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PROVIDER LISTING PAGE: 1 06/26/2017 Sorted by Provider Last Name SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS 4 YOUR CHOICE PHONE RON 77840 FLORA RD. PALM DESERT, CA 92211 (760) 200-8777 21ST CENTURY ONCOLOGY OF CALIFORNIA 21ST CENTURY ONCOLOGY OF CALIF, MED CORP UC 1080 N INDIAN CANYON DR. STE 2 PALM SPRINGS, CA 92201 (760) 864-1000 24 HOUR URGENT CARE TEMECULA 24 H0UR URGENT CARE FP 2721 WASHINGTON ST JULIAN, CA 92036 (760) 765-1223 ABBOTT BERRY BORREGO COMMUNITY HEALTH OBG 1601 CUMMINS DR. STE D-78 MODESTO, CA 95358 ABHYANKAR SHREEDHAR S.R. ABYANKAR, MD, INC PTH 1150 N INDIAN CANYON DR PALM SPRINGS, CA 92262 (818) 718-9503 ABRAHAMS JOLINE DESERT PATHOLOGY MEDICAL GROUP PTH 1041 E. YORBA LINDA BLVD. STE8 PLACENTIA, CA 92878 (714) 924-7240 ABRISHAMI PAYAM WEST DERM SURG MED GRP CH 33669 DATE PALM DRIVE CATHEDRAL CITY, CA 92234 (760) 770-9133 ACKER CORY ACKER CHIROPRACTIC PD 396 N MAGNOLIA AVE EL CAJON, CA 92020 (619) 401-0404 ADIGOPULA BINA BORREGO COMMUNITY HEALTH REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Page 1: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

RON 77840 FLORA RD.

PALM DESERT, CA 92211

(760) 200-877721ST CENTURY ONCOLOGY OF CALIFORNIA 21ST CENTURY ONCOLOGY OF CALIF, MED CORP

UC 1080 N INDIAN CANYON DR. STE 2

PALM SPRINGS, CA 92201

(760) 864-100024 HOUR URGENT CARE TEMECULA 24 H0UR URGENT CARE

FP 2721 WASHINGTON ST

JULIAN, CA 92036

(760) 765-1223ABBOTT BERRY BORREGO COMMUNITY HEALTH

OBG 1601 CUMMINS DR. STE D-78

MODESTO, CA 95358

ABHYANKAR SHREEDHAR S.R. ABYANKAR, MD, INC

PTH 1150 N INDIAN CANYON DR

PALM SPRINGS, CA 92262

(818) 718-9503ABRAHAMS JOLINE DESERT PATHOLOGY MEDICAL GROUP

PTH 1041 E. YORBA LINDA BLVD. STE8

PLACENTIA, CA 92878

(714) 924-7240ABRISHAMI PAYAM WEST DERM SURG MED GRP

CH 33669 DATE PALM DRIVE

CATHEDRAL CITY, CA 92234

(760) 770-9133ACKER CORY ACKER CHIROPRACTIC

PD 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404ADIGOPULA BINA BORREGO COMMUNITY HEALTH

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 2: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 1310 W. STEWART DRIVE

ORANGE, CA 92868

(714) 633-2111ADULT & PEDIATRIC ORTHOPEDIC SPECIALISTS ADULT AND PEDIATRIC ORTHO SPECIALISTS

SLD 35-900 BOB HOPE DRIVE STE 130

RANCHO MIRAGE, CA 92270

ADVANCED DESERT SLEEP CENTER ADVANCED DESERT SLEEP CENTER

PNM 39700 BOB HOPE DR., STE. 204

RANCHO MIRAGE, CA 92270

(760) 341-2360ADVANCED PAIN MANAGEMENT ADVANCED PAIN MANAGEMENT

IM 1180 N. INDIAN CYN DR E420

PALM SPRINGS, CA 922624809

AGARWAL DIMPLE DIMPLE AGARWAL

IM 1180 N. INDIAN CYN. DR. #317

PALM SPRINGS, CA 92262

(760) 778-7147AGARWAL JAY DIMPLE AGARWAL, MD

FP 4646 BROCKTON AVE.

RIVERSIDE, CA 92506

(951) 774-2912AGARWAL SUMAN RAINCROSS MEDICAL GROUP

U 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311AGEE JAMES BEAVER MEDICAL GROUP

AN 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311AGRAWAL ARUN BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 3: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 306/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PD 2195 CLUB CENTER DR. A

LOMA LINDA, CA 92408

(909) 835-1810AHMAD BORHAAN FACULTY PHYS AND SURGEONS - PEDS GENERAL

ORS 39000 BOB HOPE DRIVE K209

RANCHO MIRAGE, CA 92270

(760) 340-1003AHMAD SOHAIL AHMAD SOHAIL

PT 7365 CARNELIAN # 124

RANCHO CUCAMONGA, CA 91730

(909) 948-2080AHMED SURAIYA ALIED PHYSICAL THERAPY

OTO 39000 BOB HOPE DR., W-301

RANCHO MIRAGE, CA 92270

(760) 340-4566AHSAN SYED DESERT EAR, NOSE & THROAT MEDICAL GROUP

GS 1180 N INDIAN CYN #E419

PALM SPRINGS, CA 92262

(760) 416-1976AITKEN DELMAR DELMAR AITKEN M.D.

NEP 1180 N. INDIAN CYN DR. #W303

PALM SPRINGS, CA 92262

(760) 416-4819ALDERMAN DAVID DESERT NEPHROLOGY MEDICAL GROUP

HMD 71780 SAN JACINTO DR. STE B-1

RANCHO MIRAGE, CA 92270

(760) 341-3501ALL CITIES MEDICAL SOLUTION ALL CITIES MEDICAL SOLUTONS, A PROF CORP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 4: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 406/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 39000 BOB HOPE DR RINKER BLD

RANCHO MIRAGE, CA 92270

(760) 568-2684ALLEN ANDREW DESERT ORTHOPEDIC CENTER

FP 79440 CORPORATE CNTR. DR., 110

LA QUINTA, CA 92253

(760) 564-3533ALLEN SHAWN ALLEN AND LIN INC

NEP 251 CAJON ST. STE. B

REDLANDS, CA 92373

(909) 793-7500AMATO THOMAS INLAND NEPHROLOGY

C 39000 BOB HOPE DR.WALLACE BLDG

RANCHO MIRAGE, CA 92270

(760) 346-0642AMPIE DAN DESERT CARDIOLOGY CONSULTANTS MED GROUP

US PO BOX 21021

TAMPA, FL 33622

(813) 915-8367ANALGESIC HEALTHCARE ANALGESIC HEALTHCARE

SP 60 PEBBLE BEACH DR.

RANCHO MIRAGE, CA 92270

(760) 902-5034ANDERS DANA DANA ANDERS

RON 1180 N. INDIAN CYN. DR., E-218

PALM SPRINGS, CA 92262

(760) 416-4770ANDERSEN BARBARA PETER GREENBERG, M.D., INC

IM 6405 DAY ST.

RIVERSIDE, CA 925070901

ANDERSEN BRADLEY RIVERSIDE MEDICAL CLINIC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 5: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 506/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 81713 HWY 111 STE. F

INDIO, CA 92201

(760) 863-5355ANDERSON ALBERT ALBERT R. ANDERSON MD APC

PNM 1180 N. INDIAN CYN. DR. E-408

PALM SPRINGS, CA 92262

(760) 416-4655ANDERSON EDWARD DESERT PAIN CARE MEDICINE GROUP, INC

PD 1600 E. CITRUS AVE., STE. A

REDLANDS, CA

(909) 794-3682ANDERSON MICHELLE BEAVER MEDICAL GROUP

AN 79440 CORPARTE CENTER DR. #110

LA QUINTA, CA 92270

(760) 625-1960ANDERSON RUTH DESERT PAIN SPECIALIST, INC.

GE 35900 BOB HOPE DR. # 275

RANCHO MIRAGE, CA 92270

(760) 321-2500ANNUNZIATA GARY GARY M ANNUNZIATA, D.O. A.P.

OBG 2 W. FERN AVE

REDLANDS, CA 92373

(909) 793-3311APODACA LORENZO BEAVER MEDICAL GROUP

DME 14464 ATSTAR #101

VICTORVILLE, CA 92392

(800) 723-3354APRIA APRIA HEALTHCARE, INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 6: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 606/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 8110 MANGO AVENUE

FONTANA, CA 92335

(909) 822-1164ARGUETA RAPHAEL UNITED FAMILYCARE. INC.

FP 490 S. FARRELL DR. #C-104

PALM SPRINGS, CA 92262

(760) 327-8755ARIAN FRANK FRANK ARIAN MD A CA PROF CORP.

PDA 11370 ANDERSON ST STE B100

LOMA LINDA, CA 92354

(909) 558-4440ARIUE BARBARA FACULTY PHYSICIANS AND SURG-PEDS ALLERGY

FP 33758 YUCAIPA BLVD.

YUCAIPA, CA 92399

(909) 795-9747ARMIJO JAVIER BEAVER MEDICAL GROUP

MFC 2150 E. TAHQUITZ CANYON #3

PALM SPRINGS, CA 92262

(760) 323-8016ARNOLD SARAH SARAH G. ARNOLD, M.S, L.M.F.T.

OTO 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191ARRUDA JOHNNY BEAVER MEDICAL GROUP

C 1275 E. LATHAM AVE

HEMET, CA 92543

(951) 652-5555ARTOUL SAMIR HEMET HEART MED CENTER

HEM 1180 N. INDIAN CYN. DR. E218

PALM SPRINGS, CA 92262

(760) 416-4923ARUN KARLA ARUN K. KALRA MD INC.

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 7: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 706/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 54910 PINECREST AVE.

IDYLLWILD, CA 92549

(951) 659-4908ATIVA WASEF IDYLLWILD HEALTH CENTER

AN 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311ATKINSON LINDA BEAVER MEDICAL GROUP

MFC 42-525 RANCHO MIRAGE LANE

RANCHO MIRAGE, CA 92270

(760) 776-6543AUKLAND DIANE AUKLAND MARQUARDT

OM 77564 COUNTRY CLUB DR. #368

PALM DESERT, CA 92211

(760) 772-7545AUNE NELSON BETH BETH AUNE-NELSON, OTR/L

UC 58471 29 PALM HWY #303

YUCCA VALLEY, CA 92284

(760) 365-0851AVALON URGENT CARE AVALON URGENT CARE

GS 555 TACHEVAH DR. 1W201

PALM SPRINGS, CA 92262

(760) 866-0011AWAD RAMY RAMY A AWAD, MD, INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 8: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

MFC 12 S. SAN GORGONIO

BANNING, CA 92220

(760) 772-6745AXELROD LISA LISA AXLEROD

FP 3655 E. RAMON RD

PALM SPRINGS, CA 92262

(760) 327-9400AYOUB EDMUND EDMUND AYOUB, JR., M.D., INC

IM 35-400 BOB HOPE DR #210

RANCHO MIRAGE, CA 92270

(760) 202-0686AZAM SYED INDUS MEDICAL ASSOCIATES

PT 72047 DINAH SHORE DR. STE C3

RANCHO MIRAGE, CA 92270

(760) 324-8781AZIZ DBA GLOBAL PHYSCIAL THERAPYPETER GLOBAL PHYSICIAL THERAPY INC

AMB 72317 MERRY VALE WAY

PALM DESERT, CA 92260

(760) 568-4240B & B MEDICAL TRANSPORT B & B MEDICAL TRANSPORT

PNM 1180 N INDIAN CANYON

PALM SPRINGS, CA 92262

(760) 416-4655BAER HOWARD DESERT PAIN CARE MEDICINE GROUP, INC

IM 44650 VILLAGE COURT #100

PALM DESERT, CA 92260

(760) 346-4003BAHREINI MARYAM INTERNAL MEDICINE SPECIALISTS, INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 9: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 906/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

MFC 77564 COUNTRY CLUB DR. #214

, CA 92211

(760) 269-0906BAKER WENDY WENDY BAKER, LMFT

OTO 39000 BOB HOPE DR., W-301

RANCHO MIRAGE, CA 92270

(760) 340-4566BALANCE INSTITUTE DESERT EAR, NOSE & THROAT MEDICAL GROUP

FP 2 W/ FERN AVE.

REDLANDS, CA 92373

(909) 793-3311BALLOU KENNETH BEAVER MEDICAL GROUP

FP 2 W FERN AVE.

REDLANDS, CA 92373

(909) 793-3311BANTA CRAIG BEAVER MEDICAL GROUP

PSY 45175 PANARAMA STE G

PALM DESERT, CA 92260

(858) 344-2668BANTZ JODY GREEN LOTUS PSYCHOTHERAPY& CONSULTING

FP 88775 AVENUE 76 #1

THERMAL, CA 92274

(760) 397-2501BARAJAS SERGIO BORREGO COMMUNITY HEALTH

IM 1695 NORTH SUNRISE

PALM SPRINGS, CA 92262

(760) 323-2118BARBOUR CLAYTON DESERT AIDS PROJECT

GS 43120 WASHINGTON

BERMUDA DUNES, CA 92201

(760) 772-2000BARNES HAROLD HAROLD C. BARNES MD INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 10: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 1006/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

AN 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311BARNHARDT RICHARD BEAVER MEDICAL GROUP

EM 78150 CALLE TAMPICO #104

LA QUINTA, CA 92253

(760) 564-6220BAROFF SHELDON SHELDON BAROFF, M.D.

ORS 1180 N. INDIAN CYN DR STE 201W

PALM SPRINGS, CA 92262

(760) 416-4511BARRY THOMAS THOMAS BARRY

OTO 39000 BOB HOPE DR W-301

RANCHO MIRAGE, CA 92270

(760) 340-4566BARTON STUART DESERT EAR, NOSE & THROAT MEDICAL GROUP

FP 5957 W. RAMSEY ST.

BANNING, CA 92220

(951) 845-0313BASHIR OMAR BEAVER MEDICAL GROUP

GS 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311BASINGER BRADLEY BEAVER MEDICAL GROUP

RHI 15725 POMERADO RD STE 109

POWAY, CA 92064

(858) 485-6094BASSEM GEORGY FULLY OPEN MRI RCH BERNARDO

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 11: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 1106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

NEP 71511 HWY 111 STE. H

RANCHO MIRAGE, CA 92270

(760) 773-2200BATARSE RODOLFO DESERT NEPHROLOGY MEDICAL GROUP

PD 81-719 DR CARREON BLVD ST E

INDIO, CA 92201

(760) 347-1850BAUTISTA ALEJANDRO VALLEY COMPREHENSIVE MEDICAL GROUP

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642BAUTISTA ELAINE DESERT CARDIOLOGY CONSULTANTS MED GROUP

FP 8110 MANGO AVENUE

FONTANA, CA 92335

(909) 822-1164BAUTISTA MARIVIC UNITED FAMILYCARE. INC.

POD 36101 BOB HOPE DR. #1

RANCHO MIRAGE, CA 92270

(760) 565-5545BEAN AARON S. AARON S BEAN DPM, INC

R 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311BEAVER MEDICAL GROUP BEAVER MEDICAL GROUP

PT 245 TERRACINA BLVD

REDLANDS, CA 92373

(909) 792-9737BEAVER MEDICAL GROUP PHYSICAL THERAPY BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 12: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 1206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 2 W FERN AVE

REDLANDS, CA 92373

BEAVER MEDICAL ORTHOPEDIC BEAVER MEDICAL GROUP

UC 81 S. HIGHLAND SPRINGS AVE STE

BEAUMONT, CA 92223

(951) 845-0313BEAVER MEDICAL URGENT CARE BEAVER MEDICAL GROUP

C 39000 BOB HOPE DR WALLACE BLDG

RANCHO MIRAGE, CA 92270

(760) 346-0642BECKERMAN BROM DESERT CARDIOLOGY CONSULTANTS MED GROUP

OBG 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191BEITEL BRIAN BEAVER MEDICAL GROUP

ORS 1180 N. INDIAN CAYON DR. #W200

PALM SPRINGS, CA 92262

(760) 568-2684BELL JAMES DESERT ORTHOPEDIC CENTER

AU 74075 EL PASEO AVE. #A-4

PALM DESERT, CA 92260

(760) 340-6494BELLOWS HEARING INSTITUTE BELLOWS HEARING INSTITUTE, LLC

FP 7798 CHERRY AVE

FONTANA, CA 92336

(909) 355-1296BEMBI ATUL CPMA INC

FP 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311BENNETT JAMES BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 13: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

PROVIDER LISTING

PAGE: 1306/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OBG 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311BENNETT-STEWARTCHRISTINA BEAVER MEDICAL GROUP

ORS 900 E WASHINGTON ST STE 300

COLTON, CA 92324

(909) 824-2422BERGEY DARREN DARREN L BERGEY, MD

OBG 79-200 CORPORATE CENTER DR.

LA QUINTA, CA 92253

(760) 564-8805BERNARD GARY VALLEY WOMANCARE

C 555 E. TACHEVAH DR. #1W202

PALM SPRINGS, CA 92262

(760) 327-7666BERNSTEIN ROBERT ROBERT F BERNSTEIN

IM 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 861-1191BESHARA MARIAN BEAVER MEDICAL GROUP

AU 7024 AIRWAY AVE. ST. D

YUCCA VALLEY, CA 92284

(760) 228-1381BETTER SOUND AUDIOLGOY BETTER SOUND AUDIOLOGY

HSP 39000 BOB HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 773-4100BETTY FORD CENTER BETTY FORD CENTER

ID 399 E HIGHLAND AVE # 100

SAN BERNARDINO, CA 92404

(951) 738-0968BEUTLER STEVEN STEVEN BEUTLER, MD

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

Page 14: Sorted by Provider Last Name - 4 Your Choice4yourchoice.net/ProviderList-Name.pdf · AWAD RAMY RAMY A AWAD, MD, INC (760) 866-0011 REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report

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PAGE: 1406/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GS 35900 BOB HOPE DR. STE 205

PALM SPRINGS, CA 92262

(760) 778-5220BHASKER-RAO BOBBY BOBBY BHASKER-RAO INC

ORS 6180 BROCKTON AVE. #204

RIVERSIDE, CA 92506

(951) 684-6784BIAMA RICHARD SAN BERNARDINO MED ORTHO GRP

LAB 7636 BURNET AVE

VAN NUYS, CA 91405

(818) 480-9100BIOPATH CLINICAL LABORATORIES, INC. BIOPATH CLINICAL LABORATORIES, INC

FP 69420 RAMON ROAD

CATHEDRAL CITY, CA 92234

(760) 324-1700BIR ARVINDER ARVINDER BIR M.D.

FP 35400 BOB HOPE DR. #203

RANCHO MIRAGE, CA 92270

(760) 324-1700BIR SEEMA SEEMA BIR MD

PT 47647 CALEO BAY DR. STE 130

LA QUINTA, CA 92253

(760) 771-9054BISHOP ELIJA ELITE PHYS THERAPY AND WELLNESS

CH 701 HIGHLAND SPRINGS AVE #8

BEAUMONT, CA 92223

(951) 845-9183BLACKFORD AMBER AMBER R BLACKFORD, DC

N/A 3950 G S RICHARDS

CARSON CITY, CA 89703

BLACKHART BRET SKIN CANCER & DERMATOLOGIST INSTITUTE

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

NEP 251 CAJON ST. STE. B

REDLANDS, CA 92373

(909) 793-7500BLAKELY PATRICIA INLAND NEPHROLOGY

D 833 AUTO CENTER DR. STE D

PALMDALE, CA 93551

BLANCHARD LUCIUS WEST DERM SURG MED GRP

OPH 1900 E WASHINGTON ST

COLTON, CA 92324

(909) 825-3425BLANTON CHRISTOPHER INLAND EYE INSTITUTE MEDICAL GROUP, INC

US 6528A HILLSIDE AVE.

29 PALMS, CA 92277

(760) 367-2117BLAU CATHEY CATHEY BLAU, LCSW, BCD

PSY 6528 A HILLSIDE AVE

TWENTYNINE PALMS, CA 92227

(760) 367-2117BLAU WILLIAM WILLIAM BLAU PHD

PD 2150 N. WATERMAT AVE., #200

SAN BERNARDINO, CA 92404

(909) 882-1164BOAFO-KOFI ADADE UNITED FAMILYCARE. INC.

OBG 1100 N. PALM CANYON DR. #107

PALM SPRINGS, CA 92262

(760) 322-3166BODON LISA ENRIQUE G JACOME, MD, INC

PT 333 N. PALM CANYON DRIVE #114

PALM SPRINGS, CA 92262

(760) 327-4244BODY WORKS PHYSIOTHERAPY BODY WORKS PHYSIOTHERAPY CLINIC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 1606/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

C 4646 BROCKTON AVE.

RIVERSIDE, CA 92506

(951) 774-2912BOKHARI SYED RAINCROSS MEDICAL GROUP

FP 33758 YUCAIPA BLVD.

YUCAIPA, CA 92399

(909) 795-9747BOON TERI BEAVER MEDICAL GROUP

AN 39700 BOB HOPE DR.

RANCHO MIRAGE, CA

(760) 346-2257BOUFFARD MARK PAIN AND SPINE CTR

FP 1300 E. COOLEY DR

COLTON, CA 92324

(909) 730-4100BOURNE ROBERT BEAVER MEDICAL GROUP

R 399 EAST 26TH STREET

SAN BERNARDINO, CA 92404

(909) 882-2266BOYD WAYNE PALM IMAGING INSTITUTE, INC

FP 5957 W. RAMSEY ST.

BANNING, CA 92220

(951) 845-0313BRADFORD DANIEL BEAVER MEDICAL GROUP

FP 4646 BROCKTON AVE

RIVERSIDE, CA 92506

(951) 774-2952BRANCH JOHN RAINCROSS MEDICAL GROUP

FP 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311BRANDSTATER CHERRY BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 1706/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

NPM 81880 DR. CARREON BLVD. EC-202

INDIO, CA 92201

(760) 775-5373BRAR HARBINDER HARBINDER S. BRAR, M.D., INC.

PA 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191BRICE JULEE BEAVER MEDICAL GROUP

N 72670 FRED WARING

PALM DESERT, CA 92260

(760) 340-4300BRIGNONI CATHERINE CATHERINE BRIGNONI, MD A PROF CORP

EM 81-767 DR. CARREON BLVD. #201

INDIO, CA 92201

(760) 775-4181BRIZZOLARA CARLO INDIO EMERGENCY MEDICAL GROUP

AN 2 FERN AVE.

REDLANDS, CA 92373

(909) 793-3311BROCKMANN DOUGLAS BEAVER MEDICAL GROUP

CD 1180 N. INDIAN CYN., DR.

