CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4
SPECIALTY ALLERGY ALLERGY
GROUP JOSEPH SHAPIRO MD INC, DBA ALLERGY & ASTHMA INSTITUTE KIN C. WONG, M.D., A PROFESSIONAL CORPORATION
ANESTHESIA
BUENA VISTA ANESTHESIA MEDICAL GROUP
ANESTHESIA
BUENA VISTA ANESTHESIA MEDICAL GROUP
ANESTHESIA
SOCAL ANETHESIA
ANESTHESIOLOGY
STUART BLOOM DO
AUDIOLOGY
AUDIOLOGY
AUDIOLOGY CARDIOLOGY CARDIOLOGY CARDIOLOGY
FOOTHILL CARDIOLOGY CA HEART MED GRP INC FOOTHILL CARDIOLOGY CA HEART MED GRP INC RAVI GUPTA, M.D., INC
CARDIOLOGY CARDIOLOGY
Cities Included: Glendale & San Fernando Valley
PROVIDER LAST NAME
PROVIDER FIRST NAME
STREET
CITY
PHONE
FAX
SHAPIRO
JOSEPH
12660 RIVERSIDE DR. SUITE # 325
STUDIO CITY
818-769-5998
818-769-5004
WONG
KIN
435 ARDEN AVE. SUITE # 310
GLENDALE
818-247-6676
818-247-6076
15031 RINALDI ST
MISSION HILLS
818-496-4410
501 S BUENA VISTA ST
BURBANK
818-843-5111
1420 S. CENTRAL AVE
GLENDALE
626-795-6596
626-795-8247
824 N. GLENDALE AVE
GLENDALE
818-500-0523
818-654-9305
11550 INDIAN HILLS RD STE 210
MISSION HILLS
818-837-4327
818-837-7030
19520 NORDHOFF ST STE 5
NORTHRIDGE
818-734-3124
818-772-1862
1111 N BRAND BLVD STE L
GLENDALE
818-244-7653
818-244-3229
PASADENA
626-793-4139
626-305-8280
PASADENA
626-793-4139
626-304-8280
BUENA VISTA ANESTHESIA MEDICAL GROUP BUENA VISTA ANESTHESIA MEDICAL GROUP SOCAL ANESTHESIA BLOOM SERENDIPITY HEARING INC dba SONUS SF0010 SERENDIPITY HEARING INC dba SONUS SF0010 SERENDIPITY HEARING INC dba SONUS SF0010
STUART
CONRAD
GARY
GABRIELIAN
VICTOR
GUPTA
RAVI
KUPFERWASSER
LEON
KUPFERWASSER
LEON
625 S. FAIR OAKS AVE. SUITE # 215 625 S. FAIR OAKS AVE. SUITE # 215 14860 ROSCOE BLVD. SUITE # 302 16119 VANOWEN STREET.
PANORAMA CITY VAN NUYS
818-908-1881
818-908-1986
(818) 904-6782
(818) 904-5896
TARZANA
(818) 908-8048
(818) 908-8072
14860 ROSCOE BLVD. SUITE # 302 201 SOUTH ALVARADO ST STE609
PANORAMA CITY
818-908-1881
818-908-1986
LOS ANGELES
(213) 413-5040
(213) 413-2985
18356 CLARK ST. SUITE # 101
CARDIOLOGY
RAVI GUPTA, M.D., INC
RANGAPPA
SUNIL
CARDIOLOGY
WOLFGANG SCHEELE MD
SCHEELE
WOLFGANG
CARDIOLOGY
RAMESH ARORA MEDICAL CORP DBA FIT HEART MD
SHAHNEMATOLLAH
ANA
14411 HAMLIN ST
VAN NUYS
818-994-0616
818-994-6579
CARDIOLOGY
SHAMJI
MUNAF
VAN NUYS
(818) 904-6782
(818) 904-5896
CARDIOLOGY
SHAMJI
MUNAF
16119 VANOWEN STREET. 18356 CLARK ST. SUITE # 101
TARZANA
(818) 908-8048
(818) 908-8072
Region 4 – Updated on 11/21/2013
Page 1 of 10
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4
Cities Included: Glendale & San Fernando Valley
CARDIOLOGY
THE HEART MEDICAL GROUP
PROVIDER LAST NAME WAKSLAK
CARDIOLOGY
THE HEART MEDICAL GROUP
WAKSLAK
MENACHEM
CARDIOVASCULAR DISEASE
HEART BEAT CARDIOVASCULAR MEDICAL GROUP
MESROBIAN
THE HEART MEDICAL GROUP
WAKSLAK
SPECIALTY
CARDIOVASCULAR DISEASE CARDIOVASCULAR DISEASE CARDIOVASCULAR/ THORACIC CARDIOVASCULAR/ THORACIC COLON & RECTAL SURGERY COLON & RECTAL SURGERY COLON & RECTAL SURGERY COLORECTAL SURGERY COLORECTAL SURGERY
