005
4/8/2021
PA15625 FERNANDO ZOLISSA PA 1770685612 SANTO NINO MEDICAL CLINIC 14427 CHASE ST STE 100PANORAMA CITY 91402-3020
9/20/2005
20A17613 FERRELL CHELSEY L DO 1720171242 UNIVERSITY MUSLIM MED UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELES 90044-6105
12/8/2021
G67378 FEYGIN POLINA T MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
9/9/2003
1801154463 TOTAL CARE MEDICAL CLINIC INC 1110 W ANAHEIM ST STE 6WILMINGTON 90744-4131
10/11/2018
A48416 FIALKOFF HENIE MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
9/25/2017
Monday, June 06, 2022 Page 86 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A48416 FIALKOFF HENIE MD 1417378597 KEDREN COMMUNITY HEALTH CENTER INC
4211 SOUTH AVALON BLVD SUITE ALOS ANGELES 90011-5622
9/17/2021
A141598 FICKENSCHER NICHOLE ERIN MD 1649792615 SOUTH CENTRAL FAMILY HEALTH CENTER
1028 E VERNON AVELOS ANGELES 90011-3717
7/8/2020
A52172 FIELDS KERON ROSEMARIE
MD 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
4/13/2022
1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
2/11/2013
1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
4/7/2016
G78436 FIELDS WENDY JANET MD 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
1/26/2001
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/19/2001
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/19/2001
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/19/2001
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/10/2001
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
Monday, June 06, 2022 Page 87 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G78436 FIELDS WENDY JANET MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
A21870 FIGUEROA MANUEL IGNACIO MD 1770679102 FIGUEROA, MANUEL I MD 816 S INDIANA STLOS ANGELES 90023-1820
12/21/1984
A142840 FIGUEROA ARAGON
SERGIO MD 1982063939 SOUTH CENTRAL FAMILY HEALTH CENTER
7910 ATLANTIC AVE., STE MCUDAHY 90201-5754
7/16/2020
1669799896 SOUTH CENTRAL FAMILY HEALTH CENTER (SCFHC)
2680 SATURN AVE STE 110, 220, 280HUNTINGTON PARK 90255-4568
8/23/2018
C163031 FIGUEROA-PHILLIPS
LAURA MARIA MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
1/27/2020
A40066 FINEBERG MARTIN MD 1326278490B JANESRI DE SILVA MD A PROFESSIONAL CORP
240 S. LA CIENEGA BLVD SUITE 350BEVERLY HILLS 90211
4/15/2019
1053410506B PEDIATRIC AFFILIATES MEDICAL GROUP INC
29525 CANWOOD ST STE. 111AGOURA HILLS 91301-1595
7/20/2021
1053410506A PEDIATRIC AFFILIATES MEDICAL GROUP INC
7345 MEDICAL CENTER DRIVE SUITE 400WEST HILLS 91307-1963
3/15/2021
G42665 FINERMAN MARIANNE CARRIE
MD 1083624423 EL PROYECTO DEL BARRIO FAMILY HEALTH CARE CLIN
8902 WOODMAN AVE STE 2ARLETA 91331-6401
11/24/2015
A149991 FISCHER COURTNEY ELIZABETH SIMS
MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
11/9/2017
A154009 FISCHMAN TIFFANY JOY MD 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
4/20/2020
1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
10/28/2019
Monday, June 06, 2022 Page 88 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A154009 FISCHMAN TIFFANY JOY MD 1619471802 THE LOS ANGELES FREE CLINIC INTERMITTENT
137 N VIRGIL AVELOS ANGELES 90004-4811
12/28/2020
A85069 FISSEHA SEBLE DEMOZE MD 1326414491 SAUNDERS, JAMES E MD INC 3737 MARTIN LUTHER KING STE 204LYNWOOD 90262-3526
5/17/2016
A67870 FITTER JUNAID DAWOOD MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
9/2/2020
A60549 FITTS NANCY ELIZABETH
MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
9/15/2009
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
9/15/2009
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
9/15/2009
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
9/15/2009
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
9/15/2009
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
9/15/2010
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
9/15/2009
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A138358 FLIPPO LANA YAROSLAVA
MD 1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
5/27/2016
Monday, June 06, 2022 Page 89 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A50125 FLORENTINO ANDREW INES MD 1417069303 SUPNET, MEDARDO C MD INC 14359 PIONEER BLVD UNIT CNORWALK 90650-4870
12/7/2015
1699923235 SUPNET, MEDARDO C MD INC 3585 E IMPERIAL HWYLYNWOOD 90262-2654
6/14/2007
1245343052STA
CO OF L.A. - MARTIN LUTHER KING, JR/DREW MEDICAL CTR
1721 E 120TH STREETLOS ANGELES 90059
4/14/2017
RN521106 FLORES ELVIRA P NP 1295887024 LA LIBERTAD MEDICAL CLINIC INC 8225 LONG BEACH BLVD STE CSOUTH GATE 90280-2010
10/12/2016
1043462443 CLINICA FAMILIAR SAN LUCAS 11050 S ATLANTIC AVELYNWOOD 90262-3068
10/30/2020
G52360 FLORES HECTOR MD 1740233725 FCS MEDICAL CORPORATION 815 W WASHINGTON BLVDMONTEBELLO 90640-6123
12/25/2000
PA55720 FLORES JESSICA PA 1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
5/20/2019
1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
5/20/2019
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
A137398 FLORES MARIE ELIZABETH SHARP
MD 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
8/4/2021
PA53473 FLORES MICHAEL PA 1871645184 COMPLETE CARE FAMILY MEDICAL CLINIC, APC
1231 N AVALON BLVDWILMINGTON 90744-2601
5/17/2017
RN481776 FLORES RIZALIE SUBIDA NP 1558703017 CENTURY FAMILY MEDICAL GROUP INC
16900 LAKEWOOD BLVD SUITE 308BELLFLOWER 90706-5580
9/12/2018
1285753723 CENTURY WOMEN MEDICAL GROUP INC
2030 W PICO BLVDLOS ANGELES 90006-5011
9/30/2021
A63099 FLORIO CECILIA A MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
12/16/2019
Monday, June 06, 2022 Page 90 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G72158 FLOUTSIS GRACE MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
8/24/2017
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
RN842852 FLOWERS KRISTIAN MCKENZIE
NP 1326372830 TOOMARI, TAJAV DO INC 16661 VENTURA BLVD STE 408ENCINO 91436-1914
5/1/2019
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/28/2019
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/28/2019
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/28/2019
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/28/2019
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/28/2019
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
10/28/2019
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/28/2019
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
10/28/2019
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/28/2019
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
Monday, June 06, 2022 Page 91 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA21315 FLOYD JANAE DANICA PA 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
11/22/2019
PA55771 FLYNN SEAN PATRICK PA 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
12/6/2021
PA59139 FOLKMAN SAMANTHA PA 1700097540B THE NORTHEAST COMMUNITY CLNC INTERMITTENT
4455 W 117TH ST SUITE 200HAWTHORNE 90250-2240
12/2/2021
A103360 FOLLMAR KENNETH EARL III MD 1255446142 SAN PEDRO PEDIATRIC MED GRP 1294 W. 6TH ST, STE 102SAN PEDRO 90731-2997
2/25/2013
20A16586 FONG DANIEL ROBERT DO 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
1/18/2019
A116094 FONG FLORENCE LIN MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
2/9/2015
1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/23/2012
RN582234 FONTEJON RALPH VINCENT AGUINALDO
NP 1275545725 SERRA COMMUNITY MEDICAL CLINIC
9375 SAN FERNANDO RDSUN VALLEY 91352-1418
10/19/2021
A145453 FOROUHAR SARA MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
12/4/2019
A165344 FOURIE KAREN YBERICO MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
1/22/2021
1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
A103610 FOUST SCOTT JASON MD 1356362743 COMPREHENSIVE COMMUNITY HEALTH CENTERS GLENDALE
801 S CHEVY CHASE DR STE 250GLENDALE 91205-4433
8/21/2018
1679553192 COMPREHENSIVE COMMUNITY HEALTH CTR-EAGLE ROCK
1704 COLORADO BLVDLOS ANGELES 90041-1338
11/17/2009
Monday, June 06, 2022 Page 92 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A68221 FOX JOHN CHRISTIAN MD 1346250347 AVALON MEDICAL DEV CORP CENTER
100 FALLS CANYON ROADAVALON 90704-1563
6/19/2020
A122855 FOZAILOFF AREZOO MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
8/24/2017
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
PA13476 FRANCIS CYNTHIA ANN PA 1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
7/6/2010
1023287679STA
T.H.E CLINIC, INC 10223 FIRMONA AVELENNOX 90304
4/22/2013
1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
4/7/2016
A54793 FRANCO ROSINA MD 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
11/5/2008
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
11/5/2008
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
11/5/2008
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
11/5/2008
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
11/5/2008
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
11/5/2008
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
11/5/2008
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
11/5/2008
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
11/5/2008
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
11/5/2008
Monday, June 06, 2022 Page 93 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A54793 FRANCO ROSINA MD 1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
11/5/2008
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
11/5/2008
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
11/5/2008
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
11/5/2008
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
RN702277 FREEMAN DEBORAH IRENE NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
2/8/2022
RN709460 FRIAL MARIE KRISTIN FIRMALINO
NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
RN353038 FRUTO JEAN VENTURANZA
NP 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
1/16/2009
C42076 FUENTES FELMA JIMENEZ MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
6/29/2018
A82371 FUENTES JORGE ALBERTO MD 1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
7/11/2017
1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
2/19/2015
RN95090140 FUNG ABBY KIT YING NP 1639177587 YU CARE MEDICAL GROUP INC 210 N GARFIELD AVE SUITE 316MONTEREY PARK 91754-1746
2/23/2018
1760480610 GARFIELD HEALTH CENTER 210 N GARFIELD SUITE 203MONTEREY PARK 91754-1746
2/23/2018
Monday, June 06, 2022 Page 94 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95090140 FUNG ABBY KIT YING NP 1548643000 GARFIELD HEALTH CENTER 701 S ATLANTIC BLVD STE 100MONTEREY PARK 91754-3845
6/26/2020
A51450 GAJO ESPERANZA MARANAN
MD 1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
5/9/2007
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
11/20/2002
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
5/9/2007
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
12/12/2012
RN683759 GALANG IRMA MERCADO NP 1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
11/20/2019
PA15529 GALARZA-ADAMS MONICA MARIA PA 1386708634 JWCH INSTITUTE, INC JWCH NORWALK REGIONAL
12360 FIRESTONE BLVDNORWALK 90650-4324
9/13/2006
RN830154 GALAVIZ MARIA GUADALUPE
NP 1720171242 UNIVERSITY MUSLIM MED UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELES 90044-6105
1/26/2018
1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
1/26/2018
A48644 GALDAMEZ LUIS A MD 1033240650 GALDAMEZ, LUIS A MD INC CLINICA MEDICA VIRGEN DE GUADALUPE
6831 SEVILLE AVEHUNTINGTON PK 90255-4805
12/2/2005
1225168024 GALDAMEZ, LUIS A MD INC 2955 E FLORENCE AVEHUNTINGTON PK 90255-5836
8/8/2014
A50144 GALDAMEZ VIOLETA AUXILIADORA
MD 1225168024 GALDAMEZ, LUIS A MD INC 2955 E FLORENCE AVEHUNTINGTON PK 90255-5836
8/8/2014
Monday, June 06, 2022 Page 95 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A50144 GALDAMEZ VIOLETA AUXILIADORA
MD 1033240650 GALDAMEZ, LUIS A MD INC CLINICA MEDICA VIRGEN DE GUADALUPE
6831 SEVILLE AVEHUNTINGTON PK 90255-4805
12/2/2005
RN95035046 GALLAGHER MARY AGNES NP 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/19/2020
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
10/19/2020
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/19/2020
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/19/2020
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/19/2020
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
10/19/2020
1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
12/22/2014
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/19/2020
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/19/2020
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/19/2020
A136217 GALLEGOS ABRAHAM MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
3/2/2020
Monday, June 06, 2022 Page 96 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA21273 GALLEGOS ROBERT ANDREW JR
PA 1225099880 PEREZ, LUIS J MD APC 716 E MISSION BLVD STE DPOMONA 91766-2040
11/26/2012
PA22593 GALLY AMBER ALLYSEN PA 1770696023 EL PROYECTO DEL BARRIO INC AZUSA CLINIC
150 N AZUSA AVEAZUSA 91702-3521
10/6/2014
C28155 GALOS KATHERINE MD 1093181448 EL PROYECTO DEL BARRIO INC 18250 ROSCOE BLVD SUITE 200NORTHRIDGE 91325-4226
1/29/2018
1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
5/31/2013
A126937 GALUSTANIAN GAYANE MD 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
6/21/2018
RN95057268 GALVEZ GUILLERMO NP 1215310008 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
6119 AGRA STREETBELL GARDENS 90201-1705
12/1/2020
1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
12/3/2020
PA52333 GALVEZ MELISSA DENISSE
PA 1700055746 MONTES MEDICAL GROUP INC 13820 SAN ANTONIO DRIVENORWALK 90650-4033
6/26/2020
A95477 GANATA VICTOR MICHAEL MD 1235317561 YU CARE MEDICAL GRP INC 1722 SOUTH DESIRE AVE SUITE 102ROWLAND HEIGHTS 91748-0000
2/24/2010
G74088 GANCEDO LAURA SUSAN MD 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
10/13/2000
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
12/28/2001
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
3/24/2006
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
A71758 GANTAN JOSEPH DUNGO MD 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
5/23/2013
Monday, June 06, 2022 Page 97 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A71758 GANTAN JOSEPH DUNGO MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
7/2/2018
A145424 GANTZ LISA N MD 1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
2/3/2022
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
2/3/2022
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
2/3/2022
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
2/3/2022
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
2/3/2022
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
2/3/2022
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
2/3/2022
20A17614 GAO CI EN DO 1982179008 ALL-INCLUSIVE COMMUNITY HEALTH CENTER
17114 DEVONSHIRE STREET SUITE 200NORTHRIDGE 91325-1619
10/6/2021
1093019051 ALL INCLUSIVE COMMUNITY HLTH 1311 N. SAN FERNANDO BLVDBURBANK, CA 91504-4236
10/6/2021
RN95067709 GAO CONG NP 1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
11/6/2019
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
11/6/2019
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
11/6/2019
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
11/6/2019
A167993 GARCIA ANDREW JOSE MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
9/1/2021
Monday, June 06, 2022 Page 98 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A49168 GARCIA ANTONIO MENDOZA
MD 1821177833 GARCIA, ANTONIO M MD 586 E MISSION BLVDPOMONA 91766-1938
11/20/1997
RN579110 GARCIA CARMEN NP 1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
10/17/2017
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
10/17/2017
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
10/17/2017
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
10/17/2017
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
10/17/2017
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
10/17/2017
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
10/17/2017
1518973940 CO OF L.A. - BELLFLOWER HEALTH CENTER
10005 E FLOWER STREETBELLFLOWER 90706-0000
8/27/2013
A123276 GARCIA CRISTINA IDALIE MD 1679024467 LA CLINIQUITA, INC 6505 ROSEMEAD BLVD STE 106PICO RIVERA 90660-3542
7/7/2017
G52231 GARCIA DON LORENZO MD 1275629495 CLINICA MSR OSCAR ROMERO 123 S ALVARADO STREETLOS ANGELES 90057-2201
2/28/2020
1316033533 CLINICA MSR OSCAR A ROMERO 2032 MARENGO STLOS ANGELES 90033-1319
2/28/2020
RN95074193 GARCIA ELIZABETH MARIA
NP 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
12/6/2021
A70469 GARCIA FIRMO DE LA CUESTA JR
MD 1114007754A KIM, KYU HYUN MD INC 15243 VANOWEN ST STE 300VAN NUYS 91405-3605
6/13/2012
1114007754B KYU HYUN KIM MD INC 3000 W OLYMPIC BLVD 304LOS ANGELES 90006-6513
3/22/2021
Monday, June 06, 2022 Page 99 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A53218 GARCIA GAYDA YODY MD 1750541322 SEA BREEZE HEALTH CENTER INC
123 EAST F ST UNIT FWILMINGTON 90744-5817
4/21/2006
A79620 GARCIA GORETTI MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
3/27/2014
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
8/9/2017
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
8/3/2017
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
RN849034 GARCIA ILIANA NP 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
3/14/2022
A69984 GARCIA MARCO ANTONIO MD 1932194586STA
WILMINGTON COMMUNITY CLINIC 10901 S VERMONT AVELOS ANGELES 90044-4505
6/10/2016
1932194586 WILMINGTON COMMUNITY CLN 1009 N AVALON BLVDWILMINGTON 90744-4505
7/25/2014
A163873 GARCIA AYALA LUIS GENARO MD 1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/17/2020
A116075 GARELL CAMBRIA LEIGH MD 1558397067 VENICE FAMILY CLINIC 2509 PICO BLVDSANTA MONICA 90405-1828
9/9/2014
1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
1/23/2017
A96370 GARFIAS DENIA ALICIA MD 1770034530 VIA CARE COMMUNITY HEALTH CENTER
607 S ATLANTIC BLVDLOS ANGELES 90022-3211
1/1/0001
A139624 GARG ANU MD 1093019051 ALL INCLUSIVE COMMUNITY HLTH 1311 N. SAN FERNANDO BLVDBURBANK, CA 91504-4236
3/1/2019
1174996177 ALL-INCLUSIVE COMMUNITY HEALTH CENTER
3920 EAGLE ROCK BLVD SUITE ALOS ANGELES 90065-3606
9/26/2019
Monday, June 06, 2022 Page 100 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A139624 GARG ANU MD 1982179008 ALL-INCLUSIVE COMMUNITY HEALTH CENTER
17114 DEVONSHIRE STREET SUITE 200NORTHRIDGE 91325-1619
7/17/2020
A31300 GARG SANTOSH KUMAR MD 1669881926 CENTRAL CITY COMMUNITY HEALTH CENTER INC
4126 N MAINE AVEBALDWIN PARK 91706-5010
6/12/2017
1972912236 CENTRAL CITY COMMUNITY HEALTH CENTER INC
10050 GARVEY AVE STE 111EL MONTE 91733-2088
6/12/2017
1528477882 CENTRAL CITY COMMUNITY HEALTH CENTER INC
13742 AMAR ROADLA PUENTE 91746-1683
6/9/2017
PA13823 GARRISON ROSEANNE PA 1245261023B R RUIZ MD A PROFESSIONAL 833 W WHITTIER BLVDMONTEBELLO 90640-4735
8/8/2019
RN582849 GARZA-HALSTEAD CELIA MARIA NP 1679691810 HOLLYWOOD SUNSET FREE CLINIC
3324 SUNSET BLVDLOS ANGELES 90026-2190
4/6/2018
A49005 GAW BRIAN KIMKYONE MD 1932409257 GAW, BRIAN K MD INC 1669 WEST AVENUE J STE 304LANCASTER 93534-2870
8/2/2011
A107530 GEE MELISSA L MD 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
6/21/2018
1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
7/19/2013
G46927 GEISLER MARNA LOU MD 1912264722 BOZORGNIA, LEILA MD INC 2990 S SEPULVEDA BLVD SUITE 202LOS ANGELES 90064-3973
4/13/2022
G49277 GELBERG LILLIAN MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/28/2002
A155443 GELLEIN TATIANA MIDORI MD 1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
2/3/2022
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
2/3/2022
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
2/3/2022
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
2/3/2022
Monday, June 06, 2022 Page 101 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A155443 GELLEIN TATIANA MIDORI MD 1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
2/3/2022
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
2/3/2022
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
2/3/2022
RN95088912 GENTRY CHRISTOPHER STEPHEN
NP 1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
10/28/2019
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2018
1316044522 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
1530 S OLIVE STLOS ANGELES 90015-3023
5/17/2017
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
PA53508 GERMAIN NATASHA LYNN PA 1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
3/9/2018
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
3/9/2018
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
3/9/2018
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
3/9/2018
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
3/9/2018
Monday, June 06, 2022 Page 102 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA53508 GERMAIN NATASHA LYNN PA 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
3/9/2018
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
3/9/2018
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
3/9/2018
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
3/9/2018
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
3/9/2018
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
3/9/2018
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
3/9/2018
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
3/9/2018
1871573360 COMPREHENSIVE COMMUNITY HEALTH CTR-NO HOLLYWOOD
12157 VICTORY BLVDN HOLLYWOOD 91606-3204
4/13/2022
20A16435 GETZ ARIANA ROSE DO 1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
11/2/2021
PA13849 GHADIRI FARAH PA 1023203882 HIGH DESERT WOMENS MEMORIAL MEDICAL CTR APC
2680 E FLORENCE AVEHUNTINGTON PARK 90255-4708
9/11/2019
A88734 GHALILI SAMAN MD 1891724993 GHALILI, SAMAN MD 2101 S SAN PEDRO STLOS ANGELES 90011-1125
10/29/2007
A41622 GHALILI SOLEIMAN H MD 1548458987 S AND S MEDICAL GROUP INC 648 E. 21ST STLOS ANGELES 90011-1146
9/13/2000
A66615 GHALILI STEVEN S MD 1548458987 S AND S MEDICAL GROUP INC 648 E. 21ST STLOS ANGELES 90011-1146
9/13/2000
20A12583 GHANEVATI MAHIN DO 1972954071 COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
8316 FOOTHILL BLVDSUNLAND 91040-2850
7/9/2020
Monday, June 06, 2022 Page 103 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A53533 GHARIB MEHRY MD 1639336803 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2707 S CENTRAL AVELOS ANGELES 90011-5527
12/16/2013
1487086989 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2614 S GRAND AVENUELOS ANGELES, CA 90007-2607
8/1/2017
1487086989 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2614 S GRAND AVENUELOS ANGELES, CA 90007-2607
1/1/0001
A39512 GHIYA DINESH MD 1326278490J JANESRI DE SILVA MD APC 15141 WHITTIER BLVD STE 350WHITTIER 90603-2169
7/20/2021
A108800 GHUMAN MANDEEP SINGH MD 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
1/31/2011
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
RN727375 GIBBONS ERA MAE CHUA NP 1750469318 SGHIATTI, VINCENT R APC 6316 HOLMES AVELOS ANGELES 90001-1824
10/14/2021
20A17208 GIBBS ELIZABETH FRANCES
DO 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
2/25/2021
A67450 GIBONEY PAUL TRAVIS MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
5/2/2013
G71925 GIBSON KATHERINE NANCY
MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
11/24/2015
PA15965 GICHURU STEPHEN PA 1700115722A LOS NINOS CHILDREN MEDICAL CLINIC APC
409 E MERCED AVE SUITE AWEST COVINA 91790-5061
7/28/2005
1700115722B LOS NINOS CHILDRENS MEDICAL CLINIC APC
1240 N HACIENDA BLVD., STE 101LA PUENTE 91744-1663
1/23/2003
A53575 GIDOWSKI ROSA MARIA MD 1689742702 GIDOWSKI, ROSA M MD 368 W BADILLO STCOVINA 91723-1827
11/22/2004
G34954 GILL CADRIN EMANAEL
MD 1891851861 GILL, CADRIN E MD 231 W VERNON AVE STE 201LOS ANGELES 90037-2779
5/1/1987
Monday, June 06, 2022 Page 104 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G34954 GILL CADRIN EMANAEL
MD 1417378597 KEDREN COMMUNITY HEALTH CENTER INC
4211 SOUTH AVALON BLVD SUITE ALOS ANGELES 90011-5622
2/27/2015
PA56201 GILLESPIE CRYSTAL R PA 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
5/22/2020
A31902 GINDI MAGDI RIAD MD 1649209743 HOLLYWOOD CROSS MEDICAL CLINIC INC
1110 N WESTERN AVE STE 201LOS ANGELES 90029-1087
4/7/1995
A30005 GINDI NABILA ERIAN MD 1649209743 HOLLYWOOD CROSS MEDICAL CLINIC INC
1110 N WESTERN AVE STE 201LOS ANGELES 90029-1087
7/30/1999
A144427 GIRGIS CHRISTINE SOLIMAN
MD 1497776322 NABIL AND JANET F SOLIMAN CENTRO MEDICO INC
11946 S HAWTHORNE BLVDHAWTHORNE 90250-3016
8/23/2017
A136615 GITTENS MONIQUE ROCHELLE
MD 1770034530 VIA CARE COMMUNITY HEALTH CENTER
607 S ATLANTIC BLVDLOS ANGELES 90022-3211
9/8/2021
1588908305 SOUTH CENTRAL FAMILY HEALTH CENTER
3410 S HOOPER AVELOS ANGELES, CA 90011-2161
4/26/2018
1497001226 VIA CARE COMMUNITY HEALTH CENTER INC
507 S. ATLANTIC BLVDLOS ANGELES, CA 90022-3211
7/8/2021
1588908305STA
SOUTH CENTRAL FAMILY DENTAL AND MEDICAL
4415 S. CENTRAL AVENUE STE 100LOS ANGELES 90011
7/8/2020
G20658 GITTER MICHAEL MD 1275629495 CLINICA MSR OSCAR ROMERO 123 S ALVARADO STREETLOS ANGELES 90057-2201
2/28/2020
1316033533 CLINICA MSR OSCAR A ROMERO 2032 MARENGO STLOS ANGELES 90033-1319
2/28/2020
RN838269 GLEASON ANNE BRIDGET NP 1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
7/15/2021
1720171242 UNIVERSITY MUSLIM MED UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELES 90044-6105
4/27/2016
A72287 GODES IRINA MD 1871573360 COMPREHENSIVE COMMUNITY HEALTH CTR-NO HOLLYWOOD
12157 VICTORY BLVDN HOLLYWOOD 91606-3204
11/6/2001
Monday, June 06, 2022 Page 105 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A72287 GODES IRINA MD 1821215914 CLINICA MEDICA CUZCATLAN/CUZCATLAN MEDICAL CLINIC
3559 E GAGE AVEBELL 90201-1042
3/16/2016
1760407621 J AND L DE LEON MEDICAL CORPORATION
16660 PARAMOUNT BLVD STE 211PARAMOUNT 90723-5469
7/13/2015
PA19520 GODOY CAROL VENERACION
PA 1821429838 PROHEALTH PARTNERS A MEDICAL
711 EAST ROSECRANS AVECOMPTON 90221-2143
7/3/2019
1730519927 PROHEALTH PARTNERS A MEDICAL GROUP
12131 CARSON STHAWAIIAN GARDENS 90716-1154
11/6/2019
A48799 GODOY IGNACIO PADILLA MD 1972789188 GODOY, IGNATIUS P MD INC 16660 PARAMOUNT BLVD STE 206PARAMOUNT 90723-5458
12/25/2000
20A6848 GOEI RAYMOND HAN ING
DO 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
5/14/2013
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
9/5/2013
A55387 GOLBARI ABRAHAM MD 1396047775 GOLBARI, ABRAHAM MD INC 14030 CRENSHAW BLVDGARDENA 90249-2715
6/5/2003
PA23253 GOLDENBERG DANA MERYL PA 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
9/19/2016
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/19/2016
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
9/19/2016
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
9/19/2016
Monday, June 06, 2022 Page 106 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA23253 GOLDENBERG DANA MERYL PA 1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
9/19/2016
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
9/19/2016
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
9/19/2016
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
9/19/2016
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
9/19/2016
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
9/19/2016
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
9/19/2016
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
9/19/2016
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
A120763 GOLDMAN JOSHUA TIMOTHY MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/9/2015
A154583 GOLI LAUREN MARIE MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
12/6/2018
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
12/4/2019
A151798 GOLZY NIMA MD 1164061461 SEQUOIA QUALITY HEALTH INC 2007 WILSHIRE BLVD FL 3, 1ALOS ANGELES 90057-3519
12/3/2020
Monday, June 06, 2022 Page 107 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN622240 GOMEZ GONZALEZ ALEXIS NP 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/3/2015
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
2/10/2016
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
10/4/2012
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
2/25/2013
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
11/10/2014
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
2/21/2013
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
2/20/2013
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
3/6/2013
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/30/2013
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
2/21/2013
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
9/26/2012
Monday, June 06, 2022 Page 108 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN622240 GOMEZ GONZALEZ ALEXIS NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
3/16/2016
A117697 GOMEZ GONZALEZ MILEIDYS MD 1598829350 JWCH INSTITUTE, INC 954 N VERMONT AVELOS ANGELES 90029-3529
10/5/2017
PA17148 GOMEZ-CONSTANTINO
JOSE LEONEL PA 1033240650 GALDAMEZ, LUIS A MD INC CLINICA MEDICA VIRGEN DE GUADALUPE
6831 SEVILLE AVEHUNTINGTON PK 90255-4805
6/10/2014
RN468555 GOMONIT CONSUELO A NP 1215991278 SAN FERNANDO MISSION MEDICAL GROUP, INC
8215 VAN NUYS BLVD SUITE 210-204PANORAMA CITY 91402-4833
11/22/2019
RN801983 GONZALES MARIANNE CADIZ NP 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
9/27/2013
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
9/24/2013
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/15/2016
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
9/24/2013
20A6453 GONZALEZ ALEJANDRO L. DO 1760947451 LOYOLA FAMILY HEALTH CENTER 4225 TWEEDY BLVD STE. BSOUTH GATE 90280-6217
1/27/2020
A100277 GONZALEZ ANITA EMPERATRIZ
MD 1699268631 MONTECRISTO MEDICAL PC 14649 VICTORY BLVD STE 20VAN NUYS 91411-4101
6/7/2021
A161427 GONZALEZ CYNTHIA A MD 1790177582STB
ALTAMED HEALTH SERVICES INTERMITTENT
1542 E FLORENCE AVELOS ANGELES 90001-2536
12/20/2021
G74790 GONZALEZ ENRIQUE JOSE MD 1023203882 HIGH DESERT WOMENS MEMORIAL MEDICAL CTR APC
2680 E FLORENCE AVEHUNTINGTON PARK 90255-4708
9/11/2019
1033304894 HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
711 N ALVARADO ST STE 104 AND 107LOS ANGELES 90026-3333
10/10/2018
G50580 GONZALEZ HECTOR AURELIO
MD 1740233725 FCS MEDICAL CORPORATION 815 W WASHINGTON BLVDMONTEBELLO 90640-6123
12/25/2000
Monday, June 06, 2022 Page 109 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A87328 GONZALEZ JAIME MD 1588730162 GONZALEZ, JAIME MD INC. 350 VINTON AVENUE SUITE 204POMONA 91767-3000
9/24/2007
PA15959 GONZALEZ JESUS PA 1972563617 MEDICAL GRP OF PARAMOUNT / CLINICA MEDICA HISPANA
14906 PARAMOUNT BLVD.PARAMOUNT 90723-3409
2/27/2008
A96013 GONZALEZ RENE MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
1/16/2014
A152357 GORDON ALEXIS JUROW MD 1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
5/18/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
5/18/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
5/18/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
5/18/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
5/18/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
5/18/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
5/18/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
5/18/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
5/18/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
5/18/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
5/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
5/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
Monday, June 06, 2022 Page 110 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A152357 GORDON ALEXIS JUROW MD 1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
5/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
5/18/2021
A130799 GORDON BAHAREH TAVANA
MD 1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
7/30/2019
1316969934 CO OF L.A. - OLIVE VIEW -UCLA MED. CTR.- PEDIATRICS
14445 OLIVE VIEW DR.SYLMAR 91342-1437
12/23/2016
G61804 GORLITSKY KENDRA FLEAGLE
MD 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
10/12/2017
G80759 GRANADOS GILBERTO MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
7/2/2009
1508872912 CO OF L.A. - WILMINGTON SUBCENTER
1325 BROAD AVEWILMINGTON 90744-2604
3/20/2006
A145680 GRANADOS MICHAEL FRANK MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/21/2020
1790177582STA
ALTAMED HEALTH SERVICES CORPORATION
6601 RUGBY AVE STE 300HUNTINGTON PARK 90255-4046
12/16/2021
1790177582STB
ALTAMED HEALTH SERVICES INTERMITTENT
1542 E FLORENCE AVELOS ANGELES 90001-2536
12/20/2021
1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
12/16/2019
PA11890 GRAVLIN JULIA ANN PA 1396756938STB
LAC USC MEDICAL CENTER - OUTPATIENT PEDIATRIC DEPT.
2010 ZONAL AVE OPD 5 EASTLOS ANGELES 90033-0123
1/20/2016
PA15777 GRAY JAMES PA 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/1/0001
A68297 GREEN LYDIA MARIE MD 1154347797 FLORENCE WESTERN MEDICAL CLINIC INC
7301 WESTERN AVELOS ANGELES 90047-2254
6/4/2018
Monday, June 06, 2022 Page 111 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A68297 GREEN LYDIA MARIE MD 1437495462 FLORENCE WESTERN MEDICAL CLINIC INC
20440 SHERMAN WAYCANOGA PARK 91306
7/13/2018
PA13335 GREEN MICHAEL DOUGLAS
PA 1811342751 HANNA, HANAA MD INC 887 W 9TH STSAN PEDRO 90731-3603
6/23/2014
RN456710 GREENE DENISE F NP 1942256094 HUNTINGTON PARK CLINICA MEDICA GENERAL,
6347 PACIFIC BLVDHUNTINGTON PARK 90255-4101
6/15/2020
A111079 GREEN-SMITH LATOYA ANDRECIA
MD 1548301229 SOUTH BAY FAMILY HEALTH-CARE CENTER
2114 ARTESIA BLVDREDONDO BEACH 90278-3014
5/23/2017
RN95068293 GREKOV GALINA NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
2/8/2022
A30427 GREY ERLINDA DY MD 1215991278 SAN FERNANDO MISSION MEDICAL GROUP, INC
8215 VAN NUYS BLVD SUITE 210-204PANORAMA CITY 91402-4833
2/20/1998
RN402313 GRIFFIN VALERIE JO NP 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
9/24/2012
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
9/24/2012
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
9/24/2012
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
9/24/2012
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
9/24/2012
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
9/24/2012
Monday, June 06, 2022 Page 112 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN402313 GRIFFIN VALERIE JO NP 1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
9/24/2012
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
9/24/2012
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
9/24/2012
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
9/24/2012
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
9/24/2012
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
9/24/2012
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
9/24/2012
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
9/24/2012
A97597 GROSMAN JOAN LEE-SHU MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
5/15/2012
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
5/15/2012
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
5/15/2012
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
5/15/2012
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
5/15/2012
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
5/15/2012
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
5/15/2012
Monday, June 06, 2022 Page 113 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A97597 GROSMAN JOAN LEE-SHU MD 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
5/15/2012
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
C52335 GROVER RAHUL MD 1497970115A GROVER, RAHUL INC 8673 W PICO BLVDLOS ANGELES 90035-2377
4/22/2009
G65231 GROVES WILLIAM EVERETT
MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
1/16/2014
20A6349 GRUBBS KENNETH EDWARD
DO 1568760239 SHINE HEALTHCARE INC 12371 IMPERIAL HWYNORWALK 90650-3129
3/19/2019
20A14187 GRUENEISEN KIMBERLY SUE DO 1124054564 VENICE FAMILY CLINIC- ROBERT LEVINE FAM HEALTH
905 VENICE BLVDVENICE 90291-4904
2/14/2017
1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
2/14/2017
PA16240 GUADRON LILIANA E PA 1194217588 HMG HEALTH CARE 44215 15TH ST WEST STE 315LANCASTER 93534
10/29/2020
RN95028372 GUERRA CARINA LIZETTE NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/21/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/21/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/21/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/21/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/21/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
12/21/2021
Monday, June 06, 2022 Page 114 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95028372 GUERRA CARINA LIZETTE NP 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/21/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/21/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/21/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
12/21/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/21/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
12/21/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
12/21/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/21/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/21/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/21/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/21/2021
A91517 GUERRERO ALMA DELIA MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
3/2/2020
1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
8/2/2019
RN792210 GUERRERO ESMERALDA NP 1538342704 JWCH INSTITUTE INC 14371 CLARK AVENUEBELLFLOWER 90706-2901
2/15/2017
Monday, June 06, 2022 Page 115 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN678126 GUEVARRA RAQUEL BAYANI NP 1477069375 GAGE MEDICAL CLINIC INC. R OF HUNTINGTON PARK
3203 E FLORENCE AVEHUNTINGTON PARK 90255-5831
11/20/2018
RN591773 GUIA BERNADETTE DE LARA
NP 1215991278 SAN FERNANDO MISSION MEDICAL GROUP, INC
8215 VAN NUYS BLVD SUITE 210-204PANORAMA CITY 91402-4833
11/22/2019
A84265 GUIAMELON RITA PARAISO MD 1801921952C ROY MEDICAL GROUP INC 1543 E PALMDALE BLVD STE CPALMDALE 93550-2030
6/24/2020
1801921952B ROY MEDICAL GROUP INC 21001 SHERMAN WAY STE 15CANOGA PARK 91303-1760
6/24/2020
RN852252 GUO XIAOFEI NP 1750463014 WHITTIER PEDIATRIC GROUP 8522 PAINTER AVEWHITTIER 90602-3335
3/27/2018
A46009 GUPTA ANIL MD 1003188160A MAYFLOWER MEDICAL GROUP INC
140 N ORANGE AVE STE 104WEST COVINA 91790-2032
1/1/0001
A141074 GUSTAFSON SARAH MYRLEE MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
5/14/2018
PA19736 GUTIERREZ ALFONSO PA 1215113964A COMPLETE CARE COMM HLTH CTR
2928 E CESAR E CHAVEZ AVLOS ANGELES 90033-3110
4/3/2013
20A7232 GUTIERREZ HUMBERTO A. DO 1063470219 BEESLEY, ELLIS N JR MD 1127 WILSHIRE BLVD STE 707LOS ANGELES 90017-3908
8/23/2011
A51240 GUTIERREZ JESUS ANTONIO MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
10/27/2017
RN802613 GUTIERREZ LISA ANN NP 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
11/6/2017
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
Monday, June 06, 2022 Page 116 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G78443 GUTIERREZ YVONNE ROSELA MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
G61703 GUZMAN ERNIE MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
8/24/2017
RN532509 HA STEPHANIE YUNJUNG
NP 1295202901 SHRIKANT TAMHANE DO INC 23517 MAIN ST SUITE 103CARSON 90745-5234
2/15/2022
A42997 HA TAM T MD 1205896206 HA, TAM T MD 756 E HOLT AVEPOMONA 91767-5628
8/17/1989
A50211 HABIB SHEHNAZ N MD 1457744476 COMMUNITY MEDICINE, INC 8540 ALONDRA BLVD SUITE B-2PARAMOUNT 90723-5200
9/6/2017
1497397806 COMMUNITY MEDICINE, INC INTERMITTENT
8800 ALONDRA BLVD SUITE CBELLFLOWER 90706-4302
10/14/2020
A156494 HAGBOM ROBERT CHRISTOPHER
MD 1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
8/4/2020
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/29/2018
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/29/2018
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/29/2018
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
12/26/2018
RN670957 HAGERTY JENNIFER LAGARE
NP 1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
6/6/2016
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
6/6/2016
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
6/6/2016
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
6/6/2016
Monday, June 06, 2022 Page 117 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN670957 HAGERTY JENNIFER LAGARE
NP 1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
6/6/2016
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
6/6/2016
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
6/6/2016
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
6/6/2016
A144604 HAKIM MINA H MD 1982063939 SOUTH CENTRAL FAMILY HEALTH CENTER
7910 ATLANTIC AVE., STE MCUDAHY 90201-5754
7/16/2020
1669799896 SOUTH CENTRAL FAMILY HEALTH CENTER (SCFHC)
2680 SATURN AVE STE 110, 220, 280HUNTINGTON PARK 90255-4568
8/23/2018
1982063939 SOUTH CENTRAL FAMILY HEALTH CENTER
7910 ATLANTIC AVE., STE MCUDAHY 90201-5754
7/16/2020
A56354 HAKIM RAGAIE LAMIE MD 1891904686 GAGE MEDICAL CENTER 2719 E GAGE AVEHUNTINGTON PARK 90255-4202
7/11/2005
1962685966 TWEETY FAMILY CLINIC INC 3050 TWEETY BLVDSOUTH GATE 90280-5742
2/26/2008
1013932979 FLORENCE MEDICAL CTR INC 1557 E FLORENCE AVELOS ANGELES 90001-2597
2/18/1999
A48918 HAKIMIAN EBRAHIM MD 1568481174 HAKIMIAN, EBRAHIM MD 14649 VICTORY BLVD STE 22VAN NUYS 91411-4101
8/8/1996
PA53131 HALAK JENIECE NICOLE PA 1629198791B ALFRED LAVI DO PROFESSIONAL 1835 S LA CIENEGA BLVD STE 205 AND 215LOS ANGELES 90035-4651
1/6/2022
1629198791A ALFRED LAVI, DO PROFESSIONAL CORPORATION
2324 W PICO BLVDLOS ANGELES 90006-4002
12/8/2021
PA53281 HALAVI DELARAM PA 1184134827 SAN JUDAS COMMUNITY HEALTH CENTER INC
1080 N WESTERN AVELOS ANGELES 90029-2310
4/24/2020
Monday, June 06, 2022 Page 118 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA53281 HALAVI DELARAM PA 1396235883 SAN JUDAS COMMUNITY HEALTH CENTER INC
2972 WILSHIRE BLVD 1ST-2ND FLOORLOS ANGELES 90010-1101
8/17/2020
A137111 HALAWI HASSAN MD 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
8/3/2015
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
8/3/2015
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/15/2016
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
8/3/2015
G80488 HALLER DAVID LEE MD 1801202676 ANPHON CORPORATION 333 E NUTWOOD STREET SUITE CINGLEWOOD 90301-2357
11/17/2021
G76176 HALPER JILL DIANE MD 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
8/2/2004
20A15207 HAMBARCHYAN ARPI DO 1760900922 ALL FOR HEALTH, HEALTH FOR ALL, INC
2048 MONTROSE AVEMONTROSE 91020
11/21/2018
C153714 HAN AENA D MD 1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
11/29/2021
1932428828 SOUTHERN CALIFORNIA MEDICAL CENTER INC
8825 WHITTIER BLVDPICO RIVERA 90660-2600
11/29/2021
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2019
1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
11/29/2021
RN836883 HAN DAE KYUN NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
6/4/2019
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
6/4/2019
Monday, June 06, 2022 Page 119 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN836883 HAN DAE KYUN NP 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
6/4/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
6/4/2019
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
6/4/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
6/4/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
6/4/2019
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
6/4/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
6/4/2019
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
6/4/2019
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
6/4/2019
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
6/4/2019
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
6/4/2019
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
A63529 HANEY FATMA MD 1760900922 ALL FOR HEALTH, HEALTH FOR ALL, INC
2048 MONTROSE AVEMONTROSE 91020
10/2/2020
Monday, June 06, 2022 Page 120 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A52577 HANNA HANAA NASSIM MD 1811342751 HANNA, HANAA MD INC 887 W 9TH STSAN PEDRO 90731-3603
4/28/2008
A135666 HAQ IRMINA SULTANA MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/21/2020
G59086 HARDY BERNARD L MD 1124405881 HEALTH CARE INTEGRATED SERVICES
2600 N CENTRAL AVENUECOMPTON 90222-1640
7/10/2019
A77104 HARLAN GREGORY ADAM MD 1396756938STB
LAC USC MEDICAL CENTER - OUTPATIENT PEDIATRIC DEPT.