PALM SPRINGS, CA 92262

(760) 325-1302BRODER GEORGE DESERT HEART PHYSICIANS MED GROUP INC

ORS 521 E ELDER ST. #105

FALLBROOK, CA 92028

(760) 725-5851BROOKS WARD WARD H BROOKS, MD

MFC 2150 E. TAHQUITZ WAY STE 3

PALM SPRINGS, CA 92262

(760) 323-8016BROSAMLE STAN STAN LAYNE BROSAMLE

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 1806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

D 340 S. FARRELL DRIVE STE A205

PALM SPRINGS, CA 92262

(760) 969-5900BROSKA PAMELA WEST DERM SURG MED GRP

AI 1276 N PALM CANYON DR STE 110

PALM SPRINGS, CA 92262

(760) 320-9464BROWN HOSEA HOSEA BROWN, MD, INC

DR 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311BRYANT BOBBY BEAUMONT RADIOLOGY SERVICES

IM 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191BUGLIOSI VINCENT BEAVER MEDICAL GROUP

VS 488 E. VALLEY PARKWAY #100

ESCONDIDO, CA 92025

(760) 739-5400BULKIN ANATOLY FULLY OPEN MRI RCH BERNARDO

OTO 1005 N PALM CANYON DRIVE

PALM SPRINGS, CA 92262

(760) 323-8405BURNEY PHIL BURNEY HEARING AID CENTER, INC

OPH 1900 E WASHINGTON ST

COLTON, CA 92324

(909) 825-3425BURNSTINE MICHAEL INLAND EYE INSTITUTE MEDICAL GROUP, INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 1906/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 1011 E. DEVONSHIRE ST. #203

HEMET, CA 92543

(951) 652-1600BURTON PAUL SAN BERNARDINO MED ORTHO GRP

IM 45-280 CLUB DR

INDIAN WELLS, CA 92210

(760) 200-2992BUSH RONALD RONALD B BUSH, MD, A PROF CORP

PTH 6601 WHITE FEATHER ROAD

JOSHUA TREE, CA 92252

(760) 366-6273BUSH WILLIAM WILLIAM S BUSH MD

R 399 EASE 21 ST

SAN BERNARDINO, CA 92404

(909) 882-2266BUSS WILLIAM PALM IMAGING INSTITUTE, INC

NP 69175 RAMON RD BLD A

CATHEDRAL CITY, CA 92234

(760) 321-6776BUSTOS KELLY BORREGO COMMUNITY HEALTH

EM 2550 MEDICAL CENTER DR.

MURRIETA, CA 925625965

CA EMER PHYS MEG GRP CA EMERGENCY PHSYCIANS MODESTO

GS 72780 COUNTRY CLUB C306

RANCHO MIRAGE, CA 92270

CACDAC RICARDO RICARDO CACDAC M.D.

POD 4343 YAQUI PASS RD

BORREGO SPRINGS, CA 92004

(760) 767-5051CALIFANO PAUL BORREGO COMMUNITY HEALTH

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 2006/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

MFC 41750 RANCHO LAS PALMAS D-2

RANCHO MIRAGE, CA 92270

(760) 837-5480CALVIN LINDA LINDA L. CALVIN, L.M.F.T., R.A.S.

HEM 1180 N. INDIAN CYN. E-218

PALM SPRINGS, CA 92262

(760) 416-4880CAMACHO ELBER ELBER S. CAMACHO, M.D.

HSP 211 RIVER ST.

SANTA CRUZ, CA 95060

(800) 924-2879CAMP RECOVERY CTR CAMP RECOVERY CTR

OTO 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191CANNON STEPHEN BEAVER MEDICAL GROUP

MFC 471 E TAHQUITZ CYN WAY #201

PALM SPRINGS, CA 92262

CARDINER BARRY BARRY CARDINER MFT

PT 3949 VISTA VERDE

PALM SPRINGS, CA 92262

(760) 408-0706CARINO ERIC ECKMAN & RACH OCCUPATIONAL THERAPY CORP

PD 81833 DR. CARREON BLVD. STE 6

INDIO, CA 92201

(760) 775-7763CARINO GATEB ZOSMIA ZOSIMA B CARINO-GATEB MD INC

D 1300 AVENIDA VISTA HERMOSA

SAN CLEMENTE, CA 92673

CARLIN CHRISTOPHER WEST DERM SURG MED GRP

OPH 39000 BOB HOPE DRIVE, STE. 105

RANCHO MIRAGE, CA 92270

(760) 779-5850CARLSON JOHN RETINA CONSULTANTS OF SO CAL MED ASSOC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 2106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 791-3311CARRITTE JAMES BEAVER MEDICAL GROUP

EM 81-767 DR. CARREON BLVD. #201

INDIO, CA 92201

(760) 775-4181CATLETT STEVEN INDIO EMERGENCY MEDICAL GROUP

CH 81765 HWY 111 #3

INDIO, CA 92201

(760) 863-5955CAZARES MARCO SPINAL INJURY CENTER

R PO BOX 4313

WOODLAND HILLS, CA 91364

(800) 303-3044CEDARS-SINAI IMAGING MEDICAL GROUP CEDAR SINAI IMAGING MEDICAL GROUP, ACP

HSP 8700 BEVERLY BLVD

LOS ANGELES, CA 90048

(310) 423-3277CEDARS-SINAI MEDICAL CENTER CEDAR SINAI MEDICAL CENTER

ORS 1901 W. LUGONIA AVE. #110

REDLANDS, CA 92374

(909) 557-1690CHAE CHUL ORTHOPEDIC IMAGING CENTER, LLC

OPH 340 S. FARRELL DR., A-105

PALM SPRINGS, CA 92262

(760) 327-6226CHAN CLEMENT SOUTHERN CALIF DESERT RETINA CONSULTANTS

D 72785 FRANK SINATRA DR., #100

RANCHO MIRAGE, CA

(760) 776-8637CHANCE GREG WEST DERMATOLOGY SURG MED GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 2206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

NEP 81719 DR. CARREON BLVD. STE. A

INDIO, CA 92201

(760) 342-8898CHANDRASHEK NARENDRA COACHELLA VALLEY NEPHROLOGY

IM 81-719 DR CARREON BLVD.

INDIO, CA 92201

(760) 342-8898CHANDRASHEKAR JAMBUR CHANDRASHEKAR MEDICAL

OPH 1900 E WASHINGTON STREET

COLTON, CA 92324

(909) 825-3425CHANG TOM INLAND EYE INSTITUTE MEDICAL GROUP, INC

HSP 1412 E. CHAPMAN AVE.

ORANGE, CA 92866

(714) 288-9779CHAPMAN HOUSE CHAPMAN HOUSE INC.

POD 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404CHARP KENNETH BORREGO COMMUNITY HEALTH

CH 11625 PALM DR. #G

DESERT HOT SPRINGS, CA 92240

(760) 251-3032CHASE JAMES CHASE CHIROPRACTIC

IM 33758 YUCAIPA BLVD.

YUCAIPA, CA 92399

(909) 795-9747CHEN CHARLES BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 2306/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

IM 1600 E. CITRUS AVE., STE. A

REDLANDS, CA 92374

(909) 794-3682CHEN PAUL BEAVER MEDICAL GROUP

C 39000 BOB HOPE DR., WALLACE B

RANCHO MIRAGE, CA 92270

(760) 346-0642CHESWORTH MARTHA DESERT CARDIOLOGY CONSULTANTS MED GROUP

HSP 4650 W. SUNSET BLVD.

LOS ANGELES, CA 90027

(323) 660-2450CHILDRENS HOSPITAL OF LOS ANGELES CHILDRENS HOSPITAL LOS ANGELES

OPH 12550B AMARGOSA ROAD

VICTORVILLE, CA 92392

(760) 241-6366CHING ANDREA PACIFIC EYE INSTITUTE

FP 1300 E. COOLEY DR.

COLTON, CA 92324

(909) 370-4100CHING MARIBETH BEAVER MEDICAL GROUP

IM 43875 WASHINGTON ST., STE. C

PALM DESERT, CA 92211

(760) 360-0033CHO HYUN HYUN JIM CHO, M.D.

HSP 455 SOUTH MAIN STREET

ORANGE, CA 92868

(714) 532-8634CHOC (ACUTE) PSF MEDICAL GRP ENDOCRINOLOGY DIV

END 455 S. MAIN ST.

ORANGE, CA 92868

(714) 532-8634CHOC PEDIATRIC FACILITY CHOC PEDIATRIC SUBSPECIALTY FACILITY

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 2406/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GE 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191CHOI LILLIAN BEAVER MEDICAL GROUP

FP 1100 N. PALM CANYON DRIVE

PALM SPRINGS, CA 92262

(760) 778-1425CHRIST ALEX ALEX C.CHRIST, M.D.

ORS 4444 MAGNOLIA AVE

RIVERSIDE, CA 92501

(951) 682-5661CHUN KEOLANUI COMMUNITY MEDICAL GROUP OF RIVERSIDE

C 1275 E. LATHAM AVE

HEMET, CA 92543

(951) 652-5555CIOBANU MARIANA HEMET HEART MED CENTER

SP 42600 CAROLINE COURT #100

PALM DESERT, CA 92211

CLAYTON KRISTINE EASY SPEECH PATHOLOGY, INC

GE 555 TACHEVAH DR. E1-104

PALM SPRINGS, CA 92264

(760) 325-7601CLEARY BRIAN EISENHOWER MEDICAL CENTER

ORS 39000 BOB HOPE DR., RINKER BLD

RANCHO MIRAGE, CA 92270

(760) 568-2684CLEARY KAREN DESERT ORTHOPEDIC CENTER

GP 52565 HARRISON ST. #104

COACHELLA, CA 92236

(760) 398-0606CLINICA MEDICAL DEL VALLE CLINICA MEDICAL DEL VALLE

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 2506/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

DME 4393 TYLER STREET

RIVERSIDE, CA 92503

(951) 351-4263CNE HOME HEALTH SERVICES CNE HOME HEALTH SERVICES

DME 73-345 HWY 111 #102

PALM DESERT, CA 92260

(760) 964-3033COACHELLA VALLEY ORTHOPEDICS COACHELLA VALLEY ORTHOPEDIC

PTH 39000 BOBE HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 323-6198COACHELLA VALLEY PATHOLOGY COACHELLA VALLEY PATHOLOGY ASSOC

PD 555 TACHEVAH #1W-204

PALM SPRINGS, CA 92262

(760) 323-9818COHEN BERNARD COHEN, MUSCH, THOMAS MEDICAL GROUP

PD 1600 E. CITRUS AVE.

REDLANDS, CA 92374

(909) 794-3682COHEN SETH BEAVER MEDICAL GROUP

GP 555 TACHEVAH 1W-204

PALM SPRINGS, CA 92262

(760) 323-9818COHEN,MUSCH,THOMAS MEDICAL GROUP COHEN, MUSCH, THOMAS MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 2606/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PD 39300 BOB HOPE DR BANNAN BLDG.

RANCHO MIRAGE, CA 92270

(760) 340-4621COIT ALAN ALAN S COIT MD

N 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191COLE BRADLEY BEAVER MEDICAL GROUP

IM 1695 NORTH SUNRISE WAY

PALM SPRINGS, CA 92262

(760) 323-2118COLEMAN MARK DESERT AIDS PROJECT

ACU 79440 CORPORATE CTR. DR. #108

LA QUINTA, CA 92253

(760) 777-8377COLEMAN HASHIMOTONORA N2 HEALTH CHIROPRATIC & ACUPUNCTURE

OTO 4646 BROCKTON AVE

RIVERSIDE, CA 92506

(951) 774-2870COLGROVE DAVID RAINCROSS MEDICAL GROUP

NS 73345 HWY 111, STE. 101

PALM DESERT, CA 92260

(877) 558-0800COLOHAN AUSTIN FACULTY PHYSICIANS & SURGEONS OF LLUSM

PTH 39000 BOB HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 773-2006COMESS BARBARA COACHELLA VALLEY PATHOLOGY ASSOC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 2706/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PSY 1367 W. 6TH ST STE 109

CORONA, CA 92882

(909) 499-8872COMMUNITY ACCESS NETWORK COMMUNITY ACCESS NETWORK

PT 552 PASEO DOROTEA STE 4

PALM SPRINGS, CA 92264

(760) 325-5950COMPLETE CARE PHYSICAL THERAPY COMPLETE CARE PHYSICAL THERAPY

GE 555 EAST TACHEVAH, STE 1E204

PALM SPRINGS, CA 92262

(760) 778-6153CONGRESS HOWARD DESERT OASIS HEALTHCARE

GS 1401 N. PALM CANYON DR. #103

PALM SPRINGS, CA 92262

(760) 318-3760CONLEY MILTON MILTON H. CONLEY, MD, INC

LAB 31255 CEDAR VALLEY DRIVE, SUIT

WESTLAKE VILLAGE, CA 91362

CONSULTANTS FOR PATHOLOGY & LABORATORY MCONSULTANTS FOR PATHOLOGY & LAB MEDICINE

EM 81-767 DR. CARREON BLVD. #201

INDIO, CA 92201

(760) 775-4181COOPER EDWARD HI DESERT EMERGENCY PHYSICIANS

PT 78078 COUNTRY CLUB DR., 205

BERMUDA DUNES, CA 92203

(760) 345-9934COOPER SHELLEY SHELLEY A COOPER, PT

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 2806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GYN 555 E TACHEVAH DR. #1W-104

PALM SPRINGS, CA 92262

(760) 320-1805COOPER-VAUGHN, MDMARGARET DESERT WOMEN'S MEDICAL GROUP

FP 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191CORIELL RANDALL BEAVER MEDICAL GROUP

PSY 77-935 CALLE TAMPICO #204

LA QUINTA, CA 92253

(760) 564-5838CORTLAND TERI TERI CORTLAND PSY

MFC 2150 TAHQUITZ CYN #3

PALM SPRINGS, CA 92262

(760) 323-8016CRAINE PATRICIA PATRICIA CRAINE, L.M.F.T.

PD 28714 VALLEY CENTER RD. STE. L

VALLEY CENTER, CA 92082

(760) 749-7770CRAYCHEE LEO VALLEY CENTER PEDIATRICS

HHA 7177 BROCKTON AVE. #343

RIVERSIDE, CA 92506

(800) 735-4872CRESCENT HEALTHCARE, INC CRESCENT HEALTHCARE, INC

CH 220 S. LYON SUITE C

HEMET, CA 92543

(951) 925-7609CULLINS WILLIAM WILLIAM D. CULLINS, DC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 2906/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PD 5957 W. RAMSEY ST.

BANNING, CA 92220

(951) 845-0313CUNI JILL BEAVER MEDICAL GROUP

DME 7101 TPC DRIVE, STE 150

ORLANDO, FL 32822

(888) 773-7376CURASCRIPT PHARMACY, INC. CURASCRIPT PHARMACY

FP 81-767 DR. CARREON BLVD. #201

INDIO, CA 92201

(760) 775-4181CURRY FRANK INDIO EMERGENCY MEDICAL GROUP

GE 39000 BOB HOPE DR. W-104

RANCHO MIRAGE, CA 92270

(760) 773-2882CURRY NOEL EISENHOWER MEDICAL CENTER

PSY 225 S CIVIC DR STE 2-11

PALM SPRINGS, CA 92262

(760) 320-8314CURRY SANDRA SANDRA CURRY

GP 4646 BROCKTON AVE.

RIVERSIDE, CA 92506

(951) 774-2912CURTIS KEITH RAINCROSS MEDICAL GROUP

GP 74990 COUNTRY CLUB, STE. 310

PALM DESERT, CA 92260

(760) 341-8800CYRUS ANDREW INDIO EMERGENCY MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3006/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 1695 N SUNRISE WAY

PALM SPRINGS, CA 92262

(760) 323-7689DAHMAN JOSEPH DESERT AIDS PROJECT

FP 5957 W. RAMSEY ST.

BANNING, CA 92220

(951) 845-0313DALILI IRADA BEAVER MEDICAL GROUP

IM 81-709 DR. CARREON BLVD. #C1

INDIO, CA 92201

(760) 347-0440DANFORTH PALLAVI BORREGO COMMUNITY HEALTH

IM 81-893 DR. CARREON BLVD STE 1

INDIO, CA 92201

(760) 342-8005DARAWAL ASSAD ASSAD DARAWAL, MD

ORS 4444 MAGNOLIA AVE

RIVERSIDE, CA 92501

(951) 682-5661D'ARC BRENT COMMUNITY MEDICAL GROUP OF RIVERSIDE

P 73 255 EL PASEO SUITE 7

PALM DESERT, CA 92260

(760) 340-9725DARLING TERESA TERESA A DARLING

GP 58471 TWENTYNINE PALMS HWY 203

YUCCA VALLEY, CA 92284

(760) 365-7651DASILVA RUI RUI A DASILVA MD INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

CH 4050 AIRPORT CTR DR, STE G

PALM SPRINGS, CA 92266

(760) 320-1956DAVIS GINA DAVIS, GINA

FP 4646 BROCKTON AVE

RIVERSIDE, CA 92506

(951) 774-2952DAVIS THOMAS RAINCROSS MEDICAL GROUP

NEP 1061 N. INDIAN CYN. DRIVE

PALM SPRINGS, CA 92262

(949) 831-0900DAVITA & PA DVA RENAL HEALTHCARE, INC.

MFC 42525 RANCHO MIRAGE LANE

RANCHO MIRAGE, CA 92270

(760) 568-6789DEAN RODNEY DOCTORS DEAN AND DEAN

PD 215 S HICKORY #126

ESCONDIDO, CA 92025

(760) 745-7313DECHAIRO DOUGLAS CHILDRENS MEDICAL GROUP

NPM 1150 N INDIAN CYN DR

PALM SPRINGS, CA 92262

(760) 323-6511DELA CRUZ TEDDY PEDIATRIX MEDICAL GROUP OF CALIF, APC

CH 27620 LANDAU BLVD. #1

CATHEDRAL CITY, CA 92234

(760) 320-4123DELAIRE RONALD DR. RONALD J. DELAIRE

FP 45280 SEELY DRIVE

LA QUINTA, CA 92253

(760) 834-7920DELEON ANDRE EISENHOWER MEDICAL CENTER

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PROVIDER LISTING

PAGE: 3206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 39000 BOB HOPE DR. RINKER BLVD

RANCHO MIRAGE, CA 92270

(760) 568-2684DELGADILLO DAVID DESERT ORTHOPEDIC CENTER

IM 72780 COUNTRY CLUB DR. #10

RANCHO MIRAGE, CA 92270

(760) 773-9750DELLER JOHN INTERNAL MEDICINE SPECIALISTS, INC

LAB 39000 BOB HOPE, DELORES HOPE

RANCHO MIRAGE, CA 92270

(760) 340-3911DELORES HOPE LABRATORY EISENHOWER MEDICAL CENTER

OM 39000 BOB HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 340-3911DELORES HOPE OCCUPATIONAL THERAPY EISENHOWER MEDICAL CENTER

PT 39000 BOB HOPE DR. DELORES BLD

RANCHO MIRAGE, CA 92270

(760) 340-3911DELORES HOPE PHYSICAL THERAPY EISENHOWER MEDICAL CENTER

SP 39000 BOB HOPE DR

RANCHO MIRAGE, CA 92270

(760) 340-3911DELORES HOPE SPEECH THERAPY EISENHOWER MEDICAL CENTER

ASC 39000 BOB HOPE DELORES HOPE

RANCHO MIRAGE, CA 92270

(760) 340-3911DELORES HOPE SURGERY CTR EISENHOWER MEDICAL CENTER

GYN 555 E. TACHEVAH, SUITE 2W201

PALM SPRINGS, CA 92262

(760) 323-9309DEMERSSEMAN JOHN LAS PALMAS OBGYN

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3306/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 57463 29 PALMS HWY., #203

YUCCA VALLEY, CA 92284

(760) 367-6028DEMIANY ERWIN DESERT OASIS HEALTHCARE

PA 4343 YAQUI PASS RD

BORREGO SPRINGS, CA 92004

(760) 767-5051DERR CHRISTY BORREGO COMMUNITY HEALTH

ORS 1180 N INDIAN CYN. W-200

PALM SPRINGS, CA 92262

(760) 568-2684DESANTIS JOHN DESERT ORTHOPEDIC CENTER

R 72855 FRED WARING DR.

PALM DESERT, CA 92260

(760) 837-1420DESERT ADVANCED IMAGING DESERT ADVANCED IMAGING MEDICAL CENTER

ID 1695 N. SUNRISE WY.

PALM SPRINGS, CA 92262

(760) 323-2118DESERT AIDS PROJECT DESERT AIDS PROJECT

AN 1150 N. INDIAN CYN.

PALM SPRINGS, CA 92262

(760) 323-6567DESERT ANESTHESIA MED. GRP. DESERT ANESTHESIA MED GRP

R 1180 N. INDIAN CYN. #218

PALM SPRINGS, CA 92262

(760) 416-4700DESERT BREAST CENTER DESERT REGIONAL MEDICAL CENTER

CD 39000 BOBE HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 346-0642DESERT CARDIOLOGY CONSULTANTS DESERT CARDIOLOGY CONSULTANTS MED GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3406/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PT 72880 FRED WARING DRIVE, #B7

PALM DESERT, CA 92262

(760) 340-4050DESERT CITIES THERAPY CENTER DESERT CITIES THERAPY CENTER

AMB 61834 ALTA LOMA DRIVE

JOSHUA TREE, CA 92252

(760) 362-3735DESERT COMMUNITIES TRANSPORT DESERT COMMUNITIES TRANSPORT

MFC 41750 RANCHO LAS PALMAS #L-6

RANCHO MIRAGE, CA 92270

(760) 674-9100DESERT COUSELING & ASSESMENT CTR DESERT COUNSLG ASSESS CTR

R 39700 BOB HOPE DRIVE, SUITE 10

RANCHO MIRAGE, CA 92270

(760) 770-9696DESERT CT/MRI (AKA J. BRUCE JACOBS, MD) DESERT CT-MRI IMAGING CENTER, INC

HHA 558 PASEO DOROTEA #3

PALM SPRINGS, CA 92264

(760) 318-9006DESERT HOME HEALTH SERVICES, INC. DESERT HOME HEALTH SERVICES, INC

R 1133 NORTH PALM CANYON DRIVE,

PALM SPRINGS, CA 92262

(760) 322-8883DESERT MEDICAL IMAGING DESERT MEDICAL IMAGING

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3506/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OPH 1180 N INDIAN CANYON

PALM SPRINGS, CA 92262

(760) 320-8497DESERT OPHTHALMOLOGY DESERT OPHTHALMOLOGY MED CORP

R 39000 BOB HOPE DR., RINKER BLD

RANCHO MIRAGE, CA 92270

(760) 766-1228DESERT ORTHOPEDIC DIAGNOSTIC DEPT. DESERT ORTHOPEDIC CENTER

PT 39000 BOB HOPE DR., RINKER BLD

RANCHO MIRAGE, CA 92270

(760) 766-1266DESERT ORTHOPEDIC PHYSICAL THERAPY DESERT ORTHOPEDIC CENTER

ASC 39000 BOB HOPE DR. HARRY RINKE

RANCHO MIRAGE, CA 92270

(760) 568-2684DESERT ORTHOPEDIC SURGERY CENTER DESERT ORTHOPEDIC SURGERY CENTER

R 74785 HIGHWAY 111, #101

INDIAN WELLS, CA 92201

(760) 346-4329DESERT POSITRON IMAGING CENTER, DBA THE DESERT POSITRON IMAGING CENTER, LLC

DME 68860 PEREZ ROAD

CATHEDRAL CITY, CA 92234

(760) 770-4620DESERT PROSTHETICS AND ORTHOTICS DESERT PROSTHETICS & ORTHOTICS GROUP

P 44-530 SAN PABLO STE 201

PALM DESERT, CA 92260

(760) 341-8878DESERT PSYCHIATRIC ASSOCIATES DESERT PSYCHIATRIC ASSOCIATES

R 1150 NORTH PALM CANYON DRIVE

PALM SPRINGS, CA 92262

(206) 283-8188DESERT RADIOLOGY MEDICAL GROUP DESERT RADIOLOGY MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3606/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

HSP 1150 NO. INDIAN CANYON DR.