GROUP
PROVIDER FIRST NAME MENACHEM
STREET
CITY
PHONE
FAX
16119 VANOWEN ST. 23861 MCBEAN PKWAY. STE C14
VAN NUYS
(818) 904-6782
(818) 908-5896
VALENCIA
(818) 908-8048
(818) 908-8072
HAROUT
660 W. BROADWAY.
GLENDALE
818-243-9600
818-502-1129
MENACHEM
16199 VANOWEN ST.
VAN NUYS
(818) 904-6782
(818) 908-5896
VALENCIA
(818) 908-8048
(818) 908-8072
LOS ANGELES
323-264-2633
323-224-2790
LOS ANGELES
323-264-2633
323-224-2790
GLENDALE
818-244-8161
818-244-5122
GLENDALE
818-244-8161
818-244-5122
GLENDALE
818-244-8161
818-244-5122
GLENDALE
818-242-8916
818-241-7708
ENCINO
818-788-2001
818-788-2021
23861 MCBEAN OKWY. STE. C14 1701 CESAR CHAVEZ AVE. SUITE # 300 1701 CESAR CHAVEZ AVE. SUITE # 300 222 W. EULALIA ST. SUITE # 100A 222 W. EULALIA ST. SUITE # 100A 222 W. EULALIA ST. SUITE #100A 1560 E. CHEVY CHASE DR. SUITE # 430 5400 BALBOA BLVD. SUITE # 228
THE HEART MEDICAL GROUP
WAKSLAK
MENACHEM
SURGICAL MULTI-SPECIALTIES
HODGINS
DARREN
SURGICAL MULTI-SPECIALTIES
NUCHO
RAMSAY
ROBERT W. BEART, MD
BEART
ROBERT. W.
PETAR VUKASIN, MD., INC
MCELRATH-GARZA
ANAMARIA
PETAR VUKASIN, MD., INC
VUKASIN
PETAR
AKOPIAN
GABRIEL
SAPKIN
STEVEN
ATTINASI
MUNDI
17100 EUCLID
FOUNTAIN VALLEY
(562) 595-5803
LATIF
MOHAMED. A.
660 W. BROADWAY.
GLENDALE
818-243-9600
818-502-1129
WONG
KIN
GLENDALE
818-247-6676
818-247-6076
AMERICAN DERMATOLOGY
LEDESMA
GLENN
BURBANK
818-557-0900
(909) 860-7460
HEART BEAT CARDIOVASCULAR MEDICAL GROUP
MC KENZIE 111.
JOHN. P.
GLENDALE
818-243-9600
818-502-1129
ENDOCRINOLOGY
SAWSAN BARAKAT, MD.
BARAKAT
SAWSAN
NORTHRIDGE
818-717-3021
818-717-3028
ENDOCRINOLOGY
MARIOLA FICINSKI, MD
FICINSKI
MARIOLA
LOS ANGELES
(213) 250-5255
(213) 250-5265
ENDOCRINOLOGY
THELMA LAMORENA, MD
LAMORENA
THELMA
LOS ANGELES
(213) 368-9281
(213) 368-0478
VAHAN ANANIAN, M.D.
ANANIAN
VAHAN
GLENDALE
818-500-4040
818-500-0803
CRITICAL CARE CRITICAL CARE CRITICAL CARE DERMATOLOGY ELECTROPHYSIOLOGY
ENT
Region 4 – Updated on 11/21/2013
FOOTHILL SURGICAL SPECIALISTS MEDICAL GROUP FOOTE GOLDMAN SAPKIN MEDICAL GROUP INC SO. COUNTIES PEDIATRIC CRITICAL CARE MG HEART BEAT CARDIOVASCULAR MEDICAL GROUP KIN C. WONG, M.D., A PROFESSIONAL CORPORATION
Page 2 of 10
435 ARDEN AVE., SUITE # 310 2601 W. ALAMEDA AVE. SUITE # 314 660 W. BROADWAY. 18350 ROSCOE BLVD. SUITE # 300 1245 WILSHIRE BLVD., #804 2503 W. BEVERLY BLVD #2A 633 N. CENTRAL AVE. SUITE # 202
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4 SPECIALTY ENT ENT
Cities Included: Glendale & San Fernando Valley PROVIDER LAST NAME
GROUP ARTINE KOKSHANIAN, M.D., INC
KOKSHANIAN
PROVIDER FIRST NAME ARTINE
LAD E. RUBAUM, M.D.
RUBAUM
LAD
FAMILY PLANNING ASSOCIATES MED. GRP, INC FREDERICK A. BOGHOSSIAN, MD
FAMILY PLANNING ASSOC MED GRP
LOS ANGELES
BOGHOSSIAN
FREDERICK
GASTROENTEROLOGY
GNANA DESIGAN, M.D.
DESIGAN
GNANA
GASTROENTEROLOGY
MEHDI KHORSANDI, MD
KHORSANDI
MEHDI
GASTROENTEROLOGY
EDGAR MEHDIKHANI, M.D.
MEHDIKHANI
EDGAR
GASTROENTEROLOGY
MYSORE NAGARAJA, MD FOOTHILL SURGICAL SPECIALISTS MEDICAL GROUP FOOTHILL SURGICAL SPECIALISTS MEDICAL GROUP
NAGARAJA
MYSORE
AKOPIAN
GABRIEL
CARVAJAL
SAM
GENERAL SURGERY
SAID HEMMATI MD
HEMMATI
SAID
GENERAL SURGERY
SURGICAL MULTI-SPECIALTIES
KEUSHKERIAN
SIMON
GENERAL SURGERY
SURGICAL MULTI-SPECIALTIES
KHAN
FAISAL. A.