2010 ZONAL AVE OPD 5 EASTLOS ANGELES 90033-0123
1/20/2016
A150082 HARLOW JOHN B MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
10/28/2019
C54033 HAROUTUNIAN GAGIK GREG MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
7/1/2014
1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/21/2012
1255542601C ALTAMED MEDICAL AND DENTAL- ESTRADA COURTS
1305 S CONCORD STREET STE 18LOS ANGELES 90023-3503
1/22/2015
1255542601B ALTAMED MEDICAL AND DENTAL -WILLIAMS MEAD
268 E BLOOM STREET STE 322LOS ANGELES 90012-1973
1/22/2015
1255542601D ALTAMED MEDICAL AND DENTAL/RAMONA GARDENS
1424 CRUSADO LANE STE 168LOS ANGELES 90033-1512
1/22/2015
1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
11/6/2019
RN830901 HARPST SARAH MICHELE NP 1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
12/4/2019
A136841 HARRIS LELE CHAU MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
11/6/2017
A120838 HARTVIG EVELYN MD 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
1/11/2021
Monday, June 06, 2022 Page 121 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A120838 HARTVIG EVELYN MD 1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
PA10304 HARVEY MICHAEL EARL PA 1437334331 SHENOUDA, EMILE G MD INC 15340 DEVONSHIRE ST STE 8MISSION HILLS 91345-2760
11/29/2000
PA15168 HASHEMI SHAHLA PA 1770696023 EL PROYECTO DEL BARRIO INC AZUSA CLINIC
150 N AZUSA AVEAZUSA 91702-3521
5/24/2018
1154730828 EL PROYECTO DEL BARRIO INC 3942 MAINE AVEBALDWIN PARK 91706-4220
5/24/2019
A51569 HASHEMI ZIA MD 1538203971A PACIFIC WOMEN'S MEDICAL CLINIC
4750 GAGE AVEBELL 90201-1351
10/31/2006
A35078 HASHMY ARSHIA MD 1568760239 SHINE HEALTHCARE INC 12371 IMPERIAL HWYNORWALK 90650-3129
2/5/2016
20A12261 HATHUC CHINHNAM DO 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
1/8/2015
1386912202 EAST VALLEY COMMUNITY HEALTH CENTER INC
17840 VILLA CORTA STREETLA PUENTE 91744-5342
8/20/2013
1821114687 EL MONTE CITY SCHOOL DIS 3540 LEXINGTON AVEEL MONTE 91731-2608
12/8/2020
1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
8/26/2013
1831243625STA
EAST VALLEY COMM HLTH INTERMITTENT
4368 SANTA ANITA AVEEL MONTE 91731
12/20/2021
1285046847 EAST VALLEY COMMUNITY HEALTH APCC
276 WEST COLLEGE STREETCOVINA 91723-1902
12/10/2015
1649324443STA
EAST VALLEY COMMUNITY HEALTH CENTER INC
2211 N ORANGE GROVE AVE ROOM 17POMONA 91767-2319
7/7/2017
RN833063 HAUG NICOLETTE JASMIN
NP 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
4/25/2017
Monday, June 06, 2022 Page 122 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G85127 HAWKES ELIZABETH KILGOUR
MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2019
PA10734 HAWKINS DARLA GAIL PA 1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
11/14/2007
1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
4/7/2016
PA56635 HEINEMANN CARRIE ALYSON PA 1932428828 SOUTHERN CALIFORNIA MEDICAL CENTER INC
8825 WHITTIER BLVDPICO RIVERA 90660-2600
10/28/2019
1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
10/29/2019
A38022 HEKMAT FARAH LAALY MD 1073655841 HEKMAT, FARAH L MD 9301 WILSHIRE BLVD STE 402BEVERLY HILLS 90210-6134
12/5/2008
C51341 HEKMAT VAHID MD 1124416607 HEKMAT, VAHID MD INC 23101 SHERMAN PLACE STE 407WEST HILLS 91307-2032
11/3/2011
20A11800 HELMING HEATHER LYNN DO 1417211426 POMONA COMMUNITY HEALTH CENTER
1450 EAST HOLT AVEPOMONA, CA 91767
8/5/2014
A44512 HENAR EVELYN T MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
7/2/2018
A65015 HENDRICKSON IRENE MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
9/9/2003
20A13742 HENLEY NICHOLLE AMOREENA
DO 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
10/22/2018
Monday, June 06, 2022 Page 123 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A139035 HENNIG PAUL DIETRICH MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
2/1/2018
RN95125301 HENRY JANELLE MARIA NP 1477649119A WATTS HEALTHCARE CORPORATION
10300 COMPTON AVELOS ANGELES 90002-3628
8/14/2017
PA56450 HENSLEY JENNIFER MARIE PA 1356850572 DAN M KAHEN, DO APC 5504 WHITTIER BLVDLOS ANGELES 90022-4104
12/9/2020
1346750171 DAN M KAHEN, DO APC 1146 W REDONDO BEACH BLVGARDENA 90247-3538
3/9/2021
A154073 HERNANDEZ GERARDO D JR MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/21/2020
A157967 HERNANDEZ RICHARD DAVID MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
9/18/2019
PA22833 HERNANDEZ ROSANA PA 1205859733A SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
9306 ALONDRA BLVDBELLFLOWER 90706-4212
11/14/2014
1205859733B SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
3529 FIRESTONE BLVDSOUTH GATE 90280-3031
11/25/2014
A74132 HERNANDEZ RUBEN ANTONIO MD 1194217588 HMG HEALTH CARE 44215 15TH ST WEST STE 315LANCASTER 93534
10/29/2020
RN560513 HERNANDEZ SUSAN RUBY NP 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
9/2/2009
G40229 HERNANDEZ VALENTIN MD 1871520320 HERNANDEZ, VALENTIN MD INC 13440 HAWTHORNE BLVDHAWTHORNE 90250-5806
7/30/2010
C166519 HERNDON ERIN KIMBERLY MD 1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
7/16/2020
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
7/16/2020
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
7/16/2020
A23808 HERRERA GASTON MD 1215263827 CLINICA DEL SOCORRO MEDICAL GROUP INC
1061 E VERNON AVE STE FLOS ANGELES 90011-3772
9/4/2012
Monday, June 06, 2022 Page 124 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A63148 HERRERA MARGARET LORENA
MD 1790738243 MODERN CONCEPTS MED GRP 1217 W WHITTIER BLVDMONTEBELLO 90640-4642
3/29/2011
1386859619 MODERN CONCEPTS MED GRP INC
1701 CESAR CHAVEZ AVE STE 354LOS ANGELES 90033-0000
9/27/2002
RN415771 HESLOP JALIE ANN NP 1972912236 CENTRAL CITY COMMUNITY HEALTH CENTER INC
10050 GARVEY AVE STE 111EL MONTE 91733-2088
4/26/2018
A33432 HETHUMUNI STEPHANEE SIRIMAUO
MD 1255488821 KHAN, DEANNA Y MD 101 E BEVERLY BLVD STE 404MONTEBELLO 90640-4317
10/20/2014
1639226202 HETHUMUNI, STEPHANEE MD INC 101 E BEVERLY BLVD STE 404MONTEBELLO 90640-4317
5/14/2008
G75998 HIERRO GLORIA MD 1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
4/29/2008
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
4/29/2008
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
4/29/2008
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
4/29/2008
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/29/2008
Monday, June 06, 2022 Page 125 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G75998 HIERRO GLORIA MD 1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
4/29/2008
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
4/29/2008
A161809 HIGGINBOTHAM ERIN ELIZABETH MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
12/27/2021
RN782239 HILARIO KATHLENE MATEO
NP 1033304894 HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
711 N ALVARADO ST STE 104 AND 107LOS ANGELES 90026-3333
1/4/2022
RN813481 HILL ELIANA NP 1821210329B AKHAVAN, AFSHIN DO A 530 E WASHINGTON BLVDLOS ANGELES 90015-3723
9/17/2019
1821210329A AKHAVAN, AFSHIN DO A PROFESSIONAL CORPORATION
2409 S VERMONT AVELOS ANGELES 90007-1661
9/18/2019
A126168 HILLSON CHRISTINA MARIE MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
12/6/2018
1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
8/8/2016
A97223 HIROMURA CHRISTOPHER MATTHEW
MD 1649223777 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 CESAR CHAVEZ STE 402LOS ANGELES 90033-2496
12/24/2015
PA22397 HO COLEMAN PA 1760480610 GARFIELD HEALTH CENTER 210 N GARFIELD SUITE 203MONTEREY PARK 91754-1746
12/3/2014
PA52657 HOAGLAND JESSE DANIEL PA 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/19/2017
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/19/2017
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/19/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/19/2017
Monday, June 06, 2022 Page 126 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA52657 HOAGLAND JESSE DANIEL PA 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/19/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/19/2017
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/19/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/19/2017
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/19/2017
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/19/2017
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/19/2017
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/19/2017
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/19/2017
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
PA20445 HOANG ADRIAN PA 1669881926 CENTRAL CITY COMMUNITY HEALTH CENTER INC
4126 N MAINE AVEBALDWIN PARK 91706-5010
6/12/2017
20A13241 HOANG DAVID NGOC DO 1861758831 HOANG, DAVID N DO 13672 HAWTHORNE BLVDHAWTHORNE 90250-5810
3/25/2016
A87487 HOANG VIET MD 1538525787 MAKENA HEALTHCARE CORP 622 W DUARTE ROAD STE 301ARCADIA 91007-9277
5/16/2016
Monday, June 06, 2022 Page 127 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A161568 HOCHMAN STEVEN DANIEL MD 1124182977 JWCH INSTITUTE INC 3591 E IMPERIAL HIGHWAYLYNWOOD 90262-2684
12/3/2020
A161961 HOCHMAN SEGAL HANNAH REBECCA
MD 1598829350 JWCH INSTITUTE, INC 954 N VERMONT AVELOS ANGELES 90029-3529
9/4/2019
A117520 HOFFMAN DIANA ELISE MD 1558397067 VENICE FAMILY CLINIC 2509 PICO BLVDSANTA MONICA 90405-1828
7/30/2013
RN423940 HOFFMAN JESSICA F NP 1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
6/30/2020
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
6/30/2020
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
6/30/2020
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
6/30/2020
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
6/30/2020
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
6/30/2020
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
6/30/2020
A73220 HOGAN ANJANETTE MARSHAWN
MD 1457447393 HOGAN, ANJANETTE MD INC 1141 W REDONDO BCH STE 409GARDENA 90247-3528
5/22/2006
G66101 HOH JOHN JUNG-KWONG
MD 1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
9/10/2002
RN374283 HOLLAND EDRIS Y NP 1528074044 ELDESSOUKY, AMANI A MD INC 1704 W MANCHESTER AVE STE 109LOS ANGELES 90047-3034
4/25/2022
G43388 HOLLENBERG SANDRA ANNE MD 1366447781 LAUPPE, HOLLEMBERG, AGRAWAL KNOLL & WARREN
250 W BONITA AVE STE 200POMONA 91767-1850
10/5/2010
RN852373 HOLLINSHEAD JANE BLACKWELL
NP 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
1/22/2021
Monday, June 06, 2022 Page 128 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN751216 HOLMAN SAMIA NP 1386025773 L A STAR MEDICAL GROUP INC 4161 REDONDO BEACH BLVD SUITE 100LAWNDALE 90260-1477
4/10/2017
1538344437 SHENOUDA, EMILE G MD INC 10132 CALIFORNIA AVESOUTH GATE 90280-6008
6/23/2017
G77560 HOLSTEIN LESTER SAMUEL III
MD 1164668786 PREMIER FAMILY MEDICINE ASSOCIATES, INC
1601 N MONTE VISTA AVE STE 100CLAREMONT 91711-6601
11/14/2011
A49271 HONE CHONG SAN MD 1124248570 HEALTH ALLIANCE MED GRP 17170 COLIMA RD STE GHACIENDA HTS 91745-6771
5/27/1993
A74412 HONG ERICKA Y MD 1366447781 LAUPPE, HOLLEMBERG, AGRAWAL KNOLL & WARREN
250 W BONITA AVE STE 200POMONA 91767-1850
10/5/2010
PA59680 HONG IRENE LELIN PA 1285043703 TRINH, MYLINH MD INC 9143 VALLEY BLVD SUITE 201AROSEMEAD 91770-1992
5/4/2022
RN95190305 HONG SHAWN NP 1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/16/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
12/16/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/16/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
12/16/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/16/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
12/16/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/16/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/16/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/16/2021
Monday, June 06, 2022 Page 129 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95190305 HONG SHAWN NP 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/16/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/16/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/16/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/16/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/16/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
12/16/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/16/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/16/2021
PA17103 HOOL FERNANDO PA 1972912236 CENTRAL CITY COMMUNITY HEALTH CENTER INC
10050 GARVEY AVE STE 111EL MONTE 91733-2088
9/26/2019
PA13300 HOOSHMAND HASSAN PA 1073675385 ALIANZA MEDICAL CENTER INC 6907 SEVILLE AVEHUNTINGTON PARK 90255-4901
10/11/2007
A72485 HOSSEINIAN GHOLAM REZA MD 1760671077 UNIVERSAL MEDICAL CLINIC, INC 18040 SHERMAN WAY STE 310RESEDA 91335
7/29/2008
PA51701 HOUSER NATALIE CHANEL PA 1700097540C THE NORTHEAST COMMUNITY CLNC INTERMITTENT
1414 S GRAND AVE SUITE 200LOS ANGELES 90015-3072
12/3/2020
A171316 HSIEH AN-CHIH MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
4/16/2021
20A10294 HSIUNG DEBORAH DO 1033139647 HUANG, CHING-CHIH D MD INC SUNSHINE PEDIATRIC MEDIC
160 E ARTESIA ST STE 235POMONA 91767-2900
3/6/2012
Monday, June 06, 2022 Page 130 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN717840 HUA-FENG LIEN THI PHUONG NP 1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/1/2014
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/1/2014
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
11/10/2014
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
2/10/2016
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/3/2015
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/1/2014
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/1/2014
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/1/2014
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/1/2014
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/1/2014
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/1/2014
Monday, June 06, 2022 Page 131 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN717840 HUA-FENG LIEN THI PHUONG NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/1/2014
PA14078 HUANG ARCH ZEN-SHIN PA 1134364748 KOH, SANDY S MD INC 2727 N PECK RDEL MONTE 91733-2434
6/16/2001
1083726905 KOH, SANDY S MD INC 3419 TYLER AVEEL MONTE 91731-3103
7/30/2007
A47754 HUANG CHING-CHIH MD 1033139647 HUANG, CHING-CHIH D MD INC SUNSHINE PEDIATRIC MEDIC
160 E ARTESIA ST STE 235POMONA 91767-2900
10/29/1990
G69976 HUANG HELEN CHE-MIN MD 1053322743 HUANG, HELEN MD DBA VINEYARD PEDIATRICS
1850 S AZUSA AVE STE 209HACIENDA HEIGHTS 91745-6854
2/13/1996
A128748 HUANG HUI LING MD 1134482326 CHINATOWN SERVICE CENTER 320 S GARFIELD AVE SUITE 118ALHAMBRA, CA 91801-3886
12/2/2015
1427046754 CHINATOWN SERVICE CENTER FAMILY HEALTH CLINIC
767 N HILL ST., STE 200LOS ANGELES 90012-2365
10/4/2017
G72870 HUANG JAMES HUNG-CHANG
MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
3/3/1998
A139796 HUANG JOYCE MD 1033139647 HUANG, CHING-CHIH D MD INC SUNSHINE PEDIATRIC MEDIC
160 E ARTESIA ST STE 235POMONA 91767-2900
5/24/2018
A151181 HUANG CHEN VIVIANA MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
9/26/2019
PA15171 HUDDLESTON JENNIFER PA 1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
4/8/2009
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
4/8/2009
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
Monday, June 06, 2022 Page 132 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA15171 HUDDLESTON JENNIFER PA 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
4/8/2009
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
4/8/2009
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
4/8/2009
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
4/8/2009
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/8/2009
A167173 HUERTAS-ARIAS BRIGITTE MD 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
PA52606 HUETTNER LAURA AINSLEY PA 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
6/19/2020
A95749 HUMELBAUGH GIA MD 1518971241 CO OF L.A. - LONG BEACH CHC 1333 CHESTNUT AVENUELONG BEACH 90813-2944
9/15/2009
RN95072080 HUMPHREY DARIUS TERRAY NP 1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
1/1/0001
A142363 HUNTER SAMANTHA ANNE MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
PA16117 HURLEY ADRIENNE LENORE
PA 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
3/16/2016
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
3/16/2016
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
3/16/2016
Monday, June 06, 2022 Page 133 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA16117 HURLEY ADRIENNE LENORE
PA 1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
2/26/2016
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
2/26/2016
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
3/16/2016
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
3/16/2016
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
3/16/2016
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
3/16/2016
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
3/16/2016
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
3/16/2016
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
3/16/2016
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
A54454 HWANG EUN KYUNG MD 1114007754A KIM, KYU HYUN MD INC 15243 VANOWEN ST STE 300VAN NUYS 91405-3605
3/22/2002
1114007754B KYU HYUN KIM MD INC 3000 W OLYMPIC BLVD 304LOS ANGELES 90006-6513
3/22/2021
Monday, June 06, 2022 Page 134 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A36659 HWANG LIN-HUEY LAI MD 1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
6/5/2007
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
6/4/2007
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
6/4/2007
A60237 HWANG LORIS YEHSHIUN MD 1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
9/28/2017
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
9/28/2017
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
9/28/2017
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
9/28/2017
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
9/28/2017
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
9/28/2017
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
9/28/2017
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
9/28/2017
Monday, June 06, 2022 Page 135 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95026694 HWANG YUNAH NP 1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
1/5/2021
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
1/5/2021
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
1/5/2021
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
1/5/2021
C165562 IBRAHIM AZIZ KHALIL MD 1356498935 PARA LATINO MEDICAL CENTER INC
15717 PARAMOUNT BLVDPARAMOUNT 90723-5113
11/22/2019
RN807266 IFEACHO IFUNANYA OLIVE NP 1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
5/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
5/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
5/18/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
5/18/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
5/18/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
5/18/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
5/18/2021
Monday, June 06, 2022 Page 136 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN807266 IFEACHO IFUNANYA OLIVE NP 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
5/18/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
5/18/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
5/18/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
5/18/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
5/18/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
5/18/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
5/18/2021
A126442 IJADI JEFFREY MD 1164668786 PREMIER FAMILY MEDICINE ASSOCIATES, INC
1601 N MONTE VISTA AVE STE 100CLAREMONT 91711-6601
10/27/2015
RN95058330 IKE IJEOMA EUCHARIA
NP 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
9/1/2021
RN499233 ILOUNO BENEDICTA N NP 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
7/7/2016
A53317 ILUORE AUGUSTINE EGHIEGBA
MD 1801099486 LA COMMUNITY CARE MED ASSOCIATES
11633 HAWTHORNE BLVD STE 103HAWTHORNE 90250-2323
5/14/1999
RN674266 IM JANE NP 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
7/23/2018
A132422 IMAM FARAH NIDA MD 1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
12/4/2019
A39388 INIGUEZ WALFREDO ROXAS
MD 1982814745STB
ALTAMED COMM HEALTH CLINIC INTERMITTENT
2661 E WASHINGTON BLVDPASADENA 91107-0707
4/13/2022
1790177582STA
ALTAMED HEALTH SERVICES CORPORATION
6601 RUGBY AVE STE 300HUNTINGTON PARK 90255-4046
12/16/2021
Monday, June 06, 2022 Page 137 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A39388 INIGUEZ WALFREDO ROXAS
MD 1790177582STB
ALTAMED HEALTH SERVICES INTERMITTENT
1542 E FLORENCE AVELOS ANGELES 90001-2536
1/1/0001
1982814745STA
ALTAMED COMM HEALTH CLINIC INTERMITTENT
3208 SANTA ANITA AVE STE. 200EL MONTE 91733-1304
3/21/2022
1508989500 CROWN CITY MEDICAL GRP INC 6601 RUGBY AVE. STE 300HUNTINGTON PK 90255-4040
10/24/1990
1619090610 CROWN CITY MEDICAL GROUP 3208 SANTA ANITA AVE STE 200EL MONTE 91733-1360
3/15/1994
C168755 IRAM FAIZA MD 1326278490J JANESRI DE SILVA MD APC 15141 WHITTIER BLVD STE 350WHITTIER 90603-2169
7/20/2021
A116127 ISKANDER MARIAN SHERRY MD 1679580880 ISKANDER, MONA Y MD INC 4477 W 118TH ST STE 301HAWTHORNE 90250-2257
1/5/2016
A39011 ISKANDER MONA MD 1679580880 ISKANDER, MONA Y MD INC 4477 W 118TH ST STE 301HAWTHORNE 90250-2257
11/30/1987
A45155 ISKAROUS RAGAA ZAKHER MD 1801184841 MAYWOOD FAMILY MEDICAL CENTER RAGAA Z ISKAROUS
5920 ATLANTIC BLVDMAYWOOD 90270-3101
1/10/2012
A67003 ITCHON LIDEIA NAVASCA MD 1336240217 ITCHON, LIDEIA N MD INC 25835 NARBONNE AVE STE 260LOMITA 90717-3085
10/21/2000
RN673311 JABAT MARY ANN YEE NP 1760407621 J AND L DE LEON MEDICAL CORPORATION
16660 PARAMOUNT BLVD STE 211PARAMOUNT 90723-5469
6/15/2018
A116405 JACOB JINCY MD 1124182977 JWCH INSTITUTE INC 3591 E IMPERIAL HIGHWAYLYNWOOD 90262-2684
11/22/2017
A131098 JACOB THOMAS MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
1/23/2017
G24652 JACOBS ROBERT ARTHUR MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
Monday, June 06, 2022 Page 138 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A173922 JACOBS TOMILAYO TOLULOPE
MD 1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/1/0001
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
9/30/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
9/30/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
9/30/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
9/30/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
9/30/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
9/30/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
9/30/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
9/30/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
9/30/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
9/30/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
9/30/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/30/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
9/30/2021
Monday, June 06, 2022 Page 139 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G34013 JAFFE ROBERT JAMES MD 1578624672 ARDMORE MEDICAL GROUP INC 3564 SANTA ANITA AVE STE. AEL MONTE 91731-2458
12/1/2020
A54961 JAFFERI ALI EJAZ MD 1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
10/15/2009
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
20A5721 JAHANGIRI GREGORY B DO 1588808547 NUESTRA CLINICA INC 4477 WHITTIER BLVDLOS ANGELES 90022-1535
6/24/2009
A84432 JAMEI MOHSEN MD 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
10/13/2015
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
2/10/2016
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
10/13/2015
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
10/13/2015
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
10/13/2015
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
10/13/2015
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
1/4/2018
Monday, June 06, 2022 Page 140 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A84432 JAMEI MOHSEN MD 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
10/13/2015
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
10/13/2015
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
10/13/2015
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
10/13/2015
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
10/13/2015
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
10/13/2015
A90251 JAMES LINDA E MD 1376888024 FLORENCE WESTERN MEDICAL CLINIC INC
13500 VAN NUYS BLVDPACOIMA 91331-3028
6/15/2018
A64542 JAN KAI-NING MD 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
6/9/2015
1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
PA16032 JARANTILLA KENNETH JAMES PA 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
5/17/2004
20A10582 JAVDAN JOSEPH DO 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
9/6/2011
C50454 JAVDAN RON MD 1457781676 BENEVOLENCE INDUSTRIES INC 611 E IMPERIAL HWY, SUITE 107LOS ANGELES 90059-2358
2/12/2020
1821469263 BENEVOLENCE INDUSTRIES INCORPORATED
920 N LONG BEACH BLVD SUITE 1, 2, 3COMPTON 90221-2259
2/20/2020
Monday, June 06, 2022 Page 141 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A108346 JAVDAN SEAN MD 1831287978 WESTSIDE FAMILY HLTH CTR 1711 OCEAN PARK BLVDSANTA MONICA 90405-4901
11/27/2018
A80169 JAVIER JOYCE RIVERA MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
1/2/2008
A26210 JAYASINGHE WALTER MD 1457460503 JAYASINGHE MED GROUP INC LOS ANGELES MEDICAL CTR
319 N SOTO STLOS ANGELES 90033-1837
5/12/1983
1730282286 WALTER JAYASINGHE MD APC/LOS ANGELES MEDICAL CTR
2010 WILSHIRE BLVD FL 2LOS ANGELES 90057-3507
12/4/1990
A48488 JAZAYERI AZAM MD 1972523728 JAZAYERI, AZAM MD 3831 HUGHES AVE., STE. 502CULVER CITY 90232-6858
4/29/1994
A125869 JERATH VANDANA MD 1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
10/27/2017
A32442 JEYARANJAN THAMBIMUTTU MD 1669589644 JEYARANJAN, T MD 284 S ATLANTIC BLVDLOS ANGELES 90022-1733
1/15/1980
PA54434 JIANG NAN PA 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
8/31/2017
A60784 JIMENEZ ARSENIO I JR MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
6/29/2018
RN295493 JIMENEZ CONCEPCION NP 1306194105 AMH COMPREHENSIVE MEDICAL CENTERS
711 NORTH ALVARADO ST SUITE 101LOS ANGELES 90026-4016
9/6/2017
1538344437 SHENOUDA, EMILE G MD INC 10132 CALIFORNIA AVESOUTH GATE 90280-6008
12/10/2008
1053367896 PAJA MEDICAL GROUP INC OLYMPIC FAMILIA CLNC INC
1800 WILSHIRE BLVDLOS ANGELES 90057-3602
11/15/2005
PA58046 JIMENEZ MELISSA ANDREA
PA 1083735203 BATRES , ERIC R MD MEDICAL CORP
5101 FLORENCE AVE STE 4BELL 90201-3801
10/1/2020
A136121 JIMENEZ MELISSA ANNE MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/23/2018
Monday, June 06, 2022 Page 142 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A136121 JIMENEZ MELISSA ANNE MD 1407878150STD
CO OF L.A. - HARBOR-UCLA MEDICAL CTR
21840 NORMANDIE AVE MFI 500TORRANCE 90502
8/5/2015
PA19072 JIMENEZ VICTOR F PA 1003053943 GAGE MEDICAL CLINIC INC 985 W VERNON AVELOS ANGELES 90037-3038
1/25/2016
1477069375 GAGE MEDICAL CLINIC INC. R OF HUNTINGTON PARK
3203 E FLORENCE AVEHUNTINGTON PARK 90255-5831
11/29/2021
RN729703 JOHNSON BETHEL ALVARO NP 1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
7/30/2019
A71252 JOHNSON GINA MARIE MD 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
12/10/2001
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
12/10/2001
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
12/10/2001
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
12/10/2001
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
12/10/2001
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
12/10/2001
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
Monday, June 06, 2022 Page 143 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95105939 JOHNSON JACQUELINE RENEE
NP 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
5/8/2018
G70613 JOHNSON KARLON HOWARD
MD 1952641136 NORTHEAST COMMUNITY CLINICS
1403 LOMITA BLVD STE 100, 101, 106HARBOR CITY 90710-2084
9/2/2020
1891028171 THE NORTHEAST COMMUNITY CLINIC
4455 W 117 ST STE 300HAWTHORNE 90250-2240
11/23/2010
1700097540B THE NORTHEAST COMMUNITY CLNC INTERMITTENT
4455 W 117TH ST SUITE 200HAWTHORNE 90250-2240
10/6/2021
RN303602 JOHNSON LORNA M NP 1033267216 ADVANCED FAMILY CARE MEDICAL GROUP
1201 E FLORENCE AVELOS ANGELES 90001-2432
6/30/2016
A32796 JOHNSON-CHAVIS TONI DENISE MD 1083728190A JOHNSON-CHAVIS, TONI D MD INC 403 S LONG BEACH BLVD STE BCOMPTON 90221-3491
10/8/1981
1083728190B JOHNSON-CHAVIS, TONI D MD, INC
11868 ROSECRANS AVENORWALK 90650-3081
9/23/2003
A76087 JONES KELLY LEE MD 1417378597 KEDREN COMMUNITY HEALTH CENTER INC
4211 SOUTH AVALON BLVD SUITE ALOS ANGELES 90011-5622
9/17/2021
A46469 JONES NAVELLE E MD 1083728190A JOHNSON-CHAVIS, TONI D MD INC 403 S LONG BEACH BLVD STE BCOMPTON 90221-3491
10/22/2007
1083728190B JOHNSON-CHAVIS, TONI D MD, INC
11868 ROSECRANS AVENORWALK 90650-3081
1/6/2009
A81023 JORDAN TAMIKO AOCHI MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
10/13/2010
A33386 JORGE BERNARD SIMON MD 1740511369 CAMILO S JORGE, MD PROF CORP
16415 COLORADO AVE STE 102PARAMOUNT 90723-5051
10/18/2021
RN95078514 JOSE ELISEA MIGUEL NP 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
7/14/2016
A75388 JOSE PAULINE JAVIER MD 1376862607 CUIDADO LATINO MEDICAL CLINIC INC
3710 E CESAR CHAVEZ AVELOS ANGELES 90063-2219
4/4/2012
Monday, June 06, 2022 Page 144 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA20381 JUANICO JUNE ELAINE TIAMZON
PA 1285046847 EAST VALLEY COMMUNITY HEALTH APCC
276 WEST COLLEGE STREETCOVINA 91723-1902
12/10/2015
1649324443STA
EAST VALLEY COMMUNITY HEALTH CENTER INC
2211 N ORANGE GROVE AVE ROOM 17POMONA 91767-2319
7/7/2017
A121331 JUAREZ MORALES LAURIE BETH MD 1275545725 SERRA COMMUNITY MEDICAL CLINIC
9375 SAN FERNANDO RDSUN VALLEY 91352-1418
8/7/2014
1487298477 SFV HEALTH CENTER INC 8426 SUNLAND BLVDSUN VALLEY 91352-3436
1/24/2022
RN815293 JULIANO JULIA NTSUAB NP 1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/19/2017
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/19/2017
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/19/2017
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/19/2017
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/19/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/19/2017
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/19/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/19/2017
Monday, June 06, 2022 Page 145 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN815293 JULIANO JULIA NTSUAB NP 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/19/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/19/2017
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/19/2017
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/19/2017
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/19/2017
A116824 JUNG CHRISTINA ENG MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/29/2012
1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/21/2020
RN95063044 JUPITER RAQUEL NP 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
11/20/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
11/20/2019
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
11/20/2019
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
11/20/2019
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
11/20/2019
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
11/20/2019
Monday, June 06, 2022 Page 146 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95063044 JUPITER RAQUEL NP 1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
11/20/2019
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
11/20/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
11/20/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
11/20/2019
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
11/20/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
11/20/2019
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
11/20/2019
PA17249 JUSTINIANI MARY GRACE CABATAS
PA 1790306074 FHMC GROUP INC 9043 WOODMAN AVE STE CARLETA 91331-6493
2/8/2022
A50031 KAAKIJIAN SARKIS ARSIN MD 1992801906 KAAKIJIAN, SARKIS A MD INC 1500 S CENTRAL AVE STE 318GLENDALE 91204-2574
12/12/1996
A52479 KADRI MOHAMAD BACHIR
MD 1578763207 BENEVOLENCE INDUSTRIES INC 3631 CRENSHAW BLVD SUITE 109LOS ANGELES 90016-4869
12/28/2017
1801202676 ANPHON CORPORATION 333 E NUTWOOD STREET SUITE CINGLEWOOD 90301-2357
7/30/2018
1215113964C COMPLETE CARE COMM HLTH CTR INTERMITTENT
7301 STATE STHUNTINGTON PARK 90255-5823
10/19/2021
Monday, June 06, 2022 Page 147 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A52479 KADRI MOHAMAD BACHIR
MD 1457781676 BENEVOLENCE INDUSTRIES INC 611 E IMPERIAL HWY, SUITE 107LOS ANGELES 90059-2358
2/12/2020
20A6074 KADRNKA CARMEL MARY DO 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
6/8/2017
A45809 KAGWA JUANITA ALICE MD 1073741039 KAGWA-NYANZI, J PEDIATRICS CLINIC
117 W WILLOW STREET SUITE BPOMONA 91768-1829
1/17/2002
20A11814 KAHEN DAN MOSHE DO 1346750171 DAN M KAHEN, DO APC 1146 W REDONDO BEACH BLVGARDENA 90247-3538
11/26/2012
1356850572 DAN M KAHEN, DO APC 5504 WHITTIER BLVDLOS ANGELES 90022-4104
12/9/2020
A119114 KAKKANAD JIMMY JOSEPH MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
8/16/2019
20A10217 KAKOYANNIS ATHANASIA NANCY
DO 1124054564 VENICE FAMILY CLINIC- ROBERT LEVINE FAM HEALTH
905 VENICE BLVDVENICE 90291-4904
6/29/2015
1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/20/2019
A114172 KALOOSTIAN CAROLYN LOUISA
MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
8/13/2014
A102218 KALU CHIOMA ANULI MD 1144596966 BENDITO PEDIATRICS, INC 22030 SHERMAN WAY STE 210CANOGA PARK 91303-1855
1/23/2013
A126171 KAMEN STEFANIE FAYE MD 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
1/20/2017
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
1/20/2017
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
1/20/2017
Monday, June 06, 2022 Page 148 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A126171 KAMEN STEFANIE FAYE MD 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
1/20/2017
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
1/20/2017
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
1/20/2017
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
1/20/2017
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
1/20/2017
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A131204 KAMRA SHEENA L MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
1/23/2017
G65744 KAN BRIAN DAVID MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
3/22/2002
1548876626C VITUITY-PRIMARY CARE GLENDALE
1560 E. CHEVY CHASE DR. SUITE 355GLENDALE 91206-4159
5/12/2022
G74280 KANESHIGE PETER YUKIO MD 1205167350B MEMORIALCARE MEDICAL FOUNDATION
22719 HAWTHORNE BLVDTORRANCE 90505-3613
2/3/2020
RN779149 KANG TAEREE KIM NP 1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
9/18/2017
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
9/18/2017
Monday, June 06, 2022 Page 149 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN779149 KANG TAEREE KIM NP 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
9/18/2017
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
9/18/2017
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
9/18/2017
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
9/18/2017
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
9/18/2017
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
9/18/2017
A56356 KANKAR ANITHA REDDY MD 1124106646 LANARK FAMILY MED CLINIC 8040 VAN NUYS BLVDPANORAMA CITY 91402-6010
11/14/2003
A136809 KANNAN INDU MD 1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
3/2/2020
A162741 KANUMILLI SREERAMYA MD 1710031588I PROVIDENCE FACEY MEDICAL FOUNDATION
191 S BUENA VISTA ST SUITE 100BURBANK 91505-4562
9/21/2021
C53552 KAO LISA MD 1710031588I PROVIDENCE FACEY MEDICAL FOUNDATION
191 S BUENA VISTA ST SUITE 100BURBANK 91505-4562
9/21/2021
A50034 KARAMEDIN FRANGIS MD 1275600249 KARAMEDIN, FRANGIS MD 3680 E IMPERIAL HWY STE 306LYNWOOD 90262-2662
8/4/1997
Monday, June 06, 2022 Page 150 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN357782 KARAMINASSIAN REBECCA ANTRANIG
NP 1396756938STC
LAC USC MEDICAL CENTER - HIGH RISK PREMATURE INFANT CLINIC
2010 ZONAL AVE 3P42BLOS ANGELES 90033-0123
4/14/2017
RN95052711 KARIMI NAHID NP 1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
7/15/2021
1720171242 UNIVERSITY MUSLIM MED UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELES 90044-6105
9/14/2021
A41464 KASHANI ATAOIAH MD 1740349851 KASHANI, ATAOLAH MD/RESEDA MED CL
18355 SHERMAN WAYRESEDA 91335-4436
11/4/1997
A66698 KASHANI DARYOUSH Y MD 1871853481 CENTER FOR FAMILY HEALTH AND EDUCATION INC
8727 VAN NUYS BLVD STE 102 AND 203PANORAMA CITY 91402-2400
8/23/1999
A84361 KASHANI HOUMAN MOUSSIGHI
MD 1740349851 KASHANI, ATAOLAH MD/RESEDA MED CL
18355 SHERMAN WAYRESEDA 91335-4436
10/1/2009
20A9505 KASHANI KAMELIA DO 1104367572 CENTER FOR FAMILY HEALTH & AFFILIATED
3229 SANTA ANITA AVE FIRST FLOOREL MONTE 91733-0882
4/25/2022
A54478 KATIRAIE SEPEHR MD 1508136326 KATIRAIE, SEPEHR MD INC 2638 E FLORENCE AVE HUNTINGTON PARK 90255
11/2/2000
G33771 KAUFMAN NEAL DAVID MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/22/2002
RN530668 KAUR BALVINDER NP 1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
12/15/2017
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
12/15/2017
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
12/15/2017
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
12/15/2017
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
12/15/2017
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
12/15/2017
Monday, June 06, 2022 Page 151 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN530668 KAUR BALVINDER NP 1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
1/4/2018
A116537 KAVCIOGLU RUTH ESPINOZA MD 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
6/14/2017
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
A54072 KAYEKJIAN GARABED MD 1306026034 KAYEKJIAN, GARABED MD INC 18250 ROSCOE BLVD STE 130NORTHRIDGE 91325-4264
11/18/1997
A52950 KAYICHIAN DESPINA GHABY MD 1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
8/2/2019
1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/20/2019
RN601856 KAZARIANS ALICIA VANEE NP 1295935203 CHILDREN FIRST PEDIATRIC GROUP OF DUARTE, A MEDIC
2329 E HUNTINGTON DRDUARTE 91010-2102
9/20/2016
A43406 KEDIA MRIDULA MD 1598860645 KEDIA, MRIDULA MD 4201 TORRANCE BLVD. STE 380TORRANCE 90503-4573
6/24/1999
A74609 KEEFER MATTHEW STEVEN
MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
A112071 KEILANI LOUAY MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/13/2014
1790858124 VALLEY PEDIATRIC MED GRP 5353 BALBOA BLVD SUITE 104ENCINO 91316-2858
6/28/2021
RN95075717 KELLEHER BRIDGET MARIE NP 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/20/2019
1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
8/2/2019
RN95079750 KELLY NANCY LOPEZ NP 1386708634 JWCH INSTITUTE, INC JWCH NORWALK REGIONAL
12360 FIRESTONE BLVDNORWALK 90650-4324
7/17/2020
Monday, June 06, 2022 Page 152 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A34034 KEVORKIAN VICTOR A MD 1952496663 KEVORKIAN, VICTOR A MD A PROFESSIONAL CORP
14111 VAN NESS AVE STE. 4GARDENA 90249-2944
4/27/1992
A89143 KEYNIGSHTEYN RENA MD 1285711937B PROSPERA GROUP CORP 3831 HUGHES AVE STE 602CULVER CITY 90232-6845
3/10/2009
20A9087 KHAIRULLAH FIRHANA ZAHID DO 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
12/16/2019
A103696 KHALAFBEIGI HELEN MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/11/2021
A33207 KHALATIAN MARIA-EUGENIA MD 1003188160B MAYFLOWER MEDICAL GROUP INC
11436 GARVEY AVE STE A, BEL MONTE 91732-3304
9/17/2019
A41872 KHALIL NABIL F MD 1487832655 SOCAL HEALTHNET INC 5912 SANTA MONICA BLVDLOS ANGELES 90038-2043
4/26/2008
A56258 KHALIL NAGY FOUAD MD 1013932979 FLORENCE MEDICAL CTR INC 1557 E FLORENCE AVELOS ANGELES 90001-2597
2/18/1999
1891904686 GAGE MEDICAL CENTER 2719 E GAGE AVEHUNTINGTON PARK 90255-4202
7/11/2005
1962685966 TWEETY FAMILY CLINIC INC 3050 TWEETY BLVDSOUTH GATE 90280-5742
2/28/2008
A52178 KHALILI MANOUTCHER MD 1316455363 YASHARPOUR MEDICAL DOCTOR, INC., APMC
7400 VAN NUYS BLVD., STE 120VAN NUYS 91405-1972
8/2/2019
1255849238 YASHARPOUR MEDICAL DOCTOR, INC APMC
6330 VAN NUYS BLVDVAN NUYS 91401-2610
8/2/2019
A147114 KHAMBATY RUKSANA RANGWALA
MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
9/26/2019
1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
11/6/2019
A43374 KHAMIS SHERIF Z MD 1225302789B KHAMIS, SHERIF MD INC 2271 E PALMDALE BLVD SUITE EPALMDALE 93550-1340
11/14/2014
Monday, June 06, 2022 Page 153 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A48900 KHAN ASMA MASOOD MD 1699839993 THE CHILDRENS CLINIC SERVING INTERMITTENT
17660 LAKEWOOD BLVDBELLFLOWER 90706-6410
8/9/2012
A30976 KHAN DEANNA Y MD 1255488821 KHAN, DEANNA Y MD 101 E BEVERLY BLVD STE 404MONTEBELLO 90640-4317
5/14/2008
1639226202 HETHUMUNI, STEPHANEE MD INC 101 E BEVERLY BLVD STE 404MONTEBELLO 90640-4317
10/20/2014
A31453 KHAN HAMEED A MD 1427006113 KHAN, HAMEED A MD INC 3655 W LOMITA BLVD SUITE 421TORRANCE 90505-1934
5/19/1997
RN542271 KHAN RIFFAT A NP 1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
7/7/2020
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
7/7/2020
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
7/7/2020
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
7/7/2020
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
3/2/2020
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
3/2/2020
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
3/2/2020
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
3/2/2020
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
7/7/2020
Monday, June 06, 2022 Page 154 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN542271 KHAN RIFFAT A NP 1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
7/7/2020
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
3/2/2020
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
7/7/2020
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
7/7/2020
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
7/7/2020
A51486 KHAN SHAHID OMAR MD 1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/2/2009
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
A92573 KHAN TAHIR MAHMOOD MD 1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
5/9/2007
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
5/9/2007
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
10/29/2009
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
3/8/2007
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
A68411 KHANDABI-DANESHRAD
PEGAH MD 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
2/5/2002
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
Monday, June 06, 2022 Page 155 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A68411 KHANDABI-DANESHRAD
PEGAH MD 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
2/5/2002
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
2/5/2002
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
2/3/2002
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
2/5/2002
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
20A15117 KHANKHANIAN JESSICA LEAH DO 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/29/2018
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/29/2018
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/29/2018
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/29/2018
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
A80900 KHANOYAN SIRVARD MD 1548876626C VITUITY-PRIMARY CARE GLENDALE
1560 E. CHEVY CHASE DR. SUITE 355GLENDALE 91206-4159
5/12/2022
Monday, June 06, 2022 Page 156 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A53807 KHAW PENTHEA SUE MD 1770596439 CO OF L.A. - LA PUENTE SUBCENTER
15930 CENTRAL AVELA PUENTE 91744-5410
8/16/2019
1972516631 CO OF L.A. - EL MONTE COMPREHENSIVE HC
10953 RAMONA BLVDEL MONTE 91731-2698
8/2/2019
PA14508 KHORRAM BABAK PA 1851306724 AGUILUZ, JACQUELINE B DO TOWNE CENTER FAMILY MED
21508 NORWALK BLVDHAWAIIAN GARDENS 90716-1122
8/31/2004
A88689 KHOURY MARIBEL P MD 1972563617 MEDICAL GRP OF PARAMOUNT / CLINICA MEDICA HISPANA
14906 PARAMOUNT BLVD.PARAMOUNT 90723-3409
12/14/2006
A31583 KHOURY NABIL HORACIO MD 1972563617 MEDICAL GRP OF PARAMOUNT / CLINICA MEDICA HISPANA
14906 PARAMOUNT BLVD.PARAMOUNT 90723-3409
7/5/1994
PA14511 KHOURY USAMA SALAMEH PA 1881795003 SAN MATEO MEDICAL CLINIC INC 4055 WHITTIER BLVDLOS ANGELES 90023-2536
11/25/2013
A100597 KHOYLYAN GAGIK MD 1518398031 ALL FOR HEALTH HEALTH FOR ALL INC
1030 SOUTH GLENDALE AVE SUITE 307GLENDALE 91205-2866
3/14/2012
RN620960 KIEVSKY ALINA NP 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
8/16/2021
RN728328 KILMER APRIL JANICE NP 1154857175 JAMES J WU MEDICAL CORPORATION
1818 N ORANGE GROVE AVE 200POMONA 91767-3028
11/18/2021
A34623 KIM CHUNG WOONG MD 1588808547 NUESTRA CLINICA INC 4477 WHITTIER BLVDLOS ANGELES 90022-1535
1/27/2020
A87972 KIM ISAAC K MD 1831251610 INTERCOMMUNITY FAMILY MEDICAL ASSOC INC
12291 WASHINGTON BLVD STE 500WHITTIER 90606-2551
3/3/2017
A53915 KIM JANET SUN MD 1265764955 KIM, JANET S MD INC 500 S VIRGIL AVE STE 204LOS ANGELES 90020-1404
10/5/2010
A37421 KIM JUNG HI MD 1902914773 KIM, JUNG H MD 18614 SHERMAN WAYRESEDA 91335-4138
8/18/1983
RN566041 KIM JUNG OK NP 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
2/3/2022
A145961 KIM KHIJOO MD 1821469263 BENEVOLENCE INDUSTRIES INCORPORATED
920 N LONG BEACH BLVD SUITE 1, 2, 3COMPTON 90221-2259
2/20/2020
Monday, June 06, 2022 Page 157 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A47842 KIM KUNG SOO MD 1467415455 KIM, KUNGSOO MD 18102 PIONEER BLVD STE 201ARTESIA 90701-4404
8/10/1990
A51510 KIM KYU HYUN MD 1114007754B KYU HYUN KIM MD INC 3000 W OLYMPIC BLVD 304LOS ANGELES 90006-6513
3/22/2021
1114007754A KIM, KYU HYUN MD INC 15243 VANOWEN ST STE 300VAN NUYS 91405-3605
8/29/1995
A62021 KIM MILAN MD 1588761233 KIM, MILAN MD 18895 COLIMA RD STE AROWLAND HGHTS 91748-2978
4/7/2000
RN609209 KIM MYOUNG MEE NP 1821469263 BENEVOLENCE INDUSTRIES INCORPORATED
920 N LONG BEACH BLVD SUITE 1, 2, 3COMPTON 90221-2259
2/20/2020
A48806 KIM PETER YUN SOO MD 1710031588C FACEY MEDICAL FOUNDATION 26357 MCBEAN PKWYVALENCIA 91355-4488
6/12/2013
A71519 KIM RHODORA ESTACIO
MD 1710031588B FACEY MEDICAL FOUNDATION 9111 CORBIN AVENORTHRIDGE 91324-2402
6/12/2013
A129894 KIM SARAH MD 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
12/23/2016
1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
10/25/2018
RN851004 KIM SUN HYOUNG NP 1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
7/16/2020
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
7/16/2020
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
7/16/2020
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
7/16/2020
C146105 KIM YANG MD 1265764955 KIM, JANET S MD INC 500 S VIRGIL AVE STE 204LOS ANGELES 90020-1404
12/15/2017
RN337001 KIM YEUN HEE NP 1376862607 CUIDADO LATINO MEDICAL CLINIC INC
3710 E CESAR CHAVEZ AVELOS ANGELES 90063-2219
4/30/2012
Monday, June 06, 2022 Page 158 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A32590 KIM YOUNG SOON MD 1669476206 KIM, YOUNG SOON MD 17507 CRENSHAW BLVD.TORRANCE 90504-3403
6/2/1989
RN677514 KIM YOUNGWOOK NP 1821469263 BENEVOLENCE INDUSTRIES INCORPORATED
920 N LONG BEACH BLVD SUITE 1, 2, 3COMPTON 90221-2259
2/20/2020
A38876 KIMS ALAN KEY MD 1578624672 ARDMORE MEDICAL GROUP INC 3564 SANTA ANITA AVE STE. AEL MONTE 91731-2458
6/24/1999
1770649097 ARDMORE MED GROUP INC 3500 WHITTIER BLVD STE 105LOS ANGELES 90023-1746
12/25/2000
20A7544 KING COLEY M. DO 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/20/2019
A165926 KING KEVIN DALE SAMUEL
MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
9/30/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/30/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
9/30/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
9/30/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
9/30/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
9/30/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
9/30/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
9/30/2021
Monday, June 06, 2022 Page 159 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A165926 KING KEVIN DALE SAMUEL
MD 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
9/30/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
9/30/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
9/30/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
9/30/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
9/30/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
9/30/2021
G84127 KINGSLEY ANTHONY MCDONALD U.