PALM SPRINGS, CA 92263

(760) 323-6511DESERT REGIONAL MED CTR DESERT REGIONAL MEDICAL CENTER

R 79440 CORPORATE CENTRE DRIVE,

LA QUINTA, CA 92253

(760) 564-5011DESERT STAND UP MRI DESERT STAND UP MRI

UC 74990 COUNTRY CLUB DR STE 310

PALM DESERT, CA 92260

(760) 346-5800DESERT URGENT CARE INDIO EMERGENCY MEDICAL GROUP

UC 72-630 FRED WARING DR. # 101

PALM DESERT, CA 92260

(760) 674-1923DESERT VIP URGENT CARE DESERT VIP URGENT CARE

PUD 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311DEXTER JAMES BEAVER MEDICAL GROUP

ID 39000 B0B HOPE DR. LUCY CURCI

RANCHO MIRAGE, CA 92270

(760) 834-3545DEZFULI MASSOUD MASSOUD G. DEZFULI D O INC

PUD 1275 E. LATHAM

HEMET, CA 92543

(951) 652-5132DHANANI YURZUL YURZUL DHANANI, MD

TS 1180 N. INDIAN CYN. DR., E-318

PALM SPRINGS, CA 92262

(760) 416-1376DHAWAN PUNEET DESERT HEART INSTITUTE, INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3706/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 6405 DAY STREET

RIVERSIDE, CA 92507

DHILLON HARKEERAT RIVERSIDE MEDICAL CLINIC

CH 4343 YAQUI PASS RD

BORREGO SPRINGS, CA 92004

(760) 767-5051DILLMAN CRAIG BORREGO COMMUNITY HEALTH

ORS 39000 BOB HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 568-2684DILTZ MATTHEW DESERT ORTHOPEDIC CENTER

PT 4444 MAGNOLIA AVE

RIVERSIDE, CA 92501

(951) 680-5661DING LARRY COMMUNITY MEDICAL GROUP OF RIVERSIDE

CH 400 S. FARRELL DR., SUITE B101

PALM SPRINGS, CA 92262

(760) 416-9199DIQUATTRO J SCOTT J. SCOTT DIQUATTRO DC

AMB 44489 TOWN CENTER WAY, STE D

PALM SPRINGS, CA 92262

(760) 360-2068DISABLED MEDICAL TRANSPORT SERVICES DISABLED MEDICAL TRANSPORTATION SERV INC

CH 77570 SPRINGFIELD LANE STE E

PALM DESERT, CA 92211

(760) 776-0022DIXON JOHN JOHN R DIXON DC

PD 245 TERRACINA BLVD., #202

REDLANDS, CA 92373

(909) 793-2896DIXON-DO NOT USEVARONICA BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OPH 40-055 BOB HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 320-2133DOHENY EYE MEDICAL GRP USC CARE MED GROUP INC

IM 490 S. FARRELL DR. STE. C-108

PALM SPRINGS, CA 92262

(760) 778-7609DOHERTY PAUL PAUL W. DOHERTY MD

ORS 900 E WASHINGTON #200

RIALTO, CA 92376

(909) 421-3040DONALDSON THOMAS PALM IMAGING INSTITUTE, INC

D 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 425-3390DOTY RICHARD BEAVER MEDICAL GROUP

IM 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311DOUTY REGAN BEAVER MEDICAL GROUP

HEM 39800 BOB HOPE DR., STE. C

RANCHO MIRAGE, CA 92270

(760) 568-3613DREISBACH LUKE DESERT HEMATOLOGY ONCOLOGY MEDICAL GROUP

HEM 39800 BOB HOPE DR. STE. C

RANCHO MIRAGE, CA 92270

(760) 568-3613DREISBACH PHILIP DESERT HEMATOLOGY ONCOLOGY MEDICAL GROUP

ORS 521 E. ELDER ST. #105

FALLBROOK, CA 92028

(760) 728-5851DRINHAUS ROLF ROLF DRINHAUS, MD.

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 3906/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 245 TERRACINA BLVD. #102

REDLANDS, CA 92373

(909) 792-2605DU DAI BEAVER MEDICAL GROUP

MFC 44775 DEEP CANYON RD

PALM DESERT, CA 92260

(760) 880-6242DUBEAU KIMBERLEY KIMBERLEY DUBEAU

ORS 1180 N INDIAN CANYON DR. #201

PALM SPRINGS, CA 92262

(760) 416-4511DUFFNER DAVID DAVID W. DUFFNER M.D.

MFC 73255 EL PASEO #7

PALM DESERT, CA 922604246

(760) 340-9725DUNOFSKY MECHTHILD MECHTHILD DUNOFSKY,

GE 35900 BOB HOPE DR 275

RANCHO MIRAGE, CA 92270

(760) 321-2500DUONG ANH ANH T. DUONG, M.D., A.P.C.

AU 81833 DR CARREON BLVD, STE 1

INDIO, CA 92201

(760) 775-1113EARS HEARING HEALTHCARE EARS HEARING HEALTH CARE, INC

MFC 77504 COUNTRY CLUB DR. #240

PALM DESERT, CA 92211

(760) 831-0610EASTMAN EVELYN EVELYN M. EASTMAN, M.A., L.C.S.W.

PD 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(649) 401-0404EBERT VALERI BORREGO COMMUNITY HEALTH

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 4006/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PSY 1695 N SUNRISE WAY

PALM SPRINGS, CA 92262

(760) 341-6026EDELMUTH EVELYN DESERT AIDS PROJECT

OBG 69265 RAMON ROAD, SUITE B1

CATHEDRAL CITY, CA 92234

(760) 770-5880EDES ELLIOTT INLAND EMPIRE FERTILITY CENTER MED GROUP

FP 8990 GARFIELD ST. #6

RIVERSIDE, CA 92503

(951) 354-2577EDWARDS WILLIAM WILLIAM G. EDWARDS M.D., A.B.F.P.

UC 39000 BOB HOPE, UIHLEIN BLDG

RANCHO MIRAGE, CA 92270

(760) 674-3844EISENHOWER EXPRESS CLINIC EISENHOWER MEDICAL CENTER

R 39000 BOB HOPE DRIVE, LUCY CUR

RANCHO MIRAGE, CA 92270

(760) 674-3888EISENHOWER IMAGING CENTER, LLC EISENHOWER RADIOLOGY MEDICAL

HSP 39000 BOB HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 340-3911EISENHOWER MED CTR EISENHOWER MEDICAL CENTER

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 4106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ASC 1180 N. INDIAN CYN DR. #110

PALM SPRINGS, CA 922624886

EL MIRADOR SURGERY CENTER EL MIRADOR SURGERY CENTER LLC

N 41990 COOK STREET, STE A-101

PALM DESERT, CA 92260

(760) 340-0528ELHAJJAR ANTOINE ANTOINE EL HAJJAR, MD, INC

MFC 42900 BOB HOPE DR. #104

RANCHO MIRAGE, CA 92270

(760) 832-4904ELLIS KELLY KELLY ELLIS, L.C.S.W.

PSY 41750 RANCHO LAS PALMAS DR

RANCHO MIRAGE, CA 92270

(760) 250-5433ELLISON SHERRY SHERRY ELLISON, PH.D.

D 720 EAST LATHAM STE 1

HEMET, CA 92543

(951) 658-9461EMMEL JOHN EMMEL OBEREMOK

IM 11234 ANDERSON ST.

LOMA LINDA, CA 92354

(909) 558-4000ENG GILBERT FACULTY PHYSICIAN & SURGEONS OF LLUSM-NEPHROLOGY CLINIC FP&S

OPH 1900 E WASHINGTON ST

COLTON, CA 92324

(909) 825-3425ERB MELANIE INLAND EYE INSTITUTE MEDICAL GROUP, INC

NEP 1100 N. PALM CYN., #211

PALM SPRINGS, CA 92262

(760) 323-1155ERLANGER HOWARD NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 4206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OS 10052 MESA RIDGE CT #101

SAN DIEGO, CA 92121

(858) 657-0550ERMAN, MD MILTON PACIFIC SLEEP MEDICINE, INC.

AN 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311ESCARZA SOTERO BEAVER MEDICAL GROUP

MFC 45-080 GOLF CENTER PRKWY STE H

INDIO, CA 92201

(760) 342-8344ESTRADA LUZ LAE FAMILY COUNSELING SVCS, INC

NS 1180 N. INDIAN CANYON STE E317

PALM SPRINGS, CA 92262

(760) 346-8058ETEBAR SHAHIN SHAHIN ETEBAR, MD INC

D 1481 FORD ST. STE 102

REDLANDS, CA 92373

ETHRIDGE APRIL WEST DERMATOLOGY SURG MED GROUP

OPH 47647 CALEO BAY #110

LA QUINTA, CA 92253

(760) 674-8806EVANS OPHTHALMOLOGY CLINIC EVANS OPTOMETRY CLINIC INC

ASC 39700 BOB HOPE DR. #111

RANCHO MIRAGE, CA 92270

(760) 340-3937EYE SURGERY CENTER OF THE DESERT EYE SURGERY CENTER OF THE DESERT

OPH 12550B AMARGOSA ROAD

VICTORVILLE, CA 92392

(760) 241-6366FABRICANT ROBERT PACIFIC EYE INSTITUTE

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 4306/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GE 250 E. CAROLINE ST STE J

SAN BERNARDINO, CA 92408

FAC PHY & SURG PEDS GASTRO (SB) LLUSM FACULTY PHYSICIANS & SURGEONS OF LLUSM

U 11370 ANDERSON ST. STE 2050

LOMA LINDA, CA 923543450

FAC PHYS & SURG PEDS UROLOGY FACULTY PHYSICIANS & SURGEONS OF LLUSM

IM 11370 ANDERSON ST. STE 3400

LOMA LINDA, CA 923543450

FAC PHYS&SURG - INT MED GEN -LLUSM FACULTY PHYSICIANS & SURGEONS OF LLUSM

RHU 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYS & SURG - PEDS RHEUMATOLOGY FACULTY PHYS & SURG - PEDS RHEUMATOLOGY

HEM 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYS & SURG -PEDS HEMATOLOGY/ONCFACULTY PHYS & SURG -PEDS HEMATOLOGY/ONC

US 1710 BARTON RD

REDLANDS, CA 92373

(909) 558-4440FACULTY PHYS AND SURG - LLU BHVRL MED CT FACULTY PHYS AND SURG -LLU BHVRL MED CTR

ORS 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYS AND SURG - ORTHO-RAD-CAR FACULTY PHYS AND SURG-ORTHO-RAD-CAR

P 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYS AND SURG- LLU BEHAVIORAL MCFACULTY PHYSICIANS & SURGEONS OF LLUSM

ID 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYS AND SURG -PEDS INF DISEASES FACULTY PHYS AND SURG PEDS INF DISEASES

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 4406/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PD 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYS AND SURG- PEDS MORENO VALLEFACULTY PHYS AND SURG- PEDS-MORENOVALLEY

D 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYS AND SURG-DERMATOLOGY FACULTY PHYS AND SURG-DERMATOLOGY

OS 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYS AND SURGEONS - SX AUDIOLOGYFACULTY PHYS AND SURGEON - SX AUDIOLOGY

EM 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYSICIANS AND SURG - LLU MED CT FACULTY PHYSICIANS AND SURG -LLU MED CTR

NS 25455 BARTON RD STE 108A

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYSICIANS AND SURGEON-NEURO FACULTY PHYSICIANS AND SURGEON- NEURO

PNM 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYSICIANS AND SURGEON-PAIN CLIN FACULTY PHYSICIANS AND SURGEON-PAIN CLIN

PDE 11370 ANDERSON ST STE B100

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYSICIANS AND SURGEON-PEDS ENDOFACULTY PHYSICIANS AND SURGEON-PEDS ENDO

ORS 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYSICIANS AND SURGEONS - ORTHO FACULTY PHYSICIANS AND SURGEONS - ORTHO

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GYN 11370 ANDERSON ST STE 3900

LOMA LINDA, CA 92354

(909) 558-4440FACULTY PHYSICIANS AND SURGEONS-GYN/OB FACULTY PHYSICIANS AND SURGEONS-GYN/OB

PD 2195 CLUB CENTER DR SUITE A

SAN BERNARDINO, CA 92408

(909) 558-4440FACULTY PHYSICIANS AND SURG-PEDS NEUROLOFACULTY PHYSICIANS AND SURG-PEDS NEUROLO

GYN 165 W. HOSPITALITY LN., #1

SAN BERNARDINO, CA 92408

(909) 885-0282FAMILY PLANNING ASSOCIATES MEDICAL GROUPFAMILY PLANNING ASSOC MEDICAL GROUP, INC

C 39000 BOB HOPE DR., WALLACE BL

RANCHO MIRAGE, CA 92270

(760) 346-0642FANG LIN DESERT CARDIOLOGY CONSULTANTS MED GROUP

VS 1401 N. PALM CANYON DR., #103

PALM SPRINGS, CA 92262

(760) 320-3538FARSAD REZA G. REZA H. FARSAD, M.D.

FP 75-280 SEELY DR. 2ND FLOOR

LA QUINTA, CA 92253

(760) 834-7920FAYSSOUX KULWINDER EISENHOWER MEDICAL CENTER

C 39000 BOB HOPE DR.

RANCHO MIRAGE, CA 922703221

(760) 346-0642FELDMAN LEON DESERT CARDIOLOGY CONSULTANTS MED GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 74-785 HWY 111 # 101

INDIAN WELLS, CA 92210

(760) 776-8989FELLER JOHN DESERT MEDICAL IMAGING, AMC

NP 1100 N PALM CYN STE 212

PALM SPRINGS, CA 92262

(760) 327-7900FERGON JOLYN ADVANCED WOMEN'S HEALTHCARE, A MED CORP

PT 1001 SOUTH STATE ST., #A

HEMET, CA 92543

(951) 929-9890FIRST REHABILITATION PHYSICAL THERAPY FAIRBANKS & POWER PHYSICAL THERAPY CORP

P 74075 EL PASEO DRIVE STE B1

PALM DESERT, CA 92260

(760) 346-4600FITZGERALD DANIEL DANIEL J FITZGERALD III MD

FP 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404FLEMING MAUREEN BORREGO COMMUNITY HEALTH

IM 72780 COUNTRY CLUB DR. #10

RANCHO MIRAGE, CA 92270

(760) 773-9750FLORES JOHN INTERNAL MEDICINE SPECIALISTS

ORS 1901 W. LUGONIA AVE. #102

REDLANDS, CA 92374

(909) 557-1600FOLEY JAMES SAN BERNARDINO MED ORTHO GRP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PT 555 E TACHEVAH DRIVE STE 201

PALM SPRINGS, CA 92262

(760) 778-7150FORGERON PHYSICAL THERAPY INC FORGERON PHYSICAL THERAPY

FP 2 W FERN AVE.

REDLANDS, CA 92373

(909) 793-3311FOX ERIC BEAVER MEDICAL GROUP

OBG 555 TACHEVAH STE 2W-103

PALM SPRINGS, CA 92262

(760) 327-2707FOZOUNI DERAKHSH DERAKHSH FOZOUNI MD OBGYN & ASSOC

PD 57445 29 PALMS HWY STE302

YUCCA VALLEY, CA 92284

(760) 369-9220FRASCHETTI DANIEL DANIEL FRASCHETTI

ORS 81-812 DR. CARREION BLVD., #D

INDIO, CA 92201

(760) 342-8444FREEDMAN ERIC DESERT HAND ASSOCIATES

FP 67555 E PALM CANYON STE C 112

CATHEDRAL CITY, CA 92234

(760) 328-9312FREITAG MARK EISENHOWER MEDICAL CENTER

FP 1100 NORTH PALM CANYON DR 111

PALM SPRINGS, CA 92262

(760) 325-6530FRID ALEXANDER ALEXANDER FRID, MD

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 1100 N PALM CANYON DR STE 111

PALM SPRINGS, CA 92262

(760) 325-6530FRID GERMAINE GERMAIN J FRID

ORS 39000 BOB HOPE DR RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684FRISCIA DAVID DESERT ORTHOPEDIC CENTER

PTH 39000 BOB HOPE DR

RANCHO MIRAGE, CA 92270

(760) 773-2006FRISMAN DENNIS COACHELLA VALLEY PATHOLOGY ASSOC

ORS 1901 W. LUGONIA AVE. #120

REDLANDS, CA 92374

(909) 557-1600FRYKMAN GARY SAN BERNARDINO MED ORTHO GRP

OS 6333 WILSHIRE BLVD. #402

LOS ANGELES, CA 90048

(323) 782-9894FURMAN, MD YURY PACIFIC SLEEP MEDICINE, INC.

IM 7223 CHURCH ST. #C

HIGHLAND, CA 92346

(909) 862-1191FURUTAN LAILAE BEAVER MEDICAL GROUP

OPH 1300 E. COOLEY DR.

COLTON, CA 92324

(909) 370-4100GAERTE GLEN BEAVER MEDICAL GROUP

HEM 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191GAMAL YOUSSEF BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 4906/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PA 1901 W. LUGONIA AVE. #120

REDLANDS, CA 92374

(909) 557-1600GANNON BLAZE SAN BERNARDINO MED ORTHO GRP

IM 39700 BOB HOPE DR. #110

RANCHO MIRAGE, CA 92270

(760) 773-9750GARCIA MARIA INTERNAL MEDICINE SPECIALISTS, INC

PSY 225 SOUTH CIVIC DR. SUITE 2-11

PALM SPRINGS, CA 92262

(760) 327-9566GARETT KENNETH KENNETH GARETT, PH. D.

OBG 2918 FIFTH AVE. #300

SAN DIEGO, CA 92103

(619) 688-0770GARG ANUPAM MYRON SCHONBRUN, M.D.

OBG 555 E. TACHEVAH SUITE 2W201

PALM SPRINGS, CA 92262

(760) 323-9309GARZA EDUARDO LAS PALMAS OBGYN

OTO 1180 N. INDIAN CYN. DR. #E311

PALM SPRINGS, CA 92262

(760) 323-4735GATTO MICHAEL MICHAEL R GATTO, MD, INC

CH 74040 EL PASEO STE A

PALM DESERT, CA 92260

(760) 340-3999GAULIN GARY GARY R GAULIN DC

VS 39700 BOB HOPE DR., #213

RANCHO MIRAGE, CA 92270

(760) 340-3244GAUTO ANIBAL ANIBAL R. GAUTO

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 5006/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GE 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191GAVRIEL MARK BEAVER MEDICAL GROUP

IM 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191GAYID MAMDOOH BEAVER MEDICAL GROUP

AN 3530 WILSHIRE BLVD., STE 350

LOS ANGELES, CA 90010

(213) 637-3700GENERAL ANESTHESIA SPECIALIST PARTNERSHI GENERAL ANESTHESIA SPECIALISTS PARTNER

LAB 1054 TOWN & COUNTRY ROAD

ORANGE, CA 92868

(800) 745-4363GENZYME GENETICS (FORMERLY ALFIGEN) GENZYME GENETICS

AN 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311GERACE JOSEPH BEAVER MEDICAL GROUP

GS 39000 BOB HOPE DR., K-403

RANCHO MIRAGE, CA 92270

(760) 346-5551GERING SCOTT COLON AND RECTAL MEDICAL GRP INC

D 4060 FOURTH AVE STE 415

SAN DIEGO, CA 92103

(619) 298-9809GERSTENFELD ERIC WEST DERM SURG MED GRP

PUD 58383 29 PALM HWY., STE 100

YUCCA VALLEY, CA 92284

(760) 325-8647GHARGHOURY AYAD AYAD M. GHARGHOURY, MD, INC.

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 5106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 6180 BROCKTON AVE. #204

RIVERSIDE, CA 92506

(951) 684-6784GHAZAL RONNY SAN BERNARDINO MED ORTHO GRP

DME 20944 SHERMAN WAY, SUITE 204

CANOGA PARK, CA 91303

(818) 348-8911GIBRALTAR HOMECARE SUPPLIES GILBRALTAR HEALTHCARE SUPPLIES, LLC

PUD 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311GIL ENRIQUE BEAVER MEDICAL GROUP

FP 1492 N. PALM CANYON DR.

PALM SPRINGS, CA 92262

(760) 322-2520GILMORE JOHN DESERT PRIMARY CARE MEDICAL

ORS 1901 W. LUGONIA AVE. #110

REDLANDS, CA 92374

(909) 557-1690GIRGUIS MARK ORTHOPEDIC IMAGING CENTER, LLC

ON 35900 BOB HOPE DR. #175

RANCHO MIRAGE, CA 92270

(760) 202-3800GLENN LUTHER LUTHER D GLENN, MD

OPH 1180 N INDIAN CYN. DR.

PALM SPRINGS, CA 92262

(760) 320-8497GOLDBAN WALLACE DESERT OPHTHALMOLOGY MED CORP

AN 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311GOLDBERG MICHAEL BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 5206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OBG 1180 INDIAN CYN. W-300

PALM SPRINGS, CA 92262

(760) 416-3770GOMEZ REYNALDO DESERT OASIS OB GYN

C 39700 BOB HOPE DR. #203

RANCHO MIRAGE, CA 92270

(760) 341-0889GONZALEZ MELVIN MELVIN GONZALEZ MD INC

FP 47-250 WASHINGTON STE. A

LA QUINTA, CA 92253

(760) 771-9437GONZALEZ-WERNEREDITH WERNER GONZALEZ FAMILY PRACTICE

OBG 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191GOO HELEN BEAVER MEDICAL GROUP

NP 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311GOOD CORRINNE BEAVER MEDICAL GROUP

ORS 82013 DR. CARREON BLVD., STE.

INDIO, CA 92201

(760) 568-2684GORE RUFUS DESERT ORTHOPEDIC CENTER

IM 78150 CALLE TAPICO STE 100

LA QUINTA, CA 92253

(780) 564-1886GORMAN STEVEN STEVEN P GORMAN, MD INC

MFC 69844 HIGHWAY 111 STE H

RANCHO MIRAGE, CA 92270

(760) 219-4655GOSHORN RORY RORY D GOSHORN, LMFT, PSYD

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 5306/26/2017

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PTH 1041 E. YORBA LINDA STE 8

PLACENTIA, CA 92870

GOTTLIEB BERNARD WEST DERM SURG MED GRP

PD 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191GOYNE ARTHUR BEAVER MEDICAL GROUP

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684GRAFF-RADFORD ADRIAN DESERT ORTHOPEDIC CENTER

ORS 6180 BROCKTON AVE. #204

RIVERSIDE, CA 92506

(951) 684-6784GRAMES BARRY SAN BERNARDINO MED ORTHO GRP

FP 5957 W. RAMSEY ST.