GENERAL SURGERY
SURGICAL MULTISPECIALTIES MEDICAL GROUP
KHAN
FAISAL
FAMILY PLANNING GASTROENTEROLOGY
GENERAL SURGERY GENERAL SURGERY
GENERAL SURGERY GENERAL SURGERY GENERAL SURGERY GENERAL SURGERY GENERAL SURGERY GENERAL SURGERY GENERAL SURGERY GENERAL SURGERY
Region 4 – Updated on 11/21/2013
CARSON D LIU, MD, SAN FERNANDO VALLEY VASCULAR GROUP SAN FERNANDO VALLEY VASCULAR GROUP SAN FERNANDO VALLEY VASCULAR GROUP FOOTHILL SURGICAL SPECIALISTS MEDICAL GROUP SAN FERNANDO VALLEY VASCULAR GROUP SAN FERNANDO VALLEY VASCULAR GROUP CHRISTO JOHN SAMUEL, MD
LIU
CARSON
NASSOURA
ZAHI
NASSOURA
ZAHI
NASSOURA
ZAHI
PEREYRA
ROBERT
RAFIDI
FUAD
RAFIDI
FUAD
SAMUEL
CHRISTO. J.
Page 3 of 10
STREET 1030 S. GLENDALE AVE. SUITE # 506 14860 ROSCOE BLVD. SUITE # 305 601 S WESTMORELAND AVE 1560 E. CHEVY CHASE DR. SUITE # 560 6850 SEPULVEDA BLVD. SUITE # 214 1510 S. CENTRAL AVE. SUITE # 600 222 W. EULALIA ST. SUITE # 114 17075 DEVONSHIRE ST #200 1560 E. CHEVY CHASE DR. SUITE # 430 1560 E. CHEVY CHASE DR. SUITE # 430 15211 VANOWEN ST STE 205 1701 CESAR CHAVEZ AVE. SUITE # 300 1701 CESAR CHAVEZ AVE. SUITE # 300 1505 WILSON TERRACE STE 330 1301 20TH STREET, STE 440 18226 VENTURA BLVD. SUITE # 102 23101 SHERMAN PLACE. SUITE # 302 2701 W. ALAMEDA AVE. SUITE # 607 1560 E. CHEVY CHASE DR. SUITE # 430 23101 SHERMAN PLACE. SUITE # 302 18372 CLARK ST. SUITE # 218 11550 INDIAN HILL RD. SUITE # 240
CITY
PHONE
FAX
GLENDALE
818-240-4283
818-240-4624
PANORAMA CITY
818-901-1535
818-901-0046
LOS ANGELES
(213) 738-7083
(213) 738-1107
GLENDALE
818-241-0300
818-241-0333
VAN NUYS
818-782-3116
818-782-3148
GLENDALE
818-500-1676
818-500-8360
GLENDALE
818-242-8916
818-241-7708
NORTHRIDGE
818-363-3105
818-363-6178
GLENDALE
818-242-8916
818-241-7708
GLENDALE
818-242-8916
818-241-7708
VAN NUYS
818-994-1931
818-944-1465
LOS ANGELES
323-264-2633
323-224-2790
LOS ANGELES
323-264-2633
323-224-2790
GLENDALE
818-242-6828
818-956-7660
SANTA MONICA
(310) 208-0474
(310) 208-0374
TARZANA
818-345-6126
818-345-5061
WEST HILLS
818-593-3453
818-593-4563
BURBANK
818-345-6126
818-345-5061
GLENDALE
818-242-8916
818-241-7708
WEST HILLS
818-593-3453
818-593-4563
TARZANA
818-345-6126
818-345-5061
MISSION HILLS
818-365-1668
818-365-1189
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4 SPECIALTY
GROUP
Cities Included: Glendale & San Fernando Valley PROVIDER LAST NAME SURGICAL MULTISPECIALTIES