MD 1932249315 COMPREHENS MED CNTR INC CLINICA MED COMUNIDAD INC
2286 S. GAREY AVEPOMONA 91766-5645
5/14/2007
1063551257 COMPREHENSIVE MEDICAL CENTER, INC
10301 GARVEY AVE STE 100EL MONTE 91733-2180
3/9/2005
G32522 KISHINEFF SHELDON MD 1710031588I PROVIDENCE FACEY MEDICAL FOUNDATION
191 S BUENA VISTA ST SUITE 100BURBANK 91505-4562
9/21/2021
20A7293 KLEIN LESLIE A. DO 1891830568 MOSAIC FAMILY CARE MEDICAL GROUP INC
4857 HUNTINGTON DR NLOS ANGELES 90032-1939
12/27/2018
PA15011 KNIGHT SONYA YVETTE PA 1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
7/7/2020
G77415 KNOLL CARRIE EVE MD 1366447781 LAUPPE, HOLLEMBERG, AGRAWAL KNOLL & WARREN
250 W BONITA AVE STE 200POMONA 91767-1850
10/5/2010
RN95028412 KNUTSON JENNIFER RAE NP 1821210329A AKHAVAN, AFSHIN DO A PROFESSIONAL CORPORATION
2409 S VERMONT AVELOS ANGELES 90007-1661
10/19/2016
1821210329B AKHAVAN, AFSHIN DO A 530 E WASHINGTON BLVDLOS ANGELES 90015-3723
10/20/2016
A133254 KO KEVIN MD 1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
4/22/2021
Monday, June 06, 2022 Page 160 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A133254 KO KEVIN MD 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
4/22/2021
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
4/22/2021
PA21327 KODITUWAKKU-COORAY
LAKMALI PA 1356498935 PARA LATINO MEDICAL CENTER INC
15717 PARAMOUNT BLVDPARAMOUNT 90723-5113
9/22/2011
A104910 KOE LILLIAN MD 1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
5/30/2013
A86407 KOETTERS PETER JAMES MD 1316455363 YASHARPOUR MEDICAL DOCTOR, INC., APMC
7400 VAN NUYS BLVD., STE 120VAN NUYS 91405-1972
9/26/2019
1255849238 YASHARPOUR MEDICAL DOCTOR, INC APMC
6330 VAN NUYS BLVDVAN NUYS 91401-2610
9/26/2019
RN476192 KOH DOMINIC ENG BOON
NP 1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
9/10/2002
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
11/16/2005
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
9/5/2013
A34583 KOH SANDY SOONCHUNG
MD 1134364748 KOH, SANDY S MD INC 2727 N PECK RDEL MONTE 91733-2434
11/22/1982
1083726905 KOH, SANDY S MD INC 3419 TYLER AVEEL MONTE 91731-3103
7/30/2007
A34875 KOHAN MARIO ABEL MD 1265489751 LOS ANGELES CLINICA MEDICA GENERAL MED. CTR. INC.
2208 W 7TH STLOS ANGELES 90057-4002
7/20/2009
20A14409 KOHAN ROZALIN RABIEIAN
DO 1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
8/25/2017
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
2/1/2018
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
12/6/2018
Monday, June 06, 2022 Page 161 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A174318 KOKOVA MARINA MD 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/16/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/16/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
12/16/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/16/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/16/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/16/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/16/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/16/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/16/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/16/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/16/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
12/16/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/16/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
12/16/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/16/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
12/16/2021
Monday, June 06, 2022 Page 162 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A174318 KOKOVA MARINA MD 1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/16/2021
A43547 KOLDHEKAR VAIJAYANTI S MD 1386730919 KOLDHEKAR, VAIJAYANTI MD INC 931 BUENA VISTA STREET 302DUARTE 91010-1714
8/9/2005
1811063985 DUARTE UNIF SCHOOL DISTRICT 1620 HUNTINGTON DRIVEDUARTE 91010-2534
3/23/2006
20A8863 KONA NITHYA REDDY DO 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
6/25/2012
G19088 KONG ARTHUR MD 1790835338 KONG, ARTHUR MD 1048 S GARFIELD AVE STE 100ALHAMBRA 91801-4768
10/25/1977
G68276 KONG VICTOR HOY SOON
MD 1437377454 KOREAN HEALTH EDUCATION KHEIR HEALTH SVS CTR
3727 W 6TH ST STE 200LOS ANGELES 90020-5108
6/4/2009
A26756 KOO HELEN SIU-KING CH
MD 1477596864 KOO, HELEN S MD 265 E BEVERLY BLVD FL 2MONTEBELLO 90640-3776
12/27/1984
A121627 KOOLWIJK IRENE MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/23/2012
A36588 KOSHAK MICHAEL MEYER MD 1114947058C CHOICE PROVIDERS MEDICAL GROUP
11631 VICTORY BLVD STE 101N HOLLYWOOD 91606-3572
8/20/2007
1114947058B CHOICE PROVIDERS MEDICAL GROUP INC
17709 CHATSWORTH STGRANADA HILLS 91344-5675
1/29/2007
RN825610 KOSTECKI KAITLIN DARLENE
NP 1417211426 POMONA COMMUNITY HEALTH CENTER
1450 EAST HOLT AVEPOMONA, CA 91767
3/9/2018
RN540660 KOUCH LY KIM NP 1821114687 EL MONTE CITY SCHOOL DIS 3540 LEXINGTON AVEEL MONTE 91731-2608
3/6/2007
G69428 KOUROS PHILIP DIMITRIOS MD 1669799896 SOUTH CENTRAL FAMILY HEALTH CENTER (SCFHC)
2680 SATURN AVE STE 110, 220, 280HUNTINGTON PARK 90255-4568
9/15/2021
RN95036964 KOZACZKA BRIAN MICHAEL NP 1588908305STA
SOUTH CENTRAL FAMILY DENTAL AND MEDICAL
4415 S. CENTRAL AVENUE STE 100LOS ANGELES 90011
7/8/2020
Monday, June 06, 2022 Page 163 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95031166 KOZELCHIK MEREDITH RAE NP 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
7/13/2018
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
7/13/2018
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
7/13/2018
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
7/13/2018
A56261 KPADUWA STELLA OBIAGERI
MD 1780733048 KPADUWA, JULIUS C MD AMC 15913 AMAR RDLA PUENTE 91744
11/10/1999
1396893723 KPADUWA, JULIUS C MD AMC 11017 VALLEY MALLEL MONTE 91731-2617
10/23/2002
A70792 KRIEGER LORI ROCHELLE MD 1881632925 KRIEGER, LORI R MD 1360 W 6TH ST STE 300SAN PEDRO 90732-3576
1/7/2001
A157102 KRIGER DIEGO IVAN MD 1700057981 ST ISABEL FAMILY MEDICAL CLINIC, INC
1535 W LOMITA BLVDHARBOR CITY 90710-2024
7/7/2020
A48922 KRISHNAKUMAR TAMILSELVI RAMASAMY
MD 1275545725 SERRA COMMUNITY MEDICAL CLINIC
9375 SAN FERNANDO RDSUN VALLEY 91352-1418
4/19/2001
1487298477 SFV HEALTH CENTER INC 8426 SUNLAND BLVDSUN VALLEY 91352-3436
1/24/2022
A93438 KRUGLYAKOV SVETLANA MD 1093808933B BURSTEIN MD A PROFESSIONAL CORPORATION
5901 W OLYMPIC BLVD STE 503BLOS ANGELES 90036-4670
4/16/2015
1093808933B BURSTEIN MD A PROFESSIONAL CORPORATION
5901 W OLYMPIC BLVD STE 503BLOS ANGELES 90036-4670
6/30/2015
PA18309 KTSHIAN GAYANE PA 1710073390 ST JOHN URGENT CARE AND MED CORP
1119 N WESTERN AVE SUITE GLOS ANGELES 90029-1070
12/7/2017
RN791669 KUANG LENA NP 1881054997B EMANATE HEALTH MEDICAL GROUP
147 W. COLLEGE STREETCOVINA 91723-2008
2/4/2022
A118543 KU-BORDEN TERESA TING MD 1942255195 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 E CESAR E CHAVEZ AVE STE 230LOS ANGELES 90033-2496
11/25/2015
Monday, June 06, 2022 Page 164 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A71808 KUHLMAN CHRISTOPHER DEAN
MD 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
8/27/2001
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
A78549 KUHLMAN PAULA ANN MD 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
7/29/2003
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
7/29/2003
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
7/29/2003
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/8/2003
1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/23/2004
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
7/29/2003
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
7/29/2003
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
Monday, June 06, 2022 Page 165 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A71264 KULSHRESTHA AARTI MD 1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/10/2021
1457608580 JUST 4 KIDS PEDIATRICS, INC 1433 W MERCED AVE STE 103WEST COVINA 91790-3402
12/26/2012
A29494 KUMAR ASHA RANI MD 1447437165 KUMAR, ASHA R MD INC 820 W SERVICE AVEWEST COVINA 91790-3716
1/17/1997
PA13974 KUMAR IRINA PA 1205859733B SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
3529 FIRESTONE BLVDSOUTH GATE 90280-3031
5/14/2007
A40351 KUMAR PRATIBHA MD 1487832655 SOCAL HEALTHNET INC 5912 SANTA MONICA BLVDLOS ANGELES 90038-2043
3/5/2021
1851609176 GREEN CROSS MED NET INC 5832 S VERMONT AVELOS ANGELES 90044-3712
4/5/2021
A114874 KUO IRIS MD 1548659105 BEHAVIORAL HEALTH SERVICES INC
2501 W EL SEGUNDO BLVD SUITE BHAWTHORNE 90250-3317
10/18/2017
A131481 KURZMAN MARK MD 1164771747 THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE STE. 405CULVER CITY, CA 90230
12/4/2019
G59736 KUSUNIS KEITH THOMAS MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
10/3/2002
RN837745 KWAN KEVIN ROBINSON NP 1003824020 BAYLON, PAUL M MD 3118-3120 E FLORENCE AVEHUNTINGTON PARK 90255-5830
8/4/2017
RN719190 KWON YONGJA NP 1386025773 L A STAR MEDICAL GROUP INC 4161 REDONDO BEACH BLVD SUITE 100LAWNDALE 90260-1477
9/16/2020
A51997 KYAZZE FRED BOYD MD 1528350014 KYAZZE, FRED B MD INC 1410 W. ALONDRA BLVD. SUITE CCOMPTON 90220-3533
8/6/1999
A138014 KYI MOE MOE MD 1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/22/2019
Monday, June 06, 2022 Page 166 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A138014 KYI MOE MOE MD 1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/22/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/22/2019
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/22/2019
20A16726 LA DAVID TRAN DO 1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
7/28/2020
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
8/2/2020
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
8/2/2020
PA22770 LACY JON CHARLES PA 1063562130 ST ANTHONY MEDICAL CTR HOLLYWOOD CLINIC
6368 HOLLYWOOD BLVDLOS ANGELES 90028-6320
4/21/2015
PA21700 LAGMAN CLARISSA OBISPO
PA 1225366305 ROXAS-BUTLIG, EVANGELINE MD 1000 E DOMINGUEZ ST STE 110CARSON 90746-3600
3/28/2019
A38515 LAGMAN ROSARIO MD 1053404376 LAGMAN, ROSARIO MD 1300 N VERMONT AVENUE STE 802-ALOS ANGELES 90027-6069
6/27/1996
20A5074 LAKHA RUMI K. DO 1750434866 LAKHA, RUMI K DO INC 7136 PACIFIC BLVD STE 225HUNTINGTON PARK 90255-4767
6/16/2017
1306194105 AMH COMPREHENSIVE MEDICAL CENTERS
711 NORTH ALVARADO ST SUITE 101LOS ANGELES 90026-4016
9/17/2019
1942756937 CITY MEDICAL GROUP INC 1508 E. FLORENCE AVENUELOS ANGELES 90001-2536
3/15/2021
A168504 LAKHANPAL SURYA KANTI MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
12/3/2020
1033634373 PREMIER FAMILY MEDICINE ASSOCIATES, INC
2333 FOOTHILL BLVDLA VERNE 91750-3027
11/3/2020
Monday, June 06, 2022 Page 167 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A51462 LALEZARI BAHMAN MD 1205137452 LALEZARI, BAHMAN MD INC 4944 W PICO BLVDLOS ANGELES 90019-4228
8/29/1997
20A14349 LALEZARI SHAHRZAD DO 1205137452 LALEZARI, BAHMAN MD INC 4944 W PICO BLVDLOS ANGELES 90019-4228
9/2/2020
A92384 LALEZARY ARASH MD 1891839270 GARDENS MEDICAL CENTER INC. 7218 GARFIELD AVEBELL GARDENS 90201-4812
5/13/2008
A32527 LAM DING SUN MD 1861472300 LAM, DING SUN MD INC 600 N GARFIELD AVE STE 101MONTEREY PARK 91754-1167
11/2/2004
RN848605 LAM SHERRY MANH NP 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
7/16/2020
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
7/16/2020
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
7/16/2020
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
7/16/2020
20A11760 LAM STEVEN CUONG DO 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
2/6/2017
C42338 LAM SYLVIA Y MD 1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
6/25/2020
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
4/13/2022
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
4/13/2022
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
4/13/2022
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
4/13/2022
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
4/13/2022
G58712 LAMP KAREN C MD 1124054564 VENICE FAMILY CLINIC- ROBERT LEVINE FAM HEALTH
905 VENICE BLVDVENICE 90291-4904
12/22/2021
Monday, June 06, 2022 Page 168 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G58712 LAMP KAREN C MD 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/20/2019
RN675091 LANDRIO TANYA DENISE NP 1598869018 TADROS, GEORGETTE MD 931 BUENA VISTA ST STE 202DUARTE 91010-1713
2/28/2020
A173696 LANEY ROQUELL RICHELLE
MD 1497001226 VIA CARE COMMUNITY HEALTH CENTER INC
507 S. ATLANTIC BLVDLOS ANGELES, CA 90022-3211
10/26/2021
RN658956 LANGLEY LESLIE AMANDA NP 1396067500 AAA COMPREHENSIVE HEALTHCARE
7451 N LANKERSHIM BLVDNORTH HOLLYWOOD 91605-2803
2/12/2018
RN95104789 LANIER ARIANNA NP 1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
11/29/2021
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/29/2021
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/29/2021
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/29/2021
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/29/2021
PA22341 LARA MONICA PA 1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
5/8/2018
1023287679STA
T.H.E CLINIC, INC 10223 FIRMONA AVELENNOX 90304
5/8/2018
1023287679STE
T.H.E. CLINIC, INC 10321 HAWTHORNE BLVDINGLEWOOD 90304
5/8/2018
G43240 LARES BEATRIZ MD 1730282286 WALTER JAYASINGHE MD APC/LOS ANGELES MEDICAL CTR
2010 WILSHIRE BLVD FL 2LOS ANGELES 90057-3507
3/14/2022
1457460503 JAYASINGHE MED GROUP INC LOS ANGELES MEDICAL CTR
319 N SOTO STLOS ANGELES 90033-1837
3/14/2022
A116028 LARRAZOLO OSCAR GABRIEL MD 1356489629B SATEY, FARIBORZ D MD INC 627 W AVENUE Q STE DPALMDALE 93551-3891
6/10/2016
1356489629A SATEY, FARIBORZ D MD INC 1707 W AVENUE JLANCASTER 93534-2703
10/18/2016
Monday, June 06, 2022 Page 169 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA13211 LATIOLAIT TRICIA AYERS PA 1467633586 SHAFAI, JAMSHID MD INC MEDICAL GROUP INC
7601 ATLANTIC AVENUECUDAHY 90201-5019
6/11/2012
A54895 LAU CHRISTOPHER TAK
MD 1700097540A THE NORTHEAST COMMUNITY CLNC
200 E ANAHEIM STREETWILMINGTON 90744-4516
2/12/2007
1700097540C THE NORTHEAST COMMUNITY CLNC INTERMITTENT
1414 S GRAND AVE SUITE 200LOS ANGELES 90015-3072
12/3/2020
G75371 LAU MAY YUK MD 1992805550 LAU, MAY Y MD INC 320 S GARFIELD AVE STE 288ALHAMBRA 91801-6815
7/11/2006
20A7653 LAVI ALFRED DO 1629198791B ALFRED LAVI DO PROFESSIONAL 1835 S LA CIENEGA BLVD STE 205 AND 215LOS ANGELES 90035-4651
12/26/2012
1629198791A ALFRED LAVI, DO PROFESSIONAL CORPORATION
2324 W PICO BLVDLOS ANGELES 90006-4002
3/24/2005
A44927 LAVIAN CYRUS RAFAEL MD 1790306074 FHMC GROUP INC 9043 WOODMAN AVE STE CARLETA 91331-6493
2/8/2022
A46370 LAVIAN DAVID MD 1285931105 LAVIAN, DAVID MD INC 14600 SHERMAN WAY STE 215VAN NUYS 91405-5050
11/10/1999
RN657774 LAWRENCE AMPERES LAI-PING
NP 1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
8/27/2014
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
8/27/2014
1356489629B SATEY, FARIBORZ D MD INC 627 W AVENUE Q STE DPALMDALE 93551-3891
6/5/2012
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
8/27/2014
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
8/27/2014
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
8/27/2014
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
8/29/2014
Monday, June 06, 2022 Page 170 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN657774 LAWRENCE AMPERES LAI-PING
NP 1356489629A SATEY, FARIBORZ D MD INC 1707 W AVENUE JLANCASTER 93534-2703
3/1/2019
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
8/27/2014
RN95114838 LAZAR DANIELA NP 1427043389 TARZANA TREATMENT CENTER FAMILY MEDICAL CLINIC
8330 RESEDA BLVDNORTHRIDGE 91324-4619
12/22/2021
A163777 LE AIMEE MD 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
7/26/2021
A66633 LE PHILLIP DINH MD 1124182977 JWCH INSTITUTE INC 3591 E IMPERIAL HIGHWAYLYNWOOD 90262-2684
11/26/2012
1386708634 JWCH INSTITUTE, INC JWCH NORWALK REGIONAL
12360 FIRESTONE BLVDNORWALK 90650-4324
8/27/2009
1538342704 JWCH INSTITUTE INC 14371 CLARK AVENUEBELLFLOWER 90706-2901
10/2/2012
1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
6/6/2016
1104274596 JWCH INSTITUTE, INC 15898 W GALE AVEHACIENDA HEIGHTS 91745-1432
8/15/2017
G77878 LE TO LAN A MD 1124182977 JWCH INSTITUTE INC 3591 E IMPERIAL HIGHWAYLYNWOOD 90262-2684
3/19/2019
1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
3/19/2019
PA57524 LECHUGA CLARISSA PA 1083735203 BATRES , ERIC R MD MEDICAL CORP
5101 FLORENCE AVE STE 4BELL 90201-3801
7/7/2020
PA14169 LEE ANGELA RENEE PA 1932194586STA
WILMINGTON COMMUNITY CLINIC 10901 S VERMONT AVELOS ANGELES 90044-4505
3/6/2017
1932194586 WILMINGTON COMMUNITY CLN 1009 N AVALON BLVDWILMINGTON 90744-4505
3/6/2017
A37292 LEE CHE-CHERNG MD 1942756937 CITY MEDICAL GROUP INC 1508 E. FLORENCE AVENUELOS ANGELES 90001-2536
3/15/2021
Monday, June 06, 2022 Page 171 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN842030 LEE CINDY NP 1417069303 SUPNET, MEDARDO C MD INC 14359 PIONEER BLVD UNIT CNORWALK 90650-4870
5/20/2019
1699923235 SUPNET, MEDARDO C MD INC 3585 E IMPERIAL HWYLYNWOOD 90262-2654
4/12/2019
PA19235 LEE CONNIE MING PA 1861823247 ZAFARANCHI, MOJDEH MD INC 23644 VANOWEN STWEST HILLS 91307-2443
4/21/2008
A51175 LEE DANIEL TSONG-EN
MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/28/2002
RN95238141 LEE ERIKA NP 1083726905 KOH, SANDY S MD INC 3419 TYLER AVEEL MONTE 91731-3103
12/1/2021
1134364748 KOH, SANDY S MD INC 2727 N PECK RDEL MONTE 91733-2434
12/1/2021
A68205 LEE HWE-SEUNG LUCY WHANG
MD 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
8/27/2001
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
A115680 LEE JAMES HEAYSUNG
MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
8/20/2012
A75018 LEE JUDY JOOYUN MD 1679553192 COMPREHENSIVE COMMUNITY HEALTH CTR-EAGLE ROCK
1704 COLORADO BLVDLOS ANGELES 90041-1338
7/13/2018
1972954071 COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
8316 FOOTHILL BLVDSUNLAND 91040-2850
9/29/2021
1356362743STA
COMPREHENSIVE COMMUNITY HLTH CTR-HIGHLAND PARK
5059 YORK BLVDLOS ANGELES 90042-1713
7/13/2018
A97817 LEE JULIANNE OHNMAR
MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
8/25/2017
A146617 LEE KAMILAH SOOJUNG
MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/11/2019
Monday, June 06, 2022 Page 172 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A146617 LEE KAMILAH SOOJUNG
MD 1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
8/20/2019
G43965 LEE KIT H MD 1518015916 LEE, KIT H MD 3300 E SOUTH ST STE 204LAKEWOOD 90805-4634
3/5/1984
RN95107067 LEE MARCUS NP 1124051578 MD MEDICAL CENTER INC 600 N GARFIELD AVE STE 111MONTEREY PARK 91754-1167
10/28/2019
PA54910 LEE MEERI C PA 1700097540STA
NORTHEAST COMM CLINIC INTERMITTENT
5420 N FIGUEROA STLOS ANGELES 90042
1/27/2020
RN95123251 LEE MICHELLE KAREN NP 1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
10/28/2019
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2018
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
1316044522 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
1530 S OLIVE STLOS ANGELES 90015-3023
7/21/2017
A73179 LEE MI-JEONG MD 1568481471 LEE, MI- JEONG MD 2675 W OLYMPIC BLVD STE 103LOS ANGELES 90006-2880
8/6/2001
A68956 LEE SEUNG MIN MD 1962665349 LEE, SEUNG M MEDICAL INC 2030 W PICO BLVD STE 1LOS ANGELES 90006-5011
7/25/2005
A65674 LEE STEPHEN BUMSUK
MD 1851306724 AGUILUZ, JACQUELINE B DO TOWNE CENTER FAMILY MED
21508 NORWALK BLVDHAWAIIAN GARDENS 90716-1122
8/31/2004
G62452 LEE TERRY MICHAEL MD 1124051578 MD MEDICAL CENTER INC 600 N GARFIELD AVE STE 111MONTEREY PARK 91754-1167
7/8/2010
Monday, June 06, 2022 Page 173 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G62452 LEE TERRY MICHAEL MD 1750728663 BALDWIN PARK MEDICAL CLINIC INC.
14051 RAMONA PKWYBALDWIN PARK 91706-4114
10/22/2014
RN805204 LEE YOUNG A NP 1538344437 SHENOUDA, EMILE G MD INC 10132 CALIFORNIA AVESOUTH GATE 90280-6008
12/21/2017
A154707 LEE KIT CANDICE CARMEN
MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/22/2018
RN360042 LEFLORE GLENDA NP 1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
10/16/2003
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
10/16/2003
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
10/16/2003
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
10/16/2003
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
10/16/2003
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
10/16/2003
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
10/16/2003
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
10/16/2003
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
10/16/2003
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
10/16/2003
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
10/16/2003
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
10/16/2003
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
10/16/2003
Monday, June 06, 2022 Page 174 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN360042 LEFLORE GLENDA NP 1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
6/11/2014
1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
10/16/2003
PA54229 LEGESSE RUTH ASMEROM PA 1225188204 ST ANTHONY MEDICAL CTR IMPERIAL CLINIC
837 W IMPERIAL HWYLOS ANGELES 90044-4110
9/5/2017
A137933 LEHOANG JENNIFER T MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
C53366 LEKOVIC JILL MARIE MD 1063805463 COMMUNITY HEALTH ALLIANCE OF PASADENA
513 E LIME AVENUE SUITE 101 AND 102MONROVIA 91016-2982
9/2/2020
G72043 LEON ZONIA A MD 1043423460 VALLEY PEDIATRICS APMC/PREMIER PEDIATRICS MED
14901 RINALDI ST STE 330MISSION HILLS 91345-1251
9/18/2002
A98508 LERNER CARLOS FEDERICO
MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
12/29/2009
RN544362 LESACA CHRISTINE MARTIN
NP 1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
9/8/2020
1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
10/27/2017
A142357 LEUNG TIFFANY KARWAI MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
10/28/2019
A80853 LEV DIANA ALEXIS MD 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
6/2/2009
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
Monday, June 06, 2022 Page 175 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A86281 LEVGUR-FIELDS HADAR MD 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
6/21/2004
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
6/21/2004
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
6/21/2004
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
6/21/2004
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2010
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
6/21/2004
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
6/21/2004
RN756408 LEVY ERICA NP 1962069393 ST JOHN COMMUNITY HEALTH CENTER
2112 S GAREY AVE STE CPOMONA 91766-5600
9/14/2021
G29332 LEVY SUSAN JENIFER MD 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
12/8/2004
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
12/8/2004
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
Monday, June 06, 2022 Page 176 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G29332 LEVY SUSAN JENIFER MD 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
12/8/2004
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
12/8/2004
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
12/8/2004
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
12/8/2004
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
A121070 LEW QUAN LAN JASMINE
MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/21/2020
1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
9/30/2021
A38978 LEWIS GRACIA CONTAOI MD 1730282286 WALTER JAYASINGHE MD APC/LOS ANGELES MEDICAL CTR
2010 WILSHIRE BLVD FL 2LOS ANGELES 90057-3507
12/25/2000
1457460503 JAYASINGHE MED GROUP INC LOS ANGELES MEDICAL CTR
319 N SOTO STLOS ANGELES 90033-1837
10/5/2009
G142894 LEWIS GREGORY RICHARD
MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
12/23/2016
A153343 LEWIS LAURA ANNE MD 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
12/16/2019
A87985 LI CONNIE JIANHUI MD 1639177587 YU CARE MEDICAL GROUP INC 210 N GARFIELD AVE SUITE 316MONTEREY PARK 91754-1746
8/27/2014
Monday, June 06, 2022 Page 177 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A87985 LI CONNIE JIANHUI MD 1174064091 LI, CONNIE J MD APC 600 N GARFIELD AVE SUITE 311MONTERREY PARK 91754-1171
8/2/2018
20A15913 LI JANET TIN YUN DO 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
1/11/2021
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
RN767240 LI WEI NP 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
12/6/2021
A114957 LI JIMENEZ RAFAEL EDMUNDO
MD 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
2/3/2022
PA54813 LIANG GINA MOON-HAN PA 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
12/6/2021
A77570 LIAO EDWARD REGAN MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
4/3/2017
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
8/8/2014
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
8/23/2017
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
4/11/2017
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
8/4/2020
PA52167 LIAO TZU YI PA 1760480610 GARFIELD HEALTH CENTER 210 N GARFIELD SUITE 203MONTEREY PARK 91754-1746
2/23/2018
1235317561 YU CARE MEDICAL GRP INC 1722 SOUTH DESIRE AVE SUITE 102ROWLAND HEIGHTS 91748-0000
1/18/2018
Monday, June 06, 2022 Page 178 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN794218 LIEN JENNIE HAI HONG NP 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/1/0001
1710031588C FACEY MEDICAL FOUNDATION 26357 MCBEAN PKWYVALENCIA 91355-4488
12/16/2018
RN819906 LIGAYO LLOYD ANTHONY NP 1770685612 SANTO NINO MEDICAL CLINIC 14427 CHASE ST STE 100PANORAMA CITY 91402-3020
6/7/2019
RN375985 LIGGINS LYNNE CHARLOTTE
NP 1295003085 REY-MONROY, MA MILDRED MD INC
16415 COLORADO AVE STE 308PARAMOUNT 90723-5053
7/6/2016
RN559379 LIGON DEBORAH CHOI NP 1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
4/15/2013
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
4/15/2013
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/15/2013
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
4/15/2013
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
4/15/2013
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
4/15/2013
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
4/15/2013
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
4/15/2013
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
Monday, June 06, 2022 Page 179 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A48765 LII SHYH-MINE MD 1922150267 LII, SHYH-MINE MD 3859 ROSEMEAD BLVDROSEMEAD 91770-1976
8/13/1998
G60432 LILEY FASHA FRANCES MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
A41598 LIM ANNIE MD 1932299930 ANNIE LIM AND KHENG LIM MD INC
9209 COLIMA RD., STE 4200WHITTIER 90605-1827
1/14/2002
A167226 LIM ATALIE MONIQUE MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
3/11/2021
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
3/11/2021
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
3/11/2021
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
3/11/2021
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
3/11/2021
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
9/2/2020
A53548 LIM KHENG J MD 1932299930 ANNIE LIM AND KHENG LIM MD INC
9209 COLIMA RD., STE 4200WHITTIER 90605-1827
1/14/2002
A44687 LIM RENE A MD 1770685612 SANTO NINO MEDICAL CLINIC 14427 CHASE ST STE 100PANORAMA CITY 91402-3020
5/29/2003
A64444 LIM HEYA MARIA TERESA ESTOQUE
MD 1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
6/13/2013
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
5/10/2007
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/19/2003
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
5/10/2007
Monday, June 06, 2022 Page 180 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A64444 LIM HEYA MARIA TERESA ESTOQUE
MD 1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
5/10/2007
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
8/3/2017
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
8/9/2017
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
A144745 LIN AMBER REBECCA MD 1831251610 INTERCOMMUNITY FAMILY MEDICAL ASSOC INC
12291 WASHINGTON BLVD STE 500WHITTIER 90606-2551
12/26/2018
A40981 LIN BERWYN J C MD 1548313760 LIN, BERWYN J MD 600 N GARFIELD AVE STE 203MONTEREY PARK 91754-1169
12/28/1988
RN755314 LIN FENNY KUAN NP 1760936884 BEVERLYCARE 101 E BEVERLY BLVD SUITE 303MONTEBELLO 90640-4316
3/17/2020
RN497312 LIN MEI-LING NP 1518996313 CONSULTORIO MEDICO LATINO MEDICAL CENTER
15730 PARAMOUNT BLVDPARAMOUNT 90723-4333
7/26/2006
20A9047 LIN RUBIN CHIN DO 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
2/28/2020
A119294 LIN TINA CHIA-YING MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
4/26/2018
20A14070 LIN YUSHIU DO 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
A148629 LINARES YENDI N MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
10/28/2019
A68038 LINDO RUTH CARLETON MD 1275629495 CLINICA MSR OSCAR ROMERO 123 S ALVARADO STREETLOS ANGELES 90057-2201
1/10/2019
Monday, June 06, 2022 Page 181 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A68038 LINDO RUTH CARLETON MD 1316033533 CLINICA MSR OSCAR A ROMERO 2032 MARENGO STLOS ANGELES 90033-1319
1/14/2019
G43722 LINDSEY GLENDA ANN MD 1245343052STA
CO OF L.A. - MARTIN LUTHER KING, JR/DREW MEDICAL CTR
1721 E 120TH STREETLOS ANGELES 90059
11/29/2006
RN95059231 LINESCH JULIA CORINNE NP 1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/5/2021
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/5/2021
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
3/5/2021
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
3/5/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/5/2021
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/5/2021
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
3/5/2021
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
3/5/2021
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/5/2021
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
3/5/2021
RN666433 LINGAD ROMAR BAGANG NP 1881795003 SAN MATEO MEDICAL CLINIC INC 4055 WHITTIER BLVDLOS ANGELES 90023-2536
8/6/2018
PA53837 LIPANOVICH ERICA BATRES PA 1083735203 BATRES , ERIC R MD MEDICAL CORP
5101 FLORENCE AVE STE 4BELL 90201-3801
10/4/2016
Monday, June 06, 2022 Page 182 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A121184 LIU AMY XIAO SONG MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
RN508731 LIU CHRISTINE M NP 1679626428 TOVAR, SONIA Y PROFESSIONAL CORPORATION NURSING
1019 E. HOLT AVEPOMONA, CA 91767
6/29/2015
1376862607 CUIDADO LATINO MEDICAL CLINIC INC
3710 E CESAR CHAVEZ AVELOS ANGELES 90063-2219
6/28/2021
G43687 LIU INGRID YEE MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
3/3/1998
A164724 LIU QIJI MD 1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
10/27/2020
A94917 LIU QUIN YEN-KUN MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/23/2012
A97572 LIU YEN-FU JAMES MD 1720205768 NGUYEN, ANH V MD 3250 SEPULVEDA BVLDTORRANCE 90505-2719
10/31/2014
1598982522 LIU, YEN-FU J MD 3250 SEPULVEDA BLVDTORRANCE 90505-2719
5/11/2011
A133774 LIU YUAN MD 1013311448 KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH
3255 WILSHIRE BLVD STE 120LOS ANGELES 90010-1405
12/7/2016
A69097 LOEZA MARGARITA MD 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
9/24/2002
PA55944 LOPEZ CAROLINA PA 1922416411 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES
4943 SLAUSON AVENUEMAYWOOD 90270-3020
4/28/2020
1215310008 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
6119 AGRA STREETBELL GARDENS 90201-1705
4/28/2020
1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
5/22/2020
A144026 LOPEZ CLAUDIA ELIZABETH
MD 1033634373 PREMIER FAMILY MEDICINE ASSOCIATES, INC
2333 FOOTHILL BLVDLA VERNE 91750-3027
10/25/2018
Monday, June 06, 2022 Page 183 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A52410 LOPEZ DANIEL MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
G59193 LOPEZ GLENN ANDREW MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
2/10/2016
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/3/2015
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
3/3/2015
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
3/3/2015
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
3/3/2015
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
3/3/2015
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
3/3/2015
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
3/3/2015
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
3/3/2015
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
3/3/2015
Monday, June 06, 2022 Page 184 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G59193 LOPEZ GLENN ANDREW MD 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
3/3/2015
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
3/3/2015
A48199 LOPEZ HORACIO GARCIA MD 1659430460 LOPEZ, HORACIO G MD INC 2105 BEVERLY BLVD STE 129LOS ANGELES 90057-2216
5/16/1995
RN717798 LOPEZ JAIL NP 1699822239 TERENCE T Z TAN MD INC 3301 BEECHWOOD AVENUELYNWOOD 90262-3301
3/9/2021
G37689 LOPEZ LUIS EDUARDO MD 1316044522 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
1530 S OLIVE STLOS ANGELES 90015-3023
3/4/1991
G77794 LOPEZ MARIA CYNTHIA SIN
MD 1649223777 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 CESAR CHAVEZ STE 402LOS ANGELES 90033-2496
7/2/2019
PA18555 LOPEZ MARIA EDIT PA 1124182977 JWCH INSTITUTE INC 3591 E IMPERIAL HIGHWAYLYNWOOD 90262-2684
11/26/2012
A103617 LOPEZ PEDRO NAVARRO MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
7/19/2018
PA16033 LOPEZ RAYMOND PA 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
12/16/2019
G78453 LOPEZ VICTOR MANUEL MD 1710031588A PROVIDENCE FACEY MEDICAL FOUNDATION
14550 W SOLEDAD CANYON RDCANYON COUNTRY 91387-2200
5/2/2013
PA60052 LOPEZ ESCOBAR ELIZABETH PA 1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
4/29/2022
A99570 LOPEZ-PATEL MARIA MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
7/11/2019
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
Monday, June 06, 2022 Page 185 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A99894 LOUIE WAYLEY DRAGON
MD 1952641136 NORTHEAST COMMUNITY CLINICS
1403 LOMITA BLVD STE 100, 101, 106HARBOR CITY 90710-2084
6/23/2017
RN397235 LOVALL SHERI M NP 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/28/2018
1407878150STD
CO OF L.A. - HARBOR-UCLA MEDICAL CTR
21840 NORMANDIE AVE MFI 500TORRANCE 90502
8/25/2010
1407878150 CO OF L.A. - HARBOR-UCLA MED CTR/ PEDS DEPT.
1000 W CARSON STREET L-4TORRANCE 90502-2004
10/1/2009
RN764785 LU HELEN NP 1548643000 GARFIELD HEALTH CENTER 701 S ATLANTIC BLVD STE 100MONTEREY PARK 91754-3845
9/26/2019
1760480610 GARFIELD HEALTH CENTER 210 N GARFIELD SUITE 203MONTEREY PARK 91754-1746
2/23/2018
1639177587 YU CARE MEDICAL GROUP INC 210 N GARFIELD AVE SUITE 316MONTEREY PARK 91754-1746
2/23/2018
A45810 LU JOHN SHIN-CHONG
MD 1396767729 LU, JOHN S MD 4201 TORRANCE BLVD STE 370TORRANCE 90503-4594
5/3/1999
PA51765 LU TRANG VU PA 1104274596 JWCH INSTITUTE, INC 15898 W GALE AVEHACIENDA HEIGHTS 91745-1432
8/15/2017
A69725 LUBIN LAUREN MICHELLE
MD 1831426642A LAKESIDE MEDICAL 1500 W WEST COVINA PKWYWEST COVINA 91790-2703
4/11/2014
1710031588I PROVIDENCE FACEY MEDICAL FOUNDATION
191 S BUENA VISTA ST SUITE 100BURBANK 91505-4562
9/21/2021
Monday, June 06, 2022 Page 186 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95054638 LUC CHAN TUE NP 1922416411 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES
4943 SLAUSON AVENUEMAYWOOD 90270-3020
12/4/2019
1215310008 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
6119 AGRA STREETBELL GARDENS 90201-1705
12/4/2019
1790051423 FAMILY HEALTH CARE CENTER OF GREATER LA INC
12113 WOODRUFF AVE STE ADOWNEY 90241-5605
12/4/2019
1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
12/4/2019
RN649777 LUCILA MARIANNE RIVERA
NP 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
2/3/2022
A81197 LUECHA ANGSUMARN MD 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
6/5/2020
A68177 LUETKEHANS KIRK JOSEPH MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
12/4/2019
A145104 LUI PRISCILLA MAI-WAI
MD 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
4/11/2017
PA53349 LUNA ALFONSO PA 1225188204 ST ANTHONY MEDICAL CTR IMPERIAL CLINIC
837 W IMPERIAL HWYLOS ANGELES 90044-4110
9/5/2017
A81300 LUNA DAVID MD 1932501996 VALLEY COMMUNITY HEALTHCARE APCC
9119 HASKELL AVENUENORTH HILLS 91343-3114
5/20/2019
1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
5/1/2019
A49959 LUNA LELANIE MEDINA MD 1427195387 LUNA, LELANIE M MD INC 1500 S CENTRAL AVE STE 310GLENDALE 91204-2581
7/13/1992
PA55123 LUONG JAMES MAR PA 1497970115A GROVER, RAHUL INC 8673 W PICO BLVDLOS ANGELES 90035-2377
7/2/2019
20A11556 LUONG QUAN THUC DO 1598829350STB
JWCH INSTITUTE, INC 45104 10TH STREET WEST
LANCASTER 93534
11/2/2021
Monday, June 06, 2022 Page 187 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A168984 LUPICA ANNELISE MARIE MD 1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
1/11/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
1/11/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
1/11/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/11/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
1/11/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
1/11/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
1/11/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
1/11/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
1/11/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
1/11/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
1/11/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/11/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
1/11/2021
Monday, June 06, 2022 Page 188 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A168984 LUPICA ANNELISE MARIE MD 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
1/11/2021
A107142 LWIN ALICIA AYE-AYE MD 1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/27/2016
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/27/2016
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
10/27/2016
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/27/2016
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/27/2016
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/27/2016
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/27/2016
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/27/2016
PA55718 LY CYNTHIA THANH PA 1023287679STE
T.H.E. CLINIC, INC 10321 HAWTHORNE BLVDINGLEWOOD 90304
11/27/2018
1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
11/27/2018
1023287679STA
T.H.E CLINIC, INC 10223 FIRMONA AVELENNOX 90304
11/27/2018
Monday, June 06, 2022 Page 189 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A116699 LYNN AARON KYAW MD 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
7/7/2020
1770696023 EL PROYECTO DEL BARRIO INC AZUSA CLINIC
150 N AZUSA AVEAZUSA 91702-3521
5/17/2016
A70797 MA LISA MD 1891830568 MOSAIC FAMILY CARE MEDICAL GROUP INC
4857 HUNTINGTON DR NLOS ANGELES 90032-1939
10/17/2002
PA12282 MABEE CAROL BARRON PA 1568760239 SHINE HEALTHCARE INC 12371 IMPERIAL HWYNORWALK 90650-3129
3/19/2019
RN95021985 MACASAET MONIQUE DENISE LEELIN
NP 1982873162 MONTES MEDICAL GROUP 11822 FLORAL DRWHITTIER 90601-2900
10/18/2017
G66162 MACAULAY CAROLE TERESA MD 1326278490J JANESRI DE SILVA MD APC 15141 WHITTIER BLVD STE 350WHITTIER 90603-2169
7/20/2021
A125596 MACKINTOSH LIZA GREEN GOLAN
MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
10/15/2019
1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
4/26/2015
C162928 MADANI BADROSSADAT MD 1861823247 ZAFARANCHI, MOJDEH MD INC 23644 VANOWEN STWEST HILLS 91307-2443
3/16/2022
20A15143 MADATOVIAN HARUT DO 1811397888 COMPLETE CARE COMMUNITY HEALTH CENTER INC
5831 FIRESTONE BLVD SUITE ESOUTH GATE 90280-3718
6/19/2020
1215113964C COMPLETE CARE COMM HLTH CTR INTERMITTENT
7301 STATE STHUNTINGTON PARK 90255-5823
8/31/2020
A56264 MADRID ROBERTO MD 1790738243 MODERN CONCEPTS MED GRP 1217 W WHITTIER BLVDMONTEBELLO 90640-4642
1/1/0001
RN536335 MAGANA DORA OLIVIA NP 1497001226STA
VIA CARE COMMUNITY HEALTH CENTER INC.