BANNING, CA 92220

(951) 845-0313GREEN HOWARD BEAVER MEDICAL GROUP

RON 40055 BOB HOPE DR. STE. A

RANCHO MIRAGE, CA 922703937

(760) 202-3946GREENBERG PETER 21ST CENTURY ONCOLOGY OF CALIF, MED CORP

PD 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191GREENE GERALD BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

NEP 625 E. GRAND AVE.

ESCONDIDO, CA 92025

(760) 745-1551GREENSTEIN JOSHUA BALBOA NEPHROLOGY MEDICAL GROUP

GYN 39000 BOB HOPE DR., #K-306

RANCHO MIRAGE, CA 92270

(760) 346-5656GREENWALD CONRAD J. CONRAD GREENWALD, M.D., APC

PUD 42362 BOB HOPE DR.

RANCHO MIRAGE, CA 92270

(760) 341-9777GREENWALD GARY GARY GREENWALD M.D.

RHU 72855 FRED WARING DR., A-6

PALM DESERT, CA 92260

(760) 341-6800GREENWALD MARIA MARIA GREENWALD, M.D.

D 4343 YAQUI PASS RD

BORREGO SPRINGS, CA

(760) 767-5051GREENWAY HUBERT BORREGO COMMUNITY HEALTH

ORS 900 E WASHINGTON #200

COLTON, CA 92324

(909) 882-2266GREGORIUS THEODORE PALM IMAGING INSTITUTE, INC

PSY 160 N LURING DRIVE SUITE H

PALM SPRINGS, CA 92262

(951) 769-3288GRIMM DONALD DONALD W. GRIMM, PHD

IM 1492 N PALM CANYON DR.

PALM SPRINGS, CA 92262

(760) 322-2520GRIMM WILLIAM DESERT PRIMARY CARE MEDICAL

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

D 4954 ARLINGTON AVE STE A

RIVERSIDE, CA 925042746

GROPEN ELISSA ELISSA GROPEN MD

TS 555 TACHEVAH DR. #3W-103

PALM SPRINGS, CA 92262

(760) 323-5553GUNDRY STEVEN STEVEN R. GUNDRY, M.D., A MED CORP

N 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191GUO YUJIAN BEAVER MEDICAL GROUP

C 1180 N. INDIAN CYN DR. #205E

PALM SPRINGS, CA 92262

(760) 325-1203GUPTA MADHUSUDHAN VALLEY HEART PHYSICIANS MED GROUP

ON 39000 BOB HOPE DR. UIHLEIN BLD

RANCHO MIRAGE, CA 92270

(760) 346-7855GUPTA VARUN MARIA ILIANA POPESCU PROFESSIONAL CORP

PT 1001 S. PALM CANYON DR., # 111

PALM SPRINGS, CA 92264

(760) 327-0500GURK MICHAEL MICHAEL R GURK, PT, APC

GYN 72-027 HWY 111, STE. A

RANCHO MIRAGE, CA 92270

(760) 346-3490GURWITT LES LAS PALMAS OBGYN

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OPH 41990 COOK BLDG G 602

PALM DESERT, CA 92260

(760) 772-3460GUSS ROBERT ROBERT GUSS MD

GE 1100 N. PALM CYN. DR., #E-318

PALM SPRINGS, CA 92262

(760) 320-3383GUTIERREZ JORGE JORGE G. GUTIERREZ, MD, A MEDICAL CORP

PD 80495 HWY 111

INDIO, CA 92201

(760) 347-2887GUTIERREZ-GO MARIA HMS CA DEPT OF H C S

FP 1600 E. CITRUS AVE., STE. A

REDLANDS, CA 92374

(909) 794-3682GUTIERRIZ MELISSA BEAVER MEDICAL GROUP

POD 760 W ACACIA STE#117

HEMET, CA 92543

(951) 694-5360HAAS RICHARD RICHARD B. HAAS, D.P.M.

PRS 73710 ALLESANDRO DRIVE.

PALM DESERT, CA 92260

(760) 837-0364HABASH AMEEN AMEEN HABASH, MD

TS 1180 N. INDIAN CYN. DR. E-318

PALM SPRINGS, CA 92262

(760) 416-1376HABIBIPOUR SAIED DESERT HEART INSTITUTE, INC

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642HACKSHAW BARRY DESERT CARDIOLOGY CONSULTANTS MED GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 5706/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GS 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311HADDAD WISAM BEAVER MEDICAL GROUP

FP 6109 RAMSEY

BANNING, CA 92220

(951) 845-0313HAM DAVID BEAVER MEDICAL GROUP

DME 69730 HIGHWAY 111, # 107

RANCHO MIRAGE, CA 92270

(760) 328-6575HANGER PROSTHETICS & ORTHOTICS, INC. HANGER PROSTHETICS & ORTHOTICS WEST, INC

PT 1901 W. LUGONIA AVE. #120

REDLANDS, CA 92374

(909) 557-1600HANNAWAY BASSAM SAN BERNARDINO MED ORTHO GRP

D 750 EAST LATHAM AVE. STE. 3

HEMET, CA 92543

(951) 658-2271HARFORD ROBERT ROBERT HARFORD, MD

GP 24318 HEMLOCK AVE. E1

MORENO VALLEY, CA 92557

(951) 243-5050HARRISON JAMES JAMES A HARRISON, MD

OPH 41990 COOK ST. E-502

PALM DESERT, CA 92260

(760) 834-3382HARTZLER JANET MILAUSKAS EYE INSTITUTE

PDC 555 E. TACHEVAH DR. 1E-105

PALM SPRINGS, CA 92262

(760) 318-8100HASHMI AIJAZ AIJAZ HASHMI, MD, INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 5806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ID 1695 NORTH SUNRISE WAY

PALM SPRINGS, CA 92262

(760) 323-2118HAWTHORNE KINJI DESERT AIDS PROJECT

IM 1300 E COOLEY DR.

COLTON, CA 92324

(909) 370-4100HAY DOUGLAS BEAVER MEDICAL GROUP

PRS 39000 BOB HOPE DR., #D-206

RANCHO MIRAGE, CA 92270

(760) 341-6996HAYDUKE ANDREW ANDREW J. HAYDUKE M. D.

R 1080 N. INDIAN CANYON RD., 103

PALM SPRINGS, CA 92262

(760) 322-3036HEALTH SCAN IMAGING WILLIAM M. KELLY, M.D., INC.

UC 42575 WASHINGTON ST. STE. B

PALM DESERT, CA 92211

(760) 772-1387HEALTHCARE EXPRESS HEALTHCARE EXPRESS

DME 555 SOUTH SUNRISE WAY STE 116

PALM SPRINGS, CA 922647894

HEARING AID HEALTH CARE HLH AND ASSOCIATES INC.

IM 151 S. SUNRISE WAY STE 100

PALM SPRINGS, CA 92262

(760) 202-0686HEIDARIAN SHEDA INDUS MEDICAL ASSOCIATES

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 5906/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GE 39-700 BOB HOPE DRIVE #110

RANCHO MIRAGE, CA 92270

(760) 340-5545HEILPERN RONALD INTERNAL MEDICINE SPECIALISTS, INC

ORS 4444 MAGNOLIA AVE

RIVERSIDE, CA 92501

(951) 682-5661HEINEN GREGORY COMMUNITY MEDICAL GROUP OF RIVERSIDE

R 235 LAURSEN STREET

HEMET, CA 92543

(951) 765-5417HEMET RADIOLOGY MEDICAL GROUP HEMET RADIOLOGY MED GROUP INC

TS 1180 N. INDIAN CYN. DR. #E-318

PALM SPRINGS, CA 92262

(760) 416-1376HENGESH JEFFREY CARDIOTHORACIC PHYSICIAN SPECIALISTS

PD 69175 RAMON RD BLDG A

CATHEDRAL CITY, CA 92234

(760) 397-2501HERNANDEZ JAVIER BORREGO COMMUNITY HEALTH

MFC 45080 GOLF CENTER PKWY STE H

INDIO, CA 92201

(760) 342-8344HERNANDEZ FALK ELIZABETH ELIZABETH HERNANDEZ FAULK, L.C.S.W.

U 39000 BOB HOPE DR. K-401

RANCHO MIRAGE, CA 92270

(760) 346-1882HERZ JEFFREY JEFFREY HERZ, M.D.

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 57463 29 PALMS HWY

YUCCA VALLEY, CA 92284

(760) 367-6028HEWITT JOHN YUCCA VALLEY FAMILY MEDICAL ASSOC. INC.

PT 56299 29 PALMS HWY

YUCCA VALLEY, CA 92277

(760) 369-1743HI DESERT PHYSICAL REHABILITATION HI-DESERT PHYSICAL REHABILIATION GROUP

HSP 6601 WHITE FEATHER ROAD

JOSHUA TREE, CA 92252

(760) 366-3711HI-DESERT MEDICAL CENTER HI_DESERT MEDICAL CENTER

PT 5930 ADOBE ROAD

TWENTYNINE PALMS, CA 92277

(760) 367-1743HI-DESERT PHYSICAL REHABILITATION GROUP HI_DESERT PHYSICAL REHABILITATION GROUP

R 6601 WHITE FEATHER ROAD

JOSHUA TREE, CA 92252

(760) 366-3711HI-DESERT RADIOLOGY PHYSICIANS (HOSPTIAL HI_DESERT RADIOLOGY PHYSICIANS

ORS 4444 MAGNOLIA AVE

RIVERSIDE, CA 92501

(951) 682-5661HILD BRIAN COMMUNITY MEDICAL GROUP OF RIVERSIDE

AN 6109 W. RAMSEY ST.

BANNING, CA 92220

(951) 845-0313HILDEBRAND STEVEN BEAVER MEDICAL GROUP

AN 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311HILDERBRAND BRENT BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PT 1150 N. INDIAN CANYON DR

PALM SPRINGS, CA 92262

HILL DAVID UNIVERSAL ORTHOPAEDIC GROUP, INC

FP 33758 YUCAIPA BLVD.

YUCAIPA, CA 92399

(909) 795-9747HILL RICHARD BEAVER MEDICAL GROUP

ON 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191HILLIARD DENNIS BEAVER MEDICAL GROUP

MFC 2150 TAHQUITZ CANYON WAY STE 3

PALM SPRINGS, CA 92262

(760) 333-9211HILT, LCSW JENNIFER JENNIFER HILT L.C.S.W.

C 555 TACHEVAH DR. #1W-202

PALM SPRINGS, CA 92262

(760) 323-2174HIMELMAN RONALD HIMELMAN CARDIOLOGY

ORS 39000 BOB HOPE DR. RINKDR BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684HINDS WILLIAM DESERT ORTHOPEDIC CENTER

FP 75-280 SEELY DR. 2ND FLOOR

LA QUINTA, CA 92253

(760) 834-7920HO VANESSA EISENHOWER MEDICAL CENTER

C 4343 YAQUI PASS RD.

BORREGO SPRINGS, CA 92004

(760) 767-5051HOAGLAND PETER BORREGO COMMUNITY HEALTH

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 33758 YUCAIPA BLVD

YUCAIPA, CA 92399

(909) 795-9747HOCH JOHN BEAVER MEDICAL GROUP

OPH 40055 BOB HOPE DR. STE. J

RANCHO MIRAGE, CA 92270

(760) 320-2133HODGKINSON BERNARD BERNARD J HODGKINSON MD

FP 1600 E. CITRUS AVE., STE. A

REDLANDS, CA 92374

(909) 794-3682HOENSHELL WESLEY BEAVER MEDICAL GROUP

C 39700 BOB HOPE DR. #203

RANCHO MIRAGE, CA 92270

(760) 341-0889HOLT MARK MARK MANNING HOLT MD

DME 1026 N. LAKE ST.

BURBANK, CA 91502

(800) 843-6514HOME PHARMACY OF CALIFORNIA DBA WALGREENHOME PHARMACY OF CALIFORNIA

ASC 39700 BOB HOPE DRIVE

RANCHO MIRAGE, CA 92270

(760) 346-7696HOPE SQUARE SURGICAL CENTER HOPE SQUARE SURGICAL CENTER, LLC

ORS 6180 BROCKTON AVE. #204

RIVERSIDE, CA 92506

(951) 684-6784HOPKINS GAIL SAN BERNARDINO MED ORTHO GRP

OBG 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311HORDYNSKI STEPHEN BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 6306/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PSY 72877 DINAH SHORE DR. #103-121

RANCHO MIRAGE, CA 92270

(760) 831-2137HORNE RAILA RAILA HORNE

FP 33758 YUCAIPA BLVD

YUCAIPA, CA 92399

(909) 795-9747HORSTMANN JONATHAN BEAVER MEDICAL GROUP

GP 4343 YAQUI PASS RD.

BORREGO SPRINGS, CA 92004

(760) 767-5051HOUT JAMES BORREGO COMMUNITY HEALTH

DME 164 RINGNECK TRAIL

MOORESVILLE, NC 28117

(800) 701-5781HOVEROUND HOVEROUND CORPORATION

UC 6405 DAY STREET

RIVERSIDE, CA 92507

HOWARD JOHN RIVERSIDE MEDICAL CLINIC

AN 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311HSIEH ANNA BEAVER MEDICAL GROUP

IM 1180 N INDIAN CYN DR. #205

PALM SPRINGS, CA 92262

(760) 325-1202HUANG GARY VALLEY HEART PHYSICIANS MED GROUP

OPH 16018 TUSCOLA RD

APPLE VALLEY, CA 92307

(760) 242-8672HUDSON JENNIFER HUDSON & WALKER A PHYSICAL THERAPY CORP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PT 16018 TUSCOLA RD #6

APPLE VALLEY, CA 92307

(760) 242-8672HUDSON WILLIAM HUDSON & WALKER A PHYSICAL THERAPY CORP

PD 1293 6TH STREET

COACHELLA, CA 92246

(760) 391-5151HULBERT NIHRA INDIO EMERGENCY MEDICAL GROUP

MFC 71780 SAN JACINTO F-1

RANCHO MIRAGE, CA 92270

(760) 346-2951HUNTER PATRICIA PATRICIA HUNTER, PSYD

GE 1180 N INDIAN CYN. DR. #E-318

PALM SPRINGS, CA 92262

(760) 327-5300HURLEY CHRISTOPHER HURLEY GASTROENTROLOLGY, INC.

PD 25395 HANCOCK AVE. #250

MURRIETA, CA 92562

(951) 698-0300HURWITZ KATHLEEN KATHLEEN HURWITZ

ORS 1901 W LUGONIA AVE. #110

REDLANDS, CA 92374

(909) 557-1690HUYHN TUNG ORTHOPEDIC IMAGING CENTER, LLC

IM 22632 GOLDEN SPRINGS DR. #315

DIAMOND BAR, CA 91765

(909) 882-0702HUYNH KLEMENS EDWARD SERROS MD INC

PD 81709 DR. CARREON BLVD., B-2

INDIO, CA 92201

(760) 342-4771HWANG CHORNG LII CHORNG-L II HWANG MD

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ON 39000 BOB HOPE DRIVE

RANCHO MIRAGE, CA 92270

(760) 773-3311HYAMS DAVID DAVID HYAMS MD

HEM 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191IBRAHIM EMAD BEAVER MEDICAL GROUP

IM 1300 E COOLEY DR.

COLTON, CA 92324

(909) 370-4100IBRAHIM IRENY BEAVER MEDICAL GROUP

IM 72780 COUNTRY CLUB DR. B205

RANCHO MIRAGE, CA 92270

(760) 834-7900IMPERIO JOSHUA JOSHUA A. IMPERIO, MD, A PROF COPR

R 74976 HWY 111

INDIAN WELLS, CA 922210

(760) 568-4544INDIAN WELLS MEDICAL CENTER INDIAN WELLS MEDICAL CENTER

AU 1180 N. INDIAN CYN

PALM SPRINGS, CA 92263

(760) 731-0682INFANT HEARING SCREENING SPECIALISTS INFANT HEARING SCREENING SPECIALISTS

PT 71847 HWY 111 SUTIE C

RANCHO MIRAGE, CA 92270

(760) 776-1911INFINITE PHYSICIAL THERAPY INFINITE PHYSICAL THERAPY

HSP 916 N. MOUNTAIN AVE

UPLAND, CA 92186

(909) 932-1069INLAND VALLEY REVCOVERY SERVICES INLAND VALLEY RECOVERY SERVICES

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PNM 4234 RIVERWALK PKWY

RIVERSIDE, CA 92505

IQBAL BABAR BABAR IQBAL, M.D.

A 1011 E. DEVONSHIRE AVE., STE.

HEMET, CA 92543

(951) 367-1060IQBAL SHAMS ASTHMA & ALLERGY MEDICAL GROUP

PT 11406 LOMA LINDA DR STE 300

LOMA LINDA, CA 92354

(909) 558-4440IRWIN MELANIE FACULTY PHYSICIANS AND SURG-PHYSICAL MED

OBS 81715 DR. CARREON BLVD A1

INDIO, CA 92201

(760) 342-2295IZSAK BENJAMIN BENJAMIN IZSAK M.D.

D 35200 BOB HOPE DRIVE

RANCHO MIRAGE, CA 92270

(760) 328-8884JABOLA GLENN MICHAEL P. MILLIGAN, M.D., INC

FP 4646 BROCKTON AVE

RIVERSIDE, CA 92506

(951) 774-2870JACKSON HAROLD RAINCROSS MEDICAL GROUP

ON 1180 N. INDIAN CYN #E208

PALM SPRINGS, CA 92262

(760) 416-4770JACKSON JUDY RADIATION ONCOLOGY PHYSICIANS INC

ORS 4444 MAGNOLIA

RIVERSIDE, CA 92501

(951) 682-5661JACKSON THOMAS COMMUNITY MEDICAL GROUP OF RIVERSIDE

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OBG 72780 COUNTRY CLUB DR. #A-103

RANCHO MIRAGE, CA 92270

(760) 779-5511JACOME ENRIQUE ENRIQUE G JACOME, MD, INC

IM 33758 YUCAIPA BLVD.

YUCAIPA, CA 92399

(909) 795-9747JAHROMI-DO NOT USEMEHDI BEAVER MEDICAL GROUP

FP 72780 COUNTRY CLUB DRIVE

RANCHO MIRAGE, CA 92270

JAMES LINDA INTERNAL MEDICINE SPECIALISTS, INC

IM 36921 COOK ST. #102

PALM DESERT, CA 92211

(760) 836-9066JAMES PATRICIA PATRICIA L JAMES, MD INC

GS 555 TACHEVAH DR. #1W201

PALM SPRINGS, CA 92262

(760) 866-0011JAMIESON PETER PETER M JAMIESON, MD INC

OPH 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311JAMRON NEIL BEAVER MEDICAL GROUP

MFC 41750 RANCHO LAS PALMAS DR. C3

RANCHO MIRAGE, CA 92270

(760) 776-4770JANIK ALICE ANDREW S JANIK

P 41750 RANCHO LAS PALMAS #C-3

RANCHO MIRAGE, CA 92270

(760) 776-4770JANIK ANDREW ANDREW S JANIK

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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4 YOUR CHOICE

PHONE

OTO 255 TERRACINA #201

REDLANDS, CA 92373

(909) 793-3776JEFFERIES SHAREN SHAREN JEFFERIES, M.D.

ORS 25150 HANCOCK AVE. #200

MURRIETA, CA 92562

(951) 698-4660JERCINOVICH IGOR IGOR JERCINOVICH, MD.

NP 36921 COOK ST. #102

PALM DESERT, CA 92211

(760) 836-9066JEWELL MARGARET PATRICIA L JAMES, MD INC

HSP 47111 MONROE STREET

INDIO, CA 92201

(760) 347-6191JFK MEMORIAL HOSPITAL JOHN F. KENNEDY MEMORIAL HOSPITAL

D 555 E. TACHEVAH DR. STE 2E 106

PALM SPRINGS, CA 92262

(760) 416-6971JOCHEN TIMOTHY CONTOUR DERMATOLOGY AND COSMETIC SURGERY

FP 39000 BOB HOPE DR., KEIWITT #1

RANCHO MIRAGE, CA 92270

(760) 773-3950JODOIN DOUGLAS V. DOUGLAS JODOIN, M.D., INC.

PT 245 TERRACINA BLVD. #105

REDLANDS, CA 92373

(909) 792-9737JOHNSON ANDREA BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

MFC 77564 COUNTRY CLUB DR. #240

PALM DESERT, CA 92240

(760) 341-4949JOHNSON BARBARA BARBARA L. JOHNSON, M.F.C.

GS 1180 N INDIAN CYN DR. STE E421

PALM SPRINGS, CA 92262

(760) 424-8224JOHNSON, MD DAVID S. PREMIER SURGICAL ASSOCIATES PALM SPRINGS

DME 15278 MAIN STREET

HESPERIA, CA 92345

(951) 785-4411JOHNSONS ORTHOPEDIC JOHNSONS ORTHOPEDIC

FP 1600 E. CITRUS AVE. STE. A

REDLANDS, CA 92374

(909) 793-3311JONES GREGORY BEAVER MEDICAL GROUP

NP 2721 WASHINGTON ST

JULIAN, CA 92036

(760) 765-1223JONES JANICE BORREGO COMMUNITY HEALTH

PT 42080 STATE ST.

PALM DESERT, CA 92211

(760) 568-2894JORDAN PHYSICAL THERAPY CENTER JORDAN PHYSICAL THERAPY CENTER

FP 81 HIGHLAND SPGS AVE #200

BEAUMONT, CA 92223

(951) 846-0313JORETEG CHRISTER BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ON 39700 BOBE HOPE DR. STE. 110

RANCHO MIRAGE, CA 92270

(760) 636-4082KACHIKWU EVELYN EVELYN LILLIAN KACHIKWU, MD

IM 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311KANG JUNKU-JOHN BEAVER MEDICAL GROUP

OTO 4646 BROCKTON AVE

RIVERSIDE, CA 92506

(951) 774-2870KAPLAN ROBERT RAINCROSS MEDICAL GROUP

FP 2721 WASHINGTON ST.