PROVIDER FIRST NAME
CITY
PHONE
FAX
1701 CESAR CHAVEZ AVE. SUITE # 300
STREET
LOS ANGELES
323-264-2633
323-224-2790
GENERAL SURGERY
SURGICAL MULTI-SPECIALTIES
GENERAL SURGERY
SURGICAL MULTI-SPECIALTIES
TAN
MATTHEW
1701 CESAR CHAVEZ AVE. SUITE # 300
LOS ANGELES
323-264-2633
323-224-2790
GENERAL SURGERY
SURGICAL MULTI-SPECIALTIES
WANG
ON
1701 CESAR CHAVEZ AVE. SUITE # 300
LOS ANGELES
323-264-2633
323-224-2790
FUNG
WESLEY
18226 VENTURA BLVD.
TARZANA
818-345-6126
818-345-5061
ROTH
BRADLEY
MISSION HILLS
818-898-4900
818-898-4990
WANG
ON
GLENDALE
818-242-6828
818-956-7660
FUNG
WESLEY
WEST HILLS
818-593-3453
818-593-4563
BAGDASARIAN
BORIS
GLENDALE
818-409-0105
818-409-0151
BAGDASARIAN
BORIS
GLENDALE
213-997-1214
213-482-8868
BAGDASARIAN
BORIS
LOS ANGELES
213-977-1214
213-482-8868
BOGHOSSIAN
NUBAR
GLENDALE
(818) 553-8160
(818) 553-8152
BOGHOSSIAN
NUBAR
GLENDALE
(919) 409-0105
DUVIVIER
HERBERT
GLENDALE
818-247-5440
818-241-8713
LOS ANGELES
818-247-5440
818-241-8713
CULVER CITY
310-842-4805
818-241-8713
LOS ANGELES
(213) 977-1214
(213) 482-8868
LOS ANGELES
(323) 254-0046
(323) 488-9782
GLENDALE
(818) 553-8160
(818) 553-8152
LOS ANGELES
213-977-1214
213-482-8868
LOS ANGELES
323-254-0046
323-488--9782
GLENDORA
(626) 332-3767
(626) 332-9979
SHERMAN OAKS
818-784-3615
818-905-0130
HEM/ONC
SAN FERNANDO VALLEY VASCULAR GROUP TRAUMA & CRITICAL CARE SFV GROUP, INC. SURGICAL MULTISPECIALTIES MEDICAL GROUP SAN FERNANDO VALLEY VASCULAR GROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICALGROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICALGROUP HERBERT L. DUVIVIER MD
HEM/ONC
HERBERT L. DUVIVIER MD
DUVIVIER
HERBERT
HEM/ONC
HERBERT L. DUVIVIER MD LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP CARE UNLIMITED HEALTH SERVICES, INC
DUVIVIER
HERBERT
HO
JASON
HO
JASON
HO
JASON
LEE
MONICA
LEE
MONICA
JERROLD S. DREYER, M.D.
DREYER
GENERAL SURGERY GENERAL SURGERY GENERAL SURGERY GENRAL SURGERY HEM/ONC HEM/ONC HEM/ONC HEM/ONC HEM/ONC
HEM/ONC HEM/ONC HEM/ONC HEM/ONC HEM/ONC HOME HEALTH AGENCY INFECTIOUS DISEASE
Region 4 – Updated on 11/21/2013
CARE UNLIMITED HEALTH SERVICES JERROLD S.
Page 4 of 10
11550 INDIAN HILLS RD., #310 1505 WILSON TERRACE STE. 330 23101 SHERMAN PLAZA, STE. 302 1505 WILSON TERRACE STE. 200 222 W. EULALIA ST., 100C 1245 WILSHIRE BLVD., STE. 303 222 W. EULALIA ST., STE. 100C 1505 WILSON TERRACE STE. 200 435 ARDEN STE 250 1700 E CESAR CHAVEZ AVE STE 3750 9808 VENICE BLVD STE 602 1245 WILSHIRE BLVD., STE. 303 201 S. ALVARADO ST., STE 110 222 W. EULALIA ST., STE. 100C 1245 WILSHIRE BLVD., STE. 303 201 S. ALVARADO ST., STE. 110 1025 W ARROW HWY STE 105 4849 VAN NUYS BLVD. SUITE # 105
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4 SPECIALTY INFECTIOUS DISEASE
INFECTIOUS DISEASE
INFECTIUS DISEASE
INFERTILITY INTERVENTIONAL CARDIOLOGY INTERVENTIONAL CARDIOLOGY INTERVENTIONAL CARDIOLOGY NEPHROLOGY
Cities Included: Glendale & San Fernando Valley PROVIDER LAST NAME
GROUP INFECTIOUS DISEASE CONDULTANTS MEDICAL GROUP INFECTIOUS DISEASE CONDULTANTS MEDICAL GROUP INFECTIOUS DISEASE CONDULTANTS MEDICAL GROUP REPRODUCTIVE HEALTH CENTERS, INC HEART BEAT CARDIOVASCULAR MEDICAL GROUP HEART BEAT CARDIOVASCULAR MEDICAL GROUP HEART BEAT CARDIOVASCULAR MEDICAL GROUP KIDNEY DISEASE MEDICAL GROUP
PROVIDER FIRST NAME
STREET
CITY
PHONE
FAX
MORGENSTEIN
ALAN
435 ARDEN AVE. SUITE # 350
GLENDALE
818-500-0935
818-500-0728
TSUJIMOTO
KAREN
435 ARDEN AVE. SUITE # 350
GLENDALE
818-500-0935
818-500-0728
MANTILLA
JESSICA
435 ARDEN AVE STE 350
GLENDALE
818-500-0935
818-500-0728
DINSAY
ROSELYN
435 W ARDEN AVENUE, SUITE 340
GLENDALE
(818) 246-7245
(818) 246-7265
BALIAN
HARRY
660 W. BROADWAY.
GLENDALE
818-243-9600
818-502-1129
MARWAH
ONKARJIT. S.
660 W. BROADWAY.
GLENDALE
818-243-9600
818-502-1129
SHARMA
SANJAY
660 W. BROADWAY.
GLENDALE
818-243-9600
818-502-1129
1505 WILSON TERRACE. SUITE # 155
GLENDALE
818-500-4055
818-500-4065
KIDNEY DISEASE MEDICAL GROUP
NEPHROLOGY
DANIEL LEVITAN, M.D.
LEVITAN
DANIEL
255 E. ORANGE GROVE AVE., STE. D
BURBANK
818-848-5595
818-848-5749
NEPHROLOGY
RAFFI R MINASIAN MD, A MEDICAL CORP
MINASIAN
RAFFI
1500 S CENTRAL AVE SUITE 300
GLENDALE
(818) 242-0475
(818) 662-0260
NEPHROLOGY
CALIFORNIA KIDNEY MEDICAL GROUP INC
SADEGHI
HAMID
2950 N. SYCAMORE DR. SUITE # 201
SIMI VALLEY
805-584-0177
805-584-1179
SADEGHI
HAMID
14860 ROSCOE BLVD. SUITE # 303
PANORAMA CITY
818-901-9906
818-901-9849
HEIKALI
MOOSA
18065 VENTURA BLVD.
ENCINO
818-344-1329
818-344-1390
THOMPSON
DAVID. A.