501 S WOODS AVELOS ANGELES 90022
8/6/2019
RN95062092 MAGDA SIMONA NP 1750463014 WHITTIER PEDIATRIC GROUP 8522 PAINTER AVEWHITTIER 90602-3335
3/27/2018
20A8657 MAGOUN MARY ANN DO 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
8/30/2013
Monday, June 06, 2022 Page 190 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95022642 MAH STACEY FUI-LING NP 1790051423STA
FAMILY HEALTH CARE CENTER INTERMITTENT
22310 WARDHAM AVE HAWAIIAN GARDENS 90716-1740
12/15/2017
A128577 MAHAJAN NEHA MD 1982617692 CO OF L.A. - ROYBAL COMPREHENSIVE HEALTH
245 S FETTERLY AVELOS ANGELES 90022-1605
7/17/2020
C50379 MAHDAVIE KARIM NOURI MD 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
12/26/2018
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
12/26/2018
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
12/26/2018
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
12/26/2018
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
12/26/2018
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
12/26/2018
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
12/26/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
12/26/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
12/26/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A82432 MAI VIET QUOC MD 1528042090 MAI, VIET Q MD 500 W BADILLO ST COVINA 91722-3762
5/3/2005
20A15395 MAK WENDY DO 1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
Monday, June 06, 2022 Page 191 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A15395 MAK WENDY DO 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
1/11/2021
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
6/28/2021
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
6/28/2021
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
6/28/2021
A51157 MAKABALI REYNALDO LIMPIN
MD 1306079181 REYNALDO L. MAKABALI MD INC 2426 W 8TH ST STE. 104LOS ANGELES 90057-3840
10/29/2020
A41336 MAKAM LAKSHMI DEVI MD 1982611919 CO OF L.A. - HUMPHREY COMPREHENSIVE HC
5850 S MAIN STLOS ANGELES 90003-1215
12/31/2006
A40504 MALAKOOTI HAMID MD 1538243373 MALAKOOTI, HAMID MD 2428 W WHITTIER BLVDMONTEBELLO 90640-3041
8/31/1989
PA20434 MALDONADO ANGELICA ARIANA
PA 1104991686 ADHAMI, AFSHIN S MD 3030 TYLER AVEEL MONTE 91731-3352
1/4/2010
1932315827 ADHAMI, SHAWN A MD INC 1000 W WHITTIER BLVDMONTEBELLO 90640-4639
1/4/2010
A74326 MALDONADO DANIEL CARRILLO
MD 1649223777 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 CESAR CHAVEZ STE 402LOS ANGELES 90033-2496
4/5/2021
A138684 MALHOTRA JUSTINDER SINGH
MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
8/16/2019
A106470 MALHOTRA SMITA MD 1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
3/2/2020
RN285624 MANABO SUSAN TORRES NP 1053367896 PAJA MEDICAL GROUP INC OLYMPIC FAMILIA CLNC INC
1800 WILSHIRE BLVDLOS ANGELES 90057-3602
11/14/2005
RN773493 MANALAD ANTHONY RODRIGUEZ
NP 1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
8/20/2019
RN742739 MANALESE MARIA THERESA MAGANUA
NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
6/4/2019
Monday, June 06, 2022 Page 192 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN742739 MANALESE MARIA THERESA MAGANUA
NP 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
6/4/2019
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
6/4/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
6/4/2019
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
6/4/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
6/4/2019
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
6/4/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
6/4/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
6/4/2019
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
6/4/2019
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
6/4/2019
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
6/4/2019
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
6/4/2019
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
Monday, June 06, 2022 Page 193 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN651162 MANALO BERNADETTE NP 1790051423STA
FAMILY HEALTH CARE CENTER INTERMITTENT
22310 WARDHAM AVE HAWAIIAN GARDENS 90716-1740
1/27/2020
G35075 MANGONI JOHN JOSEPH MD 1982179008 ALL-INCLUSIVE COMMUNITY HEALTH CENTER
17114 DEVONSHIRE STREET SUITE 200NORTHRIDGE 91325-1619
7/17/2020
1093019051 ALL INCLUSIVE COMMUNITY HLTH 1311 N. SAN FERNANDO BLVDBURBANK, CA 91504-4236
6/4/2019
1174996177 ALL-INCLUSIVE COMMUNITY HEALTH CENTER
3920 EAGLE ROCK BLVD SUITE ALOS ANGELES 90065-3606
9/26/2019
A120558 MANGUNE EDWIN MARCELO MD 1437427119 MARCELO-MANGUNE MEDICAL CORPORATION
9604 ARTESIA BLVD SUITE 102BELLFLOWER 90706-8041
7/26/2021
C151520 MANN KELLY M MD 1023287679STE
T.H.E. CLINIC, INC 10321 HAWTHORNE BLVDINGLEWOOD 90304
5/8/2018
RN641913 MANSILLA VANESSA LIZZET NP 1679626436 AZUL MEDICAL CLINIC, INC 6517 EASTERN AVEBELL GARDENS 90201-3003
9/20/2010
A86485 MANUEL GLORIA ACUNA MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
10/20/2014
RN478064 MANUSIA CATHLEEN NP 1356763155 UNICARE COMMUNITY HEALTH CENTER INC
1501 E HOLT AVENUE STE APOMONA 91767-5823
6/13/2016
A67142 MANZANO LEANDER E MD 1083624423 EL PROYECTO DEL BARRIO FAMILY HEALTH CARE CLIN
8902 WOODMAN AVE STE 2ARLETA 91331-6401
7/11/2002
RN759039 MARASIGAN MARIA ANGELICA GABRIEL
NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
G33630 MARCUS STEVEN JAY MD 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
5/1/2019
A111889 MARINO NATALIE GLORIA MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
3/27/2018
Monday, June 06, 2022 Page 194 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A18285 MARKARIAN SARKIS OHANNES
DO 1720571789 UNICARE COMMUNITY HEALTH AFFILIATED
741 S ALVARADO STLOS ANGELES 90057-2903
2/1/2021
RN850993 MARMOLEJO LINDSEY HUNT NP 1477649119A WATTS HEALTHCARE CORPORATION
10300 COMPTON AVELOS ANGELES 90002-3628
8/14/2017
RN741183 MARONEY CHRISTINE BANTATUA
NP 1972954071 COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
8316 FOOTHILL BLVDSUNLAND 91040-2850
12/3/2020
A101224 MAROUNI PAYAM MD 1114255437 MAROUNI, PAYAM MD INC 13750 VICTORY BLVDVAN NUYS 91401-2324
3/13/2013
PA52723 MARQUEZ CATHLEEN HYUN PA 1811397888 COMPLETE CARE COMMUNITY HEALTH CENTER INC
5831 FIRESTONE BLVD SUITE ESOUTH GATE 90280-3718
6/19/2020
1235283094 CENTRAL CITY COMMUNITY HEALTH CENTER INC
5970 S CENTRAL AVELOS ANGELES 90001-1150
8/16/2019
RN715116 MARRIN BRIDGET MARIE NP 1215113964A COMPLETE CARE COMM HLTH CTR
2928 E CESAR E CHAVEZ AVLOS ANGELES 90033-3110
4/13/2022
A138656 MARTIN CLAUDIA MD 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
6/5/2020
1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
9/11/2017
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
9/11/2017
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
9/11/2017
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
9/11/2017
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
9/11/2017
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
9/11/2017
Monday, June 06, 2022 Page 195 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A138656 MARTIN CLAUDIA MD 1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
9/11/2017
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
9/11/2017
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
9/11/2017
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
9/11/2017
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
9/11/2017
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
9/11/2017
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
9/11/2017
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
9/11/2017
A161795 MARTIN EVAN GIL MD 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
2/25/2021
PA18529 MARTINEZ EVELIN ROXANA PA 1396891909 SOUTH CENTRAL FAMILY HEALTH CTR
4425 S CENTRAL AVELOS ANGELES 90011-3629
4/29/2009
G80432 MARTINEZ JORGE MD 1740233725 FCS MEDICAL CORPORATION 815 W WASHINGTON BLVDMONTEBELLO 90640-6123
4/6/2007
A141797 MARTINEZ KAREN ELENA MD 1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
6/21/2018
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
7/19/2018
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
7/19/2018
PA59317 MARTINEZ NYLVIA PA 1891028171 THE NORTHEAST COMMUNITY CLINIC
4455 W 117 ST STE 300HAWTHORNE 90250-2240
9/30/2021
1124460274STD
NORTHEAST COMMUNITY CLINIC 4129 E GAGE AVEBELL 90201-1128
9/30/2021
RN382913 MASON FARIBA SAIDI NP 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
11/22/2011
Monday, June 06, 2022 Page 196 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A111045 MASOOD KIRAN MITHA MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
1/23/2017
G89318 MASOOD PERNIYA MD 1316044522 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
1530 S OLIVE STLOS ANGELES 90015-3023
7/21/2017
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2018
A146003 MASUKAWA KRISTIN TOMOE MD 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
10/22/2018
A77712 MAY JOSHUA ALLEN MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
10/2/2003
RN846494 MAYUGA JEAN MICHELLE MENDIOLA
NP 1528270147 CENTURY MEDICAL CTR APC 3451 WEST CENTURY BLVDINGLEWOOD 90303-1218
3/28/2019
A95634 MAZEL MARY KATHLEEN MD 1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
11/2/2021
RN436813 MCALPIN PAULA CELESTE NP 1982063939 SOUTH CENTRAL FAMILY HEALTH CENTER
7910 ATLANTIC AVE., STE MCUDAHY 90201-5754
7/16/2020
1669799896 SOUTH CENTRAL FAMILY HEALTH CENTER (SCFHC)
2680 SATURN AVE STE 110, 220, 280HUNTINGTON PARK 90255-4568
6/5/2020
20A14762 MCAULEY CAITLIN HELEN DO 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
9/1/2021
RN467144 MCCLELLAN LINDA J NP 1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
Monday, June 06, 2022 Page 197 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN467144 MCCLELLAN LINDA J NP 1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
11/3/2011
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
11/3/2011
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
11/3/2011
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
11/3/2011
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
11/3/2011
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
11/3/2011
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
11/3/2011
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
11/3/2011
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
11/3/2011
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
11/3/2011
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
11/3/2011
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
11/3/2011
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
11/3/2011
1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
11/3/2011
G61054 MCCLOUD ERIC MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
2/22/2018
Monday, June 06, 2022 Page 198 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G61054 MCCLOUD ERIC MD 1982075107B PEDIATRIC AND FAMILY MEDICAL INTERMITTENT
15253 ROSCOE BLVD. PANORAMA CITY 91402-4401
9/14/2021
RN637269 MCCONNELL AMY NP 1124405881 HEALTH CARE INTEGRATED SERVICES
2600 N CENTRAL AVENUECOMPTON 90222-1640
7/10/2019
RN572784 MCCONNELL JARTU MARIAM NP 1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
12/15/2017
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
12/15/2017
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
12/15/2017
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
12/15/2017
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
1/4/2018
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
12/15/2017
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
1/1/0001
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
12/15/2017
A146786 MCCOY-WILSON KELSI ERIKA MD 1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
7/30/2019
1316969934 CO OF L.A. - OLIVE VIEW -UCLA MED. CTR.- PEDIATRICS
14445 OLIVE VIEW DR.SYLMAR 91342-1437
1/18/2018
C145912 MCGROARTY EDWIN THOMAS MD 1346250347 AVALON MEDICAL DEV CORP CENTER
100 FALLS CANYON ROADAVALON 90704-1563
6/19/2020
RN95050204 MCINTOSH LAURA EMILY NP 1982873162 MONTES MEDICAL GROUP 11822 FLORAL DRWHITTIER 90601-2900
3/1/2019
RN95144423 MCKELLOP NICOLA JUANITA NP 1649792615 SOUTH CENTRAL FAMILY HEALTH CENTER
1028 E VERNON AVELOS ANGELES 90011-3717
7/8/2020
RN579119 MCKINSEY WENDY MARIE NP 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/9/2014
Monday, June 06, 2022 Page 199 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN579119 MCKINSEY WENDY MARIE NP 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
4/9/2014
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
4/9/2014
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
4/9/2014
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
4/9/2014
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
4/9/2014
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
4/9/2014
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
4/9/2014
RN377213 MCNAIR SHARI LAVERNE NP 1811397888 COMPLETE CARE COMMUNITY HEALTH CENTER INC
5831 FIRESTONE BLVD SUITE ESOUTH GATE 90280-3718
6/19/2020
A118363 MCNALLY KIMBERLY ALISON KOPP
MD 1255472924 SOUTH BAY FAMILY HEALTHCARE CENTER-INGLEWOOD
1091 S LA BREA AVEINGLEWOOD 90301-3817
2/21/2014
RN95051591 MCNEAL CHANELL MARSHONE
NP 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
6/26/2020
RN306683 MCPHERSON-VENTURA
DARLENE K NP 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
11/15/2017
PA14897 MEACHAM DAVID ALAN PA 1215263827 CLINICA DEL SOCORRO MEDICAL GROUP INC
1061 E VERNON AVE STE FLOS ANGELES 90011-3772
8/2/2020
Monday, June 06, 2022 Page 200 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A115349 MEAS MORODAK MD 1649223777 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 CESAR CHAVEZ STE 402LOS ANGELES 90033-2496
11/1/2013
A44251 MEDAWAR MARIE-THERESE ROBERT
MD 1790858124 VALLEY PEDIATRIC MED GRP 5353 BALBOA BLVD SUITE 104ENCINO 91316-2858
10/1/1980
A106471 MEDINA GILBERTO H MD 1942255195 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 E CESAR E CHAVEZ AVE STE 230LOS ANGELES 90033-2496
8/23/2010
A33919 MEHRABI YOUSEF MD 1801921952E ROY MEDICAL GROUP INC 8001 LAUREL CANYON BLVD STE 109NORTH HOLLYWOOD 91605-1400
11/14/2016
1083693915 MEHRABI, YOUSEF MD 16030 VENTURA BLVD SUITE 140ENCINO 91436-2731
10/18/2021
20A16909 MEHROTRA VIDUSHI DO 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
5/23/2022
A62030 MEHTA ELBA IRIS MD 1396756938STB
LAC USC MEDICAL CENTER - OUTPATIENT PEDIATRIC DEPT.
2010 ZONAL AVE OPD 5 EASTLOS ANGELES 90033-0123
1/20/2016
A80800 MEJIA LEONIDAS VOLTAI SISON
MD 1073675385 ALIANZA MEDICAL CENTER INC 6907 SEVILLE AVEHUNTINGTON PARK 90255-4901
11/19/2003
1518996313 CONSULTORIO MEDICO LATINO MEDICAL CENTER
15730 PARAMOUNT BLVDPARAMOUNT 90723-4333
11/19/2003
A92834 MEKIKYAN ANNA MD 1760900922 ALL FOR HEALTH, HEALTH FOR ALL, INC
2048 MONTROSE AVEMONTROSE 91020
6/26/2020
G35394 MELARAGNO ALBERT JOSEPH MD 1841290400 SHOHAM, STEVEN C MD 10515 BALBOA BLVD STE 360GRANADA HILLS 91344-6346
4/29/2011
A69824 MELERO FRANCISCO LUIS MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
8/26/2004
1134492937 ALTAMED HEALTH SERVICES CORP EAST LA 1ST STREET
2219 E 1ST STREETLOS ANGELES 90033-3901
1/5/2021
Monday, June 06, 2022 Page 201 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A69824 MELERO FRANCISCO LUIS MD 1255542601C ALTAMED MEDICAL AND DENTAL- ESTRADA COURTS
1305 S CONCORD STREET STE 18LOS ANGELES 90023-3503
10/8/2007
A39252 MELEZ KATHLEEN ANNE MD 1093181448 EL PROYECTO DEL BARRIO INC 18250 ROSCOE BLVD SUITE 200NORTHRIDGE 91325-4226
7/2/2019
1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
5/1/2019
A123819 MELGAR ANA KARINA MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/21/2020
A157310 MELKONIAN ARAZ MELKON MD 1548876626C VITUITY-PRIMARY CARE GLENDALE
1560 E. CHEVY CHASE DR. SUITE 355GLENDALE 91206-4159
5/12/2022
PA19808 MENDOZA DEISY A PA 1316033533 CLINICA MSR OSCAR A ROMERO 2032 MARENGO STLOS ANGELES 90033-1319
12/23/2016
1275629495 CLINICA MSR OSCAR ROMERO 123 S ALVARADO STREETLOS ANGELES 90057-2201
12/23/2016
A32117 MENDOZA JOSE ENRIQUE MD 1588712541 MENDOZA, JOSE E MD 5750 DOWNEY AVE STE 204LAKEWOOD 90712-1472
4/22/1983
A53896 MENDOZA MANUEL FAIGAL MD 1942416045 MENDOZA, MANUEL F MD INC 11735 FIRESTONE BLVDNORWALK 90650-2808
3/6/2006
A76738 MENENDEZ RICHARD MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
11/6/2019
RN829047 MENESES BUBBLES ARMAS NP 1942416045 MENDOZA, MANUEL F MD INC 11735 FIRESTONE BLVDNORWALK 90650-2808
11/6/2019
A48634 MENEZ MARTI GUANTIC MD 1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
5/9/2007
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
5/9/2007
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
10/27/2005
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
12/12/2012
Monday, June 06, 2022 Page 202 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A48634 MENEZ MARTI GUANTIC MD 1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
5/9/2007
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
5/9/2007
RN777160 MENSAH KARIN KETEKU NP 1457781676 BENEVOLENCE INDUSTRIES INC 611 E IMPERIAL HWY, SUITE 107LOS ANGELES 90059-2358
2/12/2020
A43006 MERCADER ROLANDO S MD 1639177587 YU CARE MEDICAL GROUP INC 210 N GARFIELD AVE SUITE 316MONTEREY PARK 91754-1746
2/23/2018
1376036178 MERCADER, ROLANDO S MD INC 201 SOUTH ALVARADO ST STE 600LOS ANGELES 90057-2354
5/3/1993
A56295 MERCADO ANITA LOYOLA MD 1306058565 STEWART AND STEWART MDS INC
1024 S GARFIELD AVEALHAMBRA 91801-4762
6/13/2000
A67392 MERRILL BECKER TIFFANY MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/17/1987
PA19591 MESRI ELHAM PA 1891851861 GILL, CADRIN E MD 231 W VERNON AVE STE 201LOS ANGELES 90037-2779
5/24/2018
20A12967 MEYERS JAMES ANTHONY DO 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
12/24/2015
A151395 MEZA JULIO MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
9/20/2018
A83572 MGBOJIRIKWE THECLA NONYE MD 1538500798 COMFORT FAMILY CLINIC INC 215 W ANAHEIM STREETWILMINGTON 90744-4418
2/27/2015
A130971 MHASKAR ADITI H MD 1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
2/3/2022
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
2/3/2022
Monday, June 06, 2022 Page 203 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A130971 MHASKAR ADITI H MD 1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
2/3/2022
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
2/3/2022
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
2/3/2022
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
2/3/2022
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
2/3/2022
PA17555 MICHAEL MANAR PA 1871573360 COMPREHENSIVE COMMUNITY HEALTH CTR-NO HOLLYWOOD
12157 VICTORY BLVDN HOLLYWOOD 91606-3204
1/18/2007
RN95048154 MILES ANDREA DOMINIQUE
NP 1376681486 WATTS HEALTHCARE CORPORATION
10110 JUNIPER STLOS ANGELES 90002-3166
9/27/2018
1477649119B WATTS HEALTHCARE 316 E 111TH STREETLOS ANGELES 90061-3004
9/27/2018
A152541 MILLAN ESPINOZA CARLOS ALBERTO
MD 1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
6/5/2020
1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
10/15/2019
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
A148158 MILLER EMILY MARIE MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
9/20/2018
G57917 MILLER LEE T MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/17/1987
A128264 MILLER LINDSEY COLE MD 1396756938STB
LAC USC MEDICAL CENTER - OUTPATIENT PEDIATRIC DEPT.
2010 ZONAL AVE OPD 5 EASTLOS ANGELES 90033-0123
5/30/2017
A62430 MILLER TAMMY PAULETTE
MD 1518971241 CO OF L.A. - LONG BEACH CHC 1333 CHESTNUT AVENUELONG BEACH 90813-2944
9/15/2009
Monday, June 06, 2022 Page 204 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G33810 MILLET VICTORIA ELLEN MD 1326278490D JANESRI DE SILVA MD A PROF 8940 RESEDA BLVD STE 101NORTHRIDGE 91324-5833
9/7/2021
1326278490A DE SILVA, JANESRI MD APC 14426 GILMORE AVENUE UNIT BVAN NUYS 91401
5/25/2011
1053410506A PEDIATRIC AFFILIATES MEDICAL GROUP INC
7345 MEDICAL CENTER DRIVE SUITE 400WEST HILLS 91307-1963
3/15/2021
A153929 MIN JENNIFER MD 1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
9/30/2020
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
9/30/2020
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
9/30/2020
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
9/30/2020
A101771 MINA NAGWA FOUAD MD 1437334331 SHENOUDA, EMILE G MD INC 15340 DEVONSHIRE ST STE 8MISSION HILLS 91345-2760
3/25/2013
A42974 MINASSIAN GUIRAGOS S MD 1871681817A MINASSIAN, GUIRAGOS MD 18372 CLARK ST STE 226TARZANA 91356-3557
11/22/2000
RN539392 MINASSIANS NASTARAN GHAHREMAN
NP 1083624423 EL PROYECTO DEL BARRIO FAMILY HEALTH CARE CLIN
8902 WOODMAN AVE STE 2ARLETA 91331-6401
11/14/2017
A115776 MIRZAIAN CHRISTINE BOTTRELL
MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
A98368 MIRZAIE GOLI MD 1558397067 VENICE FAMILY CLINIC 2509 PICO BLVDSANTA MONICA 90405-1828
8/2/2019
1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/20/2019
Monday, June 06, 2022 Page 205 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A42173 MITCHELL ROBYN J MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
3/3/1998
C54133 MITRA MITALI CHUMKI MD 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
4/26/2018
RN634457 MIYARES WENDY CAROLINA
NP 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/23/2018
RN476751 MIYAZAKI JAMES M NP 1891830568 MOSAIC FAMILY CARE MEDICAL GROUP INC
4857 HUNTINGTON DR NLOS ANGELES 90032-1939
12/27/2018
20A10710 MIZUHARA-CHENG COURTNEY TAMIKO
DO 1700057981 ST ISABEL FAMILY MEDICAL CLINIC, INC
1535 W LOMITA BLVDHARBOR CITY 90710-2024
10/20/2014
A152130 MLECZKO VICTOR LUIS MD 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
1/27/2020
A35730 MOAS OVI MD 1427123504 MOAS, OVI MD / CLINICA MED INTER MD CTR
7444 LANKERSHIM BLVDNORTH HOLLYWOOD 91605-2801
2/1/1996
G41952 MOCEGA JUAN A JR MD 1093954018 MOCEGA, JUAN A MD JR INC 1141 W REDONDO BEACH BLV STE 308GARDENA 90247-3583
1/21/2010
A144191 MOE HLA MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/22/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/22/2019
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/22/2019
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/22/2019
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/22/2019
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
C43315 MOGHADAM MEHDI AMINI MD 1679625222 MOGHADAM, MEHDI A MD 7232 VAN NUYS BLVD STE 201VAN NUYS 91405-2231
12/11/2001
Monday, June 06, 2022 Page 206 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA15877 MOGHADASI SHAHRAM PA 1083624423 EL PROYECTO DEL BARRIO FAMILY HEALTH CARE CLIN
8902 WOODMAN AVE STE 2ARLETA 91331-6401
8/16/2005
A76701 MOHAMED KARIM IBRAHIM MD 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
3/16/2022
A163807 MOHAN ROHITH MD 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
12/7/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
12/7/2021
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
12/7/2021
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
12/7/2021
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
12/7/2021
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
12/7/2021
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
12/7/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
12/7/2021
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
12/7/2021
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
12/7/2021
RN825848 MOISEYEV SABRINA MONIQUE
NP 1578763207 BENEVOLENCE INDUSTRIES INC 3631 CRENSHAW BLVD SUITE 109LOS ANGELES 90016-4869
11/22/2017
A39395 MOJTAHEDIAN EMMANUEL MD 1609899087 MOJTAHEDIAN, EMMANUEL MD INC.
6425 WHITTIER BLVDLOS ANGELES 90022-4603
10/30/1992
Monday, June 06, 2022 Page 207 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A63859 MOLAIE NAHID NAZMI MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
6/25/2001
G75597 MOLODOW RONA ELLY MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
5/2/2013
RN829990 MOMENI NEDA NP 1871573360 COMPREHENSIVE COMMUNITY HEALTH CTR-NO HOLLYWOOD
12157 VICTORY BLVDN HOLLYWOOD 91606-3204
11/27/2018
RN467422 MONACO ELLEN RUTH NP 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/13/2015
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/13/2015
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/13/2015
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
10/13/2015
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/13/2015
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/13/2015
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/13/2015
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/13/2015
PA14957 MONACO SEAN PA 1306194105 AMH COMPREHENSIVE MEDICAL CENTERS
711 NORTH ALVARADO ST SUITE 101LOS ANGELES 90026-4016
9/12/2019
Monday, June 06, 2022 Page 208 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN640611 MONCAYO DIANE NP 1962513846 ALI, ALIYA I MD 12826 PHILADELPHIA ST STE AWHITTIER 90601-4127
10/30/2015
RN800256 MONTANO DIANA ARACELY NP 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
2/1/2018
PA22689 MONTEON ANDRADE
WENDY CAROLINE
PA 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
8/8/2016
A35815 MONTES ALEJANDRO ZEPEDA
MD 1093809592 MONTES MEDICAL GROUP 832 S GREVILLEA AVEINGLEWOOD 90301-3312
11/16/1987
1437487956 MONTES MEDICAL GROUP INC 4545 E 3RD ST STE 102LOS ANGELES 90022-1656
8/4/2010
1982873162 MONTES MEDICAL GROUP 11822 FLORAL DRWHITTIER 90601-2900
2/8/1988
1700055746 MONTES MEDICAL GROUP INC 13820 SAN ANTONIO DRIVENORWALK 90650-4033
3/17/2003
G35182 MONTES JUAN ZEPEDA MD 1093809592 MONTES MEDICAL GROUP 832 S GREVILLEA AVEINGLEWOOD 90301-3312
11/16/1987
1982873162 MONTES MEDICAL GROUP 11822 FLORAL DRWHITTIER 90601-2900
6/16/2010
PA19826 MOOKINI LEILANI PRIETO PA 1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
11/4/2013
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
11/2/1999
PA14514 MORALES KATHRYN SANJONGCO
PA 1356498935 PARA LATINO MEDICAL CENTER INC
15717 PARAMOUNT BLVDPARAMOUNT 90723-5113
6/29/2018
PA17242 MORALES SERGIO PA 1972789188 GODOY, IGNATIUS P MD INC 16660 PARAMOUNT BLVD STE 206PARAMOUNT 90723-5458
5/17/2006
Monday, June 06, 2022 Page 209 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN559995 MORALES SHENYELL ARLU NP 1417378597 KEDREN COMMUNITY HEALTH CENTER INC
4211 SOUTH AVALON BLVD SUITE ALOS ANGELES 90011-5622
2/27/2015
RN401212 MORAN LINDA JANINE NP 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
2/3/2002
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
2/5/2002
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
2/5/2002
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
2/3/2002
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
2/5/2002
A94503 MORENO GERARDO MD 1467465641STA
CO OF L.A. - MID VALLEY COMP HC
7515 VAN NUYS BLVDVAN NUYS 91405-1949
9/19/2017
1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
9/1/2021
PA52528 MORGAN CAITLIN ALICE PA 1891028171 THE NORTHEAST COMMUNITY CLINIC
4455 W 117 ST STE 300HAWTHORNE 90250-2240
6/24/2020
Monday, June 06, 2022 Page 210 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A15880 MORM LYNNEA W. DO 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
9/14/2021
PA15717 MORQUECHO ANTONIO PA 1922416411 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES
4943 SLAUSON AVENUEMAYWOOD 90270-3020
2/28/2020
1215310008 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
6119 AGRA STREETBELL GARDENS 90201-1705
2/28/2020
G31324 MORRIS ROBERT EDWARD
MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
10/18/2006
G48717 MOSCICKI ANNA BARBARA MD 1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
1/22/2016
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
1/22/2016
1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
1/23/2017
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
1/22/2016
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
1/22/2016
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
1/22/2016
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
1/22/2016
Monday, June 06, 2022 Page 211 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G48717 MOSCICKI ANNA BARBARA MD 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
1/22/2016
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
1/22/2016
A60331 MOSQUEDA LOURDES FUENTES
MD 1326278490H JANESRI DE SILVA M D APC 75 N SANTA ANITA AVE STE 206ARCADIA 91006-3112
8/19/2020
A91709 MOUSAVILAR SHAMS AL-SADAT
MD 1477924520 COMMUNITY HEALTH ALLIANCE OF PASADENA
3703 PECK ROADEL MONTE 91731-3543
8/2/2019
1003301573 SHAMS A. MOUSAVILAR, MD, INC. 1840 N HACIENDA BLVD STE 4LA PUENTE 91744-1143
12/17/2018
1003188160A MAYFLOWER MEDICAL GROUP INC
140 N ORANGE AVE STE 104WEST COVINA 91790-2032
1/22/2020
1063805463 COMMUNITY HEALTH ALLIANCE OF PASADENA
513 E LIME AVENUE SUITE 101 AND 102MONROVIA 91016-2982
8/2/2019
C54682 MOUSSAVIAN-ASSADI
MINA MD 1710031588H FACEY MEDICAL FOUNDATION 18133 VENTURA BLVD 204 AND 402TARZANA 91335-3612
1/23/2017
A75030 MOUSTAFA MARWA ABDELMOHSEN
MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
G69992 MOY ALEXANDER MD 1518973940 CO OF L.A. - BELLFLOWER HEALTH CENTER
10005 E FLOWER STREETBELLFLOWER 90706-0000
2/5/2009
20A8734 MOY JAIME MUEL-KAIE DO 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
2/4/2010
1982814745STB
ALTAMED COMM HEALTH CLINIC INTERMITTENT
2661 E WASHINGTON BLVDPASADENA 91107-0707
4/13/2022
1982814745STA
ALTAMED COMM HEALTH CLINIC INTERMITTENT
3208 SANTA ANITA AVE STE. 200EL MONTE 91733-1304
3/21/2022
Monday, June 06, 2022 Page 212 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN809791 MOYER JOHNNY NP 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
12/7/2017
A98737 MULLANGI ANITHA LAKSHMI MD 1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
1/4/2018
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
1/4/2018
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
1/4/2018
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
1/4/2018
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/4/2018
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
1/4/2018
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
1/4/2018
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/4/2018
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
1/4/2018
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
1/4/2018
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
1/4/2018
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
1/4/2018
Monday, June 06, 2022 Page 213 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN451541 MUNDALL SHERRI MARIE NP 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
6/8/2017
A42598 MUNGCAL RENATO V MD 1003886847 MUNGCAL, RENATO V MD 133 S. VERMONT AVENUELOS ANGELES 90004-5904
1/4/1993
A119231 MUNOZ RUBEN ALEJANDRO
MD 1881987576 NORTHEAST COMMUNITY CLINICS
2822 E FLORENCE AVENUEHUNGTINGTON PARK 90255-5749
8/8/2014
1124460274 NORTHEAST COMMUNITY CLINICS
2975 ZOE AVENUEHUNTINGTON PARK 90255
1/6/2015
1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
6/24/2020
1124460274STD
NORTHEAST COMMUNITY CLINIC 4129 E GAGE AVEBELL 90201-1128
8/6/2013
A143109 MUNOZ CHAVIRA ANNA MD 1891312153 ANNA MUNOZ CHAVIRA MD A CA P
15141 WHITTIER BLVD 200WHITTIER 90603-2173
3/30/2022
1215113964C COMPLETE CARE COMM HLTH CTR INTERMITTENT
7301 STATE STHUNTINGTON PARK 90255-5823
8/31/2020
1811397888 COMPLETE CARE COMMUNITY HEALTH CENTER INC
5831 FIRESTONE BLVD SUITE ESOUTH GATE 90280-3718
6/19/2020
A105689 MUNOZ MARTIN SANCHEZ
ALMA ANGELICA MD 1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
8/24/2017
C39113 MURRAY JAMES PATRICK MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
1/31/2014
C170164 MURRAY KATINA ROBERTSON
MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
12/2/2021
Monday, June 06, 2022 Page 214 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A42301 MYAING-LIM CHARLES H MD 1720196702 HIGH DESERT MEDICAL GRP INC 43839 15TH ST WLANCASTER 93534-4756
1/28/2002
PA22631 NACORDA JOELLE CHRISTINE
PA 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
11/3/2020
A101623 NAGO SARAH AKEMI MD 1700097540STA
NORTHEAST COMM CLINIC INTERMITTENT
5420 N FIGUEROA STLOS ANGELES 90042
9/25/2009
A68048 NARAYANAN BHAVADHARINI MD 1174610380 NARAYANAN, B MD INC 101 E. BEVERLY BLVD STE 306MONTEBELLO 90640-4316
6/17/2005
A42975 NASSIM OMID MD 1376761940 BENEVOLENCE INDUSTRIES INC 3533 W. PICO BLVDLOS ANGELES 90019-4534
10/26/2011
RN95042323 NASSROUIE SAGHI NP 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
11/29/2018
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
11/29/2018
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
11/29/2018
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
11/29/2018
A38254 NAT NARINDAR KAUR MD 1255393682 NAT, NARINDAR K MD 27141 HIDAWAY AVE SUITE 200CANYON COUNTRY 91351-4144
4/2/2007
RN708446 NATHAN TODD S NP 1306194105 AMH COMPREHENSIVE MEDICAL CENTERS
711 NORTH ALVARADO ST SUITE 101LOS ANGELES 90026-4016
9/12/2019
A43977 NATHANSON STEPHEN M MD 1710031588C FACEY MEDICAL FOUNDATION 26357 MCBEAN PKWYVALENCIA 91355-4488
6/12/2013
A139346 NAZARKHAN FATHIMA SARAH MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
12/16/2019
G77472 NEDJAT-HAIEM BEATRICE MD 1801805056A INTEGRATED HEALTHCARE MEDICAL GROUP, INC
2850 ARTESIA BLVD STE 105REDONDO BEACH 90278-3412
9/18/2002
Monday, June 06, 2022 Page 215 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A69107 NEELY KRYSTAL MARIE MD 1972752368 DE NOVO HEALTH CARE INC 803 ROSECRANS AVEE RANCHO DOMINGUEZ 90221-2145
10/20/2011
1083728190A JOHNSON-CHAVIS, TONI D MD INC 403 S LONG BEACH BLVD STE BCOMPTON 90221-3491
1/19/2006
1083728190B JOHNSON-CHAVIS, TONI D MD, INC
11868 ROSECRANS AVENORWALK 90650-3081
1/19/2006
20A6784 NERCESSIAN ARMEN YEGHIA DO 1356763155 UNICARE COMMUNITY HEALTH CENTER INC
1501 E HOLT AVENUE STE APOMONA 91767-5823
1/1/0001
A65488 NEVAREZ THERESA MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
6/25/2001
RN95100342 NEWKIRK ERICA STEWART LOPES
NP 1417211426 POMONA COMMUNITY HEALTH CENTER
1450 EAST HOLT AVEPOMONA, CA 91767
3/9/2018
C28806 NG LIONEL P MD 1295935203 CHILDREN FIRST PEDIATRIC GROUP OF DUARTE, A MEDIC
2329 E HUNTINGTON DRDUARTE 91010-2102
4/25/2003
A113625 NGO GILDA MD 1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
3/9/2017
A69736 NGO HY PHUNG MD 1144385766 NGO, HY PHUNG MD INC 625 E VALLEY BLVD STE H & ISAN GABRIEL 91776
9/27/2013
RN733701 NGSEE STEPHANIE EILEEN
NP 1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
5/20/2019
RN623911 NGUGI JAMES CHEGE NP 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
1/23/2012
A96730 NGUYEN ANH VIETNAM MD 1598982522 LIU, YEN-FU J MD 3250 SEPULVEDA BLVDTORRANCE 90505-2719
10/31/2014
1720205768 NGUYEN, ANH V MD 3250 SEPULVEDA BVLDTORRANCE 90505-2719
3/12/2008
A69259 NGUYEN CHI T.D. MD 1427195387 LUNA, LELANIE M MD INC 1500 S CENTRAL AVE STE 310GLENDALE 91204-2581
1/27/2020
Monday, June 06, 2022 Page 216 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A54119 NGUYEN DAVID DUNGCHI MD 1669553236 NGUYEN, DAVID D MD INC 9817 ARKANSAS STBELLFLOWER 90706-5913
11/17/2003
20A6867 NGUYEN DAVID TUYEN H. DO 1841337532 CHILDREN AND ADULT MEDICAL GROUP INC.