JULIAN, CA 92036

(760) 765-1223KARIMIAN SIAVASH BORREGO COMMUNITY HEALTH

OBG 57445 29 PALMS HWY., #301

YUCCA VALLEY, CA 92284

(760) 365-2800KASKO ANDRE MORONGO BASIN OBGYN PHYSICAINS MED GRP

DR P.O. BOX 2200

REDLANDS, CA 92373

KASRAIE ALEX BEAUMONT RADIOLOGY SERVICES

OTO 36867 COOK ST. # 103

PALM DESERT, CA 92211

(760) 565-3900KATO B. MAYA THE EAR INSTITUTE

PNM 39700 BOB HOPE DRIVE

RANCHO MIRAGE, CA 92270

(760) 346-7696KATZ JORDAN JORDAN KATZ, MD

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

IM 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404KAUFER DAVID BORREGO COMMUNITY HEALTH

U 39300 BOB HOPE DR BANNAN #1202

RANCHO MIRAGE, CA 92270

(760) 346-3851KAUFMAN MARK MARK F. KAUFMAN, MD

C 1180 N. INDIAN CYN. DR. #W-304

PALM SPRINGS, CA 92262

(760) 322-9562KAZMOUZ GHASSAN GHASSAN KAZMOUZ, MD

D 833 AUTO CENTER DR. STE B

PALMDALE, CA 93551

(661) 272-9557KECHICHIAN ARAM WEST DERM SURG MED GRP

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642KEEFE DEBORAH DESERT CARDIOLOGY CONSULTANTS MED GROUP

FP 6109 RAMSEY

BANNING, CA 92220

(951) 845-0313KEIDEL MARK BEAVER MEDICAL GROUP

R 74000 COUNTRY CLUN DR. E 1

PALM DESERT, CA 92260

KELLY WILLIAM WILLIAM M. KELLY, M.D., INC.

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642KELSAY DAMON DESERT CARDIOLOGY CONSULTANTS MED GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

IM 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311KENNEDY CASEY BEAVER MEDICAL GROUP

N 11481 HEACOCK ST. #120

MORENO VALLEY, CA 92557

(951) 247-5703KENT RONALD RONALD N. KENT, M.D., PH.D

ID 1695 NORTH SUNRISE

PALM SPRINGS, CA 92262

(760) 323-2118KERKAR SHUBHA DESERT AIDS PROJECT

FP 6109 WEST RAMSEY DRIVE

BANNING, CA 92220

(909) 793-3311KERR GLENN BEAVER MEDICAL GROUP

FP 42575 WASHINGTON STREET

PALM DESERT, CA 92211

(760) 360-0333KERRIGAN FRANK HEALTHCARE EXPRESS

FP 42575 WASHINGTON ST.

PALM DESERT, CA 92211

(760) 360-0333KERRIGAN JANET HEALTHCARE EXPRESS

OPH 555 E. TACHEVAH DR. #101

PALM SPRINGS, CA 92262

(760) 327-1561KETOVER BART MILAUSKAS EYE INSTITUTE

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

END 39000 BOB HOPE DR., K-208

RANCHO MIRAGE, CA 92270

(760) 773-5350KHALDOUN ALNABELSI KHALDOUN ALNABELSI, M.D.

IM 81 HIGHLAND SPGS. AVE. #200

BEAUMONT, CA 92223

(951) 845-0313KHALIL SHERIF BEAVER MEDICAL GROUP

IM 35400 BOB HOPE DR. #209

RANCHO MIRAGE, CA 92260

(760) 699-7117KHANCHUSTAMBHAMPADMA LIFE CONNECT MEDICAL

RON 39000 BOB HOPE DR., LUCI CURCI

RANCHO MIRAGE, CA 92270

(760) 674-3600KHANNA MONICA RADIATION ONC MED ASSOC OF RANCHO MIRAGE

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642KHANNA PUNEET DESERT CARDIOLOGY CONSULTANTS MED GROUP

NEP 81715 DR. CARREON BLVD #B2

INDIO, CA 92201

(760) 775-2899KIDNEY INSTITUTE OF THE DESERT KIDNEY INSTITUTE OF THE DESERT

SLD 39500 BOB HOPE DR. #110

RANCHO MIRAGE, CA 92270

(760) 770-4033KIM CHUN TMJ HEAD & NECK PAIN CENTER

AN 2 W W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311KIM PAUL BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OBG 555 TACHEVAH STE. 2W-103

PALM SPRINGS, CA 92262

(760) 327-2707KIM SUNG DERAKHSH FOZOUNI MD OBGYN & ASSOC

MFC 1111 E TAHQUITZ CANYON WAY

PALM SPRINGS, CA 92262

(760) 318-6599KING BILLIE BILLEE JO KING LMFT

POD 35400 BOB HOPE DR. #204

RANCHO MIRAGE, CA 92270

(760) 327-1254KING GREGORY GREGORY KING DPM

OPH 555 N THIRTEENTH AVE

UPLAND, CA 91786

(800) 345-8979KING JULIE PACIFIC EYE INSTITUTE

N 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311KLEIN ROBERT BEAVER MEDICAL GROUP

FP 4646 BROCKTON AVE

RIVERSIDE, CA 92506

(951) 774-2870KNOPKE CARL RAINCROSS MEDICAL GROUP

ORS 47647 CALEO BAY DR. #200

LA QUINTA, CA 92253

(760) 777-8282KOHFELD JEFFREY DESERT ORTHOPEDIC CENTER

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 2 W. FERN

REDLANDS, CA 92373

(909) 793-3311KONG VICTOR BEAVER MEDICAL GROUP

IM 555 TACHEVAH DR. 3W-101

PALM SPRINGS, CA 92262

(760) 327-1557KOPPEL MARCEL MARCEL KOPPEL, M.D.

CH 67-555 E. PALM CYN. DR.#C108

CATHEDRAL CITY, CA 92234

(760) 321-1453KORTMEYER DAVID DAVID E. KORTMEYER, D.C.

CH 34-950 DATE PALM DR.

CATHEDRAL CITY, CA 92234

(760) 324-2525KORTMEYER GERALD A-1 TRUST

MFS 39-935 VISTA DEL SOL

RANCHO MIRAGE, CA 92270

(760) 779-9989KREIZENBECK STEPHEN SCHEER, KREIZENBECK PROF PARTNERSHIP

OTO 11370 ANDERSON ST STE 2100

LOMA LINDA, CA 92354

(909) 558-4440KRISHNAN MIGUEL FACULTY PHYS AND SURGEON - HEAD & NECK

IM 12560 PALM DRIVE

DESERT HOT SPRINGS, CA 92240

(760) 251-3401KYAW RICHARD RICHARD KYAW MD

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

LAB PO BOX 2270

BURLINGTON, NC 27216

(602) 454-8000LABCORP LABCORP OTS RTP

PD 81-709 DR. CARREON BLVD., #E-2

INDIO, CA 92201

(760) 347-0903LAIW BELL BELL C LAIW

EM 6601 WHITE FEATHER ROAD

JOSHUA TREE, CA 922526607

LAMBROS JOHN HI DESERT EMERGENCY PHYSICIANS

R 81812 DR CARREON BLVD STE A

INDIO, CA 92201

LANDER MARLA THE BREAST HEALTH CENTER

C 2 W FERN AVE.

REDLANDS, CA 92373

(909) 793-3311LANDRETH CURTIS BEAVER MEDICAL GROUP

MFC 42-600 BOB HOPE DR. #413

RANCHO MIRAGE, CA 92270

(760) 773-1014LANGE GARY GARY LANGE PH.D

POD 12630 MONTE VISTA #101

POWAY, CA 92064

(858) 451-2151LARKINS PHILIP CENTER CITY PODIATRY GROUP

CH 34020 DATE PALM DRIVE

CATHEDRAL CITY, CA 92234

(760) 321-4844LARSON NANCY NANCY G. LARSON, DC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 7706/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GE 39000 BOB HOPE DR. #K-403

RANCHO MIRAGE, CA 92270

(760) 779-1960LAST MICHAEL DESERT COLON & RECTAL MEDICAL GROUP

IM 71780 SAN JACINTO DR. STE. I-1

RANCHO MIRAGE, CA 92270

(760) 346-1223LAWSON ARINOLA A. LAWSON, MD PA, INC

OPH 36921 COOK ST. #103

PALM DESERT, CA 92211

(760) 836-3937LE DUNG DUNG LE, MD

ORS 1901 W LUGONIA AVE #110

REDLANDS, CA 92374

(909) 557-1690LE HA ORTHOPEDIC IMAGING CENTER, LLC

NEP 22632 GOLDEN SPRINGS DR. #315

DIAMOND BAR, CA 91765

(909) 882-0702LE HIEP EDWARD SERROS MD INC

C 39000 BOB HOPE DR. HAL B

RANCHO MIRAGE, CA 92270

(760) 346-0642LE KHOI DESERT CARDIOLOGY CONSULTANTS MED GROUP

OPH 1180 N. INDIAN CYN. #130

PALM SPRINGS, CA 92262

(760) 320-7051LEAMING DAVID DESERT EYE A MEDICAL COR

IM 625 E. GRAND AVE.

ESCONDIDO, CA 92025

(760) 745-1551LEE EMMET PALOMAR MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 7806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GE 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191LEE HIN WAH BEAVER MEDICAL GROUP

ORS 6180 BROCKTON AVE. #204

RIVERSIDE, CA 92506

(951) 684-6784LEE JONATHAN SAN BERNARDINO MED ORTHO GRP

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684LEE KEVIN DESERT ORTHOPEDIC CENTER

FP 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191LEE PHILIP BEAVER MEDICAL GROUP

SNF 47763 MONROE STREET

INDIO, CA 92201

(760) 347-0750LEGACY HEALTH CARE DBA INDIO NURSING REHINDIO NURSING & REHABILITATION, INC

SNF 82262 VALENCIA AVE.

INDIO, CA 92201

(760) 347-6000LEGACY HEALTH CARE DBA VALENCIA PALMS NULEGACY HEALTH CARE DBA VALENCIA PALMS NU

SNF 47763 MONROE STREET

INDIO, CA 92201

(760) 347-0750LEGACY HEALTH CARE INDIO NURSING REHABILLEGACY HEALTH CARE DBA INDIO NURSING REH

SNF 1335 WATERMAN AVE

SAN BERNARDINO, CA 92404

(909) 885-0268LEGACY POST ACUTE REHABILITATION SAN BERNARDINO CONVALESCENT OPERATIONS

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ON 1180 N INDIAN CYN. #E-218

PALM SPRINGS, CA 92262

(760) 416-4860LEICHMAN CYNTHIA BREASTLINK OF RANCHO MIRAGE

U 72-057 HIGHWAY 111

RANCHO MIRAGE, CA 92270

(760) 346-7191LEIFER, MD GARY WALSH UROLOGY ASSOCIATES

OPH 78560 HWY 111

LA QUINTA, CA 92253

(760) 564-3887LEISKE LARRY MILAUSKAS EYE INSTITUTE

CH 11625 PALM DRIVE STE G

DESERT HOT SPRINGS, CA 92240

(760) 251-3032LEONARD WILLIAM WILLIAM S. LEONARD, DC

FP 7223 CHURCH ST. STE. C

HIGHLAND, CA 92373

(909) 862-1191LEONG MICHAEL BEAVER MEDICAL GROUP

PD 33758 YUCAIPA BLVD

YUCAIPA, CA 92399

(909) 795-9747LEPARULO YOLANDA BEAVER MEDICAL GROUP

D 74090 EL PASEO, STE. 101

PALM DESERT, CA 92260

(760) 341-8244LESNIK ROBERT ROBERT H LESNIK, MD

ORS 72-780 COUNTRY CLUB DR. A 104

RANCHO MIRAGE, CA 92270

(760) 568-2684LEVEY RONALD DESERT ORTHOPEDIC CENTER

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PAGE: 8006/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

P 41750 RANCHO LAS PALMAS

RANCHO MIRAGE, CA 92270

(760) 773-9252LEVINSON GARY GARY LEVINSON, MD

FP 57370 29 PALMS HWY #203

YUCCA VALLEY, CA 92284

(760) 369-0069LEVY HOWARD HOWARD LEVY, D.O.

AN 2 W FERN AVE

REDLANDS, CA 923735916

(909) 793-3311LEWIS JEFFREY BEAVER MEDICAL GROUP

CH 4410 LAMONT ST

SAN DIEGO, CA 92109

(858) 483-8500LIBS DAVID DAVID E. LIBS, DC.

IM 2 W. FERN AVE

REDLANDS, CA 92373

(909) 793-3311LIEN NHA BEAVER MEDICAL GROUP

NEP 625 E. GRAND AVE

ESCONDIDO, CA 92025

(760) 745-1551LILLEY JOHN PALOMAR MEDICAL GROUP

CD 1180 N INDIAN CYN DR #E319

PALM SPRINGS, CA 92262

(760) 325-1303LIM MORAKOD DESERT HEART PHYSICIANS MED GROUP INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 8106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

IM 12810 HEACOCK ST STE. B105

MORENO VALLEY, CA 92553

(951) 242-2226LIMON JOSE JOSE M LIMON MD INC

FP 79440 CORPORATE CENTER DR #110

LA QUINTA, CA 92253

(760) 564-3533LIN SAM ALLEN AND LIN INC

OPH 340 S. FARRELL DR., #A-105

PALM SPRINGS, CA 92262

(760) 327-6225LIN STEVEN SOUTHERN CALIF DESERT RETINA CONSULTANTS

NPM 1150 N INDIAN CYN

PALM SPRINGS, CA 92262

LIPSKY CAREN PEDIATRIX MEDICAL GROUP OF CALIF, APC

IM 72780 COUNTRY CLUB DR. STE 100

RANCHO MIRAGE, CA 92270

(760) 776-9511LIPTON PETER INTERNAL MEDICINE SPECIALISTS, INC

PT 77564 COUNTRY CLUB DR. #219

PALM DESERT, CA 92211

(855) 454-3784LITTLEFIELD MELISSA LITTLEFIELD PHYSICAL THERAPY

AN 11234 ANDERSON STREET

LOMA LINDA, CA 92354

(909) 558-4440LLU ANESTHESIOLOGY MED GRP LLU ANESTHESIOLOGY MEDICAL GROUP, INC

HSP 1710 BARTON ROAD

REDLANDS, CA 92373

(909) 558-9275LLU BEHAVIORAL MED CTR LOMA LINDA BEHAVIORAL MEDICAL CENTER

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 8206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PA 151 S SUNRISE WAY

PALM SPRINGS, CA 922620118

LOBE ANDREW EISENHOWER MEDICAL CENTER

PUD 11370 ANDERSON ST STE 3150

LOMA LINDA, CA 92354

LOMA LINDA UNIV PHYSICIANS-PULMONARY LLU PHYSICAINS MED. GRP, INC.

FP 11370 ANDERSON STREET

LOMA LINDA, CA 92354

(909) 558-2439LOMA LINDA UNIVERSITY HEALTH CARE LOMA LINDA UNIVERSITY HEALTH CARE

IM 11234 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4000LOMA LINDA UNIVERSITY PHYS- LLU MED CTR LOMA LINDA UNIVERSITY PHYS- LLU MED CTR

RHU 11370 ANDERSON ST STE 3150

LOMA LINDA, CA 92354

LOMA LINDA UNIVERSITY PHYSICIAN-RHEUMATOLOMA LINDA UNIVERSITY PHYSICIAN-RHEUMATO

IM 39700 BOB HOPE DR., STE. 110

RANCHO MIRAGE, CA 92270

(760) 773-9750LOPEZ CARLOS INTERNAL MEDICINE SPECIALISTS, INC

FP 81713 HWY 111 SUITE F

INDIO, CA 92201

(760) 863-5355LOPEZ JOB ALBERT R. ANDERSON, MD

GS 81863 DR. CARREON BLVD #5

INDIO, CA 92201

(760) 775-1066LOUIS EUGENE EUGENE S. LOUIS, M.D., F.A.C.S.

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684LOVATO ANDREW DESERT ORTHOPEDIC CENTER

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

N 35400 BOB HOPE DRIVE STE 206

RANCHO MIRAGE, CA 92270

(760) 328-7500LUTHRA INDERMOHAN DR. INDERMOHAN S LUTHRA, MD, INC

IG 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311MABUDIAN MOHSEN BEAVER MEDICAL GROUP

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684MACK ROBERT DESERT ORTHOPEDIC CENTER

GP 58471 TWENTYNINE PALMS HWY

YUCCA VALLEY, CA 92284

(760) 365-7651MAHAJAN SUMIT INDROJ MEDICAL GROUP INC

C 4343 YAQUI PASS ROD

BORREGO SPRINGS, CA 92004

(760) 767-5051MAHAN GREGORY BORREGO COMMUNITY HEALTH

PD 245 TERRACINA BLVD. #202

REDLANDS, CA 92373

(909) 793-2896MAILANDER MARY BEAVER MEDICAL GROUP

C 81-709 DR CARREON BLVD., #C-4

INDIO, CA 92201

(760) 342-8181MAJID TAHIR TAHIR MAJID, MD

EM 8110 MANGO AVE.

FONTANA, CA 92335

(909) 822-1164MAKAR AYAD UNITED FAMILYCARE. INC.

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

C 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311MAKOWSKI THOMAS BEAVER MEDICAL GROUP

IM 39000 BOB HOPE DR., K-307

RANCHO MIRAGE, CA 92270

(760) 674-1985MANN RAVINDERPAL RAVIDERPAL S MANN, MD

IM 555 TACHEVAH #1E-100

PALM SPRINGS, CA 92262

(760) 778-5560MANN RUPINDER RUPINDER MANN MD

SNF 74350 COUNTRY CLUB DRIVE

PALM DESERT, CA 92260

(760) 341-0261MANOR CARE MANOR CARE

SNF 74350 COUNTRY CLUB DRIVE

PALM DESERT, CA 92260

(760) 341-0261MANOR CARE HEALTH SERVICES MANOR CARE OF PALM DESERT CA, LLC

ON 40055 BOB HOPE DR. STE A

RANCHO MIRAGE, CA 92270

(760) 202-3946MANTIK DAVID 21ST CENTURY ONCOLOGY OF CALIF, MED CORP

C 2 W. FERN AVE

REDLANDS, CA 92373

(909) 793-2896MARAIS GARY BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

C 6109 W RAMSEY ST.

BANNING, CA 92220

(951) 845-0313MARAIS JOHN BEAVER MEDICAL GROUP

EM 81-767 DR. CARREON BLVD. #201

INDIO, CA 92201

(760) 775-4181MARDONES JOHN INDIO EMERGENCY MEDICAL GROUP

OPH 39700 BOB HOPE DR. #109

RANCHO MIRAGE, CA 92270

(760) 340-3937MARSHAK HARRY MILAUSKAS EYE INSTITUTE

IM 1851 N. RIVERSIDE AVE.

RIALTO, CA 92346

(909) 874-2371MARSHALL ELSA UNITED FAMILYCARE. INC.

POD 2145 TAHQUITZ CYN. WAY, #1

PALM SPRINGS, CA 92262

(760) 325-1321MARTA DENNIS DENNIS LEE MARTA, DPM

CD 1180 N. INDIAN CYN DR.

PALM SPRINGS, CA 92262

(760) 325-1203MARTIN CHERYL DESERT HEART PHYSICIANS MED GROUP INC

FP 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311MARTIN DAVID BEAVER MEDICAL GROUP

OPH 39000 BOB HOPE DR., STE. K-201

RANCHO MIRAGE, CA 92270

(760) 346-5005MARTIN TAMELA SHAAF EYE CENTER

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 83-233 INDIO BLVD. STE. 14

INDIO, CA 92201

(760) 347-7776MARTINEZ JULIO JULIO C. MARTINEZ, MD

ON 77840 FLORA RD

PALM DESERT, CA 922114109

(760) 200-8777MASEK THEODORE 21ST CENTURY ONCOLOGY OF CALIF, MED CORP

MFC 42305 WASHINGTON ST. #210

PALM DESERT, CA 92260

(760) 772-4566MATHESON GAY GAY MATHESON, M.F.T.

ORS 1011 E. DEVONSHIRE ST. #203

HEMET, CA 92543

(951) 652-1600MATIKO JAMES SAN BERNARDINO MED ORTHO GRP

FP 35900 BOB HOPE DRIVE #230

RANCHO MIRAGE, CA 92270

(760) 324-2800MAW MAW NINA INPATIENT SERVICES OF CA INC

HHA 70-017 HIGHWAY 111 STE 5B

RANCHO MIRAGE, CA 92270

(760) 324-1406MAXIM HEALTHCARE SERVICES MAXIM HEALTHCARE SERVICES

PD 245 TERRACINA BLVD. #202

HIGHLAND, CA 92373

(909) 793-2896MAZIUMIAN JORGE BEAVER MEDICAL GROUP

FP 6109 W. RAMSEY

BANNING, CA 92220

(951) 845-0313MCCARTY KENNETH BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

CH 56351 29 PALMS HWY #C

YUCCA VALLEY, CA 92284

MCCOLLUM DAVID DAVID MCCOLLUM, DC

CH 35900 BOB HOPE DR. #100

RANCHO MIRAGE, CA 92270

(760) 328-8212MCDONALD GREG GREGORY S MCDONALD

MFC 7373 YAQUI PASS RD

BORREGO SPRINGS, CA 92004

(760) 767-5051MCEVOY PAMELA BORREGO COMMUNITY HEALTH

PD 1851 N. RIVERSIDE AVE.

RIALTO, CA 92376

(909) 874-2371MCGRATH JOCELYN UNITED FAMILYCARE. INC.

D 72785 FRANK SINATRA DR STE 101

RANCHO MIRAGE, CA 92270

MCLEMORE MICHAEL STEVEN WEST DERMATOLOGY SURG MED GROUP

ORS 259 TERRACINA BLVD.

REDLANDS, CA 92373

(909) 793-2634MCLVOR OWEN BEAVER MEDICAL GROUP

PSY 790 BEAUMONT AVE. #224

BEAUMONT, CA 92223

(951) 845-9860MCMAHON CHRISTINE CHRISTINE MCMAHON

PT 35-900 BOB HOPE DR. #225

RANCHO MIRAGE, CA 92270

(760) 328-3950MCNEIL DON MIRAGE PHYSICAL THERAPY

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

DME 7950 DUNBROOK ROAD

SAN DIEGO, CA 92126

(886) 223-0476MEDICAL EQUIPMENT DEVICE SPECIALISTS (ME MEDICAL EQUIPMENT DEVICE SPECIALIST

PD 35800 BOB HOPE DR. STE 220

RANCHO MIRAGE, CA 92270

(760) 464-0561MEJIA METHUSA PALM DESERT PEDIATRICS INC

PUD 555 E TACHEVAH DR #2E #202

PALM SPRINGS, CA 92262

(760) 446-3505MENN MD STUART PACIFIC SLEEP MEDICINE, INC.

R 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311MERA SZABOICS BEAVER MEDICAL GROUP

ORS 1901 W. LUGONIA AVE. #120

REDLANDS, CA 92374

(909) 557-1600MERKEL CLIFFORD SAN BERNARDINO MED ORTHO GRP

MFC 1307 W. 6TH ST. STE 109

CORONA, CA 92882

(909) 499-8872MERRELL STACEY STACEY MERRELL, LMFT

FP 2721 WASHINGTON ST.