435 ARDEN AVE. SUITE # 560
GLENDALE
818-240-9041
818-240-9043
YURIY VERPUKHOVSKIY, MD INC
VERPUKHOVSKIY
YURIY
14860 ROSCOE BLVD. SUITE # 306
PANORAMA CITY
818-904-9200
818-904-9300
NEUROSURGERY
KYOO S. RO, M.D., INC
RO
KYOO S.
435 ARDEN AVE. SUITE # 380
GLENDALE
818-240-5241
818-240-8264
NEUROSURGERY
AYMAN M. SALEM, MD
SALEM
AYMAN
191 S. BUENA VISTA #370
BURBANK
(818) 562-6400
(818) 562-6705
NEPHROLOGY NEUROLOGY NEUROLOGY NEUROLOGY
Region 4 – Updated on 11/21/2013
CALIFORNIA KIDNEY MEDICAL GROUP INC MOOSA HEIKALI, MD DBA F&M RADIOLOGY MEDICAL CENTER INC DAVID A. THOMPSON., M.D., INC
Page 5 of 10
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4
SPECIALTY
Cities Included: Glendale & San Fernando Valley PROVIDER LAST NAME
GROUP
PROVIDER FIRST NAME
STREET
CITY
PHONE
FAX
NEUROSURGERY
FOOTE GOLDMAN SAPKIN MEDICAL GROUP INC
TIWARI
RAJENDRA
1500 S. CENTRAL AVE. SUITE # 314
GLENDALE
818-244-5117
818-244-6957
NEUROSURGEY
RAFAEL O. QUINONEZ MD
QUINONEZ
RAFAEL
11550 INDIAN HILLS ROAD SUITE 381
MISSION HILLS
818-361-5069
818-837-3411
OB/GYN
SAMANTHA H. HAN M.D., A PROFFESSIONAL CORP.
HAN
SAMANTHA. H.
191 S. BUENA VISTA ST. SUITE # 300
BURBANK
818-846-8981
818-846-8985
OB/GYN
JOSE M. MEDRANO M.D., A PROFESSIONAL CORP
MEDRANO
JOSE. M.
191 S. BUENA VISTA ST. SUITE # 300
BURBANK
818-846-8981
818-846-8985
OB/GYN
VENUS F. NAVARRO-JULIAN, MD
NAVARRO-JULLIAN
VENUS
8215 VAN NUYS BLVD., STE 108
PANORAMA CITY
818-994-5311
818-994-5002
OB/GYN
AUNG THWIN, MD
THWIN
AUNG
633 N. CENTRAL AVE. SUITE # 206
GLENDALE
818-240-4073
818-240-4077
OB/GYN
RONALD S. WU, M.D.
WU
RONALD
1505 WILSON TERRACE ST. SUITE # 220
GLENDALE
818-244-3572
818-244-8317
OB/GYN
FARID YASHARPOUR, M.D., A MEDICAL CORPORATION
YASHARPOUR
FARID
14671 RINALDI STREET.
SAN FERNANDO
818-270-9030
818-270-9039
SARCOMA ONOCOLOGY CENTER
CHAWLA
SANT
2811 WILSHIRE BLVD STE 414
SANTA MONICA
310-552-9999
310-201-6685
OPHTHALMOLOGY
CALIFORNIA EYE CARE SPECIALIST, A MED GROUP INC
BAKTANIAN
ALBERT
1030 S. GLENDALE AVE. SUITE # 505
GLENDALE
818-500-0888
818-500-4807
OPHTHALMOLOGY
CALIFORNIA EYE SPECIALISTS, A MED GP INC
BOWNS
GERALD
10 CONGRESS STREET. SUITE # 340
PASADENA
626-796-5325
626-796-5526
OPHTHALMOLOGY
UNASSIGNED VENDOR ID# FOR AUTHS ONLY
CALIFORNIA EYE CARE
CALIFORNIA EYE SPECIALIST
MULTIPLE LOCATIONS
OPHTHALMOLOGY
CALIFORNIA EYE CARE SPECIALIST, A MED GROUP INC
FAZIO
DOREEN
14914 SHERMAN WAY
VAN NUYS
818-787-2020
818-787-8652
OPHTHALMOLOGY
CALIFORNIA EYE CARE SPECIALIST, A MED GROUP INC
GELLERMAN
DOUGLAS
7320 WOODLAKE AVE. SUITE # 190
WEST HILLS
818-883-0112
818-883-2767
OPHTHALMOLOGY
THE VITREO RETINAL ASSOCIATES
JOSEPH
BOBAN
50 ALESSANDRO PLACE SUITE 210
PASADENA
(626) 440-9920
(626) 440-0351
OPHTHALMOLOGY
THE VITREO RETINAL ASSOCIATES
KONDRA
LAWRENCE
50 ALESSANDRO PL. SUITE # 210
PASADENA
626-440-9920
626-440-0351
OPHTHALMOLOGY
CALIFORNIA EYE SPECIALISTS, A MED GP INC
MORA
MARTHA
10 CONGRESS STREET. SUITE # 408
PASADENA
626-796-7006
626-796-9990
OPHTHALMOLOGY
CALIFORNIA EYE SPECIALISTS, A MED GP INC
SCHEINHORN
JEANINE
1808 VERDUGO BLVD. SUITE # 103
GLENDALE
818-790-0702
818-790-2708
OPHTHALMOLOGY
CALIFORNIA EYE SPECIALISTS, A MED GP INC
SOLISH
ALFRED
630 S. RAYMOND AVE. SUITE # 230
PASADENA
626-577-1115
626-577-1385
ONCOLOGY
Region 4 – Updated on 11/21/2013
Page 6 of 10
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4
Cities Included: Glendale & San Fernando Valley PROVIDER LAST NAME
PROVIDER FIRST NAME
SPECIALTY
GROUP
PHONE
FAX
OPHTHALMOLOGY
CALIFORNIA EYE CARE SPECIALIST, A MED GROUP INC
STILES
STEVEN
18370 BURBANK BLVD. SUITE # 207
TARZANA
818-996-3400
818-996-8643
ORTHOPEDIC SURGERY
RAJ S. AHLUWALIA, MD INC
AHLUWALIA
RAJ. S.