9246 VALLEY BLVD STE AROSEMEAD 91770-1922
7/28/2009
20A6736 NGUYEN FRANKLIN C. DO 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
2/11/2013
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
2/11/2013
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
2/11/2013
A60675 NGUYEN HOANG DUC MD 1972161255 HOANG DUC NGUYEN, M.D., INC. 22110 ROSCOE BLVD STE 100CANOGA PARK 91304-3875
1/9/2006
A42303 NGUYEN HUNG VAN MD 1104819945 NGUYEN, HUNG V MD 7227 RESEDA BLVDRESEDA 91335-3046
9/23/1988
RN95077025 NGUYEN JENNIFER NP 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
12/7/2017
1619471802 THE LOS ANGELES FREE CLINIC INTERMITTENT
137 N VIRGIL AVELOS ANGELES 90004-4811
12/28/2020
A70949 NGUYEN KATIE T MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
2/1/2018
1104274596 JWCH INSTITUTE, INC 15898 W GALE AVEHACIENDA HEIGHTS 91745-1432
10/21/2020
A61182 NGUYEN KHOA DANG MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
1/18/2019
20A17767 NGUYEN LISA NGOC THI DO 1215310008 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
6119 AGRA STREETBELL GARDENS 90201-1705
7/20/2021
1922416411 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES
4943 SLAUSON AVENUEMAYWOOD 90270-3020
7/20/2021
Monday, June 06, 2022 Page 217 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A17767 NGUYEN LISA NGOC THI DO 1790051423STA
FAMILY HEALTH CARE CENTER INTERMITTENT
22310 WARDHAM AVE HAWAIIAN GARDENS 90716-1740
7/20/2021
1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
7/20/2021
1790051423 FAMILY HEALTH CARE CENTER OF GREATER LA INC
12113 WOODRUFF AVE STE ADOWNEY 90241-5605
7/20/2021
PA22405 NGUYEN MATT TUAN PA 1144385766 NGO, HY PHUNG MD INC 625 E VALLEY BLVD STE H & ISAN GABRIEL 91776
1/23/2017
RN531718 NGUYEN NGOCTHE T NP 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
3/7/2017
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
3/7/2017
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
3/7/2017
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
3/7/2017
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
3/7/2017
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
3/7/2017
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
3/7/2017
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
3/7/2017
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
3/7/2017
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
3/7/2017
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
3/7/2017
Monday, June 06, 2022 Page 218 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN531718 NGUYEN NGOCTHE T NP 1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
3/7/2017
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
3/7/2017
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
3/7/2017
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
A32179 NGUYEN SAN THUY MD 1194738849 NGUYEN, SAN T MD INC 1021 S GARFIELD AVEALHAMBRA 91801-4710
9/7/1988
G78163 NGUYEN TANYA THUY MD 1184729626 NGUYEN, TANYA T MD INC 320 S GARFIELD AVE STE 288ALHAMBRA 91801-6815
7/7/2006
A44456 NGUYEN TAO T MD 1861587073 NGUYEN, TAO T MD INC 6043 ATLANTIC BLVDMAYWOOD 90270-3118
5/6/1993
A66089 NGUYEN THANG PHUOC MD 1477730166 NGUYEN, THANG P MD 1271 S UNION AVELOS ANGELES 90015-2043
4/1/2003
RN95061756 NGUYEN THY HOMINH NP 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
11/6/2019
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
11/6/2019
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
11/6/2019
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
11/6/2019
PA55693 NGUYEN TRACY-TRAM NGOC
PA 1356963417 ATALLA MEDICAL GROUP 557 N. MACLAY AVESAN FERNANDO 91340-2424
5/11/2021
A32393 NGUYEN TUAN HUU MD 1073607446 NGUYEN, TUAN HUU MD 22030 SHERMAN WAY STE 211CANOGA PARK 91303-1882
5/27/1981
Monday, June 06, 2022 Page 219 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A83442 NICHOLS CARRIE JEAN MD 1194866525 MAYER, RALPH MD 2568 CLARENDON AVEHUNTINGTON PK 90255-4073
5/2/2016
A150744 NIELSEN KATHERINE MICHELLE
MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
9/26/2019
A79361 NIETO ROBERTA LINN MD 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
6/5/2020
20A17396 NIM PHUNG CHI DO 1700097540C THE NORTHEAST COMMUNITY CLNC INTERMITTENT
1414 S GRAND AVE SUITE 200LOS ANGELES 90015-3072
1/21/2021
1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
8/2/2020
G45988 NISHIKAWA PATRICIA NAOMI MD 1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
11/21/2003
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
11/21/2003
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
11/21/2003
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
11/21/2003
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
11/21/2003
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
11/21/2003
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
11/21/2003
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
11/21/2003
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
11/21/2003
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
11/21/2003
Monday, June 06, 2022 Page 220 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G45988 NISHIKAWA PATRICIA NAOMI MD 1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
11/21/2003
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
11/21/2003
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
11/21/2003
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
11/21/2003
RN624800 NOLASCO MARIA I NP 1255849238 YASHARPOUR MEDICAL DOCTOR, INC APMC
6330 VAN NUYS BLVDVAN NUYS 91401-2610
6/7/2019
1316455363 YASHARPOUR MEDICAL DOCTOR, INC., APMC
7400 VAN NUYS BLVD., STE 120VAN NUYS 91405-1972
7/1/2019
1275545725 SERRA COMMUNITY MEDICAL CLINIC
9375 SAN FERNANDO RDSUN VALLEY 91352-1418
11/17/2021
RN610065 NORMANDEAU ANA MARIA NP 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
4/9/2014
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
4/9/2014
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
4/9/2014
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/9/2014
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
4/9/2014
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
4/9/2014
Monday, June 06, 2022 Page 221 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN610065 NORMANDEAU ANA MARIA NP 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
4/9/2014
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
4/9/2014
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
G55748 NORRIS DORA BURCHETTE
MD 1598829350STC
JWCH INSTITUTE, INC 2151 EAST PALMDALE BLVDPALMDALE 93550
4/22/2021
20A4911 NORTON TRACEY LEE DO 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
9/1/2016
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
2/28/2020
A53484 NOURI JAHANBAKHSH MD 1366501629 NOURI, JAHANBAKHSH MD WOODMAN MEDICAL AND DENTAL
8725 WOODMAN AVEARLETA 91331-6560
12/17/1997
C39151 NOURMAND AZIZ MD 1639180623 NOURMAND, AZIZ, MD 2001 SANTA MONICA BLVD STE 865WSANTA MONICA 90404-2128
5/2/1990
G62673 NOVOM ANDREW P MD 1255446142 SAN PEDRO PEDIATRIC MED GRP 1294 W. 6TH ST, STE 102SAN PEDRO 90731-2997
3/5/1999
A89297 NOYA DAVID ALLEN MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
7/2/2019
PA55717 NUCE ANGELIA KRISTIN PA 1215113964STA
COMPLETE CARE COMMUNITY HEALTH CENTER, INC
3831 HUGHES AVE., STE. 601CULVER CITY 90232
3/9/2020
RN534564 NUNEZ JENNIFER QUANDT
NP 1871880500 TOOMARI, TAJAV DO INC 7100 VAN NUYS BLVD STE 110VAN NUYS 91405-3063
11/19/2014
Monday, June 06, 2022 Page 222 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN571442 NUNEZ MARIA DELOS ANGELES
NP 1659419307 DEL ROSARIO MEDICAL CLINIC, INC
3400 E FLORENCE AVEHUNTINGTON PK 90255-5835
7/22/2015
A116705 NWE MAY THET MD 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
10/12/2016
RN832983 NWOSU ONYEBUCHI MICHAEL
NP 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
11/20/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
11/20/2019
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
11/20/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
11/20/2019
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
11/20/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
11/20/2019
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
11/20/2019
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
11/20/2019
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
11/20/2019
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
11/20/2019
Monday, June 06, 2022 Page 223 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN832983 NWOSU ONYEBUCHI MICHAEL
NP 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
11/20/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
11/20/2019
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
11/20/2019
RN771764 NWOSU-IROHA UCHECHI LOIS NP 1538342704 JWCH INSTITUTE INC 14371 CLARK AVENUEBELLFLOWER 90706-2901
11/6/2019
PA14042 OBIORA FRANCISCA OMELOGO
PA 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
2/28/2020
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
2/28/2020
A106488 OBRADOVIC PETRA MICKY MD 1831426642B LAKESIDE MEDICAL 191 S BUENA VISTA STREET SUITE 200-240BURBANK 91505
5/17/2017
RN557026 OCHOA IRENE NP 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
12/15/2017
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
12/15/2017
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
12/15/2017
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
12/15/2017
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
12/15/2017
Monday, June 06, 2022 Page 224 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN557026 OCHOA IRENE NP 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
12/15/2017
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
12/15/2017
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
12/15/2017
A146493 O'CONNOR LAURA HOLMES MD 1023287679STA
T.H.E CLINIC, INC 10223 FIRMONA AVELENNOX 90304
10/4/2017
1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
10/4/2017
1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
10/4/2017
1023287679STE
T.H.E. CLINIC, INC 10321 HAWTHORNE BLVDINGLEWOOD 90304
2/28/2018
RN808362 OGANESYAN KNARIK NP 1356362743 COMPREHENSIVE COMMUNITY HEALTH CENTERS GLENDALE
801 S CHEVY CHASE DR STE 250GLENDALE 91205-4433
1/27/2020
1871573360 COMPREHENSIVE COMMUNITY HEALTH CTR-NO HOLLYWOOD
12157 VICTORY BLVDN HOLLYWOOD 91606-3204
5/22/2020
A52176 OGBO RITA NKEM MD 1932249315 COMPREHENS MED CNTR INC CLINICA MED COMUNIDAD INC
2286 S. GAREY AVEPOMONA 91766-5645
5/14/2007
1063551257 COMPREHENSIVE MEDICAL CENTER, INC
10301 GARVEY AVE STE 100EL MONTE 91733-2180
3/9/2005
RN95061862 OGBONNIA IJEOMA VALERIE NP 1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
10/10/2017
1023287679STD
T.H.E. CLINIC, INC 3206 W 50TH AVENUELOS ANGELES 90043
5/17/2022
1023287679STE
T.H.E. CLINIC, INC 10321 HAWTHORNE BLVDINGLEWOOD 90304
2/28/2018
A89913 OGELE ANTHONIA CHILEME
MD 1073547220 OSIBAMIRO, ADE MD INC 2637 E CARSON STREETCARSON 90810-1508
5/27/2014
Monday, June 06, 2022 Page 225 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A89913 OGELE ANTHONIA CHILEME
MD 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
7/7/2016
RN95136418 OGEMBO REBECCA KEMUNTO
NP 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
6/26/2020
A155857 OGNENOVSKI ALYSSA ROSE MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
8/21/2018
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
8/21/2018
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
8/21/2018
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
8/21/2018
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
8/21/2018
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
8/21/2018
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
8/21/2018
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
8/21/2018
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
8/21/2018
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
8/21/2018
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
8/21/2018
Monday, June 06, 2022 Page 226 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A155857 OGNENOVSKI ALYSSA ROSE MD 1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
8/21/2018
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
8/21/2018
A111363 OH JANE HYEJIN MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/31/2011
A111094 OHANNESSIAN ARTHUR NAREG MD 1467465641STA
CO OF L.A. - MID VALLEY COMP HC
7515 VAN NUYS BLVDVAN NUYS 91405-1949
12/12/2011
1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
2/11/2013
C169211 OJI GREG MARTINS MD 1386730919 KOLDHEKAR, VAIJAYANTI MD INC 931 BUENA VISTA STREET 302DUARTE 91010-1714
7/14/2021
A53229 OKAFOR CHRISTOPHER CHIEDU
MD 1295976199 CALVARY MEDICAL CLINIC, INC LOS ANGELES MED CTR
11502 S VERMONT AVE. SUITE ALOS ANGELES 90044-6522
1/6/2009
RN500002 OKAFOR ESTHER UCHENNA
NP 1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
10/13/2004
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
10/13/2004
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
10/13/2004
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
10/13/2004
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
10/13/2004
Monday, June 06, 2022 Page 227 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN500002 OKAFOR ESTHER UCHENNA
NP 1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
10/13/2004
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
10/13/2004
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
10/13/2004
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
10/13/2004
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
10/13/2004
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
10/13/2004
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
10/13/2004
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
10/13/2004
1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
10/13/2004
RN772185 OKERE MAUREEN CHINYERE
NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
6/28/2021
RN712917 OKOH LILIAN CHINYELU NP 1801202676 ANPHON CORPORATION 333 E NUTWOOD STREET SUITE CINGLEWOOD 90301-2357
2/12/2019
RN738827 OKOTH ODHIAMBO GEOFFREY PATRICK
NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
6/4/2019
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
6/4/2019
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
6/4/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
6/4/2019
Monday, June 06, 2022 Page 228 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN738827 OKOTH ODHIAMBO GEOFFREY PATRICK
NP 1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
6/4/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
6/4/2019
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
6/4/2019
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
6/4/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
6/4/2019
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
6/4/2019
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
6/4/2019
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
6/4/2019
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
6/4/2019
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
7/29/2029
RN848127 OKUNYAN ARMEN NP 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
4/26/2018
A116742 OLEA PEDRO MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
10/17/2016
20A8664 OLIVARES GISELLA VICTORIA
DO 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
5/19/2015
Monday, June 06, 2022 Page 229 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA14978 OLIVARES ODILIA PA 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
2/5/2002
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
2/5/2002
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
2/3/2002
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
2/3/2002
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
2/5/2002
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A114027 OLMOS KAREN ELISA MILIAN
MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
12/23/2016
RN95104974 OLOYE GABRIELLA NP 1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
6/4/2019
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
Monday, June 06, 2022 Page 230 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95104974 OLOYE GABRIELLA NP 1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
6/4/2019
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
6/4/2019
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
6/4/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
5/28/2019
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
6/4/2019
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
6/4/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
6/4/2019
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
6/4/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
6/4/2019
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
6/4/2019
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
6/4/2019
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
6/4/2019
C150239 OLSON RONALD PAUL MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
6/4/2018
A131566 OLUMOYA JONATHAN MD 1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
Monday, June 06, 2022 Page 231 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A131566 OLUMOYA JONATHAN MD 1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
1/1/0001
RN95049103 OLUSANYA BUKOLA DEBORAH
NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/19/2017
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/19/2017
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/19/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/19/2017
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/19/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/19/2017
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/19/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/19/2017
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/19/2017
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/19/2017
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/19/2017
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/19/2017
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
Monday, June 06, 2022 Page 232 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95049103 OLUSANYA BUKOLA DEBORAH
NP 1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/19/2017
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
PA18451 OMAR NADIA PA 1679576730B SHUE, RANDALL G DO INC 11850 E FIRESTONE BLVDNORWALK 90650-2979
8/6/2018
1679576730A SHUE, RANDALL G DO INC 4055 E OLYMPIC BLVD STE 210LOS ANGELES 90023-3345
10/30/2015
20A7791 OMERIGBO NNENNAYA OJEKA
DO 1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
4/7/2016
1023287679STA
T.H.E CLINIC, INC 10223 FIRMONA AVELENNOX 90304
4/22/2013
1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
5/7/2009
A114462 OMIDVAR YASAMAN MD 1164771747 THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE STE. 405CULVER CITY, CA 90230
10/10/2017
RN738279 OMNES AYRA MAGALGALIT
NP 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
1/5/2016
RN757606 O'NEAL MCKENZIE MARNIE
NP 1528270147 CENTURY MEDICAL CTR APC 3451 WEST CENTURY BLVDINGLEWOOD 90303-1218
6/4/2019
A45589 ONYEADOR EJIKE CELESTINE MD 1699841700 ONYEADOR, EJIKE C, MD 555 W COMPTON BLVD STE 205COMPTON 90220-3037
9/22/1995
RN95094582 ONYENEKE VIVIENNE AGHOGHO
NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
6/4/2019
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
6/4/2019
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
6/4/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
6/4/2019
Monday, June 06, 2022 Page 233 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95094582 ONYENEKE VIVIENNE AGHOGHO
NP 1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
6/4/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
6/4/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
6/4/2019
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
6/4/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
6/4/2019
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
6/4/2019
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
6/4/2019
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
6/4/2019
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
6/4/2019
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
PA55743 ONYEPUNUKA JUDITH PA 1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
6/5/2020
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
6/5/2020
Monday, June 06, 2022 Page 234 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A165318 ORDAZ ANA VICTORIA MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
10/28/2021
20A16537 ORE LILIAN ELLI DO 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/30/2018
RN281520 ORIGEL GRACE MARIE NP 1134298318 SAN MARTIN DE PORRES MED CLINIC OF SOUTH GATE INC
10001 CALIFORNIA AVESOUTH GATE 90280-6005
7/19/2018
RN680366 ORIGEL JR LUIS MANUEL NP 1295288348 HEALTH ACCESS FOR ALL INC 6208 SEVILLE AVEHUNTINGTON PARK 90255-2913
2/25/2019
1447703400 HEALTH ACCESS FOR ALL INC 1919 WEST 7TH ST 2ND & 3RD FLOORLOS ANGELES 90057-4103
1/10/2019
A123760 ORJIAKOR NNEKA THELMA MD 1982611919 CO OF L.A. - HUMPHREY COMPREHENSIVE HC
5850 S MAIN STLOS ANGELES 90003-1215
7/7/2020
PA19126 ORNELAS TANYA N PA 1497001226 VIA CARE COMMUNITY HEALTH CENTER INC
507 S. ATLANTIC BLVDLOS ANGELES, CA 90022-3211
11/27/2018
1497001226STB
VIA CARE COMMUNITY HEALTH CENTER, INC
5015 WHITTIER BLVDLOS ANGELES, CA 90022
12/16/2019
1497001226STA
VIA CARE COMMUNITY HEALTH CENTER INC.
501 S WOODS AVELOS ANGELES 90022
8/6/2019
1770034530 VIA CARE COMMUNITY HEALTH CENTER
607 S ATLANTIC BLVDLOS ANGELES 90022-3211
7/16/2018
1497001226STC
VIA CARE COMMUNITY HEALTH CENTER INC
4755 E CESAR CHAVEZ AVELOS ANGELES 90022
11/22/2019
A133259 ORNELAS PRADO LUZ MD 1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
7/2/2019
PA14736 ORTIZ CAROLYN L PA 1568521938 SWANSON, WILLIAM C MD 4200 PECK RD STE BEL MONTE 91732-2177
11/15/2004
RN348337 ORTIZ-CASTRO DIANA LINDA NP 1508872912 CO OF L.A. - WILMINGTON SUBCENTER
1325 BROAD AVEWILMINGTON 90744-2604
3/20/2006
A78577 OSHER LYNN SUSAN MD 1790858124 VALLEY PEDIATRIC MED GRP 5353 BALBOA BLVD SUITE 104ENCINO 91316-2858
6/28/2021
Monday, June 06, 2022 Page 235 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A69109 OSIPOV RAISA J MD 1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
11/20/2019
RN777763 OVERLANDER MARY CATHERINE
NP 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
6/28/2021
PA53724 OYADOMARI KENNETH HAJIME PA 1285046847 EAST VALLEY COMMUNITY HEALTH APCC
276 WEST COLLEGE STREETCOVINA 91723-1902
11/29/2021
A156186 OZDIL NEVRA MD 1063562130 ST ANTHONY MEDICAL CTR HOLLYWOOD CLINIC
6368 HOLLYWOOD BLVDLOS ANGELES 90028-6320
9/27/2018
1952451031 ST ANTHONY MEDICAL CTR PICO CLINIC
2515 W PICO BLVDLOS ANGELES 90006-4003
3/23/2022
RN95050098 OZIGBOH CHELSEA NDIDIAMAKA
NP 1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
2/28/2020
1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
5/1/2019
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
2/28/2020
G77249 PACHECO ARMANDO MD 1982657029 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
5823 YORK BLVD STE 1LOS ANGELES 90042-2634
12/16/1991
RN767273 PADILLA RENDON ALICIA ELIZABETH
NP 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
3/23/2022
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/23/2022
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
3/23/2022
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/23/2022
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
3/23/2022
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/23/2022
Monday, June 06, 2022 Page 236 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN767273 PADILLA RENDON ALICIA ELIZABETH
NP 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
3/23/2022
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
3/23/2022
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/23/2022
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/23/2022
A95866 PAEK WOO HYUN MD 1336305267 ABC PEDIATRICS INC 3663 W 6TH ST STE 301LOS ANGELES 90020-3050
11/4/2010
A125285 PAGUNTALAN HELEN U MD 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
6/24/2016
RN682616 PAITA YVETTE DAVID NP 1871573360 COMPREHENSIVE COMMUNITY HEALTH CTR-NO HOLLYWOOD
12157 VICTORY BLVDN HOLLYWOOD 91606-3204
11/27/2018
A65363 PAJA ISAIAS DE GUZMAN JR
MD 1053367896 PAJA MEDICAL GROUP INC OLYMPIC FAMILIA CLNC INC
1800 WILSHIRE BLVDLOS ANGELES 90057-3602
11/14/2005
1306194105 AMH COMPREHENSIVE MEDICAL CENTERS
711 NORTH ALVARADO ST SUITE 101LOS ANGELES 90026-4016
9/6/2017
1306194105STA
AMH COMPREHENSIVE MEDICAL CENTERS
6017 ATLANTIC BLVDMAYWOOD 90270
1/22/2020
A38260 PAK YUNCHUL JOHN MD 1457608580 JUST 4 KIDS PEDIATRICS, INC 1433 W MERCED AVE STE 103WEST COVINA 91790-3402
5/24/2019
A76745 PAKOUR MEADA MD 1275030009 M PAKOUR MD INC 3671 W 6TH ST STE BLOS ANGELES 90020-3026
12/7/2018
20A13127 PAKRAVAN MAHSA MAHBOOBIAN
DO 1396235883 SAN JUDAS COMMUNITY HEALTH CENTER INC
2972 WILSHIRE BLVD 1ST-2ND FLOORLOS ANGELES 90010-1101
10/25/2018
1184134827 SAN JUDAS COMMUNITY HEALTH CENTER INC
1080 N WESTERN AVELOS ANGELES 90029-2310
10/25/2018
Monday, June 06, 2022 Page 237 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA20133 PALLAN ROSA MARIA PA 1821215914 CLINICA MEDICA CUZCATLAN/CUZCATLAN MEDICAL CLINIC
3559 E GAGE AVEBELL 90201-1042
4/1/2016
A43918 PALLIVATHUCAL ROSALIND GEORGE
MD 1033244611A PALLIVATHUCAL, ROSALIND CLINICA MARIA MED CTR INC
8100 CALIFORNIA AVE STE KSOUTH GATE 90280-2469
2/18/1997
RN852375 PALMER JACQUELINE NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
A53592 PAMARAN MARIA VICTORIA MD 1003913831 PAMARAN, MARIA V MD 10230 ARTESIA BLVD STE 302BELLFLOWER 90706-6769
6/9/1999
PA23025 PAMART-TRAN ISABELLE MAI PA 1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
2/22/2018
1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
2/22/2018
20A9712 PANG ARNOLD TSZ CHUN
DO 1962666156 PANG, ARNOLD T DO INC 15572 E GALE AVEHACIENDA HEIGHTS 91745-1513
8/26/2010
A34146 PANGANIBAN VIRGILIO CUSTODIO
MD 1144475898 PANGANIBAN, VIRGILIO C MD INC 16704 CLARK AVEBELLFLOWER 90706-5204
6/10/1998
PA52780 PANLILIO ADRIENNE LINGAD
PA 1952451031 ST ANTHONY MEDICAL CTR PICO CLINIC
2515 W PICO BLVDLOS ANGELES 90006-4003
1/19/2016
A23774 PANMAN LEE MARTIN MD 1891028171 THE NORTHEAST COMMUNITY CLINIC
4455 W 117 ST STE 300HAWTHORNE 90250-2240
11/23/2010
20A13407 PANOSIAN ONNIG JOHN DO 1578808200 COMMUNITY HEALTH ALLIANCE OF PASADENA
10408 VACCO ST STE ASOUTH EL MONTE 91733-3328
3/23/2018
A91066 PANTOJA ANA BERTHA MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
10/22/2015
A167956 PAPPAS ALEXANDER LEIGHT
MD 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/3/2020
C40645 PARAZO DON VICTOR MD 1720196702 HIGH DESERT MEDICAL GRP INC 43839 15TH ST WLANCASTER 93534-4756
10/7/2002
Monday, June 06, 2022 Page 238 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A101233 PARDO JAIME MD 1750463014 WHITTIER PEDIATRIC GROUP 8522 PAINTER AVEWHITTIER 90602-3335
3/27/2018
PA19275 PAREDES MONICA SALDATE
PA 1881987576 NORTHEAST COMMUNITY CLINICS
2822 E FLORENCE AVENUEHUNGTINGTON PARK 90255-5749
9/26/2017
1124460274 NORTHEAST COMMUNITY CLINICS
2975 ZOE AVENUEHUNTINGTON PARK 90255
1/6/2015
1124460274STD
NORTHEAST COMMUNITY CLINIC 4129 E GAGE AVEBELL 90201-1128
3/14/2017
A82810 PAREDES POTENCIANO REYNOSO
MD 1477692408 HAWTHORNE MORNINGSIDE MEDICAL CLINIC
12954 HAWTHORNE BLVD STE 104HAWTHORNE 90250-4418
3/23/2004
1730299157 MORNINGSIDE PRIMARY CARE MEDICAL CENTER INC
617 W MANCHESTER AVELOS ANGELES 90044-0000
3/23/2006
A74636 PARK CHRISTINE LIM-FUN CHAN
MD 1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/6/2003
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/6/2003
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/6/2003
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
Monday, June 06, 2022 Page 239 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A74636 PARK CHRISTINE LIM-FUN CHAN
MD 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
3/6/2003
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/6/2003
PA57054 PARK JOY PA 1124460274STD
NORTHEAST COMMUNITY CLINIC 4129 E GAGE AVEBELL 90201-1128
6/26/2020
1952641136 NORTHEAST COMMUNITY CLINICS
1403 LOMITA BLVD STE 100, 101, 106HARBOR CITY 90710-2084
6/22/2020
A173430 PARK YE RI MD 1942255195 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 E CESAR E CHAVEZ AVE STE 230LOS ANGELES 90033-2496
4/6/2022
A175095 PARMAR POOJA VIKRAMSINH
MD 1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
12/27/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/27/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
12/27/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/27/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/27/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
12/27/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/27/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/27/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/27/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/27/2021
Monday, June 06, 2022 Page 240 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A175095 PARMAR POOJA VIKRAMSINH
MD 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/27/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/27/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/27/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
12/27/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/27/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/27/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/27/2021
RN637597 PARRA SUZANNE ELAINE NP 1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
8/2/2019
A112838 PARSAEI NAZANIN MD 1912310566 LA FAMILIA MEDICAL CLINIC INC 15243 VANOWEN ST STE 107VAN NUYS 91405-3633
7/30/2020
1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
8/29/2017
PA52118 PARTOVI PANTEHA PA 1821210329B AKHAVAN, AFSHIN DO A 530 E WASHINGTON BLVDLOS ANGELES 90015-3723
9/9/2015
1821210329A AKHAVAN, AFSHIN DO A PROFESSIONAL CORPORATION
2409 S VERMONT AVELOS ANGELES 90007-1661
11/22/2017
20A7033 PARTOVY ROBERT DO 1093933939 NOBEL CARE MEDICAL GROUP INC /SAN FERNANDO MED CTR
501 NORTH MACLAY AVESAN FERNANDO 91340-2424
9/17/2002
A72979 PARVEEN SHAISTA MD 1083624423 EL PROYECTO DEL BARRIO FAMILY HEALTH CARE CLIN
8902 WOODMAN AVE STE 2ARLETA 91331-6401
11/5/2015
1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
4/6/2018
Monday, June 06, 2022 Page 241 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A72979 PARVEEN SHAISTA MD 1568871143 EL PROYECTO DEL BARRIO INC 9140 VAN NUYS BLVD SUITE 207PANORAMA CITY 91402-6763
6/9/2017
A42651 PASCUAL EDMUND O MD 1831426642A LAKESIDE MEDICAL 1500 W WEST COVINA PKWYWEST COVINA 91790-2703
4/21/2008
RN764441 PASHYAN ARMINE NP 1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
9/23/2020
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/23/2020
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
9/23/2020
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
9/23/2020
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
9/23/2020
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
9/23/2020
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
9/23/2020
A93810 PASI ASHEESH MD 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
6/26/2020
RN693830 PASILABAN KLAR FULGENTES
NP 1225302789B KHAMIS, SHERIF MD INC 2271 E PALMDALE BLVD SUITE EPALMDALE 93550-1340
5/1/2019
20A15030 PATEL KAREN CHRISTINE
DO 1386708634 JWCH INSTITUTE, INC JWCH NORWALK REGIONAL
12360 FIRESTONE BLVDNORWALK 90650-4324
9/13/2018
PA20690 PATEL MANISHA BHAGU PA 1164668786 PREMIER FAMILY MEDICINE ASSOCIATES, INC
1601 N MONTE VISTA AVE STE 100CLAREMONT 91711-6601
2/5/2015
A89377 PATEL MONA SOMABHAI MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
10/10/2007
Monday, June 06, 2022 Page 242 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A89377 PATEL MONA SOMABHAI MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
1/2/2008
A62111 PATEL NABILA NADEEM MD 1982617692 CO OF L.A. - ROYBAL COMPREHENSIVE HEALTH
245 S FETTERLY AVELOS ANGELES 90022-1605
10/24/2016
A114074 PATEL NIKUNJ MAHENDRA
MD 1588808547 NUESTRA CLINICA INC 4477 WHITTIER BLVDLOS ANGELES 90022-1535
12/23/2016
1548659105 BEHAVIORAL HEALTH SERVICES INC
2501 W EL SEGUNDO BLVD SUITE BHAWTHORNE 90250-3317
1/26/2018
A56443 PATEL SAPNA PARAG MD 1700171105 AASTHA INC 1920 N GAREY AVEPOMONA 91767-2708
10/20/2011
RN695008 PATONONA RONAN BASILLOTE
NP 1942416045 MENDOZA, MANUEL F MD INC 11735 FIRESTONE BLVDNORWALK 90650-2808
10/6/2020
RN609405 PAYNE RENEE NOONAN NP 1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/17/2020
RN813947 PAZOS JULIA ANN NP 1831243625STA
EAST VALLEY COMM HLTH INTERMITTENT
4368 SANTA ANITA AVEEL MONTE 91731
12/20/2021
G29868 PEACE DE VAUGHN KENN
MD 1831103779 PEACE, DEVAUGHN K MD INC 4326 S WESTERN AVELOS ANGELES 90062-1648
6/17/1986
A165345 PEARSON JAMES LAWRENCE
MD 1285046847 EAST VALLEY COMMUNITY HEALTH APCC
276 WEST COLLEGE STREETCOVINA 91723-1902
11/10/2021
A53093 PECKSON LOUELLA LLANES
MD 1144516295 PECKSON, LOUELLA MD INC 14624 SHERMAN WAY SUITE 401VAN NUYS 91405-2289
2/27/2002
A40246 PEDRANO GUADALUPE CRUZ
MD 1720186786 PEDRANO, GUADALUPE C MD INC 2209 SAN FERNANDO ROADLOS ANGELES 90065-1231
11/28/1989
A51722 PEDROZA VICTOR M MD 1598984288 AMAVI, A PMC GUADALAJARA MED CLIN INC
2705 WHITTIER BLVDLOS ANGELES 90023-1441
7/16/1998
G39705 PEEKS ROGER ALLEN MD 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
4/22/2008
Monday, June 06, 2022 Page 243 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G39705 PEEKS ROGER ALLEN MD 1932501996 VALLEY COMMUNITY HEALTHCARE APCC
9119 HASKELL AVENUENORTH HILLS 91343-3114
11/19/2015
A165167 PEGUEROS JUSTIN ALEXANDER
MD 1033634373 PREMIER FAMILY MEDICINE ASSOCIATES, INC
2333 FOOTHILL BLVDLA VERNE 91750-3027
12/29/2021
RN790747 PEN CHANTHOL NP 1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
7/30/2018
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
7/30/2018
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
7/30/2018
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
7/30/2018
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
7/30/2018
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
7/30/2018
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
7/30/2018
A63385 PENALOZA MARIA DEL ROSARIO
MD 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
1/29/2009
A64117 PENDERGRAPH BERNADETTE MARIE
MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
7/2/2009
A49144 PERALTA CYNTHIA MADRIAGA
MD 1962560896 BERGANZA, JOSE D MD INC SAN JOSE MULTISPECIALTY
14514 RAMONA BLVD SUITE 3BALDWIN PARK 91706-3361
6/24/2015
A78583 PERDOMO YVETTE LISA MD 1992873947 ARDMORE MED GROUP INC 4528 E SLAUSON AVEMAYWOOD 90270
8/30/2004
G79348 PEREZ ANGEL GUILLEN MD 1679626436 AZUL MEDICAL CLINIC, INC 6517 EASTERN AVEBELL GARDENS 90201-3003
10/27/2004
A20957 PEREZ JOSE A MD 1104991561A PEREZ, JOSE A., MD 3500 WHITTIER BLVD STE 107LOS ANGELES 90023-1746
1/14/2011
Monday, June 06, 2022 Page 244 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A74744 PEREZ JOSE LUIS MD 1669799896 SOUTH CENTRAL FAMILY HEALTH CENTER (SCFHC)
2680 SATURN AVE STE 110, 220, 280HUNTINGTON PARK 90255-4568
11/23/2015
1396891909 SOUTH CENTRAL FAMILY HEALTH CTR
4425 S CENTRAL AVELOS ANGELES 90011-3629
11/3/2015
1982063939 SOUTH CENTRAL FAMILY HEALTH CENTER
7910 ATLANTIC AVE., STE MCUDAHY 90201-5754
7/16/2020
1588908305 SOUTH CENTRAL FAMILY HEALTH CENTER
3410 S HOOPER AVELOS ANGELES, CA 90011-2161
4/26/2018
G72538 PEREZ LUIS JESUS MEJIA
MD 1225099880 PEREZ, LUIS J MD APC 716 E MISSION BLVD STE DPOMONA 91766-2040
3/12/1996
A119818 PEREZ NORMA MD 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
7/24/2015
1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
10/25/2018
A30938 PEREZ OMAR MD 1043393465 PEREZ, OMAR MD INC / PEREZ MEDICAL CLINIC
10728 RAMONA BLVD STE AEL MONTE 91731-2601
12/1/1992
A118698 PEREZ VANESSA G MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/29/2012
RN787227 PEREZ ZEIDA MIREYA NP 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
9/27/2017
RN459718 PERISHO KARLA MARGUERITE
NP 1346250347 AVALON MEDICAL DEV CORP CENTER
100 FALLS CANYON ROADAVALON 90704-1563
2/14/2017
G66519 PERKINS KATHY LYNN MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
2/1/2011
RN95022591 PERKINS NKECHI OZOENWU
NP 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/29/2021
Monday, June 06, 2022 Page 245 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95022591 PERKINS NKECHI OZOENWU
NP 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/29/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/29/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
7/29/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/29/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/29/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/29/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/29/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/29/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/29/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/29/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/29/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/29/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/29/2021
Monday, June 06, 2022 Page 246 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A107565 PERRY-MOORE RAYMOND CHATRY WESTERVELT
MD 1982611919 CO OF L.A. - HUMPHREY COMPREHENSIVE HC
5850 S MAIN STLOS ANGELES 90003-1215
10/19/2017
PA19544 PETALVER OLIVER CARINO PA 1346607603 UNIFIED CARE MEDICAL GROUP INC
2040 PACIFIC COAST HWY UNIT SLOMITA 90717-2660
4/20/2021
20A15085 PETERSON CHARLES CAPDEVILLE
DO 1548876626C VITUITY-PRIMARY CARE GLENDALE
1560 E. CHEVY CHASE DR. SUITE 355GLENDALE 91206-4159
5/12/2022
G52812 PETITT JOHN CHARLES MD 1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
11/29/2021
1932428828 SOUTHERN CALIFORNIA MEDICAL CENTER INC
8825 WHITTIER BLVDPICO RIVERA 90660-2600
11/29/2021
1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
1/4/2018
PA20943 PETROSIAN ARINEH PA 1033267216 ADVANCED FAMILY CARE MEDICAL GROUP
1201 E FLORENCE AVELOS ANGELES 90001-2432
7/2/2018
A157154 PEZESHKI BENJAMIN BIJAN MD 1164061461 SEQUOIA QUALITY HEALTH INC 2007 WILSHIRE BLVD FL 3, 1ALOS ANGELES 90057-3519
12/3/2020
PA57535 PFEIFFER BRIAN J PA 1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
1/11/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
1/11/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
1/11/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/11/2021
Monday, June 06, 2022 Page 247 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA57535 PFEIFFER BRIAN J PA 1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
1/11/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
1/11/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
1/11/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
1/11/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
1/11/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
1/11/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
1/11/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/11/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
1/11/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
1/11/2021
A135159 PHADNIS SWAPNA VAYUVEGULA
MD 1801820857A BHARATHI S VAYUVEGULA MD PHD INC
1315 S GRAND AVE 150GLENDORA 91740-5050
7/1/2021
A41407 PHAM BANG VU MD 1447262522 SAINT PAUL MEDICAL CTR OF THE SOUTH BAY
12923 INGLEWOOD AVE STE 1HAWTHORNE 90250-5139
2/26/1990
PA13536 PHAM JOHNNY-AN THANH
PA 1487832655 SOCAL HEALTHNET INC 5912 SANTA MONICA BLVDLOS ANGELES 90038-2043
5/20/2010
1851609176 GREEN CROSS MED NET INC 5832 S VERMONT AVELOS ANGELES 90044-3712
10/28/2014
G82107 PHAM NGAN-THUY DINH MD 1891028171 THE NORTHEAST COMMUNITY CLINIC
4455 W 117 ST STE 300HAWTHORNE 90250-2240
11/6/2019
Monday, June 06, 2022 Page 248 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G82107 PHAM NGAN-THUY DINH MD 1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
6/24/2020
1700097540B THE NORTHEAST COMMUNITY CLNC INTERMITTENT
4455 W 117TH ST SUITE 200HAWTHORNE 90250-2240
3/17/2020
20A17378 PHAM NHAN N.T DO 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/22/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/22/2019
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/22/2019
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/22/2019
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
A47819 PHAM THUY Q MD 1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
3/24/2006
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
12/28/2001
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
1/6/1992
20A10219 PHAN NGHIA THANH DO 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
2/6/2017
PA51266 PHUNG YIN MEI PA 1437427119 MARCELO-MANGUNE MEDICAL CORPORATION
9604 ARTESIA BLVD SUITE 102BELLFLOWER 90706-8041
3/9/2022
A120573 PIDOR MYKIE L MD 1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
8/14/2013
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
Monday, June 06, 2022 Page 249 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A120573 PIDOR MYKIE L MD 1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
12/3/2014
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
8/14/2013
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
8/14/2013
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
12/3/2014
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
8/13/2013
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
8/14/2013
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
8/14/2013
A25274 PIDOUX RENE ENRIQUE MD 1548876626C VITUITY-PRIMARY CARE GLENDALE
1560 E. CHEVY CHASE DR. SUITE 355GLENDALE 91206-4159
5/12/2022
RN705139 PIERRE-PAUL NANCY MARIE NP 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
8/20/2019
A75744 PILLAI GOURI MD 1871634568 SOUTH BAY FAMILY HEALTHCARE CENTER
742 W GARDENA BLVDGARDENA 90247-5024
1/29/2007
A159007 PINEDA ELBERTH MD 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
8/3/2021
RN769811 PINEDA MYLA OCAMPO NP 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/22/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/22/2019
Monday, June 06, 2022 Page 250 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN769811 PINEDA MYLA OCAMPO NP 1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/22/2019
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/22/2019
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
PA16166 PINTO FROILAN R PA 1083624423 EL PROYECTO DEL BARRIO FAMILY HEALTH CARE CLIN
8902 WOODMAN AVE STE 2ARLETA 91331-6401
4/8/2010
RN18639 PISON TISHA N. NP 1750463014 WHITTIER PEDIATRIC GROUP 8522 PAINTER AVEWHITTIER 90602-3335
12/23/2013
C29377 PITTS RONALD A MD 1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
10/4/2017
A40248 PLEITEZ NURIA FRANCISCA
MD 1700181799 PLEITEZ, NURIA F MD INC 430 W BADILLO STCOVINA 91723-1829
12/30/1994
A114578 PLESA MONICA LOUISE MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
2/11/2013
1467465641STA
CO OF L.A. - MID VALLEY COMP HC
7515 VAN NUYS BLVDVAN NUYS 91405-1949
9/19/2017
RN840108 POON LALITA NP 1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
11/20/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
11/20/2019
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
11/20/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
11/20/2019
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
11/20/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
11/20/2019
Monday, June 06, 2022 Page 251 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN840108 POON LALITA NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
11/20/2019
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
11/20/2019
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
11/20/2019
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
11/20/2019
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
11/20/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
11/20/2019
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
11/20/2019
A118031 POQUECHOQUE ROBERT MD 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
1/18/2022
A25493 PORRAL AZUCENA ASTORGA
MD 1881793743 PORRAL, AZUCENA A MD 5546 ROSEMEAD BLVD STE 102TEMPLE CITY 91780-1855
9/15/2009
RN633113 PORTUGAL ALNA BALILO NP 1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
7/7/2020
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
7/7/2020
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
7/7/2020
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
3/2/2020
Monday, June 06, 2022 Page 252 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN633113 PORTUGAL ALNA BALILO NP 1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
7/7/2020
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
7/7/2020
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
3/2/2020
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
3/2/2020
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
3/2/2020
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
3/2/2020
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
7/7/2020
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
7/7/2020
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
7/7/2020
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
7/7/2020
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
G36851 POSNER GARY MD 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/19/2001
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/19/2001
Monday, June 06, 2022 Page 253 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G36851 POSNER GARY MD 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/10/2001
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
7/30/2019
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
4/10/2001
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/19/2001
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A137121 POTTER MARLA KRYSTEEN STUMP
MD 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
1/27/2020
20A18914 PRACHACHALERM TIFFANY PORNTIP DO 1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
12/6/2021
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
12/6/2021
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
12/6/2021
A134300 PRASAD VIJAY V MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/2/2020
20A7106 PRICE KEMI WENDA DO 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
4/16/2009
Monday, June 06, 2022 Page 254 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A31259 PRIETO JOSE N MD 1407942311 PRIETO, JOSE NORBERTO MD 4566 FLORENCE AVE. STE 2CUDAHY 90201-4346
5/5/1999
PA51663 PRIOR JENNIFER MORENO
PA 1700097540B THE NORTHEAST COMMUNITY CLNC INTERMITTENT
4455 W 117TH ST SUITE 200HAWTHORNE 90250-2240
3/17/2020
A160299 PROUM SUSAN YUEN MD 1053410506B PEDIATRIC AFFILIATES MEDICAL GROUP INC
29525 CANWOOD ST STE. 111AGOURA HILLS 91301-1595
7/20/2021
1053410506A PEDIATRIC AFFILIATES MEDICAL GROUP INC
7345 MEDICAL CENTER DRIVE SUITE 400WEST HILLS 91307-1963
3/15/2021
A151567 PTASNIK SARA MD 1427046754 CHINATOWN SERVICE CENTER FAMILY HEALTH CLINIC
767 N HILL ST., STE 200LOS ANGELES 90012-2365
11/10/2021
RN746135 PUATU SHEILA MARIE COMIA
NP 1124051578 MD MEDICAL CENTER INC 600 N GARFIELD AVE STE 111MONTEREY PARK 91754-1167
11/30/2017
G76685 PUERTAS RICARDO MD 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
9/24/2001
A136058 PUMPUANG MAITEENY MD 1720171242 UNIVERSITY MUSLIM MED UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELES 90044-6105
9/14/2021
1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
10/16/2020
20A9142 PURI VARSHA MONA DO 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
8/4/2017
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
8/4/2017
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
8/4/2017
RN802826 PUTHANPURAYIL ANJU ANIYAN NP 1710084959 AIYEGBUSI AND BRAIMAH AMC 3661 TORRANCE BLVD STE 103TORRANCE 90503-4812
6/19/2020
A55283 PUVVULA JYOTI MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
1/5/1999
Monday, June 06, 2022 Page 255 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A37050 QAMAR NAJMA MD 1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
3/25/2013
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
5/14/2009
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
5/14/2009
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
5/14/2009
A81696 QAZI SHAGUFTA MD 1326216599 QAZI, SHAGUFTA MD INC 2173 LOMITA BLVD STE 105LOMITA 90717-1636
9/28/2009
A107646 QUACH PHUONG H MD 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
9/9/2015
G37566 QUAN MARTIN ALAN MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/28/2002
G45599 QUARLES STEPHANIE M MD 1477627248 BASS, BRENDA G MD 9201 W SUNSET BLVD STE 408LOS ANGELES 90069-3705
9/16/2008
1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
11/5/2008
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
11/5/2008
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
11/5/2008
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
11/5/2008
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
11/5/2008
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
11/5/2008
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
11/5/2008
Monday, June 06, 2022 Page 256 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G45599 QUARLES STEPHANIE M MD 1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
11/5/2008
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
11/5/2008
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
11/5/2008
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
11/5/2008
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
11/5/2008
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
11/5/2008
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
11/5/2008
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
20A7911 QUEEN YANINA ALEKSANDRIA
DO 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
12/7/2017
RN668178 QUIJANO EDIELYN LAYAG NP 1750728663 BALDWIN PARK MEDICAL CLINIC INC.
14051 RAMONA PKWYBALDWIN PARK 91706-4114
10/22/2014
1124051578 MD MEDICAL CENTER INC 600 N GARFIELD AVE STE 111MONTEREY PARK 91754-1167
8/30/2013
PA12379 QUINONES JAMES WILLIAM PA 1477924520 COMMUNITY HEALTH ALLIANCE OF PASADENA
3703 PECK ROADEL MONTE 91731-3543
12/27/2016
PA14509 QUISMUNDO BERNARD ALCOBA
PA 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
7/2/2009
RN95110619 QUON MICHELLE ERIN NP 1497001226STA
VIA CARE COMMUNITY HEALTH CENTER INC.