JULIAN, CA 92036

(760) 765-1223MERRICK HAROLD BORREGO COMMUNITY HEALTH

IM 72780 COUNTRY CLUB DR. #100

RANCHO MIRAGE, CA 92270

(760) 773-9750MESSNER LYNN INTERNAL MEDICINE SPECIALISTS, INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PA 2 W. FERN AVEENUE

REDLANDS, CA 92373

(909) 793-3311METZGER LINDA BEAVER MEDICAL GROUP

IM 625 E. GRAND AVE.

ESCONDIDO, CA 92025

(760) 745-1551MEYERHOFF BRIAN PALOMAR MEDICAL GROUP

OPH 139 S PALM CYN. DR.

PALM SPRINGS, CA 92262

(760) 325-6326MILAUSKAS ALBERT MILAUSKAS EYE INSTITUTE

PD 39000 BOB HOPE DR., K-211

RANCHO MIRAGE, CA 92270

(760) 776-5620MILLAN ERNESTO UNIQUE PEDIATRICS

D 35200 BOB HOPE DR

RANCHO MIRAGE, CA 92270

(760) 328-8884MILLIGAN MICHAEL MICHAEL P. MILLIGAN, M.D., INC

DME 4050 EAST OLYMPIC BLVD

LOS ANGELES, CA 90023

(888) 545-6464MINI PHARMACY & MEDICAL SUPPLIES MINI PHARMACY ENTERPRISES, INC

DME 18000 DEVONSHIRE STREET

NORTHRIDGE, CA 91325

(818) 576-4383MINIMED DISTRIBUTION CORP (AKA MEDTRONICMINI MED DISTRIBUTION CORP.

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ASC 39935 VISTA DEL SOL ROAD, #101

RANCHO MIRAGE, CA 92270

(760) 837-9210MIRAGE ENDOSCOPY CENTER MIRAGE ENDOSCOPY CENTER, LP

PT 77564 COUNTRY CLUB DR. #219

PALM DESERT, CA 92211

(855) 454-3784MIRANDA ANNA LITTLEFIELD PHYSICAL THERAPY

CDS 39000 BOB HOPE DR #K306

RANCHO MIRAGE, CA 92270

(760) 346-4261MITRUKA SURINDRA CARDIOTHORACIC SURGERY ASSOC OF THE DESE

PUD 81-709 DR. CARREON BLVD., SUIT

INDIO, CA 92201

(760) 347-8482MOJARAD MOHAMMAD MOHAMMAD MOJARAD, MD

PDS 215 S HICKORY #126

ESCONDIDO, CA 92025

(760) 745-7313MONAHAN CAROLYN CHILDRENS MEDICAL GROUP

ACU 1276 N PALM CANYON DRIVE #208

PALM SPRINGS, CA 92262

(760) 327-3500MONCRIEF BEATRICE GARDEN OF WELLNESS ACUPUNCTURE CLINIC

PNM 81880 DR. CARREON BLVDSTE C202

INDIO, CA 92201

(760) 342-1600MONIS SAYED THE NEURO SPINE AND HEADACHE PAIN

OPH 8577 HAVEN AVE. #208

RANCHO CUCAMONGA, CA 91730

(909) 944-5353MONSHIZADEH RAMIN MEDICAL CONSULTANTS OF SOUTHERN CAL INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 9106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

MFC 754 S VELLA RD

PALM SPRINGS, CA 92264

(760) 327-3050MONSIVAIZ-CERVANTES, M.A.IRMA IRMA MONSIVAIZ-CERVANTES

SNF 44610 MONTEREY AVE

PALM DESERT, CA 92260

(760) 773-5151MONTEREY PALMS HEALTH AND REHAB CENTER MONTEREY PALMS HEALTH AND REHAB CENTER

OBG 39000 BOB HOPE DR., #P-214

RANCHO MIRAGE, CA 92270

(760) 346-5670MONTZ AGNES AGNES MONTZ,M.D

PA 4343 YAQUI PASS RD

BORREGO SPRINGS, CA 92004

(760) 767-5051MOORE BRETT BORREGO COMMUNITY HEALTH

N 79440 CORPORATE CTR. DR STE108

LA QUINTA, CA 92253

(760) 514-0166MOORJANI,MD BHAGWAN HOPE NEUROLOGIC CENTER, INC

IM 33758 YUCAIPA BLVD.

YUCAIPA, CA 92399

(909) 795-9747MORALES RAYMUNDO BEAVER MEDICAL GROUP

OBG 1100 N. PALM CYN DR. STE 212

PALM SPRINGS, CA 92253

(760) 564-7900MORAN, NP SANDRA ADVANCED WOMEN'S HEALTHCARE, A MED CORP

GP 1525 W FLORIDA AVE STE. D

HEMET, CA 92543

(951) 929-6777MORASCH ROBERT APEX HEALTHCARE MED CNTRACCES

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 9206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

UC 24318 HEMLOCK AVE. #E1

MORENO VALLEY, CA 92557

(951) 243-5050MORENO VALLEY URGENT CARE JAMES A HARRISON, MD

SP 77564 COUNTRY CLUB DR. 370B

PALM DESERT, CA 92211

(760) 772-7545MORGAN JUDITH JUDITH LYNN MORGAN

IM 36921 COOK ST. #102

PALM DESERT, CA 92211

(760) 836-9066MORGAN LAURA LAURA R. MORGAN MD INC

FP 1080 N. INDIAN CANYON DR # 200

PALM SPRINGS, CA 92262

(760) 318-0067MORGAN YVONNE YVONNE MORGAN, M.D.

R 6109 WEST RAMSEY DRIVE

BANNING, CA 92220

(909) 793-3311MORTENSEN JOHN BEAVER MEDICAL GROUP

IM 1293 6TH STREET

COACHELLA, CA 92246

(760) 391-5151MOSTYN MICHAEL INDIO EMERGENCY MEDICAL GROUP

P 42525 RANCHO MIRAGE LANE

RANCHO MIRAGE, CA 922704312

MOYA MARIA MARIA ELENA MOYA MD

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PAGE: 9306/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642MOYER AMANDA DESERT CARDIOLOGY CONSULTANTS MED GROUP

MFC 193 SOUTH CIVIC CENTER DR. #6

PALM SPRINGS, CA 92262

(760) 285-0267MUNSON BAKER CHRISTIE CHRISTIE MUNSON BAKER MFT

P 11370 ANDERSON ST

LOMA LINDA, CA 92354

(909) 558-4440MURDOCH WILLIAM FACULTY PHYSICIANS AND SURGEON- PSYCHIAT

CD 1180 N. INDIAN CYN. DR #E319

PALM SPRINGS, CA 92262

(760) 360-4446MURPHY FRANKLIN DESERT HEART PHYSICIANS MED GROUP INC

ORS 39000 BOB HOPE DR. RINKER BLD

RANCHO MIRAGE, CA 92270

(760) 568-2684MURPHY ROBERT DESERT ORTHOPEDIC CENTER

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642MURPHY THOMAS DESERT CARDIOLOGY CONSULTANTS MED GROUP

PD 555 TACHEVAH 1W #204

PALM SPRINGS, CA 92262

(760) 323-9818MUSCH GERMAN COHEN, MUSCH, THOMAS MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 9406/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

LAB 320 WAKURA WY

SALT LAKE CITY, UT

(800) 469-1473MYRIAD GENETIC LABS MYRIAD GENETIC LABORATORIES, INC.

FP 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191NA STEVE BEAVER MEDICAL GROUP

GS 1180 N. INDIAN DR. #304

PALM SPRINGS, CA 92262

(760) 320-4184NALAM BHASKARARAO BHASKAR NALAM, MD

DR 15725 POMERADO ROAD STE. 109

POWAY, CA 92064

(858) 485-6094NALBANDIAN ALLEN ESCONDIDO IMAGING CENTER

FP 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 793-3311NANYONGA ALICE BEAVER MEDICAL GROUP

IM 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311NASEIB SAMEH BEAVER MEDICAL GROUP

OTO 47647 CALEO BAY DR. #280

LA QUINTA, CA 92253

(760) 771-4242NASH ERIC ERIC A NASH, MD

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

IM 1401 N. PALM CANYON DR.

PALM SPRINGS, CA 92262

(760) 320-6027NASR HUGH HUGH S. NASR, M.D.

GE 81709 DR CARREON BLVD., #C3

INDIO, CA 92201

(760) 342-6404NATH BADRI NATH MEDICAL CORPORATION

N 39000 BOB HOPE DR. K-308

RANCHO MIRAGE, CA 92270

(760) 341-3400NAZEMI REZA REZA NAZEMI, MD

CH 79440 COUNTRY CLUB DR. STE G3

PALM DESERT, CA 92260

(760) 771-3200NAZEMI, DC NAVID NAZEMI CHIROPRACTIC CORP

HHA 720 EAST CARNEGIE DRIVE, STE 1

SAN BERNARDINO, CA 92408

(800) 442-7300NEIGHBORCARE NEIGHBORCARE SAN BERNARDINO

PA 22032 EL PASEO STE 220

RANCHO SANTA MARGARITA, CA 92688

(949) 888-5448NELMS MICHAEL WEST DERM SURG MED GRP

AN 39000 BOB HOPE DR

RANCHO MIRAGE, CA 92270

NELSON ANTHONY ANTHONY A NELSON, MD, A MEDICAL CORP

IM 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311NELSON BARBARA BEAVER MEDICAL GROUP

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PAGE: 9606/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

CH 42-700 BOB HOPE DR. #306

RANCHO MIRAGE, CA 92270

(760) 346-0082NELSON BARRY BARRY NELSON

OTO 6405 DAY STREET

RIVERSIDE, CA 92507

NELSON RHETT RIVERSIDE MEDICAL CLINIC

PA 1901 W. LUGONIA AVE. #120

REDLANDS, CA 92374

(909) 557-1600NERIA DA THAO SAN BERNARDINO MED ORTHO GRP

R 1850 N RIVERSIDE AVE.#160

RIALTO, CA 92376

(909) 421-3040NESPOLE MICHAEL PALM IMAGING INSTITUTE, INC

PT 1901 W. LUGONIA AVE. #120

REDLANDS, CA 92374

(909) 557-1600NEUENDORFF HAROLD SAN BERNARDINO MED ORTHO GRP

FP 2 W FERN AVE.

REDLANDS, CA 92373

(909) 793-3311NEUFELD TIMOTHY BEAVER MEDICAL GROUP

IM 555 TACHEVAH 2W-102

PALM SPRINGS, CA 92262

(760) 325-6621NEUMANN DAVID DAVID NEUMANN, MD

ORS 23100 EUCALYPTUS AVE.

MORENO VALLEY, CA 92553

(909) 883-8686NGUYEN DAVID-TRUNG SAN BERNARDINO MED ORTHO GRP

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

IM 8110 MANGO AVE

FONTANA, CA 92335

(909) 822-1164NGUYEN DUC UNITED FAMILYCARE. INC.

OTO 1800 MEDICAL CENTER DR. #105

SAN BERNARDINO, CA 92411

(909) 880-2000NGUYEN HENRY ENT SINUS CENTER

GP 8110 MANGO AVE

FONTANA, CA 92335

(909) 822-1164NGUYEN KEN UNITED FAMILYCARE. INC.

GE 10861 CHERRY ST # 302

LOS ALAMITOS, CA 90702

(562) 493-1011NGUYEN THAI-VAN X THAI-VAN X NGUYEN

GS 39000 BOB HOPE DR., #K-403

RANCHO MIRAGE, CA 92270

(760) 346-5551NGUYEN MINH NHAT NHAT CANH NGUYEN-MINH,M.D INC

IM 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311NGYEN VIET BEAVER MEDICAL GROUP

FP 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311NONG ANH BEAVER MEDICAL GROUP

OPH 555 N. THIRTEENTH AVE

UPLAND, CA 91786

(800) 345-8979NOVACK ROGER PACIFIC EYE INSTITUTE

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PAGE: 9806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

UC 80-545 HWY 111

INDIO, CA 92201

(760) 347-9221NOVAK URGENT CARE NOVAK URGENT CARE

NPM 1150 N. INDIAN CYN., NICU DEPT

PALM SPRINGS, CA 92262

(760) 323-6430NOVALES JUANITO DESERT NEONATAL GROUP

OPH 340 S. FARRELL DR., #A-105

PALM SPRINGS, CA 92262

(760) 327-6225NUTHI ASHA SOUTHERN CALIF DESERT RETINA CONSULTANTS

FP 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311NUTTER DAVID BEAVER MEDICAL GROUP

R 47000 MONROE STREET

INDIO, CA 92201

(800) 750-4646OASIS RADIOLOGY OASIS RADILOGY

D 720 EAST LATHAM ST, STE 1

HEMET, CA 92543

(951) 658-9461OBEREMOK STEVE EMMEL OBEREMOK

ORS 39000 BOB HOPE DR RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684O'CONNELL STEPHEN DESERT ORTHOPEDIC CENTER

DME 321 N. LARCHMONT BLVD, STE 711

LOS ANGELES, CA 90004

(323) 462-6004OCULAR PROSTHETICS, INC. OCULAR PROSTHETICS

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 9906/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

HHA 71777 SAN JACINTO, STE 102

RANCHO MIRAGE, CA 92262

(760) 346-2816ODYSSEY HEALTHCARE, INC. ODYSSEY HEALTHCARE OF THE PALM SPRINGS

DME 19167 HWY 18, STE 6

APPLE VALLEY, CA 92307

(760) 567-6248OMNIMOTION, INC OMNI MOTION, INC

FP 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311O'NEAL TIMOTHY BEAVER MEDICAL GROUP

R 11360 MOUNTAIN VIEW AVE. STE C

LOMA LINDA, CA 92692

(909) 478-3300OPEN MRI OF LOMA LINDA WILLIAM M. KELLY, M.D., INC.

R 44215 MONTEREY AVE.

PALM DESERT, CA 92260

(760) 346-6413OPEN SYSTEM IMAGING OPEN SYSTEM MRI OF THE DESERT

DME 1611 JENKS DRIVE

CORONA, CA 92880

(800) 834-1092OPTION ONE HOME MEDICAL EQUIPMENT OPTION ONE HOME MEDICAL EQUIP, INC

DME 770 MAGNOLIA AVE. 1H

CORONA, CA 92879

(951) 549-9696ORTHOPAEDIC MEDICAL SUPPLIES ORTHOPAEDIC MEDICAL SUPPLIES

ORS 521 E. ELDER ST #105

FALLBROOK, CA 92028

(760) 728-5851PACE ROBERT ROBERT C. PACE, MD.

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

DME 3500 TACHEVAH DR., STE., C

PALM SPRINGS, CA 92262

(760) 327-2896PACIFIC PULMARY SERVICES PACIFIC PULMONARY SERVICES

SLD 555 E.TACHEVAH DRIVE

PALM SPRINGS, CA 92262

(760) 416-3505PACIFIC SLEEP MEDICINE SERVICES A MED CO PACIFIC SLEEP MEDICINE, INC.

SLD 10532 ACACIA ST. B-4

RANCHO CUCAMONGA, CA 91739

(909) 481-2577PACIFIC SLEEP MEDICINE SERVICES, INC. PACIFIC SLEEP MEDICINE SERVICES, INC.

OBG 1100 N. PALM CYN DR., STE.212

PALM SPRINGS, CA 92262

(760) 327-7900PACINI LILIA ADVANCED WOMEN'S HEALTHCARE, A MED CORP

GP 68-100 RAMON RD., #C-5

CATHEDRAL CITY, CA 92234

(760) 321-6068PACOLD VIVIEN VIVIEN PACOLD, MD

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642PADILLA (DO NOT USE)LESTER DESERT CARDIOLOGY CONSULTANTS MED GROUP

U 39000 BOB HOPE DR., WRIGHT 412

RANCHO MIRAGE, CA 92270

(760) 346-8555PAGE WILLIAM WILLIAM R PAGE, M.D

GP 81 HIGHLAND SPGS AVE #200

BEAUMONT, CA 92223

(951) 845-0313PAK SUSAN BEAVER MEDICAL GROUP

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PAGE: 10106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PT 77682 COUNTRY CLUB, STE. B

PALM DESERT, CA 92211

(760) 345-3087PALM DESERT PHYSICAL THERAPY PALM DESERT PHYSICAL THERAPY

UC 73-345 HWY 111, STE. 101

PALM DESERT, CA 92260

(760) 340-5800PALM DESERT URGENT CARE PALM DESERT URGENT CARE

R 1850 N RIVERSIDE AVE #160

RIALTO, CA 92376

(909) 421-3040PALM IMAGING INSTITUTE PALM IMAGING INSTITUTE, INC

PA 1300 AVENIDA VISTA HERMOSA

SAN CLEMENTE, CA 92673

(949) 489-4290PALMAN BRENT WEST DERM SURG MED GRP

FP 555 E. TACHEVAH DR. #2W-203

PALM SPRINGS, CA 92262

(760) 323-4272PALMER ERIC ERIK G PALMER

ORS 1080 N. INDIAN CANYON,STE W201

PALM SPRINGS, CA 92262

(760) 416-4511PARDINO, MD SYDNEY CUTTING EDGE ORTHOPEDICS

OBG 1100 N. PALM CANYON DR. #212

PALM SPRINGS, CA 92262

(760) 327-7900PARK JENNIFER ADVANCED WOMEN'S HEALTHCARE, A MED CORP

IM 5957 W RAMSEY STREET

BANNING, CA 92220

(951) 845-0313PARK MOSES BEAVER MEDICAL GROUP

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PAGE: 10206/26/2017

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

POD 56830 29 PALMS HIGHWAY

YUCCA VALLEY, CA 92284

(760) 365-1291PARKER HOWARD HOWARD E PARKER, DPM

OPH 465 N. ROXBURY DR. # 1001

BEVERLY HILLS, CA 90210

(310) 777-8880PARZA KAMBIZ MILAUSKAS EYE INSTITUTE

PT 701 N. HIGHLAND SPRINGS AVE.#6

BEAUMONT, CA 92223

(951) 769-0300PASS PHYSICAL THERAPY/ADORADOR ENT. INC. ADORADOR ENTERPRISES INC

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642PATEL PHILIP DESERT CARDIOLOGY CONSULTANTS MED GROUP

DME 791 PARK OF COMMERCE BLVD, SUI

BOCA RATON, CA 33487

(800) 443-4325PEGASIS AIRWAVE, INC PEGASIS AIRWAVE, INC

END 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311PERKEL VICTOR BEAVER MEDICAL GROUP

PT 73221 HWY 111 STE. A

PALM DESERT, CA 92260

(760) 773-2179PERRY PHYSICAL THERAPY PERRY PHYSICIAL THERAPY

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OPH 39000 BOB HOPE DRIVE, #W-105

RANCHO MIRAGE, CA 92270

(760) 779-5850PESAVENTO RICHARD INLAND EYE SPECIALISTS, A MED

N/A 5 HOLLAND #101

IRVINE, CA 92618

(949) 558-2190PETERSON SOFIA SOFIA PETERSON MD

FP 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311PETERSON STEPHEN BEAVER MEDICAL GROUP

AN 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311PHAM KHANH BEAVER MEDICAL GROUP

FP 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191PHAM PAUL BEAVER MEDICAL GROUP

IM 79440 CORPORATE CTR. DR. #117

LA QUINTA, CA 92253

(760) 771-2626PHAM THI KIM T K LOAN PHAM, MD INC

DME 28125 BRADLEY ROAD, #190

SUN CITY, CA 92586

(909) 679-9808PHARMAMED INC, MED.SUPPLIES PHARMAMED INC, MED.SUPPLIES

FP LAS PALMAS AA50 BROOKHURST #U

REDLANDS, CA 92373

(909) 793-2506PHILLIPS GORDON BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OPH 41990 COOK ST. #E-502

PALM DESERT, CA 92260

(760) 834-3382PIERAMICI SEAN MILAUSKAS EYE INSTITUTE

SNF 72780 COUNTRY CLUB DR., #100

RANCHO MIRAGE, CA 92270

(760) 773-9750PINE JAMES INTERNAL MEDICINE SPECIALISTS, INC

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642PLAGMAN BROOKE DESERT CARDIOLOGY CONSULTANTS MED GROUP

CH 400 EL CIELO RD#D

PALM SPRINGS, CA 92264

(760) 323-9678POPE KAREN KAREN L POPE

ON 39000 BOB HOPE DR.UIHLEIN BLDG

RANCHO MIRAGE, CA 92270

(760) 346-7855POPESCU MARIA MARIA ILIANA POPESCU PROFESSIONAL CORP

ORS 73345 HIGHWAY 111, #203

PALM DESERT, CA 92260

(760) 346-5519PORTNOFF RONALD RONALD PORTNOFF, MD

IM 40075 BOB HOPE DR. STE. F

RANCHO MIRAGE, CA 92270

(760) 770-5355PREKEZES JOHN JOHN PREKEZES, MD

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

SNF 2990 E. RAMON ROAD

PALM SPRINGS, CA 92262

(760) 323-2638PREMIER CARE CENTER FOR PALM SPRINGS PREMIER CARE CENTER FOR PALM SPRINGS

C 1180 N INDIAN CYN DR. STE E421

PALM SPRINGS, CA 92262

(760) 424-8224PRESSER, MD ERIC R PREMIER SURGICAL ASSOCIATES PALM SPRINGS

OPH 1900 E WASHINGTON STREET

COLTON, CA 92324

(909) 825-3425PUROHIT SURENDAR INLAND EYE INSTITUTE MEDICAL GROUP, INC

RHU 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311PUTNOKY GILBERT BEAVER MEDICAL GROUP

OBG 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404PYKA PAULA BORREGO COMMUNITY HEALTH

PRS 70017 HWY 111 STE 1

RANCHO MIRAGE, CA 92270

(760) 324-0660QUARDT SUZANNE SUZANNE M QUARDT, MD INC

PD 35900 BOB HOPE DR #140

RANCHO MIRAGE, CA 92270

(760) 770-0000QUINTANILLA ARTURO ARTURO QUINTANILLA, MD

GP 39000 BOB HOPE DRIVE

RANCHO MIRAGE, CA 92270

(760) 202-0686QURESHI FARZANA INDUS MEDICAL ASSOCIATES

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 10606/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 54910 PINECREST AVE.

IDYLLWILD, CA 92549

(951) 659-4908QURESHI KAMRAN IDYLLWILD HEALTH CENTER

FP 5957 W. RAMSEY ST

BANNING, CA 92220

(951) 845-0313RAANA ZAKIA BEAVER MEDICAL GROUP

FP 81 HIGHLAND SPGS AVE #200

BEAUMONT, CA 92223

(951) 845-0313RAE DARLENE BEAVER MEDICAL GROUP

OPH 555 N. THIRTEENTH AVE.