14860 ROSCOE BLVD. SUITE # 300
PANORAMA CITY
818-392-8620
818-322-0499
ORTHOPEDIC SURGERY
SOOREN KARAYAN, M.D.
KARAYAN
SOOREN
1510 S. CENTRAL AVE. SUITE # 500
GLENDALE
818-507-0686
818-507-6123
ORTHOPEDIC SURGERY
BENO NERSISSIAN, M.D., INC
NERSISSIAN
BENO
1030 S. GLENDALE AVE. SUITE # 507
GLENDALE
818-548-4668
818-548-8863
PAIN MANAGEMENT
MEHRAS AKHAVAN, M.D., INC.
AKHAVAN
MEHRAS
4940 VAN NUYS BLVD., STE. 301
SHERMAN OAKS
(818) 990-9050
(818) 990-9449
PAIN MANAGEMENT
CHRISTOPHER J. CHARBONNETT, MD
CHARBONNET
CHRISTOPHER
1530 E CHEVY CHASE DR SUITE 204
GLENDALE
(818) 241-7246
(818) 241-1639
PATHOLOGY
MARVINE I RETSKY, MD AND DENNIS KAIMIAN MD APC
KAIMIAN
DENNIS
15107 VANOWEN ST
VAN NUYS
PATHOLOGY
MARVINE I RETSKY, MD AND DENNIS KAIMIAN MD APC
RETSKY
MARVIN
15107 VANOWEN ST
VAN NUYS
PEDIATRIC CARDIOLOGY
PACIFIC PEDIATRIC CARDIOLOGY MED GROUP INC
AHDOOT
JOSEPH
50 W. BELLEFONTAINE ST. SUITE # 405
PASADENA
626-796-9259
626-449-8560
PEDIATRIC CARDIOLOGY
PACIFIC PEDIATRIC CARDIOLOGY MED GROUP INC
LOITZ
ROBERT
50 W. BELLEFONTAINE ST. SUITE # 405
PASADENA
626-796-9259
626-449-8560
PEDIATRIC CARDIOLOGY PHYSICAL MEDICINE/WOUND CARE
PACIFIC PEDIATRIC CARDIOLOGY MED GROUP INC
TESSLER
IRVING
50 W. BELLEFONTAINE ST. SUITE # 405
PASADENA
626-796-9259
626-449-8560
MEHRAS AKHAVAN, M.D., INC.
AKHAVAN
MEHRAS
4940 VAN NUYS BLVD., STE. 301
SHERMAN OAKS
(818) 990-9050
(818) 990-9449
PHYSICAL THERAPY
UNITED THERAPY NETWORK
UNITED THERAPY NETWORK
411 N CENTRAL AVE., SUITE 300
GLENDALE
(818) 549-9764
(818) 549-9767
PLASTIC SURGERY
LIBBY WILSON, MD
WILSON
LIBBY
2400 FLOWER ST. 4TH FLR.
LOS ANGELES
(213) 742-1433
(213) 742-1496
PLASTIC SURGERY
DIANNE WU, MD
WU
DIANNE
1048 S. GARFIELD AVE. #300
ALHAMBRA
(626) 458-7564
(626) 289-1033
MANCHERIAN
SUZANNE
1030 S. GLENDALE AVE STE 504
GLENDALE
(323) 937-6903
(323) 210-7171
MILLER
RONALD
15243 VANOWEN STREET. SUITE # 410
VAN NUYS
818-782-0559
818-782-8308
WOO
JENNIFER
10520 1/2 VICTORY BLVD.
NORTH HOLLYWOOD
818-762-1270
818-762-1275
ADELSON
LEONARD
4955 VAN NUYS BLVD. SUITE 502
SHERMAN OAKS
818-325-0200
818-325-0210
PODIATRY PODIATRY
RON MILLER PODIATRIC CORPORATION
PODIATRY PULMONARY DISEASE
Region 4 – Updated on 11/21/2013
MID VALLEY PULMONARY MEDICAL GROUP INC
Page 7 of 10
STREET
CITY
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4
SPECIALTY
GROUP
Cities Included: Glendale & San Fernando Valley PROVIDER LAST NAME
PROVIDER FIRST NAME
STREET
CITY
PHONE
FAX
PULMONARY DISEASE
ZULFIQAR AHMED, MD.