501 S WOODS AVELOS ANGELES 90022
5/20/2021
Monday, June 06, 2022 Page 257 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95110619 QUON MICHELLE ERIN NP 1770034530 VIA CARE COMMUNITY HEALTH CENTER
607 S ATLANTIC BLVDLOS ANGELES 90022-3211
5/20/2021
1497001226STC
VIA CARE COMMUNITY HEALTH CENTER INC
4755 E CESAR CHAVEZ AVELOS ANGELES 90022
5/20/2021
1497001226STB
VIA CARE COMMUNITY HEALTH CENTER, INC
5015 WHITTIER BLVDLOS ANGELES, CA 90022
5/20/2021
1497001226 VIA CARE COMMUNITY HEALTH CENTER INC
507 S. ATLANTIC BLVDLOS ANGELES, CA 90022-3211
5/20/2021
A130853 RAAM MANU SHREE MD 1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
10/25/2018
1770006728 ALTAMED HEALTH SERVICES CORPORATION
972 GOODRICH BLVDCOMMERCE 90022-4114
12/26/2018
A163164 RADPARVAR MELINA MD 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/15/2020
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/15/2020
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/15/2020
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/15/2020
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/15/2020
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
10/15/2020
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/15/2020
Monday, June 06, 2022 Page 258 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A163164 RADPARVAR MELINA MD 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
10/15/2020
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/15/2020
PA52255 RAFAY MUHAMMAD PA 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/19/2017
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/19/2017
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/19/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/19/2017
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/19/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/19/2017
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/19/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/19/2017
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/19/2017
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/19/2017
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/19/2017
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
Monday, June 06, 2022 Page 259 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA52255 RAFAY MUHAMMAD PA 1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/19/2017
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/19/2017
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
RN827873 RAJIC JOVANKA NP 1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
5/1/2019
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
10/21/2021
A169633 RALPH MARK MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/29/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/29/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/29/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/29/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/29/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/29/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/29/2021
Monday, June 06, 2022 Page 260 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A169633 RALPH MARK MD 1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/29/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/29/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/29/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
7/29/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/29/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/29/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/29/2021
A45553 RAM ASHER MD 1609803733 RAM, ASHER MD CENTRO MEDICO FAMILIAR
14547 VICTORY BLVDVAN NUYS 91411-1619
4/30/1990
A56320 RAMASWAMY GEETHA MD 1982617692 CO OF L.A. - ROYBAL COMPREHENSIVE HEALTH
245 S FETTERLY AVELOS ANGELES 90022-1605
7/27/2000
A36245 RAMBHATLA SAVITRI KAMALAKAR
MD 1225312218 RAMBHATLA, SAVITRI K MD INC 101 EAST BEVERLY BLVD STE 407MONTEBELLO 90640-4300
8/26/1992
20A11198 RAMIREZ ESPERANZA DO 1700097540A THE NORTHEAST COMMUNITY CLNC
200 E ANAHEIM STREETWILMINGTON 90744-4516
9/6/2011
PA21847 RAMIREZ SANDHU ELVIA PA 1740233725 FCS MEDICAL CORPORATION 815 W WASHINGTON BLVDMONTEBELLO 90640-6123
12/27/2012
A52678 RAMOS CLAUDIA MD 1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
10/6/2014
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
10/6/2014
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
8/9/2017
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
8/5/2015
Monday, June 06, 2022 Page 261 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A52678 RAMOS CLAUDIA MD 1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
A153423 RAMOS JOSE EDUARDO MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
11/22/2019
20A17355 RAMSEY KEITH PATRICK DO 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
2/8/2022
A31172 RANGARAJAN ALAGIA SINGAM MD 1841382025 RANGARAJAN, ALAGIA S, MD RANGA MEDICAL CLINIC
3131 SANTA ANITA AVE STE 102EL MONTE 91733-1369
9/3/1985
A92501 RAO SHEELA MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/16/2007
A116046 RAO SHOBA MD 1457608580 JUST 4 KIDS PEDIATRICS, INC 1433 W MERCED AVE STE 103WEST COVINA 91790-3402
3/31/2021
RN850175 RASEKHI MAGGIE ZHENG NP 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
2/3/2022
A48861 RASEKHI MOHAMMAD HASSAN
MD 1932428828 SOUTHERN CALIFORNIA MEDICAL CENTER INC
8825 WHITTIER BLVDPICO RIVERA 90660-2600
7/7/1998
1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
6/7/1995
1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
8/29/2017
A53847 RASTEGAR JOHN HASSAN MD 1487086989 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2614 S GRAND AVENUELOS ANGELES, CA 90007-2607
1/1/0001
A61450 RAU CRAIG STEVEN MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/17/1987
A82575 RAWAL RACHNA MD 1295062214 RAWAL, RACHNA MD INC 14930 IMPERIAL HWY UNIT ALA MIRADA 90638-2100
2/21/2006
Monday, June 06, 2022 Page 262 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A46543 RAZEGGI SARAH MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2019
1982075107C PEDIATRIC AND FAMILY MEDICAL INTERMITTENT
6618 VAN NUYS BLVDVAN NUYS 91405-4617
9/14/2021
A53431 RAZI DAVID FARAHMAND
MD 1528270147 CENTURY MEDICAL CTR APC 3451 WEST CENTURY BLVDINGLEWOOD 90303-1218
11/2/2004
RN671759 REAGAN JEHAN EURYDICE NP 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/1/0001
PA58438 REAL MELISSA PA 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
12/6/2021
G65644 REBOLLO YOLANDA MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
RN95035253 REDDY SHAWNTEL ANN NP 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
8/6/2018
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
A41807 REDJAL NASSER MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
3/18/2002
A75727 REGALA JAYVEE RONQUILLO
MD 1710031588H FACEY MEDICAL FOUNDATION 18133 VENTURA BLVD 204 AND 402TARZANA 91335-3612
12/6/2016
A101548 REGIS LOUELLA MARGOT
MD 1619090610 CROWN CITY MEDICAL GROUP 3208 SANTA ANITA AVE STE 200EL MONTE 91733-1360
11/19/2014
A41468 REGULLANO JOSE BOTOR MD 1639270051 REGULLANO, JOSE B MD 2101 W BEVERLY BLVD STE 202MONTEBELLO 90640-3951
2/25/2002
1134220544 YU, EDWIN T MD / REGULLANO AND YU MED GRP
2101 W BEVERLY BLVD STE 202MONTEBELLO 90640-3951
4/30/2008
Monday, June 06, 2022 Page 263 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A41468 REGULLANO JOSE BOTOR MD 1598794331 PICO URGENT CARE AND FAMILY MEDICAL CENTER
6632 ROSEMEAD BLVDPICO RIVERA 90660-3533
1/2/1997
C32644 REID AUDREY YVONNE MD 1457744476 COMMUNITY MEDICINE, INC 8540 ALONDRA BLVD SUITE B-2PARAMOUNT 90723-5200
6/26/2020
1497397806 COMMUNITY MEDICINE, INC INTERMITTENT
8800 ALONDRA BLVD SUITE CBELLFLOWER 90706-4302
10/14/2020
A51016 REILLY JO MARIE MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
12/24/2015
G41612 REINSTEIN HOWARD JEFFREY
MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
9/9/2003
A39331 REY MA MILDRED RAZO
MD 1295003085 REY-MONROY, MA MILDRED MD INC
16415 COLORADO AVE STE 308PARAMOUNT 90723-5053
12/22/1988
RN483796 REYES LYDIA ANDRADE NP 1417211426 POMONA COMMUNITY HEALTH CENTER
1450 EAST HOLT AVEPOMONA, CA 91767
8/5/2014
20A13461 REYES ROSEMARY DAVID
DO 1972912236 CENTRAL CITY COMMUNITY HEALTH CENTER INC
10050 GARVEY AVE STE 111EL MONTE 91733-2088
4/26/2018
RN847553 REYES YESENIA NP 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
12/5/2018
G61716 REYNOLDS LOURDES RONDAN
MD 1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
4/6/2018
RN608850 RHODES DENISE JAYNE BESAS
NP 1407878150STD
CO OF L.A. - HARBOR-UCLA MEDICAL CTR
21840 NORMANDIE AVE MFI 500TORRANCE 90502
9/27/2017
A32746 RIAZ MOHAMMAD MD 1104014414 MERCY MEDICAL CENTER 16444 PARAMOUNT BLVD STE 103PARAMOUNT 90723-5453
7/26/1993
RN282646 RICE DEBORAH ANN NP 1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
Monday, June 06, 2022 Page 264 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN282646 RICE DEBORAH ANN NP 1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
1/4/2018
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
12/14/2010
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
12/12/2012
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
6/11/2007
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
6/11/2007
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
6/11/2007
RN791810 RICE DIANA PATRICIA NP 1346557691 WHOLE FAMILY HEALTH, PC 1030 S GLENDALE AVE STE 200GLENDALE, CA 91205-2866
5/8/2018
A147345 RICHARDS DAVID LUIGI MD 1982611919 CO OF L.A. - HUMPHREY COMPREHENSIVE HC
5850 S MAIN STLOS ANGELES 90003-1215
9/8/2020
A104017 RICHARDS JACLYN P MD 1922416411 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES
4943 SLAUSON AVENUEMAYWOOD 90270-3020
8/16/2019
1215310008 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
6119 AGRA STREETBELL GARDENS 90201-1705
8/16/2019
1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
7/11/2019
1790051423 FAMILY HEALTH CARE CENTER OF GREATER LA INC
12113 WOODRUFF AVE STE ADOWNEY 90241-5605
9/3/2019
RN95074510 RICHARDSON JANAYIA CHASHEA
NP 1164771747 THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE STE. 405CULVER CITY, CA 90230
12/4/2019
A81264 RICO CRISTIAN MD 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
3/28/2006
PA14869 RILEY-GARNER ROBIN D PA 1750325098 INGLEWOOD FAMILY MEDICAL CLINIC
3215 W IMPERIAL HWYINGLEWOOD 90303-2810
11/4/2005
Monday, June 06, 2022 Page 265 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN685620 RIMULAR LIZA LYNNE NP 1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/22/2019
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/22/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/22/2019
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/22/2019
A110868 RIOS EUNICE VALERIA MD 1972516631 CO OF L.A. - EL MONTE COMPREHENSIVE HC
10953 RAMONA BLVDEL MONTE 91731-2698
8/2/2019
RN825310 RIOS LINA MARCELA NP 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
10/31/2018
1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
12/5/2018
RN771685 RIOS WILFREDO NP 1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
5/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
5/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
5/18/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
5/18/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
5/18/2021
Monday, June 06, 2022 Page 266 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN771685 RIOS WILFREDO NP 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
5/18/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
5/18/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
5/18/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
5/18/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
5/18/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
5/18/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
5/18/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
5/18/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
5/18/2021
PA52064 RIVANI NILOO PA 1851609176 GREEN CROSS MED NET INC 5832 S VERMONT AVELOS ANGELES 90044-3712
1/16/2018
1447703400 HEALTH ACCESS FOR ALL INC 1919 WEST 7TH ST 2ND & 3RD FLOORLOS ANGELES 90057-4103
1/10/2019
1487832655 SOCAL HEALTHNET INC 5912 SANTA MONICA BLVDLOS ANGELES 90038-2043
9/28/2016
RN547949 RIVAS MARGARET ELIZABETH
NP 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
12/21/2017
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
12/21/2017
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
12/21/2017
Monday, June 06, 2022 Page 267 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN547949 RIVAS MARGARET ELIZABETH
NP 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
12/21/2017
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
12/21/2017
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
12/21/2017
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
12/21/2017
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
12/21/2017
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
PA14743 RIVERA JOSE ANTONIO PA 1083735203 BATRES , ERIC R MD MEDICAL CORP
5101 FLORENCE AVE STE 4BELL 90201-3801
8/1/2008
G58728 RIVERA MARTHA E MD 1689082232 RIVERA, MARTHA E MD INC 1700 E CESAR E CHAVEZ AVE SUITE 3450LOS ANGELES 90033-2424
4/16/2015
RN124555 RIVIERA DOLORES ANDREA
NP 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
6/1/2004
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
6/1/2004
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
Monday, June 06, 2022 Page 268 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN124555 RIVIERA DOLORES ANDREA
NP 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
6/1/2004
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
6/1/2004
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/19/2001
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
6/1/2004
RN172012 ROBERGE BARBARA L NP 1811063985 DUARTE UNIF SCHOOL DISTRICT 1620 HUNTINGTON DRIVEDUARTE 91010-2534
5/26/2006
A86373 ROBERTS JENNA CHRISTINE
MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
7/19/2005
G63849 ROBERTS SUZANNE LESLIE MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
20A18182 ROBERTSON CAMILLE KAY DO 1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
5/18/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
5/18/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
5/18/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
5/18/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
5/18/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
5/18/2021
Monday, June 06, 2022 Page 269 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A18182 ROBERTSON CAMILLE KAY DO 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
5/18/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
5/18/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
5/18/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
5/18/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
5/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
5/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
5/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
5/18/2021
A163432 ROBERTSON RACHEL DENA MD 1619471802 THE LOS ANGELES FREE CLINIC INTERMITTENT
137 N VIRGIL AVELOS ANGELES 90004-4811
12/28/2020
A67653 ROBINSON JEHNI SUZANNE MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
8/13/2014
C35069 ROBINSON LAWRENCE DANIEL JR
MD 1437495462 FLORENCE WESTERN MEDICAL CLINIC INC
20440 SHERMAN WAYCANOGA PARK 91306
2/24/2021
1154347797 FLORENCE WESTERN MEDICAL CLINIC INC
7301 WESTERN AVELOS ANGELES 90047-2254
2/24/2021
1376888024 FLORENCE WESTERN MEDICAL CLINIC INC
13500 VAN NUYS BLVDPACOIMA 91331-3028
2/24/2021
Monday, June 06, 2022 Page 270 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA14075 ROBINSON RICHARD JAY PA 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
10/13/2015
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
2/10/2016
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
10/13/2015
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
10/13/2015
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
10/13/2015
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
10/13/2015
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
10/13/2015
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
10/13/2015
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
10/13/2015
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
10/13/2015
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
10/13/2015
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
Monday, June 06, 2022 Page 271 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA14075 ROBINSON RICHARD JAY PA 1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
10/13/2015
RN264459 ROBINSON-SMITH KARIN EILEEN NP 1801921952C ROY MEDICAL GROUP INC 1543 E PALMDALE BLVD STE CPALMDALE 93550-2030
11/4/2014
1801921952D ROY MEDICAL GROUP INC 1543 E PALMDALE BLVD STE FPALMDALE 93550-2030
1/22/2015
A113925 ROBLEDO LISETTE A MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
12/5/2018
1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
8/4/2021
RN276534 ROBLES ARMIDA T NP 1821114687 EL MONTE CITY SCHOOL DIS 3540 LEXINGTON AVEEL MONTE 91731-2608
3/22/2010
PA18786 ROBLES JOSE MANUEL PA 1962525964 CROWN CITY MEDICAL GROUP INC
1542 E FLORENCE AVELOS ANGELES 90001-2536
8/21/2007
1619090610 CROWN CITY MEDICAL GROUP 3208 SANTA ANITA AVE STE 200EL MONTE 91733-1360
6/4/2010
1508989500 CROWN CITY MEDICAL GRP INC 6601 RUGBY AVE. STE 300HUNTINGTON PK 90255-4040
8/21/2007
1790177582STA
ALTAMED HEALTH SERVICES CORPORATION
6601 RUGBY AVE STE 300HUNTINGTON PARK 90255-4046
12/16/2021
1982814745STB
ALTAMED COMM HEALTH CLINIC INTERMITTENT
2661 E WASHINGTON BLVDPASADENA 91107-0707
4/13/2022
1982814745STA
ALTAMED COMM HEALTH CLINIC INTERMITTENT
3208 SANTA ANITA AVE STE. 200EL MONTE 91733-1304
3/21/2022
1790177582STB
ALTAMED HEALTH SERVICES INTERMITTENT
1542 E FLORENCE AVELOS ANGELES 90001-2536
12/20/2021
RN645806 ROBLES HERNANDEZ
LUCILA NP 1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
5/1/2019
Monday, June 06, 2022 Page 272 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A40282 RODAS ANA LASTENIA MD 1821215914 CLINICA MEDICA CUZCATLAN/CUZCATLAN MEDICAL CLINIC
3559 E GAGE AVEBELL 90201-1042
3/3/2003
PA22347 RODGERS JOSHUA A PA 1053368167 FELDMAN, ROCHELLE C MD 18520 VIA PRINCESSA STE C2CANYON CNTRY 91387-8326
12/22/2014
G58118 RODGERS-SIMPKINS
SHARLITA M MD 1386708634 JWCH INSTITUTE, INC JWCH NORWALK REGIONAL
12360 FIRESTONE BLVDNORWALK 90650-4324
5/12/2014
PA12501 RODRIGUEZ ARTURO PA 1225168024 GALDAMEZ, LUIS A MD INC 2955 E FLORENCE AVEHUNTINGTON PK 90255-5836
8/8/2014
G58655 RODRIGUEZ BARBARA MD 1326278490I JANESRI DE SILVA MD A PROFE 777 TRUMAN STREET 104 AND 105SAN FERNANDO 91340-3383
12/9/2020
RN599620 RODRIGUEZ JACQUELINE NP 1710261284B BELLA MEDICAL GROUP INC 9916 SAN JUAN AVESOUTH GATE 90280-6108
1/1/0001
A159514 RODRIGUEZ JANELLE MD 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
9/14/2020
PA19041 RODRIGUEZ JAVIER PA 1396891909 SOUTH CENTRAL FAMILY HEALTH CTR
4425 S CENTRAL AVELOS ANGELES 90011-3629
1/6/2022
PA15733 RODRIGUEZ JORGE ORTEGA PA 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
4/7/2010
A117502 RODRIGUEZ MARGARITA ALEJANDRA
MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
8/9/2017
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
8/9/2017
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
8/3/2017
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
A43620 RODRIGUEZ MARIA ELENA MD 1023179546 RODRIGUEZ, MARIA E MD INC 2417 WHITTIER BLVDLOS ANGELES 90023-1355
3/21/2001
Monday, June 06, 2022 Page 273 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A80070 RODRIGUEZ MARTHA LIDIA MD 1912146887 MLS CLINICAL & MEDICAL CORPORATION
8530 FLORENCE AVE SUITE 101DOWNEY 90240
8/23/2005
A157083 RODRIGUEZ REBECCA MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
10/14/2021
1982075107C PEDIATRIC AND FAMILY MEDICAL INTERMITTENT
6618 VAN NUYS BLVDVAN NUYS 91405-4617
9/14/2021
A135051 RODRIGUEZ REBECCA LYNN MD 1831287978 WESTSIDE FAMILY HLTH CTR 1711 OCEAN PARK BLVDSANTA MONICA 90405-4901
11/1/2016
PA17699 RODRIGUEZ SYLVIA PA 1861925679 UNICARE COMMUNITY HEALTH CENTER INC
2409 N BROADWAYLOS ANGELES 90031-2218
10/6/2020
A33241 RODRIGUEZ-ELLIS EVA MD 1639266141 RODRIGUEZ, EVA B MD INC 1403 LOMITA BLVD STE 305HARBOR CITY 90710-2085
9/23/2010
RN95102966 ROE STEPHANIE SUKI NP 1467465641STA
CO OF L.A. - MID VALLEY COMP HC
7515 VAN NUYS BLVDVAN NUYS 91405-1949
7/16/2020
A159778 ROESSNER JEDD LYN TICAR MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
8/2/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
8/2/2019
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
8/2/2019
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
8/2/2019
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
8/4/2020
A124229 ROJAS JOSEPH ROBERT L
MD 1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
9/23/2020
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
9/23/2020
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/23/2020
Monday, June 06, 2022 Page 274 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A124229 ROJAS JOSEPH ROBERT L
MD 1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
9/23/2020
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
9/23/2020
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
9/23/2020
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
9/23/2020
PA17277 ROLDAN GUSTAVO M PA 1962685966 TWEETY FAMILY CLINIC INC 3050 TWEETY BLVDSOUTH GATE 90280-5742
1/16/2014
PA19149 ROLDAN GUSTAVO TOSHIO
PA 1154730828 EL PROYECTO DEL BARRIO INC 3942 MAINE AVEBALDWIN PARK 91706-4220
2/22/2016
1770696023 EL PROYECTO DEL BARRIO INC AZUSA CLINIC
150 N AZUSA AVEAZUSA 91702-3521
11/25/2014
RN723534 RONQUILLO JURY OCLARIT NP 1295887024 LA LIBERTAD MEDICAL CLINIC INC 8225 LONG BEACH BLVD STE CSOUTH GATE 90280-2010
1/27/2020
G73104 ROOHAN JOHN ARTHUR MD 1558397067 VENICE FAMILY CLINIC 2509 PICO BLVDSANTA MONICA 90405-1828
1/27/2020
C155653 ROPER PAMELA LYNN MD 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
8/16/2019
PA19519 ROSALES CRISTINA MARIE PA 1740233725 FCS MEDICAL CORPORATION 815 W WASHINGTON BLVDMONTEBELLO 90640-6123
11/1/2017
A50232 ROSEN ELAINE LEVENSON
MD 1831426642A LAKESIDE MEDICAL 1500 W WEST COVINA PKWYWEST COVINA 91790-2703
4/11/2014
RN325975 ROSKAMP DEBORAH ANN NP 1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/19/2001
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
Monday, June 06, 2022 Page 275 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN325975 ROSKAMP DEBORAH ANN NP 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/10/2001
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/19/2001
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/19/2001
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/19/2001
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A173730 ROSQUETE MENDEZ
RENIER MD 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
10/21/2021
1386912202 EAST VALLEY COMMUNITY HEALTH CENTER INC
17840 VILLA CORTA STREETLA PUENTE 91744-5342
11/2/2021
A141736 ROSS NICOLE ELIZABETH
MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
PA15676 ROSS SORAYA PA 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
10/28/2019
A99776 ROSTAMI BABAK BOBBY MD 1184134827 SAN JUDAS COMMUNITY HEALTH CENTER INC
1080 N WESTERN AVELOS ANGELES 90029-2310
4/24/2020
A50108 ROSTAMI MIKE MANSOUR MD 1710073390 ST JOHN URGENT CARE AND MED CORP
1119 N WESTERN AVE SUITE GLOS ANGELES 90029-1070
12/11/2008
Monday, June 06, 2022 Page 276 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A48731 ROSTAMI NEJAT MD 1396235883 SAN JUDAS COMMUNITY HEALTH CENTER INC
2972 WILSHIRE BLVD 1ST-2ND FLOORLOS ANGELES 90010-1101
3/5/1993
1184134827 SAN JUDAS COMMUNITY HEALTH CENTER INC
1080 N WESTERN AVELOS ANGELES 90029-2310
3/13/1996
20A13034 ROUND PAUL EDWARD DO 1598829350STA
JWCH INSTITUTE, INC 37926 47TH STREET EAST SUITE DPALMDALE 93552
7/20/2021
1598829350STC
JWCH INSTITUTE, INC 2151 EAST PALMDALE BLVDPALMDALE 93550
4/22/2021
RN524805 ROVENSKY GALINA NP 1316455363 YASHARPOUR MEDICAL DOCTOR, INC., APMC
7400 VAN NUYS BLVD., STE 120VAN NUYS 91405-1972
7/1/2019
1255849238 YASHARPOUR MEDICAL DOCTOR, INC APMC
6330 VAN NUYS BLVDVAN NUYS 91401-2610
6/7/2019
A78060 ROXAS-BUTLIG EVANGELINE GIDAYA
MD 1225366305 ROXAS-BUTLIG, EVANGELINE MD 1000 E DOMINGUEZ ST STE 110CARSON 90746-3600
11/30/2005
1225366305B EVANGELINE G ROXAS-BUTLIG MD INC
1727 CRENSHAW BLVDTORRANCE 90501-3312
5/23/2022
A31632 ROY RITA MD 1306900832 ROY, RITA MD 11480 BROOKSHIRE AVE STE 105DOWNEY 90241-5020
12/11/1981
C42697 ROY ROSALINDA AMOR
MD 1801921952B ROY MEDICAL GROUP INC 21001 SHERMAN WAY STE 15CANOGA PARK 91303-1760
3/25/1997
1801921952C ROY MEDICAL GROUP INC 1543 E PALMDALE BLVD STE CPALMDALE 93550-2030
9/23/2008
1801921952A ROY MEDICAL GROUP INC 16063 VANOWEN STVAN NUYS 91406-4810
9/23/2008
RN560946 ROYSTER JR JAMES ARTHUR NP 1033304894 HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
711 N ALVARADO ST STE 104 AND 107LOS ANGELES 90026-3333
1/4/2022
RN809710 RUBIN MARIA CRUZ NP 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
10/27/2016
Monday, June 06, 2022 Page 277 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN809710 RUBIN MARIA CRUZ NP 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/27/2016
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
10/27/2016
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
10/27/2016
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
10/27/2016
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
10/27/2016
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
10/27/2016
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
10/27/2016
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
A16990 RUBINSON WILLIAM J MD 1861711863 AME MEDICAL GROUP INC 11938 PARAMOUNT BLVD.DOWNEY 90242-2306
5/13/2020
G11103 RUBINSTEIN BENJAMIN B MD 1801805056A INTEGRATED HEALTHCARE MEDICAL GROUP, INC
2850 ARTESIA BLVD STE 105REDONDO BEACH 90278-3412
2/22/2018
1184134827 SAN JUDAS COMMUNITY HEALTH CENTER INC
1080 N WESTERN AVELOS ANGELES 90029-2310
3/28/2017
1396235883 SAN JUDAS COMMUNITY HEALTH CENTER INC
2972 WILSHIRE BLVD 1ST-2ND FLOORLOS ANGELES 90010-1101
3/31/2017
Monday, June 06, 2022 Page 278 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
C55545 RUIZ EVETTE MD 1295829109 JWCH INSTITUTE, INC BELL GARDENS COMM HEALTH
6912 AJAX AVE.BELL GARDENS 90201-4057
11/15/2013
A132956 RUIZ FERRIN K. MD 1245261023B R RUIZ MD A PROFESSIONAL 833 W WHITTIER BLVDMONTEBELLO 90640-4735
8/8/2019
G52245 RUIZ RUBEN MD 1245261023B R RUIZ MD A PROFESSIONAL 833 W WHITTIER BLVDMONTEBELLO 90640-4735
8/8/2019
A158399 RUNAS FRANCIS MATTHEW
MD 1790177582 ALTAMED HEALTH SERVICES CORPORATION
1900 E SLAUSON AVEHUNTINGTON PARK 90255-2725
4/1/2019
1790177582STB
ALTAMED HEALTH SERVICES INTERMITTENT
1542 E FLORENCE AVELOS ANGELES 90001-2536
12/20/2021
1790177582STA
ALTAMED HEALTH SERVICES CORPORATION
6601 RUGBY AVE STE 300HUNTINGTON PARK 90255-4046
12/16/2021
RN710801 RUNAS JILL RUBY TAPORCO
NP 1700097540A THE NORTHEAST COMMUNITY CLNC
200 E ANAHEIM STREETWILMINGTON 90744-4516
10/7/2014
A32077 RUSSELL HUBERT ANTHONY
MD 1215113964STA
COMPLETE CARE COMMUNITY HEALTH CENTER, INC
3831 HUGHES AVE., STE. 601CULVER CITY 90232
11/28/2018
A95277 RUTHERFORD RIAN WELLINGTON
MD 1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
8/2/2019
A165452 RYBA DANIELLE MARIE MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
10/21/2021
1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
7/26/2021
PA11688 SAAVEDRA DAVID PA 1174833974 CLINICA MEDICA DEL SOL GROUP INC
1431 NO HACIENDA BLVDLA PUENTE 91744-1133
9/22/2014
C150894 SAAVEDRA KARLSSON
MARIA MD 1679553192 COMPREHENSIVE COMMUNITY HEALTH CTR-EAGLE ROCK
1704 COLORADO BLVDLOS ANGELES 90041-1338
11/6/2019
A48778 SABABA LILIAN EDITH MD 1891806329 SABABA, LILIAN E MD 866 N VERMONT AVELOS ANGELES 90029-3587
6/16/1992
Monday, June 06, 2022 Page 279 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A164880 SABER SAGHAR MD 1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/11/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
1/11/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
1/11/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
1/11/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
1/11/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
1/11/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
1/11/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
1/11/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
1/11/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
1/11/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
1/11/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/11/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
1/11/2021
Monday, June 06, 2022 Page 280 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A164880 SABER SAGHAR MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
1/11/2021
A130096 SABIR AQSA MD 1851609176 GREEN CROSS MED NET INC 5832 S VERMONT AVELOS ANGELES 90044-3712
12/16/2019
1487832655 SOCAL HEALTHNET INC 5912 SANTA MONICA BLVDLOS ANGELES 90038-2043
12/16/2019
A35712 SACHANI MEHBOOB ANWERALI
MD 1144268657 SACHANI, MEHBOOB A MD 18350 ROSCOE BLVD STE 205NORTHRIDGE 91325-4150
3/31/1982
1093181448 EL PROYECTO DEL BARRIO INC 18250 ROSCOE BLVD SUITE 200NORTHRIDGE 91325-4226
1/29/2018
A46572 SADIGHI SAEID MD 1285782664B SORAYA MEDICAL GROUP INC 11702 IMPERIAL HWY STE 110NORWALK 90650-2890
2/17/2000
1285782664A SORAYA MEDICAL GROUP INC 2701 FIRESTONE BLVD STE WSOUTH GATE 90280-2778
1/31/2000
G63200 SAGER SUSANNE MD 1740539576 CALIG, SCOTT MD INC 7301 MEDICAL CENTER DR STE 300WEST HILLS 91307-1910
2/19/2021
A106320 SAHAKIAN KATTY MD 1760900922 ALL FOR HEALTH, HEALTH FOR ALL, INC
2048 MONTROSE AVEMONTROSE 91020
11/21/2018
A54467 SAIED SAIED IBRAHIM MD 1922490960STA
AGHABY COMPREHENSIVE COMMUNITY HEALTH CTR
2542 E FLORENCE AVENUE STE BWALNUT PARK 90255
10/11/2018
1922490960 AGHABY COMPREHENSIVE COMMUNITY HEALTH CENTER
349 W COMPTON BLVDCOMPTON 90220-3110
6/12/2017
A42230 SAIFEE TALAT MD 1194758235 TALAT SAIFEE MD A MEDICAL CORPORATION
2211 W MAGNOLIA BLVD STE 210BURBANK 91506-1771
11/30/2005
A38942 SAKHAI YUSSEF MD 1841551108 SAKHAI, YUSSEF MD INC 5797 WASHINGTON BLVDCULVER CITY 90232-7336
10/8/2015
A125617 SALAMA MARINA ADEL MD 1316455363 YASHARPOUR MEDICAL DOCTOR, INC., APMC
7400 VAN NUYS BLVD., STE 120VAN NUYS 91405-1972
11/22/2019
Monday, June 06, 2022 Page 281 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A125617 SALAMA MARINA ADEL MD 1255849238 YASHARPOUR MEDICAL DOCTOR, INC APMC
6330 VAN NUYS BLVDVAN NUYS 91401-2610
11/22/2019
A130462 SALAMA MICHAEL NAIM MD 1801992565 SAN MIGUEL MEDICAL CLINIC, INC.
8204 LONG BEACH BLVD STE BSOUTH GATE 90280-2011
10/22/2014
A42061 SALAMA NAIM MD 1801992565 SAN MIGUEL MEDICAL CLINIC, INC.
8204 LONG BEACH BLVD STE BSOUTH GATE 90280-2011
10/29/1995
A123835 SALAMI AZADEH MD 1891028171 THE NORTHEAST COMMUNITY CLINIC
4455 W 117 ST STE 300HAWTHORNE 90250-2240
6/14/2017
RN376865 SALAZAR JANIE ANN NP 1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
6/30/2020
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
6/30/2020
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
6/30/2020
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
6/30/2020
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
6/30/2020
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
6/30/2020
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
6/30/2020
A62175 SALAZAR TERESITA M MD 1710159223 SALAZAR, TERESITA MD INC 17403 WOODRUFF AVEBELLFLOWER 90706-6746
9/4/2003
A36971 SALIMPOUR RALPH MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
6/8/2017
A37573 SAMALA VERONICA RODRIGUEZ
MD 1316111933 CLINICA PACIFICA MEDICAL GROUP
2550 E SLAUSON AVE. SUITE GHUNTINGTON PARK 90255-2820
12/25/2000
Monday, June 06, 2022 Page 282 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G49691 SAMANIEGO LUIS RAMON MD 1982657029 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
5823 YORK BLVD STE 1LOS ANGELES 90042-2634
12/16/1991
A123728 SAMANIEGO MIREYA MD 1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
10/22/2015
A79984 SAMIMI SHIDEH MD 1518971241 CO OF L.A. - LONG BEACH CHC 1333 CHESTNUT AVENUELONG BEACH 90813-2944
1/27/2020
A50182 SANATHRA MAHENDRA GAURISHANKER
MD 1134206436 ANGEL FAMILY PRACTICE MEDICAL GROUP INC
2015 E FLORENCE AVELOS ANGELES 90001-2754
5/16/1994
A126211 SANCHEZ ALICIA KIM MD 1205859733A SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
9306 ALONDRA BLVDBELLFLOWER 90706-4212
8/5/2016
1205859733B SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
3529 FIRESTONE BLVDSOUTH GATE 90280-3031
8/5/2016
G48388 SANCHEZ DENNIS JAMES MD 1205859733B SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
3529 FIRESTONE BLVDSOUTH GATE 90280-3031
9/2/1998
1205859733A SANCHEZ, DENNIS J MD SANCHEZ MEDICAL CENTER
9306 ALONDRA BLVDBELLFLOWER 90706-4212
10/2/2003
A73371 SANCHEZ GLORIA ANGELINA
MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
7/2/2009
RN246664 SANCHEZ GLORIA MARGARET
NP 1396893723 KPADUWA, JULIUS C MD AMC 11017 VALLEY MALLEL MONTE 91731-2617
2/13/2019
PA56053 SANCHEZ MARIA DEL SOCORRO
PA 1003188160C MAYFLOWER MEDICAL GROUP, INC
1750 HUNTINGTON DR STE BDUARTE 91010-2536
9/14/2020
1760689426B YBPC MEDICAL CLINIC INC 1750 HUNTINGTON DR STE BDUARTE 91010-2136
11/22/2019
PA23002 SANCHEZ TERESA PA 1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
3/14/2017
1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
6/5/2020
Monday, June 06, 2022 Page 283 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A36950 SANCHEZ VICTORIA LUISA MD 1548526445 SANCHEZ-BAL, VICTORIA MD FAAP INC
9604 E ARTESIA BLVD SUITE 202BELLFLOWER 90706-8039
5/19/1987
A67023 SANDA SRINATH MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
5/23/2001
G55931 SANDERS JESSE DAVID JR MD 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/10/2001
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/19/2001
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/19/2001
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
4/10/2001
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/19/2001
A149341 SANDERS SARAH LEE MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
10/28/2019
Monday, June 06, 2022 Page 284 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A163128 SANDHA ANITA CATHERINE
MD 1629062005 VASHISTHA, KRISHAN K MD 27141 HIDAWAY AVE STE 105CANYON COUNTRY 91351-4137
8/16/2019
RN517673 SANDHU GAGAN PREET NP 1891904686 GAGE MEDICAL CENTER 2719 E GAGE AVEHUNTINGTON PARK 90255-4202
4/16/2009
PA15741 SANDOVAL JOSE SERGIO PA 1710261284B BELLA MEDICAL GROUP INC 9916 SAN JUAN AVESOUTH GATE 90280-6108
2/1/2021
1710261284A BELLA MEDICAL GROUP INC 2933 WHITTIER BLVDLOS ANGELES 90023-1528
7/2/2013
RN687069 SANDOVAL PAULA A NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/11/2021
1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
3/8/2021
A160706 SANDOVAL SUSANA V MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/21/2020
RN313598 SANFORD LINDA ANN OLSON
NP 1487086989 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2614 S GRAND AVENUELOS ANGELES, CA 90007-2607
1/1/0001
A37095 SANGHVI MANISHA VIRENDRA
MD 1043423460 VALLEY PEDIATRICS APMC/PREMIER PEDIATRICS MED
14901 RINALDI ST STE 330MISSION HILLS 91345-1251
9/18/2002
A68987 SANTIAGO-SORIANO
SUSANA V MD 1336296565 SANTIAGO-SORIANO, SUSANA V MD INC
3908 BEVERLY BLVDLOS ANGELES 90004-3407
9/5/2002
PA22843 SANTIBANEZ LUZ ALEJANDRA PA 1740511369 CAMILO S JORGE, MD PROF CORP
16415 COLORADO AVE STE 102PARAMOUNT 90723-5051
10/18/2021
A136197 SANTOHIGASHI KATHERINE T MD 1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
10/27/2017
PA20157 SANTOS MARY GRACE M PA 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
6/26/2020
20A15946 SARABAKHSH TARA DO 1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
Monday, June 06, 2022 Page 285 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A15946 SARABAKHSH TARA DO 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
1/11/2021
RN830705 SARINO EDNA VINCENT NP 1477069375 GAGE MEDICAL CLINIC INC. R OF HUNTINGTON PARK
3203 E FLORENCE AVEHUNTINGTON PARK 90255-5831
11/29/2021
A43383 SARODE PRAFUL A MD 1568760239 SHINE HEALTHCARE INC 12371 IMPERIAL HWYNORWALK 90650-3129
1/3/2013
A53170 SATEY FARIBORZ MD 1356489629A SATEY, FARIBORZ D MD INC 1707 W AVENUE JLANCASTER 93534-2703
10/3/2012
1356489629B SATEY, FARIBORZ D MD INC 627 W AVENUE Q STE DPALMDALE 93551-3891
4/19/2002
PA14205 SAUL-LANGFORD MICHELE LEE PA 1679626436 AZUL MEDICAL CLINIC, INC 6517 EASTERN AVEBELL GARDENS 90201-3003
6/4/2018
A25113 SAUNDERS JAMES EDWARD MD 1326414491 SAUNDERS, JAMES E MD INC 3737 MARTIN LUTHER KING STE 204LYNWOOD 90262-3526
3/15/1983
A47709 SAWIRIS SAMIR A MD 1063562130 ST ANTHONY MEDICAL CTR HOLLYWOOD CLINIC
6368 HOLLYWOOD BLVDLOS ANGELES 90028-6320
8/20/2012
1225188204 ST ANTHONY MEDICAL CTR IMPERIAL CLINIC
837 W IMPERIAL HWYLOS ANGELES 90044-4110
6/12/2012
RN785212 SCARLETT LIGAYA DOCENA NP 1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
5/12/2014
1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
8/2/2019
G46285 SCHAFF PAMELA BETH MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
12/22/2009
20A8487 SCHAWLB SUZANNE ESTRELLITA
DO 1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
9/16/2016
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
9/16/2016
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
9/16/2016
Monday, June 06, 2022 Page 286 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A8487 SCHAWLB SUZANNE ESTRELLITA
DO 1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
9/16/2016
A119168 SCHICKEDANZ ADAM BENNETT MD 1316969934 CO OF L.A. - OLIVE VIEW -UCLA MED. CTR.- PEDIATRICS
14445 OLIVE VIEW DR.SYLMAR 91342-1437
2/16/2017
A120407 SCHICKEDANZ HEATHER BENNETT
MD 1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
12/16/2019
G19986 SCHLAERTH KATHERINE REGINA D
MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
5/8/2018
20A12994 SCHLUEDERBERG ERIC AHLERS DO 1013311448 KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH
3255 WILSHIRE BLVD STE 120LOS ANGELES 90010-1405
12/7/2016
A42887 SCHMIDT-VILLANUEVA
MIRIAM L MD 1528020112 CHAPARRAL MED GROUP INC 790 E BONITA AVE FL 2POMONA 91767-1906
11/10/2010
PA52627 SCHULTZ CHARLENE MAKI PA 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
5/17/2017
RN827403 SCHUMANN GENICE L NP 1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
3/11/2021
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
3/11/2021
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
3/11/2021
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
3/11/2021
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
3/11/2021
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
3/11/2021
PA18403 SCOTT STEVEN LAMAR PA 1083728190B JOHNSON-CHAVIS, TONI D MD, INC
11868 ROSECRANS AVENORWALK 90650-3081
1/6/2009
1083728190A JOHNSON-CHAVIS, TONI D MD INC 403 S LONG BEACH BLVD STE BCOMPTON 90221-3491
10/22/2007
Monday, June 06, 2022 Page 287 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A34882 SEDRAK BOTHYNA FAYED MD 1750472965 SEDRAK, BOTHYNA F MD 3650 SOUTH ST STE 209LAKEWOOD 90712-1526
3/24/1983
A167961 SEE MELISSA VELEZ MD 1902267479 ALTAMED HEALTH SERVICES CORPORATION
8627 ATLANTIC AVENUESOUTH GATE 90280-3501
10/21/2020
PA54093 SEGURA DANNY PA 1356362743 COMPREHENSIVE COMMUNITY HEALTH CENTERS GLENDALE
801 S CHEVY CHASE DR STE 250GLENDALE 91205-4433
9/17/2019
A43605 SEGURA GEORGE A MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
8/24/2017
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
PA16599 SEK KOSAL PA 1477649119B WATTS HEALTHCARE 316 E 111TH STREETLOS ANGELES 90061-3004
5/24/2019
1376681486 WATTS HEALTHCARE CORPORATION
10110 JUNIPER STLOS ANGELES 90002-3166
12/16/2019
A114147 SELVAKKUMARAN GAYATHRI MD 1326278490H JANESRI DE SILVA M D APC 75 N SANTA ANITA AVE STE 206ARCADIA 91006-3112
8/19/2020
A140256 SEPANIAN RUTH MD 1710031588D FACEY MEDICAL FOUNDATION 27924 SECO CANYON RDSANTA CLARITA 91350-3870
12/6/2017
PA17287 SERNA EDWARD ARTURO
PA 1033240650 GALDAMEZ, LUIS A MD INC CLINICA MEDICA VIRGEN DE GUADALUPE
6831 SEVILLE AVEHUNTINGTON PK 90255-4805
9/2/2020
1225168024 GALDAMEZ, LUIS A MD INC 2955 E FLORENCE AVEHUNTINGTON PK 90255-5836
9/2/2020
RN95106737 SERRANO LUCY CELINA NP 1982873162 MONTES MEDICAL GROUP 11822 FLORAL DRWHITTIER 90601-2900
4/25/2022
A128551 SESSIONS CINDY LE MD 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
11/8/2016
A120623 SEYMOUR TYISHA LYNN MD 1316044522 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
1530 S OLIVE STLOS ANGELES 90015-3023
1/16/2018
Monday, June 06, 2022 Page 288 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A120623 SEYMOUR TYISHA LYNN MD 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
1/18/2018
1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
2/1/2018
G42926 SGHIATTI VINCENT ROBERT MD 1750469318 SGHIATTI, VINCENT R APC 6316 HOLMES AVELOS ANGELES 90001-1824
4/20/2004
A35416 SHAFAI JAMSHID MD 1467633586 SHAFAI, JAMSHID MD INC MEDICAL GROUP INC
7601 ATLANTIC AVENUECUDAHY 90201-5019
1/25/1993
A160614 SHAH ANOKHI U MD 1700097540A THE NORTHEAST COMMUNITY CLNC
200 E ANAHEIM STREETWILMINGTON 90744-4516
7/15/2021
1952641136 NORTHEAST COMMUNITY CLINICS
1403 LOMITA BLVD STE 100, 101, 106HARBOR CITY 90710-2084
7/15/2021
1124460274STB
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1403 W LOMITA BLVD STE 103HARBOR CITY 90710-2084
9/1/2021
A136716 SHAH LINA SARTHI MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
9/11/2017
A116053 SHAH MEGHA DILIP MD 1316969934 CO OF L.A. - OLIVE VIEW -UCLA MED. CTR.- PEDIATRICS
14445 OLIVE VIEW DR.SYLMAR 91342-1437
2/16/2017
A71553 SHAH MONA ARVIND MD 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
2/5/2002
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
2/3/2002
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
2/5/2002
Monday, June 06, 2022 Page 289 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A71553 SHAH MONA ARVIND MD 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
2/5/2002
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
2/5/2002
20A17968 SHAH SNEHA DO 1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
6/28/2021
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
6/28/2021
A151463 SHAH LECLERE RIMA SIDDHARTH MD 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
7/3/2019
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
7/3/2019
A39062 SHAHEEDY MOHAMAD MD 1699855098 SHAHEEDY, MOHAMAD MD 5400 BALBOA BLVD STE 210ENCINO 91316-5208
7/29/1983
RN797569 SHAKHSHIR SUZAN YACOUB NP 1417211426 POMONA COMMUNITY HEALTH CENTER
1450 EAST HOLT AVEPOMONA, CA 91767
3/9/2018
A39507 SHALABI KAIED OTHMAN MD 1598857815 SHALABI, KAIED O MD SHALABI MEDICAL CLINIC
453 E ARROW HWY STE BAZUSA 91702-5612
6/23/1987
A139691 SHALIKAR HAMED MD 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
12/6/2021
A87291 SHAMIM FATEMA ARIF MD 1548610322 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
2710 W MANCHESTER BLVDINGLEWOOD 90305-2436
5/24/2018
A140819 SHAPIRO STRYGLER
ILAN MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
10/12/2016
Monday, June 06, 2022 Page 290 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A30135 SHARMA CHANDER PRAKASH
MD 1588778930 ADVANCED FAMILY MEDICAL GRP 16415 COLORADO AVE STE 304PARAMOUNT 90723-5053
9/28/1978
20A14739 SHAW MANESSA CRYSTAL
DO 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
1/18/2018
A134111 SHEKARCHI AMY JALEH MD 1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
9/2/2020
1316969934 CO OF L.A. - OLIVE VIEW -UCLA MED. CTR.- PEDIATRICS
14445 OLIVE VIEW DR.SYLMAR 91342-1437
12/23/2016
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
9/2/2020
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
9/2/2020
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/2/2020
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
9/2/2020
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
9/2/2020
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
9/2/2020
1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
7/30/2019
G55170 SHEN ALICE YUEN FONG
MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
9/1/2021
A56273 SHENOUDA EMILE GEORGE MD 1386025773 L A STAR MEDICAL GROUP INC 4161 REDONDO BEACH BLVD SUITE 100LAWNDALE 90260-1477
4/10/2017
1538344437 SHENOUDA, EMILE G MD INC 10132 CALIFORNIA AVESOUTH GATE 90280-6008
9/30/2002
1437334331 SHENOUDA, EMILE G MD INC 15340 DEVONSHIRE ST STE 8MISSION HILLS 91345-2760
11/29/2000
Monday, June 06, 2022 Page 291 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
C52509 SHENOY RANJIT THEOFILE MD 1417211426 POMONA COMMUNITY HEALTH CENTER
1450 EAST HOLT AVEPOMONA, CA 91767
4/16/2018
A33495 SHETTY NAGESH MD 1457781676 BENEVOLENCE INDUSTRIES INC 611 E IMPERIAL HWY, SUITE 107LOS ANGELES 90059-2358
2/12/2020
RN484119 SHIBASAKI JEAN A NP 1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
9/8/2020
1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
10/27/2017
A46449 SHIEH MARILYN MD 1699818278 VALLEY MISSION MEDICAL A MED CORPORATION
6410 VAN NUYS BLVD STE BVAN NUYS 91401-1449
10/17/1997
1942343785 VALLEY MISSION MEDICAL A MEDICAL CORPORATION
220 N MACLAY AVE STE 2SAN FERNANDO 91340-2909
10/22/1994
A64981 SHIEN SANDY MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
7/7/2020
1316044522 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
1530 S OLIVE STLOS ANGELES 90015-3023
7/2/2007
A43447 SHIH JENNIFER LING-JIUN
MD 1588665657 FAN, BUNCHEN R MD 4124 ROSEMEAD BLVD STE AROSEMEAD 91770-4400
10/16/2017
1750447264 SHIH, JENNIFER L MD 4124 ROSEMEAD BLVD STE AROSEMEAD 91770-4400
10/25/1995
20A12387 SHIKIYA CECIL ARTURO DO 1720196702 HIGH DESERT MEDICAL GRP INC 43839 15TH ST WLANCASTER 93534-4756
5/27/2014
RN785593 SHIN CHLOE YANGWON
NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
A85523 SHIN YOON SUP MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
5/30/2013
RN656327 SHNAIDER SVETLANA NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
2/8/2022
Monday, June 06, 2022 Page 292 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G50826 SHOHAM STEVEN CHARLES
MD 1841290400 SHOHAM, STEVEN C MD 10515 BALBOA BLVD STE 360GRANADA HILLS 91344-6346
12/15/1989
A48048 SHOW WEI-DER MD 1336189117 CHIENG, AN P MD INC EL SERENO MED GRP
3301 N EASTERN AVELOS ANGELES 90032-1931
1/25/1993
A152482 SHUAI STACEY WENJIA MD 1164771747 THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE STE. 405CULVER CITY, CA 90230
10/16/2019
20A5142 SHUE RANDALL GILBERT
DO 1679576730B SHUE, RANDALL G DO INC 11850 E FIRESTONE BLVDNORWALK 90650-2979
10/8/2002
1679576730A SHUE, RANDALL G DO INC 4055 E OLYMPIC BLVD STE 210LOS ANGELES 90023-3345
6/2/1989
G48292 SHULMAN PETER REES MD 1790858124 VALLEY PEDIATRIC MED GRP 5353 BALBOA BLVD SUITE 104ENCINO 91316-2858
10/1/1980
RN639784 SIA GOMELIA LUCERO
NP 1033144704 ABRAHAM, GIZEL A MD 1510 S CENTRAL AVE STE 510GLENDALE 91204-2543
2/21/2014
G62787 SIFUENTES MONICA MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/23/2018