UPLAND, CA 91786

(800) 345-8979RAHHAL FIRAS PACIFIC EYE INSTITUTE

NEP 41501 CORPORATE WAY

PALM DESERT, CA 92260

(760) 346-7588RAI CORPORATE WAY PALM DESERT RENAL ADVANTAGE, INC

FP 396 N. MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404RAMIREZ JOSE BORREGO COMMUNITY HEALTH

PD 73555 SAN GORGONIO WAY

PALM DESERT, CA 92260

(760) 674-4976RAMOS JASMINE JASMINE L RAMOS MD FAAP

FP 560 PASEO DOROTEA # 2

PALM SPRINGS, CA 92264

(760) 320-4431RAMOS MARIO MARIO RAMOS MD

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 10706/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

AN 225 SOUTH LAKE AVENUE, SUITE 5

PASADENA, CA 91101

(760) 674-2398RANCHO MIRAGE ANESTHESIOLOGY CONSULTANTSRANCHO MIRAGE ANESTHESIOLOGY CONSULTANTS

AN 39-935 VISTA DEL SOL, SUITE 10

RANCHO MIRAGE, CA 92270

(760) 773-3899RANCHO MIRAGE HYPERBARICS RANCHO MIRAGE HYPERBARICS

ASC 35800 BOB HOPE DR., #100

RANCHO MIRAGE, CA 92270

(760) 699-6515RANCHO MIRAGE SURGERY CENTER RANCHO MIRAGE SURGERY CENTER, LLC

PT 10020 INDIANA AVE.. #100

RIVERSIDE, CA 92503

(951) 637-2320RANCHO PHYSICAL THERAPY RANCHO PHYSICAL THERAPY

GP 851 E. 6TH STREET SUITE B4

BEAUMONT, CA 92223

(951) 845-2294RANDHAWA INDERPAL APEX URGENT CARE

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 10806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

CD 1180 N. INDIAN CYN. DR. #E319

PALM SPRINGS, CA 92262

(760) 325-1203RAO NARASIMHA DESERT HEART PHYSICIANS MED GROUP INC

IM 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311RASOULI GHOLAMREZA BEAVER MEDICAL GROUP

C 1275 E. LATHAM AVE.

HEMET, CA 92543

(951) 652-5555RASTOGI ANIL HEMET HEART MED CENTER

GP 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311RAU RICHARD BEAVER MEDICAL GROUP

PRS 16 E FERN AVE. STE. D

REDLANDS, CA 92373

(909) 792-1100RAU TODD TODD C. RAU, MD

ASC 10904 REAGAN ST

LOS ALAMITOS, CA 90720

(562) 596-3140REAGAN SURGERY CENTER REAGAN SURGERY CENTER

ORS 71780 SAN JACINTO BLDG 1

RANCHO MIRAGE, CA 922705516

(760) 777-8282REBER LYLE DESERT ORTHOPEDIC CENTER

A 1005 N PALM CANYON DRIVE

PALM SPRINGS, CA 92262

(760) 323-8405REDMAN CHARLES BURNEY HEARING AID CENTER, INC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 10906/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PT 161 OLD RANCH ROAD

PALM DESERT, CA 92211

(760) 346-2405REHE STEPHANIE DESERT PHYS THERAPY

PNM 39700 BOB HOPE DR. #202

RANCHO MIRAGE, CA 92270

(760) 341-2360REINHART ROLAND ADVANCED PAIN MANAGEMENT

DME 6147 UNIVERSITY AVE.

SAN DIEGO, CA 92115

(619) 582-3871RGP PROSTHETIC RESEARCH CENTER RGP PROSTHETIC RESEARCH CENTER

HSP 1950 E. 17TH ST.

SANTA ANA, CA 92705

(714) 547-5375RHA, INC DBA CORNERSTONE RHA, INC DBA CORNERSTONE

CH 44855 SAN PABLO AVE. #5

PALM DESERT, CA 92260

(760) 568-2725RICHARDSON DARYL DARYL RICHARDSON

PTH 39000 BOB HOPE DR PATH. DEPT.

RANCHO MIRAGE, CA 92270

(818) 718-9500RICHARDSON PATTI COACHELLA VALLEY PATHOLOGY ASSOC

OPH 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311RIMMER STEVEN BEAVER MEDICAL GROUP

CH 71687 HIGHWAY 111 STE 205

RANCHO MIRAGE, CA 92270

(760) 346-2689RISTAINO RON RON RISTAINO, DC

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 11006/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

DME 21780 SAN JACINTO DR. A-2

RANCHO MIRAGE, CA 92270

(760) 340-3248RIVERS EDGE PHARMACY RIVER'S EDGE PHARMACY

GP 7117 BROCKTON AVE

RIVERSIDE, CA 92506

(951) 683-6370RIVERSIDE MEDICAL CLINIC RIVERSIDE MEDICAL CLINIC

OPH 12550B AMARGOSA ROAD

VICTORVILLE, CA 92392

(760) 241-6366ROBBIN DAVID PACIFIC EYE INSTITUTE

PT 73-271 FRED WARING DR. #102

PALM DESERT, CA 92260

(760) 341-6888ROBERTS JAY D. JAY D ROBERTS M.D INC

CH 67555 E. PALM CYN. DR. #C108

CATHEDRAL CITY, CA 92234

(760) 321-1453ROBLES, KORTMEYEREDITH EDITH ROBLES KORTMEYER, DC

OPH 1900 E WASHINGTON ST

COLTON, CA 92324

(909) 825-3425ROE RICHARD INLAND EYE INSTITUTE MEDICAL GROUP, INC

GP 851 E. 6TH STREET, SUITE B4

BEAUMONT, CA 92223

(951) 845-2294ROGALA CAROL APEX URGENT CARE

ORS 1150 N. INDIAN CANYON DR

PALM SPRINGS, CA 92262

ROGER DOUGLAS DOUGLAS J. ROGER M.D., A PROF CORP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 11106/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PD 1100 N. PALM CYN. STE. 4

PALM SPRINGS, CA 92262

(760) 327-1188ROGERS ELISA ELISA S. ROGERS, M.D., INC

R 350 TERRACINA BLVD

REDLANDS, CA 92373

(909) 793-3311ROLD KERRY BEAUMONT RADIOLOGY SERVICES

PDS 215 S. HICKORY #126

ESCONDIDO, CA 92025

(760) 745-7313ROSENFELD GINA CHILDRENS MEDICAL GROUP

FP 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404ROSS COLLIN BORREGO COMMUNITY HEALTH

CH 66483 PIERSON BLVD.

DESERT HOT SPRINGS, CA 92240

(760) 329-5534ROSS PAUL PAUL M. ROSS D.C.

PTH 1150 N INDIAN CANYON DR

PALM SPRINGS, CA 922624872

(818) 718-9503ROSSER ROBERT DESERT PATHOLOGY MEDICAL GROUP

D 1901 LUGONIA AVE. #310

REDLANDS, CA 92374

(909) 793-2964ROTAN EDWARD WEST DERM SURG MED GRP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 11206/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

POD 69730 HWY 111, STE. 101

RANCHO MIRAGE, CA 92270

(760) 328-4669ROTHSTEIN ANDREW DESERT PODIATRY GROUP

OTO 8241 ROCHESTER AVE STE 130

RANCHO CUCAMONGA, CA 91730

(909) 880-2000ROY DEBORSHI ENT SINUS CENTER

PDS 215 S. HICKORY #126

ESCONDIDO, CA 92025

(760) 745-7313RUA JOSE CHILDRENS MEDICAL GROUP

D 69-844 HWY 111,STE K

RANCHO MIRAGE, CA 92270

(760) 770-4166RUBAKOVIC SVETLANA MIRAGE MEDICAL GROUP

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642RUBIN ANDREW DESERT CARDIOLOGY CONSULTANTS MED GROUP

OPH 555 N. THIRTEENTH AVE.

UPLAND, CA 91786

(800) 345-8979RUDOMETKIN NATHAN PACIFIC EYE INSTITUTE

C 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311RUIZ CYNTHIA BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 11306/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 47647 CALEO BAY STE. 120

LA QUINTA, CA 92253

(760) 564-9205RUIZ EDWARD EDWARD A. RUIZ MD

FP 47647 CALEO BAY STE. #120

LA QUINTA, CA 92253

(760) 564-9205RUIZ ERICA ERICA RUIZ

IM 490 S. FARRELL DR. STE C-10

PALM SPRINGS, CA 92262

(760) 416-6773RUSS KENNETH KENNETH C. RUSS MD

IM 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311RUSTEM SALIAR BEAVER MEDICAL GROUP

IM 1100 N PALM CANYON DR #205

PALM SPRINGS, CA 92262

(760) 323-4296SABBAH GHALEB TOTAL HEALTH MEDICAL OF THE DESERT, CORP

MFS 39000 BOB HOPE DR., # W-301

RANCHO MIRAGE, CA 92270

(760) 674-4429SACHS NEIL NEIL F. SACHS, DMD

IM 1492 N. PALM CANYON DR.

PALM SPRINGS, CA 92262

(760) 322-2520SACKS HYMAN DESERT PRIMARY CARE MEDICAL

N 1180 N. INDIAN CYN. DR. #W-208

PALM SPRINGS, CA 92292

(760) 318-0070SALARI NAMIN HAMID REZA EISENHOWER MEDICAL CENTER

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191SALAZAR SUSAN BEAVER MEDICAL GROUP

IM 57725 TWENTYNINE PALMS # 403

YUCCA VALLEY, CA 92284

(760) 228-1929SALHOTRA PREM MORONGO MEDICAL GROUP INC

OPH 340 S FARRELL DR., A-105

PALM SPRINGS, CA 92262

(760) 327-6225SALIB DAVID SOUTHERN CALIF DESERT RETINA CONSULTANTS

FP 81-800 DR. CARREON BLVD. #A

INDIO, CA 92201

(760) 347-2665SALUJA JASBIR JASBIR SALUJA, M.D.

NPM 1150 N. INDIAN CYN., NICU DEPT

PALM SPRINGS, CA 92262

(760) 323-6430SALVA ANNA MARIE DESERT NEONATAL GROUP

GYN 39000 BOB HOPE DR., #K-306

RANCHO MIRAGE, CA 92270

(760) 346-5656SALVAGGIO ANTHONY DESERT GYNECOLOGY MED CORP

PSY 2825 E. TAQUITZ CYN. WAY #103

PALM SPRINGS, CA 92262

(760) 320-0446SALVIN VICKI VICKI SALVIN, LCSW

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 11506/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

IM 72780 COUNTRY CLUB DRIVE B205

RANCHO MIRAGE, CA 92270

(760) 834-7900SAMPLES JOHN JOHN W. SAMPLES, M.D., PROF CORP

ASC 902 E HIGHLAND AVE

SAN BERNARDINO, CA 92404

(909) 882-3728SAN BERNARDINO EYE SURGERY CENTER DBA THSAN BERNARDINO EYE SURGERY CENTER DBA TH

NEP 1101 N. PALM CANYON, SUITE 211

PALM SPRINGS, CA 92262

(760) 323-1155SANCHEZ JOSEPH NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC

SP 42600 CAROLINE COURT #100

PALM DESERT, CA 92211

SANCHEZ LUCY EASY SPEECH PATHOLOGY, INC

IM 1180 N. INDIAN CYN DR. 421-E

PALM SPRINGS, CA 92262

(760) 416-4949SANOYAN NAIRA NARIA R SANOYAN, MD

FP 1293 SIXTH STREET

COACHELLA, CA 92236

(760) 391-5151SANTA ROSA DEL VALLE MED GRP SANTA ROSA DEL VALLE - DESERT UC

NP 1041 E YORBA LINDA BLVD #304

PLACENTIA, CA 92870

(714) 924-7240SANTIAGO TERRY WEST DERMATOLOGY SURG MED GROUP

FP 1600 E. CITRUS AVE., STE. A

REDLANDS, CA 92374

(909) 794-3682SARKIS NAIRY BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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PAGE: 11606/26/2017

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OBG 1100 N. PALM CANYON DR. #107

PALM SPRINGS, CA 92262

(760) 322-3166SCHMITT WILLIAM ENRIQUE G JACOME, MD, INC

OPH 1900 E WASHINGTON STREET

COLTON, CA 92324

(909) 825-3425SCHNEIDER KIMBER INLAND EYE INSTITUTE MEDICAL GROUP, INC

OPH 1900 E WASHINGTON ST

COLTON, CA 92324

(909) 825-3425SCHOFIELD JOHN INLAND EYE INSTITUTE MEDICAL GROUP, INC

OBG 2918 FIFTH AVE. #300

SAN DIEGO, CA 92103

(619) 688-0770SCHONBRUN MYRON MYRON SCHONBRUN, M.D.

FP 31538 RANCHO PUEBLO RD # 102

TEMECULA, CA 92592

(951) 303-2277SCHOONMAKER JOHN MISSION FAMILY MEDICAL GROUP INC.

EM 81-767 DR. CARREON BLVD. #2

INDIO, CA 92201

(760) 775-4181SCHULER FRANK INDIO EMERGENCY MEDICAL GROUP

OPH 81893 DR. CARREON BLVD.

INDIO, CA 92201

(760) 342-9991SCHULTZ GERALD GERALD R. SCHULTZ MD

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

GS 39000 BOB HOPE DR. #P-212

RANCHO MIRAGE, CA 92270

(760) 346-8771SCHULZ KARL KARL A. SCHULZ MD INC

GS 39000 BOB HOPE DR. #P-212

RANCHO MIRAGE, CA 92270

(760) 346-8771SCHULZ PETER PETER R SCHULZ MD INC.

N 56970 YUCCA TRAIL #104

YUCCA VALLEY, CA 92284

(760) 365-3711SEBTI ESMAEIL ESMAEIL SEBTI

PUD 6109 W. RAMSEY ST

BANNING, CA 92220

(951) 845-0313SEHEULT ROGER BEAVER MEDICAL GROUP

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684SEIBERG MICHAEL DESERT ORTHOPEDIC CENTER

IM 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311SEIBERLING MONROE BEAVER MEDICAL GROUP

MFS 39-935 VISTA DEL SOL

RANCHO MIRAGE, CA 92270

(760) 779-9989SEIM PHILLIP SCHEER, KREIZENBECK PROF PARTNERSHIP

ORS 57402 29 PALMS HWY # 5

YUCCA VALLEY, CA 92284

(760) 365-2520SEIP JEFFREY SEIP ORTHOPEDIC CENTER

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Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

NTR 44319 SILVER CANYON LANE

PALM DESERT, CA 92260

(760) 238-8895SELFHEALTH (DBA LISA SINGER) SELFHEALTH

ORS 1180 N. INDIAN CANYON DR., STE

PALM SPRINGS, CA 92262

(760) 416-4511SERIF LAWRENCE DOUGLAS J. ROGER M.D., A PROF CORP

NEP 7223 CHURCH STREET SUITE A-40

HIGHLAND, CA 92346

(909) 882-0702SERROS EDWARD EDWARD SERROS MD INC

CH 2150 E. TAHQUITZ CYN. WAY #5

PALM SPRINGS, CA 92262

(760) 325-4595SEVERSON WILLIAM TAHQUITZ CANYON CHIROPRACTIC

OBG 555 TACHEVAH #2W201

PALM SPRINGS, CA 92262

(760) 318-1999SEVILLA JACQUELINE JACQUELINE SEVILLA, M.D.

PD 8110 MANGO AVENUE

FONTANA, CA 92335

(909) 822-1164SEVILLA-ANDERSONEUNICE GOOD NIGHT PEDIATRICS EAST VALLEY

OPH 40055 BOB HOPE DR. STE J

RANCHO MIRAGE, CA 92270

(760) 346-5005SHAAF MEHDI SHAAF EYE CENTER

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642SHAEFFER CHARLIE DESERT CARDIOLOGY CONSULTANTS MED GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PD 245 TERRACINA BLVD., #202

REDLANDS, CA 92373

(909) 793-2896SHAH PRAFUL BEAVER MEDICAL GROUP

PUD 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311SHANKEL THEODORE BEAVER MEDICAL GROUP

MFC 73255 EL PASEO #18

PALM DESERT, CA 92260

(760) 488-5054SHANNON NANCY NANCY L. SHANNON, PSY. D., MFT

NEP 625 E. GRAND AVE.

ESCONDIDO, CA 92025

(760) 745-1551SHAPIRO MARK BALBOA NEPHROLOGY MEDICAL GROUP

C 39000 BOB HOPE DRIVE

RANCHO MIRAGE, CA 922703221

(760) 346-0642SHAVER PHILIP DESERT CARDIOLOGY CONSULTANTS MED GROUP

PUD 6109 W. RAMSEY ST.

BANNING, CA 92220

(951) 845-0313SHELDON RICHARD BEAVER MEDICAL GROUP

VS 1780 E. FLORIDA AVE.

HEMET, CA 92544

(951) 652-0028SHEU LUKE LUKE SHEU, M.D.

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OPH 555 N THIRTEENTH AVE

UPLAND, CA 91786

(909) 982-8846SHIBATA CARL PACIFIC EYE INSTITUTE

D 72785 FRANK SINATRA #100

RANCHO MIRAGE, CA 92270

(760) 776-8637SHIELL RONALD WEST DERM SURG MED GRP

IM 1851 N RIVERSIDE AVE.

RIALTO, CA 92346

(909) 874-2371SHIS-CHING KEITH UNITED FAMILYCARE. INC.

CH 890 BEAUMONT AVE

BEAUMONT, CA 92223

(951) 845-1177SHORT DELPHINE DELPHINE SHORT, DC.

FP 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191SHOVER HEATHER BEAVER MEDICAL GROUP

PTH 39000 BOB HOPE DR

RANCHO MIRAGE, CA 92270

(760) 773-2006SIAMI NAMINI KOUSHAN COACHELLA VALLEY PATHOLOGY ASSOC

MFC 45080 GOLF CENTER PARKWAY H

INDIO, CA 92201

(760) 342-8344SILVA AURORA AURORA SILVA, M.F.T.

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

C 1180 N INDIAN CANYON SUITE 319

PALM SPRINGS, CA 92262

(760) 325-1203SILVER STEVEN DESERT HEART PHYSICIANS MED GROUP INC

OBG 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311SIMMONS DONALD BEAVER MEDICAL GROUP

MFC 339 CAJON ST. A

REDLANDS, CA 92373

(909) 307-3342SIMON DIANNA DIANNA JEAN SIMON

FP 4646 BROCKTON AVE

RIVERSIDE, CA 92506

(951) 774-2870SINDHER RAJ RAINCROSS MEDICAL GROUP

FP 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191SINGH RAVNEET BEAVER MEDICAL GROUP

NEP 1100 N. PALM CYN., #210

PALM SPRINGS, CA 92262

(760) 323-1155SITKER ERIK NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC

ORS 1011 E. DEVONSHIRE ST. #203

HEMET, CA 92543

(951) 652-1600SKUBIC JOHN SAN BERNARDINO MED ORTHO GRP

SLD 35-900 BOB HOPE DR. STE. 172

RANCHO MIRAGE, CA 92270

(760) 699-7914SLEEP DIAGNOSTIC CENTER OF RANCHO MIRAGESLEEP DIAGNOSTIC CENTER OF RANCHO MIRAGE

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

SLD 81833 DR. CARREON BLVD. #4

INDIO, CA 92201

(760) 347-0110SLEEP DIAGNOSTIC OF THE COACHELLA VALLEY SLEEP DIAGNOSTIC OF THE COACHELLA VALLEY

SLD 1330 N. INDIAN CANYON DRIVE

PALM SPRINGS, CA 92262

(760) 778-1320SLEEP DISORDERS OF PALM SPRINGS (DBA THO SLEEP DISORDERS OF PALM SPRINGS

SLD 72301 COUNTRY CLUB RIVE, SUITE

RANCHO MIRAGE, CA 92270

(760) 346-0553SLEEPMED (FKA HOME SLEEP DIAGNOSTICS, IN SLEEP MED

MFC 264 HIGHLAND SPRINGS BLDG 1-C

BANNING, CA 92220

(951) 845-8262SLOAN MICHAEL MICHAEL P. SLOAN, PHD.

ORS 4444 MAGNOLIA AVE

RIVERSIDE, CA 92601

(951) 682-5661SMALLEY DAVID COMMUNITY MEDICAL GROUP OF RIVERSIDE

FP 57463 29 PALMS HWY, #202

YUCCA VALLEY, CA 92284

(760) 367-6028SMITH ELDENE YUCCA VALLEY FAMILY MEDICAL ASSOC. INC.

PD 26900 NEWPORT RD. #111

MENIFEE, CA 92584

(951) 301-5380SMITH JEFF PEDIATRIC PARTNERS MPC

PA 555 E. TACHEVAH

PALM SPRINGS, CA 922625776

SMITH LAURA DERAKHSH FOZOUNI MD OBGYN & ASSOC

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4 YOUR CHOICE

PHONE

D 72785 FRANK SINATRA DRIVE #100

RANCHO MIRAGE, CA 92270

(760) 776-8637SMITH MATTHEW WEST DERMATOLOGY SURG MED GROUP

PD 1600 E. CITRUS AVE. STE. A

REDLANDS, CA 92374

(909) 794-3682SMITH ROY BEAVER MEDICAL GROUP

FP 79-440 CORP. CENTER DR .

LA QUINTA, CA 922537243

SMITH, DO ELLEN COACHELLA VALLEY CARE MEDICAL ASSOC, INC

US 215 S. HICKORY #126

ESCONDIDO, CA 920125

(760) 745-7313SOCHA TRACI CHILDRENS MEDICAL GROUP

ORS 1901 W. LUGONIA AVE. #110

REDLANDS, CA 92374

(909) 557-1690SOHN JOHN ORTHOPEDIC IMAGING CENTER, LLC

ORS 1901 W LUGONIA AVE #110

REDLANDS, CA 92374

(909) 557-1690SONG ANDREW ORTHOPEDIC IMAGING CENTER, LLC

IM 81 HIGHLAND SPGS AVE. #200

BEAUMONT, CA 92223

(951) 845-0313SONG MARGARET BEAVER MEDICAL GROUP

OPH 555 N. THIRTEENTH AVE

UPLAND, CA 91786

(800) 345-8979SONGSANAND PRISCILLA PACIFIC EYE INSTITUTE

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

C 39000 BOB HOPE DR. WALLACE BLD

RANCHO MIRAGE, CA 92270

(760) 346-0642SONTZ ERIC DESERT CARDIOLOGY CONSULTANTS MED GROUP

P 3605 E RAMON RD

PALM SPRINGS, CA 92264

(760) 325-5630SPECIALIZED PSYCHOLOGY SOLUTIONS SPECIALIZED PSYCHOLOGY SOLUTIONS

OPH 44435 TOWN CENTER WAY, SUITE B

PALM DESERT, CA 92260

(760) 320-2133SPIEGEL PETER INLAND EYE SPECIALISTS, A MED

CH 555 TACHEVAH, STE 1W-204

PALM SPRINGS, CA 92262

(760) 327-9402SPURGIN DENNIS DENNIS E. SPURGIN DC

CH 80-545 HIGHWAY 111, #B

INDIO, CA 92201

(760) 347-6822SPURGIN KURT KURT A. SPURGIN, DC

HHA 72301 COUNTRY CLUB DR. STE 113

RANCHO MIRAGE, CA 92270

(760) 318-0403ST. ANTHONY'S HOME CARE, INC. ST. ANTHONY'S HOME CARE, INC.