AHMED
ZULFIQAR
1030 S. GLENDALE AVE. SUITE # 406
GLENDALE
818-244-7771
818-244-7778
PULMONARY DISEASE
MID VALLEY PULMONARY MEDICAL GROUP INC
ANWAR
MUHAMMAD
4955 VAN NUYS BLVD. SUITE 502
SHERMAN OAKS
818-325-0200
818-325-0210
PULMONARY DISEASE
RICHARD JOHNSON MD INC
JOHNSON
RICHARD
415 W. CARROLL AVE. SUITE # 100
GLENDORA
626-914-5219
626-914-7846
PULMONARY DISEASE
MID VALLEY PULMONARY MEDICAL GROUP INC
PELEG
NECHEMIA
4955 VAN NUYS BLVD. SUITE 502
SHERMAN OAKS
818-328-0200
818-325-0210
PULMONARY DISEASE
MID VALLEY PULMONARY MEDICAL GROUP INC
VADGAMA
SANJAY
4955 VAN NUYS BLVD. SUITE 502
SHERMAN OAKS
818-328-0200
818-325-0210
PULMONARY DISEASE
KIN C. WONG, M.D., A PROFESSIONAL CORPORATION
WONG
KIN
435 ARDEN AVE., SUITE # 310
GLENDALE
818-247-6676
818-247-6076
PULMONARY DISEASE
CHRISTOPHER ZITO, MD
ZITO
CHRISTOPHER
10628 RIVERSIDE DRIVE, SUITE 4
TOLUCA LAKE
818-509-0949
818-509-0982
ST MARYS RADIATION ONCOLOGY MEDICAL GROUIP
ST MARYS RADIATION ONCOLOGY MEDICAL GROUIP
1043 ELM AVE STE 110
LONG BEACH
562-491-9890
562-491-9091
318 W. Colorado St, Ste 2
GLENDALE
818-244-4674
818-244-7674
500 E. Olive, Ste 103
BURBANK
818-816-7902
818-861-7385
RADIATION ONCOLOGY
American Medical Imaging Centers American Medical Imaging Centers
RADIOLOGY
American Medical Imaging Centers
RADIOLOGY
American Medical Imaging Centers
RADIOLOGY
BROADWAY IMAGING CENTER
BROADWAY IMAGING CENTER
140 NORTH GLENDALE AVE
GLENDALE
818-548-0022
818-5488301
RADIOLOGY
CENTRAL NEURO DIAGNOSTICS, INC
CENTRAL NEURO DIAGNOSTICS, INC
330 N. BRAND BLVD. SUITE # 180
GLENDALE
818-247-1718
818-247-1817
RADIOLOGY
DVT DIAGNOSTIC SERVICE INC
9400 BURNET AVE STE 127
NORTH HILLS
818-534-8288
818-357-5689
RADIOLOGY
GLENDALE DIAGNOSTIC IMAGING NETWORK
800 S. CENTRAL AVE. SUITE # 100B
GLENDALE
818-548-8333
818-548-7888
RADIOLOGY
GLENDALE DIAGNOSTIC IMAGING NETWORK
403 S. GLENDALE AVE.
GLENDALE
818-546-1929
818-546-1930
Region 4 – Updated on 11/21/2013
DVT DIAGNOSTIC SERVICE INC GLENDALE DIAGNOSTIC IMAGING NETWORK GLENDALE DIAGNOSTIC IMAGING NETWORK
Page 8 of 10
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4
SPECIALTY
GROUP
RADIOLOGY
GLENDALE DIAGNOSTIC IMAGING NETWORK
RADIOLOGY
HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC.
RADIOLOGY
UNIVERSIRY RADIOLOGY NETWORK, INC
RADIOLOGY
UNIVERSITY RADIOLOGY NETWORK, INC
RADIOLOGY
UNIVERSITY RADIOLOGY NETWORK, INC
RADIOLOGY
UNIVERSITY RADIOLOGY NETWORK, INC
Cities Included: Glendale & San Fernando Valley PROVIDER LAST NAME GLENDALE DIAGNOSTIC IMAGING NETWORK HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC. UNIVERSITY RADIOLOGY NETWORK, INC UNIVERSITY RADIOLOGY NETWORK, INC UNIVERSITY RADIOLOGY NETWORK, INC UNIVERSITY RADIOLOGY NETWORK, INC
PROVIDER FIRST NAME
STREET
CITY
PHONE
FAX
4910 VAN NUYS BLVD. SUITE # 108
SHERMAN OAKS
818-986-8215
818-986-9582
1420 S. CENTRAL AVE.
GLENDALE
805-577-2021
805-577-2018
18250 ROSCOE BLVD. SUITE # 135
NORTHRIDGE
818-701-7111
818-701-7841
18388 CLARK ST. SUITE # 115
TARZANA
818-609-0911
818-609-0229
5620 WILBURE AVE. SUITE # 330
TARZANA
818-345-3285
818-345-5964
14915 BURBANK BLVD.
SHERMAN OAKS
818-909-7111
818-909-6767
RHEUMATOLOGY
SEYMOUR LEVINE, MD., A PROFESSIONAL CORPORATION.