1407878150 CO OF L.A. - HARBOR-UCLA MED CTR/ PEDS DEPT.
1000 W CARSON STREET L-4TORRANCE 90502-2004
5/20/1998
A69892 SILVA JUAN A MD 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
10/31/2011
1891830568 MOSAIC FAMILY CARE MEDICAL GROUP INC
4857 HUNTINGTON DR NLOS ANGELES 90032-1939
10/17/2002
A133549 SIMAN ELHAM MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
9/7/2018
A83240 SIMAN HOMAN MD 1871645184 COMPLETE CARE FAMILY MEDICAL CLINIC, APC
1231 N AVALON BLVDWILMINGTON 90744-2601
4/16/2009
A55410 SIMONIAN NUNE ARAM MD 1205967916 SIMONIAN, NUNE A MD 435 W ARDEN AVE STE 550GLENDALE 91203-4026
4/7/1999
Monday, June 06, 2022 Page 293 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A95461 SIMS CAROLYN ERIKA MD 1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
1/8/2016
RN95103460 SINAII MARIE ROXANNE NP 1790306074 FHMC GROUP INC 9043 WOODMAN AVE STE CARLETA 91331-6493
2/8/2022
A128040 SINGH ANGELA MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
9/25/2017
RN409063 SINGH JOCELYN L NP 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/19/2001
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/19/2001
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/19/2001
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/10/2001
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/19/2001
RN799114 SINGIDAS JOHN ERIC PALAO
NP 1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
5/18/2021
Monday, June 06, 2022 Page 294 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN799114 SINGIDAS JOHN ERIC PALAO
NP 1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
5/18/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
5/18/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
5/18/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
5/18/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
5/18/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
5/18/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
5/18/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
5/18/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
5/18/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
5/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
5/18/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
5/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
5/18/2021
Monday, June 06, 2022 Page 295 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
C39988 SINHA SACHCHIDA NAND
MD 1881627057 MICHAEL, MAHFOUZ M MD / CLINICA MED SAN MIGUEL
8781 VAN NUYS BLVD.PANORAMA CITY 91402-2406
7/1/2021
A144962 SIPLON CHRISTOPHER JAY
MD 1881054997B EMANATE HEALTH MEDICAL GROUP
147 W. COLLEGE STREETCOVINA 91723-2008
2/4/2022
RN666439 SITJAR MARICRIS TOPICO
NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/21/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/21/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/21/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/21/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/21/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
12/21/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/21/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/21/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/21/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
12/21/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/21/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
12/21/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
12/21/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/21/2021
Monday, June 06, 2022 Page 296 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN666439 SITJAR MARICRIS TOPICO
NP 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/21/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/21/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/21/2021
PA14132 SKINNER-RILEY MARJORIE ANN PA 1083728190A JOHNSON-CHAVIS, TONI D MD INC 403 S LONG BEACH BLVD STE BCOMPTON 90221-3491
10/15/2019
A151910 SMITH ALEXIS NICOLE MD 1972516631 CO OF L.A. - EL MONTE COMPREHENSIVE HC
10953 RAMONA BLVDEL MONTE 91731-2698
12/16/2019
RN95068969 SMITH SAMANTHA NP 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
1/27/2020
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
1/27/2020
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
1/27/2020
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
1/27/2020
RN816182 SMITH SAMANTHA LAUREN
NP 1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
10/1/2020
RN335960 SMITHEDAJKUL PENSRI NP 1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
3/22/2010
A116467 SMITHSON BRYCE COREY MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
8/23/2012
A49289 SMOOKLER GREGORY L MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
A145992 SNIDER SAMANTHA LYNN MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
2/13/2019
G67520 SNYDER MARK GREGG MD 1053410506B PEDIATRIC AFFILIATES MEDICAL GROUP INC
29525 CANWOOD ST STE. 111AGOURA HILLS 91301-1595
7/20/2021
Monday, June 06, 2022 Page 297 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G67520 SNYDER MARK GREGG MD 1053410506A PEDIATRIC AFFILIATES MEDICAL GROUP INC
7345 MEDICAL CENTER DRIVE SUITE 400WEST HILLS 91307-1963
3/15/2021
20A11183 SOBELL KIMBERLY ANJA DO 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
2/23/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
2/23/2017
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
2/23/2017
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
2/23/2017
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
2/23/2017
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/19/2017
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
2/23/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
2/23/2017
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
2/23/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
2/23/2017
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
2/23/2017
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
2/23/2017
Monday, June 06, 2022 Page 298 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A11183 SOBELL KIMBERLY ANJA DO 1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
2/23/2017
20A15403 SOHN ANGELA M. DO 1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
1/11/2021
1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
A48255 SOLARTE DAVID MD 1972954071 COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
8316 FOOTHILL BLVDSUNLAND 91040-2850
4/13/2022
1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
12/7/2017
PA52367 SOLIMAN CHRISTINA FARAG
PA 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
4/6/2016
A48733 SOLIMAN JANET FAHEM MD 1497776322 NABIL AND JANET F SOLIMAN CENTRO MEDICO INC
11946 S HAWTHORNE BLVDHAWTHORNE 90250-3016
1/13/2004
A40595 SOLIMAN NABIL NAZIR MOAWA
MD 1497776322 NABIL AND JANET F SOLIMAN CENTRO MEDICO INC
11946 S HAWTHORNE BLVDHAWTHORNE 90250-3016
1/3/2004
A60881 SOLIMAN RASHA B MD 1902906985 SOLIMAN, TAHANI MD INC 6526 RUGBY AVEHUNTINGTON PK 90255-4006
1/13/2005
A34504 SOLIMAN TAHANI BOUSHRA
MD 1902906985 SOLIMAN, TAHANI MD INC 6526 RUGBY AVEHUNTINGTON PK 90255-4006
1/13/2005
A106585 SOLOMON DAVID JOSEPH MD 1558397067 VENICE FAMILY CLINIC 2509 PICO BLVDSANTA MONICA 90405-1828
2/12/2015
20A10703 SOMSANITH KEITH AARON J DO 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
12/17/2013
RN306818 SONNE BARBARA J NP 1255446142 SAN PEDRO PEDIATRIC MED GRP 1294 W. 6TH ST, STE 102SAN PEDRO 90731-2997
1/31/2012
Monday, June 06, 2022 Page 299 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A17541 SORCERESS HALCYONA DO 1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
5/4/2022
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
5/4/2022
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
5/4/2022
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
5/4/2022
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
5/4/2022
RN649005 SOSA CAROLINA NP 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
5/1/2019
A69954 SOTO RAQUEL L MD 1508872912 CO OF L.A. - WILMINGTON SUBCENTER
1325 BROAD AVEWILMINGTON 90744-2604
11/29/2021
1407878150STB
CO OF L.A. - HARBOR-UCLA MEDICAL CTR - FAMILY MEDICINE CLINIC
1403 W LOMITA BLVD 2ND FLOORHARBOR CITY 90710-0000
7/2/2009
RN95070029 SOTO ROBERT AURELIO
NP 1376862607 CUIDADO LATINO MEDICAL CLINIC INC
3710 E CESAR CHAVEZ AVELOS ANGELES 90063-2219
6/28/2021
A68196 SOUREHNISSANI MEHRAN MD 1528270147 CENTURY MEDICAL CTR APC 3451 WEST CENTURY BLVDINGLEWOOD 90303-1218
11/2/2004
PA14758 SPARKS TRANG HUONG PA 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
12/2/2003
20A13251 SPORRONG JEREMY DANE DO 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
11/21/2016
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
8/2/2019
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
8/2/2019
RN445720 ST HILAIRE KAREN NP 1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
9/2/2020
Monday, June 06, 2022 Page 300 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN445720 ST HILAIRE KAREN NP 1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
9/2/2020
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
9/2/2020
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
9/2/2020
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
9/2/2020
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
9/2/2020
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
9/2/2020
A112150 STAFFORD BETHANY LYNN MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
7/27/2011
A131580 STAVROS SOPHIA LIM MD 1396959060 ALTAMED MEDICAL GROUP 5427 WHITTIER BLVDLOS ANGELES 90022-4101
11/3/2016
RN402614 STEFFEN KATHRYN ROENE NP 1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
3/19/2001
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
3/19/2001
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/19/2001
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
Monday, June 06, 2022 Page 301 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN402614 STEFFEN KATHRYN ROENE NP 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/10/2001
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/19/2001
A83337 STEINBERG DAVID NEIL MD 1730300617 STEINBERG, DAVID MD INC 1513 S GRAND AVE STE 320LOS ANGELES 90015-3021
9/11/2008
G58012 STEINER NANCY J MD 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
11/29/2018
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
11/29/2018
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
11/29/2018
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
11/29/2018
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
11/29/2018
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
11/29/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
11/29/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
11/29/2018
Monday, June 06, 2022 Page 302 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G58012 STEINER NANCY J MD 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
11/29/2018
RN583572 STENNETT-ANDERSON
PRUDENCE IONA NP 1801921952C ROY MEDICAL GROUP INC 1543 E PALMDALE BLVD STE CPALMDALE 93550-2030
9/26/2011
1801921952D ROY MEDICAL GROUP INC 1543 E PALMDALE BLVD STE FPALMDALE 93550-2030
1/22/2015
RN410438 STERRY BARBARA NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
A34137 STEWART JOHN THOMAS MD 1306058565 STEWART AND STEWART MDS INC
1024 S GARFIELD AVEALHAMBRA 91801-4762
8/5/1986
RN526521 STRASBURGER LUELLEN REY NP 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
6/8/2017
1982075107B PEDIATRIC AND FAMILY MEDICAL INTERMITTENT
15253 ROSCOE BLVD. PANORAMA CITY 91402-4401
9/14/2021
A62833 STRESINO ALTHEA CELIA MD 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
5/14/2007
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
5/14/2007
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
Monday, June 06, 2022 Page 303 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A62833 STRESINO ALTHEA CELIA MD 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
5/14/2007
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
5/14/2007
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
5/14/2007
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
5/14/2007
A127366 STROIK JESSICA ANNE MD 1558397067 VENICE FAMILY CLINIC 2509 PICO BLVDSANTA MONICA 90405-1828
8/2/2019
1669418513 VENICE FAMILY CLINIC 604 ROSE AVEVENICE 90291-2767
10/8/2014
RN95054538 STUTZMAN BETHANY ALLISON
NP 1558306266 AMG, A PROF MEDICAL CORP 925 S GARFIELD AVEALHAMBRA 91801-4442
11/22/2019
A30804 STYLES DUANE WESLEY MD 1164668786 PREMIER FAMILY MEDICINE ASSOCIATES, INC
1601 N MONTE VISTA AVE STE 100CLAREMONT 91711-6601
11/14/2011
RN826193 SU QIUJU NP 1053335406 AURORA MEDICAL CORPORATION 11245 LOWER AZUSA RDEL MONTE 91731-1553
7/3/2019
A97861 SUBBIAH VISHAKALAKSHMI
MD 1558379990 CO OF L.A. - SAN FERNANDO HEALTH CTR
1212 PICO STSAN FERNANDO 91340-3503
11/9/2017
20A9629 SUCGANG PAUL SANTOS DO 1861711863 AME MEDICAL GROUP INC 11938 PARAMOUNT BLVD.DOWNEY 90242-2306
5/13/2020
A123694 SUH JOANNE DONG MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
2/8/2021
RN595196 SULAIMAN ANTHONIA ATINUKE
NP 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
7/19/2017
Monday, June 06, 2022 Page 304 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN595196 SULAIMAN ANTHONIA ATINUKE
NP 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
7/19/2017
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
7/19/2017
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
7/19/2017
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/19/2017
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1356362743STA
COMPREHENSIVE COMMUNITY HLTH CTR-HIGHLAND PARK
5059 YORK BLVDLOS ANGELES 90042-1713
9/30/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
7/19/2017
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/19/2017
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
7/19/2017
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
7/19/2017
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/19/2017
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
7/19/2017
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
7/19/2017
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
Monday, June 06, 2022 Page 305 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN595196 SULAIMAN ANTHONIA ATINUKE
NP 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
7/19/2017
G59029 SULAM DAVID MD 1982657029 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
5823 YORK BLVD STE 1LOS ANGELES 90042-2634
12/16/1991
RN807609 SULLIVAN JENIFER REZENDE
NP 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
7/17/2020
A53436 SULTANA SAYEEDA MD 1932315827 ADHAMI, SHAWN A MD INC 1000 W WHITTIER BLVDMONTEBELLO 90640-4639
6/29/2018
1104991686 ADHAMI, AFSHIN S MD 3030 TYLER AVEEL MONTE 91731-3352
6/29/2018
1043462443 CLINICA FAMILIAR SAN LUCAS 11050 S ATLANTIC AVELYNWOOD 90262-3068
2/8/2022
1841865839 PICO RIVERA WOMENS AND CHILDRENS MEDICAL CENTER
5060 ROSEMEAD BLVDPICO RIVERA 90660-2402
1/6/2009
A67659 SUNDARAM JAWAHAR MD 1003053943 GAGE MEDICAL CLINIC INC 985 W VERNON AVELOS ANGELES 90037-3038
1/25/2016
1346607603 UNIFIED CARE MEDICAL GROUP INC
2040 PACIFIC COAST HWY UNIT SLOMITA 90717-2660
4/20/2021
1477069375 GAGE MEDICAL CLINIC INC. R OF HUNTINGTON PARK
3203 E FLORENCE AVEHUNTINGTON PARK 90255-5831
11/20/2018
A91232 SUNGA VICTOR ISIP MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
10/28/2019
1134492937 ALTAMED HEALTH SERVICES CORP EAST LA 1ST STREET
2219 E 1ST STREETLOS ANGELES 90033-3901
10/21/2021
A139623 SUNKARA SRINIVASU A MD 1215310008 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
6119 AGRA STREETBELL GARDENS 90201-1705
5/28/2021
1922416411 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES
4943 SLAUSON AVENUEMAYWOOD 90270-3020
5/28/2021
1790051423STA
FAMILY HEALTH CARE CENTER INTERMITTENT
22310 WARDHAM AVE HAWAIIAN GARDENS 90716-1740
5/28/2021
Monday, June 06, 2022 Page 306 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A139623 SUNKARA SRINIVASU A MD 1790051423 FAMILY HEALTH CARE CENTER OF GREATER LA INC
12113 WOODRUFF AVE STE ADOWNEY 90241-5605
5/28/2021
1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
5/28/2021
20A15116 SUPAN JOCELYN FLORDELIZ DANCIL
DO 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
8/16/2019
A46203 SUPNET MEDARDO C MD 1699923235 SUPNET, MEDARDO C MD INC 3585 E IMPERIAL HWYLYNWOOD 90262-2654
6/14/2007
1417069303 SUPNET, MEDARDO C MD INC 14359 PIONEER BLVD UNIT CNORWALK 90650-4870
12/7/2015
G61832 SUR DENISE KATHLEEN CA
MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/28/2002
A30390 SURA ANJANA SAILESH MD 1215263827 CLINICA DEL SOCORRO MEDICAL GROUP INC
1061 E VERNON AVE STE FLOS ANGELES 90011-3772
5/2/2012
20A18981 SUTANIMAN GIANNI C DO 1497001226 VIA CARE COMMUNITY HEALTH CENTER INC
507 S. ATLANTIC BLVDLOS ANGELES, CA 90022-3211
10/26/2021
G11394 SWANSON WILLIAM C MD 1568521938 SWANSON, WILLIAM C MD 4200 PECK RD STE BEL MONTE 91732-2177
11/15/2004
A25070 SWEENY ALFREDO ENRIQUE
MD 1962538173 SWEENY, ALFREDO MD INC SUNSET FAMILY MED CLINIC
4719 S BROADWAYLOS ANGELES 90037-3244
9/29/2001
A52234 SY MARIA LILIBETH T MD 1609969997 MARIA LILIBETH T SY MD INC 8162 VAN NUYS BLVDPANORAMA CITY 91402-4806
9/14/2005
G134469 SZILAGYI PETER GEORGE MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
1/23/2017
RN768369 TABARES JESSICA NP 1417378597 KEDREN COMMUNITY HEALTH CENTER INC
4211 SOUTH AVALON BLVD SUITE ALOS ANGELES 90011-5622
9/17/2021
Monday, June 06, 2022 Page 307 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA56021 TABIBIAN MOJDEH PA 1023287679 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER
3834 S WESTERN AVELOS ANGELES 90062-1104
5/20/2019
1023287679STA
T.H.E CLINIC, INC 10223 FIRMONA AVELENNOX 90304
5/20/2019
1023287679STB
T.H.E. CLINIC, INC 3721 LA BREA AVENUELOS ANGELES 90016
5/20/2019
1023287679STD
T.H.E. CLINIC, INC 3206 W 50TH AVENUELOS ANGELES 90043
5/20/2019
1023287679STE
T.H.E. CLINIC, INC 10321 HAWTHORNE BLVDINGLEWOOD 90304
5/20/2019
RN594582 TABUNGAR VANESSA EDRALIN
NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/11/2021
A42125 TADROS GEORGETTE MD 1598869018 TADROS, GEORGETTE MD 931 BUENA VISTA ST STE 202DUARTE 91010-1713
11/7/1989
A42680 TAHERY PARVIZ PAUL MD 1144368887 LAUREL MEDICAL CENTER INC 13680 VAN NUYS BLVDPACOIMA 91331-3616
10/4/1996
A173417 TAI ANDREA WENYEN MD 1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/10/2021
1457608580 JUST 4 KIDS PEDIATRICS, INC 1433 W MERCED AVE STE 103WEST COVINA 91790-3402
11/29/2021
20A7444 TAI LIANG-YU LAURA DO 1548643000 GARFIELD HEALTH CENTER 701 S ATLANTIC BLVD STE 100MONTEREY PARK 91754-3845
6/26/2020
1760480610 GARFIELD HEALTH CENTER 210 N GARFIELD SUITE 203MONTEREY PARK 91754-1746
10/31/2005
A54127 TAIKWEL EDNA KHIMLIANG MD 1740299833 GARVEY HEALTHY FAMILY MEDICAL CLINIC INC
705 E GARVEY AVEMONTEREY PARK 91755-3024
2/1/2005
Monday, June 06, 2022 Page 308 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A49031 TAK CHONG HO MD 1225076383 ST FRANCIS MULTISPCLTY 3628 E IMPERIAL HWY STE 303LYNWOOD 90262-2646
1/1/2002
G52851 TAKATA GLENN SHIGEO MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
G77351 TAKEUCHI DARREN LEE MD 1700057981 ST ISABEL FAMILY MEDICAL CLINIC, INC
1535 W LOMITA BLVDHARBOR CITY 90710-2024
2/18/2009
20A15333 TAKYAR ANJALI ARULANANDAN
DO 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
1/18/2018
RN95082813 TAM CZE-JA NICOLE NP 1326278490A DE SILVA, JANESRI MD APC 14426 GILMORE AVENUE UNIT BVAN NUYS 91401
3/1/2019
A46156 TAMASHIRO VICTOR GERMAN MD 1942219167 ALL VALLEY PEDIATRICS INC 14901 RINALDI ST STE 300MISSION HILLS 91345-1255
12/4/2003
PA53500 TAMAYO ALEJANDRO MARTINEZ
PA 1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
1/22/2020
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
1/22/2020
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
1/22/2020
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
1/22/2020
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
1/22/2020
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
1/22/2020
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
1/22/2020
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
1/22/2020
Monday, June 06, 2022 Page 309 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA53500 TAMAYO ALEJANDRO MARTINEZ
PA 1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
1/22/2020
20A7213 TAMHANE SHRIKANT K. DO 1295202901 SHRIKANT TAMHANE DO INC 23517 MAIN ST SUITE 103CARSON 90745-5234
1/12/2009
RN536992 TAN CHRISTY CHINGLI NP 1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
10/14/2010
1386912202 EAST VALLEY COMMUNITY HEALTH CENTER INC
17840 VILLA CORTA STREETLA PUENTE 91744-5342
1/5/2015
1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
8/3/2015
A47880 TAN TERENCE T Z MD 1699822239 TERENCE T Z TAN MD INC 3301 BEECHWOOD AVENUELYNWOOD 90262-3301
12/8/1992
A40376 TAN TERESITA EGIDO MD 1396835633 TAN, TERESITA E MD 244 S OXFORD AVE STE 9LOS ANGELES 90004-5126
10/5/1985
A53872 TAN YU EDWIN MD 1639270051 REGULLANO, JOSE B MD 2101 W BEVERLY BLVD STE 202MONTEBELLO 90640-3951
4/30/2008
1134220544 YU, EDWIN T MD / REGULLANO AND YU MED GRP
2101 W BEVERLY BLVD STE 202MONTEBELLO 90640-3951
2/25/2002
1598794331 PICO URGENT CARE AND FAMILY MEDICAL CENTER
6632 ROSEMEAD BLVDPICO RIVERA 90660-3533
1/2/1997
A123594 TANDON PRIYA BHAKHRI MD 1922416411 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES
4943 SLAUSON AVENUEMAYWOOD 90270-3020
6/28/2017
1215310008 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
6119 AGRA STREETBELL GARDENS 90201-1705
10/5/2017
1790051423STA
FAMILY HEALTH CARE CENTER INTERMITTENT
22310 WARDHAM AVE HAWAIIAN GARDENS 90716-1740
9/2/2020
Monday, June 06, 2022 Page 310 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A123594 TANDON PRIYA BHAKHRI MD 1790051423 FAMILY HEALTH CARE CENTER OF GREATER LA INC
12113 WOODRUFF AVE STE ADOWNEY 90241-5605
9/2/2020
20A18297 TANG KAI EN DO 1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
8/2/2020
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
8/2/2020
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
7/28/2020
A82643 TANG MAY YEE MD 1710031588F FACEY MEDICAL FOUNDATION 19950 RINALDI ST SUITES 100 103 200PORTER RANCH, CA 91326-4141
9/7/2021
PA53781 TANG SONYA PA 1306058565 STEWART AND STEWART MDS INC
1024 S GARFIELD AVEALHAMBRA 91801-4762
11/27/2018
A105263 TAN-TRUONG SOPHIA TSU MD 1790051423 FAMILY HEALTH CARE CENTER OF GREATER LA INC
12113 WOODRUFF AVE STE ADOWNEY 90241-5605
9/9/2020
1790051423STA
FAMILY HEALTH CARE CENTER INTERMITTENT
22310 WARDHAM AVE HAWAIIAN GARDENS 90716-1740
9/9/2020
RN555908 TAPIA MARGARITA NP 1720115033 FAMILY HEALTH CARE CENTERS GREATER LOS ANGELES INC
6501 GARFIELD AVEBELL GARDENS 90201-1805
12/3/2020
A78418 TARIN LUCILA MD 1982657029 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
5823 YORK BLVD STE 1LOS ANGELES 90042-2634
4/17/2013
A88352 TARIQ SHABANA NOUROZE
MD 1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
8/30/2018
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
8/30/2018
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
8/30/2018
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
8/30/2018
Monday, June 06, 2022 Page 311 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A88352 TARIQ SHABANA NOUROZE
MD 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
8/30/2018
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
8/30/2018
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
8/30/2018
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
8/30/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
8/30/2018
RN754322 TARKELA JENNA MARIA NP 1831287978 WESTSIDE FAMILY HLTH CTR 1711 OCEAN PARK BLVDSANTA MONICA 90405-4901
11/1/2016
A72710 TARN DERJUNG MIMI MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
5/25/2007
A133033 TAROYAN ROSE MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
11/24/2015
A101992 TATULIAN KARMEN SERGEI MD 1083624423 EL PROYECTO DEL BARRIO FAMILY HEALTH CARE CLIN
8902 WOODMAN AVE STE 2ARLETA 91331-6401
7/10/2008
1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
3/7/2012
1770696023 EL PROYECTO DEL BARRIO INC AZUSA CLINIC
150 N AZUSA AVEAZUSA 91702-3521
1/8/2012
20A9861 TAVASSOLI SHAGHAYEGH DO 1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
2/26/2020
Monday, June 06, 2022 Page 312 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA14409 TAWADROS HEIDI MAHFOOZ PA 1801184841 MAYWOOD FAMILY MEDICAL CENTER RAGAA Z ISKAROUS
5920 ATLANTIC BLVDMAYWOOD 90270-3101
1/10/2012
C165933 TAYLOR LAURA BETH MD 1902846306A USC CARE MEDICAL GROUP INC 1520 SAN PABLO ST STE 1300LOS ANGELES 90033-5312
6/19/2020
A115277 TEBI SINA MD 1578763207 BENEVOLENCE INDUSTRIES INC 3631 CRENSHAW BLVD SUITE 109LOS ANGELES 90016-4869
10/23/2014
PA21019 TEETER CHRISTINA LILY PA 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
7/1/2011
A122194 TEHRANI NILOUFAR MD 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
9/16/2016
A110916 TEJANI ZARIN NASIR MD 1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
8/2/2019
RN607795 TEOXON LUIS SERVANO NP 1306194105 AMH COMPREHENSIVE MEDICAL CENTERS
711 NORTH ALVARADO ST SUITE 101LOS ANGELES 90026-4016
9/6/2017
A65304 TEPERSON ANDREW LAWRENCE
MD 1598705170 TEPERSON, ANDREW L, MD 1224 E. AVENUE S , STE APALMDALE 93550-6180
6/8/2005
RN609081 TERRY SHANNAN STEPHENSON
NP 1407878150STD
CO OF L.A. - HARBOR-UCLA MEDICAL CTR
21840 NORMANDIE AVE MFI 500TORRANCE 90502
8/25/2010
A146337 THANG CHRISTINE KATIE MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
3/2/2020
A51913 THEIN LORNA KONG MD 1396828554 KONG-THEIN, LORNA MD APC 207 S SANTA ANITA AVE STE 330SAN GABRIEL 91776-1154
8/15/2003
A63969 THENAPPAN ANNAPOORANI MD 1982959243 THENAPPAN, ANNAPOORANI MD INC
1701 E CESAR E CHAVEZ AVE STE 128LOS ANGELES 90033-2464
8/29/2006
Monday, June 06, 2022 Page 313 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95112442 THEUS SEAN NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
G21216 THOMAS JAMES DONALD MD 1033267216 ADVANCED FAMILY CARE MEDICAL GROUP
1201 E FLORENCE AVELOS ANGELES 90001-2432
6/30/2016
RN611490 THOMAS LINI NP 1154402675C SAMUEL DIXON FAMILY 23772 NEWHALL AVENEWHALL 91321-3125
2/3/2022
PA15198 THOMAS WALTER PA 1093809592 MONTES MEDICAL GROUP 832 S GREVILLEA AVEINGLEWOOD 90301-3312
1/28/2008
A62329 THOMPSON MICHELLE ANDREA
MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
A62123 THYNE SHANNON MD 1316969934 CO OF L.A. - OLIVE VIEW -UCLA MED. CTR.- PEDIATRICS
14445 OLIVE VIEW DR.SYLMAR 91342-1437
12/24/2015
1316969934STA
CO OF L.A. - OLIVE VIEW- UCLA MED. CTR.
14445 OLIVE VIEW DRIVESYLMAR 91342-1437
7/30/2019
G28464 TIGNER-WEEKES LINDA JEAN MD 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
3/26/2012
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
2/21/2013
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
7/20/2005
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
3/21/2012
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/30/2013
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
6/17/2009
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
7/7/2009
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/3/2015
Monday, June 06, 2022 Page 314 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G28464 TIGNER-WEEKES LINDA JEAN MD 1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
2/10/2016
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
10/4/2016
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
3/14/2013
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
7/15/2005
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
11/10/2014
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
A75203 TILLIS TOYA ANN MD 1366447781 LAUPPE, HOLLEMBERG, AGRAWAL KNOLL & WARREN
250 W BONITA AVE STE 200POMONA 91767-1850
9/4/2012
RN734741 TIMBOL ABIGAEL NARON NP 1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/1/0001
RN738000 TIU JANUARY LLAMADO
NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
9/2/2020
RN833070 TO SINDY B NP 1245261023B R RUIZ MD A PROFESSIONAL 833 W WHITTIER BLVDMONTEBELLO 90640-4735
9/3/2020
A106562 TOBAY CHYNARA MD 1932194586STA
WILMINGTON COMMUNITY CLINIC 10901 S VERMONT AVELOS ANGELES 90044-4505
6/10/2016
1932194586 WILMINGTON COMMUNITY CLN 1009 N AVALON BLVDWILMINGTON 90744-4505
11/9/2015
20A10619 TOLENTINO MARIA CHRISTINA LIM
DO 1164668786 PREMIER FAMILY MEDICINE ASSOCIATES, INC
1601 N MONTE VISTA AVE STE 100CLAREMONT 91711-6601
11/14/2011
PA51777 TOLOSA MARTIN FORNIER PA 1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
2/22/2018
Monday, June 06, 2022 Page 315 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA51777 TOLOSA MARTIN FORNIER PA 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
2/22/2018
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
2/22/2018
20A10433 TOOMARI TAJAV DO 1326372830 TOOMARI, TAJAV DO INC 16661 VENTURA BLVD STE 408ENCINO 91436-1914
2/15/2011
1871880500 TOOMARI, TAJAV DO INC 7100 VAN NUYS BLVD STE 110VAN NUYS 91405-3063
6/4/2012
RN647755 TOPICO MARY ANN FLORES
NP 1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
3/7/2017
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
3/7/2017
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
3/7/2017
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
3/7/2017
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
3/7/2017
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
3/7/2017
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
3/7/2017
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
3/7/2017
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
3/7/2017
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
3/7/2017
Monday, June 06, 2022 Page 316 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN647755 TOPICO MARY ANN FLORES
NP 1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
3/7/2017
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
3/7/2017
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
3/7/2017
1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
3/7/2017
A40561 TORKAN BRUCE MD 1487659116 TORKAN, BRUCE MD INC. CLINICA MEDICA FATIMA
820 S. ALVARADO STLOS ANGELES 90057-4010
2/4/2015
A33736 TORRE SALVACION Y MD 1205167350B MEMORIALCARE MEDICAL FOUNDATION
22719 HAWTHORNE BLVDTORRANCE 90505-3613
1/1/0001
1306194105STA
AMH COMPREHENSIVE MEDICAL CENTERS
6017 ATLANTIC BLVDMAYWOOD 90270
1/22/2020
1306194105 AMH COMPREHENSIVE MEDICAL CENTERS
711 NORTH ALVARADO ST SUITE 101LOS ANGELES 90026-4016
9/17/2019
20A10109 TORREBLANCA JOSE FERNANDO DO 1134298318 SAN MARTIN DE PORRES MED CLINIC OF SOUTH GATE INC
10001 CALIFORNIA AVESOUTH GATE 90280-6005
10/2/2007
A41327 TORREBLANCA JOSE MANUEL MD 1134298318 SAN MARTIN DE PORRES MED CLINIC OF SOUTH GATE INC
10001 CALIFORNIA AVESOUTH GATE 90280-6005
11/23/2011
A93526 TORRES NOEL JR MD 1972973840 TORRES AND UYUNI A PROFESSIONAL MEDICAL COR
4566 E FLORENCE AVE STE 1CUDAHY 90201-4345
6/29/2016
RN536146 TORRES VERONICA NP 1679536262 NORWALK-LA MIRADA USD NORW ADULT SCH HLTH SERV
12820 PIONEER BLVDNORWALK 90650-2875
2/20/2020
RN559276 TOVAR SONIA Y NP 1679626428 TOVAR, SONIA Y PROFESSIONAL CORPORATION NURSING
1019 E. HOLT AVEPOMONA, CA 91767
6/29/2015
A101324 TRABANINO RENE JOUVANNI MD 1124460274STA
NORTHEAST COMMUNITY CLINICS INTERMITTENT
1414 S GRAND AVE STE 380LOS ANGELES 90015-3075
10/13/2017
20A12632 TRACY ROBERT A DO 1083005474 TRACY, ROBERT DO INC 3056 FLETCHER DRIVELOS ANGELES 90065-2207
3/12/2018
A64056 TRAN ALEX LELAND MD 1982873162 MONTES MEDICAL GROUP 11822 FLORAL DRWHITTIER 90601-2900
9/4/2001
Monday, June 06, 2022 Page 317 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
20A17063 TRAN BRYANT DO 1720196702 HIGH DESERT MEDICAL GRP INC 43839 15TH ST WLANCASTER 93534-4756
6/29/2021
G77436 TRAN DANIEL THANH-NHAT
MD 1235299637 ARDMORE MEDICAL GROUP INC 2765 E FLORENCE AVEHUNTINGTON PARK 90255-5750
12/15/1999
PA55722 TRAN DOREENA VINH DUONG
PA 1952641136 NORTHEAST COMMUNITY CLINICS
1403 LOMITA BLVD STE 100, 101, 106HARBOR CITY 90710-2084
12/5/2018
20A7325 TRAN KHAI QUANG DO 1356498935 PARA LATINO MEDICAL CENTER INC
15717 PARAMOUNT BLVDPARAMOUNT 90723-5113
3/18/2005
PA55315 TRAN LIEN TRINH PA 1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
11/29/2021
1932428828 SOUTHERN CALIFORNIA MEDICAL CENTER INC
8825 WHITTIER BLVDPICO RIVERA 90660-2600
5/24/2019
1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
11/29/2021
20A15962 TRAN MIMIE HOANG ANH
DO 1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
12/16/2019
A152612 TRAN PHUONG QUY MD 1700097540A THE NORTHEAST COMMUNITY CLNC
200 E ANAHEIM STREETWILMINGTON 90744-4516
5/12/2020
RN95174783 TRAN SONYA YNHI NP 1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
6/4/2019
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
6/4/2019
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
6/4/2019
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
6/4/2019
Monday, June 06, 2022 Page 318 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN95174783 TRAN SONYA YNHI NP 1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
6/4/2019
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
6/4/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
6/4/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
6/4/2019
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
6/4/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
6/4/2019
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
6/4/2019
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
6/4/2019
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
6/4/2019
A139365 TRAN THANH THUY THI MD 1144233800 CO OF L.A. - HUDSON COMPREHENSIVE HLTH
2829 S GRAND AVELOS ANGELES 90007-3304
5/24/2019
1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
10/27/2017
RN95142096 TRAN VAN NP 1356362743 COMPREHENSIVE COMMUNITY HEALTH CENTERS GLENDALE
801 S CHEVY CHASE DR STE 250GLENDALE 91205-4433
10/16/2019
20A17835 TRANI MARVIN CANLAS DO 1578567038 CLINICA MEDICA LA SAGRADA FAMILIA
15955 PARAMOUNT BLVD STE APARAMOUNT 90723-5113
9/30/2021
A48853 TRANI SERGIO IBANEZ JR
MD 1578567038 CLINICA MEDICA LA SAGRADA FAMILIA
15955 PARAMOUNT BLVD STE APARAMOUNT 90723-5113
6/2/2004
Monday, June 06, 2022 Page 319 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN422306 TRAYNOR ANNE P NP 1639172372STA
CEDARS-SINAI MED CTR (C.O.A.C.H. FOR KIDS PROG I)
8700 BEVERLY BLVD Suite 1473LOS ANGELES 90048-1804
6/2/2011
RN387089 TREINEN ANGELA D NP 1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
3/24/2006
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
3/18/2002
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
3/18/2002
PA51739 TREJO JEANETTE PA 1770988370 JWCH INSTITUTE INC 8530 FIRESTONE BLVDDOWNEY 90241-4926
6/6/2016
20A9050 TRINH DAT QUOC DO 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
11/17/2021
1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
2/12/2008
A127452 TRINH MY-LINH HOANG MD 1285043703 TRINH, MYLINH MD INC 9143 VALLEY BLVD SUITE 201AROSEMEAD 91770-1992
5/2/2016
A52778 TRUONG CAROLINE NGUYEN
MD 1679579809 TRUONG, CAROLINE N MD 9014 GARVEY AVE STE IROSEMEAD 91770-5306
7/27/2005
1679579809 TRUONG, CAROLINE N MD 9014 GARVEY AVE STE IROSEMEAD 91770-5306
9/22/2005
RN366038 TSE SOPHIA M NP 1003824020 BAYLON, PAUL M MD 3118-3120 E FLORENCE AVEHUNTINGTON PARK 90255-5830
8/4/2017
RN678626 TSOU SHIH-HUI SOPHIE NP 1154857175 JAMES J WU MEDICAL CORPORATION
1818 N ORANGE GROVE AVE 200POMONA 91767-3028
11/27/2018
PA57033 TUCKER CHRISTOPHER RYAN
PA 1700097540C THE NORTHEAST COMMUNITY CLNC INTERMITTENT
1414 S GRAND AVE SUITE 200LOS ANGELES 90015-3072
12/3/2020
Monday, June 06, 2022 Page 320 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A51499 TUKAJ JOANNA MD 1932146370 MAYFLOWER MEDICAL GROUP, INC
1433 N HOLLENBECK AVE SUITE 104COVINA 91722-1558
9/1/2020
PA14648 TURKO DARRIN EUGENE PA 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
5/17/2004
RN95056287 TURNER BECKIE LOUISE NP 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
8/17/2020
20A14149 TURNER HAYLEE ANN DO 1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
10/27/2017
1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
9/8/2020
20A16453 TUWATANANURAK IDA PANTA DO 1437377454 KOREAN HEALTH EDUCATION KHEIR HEALTH SVS CTR
3727 W 6TH ST STE 200LOS ANGELES 90020-5108
12/16/2019
G56060 TYRE NANCY MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
6/28/2002
A69141 TYSON KEVIN BERTRAND MD 1619090610 CROWN CITY MEDICAL GROUP 3208 SANTA ANITA AVE STE 200EL MONTE 91733-1360
3/15/1994
A72333 TYSON MICHELLE ASANTEWA
MD 1962525964 CROWN CITY MEDICAL GROUP INC
1542 E FLORENCE AVELOS ANGELES 90001-2536
1/27/2005
1508989500 CROWN CITY MEDICAL GRP INC 6601 RUGBY AVE. STE 300HUNTINGTON PK 90255-4040
5/14/2003
1619090610 CROWN CITY MEDICAL GROUP 3208 SANTA ANITA AVE STE 200EL MONTE 91733-1360
5/14/2003
PA20042 UCHIDA JUSTIN W PA 1740233725 FCS MEDICAL CORPORATION 815 W WASHINGTON BLVDMONTEBELLO 90640-6123
3/29/2010
A132154 UGOCHUKWU IFEOMA LINDA MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
4/16/2021
1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
9/7/2018
Monday, June 06, 2022 Page 321 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN826908 UKANDU JANE ERINMA NP 1316033533 CLINICA MSR OSCAR A ROMERO 2032 MARENGO STLOS ANGELES 90033-1319
1/14/2019
RN489931 ULM CYNTHIA CRUZ NP 1194866525 MAYER, RALPH MD 2568 CLARENDON AVEHUNTINGTON PK 90255-4073
7/13/2020
A94310 UMAKANTHAN JANANI MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
3/19/2019
PA13435 UMANZOR MANUEL ERNESTO
PA 1427123504 MOAS, OVI MD / CLINICA MED INTER MD CTR
7444 LANKERSHIM BLVDNORTH HOLLYWOOD 91605-2801
2/1/1996
PA55934 UNDERWOOD KATHRYN PINTA PA 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
1/27/2020
A142631 UNZUETA CRYSTAL MD 1174913776 UNIVERSAL COMMUNITY HEALTH 2801 SOUTH SAN PEDRO STLOS ANGELES 90011-2023
9/6/2017
1932757820 UNIVERSAL COMMUNITY HEALTH INTERMITTENT
2098 S CENTRAL AVELOS ANGELES 90011-1235
4/22/2021
1093023277 UNIVERSAL COMMUNITY HEALTH CENTER
1005 E WASHINGTON BLVD STE ALOS ANGELES 90021-3020
6/5/2020
RN295227 URBANEC LORI JEAN NP 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
8/24/2009
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
8/24/2009
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
8/24/2009
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
8/24/2009
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
8/24/2009
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
8/24/2009
Monday, June 06, 2022 Page 322 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN295227 URBANEC LORI JEAN NP 1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
8/24/2009
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
8/24/2009
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
8/24/2009
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
8/24/2009
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
8/24/2009
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
8/24/2009
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
8/24/2009
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
8/24/2009
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
3/19/2020
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
A71133 URBINA MARVIN MD 1174833974 CLINICA MEDICA DEL SOL GROUP INC
1431 NO HACIENDA BLVDLA PUENTE 91744-1133
9/22/2014
A123021 URSALES MAYBELLE L.O. MD 1518973940 CO OF L.A. - BELLFLOWER HEALTH CENTER
10005 E FLOWER STREETBELLFLOWER 90706-0000
6/7/2017
A52237 UY BUENAFLOR RAMOS
MD 1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
2/5/2002
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
3/19/2001
1801921952A ROY MEDICAL GROUP INC 16063 VANOWEN STVAN NUYS 91406-4810
9/23/2008
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
Monday, June 06, 2022 Page 323 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A52237 UY BUENAFLOR RAMOS
MD 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
3/19/2001
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
4/10/2001
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
4/10/2001
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
4/10/2001
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
RN744662 UYAN HEATHER ELLEN NP 1730291287 AGUILAR, DAVID G MD 7705 SEVILLE AVE STE DHUNTINGTON PARK, CA 90255
5/24/2019
RN783887 UYBUN ALVIN VELASQUEZ KH
NP 1942343785 VALLEY MISSION MEDICAL A MEDICAL CORPORATION
220 N MACLAY AVE STE 2SAN FERNANDO 91340-2909
6/22/2017
1699818278 VALLEY MISSION MEDICAL A MED CORPORATION
6410 VAN NUYS BLVD STE BVAN NUYS 91401-1449
6/22/2017
A97263 UYUNI ADHEMAR FERNANDO
MD 1598984288 AMAVI, A PMC GUADALAJARA MED CLIN INC
2705 WHITTIER BLVDLOS ANGELES 90023-1441
1/17/2013
A122732 VALADEZ ANDREA MARIA MD 1124189212 ARDMORE MED GROUP INC 3518 W 8TH STLOS ANGELES 90005-2902
11/20/2019
1578624672 ARDMORE MEDICAL GROUP INC 3564 SANTA ANITA AVE STE. AEL MONTE 91731-2458
12/1/2020
Monday, June 06, 2022 Page 324 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A122732 VALADEZ ANDREA MARIA MD 1992873947 ARDMORE MED GROUP INC 4528 E SLAUSON AVEMAYWOOD 90270
9/16/2020
RN847243 VALDIVIAS LORENZA NP 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
11/20/2019
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
11/20/2019
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
11/20/2019
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
11/20/2019
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
11/20/2019
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
11/20/2019
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
11/20/2019
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
11/20/2019
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
11/20/2019
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
11/20/2019
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
11/20/2019
Monday, June 06, 2022 Page 325 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN847243 VALDIVIAS LORENZA NP 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
11/20/2019
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
11/20/2019
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
11/20/2019
A40381 VALENZUELA EFREN SISON MD 1730299157 MORNINGSIDE PRIMARY CARE MEDICAL CENTER INC
617 W MANCHESTER AVELOS ANGELES 90044-0000
3/23/2006
RN743272 VALENZUELA JESUS OMAR NP 1245261023B R RUIZ MD A PROFESSIONAL 833 W WHITTIER BLVDMONTEBELLO 90640-4735
9/3/2020
A24933 VALENZUELA MELQUIADES RIVERO
MD 1811279763 BARTZ ALTADONNA COMMUNITY HEALTH CENTER
43322 GINGHAM AVE STE 104 AND 105LANCASTER 93535-4569
12/22/2014
A136061 VALLADARES JACKELYN LISSETTE
MD 1538130893 EL PROYECTO DEL BARRIO INC WINNETKA CLINIC
20800 SHERMAN WAYWINNETKA 91306-2707
7/3/2019
A162101 VAN GRONINGEN KARINNE MARIE MD 1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
2/3/2022
1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
2/3/2022
1336152578 CO OF L.A. - ANTELOPE VALLEY HLTH CTR
335 E AVENUE K6 STE BLANCASTER 93535-4645
2/3/2022
1467565283 CO OF L.A. - LITTLEROCK COMMUNITY CLN
8201 PEARBLOSSOM HWYLITTLEROCK 93543-3042
2/3/2022
1003929829A CO OF L.A. - HIGH DESERT HEALTH SYSTEMS
335 EAST AVENUE ILANCASTER 93535-1916
2/3/2022
1003929829B CO OF L.A.- HIGH DESERT RGNL HLTH CTR, SCAN/HUB
335 EAST AVENUE ILANCASTER 93535-1916
2/3/2022
1821101643 CO OF L.A. - LAKE LA COMMUNITY CLINIC
16921 E AVENUE O SPC GPALMDALE 93591-3045
2/3/2022
A71134 VAN SPEYBROECK ALEXANDER LEE MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
Monday, June 06, 2022 Page 326 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G75830 VARGAS LISA M. GUERRA MD 1396756938STB
LAC USC MEDICAL CENTER - OUTPATIENT PEDIATRIC DEPT.
2010 ZONAL AVE OPD 5 EASTLOS ANGELES 90033-0123
1/20/2016
1396756938STC
LAC USC MEDICAL CENTER - HIGH RISK PREMATURE INFANT CLINIC
2010 ZONAL AVE 3P42BLOS ANGELES 90033-0123
4/14/2017
A145929 VARGHESE SHINY MARY MD 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
4/16/2018
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
4/16/2018
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
4/16/2018
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
4/16/2018
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
4/16/2018
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
4/16/2018
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
4/16/2018
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
4/16/2018
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
4/16/2018
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
4/16/2018
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
4/16/2018
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
4/16/2018
Monday, June 06, 2022 Page 327 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A145929 VARGHESE SHINY MARY MD 1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
4/16/2018
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
A32655 VARMA USHA KIRAN MD 1457362527 VARMA, USHA K MD 416 W LAS TUNAS DR STE 201SAN GABRIEL 91776
1/6/1998
A34188 VASAN RUKMANI MD 1396756938STB
LAC USC MEDICAL CENTER - OUTPATIENT PEDIATRIC DEPT.