LEVINE
SEYMOUR
150 N. ROBERTSON BLVD. SUITE # 350
BEVERLY HILLS
(310) 657-2855
(310) 657-7433
RHEUMATOLOGY
S. ADAM RAMIN, M.D., INC.
RAMIN
SOUROUSH
12922 VICTORY BLVD.
NORTH HOLLYWOOD
818-760-2800
818-760-7343
SLEEP DISORDERS
ADVANCED SLEEP MEDICINE SERVICES, INC
16260 VENTURA BLVD. SUITE # 700
ENCINO
877-775-3377
877-855-6227
SLEEP DISORDERS
ADVANCED SLEEP MEDICINE SERVICES, INC
435 ARDEN AVE., SUITE # 440
GLENDALE
877-775-3377
877-855-6227
1100 W. GLENOAKS BLVD.
GLENDALE
818-242-3333
818-546-1096
16300 ROSCOE BOULEVARD
VAN NUYS
818-893-4426
818-894-7564
9346 CORBIN AVENUE.
NORTHRIDGE
818-349-9966
818-349-5615
1030 S. GLENDALE AVE. SUITE # 301
GLENDALE
818-507-4340
818-507-4308
URGENT CARE
GLENOAKS URGENT CARE MEDICAL GROUP, INC
URGENT CARE
U.S. HEALTHWORKS MEDICAL GROUP
URGENT CARE
VALLEY URGENT CARE MEDICAL GROUP, INC
UROLOGY
Region 4 – Updated on 11/21/2013
SHAHIN DERBOGHOSSIAN, MD INC
ADVANCED SLEEP MEDICINE SERVICES, INC ADVANCED SLEEP MEDICINE SERVICES, INC GLENOAKS URGENT CARE MEDICAL GROUP, INC U.S. HEALTHWORKS MEDICAL GROUP VALLEY URGENT CARE MEDICAL GROUP, INC DERBOGHOSSIAN
SHAHIN
Page 9 of 10
CITRUS VALLEY
PHYSICIANS GROUP
Specialist Roster – Region 4
SPECIALTY
Cities Included: Glendale & San Fernando Valley PROVIDER LAST NAME
GROUP
PROVIDER FIRST NAME
STREET
CITY
PHONE
FAX
UROLOGY
GLEN-WHITE UROLOGICAL MEDICAL GROUP, INC
LEE
SZE-CHING
1560 E. CHEVY CHASE DR. SUITE # 325
GLENDALE
818-242-1144
818-242-6948
UROLOGY
S. ADAM RAMIN, M.D., INC.
RAMIN
SOUROUSH
12922 VICTORY BLVD.
NORTH HOLLYWOOD
818-760-2800
818-760-7343
VASCULAR SURGERY
FOOTHILL SURGICAL SPECIALISTS MEDICAL GROUP
CARVAJAL
SAM
1560 E. CHEVY CHASE DR. SUITE # 430
GLENDALE
818-242-8916
818-241-7708
VASCULAR SURGERY
SURGICAL MULTISPECIALTIES MEDICAL GROUP
KEUSHKERIAN
SIMON
1505 WILSON TERRACE STE. 330
GLENDALE
818-242-6828
818-956-7660
VASCULAR SURGERY
SURGICAL MULTISPECIALTIES MEDICAL GROUP
KEUSHKERIAN
SIMON
1701 CESAR CHAVEZ AVE., STE 300
LOS ANGELES
323-264-2633
323-224-2790
VASCULAR SURGERY
SAN FERNANDO VALLEY VASCULAR GROUP
NASSOURA
ZAHI
18226 VENTURA BLVD. SUITE # 102
TARZANA
818-345-6126
818-345-5061
VASCULAR SURGERY
SAN FERNANDO VALLEY VASCULAR GROUP
NASSOURA
ZAHI
23101 SHERMAN PLACE. SUITE # 302
WEST HILLS
818-593-3453
818-593-4563
HEM/ONC
LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP
SENEVIRATNE
LASIKA
1245 WILSHIRE BLVD STE 303
LOS ANGELES
213-977-1214
213-482-8868
HEM/ONC
LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP
SENEVIRATNE
LASIKA
201 S. ALVARADO ST STE 110
LOS ANGELES
323-254-0046
323-488-9782
HEM/ONC
LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP
SENEVIRATNE
LASIKA
22 W. EULALIA ST STE 100C
LOS ANGELES
818-553-8160
818-553-8152
VASCULAR SURGERY
SAN FERNANDO VALLEY VASCULAR GROUP
NASSOURA
ZAHI
2701 W. ALAMEDA AVE. SUITE # 607
BURBANK
818-345-6126
818-345-5061
VASCULAR SURGERY
FOOTHILL SURGICAL SPECIALISTS MEDICAL GROUP
PEREYRA
ROBERT
1560 E. CHEVY CHASE DR. SUITE # 430
GLENDALE
818-242-8916
818-241-7708
VASCULAR SURGERY
SAN FERNANDO VALLEY VASCULAR GROUP
RAFIDI
FUAD
23101 SHERMAN PLACE. SUITE # 302
WEST HILLS
818-593-3453
818-593-4563
VASCULAR SURGERY
SAN FERNANDO VALLEY VASCULAR GROUP
RAFIDI
FUAD
18372 CLARK ST. SUITE # 218
TARZANA
818-345-6126
818-345-5061
VASCULAR SURGERY
SAN FERNANDO VALLEY VASCULAR GROUP
FUNG
WESLEY
18226 VENTURA BLVD.
TARZANA
818-345-6126
818-345-5061
VASCULAR SURGERY
SAN FERNANDO VALLEY VASCULAR GROUP
FUNG
WESLEY
23101 SHERMAN PLAZA, STE. 302
WEST HILLS
818-593-3453
818-593-4563
Region 4 – Updated on 11/21/2013
Page 10 of 10