2010 ZONAL AVE OPD 5 EASTLOS ANGELES 90033-0123
1/20/2016
A31642 VASHISTHA KRISHAN KUMAR MD 1629062005 VASHISTHA, KRISHAN K MD 27141 HIDAWAY AVE STE 105CANYON COUNTRY 91351-4137
5/13/1983
PA21993 VASQUEZ EMIL FLORENDO PA 1932501996 VALLEY COMMUNITY HEALTHCARE APCC
9119 HASKELL AVENUENORTH HILLS 91343-3114
8/16/2019
A45461 VASQUEZ JULIO NICASIO MD 1467612820 VASQUEZ, JULIO N MD INC A PROFESIONAL CORP
8540 RESEDA BLVD., SUITE 240NORTHRIDGE 91324-6142
3/3/2009
RN618632 VASQUEZ ROSIE NP 1396756938STA
LAC USC MEDICAL CENTER- VIOLENCE INTERVENTION PROGRAM
2010 ZONAL AVE, OPD 3P61LOS ANGELES 90033
7/7/2020
1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
9/8/2020
A122279 VAYUPAKPARNONDE
RUNGSIMA MD 1831426642B LAKESIDE MEDICAL 191 S BUENA VISTA STREET SUITE 200-240BURBANK 91505
5/17/2017
A73424 VAYUVEGULA BHARATHI S MD 1801820857A BHARATHI S VAYUVEGULA MD PHD INC
1315 S GRAND AVE 150GLENDORA 91740-5050
7/11/2006
G81758 VAZQUEZ CAROLINA MD 1780974410 VAZQUEZ, CAROLINA MD APC 6501 EASTERN AVENUE STE ABELL GARDENS 90201-3003
7/5/2012
Monday, June 06, 2022 Page 328 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
PA17891 VEGA ANA PATRICIA PA 1356362743 COMPREHENSIVE COMMUNITY HEALTH CENTERS GLENDALE
801 S CHEVY CHASE DR STE 250GLENDALE 91205-4433
6/5/2012
RN505530 VEGA MARIA C NP 1982873162 MONTES MEDICAL GROUP 11822 FLORAL DRWHITTIER 90601-2900
6/26/2020
PA21343 VEGA RICARDO PA 1437487956 MONTES MEDICAL GROUP INC 4545 E 3RD ST STE 102LOS ANGELES 90022-1656
6/12/2013
A119007 VELASCO LUZ SELENE MD 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
7/26/2012
A52551 VELASQUEZ DANIEL WALDO MD 1295887024 LA LIBERTAD MEDICAL CLINIC INC 8225 LONG BEACH BLVD STE CSOUTH GATE 90280-2010
1/27/2020
A140499 VELEZ BLANCA MD 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
10/16/2019
A71918 VELEZ-DALLA TOR MAILI MD 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
8/21/2017
1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/17/2020
RN524735 VELIZ AURA NP 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
3/28/2019
A39370 VENEGAS CARLOS AUGUSTO
MD 1760947451 LOYOLA FAMILY HEALTH CENTER 4225 TWEEDY BLVD STE. BSOUTH GATE 90280-6217
12/11/2007
C153147 VENKATARAMAN PADMA MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
8/21/2018
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
8/21/2018
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
8/21/2018
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
Monday, June 06, 2022 Page 329 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
C153147 VENKATARAMAN PADMA MD 1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
8/21/2018
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
8/21/2018
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
8/21/2018
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
8/21/2018
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
8/21/2018
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
8/21/2018
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
8/21/2018
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
8/21/2018
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
8/21/2018
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
8/21/2018
A43925 VENKATESWARALU BHASKER V MD 1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
7/10/2017
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
7/10/2017
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
7/10/2017
C147787 VIBOOSHANAN PANDIAN PAULRAJ
MD 1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
11/29/2021
Monday, June 06, 2022 Page 330 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
C147787 VIBOOSHANAN PANDIAN PAULRAJ
MD 1871573360 COMPREHENSIVE COMMUNITY HEALTH CTR-NO HOLLYWOOD
12157 VICTORY BLVDN HOLLYWOOD 91606-3204
9/3/2019
1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
11/29/2021
1013083666 QUEENSCARE HEALTH CENTERS 150 N RENO STREET LOS ANGELES 90026-4656
11/29/2021
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
11/29/2021
1972954071 COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
8316 FOOTHILL BLVDSUNLAND 91040-2850
7/30/2018
1740835743 QUEENSCARE HEALTH CENTERS INTERMITTENT
303 LOMA DR SUITE 202LOS ANGELES 90017-1103
11/29/2021
PA54796 VIGIL AMANDA REBECCA
PA 1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
1/1/0001
G76613 VIGIL DANIEL VICENTE MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
2/11/2013
RN778324 VILLA ANTHONY FELIPE BANUE
NP 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/21/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/21/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/21/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/21/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
12/21/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
12/21/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/21/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
12/21/2021
Monday, June 06, 2022 Page 331 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN778324 VILLA ANTHONY FELIPE BANUE
NP 1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/21/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/21/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/21/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
12/21/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/21/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/21/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/21/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/21/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/21/2021
RN746084 VILLANUEVA JAMIE CHRISTI B NP 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
9/13/2016
A46207 VILLANUEVA JUVENTINO TONGSON
MD 1962525964 CROWN CITY MEDICAL GROUP INC
1542 E FLORENCE AVELOS ANGELES 90001-2536
8/21/2007
1790177582STA
ALTAMED HEALTH SERVICES CORPORATION
6601 RUGBY AVE STE 300HUNTINGTON PARK 90255-4046
12/18/2021
1982814745STB
ALTAMED COMM HEALTH CLINIC INTERMITTENT
2661 E WASHINGTON BLVDPASADENA 91107-0707
4/13/2022
1982814745STA
ALTAMED COMM HEALTH CLINIC INTERMITTENT
3208 SANTA ANITA AVE STE. 200EL MONTE 91733-1304
3/21/2022
1790177582STB
ALTAMED HEALTH SERVICES INTERMITTENT
1542 E FLORENCE AVELOS ANGELES 90001-2536
1/1/0001
Monday, June 06, 2022 Page 332 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN276628 VILLANUEVA ROBERTA LISA NP 1679570980 LOS ANGELES USD 333 S. BEAUDRY AVE. FL 29LOS ANGELES 90017-1466
2/24/2014
1679570980STA
LOS ANGELES USD - FOSHAY HEALTH CTR
3751 S. HARVARD BLVDLOS ANGELES 90018
4/6/2022
1679570980STB
LOS ANGELES USD - SEPA CENTER
1339 ANGELINA STLOS ANGELES 90026
4/6/2022
1679570980STC
LOS ANGELES USD - HOLLYWOOD HIGH SCHOOL CLINIC
1530 N ORANGE DR.LOS ANGELES 90028
4/6/2022
1679570980STD
LOS ANGELES USD- 2ND ST ELEMANTARY SCHOOL CLINIC
1942 EAST 2ND STLOS ANGELES 90033
4/6/2022
1679570980STL
LOS ANGELES USD- ZELZAH WELLNESS CLINIC
6505 ZELZAH AVERESEDA 91335
4/6/2022
1679570980STM
LOS ANGELES USD- KENNEDY HIGH SCHOOL CLINIC
11254 GOTHICGRANADA HILLS 91344
4/6/2022
1679570980STJ
LOS ANGELES USD- LAWRENCE MIDDLE SCHOOL CLINIC
10100 VARIEL AVECHATSWORTH 91311
4/6/2022
1679570980STK
LOS ANGELES USD-TELFAIR HEALTH CLINIC
10911 TELFAIR AVEPACOIMA 91331
4/6/2022
1679570980STE
LOS ANGELES USD - MURCHISON ELEMANTARY SCHOOL HEALTH CLINIC
1501 MURCHISON STLOS ANGELES 90033
4/6/2022
1679570980STG
LOS ANGELES USD-HOLMES SCHOOL BASED CLINIC
5108 HOLMES AVELOS ANGELES 90058
4/6/2022
1679570980STI
LOS ANGELES USD- COLUMBUS SCHOOL BASED CLINIC
7739 FARRALONE AVENUECANOGA PARK 91304
4/6/2022
1679570980STF
LOS ANGELES USD- ROOSEVELT/HOLLENBECK CLINIC
2510 E. 6TH LOS ANGELES 90023
4/6/2022
1679570980STH
LOS ANGELES USD- SAN MIGUEL HEALTHY START CLINIC
9801 SAN MIGUEL AVESOUTH GATE 90280
4/6/2022
1679570980STN
LOS ANGELES USD- PANORAMA S.E.P.A. CLINIC
8015 VAN NUYS BLVDPANORAMA 91402
4/6/2022
1679570980STO
LOS ANGELES UNIFIED SCHOOL DISTRICT
6655 BALBOA ST.VAN NUYS 91406
5/23/2022
Monday, June 06, 2022 Page 333 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A123154 VILLATORO JASMIN ANTONNELLE
MD 1669881926 CENTRAL CITY COMMUNITY HEALTH CENTER INC
4126 N MAINE AVEBALDWIN PARK 91706-5010
6/12/2017
1528477882 CENTRAL CITY COMMUNITY HEALTH CENTER INC
13742 AMAR ROADLA PUENTE 91746-1683
6/9/2017
20A15919 VILLEGAS PATRICIA DO 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
2/28/2020
G65363 VILLEGAS SERGIO BANUELOS
MD 1649223777 FCS MEDICAL CORPORATION FAMILY CARE SPECIALISTS
1701 CESAR CHAVEZ STE 402LOS ANGELES 90033-2496
11/30/2001
PA13987 VINES-DOUGLAS GRETA MARLA PA 1811342751 HANNA, HANAA MD INC 887 W 9TH STSAN PEDRO 90731-3603
6/23/2014
A92236 VO CAT-TIEN PHAN MD 1518971241 CO OF L.A. - LONG BEACH CHC 1333 CHESTNUT AVENUELONG BEACH 90813-2944
1/4/2006
A52687 VOLETI VASANTI MD 1831426642C LAKESIDE MEDICAL 24355 LYONS AVENUE SUITE 210SANTA CLARITA 91321-2381
4/21/2014
1831426642A LAKESIDE MEDICAL 1500 W WEST COVINA PKWYWEST COVINA 91790-2703
4/11/2014
1831426642B LAKESIDE MEDICAL 191 S BUENA VISTA STREET SUITE 200-240BURBANK 91505
4/11/2014
RN788975 VONG JENNY A NP 1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
3/30/2015
20A12775 VONG SHEUNG KAI DO 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
11/25/2014
A102286 VU ANDREA MD 1831426642C LAKESIDE MEDICAL 24355 LYONS AVENUE SUITE 210SANTA CLARITA 91321-2381
4/21/2014
RN806162 VU VIVIAN THANH NP 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
4/25/2017
A50243 VUONG-DAC MAN MD 1043246317 VUONG-DAC, MAN MD INC 3649 FLORENCE AVEBELL 90201-3352
2/5/2002
Monday, June 06, 2022 Page 334 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN567762 VUOTTO GINA MARIE NP 1407878150STA
CO OF L.A. - HARBOR-UCLA PEDIATRIC PRIMARY CARE CLINIC
21840 NORMANDIE AVE SUITE 350TORRANCE 90502-2004
8/23/2018
1407878150 CO OF L.A. - HARBOR-UCLA MED CTR/ PEDS DEPT.
1000 W CARSON STREET L-4TORRANCE 90502-2004
11/23/2009
G34368 WACHSMAN LAURA MD 1396756938STB
LAC USC MEDICAL CENTER - OUTPATIENT PEDIATRIC DEPT.
2010 ZONAL AVE OPD 5 EASTLOS ANGELES 90033-0123
1/20/2016
RN95061349 WADZANI DENIS NP 1508278359 THE ROADS FOUNDATION INC 121 S LONG BEACH BLVDCOMPTON 90221-3423
9/1/2021
A135827 WAGNER AISHA BETTINA SCHERR WILLIAMS
MD 1831287978 WESTSIDE FAMILY HLTH CTR 1711 OCEAN PARK BLVDSANTA MONICA 90405-4901
2/12/2019
A70385 WAGNER AMY CHRISTINE MD 1053368167 FELDMAN, ROCHELLE C MD 18520 VIA PRINCESSA STE C2CANYON CNTRY 91387-8326
5/19/2008
G68590 WAKIM MARY ELLEN MD 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
6/21/2004
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
6/21/2004
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
3/14/2008
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
6/21/2004
Monday, June 06, 2022 Page 335 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G68590 WAKIM MARY ELLEN MD 1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
10/21/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
6/21/2004
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
6/21/2004
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
6/21/2004
A128712 WALKER ANGELA MD 1982814745 ALTAMED COMM HEALTH CLIN EL MONTE
10418 VALLEY BLVD STE BEL MONTE 91731-2402
5/4/2015
G68181 WANG CLAUDIA MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
12/24/1992
PA22610 WANG EMILY PA 1124460274STD
NORTHEAST COMMUNITY CLINIC 4129 E GAGE AVEBELL 90201-1128
2/22/2018
1124460274 NORTHEAST COMMUNITY CLINICS
2975 ZOE AVENUEHUNTINGTON PARK 90255
1/6/2015
A26671 WANG JAW JIANG MD 1760936884 BEVERLYCARE 101 E BEVERLY BLVD SUITE 303MONTEBELLO 90640-4316
3/17/2020
20A14970 WANG JENNY DO 1972954071 COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
8316 FOOTHILL BLVDSUNLAND 91040-2850
11/1/2017
A63432 WANG JEROME KUNG-YI MD 1639172372 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD., RM 1473LOS ANGELES 90048-1804
2/17/1987
A64130 WANG MAY LI MD 1053335406 AURORA MEDICAL CORPORATION 11245 LOWER AZUSA RDEL MONTE 91731-1553
2/8/2000
A56523 WANG YONG MD 1053335406 AURORA MEDICAL CORPORATION 11245 LOWER AZUSA RDEL MONTE 91731-1553
2/8/2000
RN769187 WARAPRATEEP SANDY MELISSA NP 1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
9/8/2020
Monday, June 06, 2022 Page 336 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A55556 WARD ANDRETTE TEMPIE
MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
1/18/2018
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
20A12296 WARE KIRSTEN ANNE DO 1982075107A PEDIATRIC AND FAMILY MEDICAL CENTER
15477 VENTURA BLVD SUITE 300SHERMAN OAKS 91403-3006
12/4/2019
1407268709 PEDIATRIC AND FAMILY MEDICAL CENTER
3680 E IMPERIAL HWY STE 200LYNWOOD 90262-2659
10/28/2019
1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
12/6/2018
20A11713 WARREN AIMEE JOANNE DO 1346250347 AVALON MEDICAL DEV CORP CENTER
100 FALLS CANYON ROADAVALON 90704-1563
2/14/2017
PA20940 WARREN GIANNA PA 1720171242 UNIVERSITY MUSLIM MED UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELES 90044-6105
9/14/2021
1730421330 UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
7821 AVALON BLVDLOS ANGELES 90003-2358
12/4/2019
A74956 WARREN JAMES TIMOTHY MD 1366447781 LAUPPE, HOLLEMBERG, AGRAWAL KNOLL & WARREN
250 W BONITA AVE STE 200POMONA 91767-1850
10/5/2010
20A11796 WARREN LISA MARIE DO 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
9/24/2013
A48327 WATCHI RALPH MD 1003846189 WATCHI, RALPH MD APC 1300 N VERMONT AVE STE 901LOS ANGELES 90027-6005
1/15/1999
RN736871 WAY NAZARETH HUOTH
NP 1740233725 FCS MEDICAL CORPORATION 815 W WASHINGTON BLVDMONTEBELLO 90640-6123
2/26/2020
RN318963 WEHR MARSHA NEWTON
NP 1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
5/9/2007
Monday, June 06, 2022 Page 337 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A90432 WEILER AMANDA PATRICIA
MD 1801967062 QUEENSCARE HEALTH CENTERS 4448 YORK BLVDLOS ANGELES 90041-3328
9/4/2019
1639241888 QUEENSCARE HEALTH CENTERS- HOLLYWOOD
4618 FOUNTAIN AVELOS ANGELES 90029-1830
9/4/2019
1104075282 QUEENSCARE HEALTH CENTERS 4816 EAST THIRD STREETLOS ANGELES 90022-1602
9/4/2019
A131113 WEINER ELIZABETH ANNE MD 1629283197B ALTAMED HEALTH SERVICES INTERMITTENT
2100 WEST 3RD STREET STE. 200LOS ANGELES 90057
8/16/2019
A120627 WEISS TIMOTHY EDWIN MD 1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
9/3/2014
PA20234 WELBURN DANIEL ELMER PA 1245261023B R RUIZ MD A PROFESSIONAL 833 W WHITTIER BLVDMONTEBELLO 90640-4735
8/8/2019
A161635 WELZENBACH MATTHEW MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
1/11/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
1/11/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/11/2021
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
1/11/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
1/11/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
1/11/2021
1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
1/11/2021
Monday, June 06, 2022 Page 338 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A161635 WELZENBACH MATTHEW MD 1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
1/11/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
1/11/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
1/11/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
1/11/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
1/11/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
1/11/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
1/11/2021
A128534 WEST RYENN LAWRENZ MD 1710031588E FACEY MEDICAL FOUNDATION 11333 SEPULVEDA BLVDMISSION HILLS 91345-1116
1/18/2019
A173571 WESTIEN INGEBORG MD 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
9/30/2021
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
9/30/2021
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
9/30/2021
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
9/30/2021
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
9/30/2021
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
9/30/2021
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
9/30/2021
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
9/30/2021
Monday, June 06, 2022 Page 339 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A173571 WESTIEN INGEBORG MD 1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
9/30/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
9/30/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
9/30/2021
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
9/30/2021
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
9/30/2021
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
9/30/2021
A164893 WHITE ARIEL NICOLE MD 1497001226 VIA CARE COMMUNITY HEALTH CENTER INC
507 S. ATLANTIC BLVDLOS ANGELES, CA 90022-3211
10/26/2021
A67922 WHITE KATHRYN CARR MD 1457599631 LOS ANGELES CHRISTIAN 1625 E 4TH STLOS ANGELES 90033-4201
3/29/2010
20A10550 WHITE STEPHANIE LYNN DO 1679515217 WESTERN UNIVERSITY OF HEALTH SCIENCES
795 E SECOND ST STE 5POMONA 91766-2020
2/6/2017
A53981 WICHERSKI BEATA ANNA MD 1831426642A LAKESIDE MEDICAL 1500 W WEST COVINA PKWYWEST COVINA 91790-2703
4/21/2008
A31188 WIJESEKERA STANLEY MD 1215001987 WIJESEKERA, STANLEY MD 101 E BEVERLY BLVD STE 305MONTEBELLO 90640-4316
8/7/1989
RN784655 WILKINSON ELIZABETH GRACE
NP 1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
10/31/2018
1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
10/31/2018
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
10/31/2018
Monday, June 06, 2022 Page 340 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A55890 WILLARD CYNTHIA LEE MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
11/6/2017
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
A124078 WILLE MAYA MD 1891028171 THE NORTHEAST COMMUNITY CLINIC
4455 W 117 ST STE 300HAWTHORNE 90250-2240
9/15/2014
1700097540B THE NORTHEAST COMMUNITY CLNC INTERMITTENT
4455 W 117TH ST SUITE 200HAWTHORNE 90250-2240
3/17/2020
C174451 WILLIAMS ANASTASIA MD 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
12/6/2021
A38694 WILSON HAROLD T JR MD 1801921952C ROY MEDICAL GROUP INC 1543 E PALMDALE BLVD STE CPALMDALE 93550-2030
9/23/2008
1801921952B ROY MEDICAL GROUP INC 21001 SHERMAN WAY STE 15CANOGA PARK 91303-1760
4/9/2014
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
1/18/2018
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
1/18/2018
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
1/18/2018
1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
1/18/2018
1801921952D ROY MEDICAL GROUP INC 1543 E PALMDALE BLVD STE FPALMDALE 93550-2030
1/22/2015
A64463 WIN KHIN MD 1649383464STA
CO OF L.A. - SOUTH VALLEY PED SATELLITE CLINIC
38350 40TH STREET EAST SUITE 200PALMDALE 93552-3075
1/17/2013
Monday, June 06, 2022 Page 341 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A64463 WIN KHIN MD 1649383464 CO OF L.A. - SOUTH VALLEY HEALTH CTR
38350 40TH ST E STE 100PALMDALE 93552-3075
10/7/2011
A50311 WINKLER HEIDI ANN MD 1487832655 SOCAL HEALTHNET INC 5912 SANTA MONICA BLVDLOS ANGELES 90038-2043
4/26/2017
1598075442 COMMUNITY PEDIATRIC CLINIC INC
10210 ORR AND DAY RD STE ASANTA FE SPRINGS 90670-3581
9/22/2014
1851609176 GREEN CROSS MED NET INC 5832 S VERMONT AVELOS ANGELES 90044-3712
5/19/2016
A101093 WOHLERT LIBIA ELENA MD 1912907114 PREMIER FAMILY MEDICINE ASSOCIATES INC
1770 N ORANGE GROVE AVE STE 101POMONA 91767-3027
11/15/2017
A139775 WONG ANITA MD 1467465641 CO OF L.A. - MID VALLEY COMP HLTH CTR
7515 VAN NUYS BLVDVAN NUYS 91405-1949
6/21/2018
1275591802 UC REGENTS UCLA FAMILY HEALTH CENTER
1920 COLORADO AVESANTA MONICA 90404-3414
8/29/2017
RN95158578 WONG ANNIE NP 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
1/28/2021
1255542601A ALTAMED MEDICAL - DENTAL GROUP, WHITTIER WEST
3945 WHITTIER BLVDLOS ANGELES 90023-2440
5/20/2019
G63718 WONG HANSON PAO-SANG
MD 1073725768 WONG, HANSON P MD 10230 ARTESIA BLVD STE 201BELLFLOWER 90706-2564
5/18/1998
PA54226 WONG HEATHER PA 1356763155 UNICARE COMMUNITY HEALTH CENTER INC
1501 E HOLT AVENUE STE APOMONA 91767-5823
9/26/2019
A153630 WONG HEI-WAH MD 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
9/7/2018
1619471802 THE LOS ANGELES FREE CLINIC INTERMITTENT
137 N VIRGIL AVELOS ANGELES 90004-4811
12/28/2020
A80298 WONG JESSICA PEARL MD 1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
4/30/2013
Monday, June 06, 2022 Page 342 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A80298 WONG JESSICA PEARL MD 1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
1/22/2004
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
3/24/2006
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
1/22/2004
A60736 WONG LI CHIUNG MD 1457469884 LA VERNE FAMILY MEDICAL CENTER INC
2100 FOOTHILL BLVD SUITE ALA VERNE 91750-2905
10/6/2021
1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
11/4/1997
20A16538 WONG MEAGAN DO 1124054564 VENICE FAMILY CLINIC- ROBERT LEVINE FAM HEALTH
905 VENICE BLVDVENICE 90291-4904
9/24/2020
A50496 WONG TAN LIN MD 1952323800 GOODFAITH FAMILY MEDICAL CLINIC
7770 GARVEY AVEROSEMEAD 91770
8/22/1996
1457469884 LA VERNE FAMILY MEDICAL CENTER INC
2100 FOOTHILL BLVD SUITE ALA VERNE 91750-2905
10/6/2021
A158779 WONG WESLEY ORIANNA
MD 1699839993 THE CHILDRENS CLINIC SERVING INTERMITTENT
17660 LAKEWOOD BLVDBELLFLOWER 90706-6410
4/13/2022
A119992 WONGSAROJ PATARAPHA MD 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
8/23/2018
A50353 WOODS MARIANNE RAYE MD 1326278490D JANESRI DE SILVA MD A PROF 8940 RESEDA BLVD STE 101NORTHRIDGE 91324-5833
8/21/2018
1326278490A DE SILVA, JANESRI MD APC 14426 GILMORE AVENUE UNIT BVAN NUYS 91401
2/11/2013
G60757 WOODS STEVEN DALE MD 1679691810 HOLLYWOOD SUNSET FREE CLINIC
3324 SUNSET BLVDLOS ANGELES 90026-2190
6/14/2004
A56374 WOSK SAMUEL R MD 1609061431 WOSK, SAMUEL MD / LA PROVIDENCIA MED INC
3412 WHITTIER BLVD.LOS ANGELES 90023
11/3/2008
A101672 WU DEREK J MD 1831565670 WU PEDIATRICS CORP 5817 TEMPLE CITY BLVDTEMPLE CITY 91780-2113
6/12/2018
Monday, June 06, 2022 Page 343 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A119747 WU JAMES JUENIN MD 1154857175 JAMES J WU MEDICAL CORPORATION
1818 N ORANGE GROVE AVE 200POMONA 91767-3028
11/27/2018
RN812544 WU JESSICA P NP 1750728663 BALDWIN PARK MEDICAL CLINIC INC.
14051 RAMONA PKWYBALDWIN PARK 91706-4114
2/2/2021
A49571 WU JIMMY MD 1952323800 GOODFAITH FAMILY MEDICAL CLINIC
7770 GARVEY AVEROSEMEAD 91770
8/22/1996
A119748 WU LAUREN MD 1164771747 THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIRCLE STE. 405CULVER CITY, CA 90230
8/24/2016
1003842360 VENICE FAMILY CLINIC COLEN FAMILY HEALTH CTR
4700 INGLEWOOD BLD SUITE 102CULVER CITY 90230-5896
8/2/2019
A143211 WU SAIFEI MD 1932249596 ST JOHN'S WELL CHILD CTR COMPTON
2115A N WILMINGTON AVECOMPTON 90222-2030
12/23/2016
1013057371 ST JOHNS WELL CHILD AND FAMILY CENTER
5701 S HOOVER STLOS ANGELES 90037-4045
12/23/2016
1073653630 ST JOHN'S WELL CHILD CTR 1910 SOUTH MAGNOLIA AVELOS ANGELES 90007-1220
12/23/2016
1043542111 ST JOHNS WELL CHILD FAMILY CENTER INC
15715 S ATLANTIC AVE 2E RANCHO DMNGZ 90221-4242
12/23/2016
1598002628 ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 W 58TH STLOS ANGELES 90037-3632
12/23/2016
1285874826A ST JOHN'S WELL CHILD AND FAMILY HLTH CTR, INC
808 WEST 58TH STREETLOS ANGELES 90037-3632
10/15/2020
1003068206 ST JOHNS WELL CHILD 6505 8TH AVELOS ANGELES 90043-4313
12/23/2016
1396981700 ST JOHNS WELL CHILD AND FAMILY CENTER INC
4085 S VERMONT AVELOS ANGELES 90037-4045
12/23/2016
1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
12/23/2016
1861893844A ST JOHNS WELL CHILD AND FAMILY CENTER INC
326 W 23RD STREETLOS ANGELES 90007-2659
12/23/2016
Monday, June 06, 2022 Page 344 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A143211 WU SAIFEI MD 1063836526 ST JOHNS WELL CHILD AND PRIMARY CARE CLINIC
3628 E IMPERIAL HWY SUITE 301LYNWOOD 90262-2646
12/23/2016
1861893844C ST JOHNS WELL CHILD INTERMITTENT
1555 W 110TH STLOS ANGELES 90047-4912
12/23/2016
1285874826C ST JOHNS WELL CHILD AND INTERMITTENT
1060 W EXPOSITION BLVDLOS ANGELES 90007-0000
9/22/2021
1861893844STA
ST JOHNS WELL CHILD AND FAMILY CENTER INC
15301 S. SAN JOSE AVECOMPTON 90221-3131
12/23/2016
1861893844D ST JOHNS WELL CHILD INTERMITTENT
4251 CRENSHAW BLVDLOS ANGELES 90008-2536
10/18/2021
1285874826B ST JOHN'S WELL CHILD AND INTERMITTENT
6818 AVALON BLVDLOS ANGELES 90003-1922
10/18/2021
1861893844B ST JOHNS WELL CHILD INTERMITTENT
2512 ALTA STLOS ANGELES 90031-2457
12/23/2016
A152955 WU VANESSA YU-WEN
MD 1386934875 PEDIATRIC AND FAMILY MEDICAL CENTER
1400 SOUTH GRAND AVE STE 101LOS ANGELES 90015-3023
9/18/2019
G69605 WU YU-FEI MD 1750463014 WHITTIER PEDIATRIC GROUP 8522 PAINTER AVEWHITTIER 90602-3335
6/5/2006
G76710 YACOOB SAJJAD AYUB MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
A48328 YAGOOBIAN BEHROOZ BRUCE MD 1073675385 ALIANZA MEDICAL CENTER INC 6907 SEVILLE AVEHUNTINGTON PARK 90255-4901
3/12/1998
1518996313 CONSULTORIO MEDICO LATINO MEDICAL CENTER
15730 PARAMOUNT BLVDPARAMOUNT 90723-4333
2/9/1996
A174485 YAM AMY MD 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
3/16/2022
RN524377 YANAGIHARA CARL VINCENT NP 1245343052STA
CO OF L.A. - MARTIN LUTHER KING, JR/DREW MEDICAL CTR
1721 E 120TH STREETLOS ANGELES 90059
3/24/2009
RN564924 YANEZ JANETTA ELLEN NP 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
6/9/2005
Monday, June 06, 2022 Page 345 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A103119 YANG CINDY WEN-HSIN MD 1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
12/2/2010
20A18046 YANG MIKE K. DO 1790177582STA
ALTAMED HEALTH SERVICES CORPORATION
6601 RUGBY AVE STE 300HUNTINGTON PARK 90255-4046
12/16/2021
1982814745STB
ALTAMED COMM HEALTH CLINIC INTERMITTENT
2661 E WASHINGTON BLVDPASADENA 91107-0707
4/13/2022
1982814745STA
ALTAMED COMM HEALTH CLINIC INTERMITTENT
3208 SANTA ANITA AVE STE. 200EL MONTE 91733-1304
3/21/2022
1790177582STB
ALTAMED HEALTH SERVICES INTERMITTENT
1542 E FLORENCE AVELOS ANGELES 90001-2536
1/1/0001
RN560494 YAP NANCY ANN NP 1316187255 CO OF L.A. - LAC+USC EAST SAN GABRIEL VALLEY
4024 NORTH DURFEE RDEL MONTE 91732-2510
5/11/2011
A62842 YAZDANI SHAHRAM MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
5/11/1999
A157213 YEN STEPHANIE CHIEN-HUEI
MD 1336281179A THE LOS ANGELES FREE CLINIC HOLLYWOOD WILSHIRE HLTH
5205 MELROSE AVELOS ANGELES 90038-3144
2/16/2021
A81317 YEPREMIAN KELLY JOY MD 1629491089 ST JOHNS WELL CHILD AND FAMILY CENTER INC
1555 W 110TH STREETLOS ANGELES 90047-4622
1/1/0001
A124011 YEROSHALMI DARYOUSH MD 1821302027 ARROYO VISTA FAMILY HEALTH 4837 HUNTINGTON DRIVE NLOS ANGELES 90032-1981
7/16/2020
1316088479 ARROYO VISTA FAMILY HEALTH CENTER
4815 VALLEY BLVD STE CLOS ANGELES 90032-3300
6/30/2014
1174665905 ARROYO VISTA FAMILY HEALTH CTR-LINCOLN HGHTS
2411 N BROADWAYLOS ANGELES 90031-2218
7/16/2020
1447353701 ARROYO VISTA FAMILY HEALTH CENTER
6000 N FIGUEROA STLOS ANGELES 90042-4232
7/16/2020
Monday, June 06, 2022 Page 346 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN752098 YESAYAN SONA NP 1972954071 COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
8316 FOOTHILL BLVDSUNLAND 91040-2850
9/4/2019
PA57995 YI HANA PA 1629198791B ALFRED LAVI DO PROFESSIONAL 1835 S LA CIENEGA BLVD STE 205 AND 215LOS ANGELES 90035-4651
1/6/2022
1629198791A ALFRED LAVI, DO PROFESSIONAL CORPORATION
2324 W PICO BLVDLOS ANGELES 90006-4002
12/8/2021
G81234 YIN LARRY MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
5/17/2006
RN761332 YNOQUIO TIFFANY ROSE LEANO
NP 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
1/22/2015
A44472 YOO KYUNG SOO MD 1346467461 YOO, KYUNG SOO MD INC 15446 PARTHENIA STNORTH HILLS 91343-5108
1/30/1996
A97414 YOO SEUNG BIN MD 1134492937 ALTAMED HEALTH SERVICES CORP EAST LA 1ST STREET
2219 E 1ST STREETLOS ANGELES 90033-3901
8/27/2014
RN705518 YOON BRIAN PETER NP 1710191283 ALTAMED HEALTH SERVICES CORPORATION
9436 SLAUSON AVEPICO RIVERA 90660-4748
1/10/2019
RN587879 YOON JENNY LYNN NP 1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
9/2/2010
1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
9/2/2010
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
3/21/2014
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
9/2/2010
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
9/2/2010
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
9/2/2010
Monday, June 06, 2022 Page 347 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
RN587879 YOON JENNY LYNN NP 1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
9/2/2010
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
9/2/2010
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
A30869 YOON RUTH HANNAH MD 1477649119A WATTS HEALTHCARE CORPORATION
10300 COMPTON AVELOS ANGELES 90002-3628
7/28/2003
20A11959 YU CLARA WAI TENG DO 1235317561 YU CARE MEDICAL GRP INC 1722 SOUTH DESIRE AVE SUITE 102ROWLAND HEIGHTS 91748-0000
5/21/2015
A35356 YU FRANCIS WU-YAT MD 1760480610 GARFIELD HEALTH CENTER 210 N GARFIELD SUITE 203MONTEREY PARK 91754-1746
10/31/2005
1235317561 YU CARE MEDICAL GRP INC 1722 SOUTH DESIRE AVE SUITE 102ROWLAND HEIGHTS 91748-0000
8/6/2008
1639177587 YU CARE MEDICAL GROUP INC 210 N GARFIELD AVE SUITE 316MONTEREY PARK 91754-1746
6/17/1997
A164745 YU GARLEN MD 1497001226 VIA CARE COMMUNITY HEALTH CENTER INC
507 S. ATLANTIC BLVDLOS ANGELES, CA 90022-3211
10/26/2021
G55744 YU JACK NIN MD 1548876626C VITUITY-PRIMARY CARE GLENDALE
1560 E. CHEVY CHASE DR. SUITE 355GLENDALE 91206-4159
5/12/2022
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
8/23/2018
Monday, June 06, 2022 Page 348 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
G55744 YU JACK NIN MD 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
8/23/2018
PA21838 YUAN JACQUELYN K PA 1730180118 NORTHEAST VALLEY HEALTH LAC-VALENCIA
23763 VALENCIA BLVDVALENCIA 91355-2105
9/13/2016
1558693655 NORTHEAST VALLEY HEALTH 18533 SOLEDAD CANYON RDSANTA CLARITA 91351-3722
9/13/2016
1013199264A NORTHEAST VALLEY HEALTH CORP SUN VALLEY HEALTH CENTER
7223 FAIR AVESUN VALLEY 91352-4964
9/13/2016
1235130600 NORTHEAST VALLEY HEALTH 1600 SAN FERNANDO RDSAN FERNANDO 91340-3115
9/13/2016
1093716474 NORTHEAST VALLEY HEALTH PEDIATRIC HLTH & WIC CTR
7138 VAN NUYS BLVDVAN NUYS 91405-3005
9/13/2016
1114928595 NORTHEAST VALLEY HEALTH 12756 VAN NUYS BLVDPACOIMA 91331-1696
9/13/2016
1881104313 NORTHEAST VALLEY HEALTH CORPORATION
23413 LYONS AVESANTA CLARITA 91355-3028
4/12/2018
1013199264C NORTHEAST VALLEY HEALTH CORPORATION INTERMITTENT
11051 N O'MELVENY AVESAN FERNANDO 91340-4426
9/13/2016
1013199264STA
NORTHEAST VALLEY HEALTH CORPORATION- MACLAY WELLNESS CTR.
12451 W GAIN STREETPACOIMA 91331
2/23/2021
1013199264B NORTHEAST VALLEY HEALTH CORP INTERMITTENT
7107 REMMET AVECANOGA PARK 91303-2016
9/13/2016
A48497 YUN EUN MI MD 1609987486 YUN, EUN MI MD 819 S. ALVARADO STREET STE 101LOS ANGELES 90057-4018
10/28/1991
20A19082 YUN JOHN JAWOL DO 1700097540B THE NORTHEAST COMMUNITY CLNC INTERMITTENT
4455 W 117TH ST SUITE 200HAWTHORNE 90250-2240
12/16/2021
Monday, June 06, 2022 Page 349 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A160636 YUN TINA HE MD 1164668786 PREMIER FAMILY MEDICINE ASSOCIATES, INC
1601 N MONTE VISTA AVE STE 100CLAREMONT 91711-6601
12/3/2020
A127762 YUNG SIYI ZHANG MD 1982667663 UCLA DEPT OF PEDIATRICS GRP PRACTICE
200 UCLA MED PLAZA CHILDRENS HLTH CTR STE 265LOS ANGELES 90095-3075
1/23/2017
A49235 ZAFARANCHI MOJDEH MD 1861823247 ZAFARANCHI, MOJDEH MD INC 23644 VANOWEN STWEST HILLS 91307-2443
8/13/1993
A106875 ZAGALSKAYA DIANA MD 1952496663 KEVORKIAN, VICTOR A MD A PROFESSIONAL CORP
14111 VAN NESS AVE STE. 4GARDENA 90249-2944
3/21/2012
A149668 ZAKIUDDIN MARIYA A MD 1245669555 SAN FERNANDO COMMUNITY HOSPITAL
732 MOTT STREET SUITE 100 AND 110SAN FERNANDO 91340-4240
2/3/2022
A100858 ZAKS CAMILO MD 1467465641STA
CO OF L.A. - MID VALLEY COMP HC
7515 VAN NUYS BLVDVAN NUYS 91405-1949
5/24/2018
1558379990 CO OF L.A. - SAN FERNANDO HEALTH CTR
1212 PICO STSAN FERNANDO 91340-3503
5/24/2018
PA16142 ZAMBRANO FIORELLA M PA 1225357114 SOUTHERN CALIFORNIA MED CTR 12100 VALLEY BLVD STE 109AEL MONTE 91732-3100
11/29/2021
1932428828 SOUTHERN CALIFORNIA MEDICAL CENTER INC
8825 WHITTIER BLVDPICO RIVERA 90660-2600
11/29/2021
1255729661 SOUTHERN CALIFORNIA MEDICAL CENTER INC
14550 HAYNES STVAN NUYS 91411-1613
11/29/2021
A90157 ZAMORA ANTONIO MD 1083003321A WHITE MEMORIAL COMMUNITY HEALTH CENTER
1828 E CESAR E CHAVEZ AVE SUITE 5000LOS ANGELES 90033-2496
8/24/2017
1083003321B WHITE MEMORIAL COMMUNITY INTERMITTENT
1828 E CESAR E CHAVEZ SUITE 4300LOS ANGELES 90033-2400
3/17/2021
20A10630 ZAMORANO ANTONIO DO 1346557691 WHOLE FAMILY HEALTH, PC 1030 S GLENDALE AVE STE 200GLENDALE, CA 91205-2866
3/2/2016
Monday, June 06, 2022 Page 350 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A52088 ZAPANTA-NOVERO YOLANDA A MD 1356498935 PARA LATINO MEDICAL CENTER INC
15717 PARAMOUNT BLVDPARAMOUNT 90723-5113
4/15/2002
C50671 ZAPATA JONI SUE MD 1508222647B DIGNITY HEALTH MEDICAL FOUNDATION - NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 3NORTHRIDGE 91325-4107
2/19/2021
1508222647A DIGNITY HEALTH MEDICAL FOUNDATION NORTHRIDGE FAMILY MEDICINE
18460 ROSCOE BLVD FL 2NORTHRIDGE 91325-4107
7/24/2002
A39524 ZARENO CANDIDO M MD 1740329101 PICO CLINICA MEDICA LATINA MED GRP INC
1600 W PICO BLVDLOS ANGELES 90015-2410
1/8/1999
A40110 ZARENO TERESITA A MD 1740329101 PICO CLINICA MEDICA LATINA MED GRP INC
1600 W PICO BLVDLOS ANGELES 90015-2410
1/8/1999
A45355 ZARRABI MANOOCHEHR MD 1285782664B SORAYA MEDICAL GROUP INC 11702 IMPERIAL HWY STE 110NORWALK 90650-2890
3/22/2017
1699767517 M ZARRABI MEDICAL CORPORATION
4827 GAGE AVENUEBELL 90201-1424
9/4/2003
1285782664A SORAYA MEDICAL GROUP INC 2701 FIRESTONE BLVD STE WSOUTH GATE 90280-2778
5/19/2015
1255323408 ZARRABI MEDICAL CORP AMERICAN MEDICAL CENTER
3175 TWEEDY BLVDSOUTH GATE 90280-5739
5/2/1998
A54500 ZATULOVSKY MILA MD 1245343052STA
CO OF L.A. - MARTIN LUTHER KING, JR/DREW MEDICAL CTR
1721 E 120TH STREETLOS ANGELES 90059
4/14/2017
PA15550 ZAVALA-SALCEDO LUZ M PA 1982611919 CO OF L.A. - HUMPHREY COMPREHENSIVE HC
5850 S MAIN STLOS ANGELES 90003-1215
10/19/2017
A151503 ZAVERI MOHAMMED YOUSUF
MD 1831243625 EAST VALLEY COMM HLTH 420 S GLENDORA AVEWEST COVINA 91790-3001
6/5/2020
1649324443 EAST VALLEY COMMUNITY HEALTH CENTER INC.
1555 SOUTH GAREY AVEPOMONA 91766-5222
10/21/2021
1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/17/2020
A71321 ZEELANDER LISA MICHELLE B MD 1588740989 VALLEY COMMUNITY HEALTHCARE
6801 COLDWATER CANYON AVEN HOLLYWOOD 91605-5162
8/1/2002
Monday, June 06, 2022 Page 351 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors
A53394 ZEVALLOS EDWIN WERNER MD 1821139205 ZEVALLOS, EDWIN W MD 6915 SEVILLE AVENUEHUNTINGTON PK 90255-4901
9/26/1997
A161575 ZHANG CHRISTINA TANAKA
MD 1730481318 ALTAMED HEALTH SERVICES CORPORATION
1300 S SUNSET AVEWEST COVINA 91790-3342
2/28/2020
A174220 ZHANG KEVIN J MD 1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/10/2021
A51433 ZHANG ZONG-HAO MD 1639177587 YU CARE MEDICAL GROUP INC 210 N GARFIELD AVE SUITE 316MONTEREY PARK 91754-1746
10/12/2016
20A18575 ZHU LI MANUEL DO 1003951708 ASIAN PACIFIC HLTH CARE INC 3939 TRACY STLOS ANGELES 90027-3207
10/30/2020
1336208255 ASIAN PACIFIC HEALTH CARE VENTURE, INC
1530 HILLHURST AVE LOS ANGELES 90027-5516
10/30/2020
1811129091 ASIAN PACIFIC HEALTH CARE VENTURE INC
180 UNION PLACELOS ANGELES 90026-5715
10/30/2020
PA51651 ZIELOMSKI MELANIE ANN PA 1093954018 MOCEGA, JUAN A MD JR INC 1141 W REDONDO BEACH BLV STE 308GARDENA 90247-3583
6/28/2016
A99300 ZIPKIN JENNY RENEE MD 1629283197A ALTAMED HEALTH SERVICES CORPORATION
4650 W SUNSET BLVD 1ST FLOOR, PAGE BLDGLOS ANGELES 90027-6062
1/16/2009
RN728115 ZUBIATE-LAURIE ROSA MARIA NP 1881054997A EMANATE HEALTH MEDICAL GROUP
1135 S SUNSET AVE STE. 401WEST COVINA 91790-3921
11/17/2020
A48519 ZUNIGA JOCELYN CRUZ MD 1386682623 ZUNIGA, JOCELYN C MD INC 11525 BROOKSHIRE AVE STE 302DOWNEY 90241-4982
10/4/2007
Monday, June 06, 2022 Page 352 of 352
County of Los Angeles - Department of Public HealthChild Health And Disability Prevention Program
Active Health Assessors