ORS 1180 N. INDIAN CYN., STE. 201

PALM SPRINGS, CA 92262

(760) 416-4511STABILE LOUIS DESERT ORTHOPEDIC TRAUMA

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4 YOUR CHOICE

PHONE

GP 1100 N. PALM CANYON DR. #210

PALM SPRINGS, CA 92262

STANLEY, MD EDGAR EDGAR J STANLEY, MD A MEDICAL CORP

PTH 81715 DR CARREON BLVD #A2

INDIO, CA 92201

(760) 347-8947STARKE WILLIAM APPLIED PATHOLOGY MEDICAL ASSOCIATES

HHA 40194 BOB HOPE DRIVE

RANCHO MIRAGE, CA 92270

(760) 568-1222STATE WIDE EXPRESS STATE WIDE EXPRESS

R 399 EAST 21ST STREET

SAN BERNARDINO, CA 92404

(909) 882-2266STECZ EUGENE PALM IMAGING INSTITUTE, INC

FP 78120 WILDCAT DRIVE

PALM DESERT, CA 92211

(760) 360-1433STEELE STEPHEN EISENHOWER MEDICAL CENTER

NPM 1150 N. INDIAN CANYON DR.

PALM SPRINGS, CA 92262

(760) 323-6436STEIGER RALPH RALPH M STEIGER M.D

C 625 E. GRAND

ESCONDIDO, CA 92025

(760) 745-1551STEIN ROBERT PALOMAR MEDICAL GROUP

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

NP 1901 W. LUGONIA AVE. #102

REDLANDS, CA 92374

(909) 557-1600STEINMANN JAMALLE SAN BERNARDINO MED ORTHO GRP

ORS 1011 E. DEVONSHIRE ST. #203

HEMET, CA 92543

(951) 652-1600STEINMANN JOHN SAN BERNARDINO MED ORTHO GRP

OPH 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311STEINMANN THOMAS BEAVER MEDICAL GROUP

OPH 39700 BOB HOPE DR. #109

RANCHO MIRAGE, CA 92270

(760) 340-3937STEINSCHRIBER STEVEN MILAUSKAS EYE INSTITUTE

C 69-7930 HWY 111 STE 116

RANCHO MIRAGE, CA 92270

(760) 340-5545STELLAR WILLIAM WILLIAM A. STELLAR, M.D, INC

ORS 2 W. FERN AVE

REDLANDS, CA 92373

(909) 793-3311STEWART JAMES BEAVER MEDICAL GROUP

DMP 720 E. LATHAM STE. 1

HEMET, CA 92543

(951) 658-9461STEWART SUSAN EMMEL OBEREMOK

IM 40075 BOB HOPE DR. STE. F

RANCHO MIRAGE, CA 92270

(760) 770-5355STIRLING ANETA ANETA STIRLING MD

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

NEP 1180 N. INDIAN CANYON DR #W303

PALM SPRINGS, CA 92262

(760) 416-4819STONE BRYAN DESERT NEPHROLOGY MEDICAL GROUP

GE 6109 W, RAMSEY ST.

BANNING, CA 92220

(951) 845-0313STRONG RICHARD BEAVER MEDICAL GROUP

FP 13-570 PALM DRIVE

DESERT HOT SPRINGS, CA 92240

(760) 329-1776STRUZZO JOSEPH JOSEPH STRUZZO, M.D

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684SULLIVAN ROBERT DESERT ORTHOPEDIC CENTER

ORS 39000 BOB HOPE DR RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684SWEENEY JOHN DESERT ORTHOPEDIC CENTER

POD 400 S. FARRELL DR. SUITE B-101

PALM SPRINGS, CA 92262

(760) 320-7276SWEET WILLIAM WILLIAM E. SWEET DPM

ORS PO BOX 2757

ORANGE, CA 92859

SZAMBELAN ELZBIETA ELZBIETA SZAMBELAN MD

OPH 1900 E WASHINGTON ST

COLTON, CA 92324

(909) 825-3425TABANDEH HOMAYOUN INLAND EYE INSTITUTE MEDICAL GROUP, INC

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PAGE: 12806/26/2017

Sorted by Provider Last Name

SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684TAHERNIA AMIR DAVID DESERT ORTHOPEDIC CENTER

FP 88775 AVENUE 76 #1

THERMAL, CA 92274

(760) 397-2501TAHIRU ADAMU BORREGO COMMUNITY HEALTH

FP 2390 E FLORIDA AVE #61

HEMET, CA 92544

(951) 658-7297TAHL MARIANNE MARIANNE TAHL,MD

D 400 NEWPORT CENTER DR

NEWPORT, CA 92260

(949) 644-0101TAN BELINDA WEST DERMATOLOGY SURG MED GROUP

PUD 1180 N. INDIAN CYN., #W-208

PALM SPRINGS, CA 92262

(760) 323-4416TANNOUS ZIAD ZIAD TANNOUS

FP 39000 BOB HOPE DR., #K-406

RANCHO MIRAGE, CA 92270

(760) 836-0708TARLETON HAROLD TARLETON MEDICAL GROUP

HSP 18646 OXNARD ST.

TARZANA, CA 91356

(800) 996-1051TARZANA TREATMENT CENTERS TARZANA TREATMENT CENTERS

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PUD 39000 BOB HOPE DR., #K-307

RANCHO MIRAGE, CA 92270

(760) 699-7161TAVAKOLI SHAHRIYAR UNITED MEDICAL GROUP, INC.

MFS 39-935 VISTA DEL SOL STE 102

RANCHO MIRAGE, CA 92270

(760) 779-9989TAYLOR CLARK SCHEER, KREIZENBECK PROF PARTNERSHIP

FP 41-990 COOK ST. BLDG J

PALM DESERT, CA 92211

(760) 341-6262TAYLOR JOHN JOHN TAYLOR

FP 39300 BOB HOPE DR., #B-1105

RANCHO MIRAGE, CA 92270

(760) 773-3379TAYLOR MURRAY RANCHO MIRAGE FAMILY MEDICAL GROUP, INC.

HSP 1412 E. CHAPMAN AVE.

ORANGE, CA 92866

(714) 288-9779TEENSAVERS TEENSAVERS INC.

MFC 41750 RANCHO LAS PALMAS STE.D2

RANCHO MIRAGE, CA 92270

(760) 346-4606TEITELBAUM CAROL CAROL TEITELBAUM, L.M.F.T.

SP 42600 CAROLINE COURT #100

PALM DESERT, CA

TERRIQUEZ CHUO MARIA EASY SPEECH PATHOLOGY, INC

FP 58471 29 PALMS HIGHWAY,STE 201

YUCCA VALLEY, CA 92284

(760) 228-1114THAKUR CHAHAT INDROJ MEDICAL GROUP INC

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PAGE: 13006/26/2017

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

ASC 1900 E. WASHINGTON ST.

COLTON, CA 92324

(909) 825-3425THE EYE SURGERY CENTER THE EYE SURGERY CENTER

GE 35900 BOB HOPE DR. #275

RANCHO MIRAGE, CA 92270

(760) 321-2500THOMAS CARLTON CARLTON W. THOMAS, M.D.

OPH 555 E. TACHEVAH DR. #101

PALM SPRINGS, CA 92262

(760) 327-1561THOMAS KARIN MILAUSKAS EYE INSTITUTE

OBG 4343 YAQUI PASS RD

BORREGO SPRINGS, CA 92004

(760) 767-5051THOMAS ROBERT BORREGO COMMUNITY HEALTH

GP 555 TACHEVAH #1W-204

PALM SPRINGS, CA 92262

(760) 323-9818THOMAS SEAN COHEN, MUSCH, THOMAS MEDICAL GROUP

OBG 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311THORPE GERALD BEAVER MEDICAL GROUP

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PAGE: 13106/26/2017

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

FP 75-280 SEELY DR. 2ND FLOOR

LA QUINTA, CA 92253

(760) 834-7920THRASHER KENNETH EISENHOWER MEDICAL CENTER

FP 79-430 HIGHWAY 111, STE 102

LA QUINTA, CA 92253

(760) 625-0569TIBB DALIP DESERT VALLEY PRIMARY CARE ASSOICATES

FP 8110 MANGO AVENUE

FONTANA, CA 92335

(909) 822-1664TOOMA RAJA UNITED FAMILYCARE. INC.

OTO 39000 BOB HOPE DR. P-202

RANCHO MIRAGE, CA 92270

(760) 340-1788TORABI MAJID DESERT CITIES ALLERGY OTOLARYNGOLOGY INC

P 44-530 SAN PABLO STE 201

PALM DESERT, CA 92260

(760) 341-8878TORBAN RICHARD DESERT PSYCHIATRIC ASSOCIATES

PNM 35-900 BOB HOPE DRIVE #235

RANCHO MIRAGE, CA 92270

(760) 328-9001TORIAN DIKRAN DIKRAN TORIAN MD

OBG 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311TOURSARKISSIAN KAREM BEAVER MEDICAL GROUP

IM 625 E. GRAND

ESCONDIDO, CA 92025

(760) 745-1551TREMAIN NICOLE PALOMAR MEDICAL GROUP

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

R 72980 FRED WARING DR., STE. A

PALM DESERT, CA 92260

(760) 776-8001TRULY OPEN MRI WILLIAM M. KELLY, M.D., INC.

IM 2150 N. WATERMAN AVE. #200

SAN BERNARDINO, CA 92404

(909) 887-7951TRUONG HUY UNITED FAMILYCARE. INC.

IM 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311TRUONG TRANG BEAVER MEDICAL GROUP

NP 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404TUCKER HAM TAMARA BORREGO COMMUNITY HEALTH

PA 1901 W. LUGONIA AVE. # 120

REDLANDS, CA 92374

(909) 557-1600TURPEN FOLKS HEIDI SAN BERNARDINO MED ORTHO GRP

OTO 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191UMEDA ALVIN BEAVER MEDICAL GROUP

PTH PO BOX 31309

LOS ANGELES, CA 90031

(626) 457-5801UNIVERSITY PATHOLOGY ASSOCIATES USC CARE MED GROUP INC

R PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC ADVANCED BIO IMAGING ASSOC. USC CARE MED GROUP INC

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

AN PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC ANESTHESIOLOGY/PAIN MGMT USC CARE MED GROUP INC

CDS P.O. BOX 31309

LOS ANGELES, CA 90031

(626) 457-5801USC CARDIOTHORACIC SURGEONS USC CARE MED GROUP INC

D PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC CARE DEPT. OF DERMATOLOGY USC CARE MED GROUP INC

ORS 1520 SAN PABLO ST. # 2000

LOS ANGELES, CA 90033

(323) 442-5860USC CARE MEDICAL GROUP-ORTHOPEDICS USC CARE MED GROUP INC

CLP PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC CLINICAL LABORATORIES USC CARE MED GROUP INC

CRS P.O. BOX 31309

LOS ANGELES, CA 90031

(626) 457-5801USC COLORECTAL SURGEONS USC CARE MED GROUP INC

PSY PO BOX 31309

LOS ANGELES, CA 90031

(626) 457-5801USC DEPT OF PHYCHIATRY & PSYCHOLOGY USC CARE MED GROUP INC

EM PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC EMERGENCY MEDICINE ASSOC. USC CARE MED GROUP INC

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4 YOUR CHOICE

PHONE

FP PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC FAMILY MEDICINE USC CARE MED GROUP INC

IM PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC INTERNAL MEDICINE USC CARE MED GROUP INC

NS PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC NEUROLOGIST/NEURO-MUSCULAR CTR USC CARE MED GROUP INC

OBG PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC OB/GYN EXCLUDES INFERTILITY/ENDOCRIN USC CARE MED GROUP INC

OM PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC OCCUPATIONAL THERAPY ASSOCIATES USC CARE MED GROUP INC

ORS PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC ORTHOPAEDIC SURGERY ASSOC. USC CARE MED GROUP INC

PT PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC PHYSICIAL THERAPY ASSOCIATES USC CARE MED GROUP INC

RON PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC RADIATION ONCOLOGY ASSOCIATES USC CARE MED GROUP INC

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

RT PO BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC RADIOLOGY ASSOCIATES USC CARE MED GROUP INC

U PP BOX 31309

LOS ANGELES, CA 900310309

(626) 457-5801USC UROLOGICAL ASSOCIATES USC CARE MED GROUP INC

IM 81-833 DR. CARREON BLVD.

INDIO, CA 92201

(760) 775-8889VACHHANI KISHOR KISHOR VACHHANI, MD

D 8950 W. OLYMPIC BLVD. #171

BEVERLY HILLS, CA 90211

(310) 204-2100VADMAL MANJUNATH UNIVERSITY DERMATOPATHOLO

OBG 81863 DR. CARREON BLVD. #5

INDIO, CA 92201

(760) 347-8751VAFA KARIM KARIM VAFA, M.D.

ON 40075 BOB HOPE DR SUITE A

RANCHO MIRAGE, CA 92270

(760) 341-3688VAFAI DAVOOD DAVOOD VAFAI M.D INCORPORATED

OBG 2918 FIFTH AVE. #300

SAN DIEGO, CA 92103

(619) 688-0770VAN DEN HEUVEL KELLY MYRON SCHONBRUN, M.D.

OTO 39000 BOB HOPE DR., W-301

RANCHO MIRAGE, CA 92270

(760) 340-4566VANDERWERF QUINTEN DESERT EAR, NOSE & THROAT MEDICAL GROUP

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

OBG 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311VAZQUEZ DAVID BEAVER MEDICAL GROUP

FP 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404VELA RICARDO BORREGO COMMUNITY HEALTH

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684VELYVIS JOHN DESERT ORTHOPEDIC CENTER

IM 1851 N. RIVERSIDE AVENUE

RIALTO, CA 92376

(909) 874-2371VERDE NERMINIA UNITED FAMILYCARE. INC.

OPH 1900 E. WASHINGTON ST

COLTON, CA 92324

(909) 825-3425VIDOR IRA INLAND EYE INSTITUTE MEDICAL GROUP, INC

IM 8110 MANGO AVE

FONTANA, CA 92335

(909) 822-1164VILLANUEVA LYDIA UNITED FAMILYCARE. INC.

PD 1180 N. INDIAN CYN., W-400

PALM SPRINGS, CA 92262

(760) 416-5010VILLARASA ALEXANDER ALEXANDER A. VILLARASA, M.D., INC

HHA 42-600 COOK STREET, SUITE 202

PALM DESERT, CA 92211

(760) 346-3982VISITING NURSES ASSOCIATION VISITING NURSE ASSOC OF INLAND COUNTIES

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

DME 20351 IRVINE AVE. C6

SANTA ANA HEIGHTS, CA 92707

(714) 435-1904VITAL MEDICAL VITAL MEDICAL

OTO 1180 N. INDIAN CYN., DR. #311

PALM SPRINGS, CA 922624418

(760) 323-4735VO NGUYEN TRANG MICHAEL R GATTO, MD, INC

R 399 E 21ST ST

SAN BERNARDINO, CA 92404

(909) 882-2266VOCI TATIAN PALM IMAGING INSTITUTE, INC

ORS 900 E WASHINGTON #200

COLTON, CA 92324

(909) 882-2266VON PAHLEN STEPHANIE PALM IMAGING INSTITUTE, INC

DME 18011 MITCHELL SOUTH

IRVINE, CA 92614

(800) 266-6969VQ ORTHOCARE (AKA: VISIONQUEST INDUSTRIE VQ ORTHOCARE

CD 63532 29 PALMS HWY STE. A

JOSHUA TREE, CA 92252

(760) 366-8491VUTHOORI SURENDER S VUTHOORI MD INC

A 39000 BOB HOPE DR. W-100

RANCHO MIRAGE, CA 92270

(760) 568-3595WALDMAN DAVID ALLERGY & ASTHMATIC DISEASE A MED GROUP

PT 16081 TUSCOLA RD #6

APPLE VALLEY, CA 92307

(760) 242-8672WALKER ROBERT HUDSON & WALKER A PHYSICAL THERAPY CORP

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4 YOUR CHOICE

PHONE

ORS 4444 MAGNOLIA AVE

RIVERSIDE, CA 92501

(951) 682-5661WALL JEROME COMMUNITY MEDICAL GROUP OF RIVERSIDE

R 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311WALLMAN JAMES BEAVER MEDICAL GROUP

U 72-057 HIGHWAY 111

RANCHO MIRAGE, CA 92270

(760) 346-7191WALSH LANCE WALSH UROLOGY ASSOCIATES

PSY 1801 E TAHQUITZ CYN WAY #200

PALM SPRINGS, CA 92262

(760) 327-4755WALTERS NICOLLE DAN G WALTERS, MD

OTO 39000 BOB HOPE DR. W-301

RANCHO MIRAGE, CA 92270

(760) 340-4566WALZ CHRISTOPHER DESERT EAR, NOSE & THROAT MEDICAL GROUP

R 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311WAT KAREN BEAVER MEDICAL GROUP

OPH 41990 COOK ST. #E-502

PALM DESERT, CA 92260

(760) 834-3382WATERS GEORGE MILAUSKAS EYE INSTITUTE

PSY 73567 FRED WARING

PALM DESERT, CA 92260

(760) 837-1188WATSON DANIEL DANIEL WATSON PH. D..

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4 YOUR CHOICE

PHONE

ORS 259 TERRACINA BLVD.

REDLANDS, CA 92373

(909) 793-2634WATSON JAMES BEAVER MEDICAL GROUP

FP 57463 29 PALMS HWY., #203

YUCCA VALLEY, CA 92284

(760) 367-6028WEAVER MICHELLE YUCCA VALLEY FAMILY MEDICAL ASSOC. INC.

PD 1600 E. CITRUS AVE., STE. A

REDLANDS, CA 92374

(909) 794-3682WEBB JANA BEAVER MEDICAL GROUP

A 39000 BOB HOPE DR. KEWIT #303

RANCHO MIRAGE, CA 92270

(760) 346-2070WEISS SAM SAM JAY WEISS, MD

NP 1100 N PALM CANYON STE 212

PALM SPRINGS, CA 92262

(760) 327-7900WELTY, FNP BARBARA ADVANCED WOMEN'S HEALTHCARE, A MED CORP

FP 33758 YUCAIPA BLVD

YUCAIPA, CA 92399

(909) 795-9747WEST HEATHER BEAVER MEDICAL GROUP

D 72785 FRANK SINATRA DRIVE #100

RANCHO MIRAGE, CA 92270

(760) 776-8637WEST ROBERT WEST DERM SURG MED GRP

IM P.O. BOX 2369

BORREGO SPRINGS, CA 92004

WESTER RAYMOND BORREGO COMMUNITY HEALTH

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4 YOUR CHOICE

PHONE

FP 555 E. TACHEVAH DR.

PALM SPRINGS, CA 92262

(760) 320-1199WESTERN STEVEN STEVEN WESTERN-WILLIAMS MEDICAL GROUP

ORS 39000 BOB HOPE DR. RINKER BLDG

RANCHO MIRAGE, CA 92270

(760) 568-2684WHITE JOY DESERT ORTHOPEDIC CENTER

HSP 1921 W. 8TH STREET

ERIE, PA 16505

(814) 452-2991WHITE DEER RUN WHITE DEER RUN

FP 7223 CHURCH STREET, STE. C

HIGHLAND, CA 92346

(909) 862-1191WHITESIDE PAUL BEAVER MEDICAL GROUP

PNM 1181 N. INDIAN CYN DR. #E-408

PALM SPRINGS, CA 92262

(760) 416-4655WILGARDE DAVID DESERT PAIN CARE MEDICINE GROUP, INC

MFC 2225 TAHQUITZ CYN. #5

PALM SPRINGS, CA 92262

(760) 320-5651WILLANS MARTIN MARTIN WILLANS, L.C.S.W.

FP 28910 RANCHO CALIF. RD #101

TEMECULA, CA 92591

(951) 699-6200WILLIAMS LAURA LAURA WILLIAMS, MD.

ALC (775) 284-4721WILLOW SPRINGS TREATMENT CENTER WILLOW SPRINGS TREATMENT CENTER

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4 YOUR CHOICE

PHONE

FP 55557 CAMPUS RD

THERMAL, CA 92274

(760) 399-4526WILSON ERROL BORREGO COMMUNITY HEALTH

CDS 39000 BOB HOPE DR #K108

RANCHO MIRAGE, CA 92270

(760) 568-4330WILSON JOSEPH CARDIOTHORACIC SURGERY ASSOC OF THE DESE

IM 1600 E. CITRUS AVE., STE. A

REDLANDS, CA 92374

(909) 794-3682WILSON MICHAEL BEAVER MEDICAL GROUP

EM 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191WILSON NEIL BEAVER MEDICAL GROUP

PT 1901 W. LUGONIA AVE. #120

REDLANDS, CA 92374

(909) 557-1600WILTSHIRE ERIN SAN BERNARDINO MED ORTHO GRP

PSY 73345 HIGHWAY 111 STE 202

PALM DESERT, CA 92262

(760) 340-3158WINDSTONE BEHAVIORAL HEALTH WINDSTONE BEHAVIORAL HEALTH

CH 1074 BEAUMONT AVE

BEAUMONT, CA 92223

(951) 845-6456WINES GARY GARY WINES, D.C.

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4 YOUR CHOICE

PHONE

CH 1900 E. TAHQUITZ CYN. STE C-1

PALM SPRINGA, CA 92262

(760) 327-3330WOLFF BRADLEY DR. BRADLEY WOLFF D.C.

U 555 TACHEVAH DR. 2W STE 101

PALM SPRINGS, CA 92262

(760) 320-6005WOLFSON BRAD BRAD A WOLFSON MD

ORS 528 HIBISCUS DR. D207

REDLANDS, CA 92373

(909) 557-1600WONG ANDREW SAN BERNARDINO MED ORTHO GRP

ACU 1001 S PALM CYN #105

PALM SPRINGS, CA 92264

(760) 325-2305WOO JIM CHINESE ACCUPUNCTURE

PD 396 N MAGNOLIA AVE

EL CAJON, CA 92020

(619) 401-0404WOSK BERNARD BORREGO COMMUNITY HEALTH

FP 1300 E. COOLEY DR.

COLTON, CA 92324

(909) 370-4100YAMADA ROBERT BEAVER MEDICAL GROUP

IM 2 W. FERN AVE

REDLANDS, CA 92373

(909) 793-3311YANG BRIAN BEAVER MEDICAL GROUP

IM 72780 COUNTRY CLUB DR. #100

RANCHO MIRAGE, CA 92270

(760) 773-9750YAO STEPHANIE INTERNAL MEDICINE SPECIALISTS, INC

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4 YOUR CHOICE

PHONE

PA 81 HIGHLAND SPGS. AVE. #200

BEAUMONT, CA 92223

(951) 845-0313YAP BERNARD BEAVER MEDICAL GROUP

IM 39000 BOB HOPE DR. UIHLEN 201

RANCHO MIRAGE, CA 92270

(760) 346-7655YATES TODD MARIA ILIANA POPESCU PROFESSIONAL CORP

CH 73-350 EL PASEO DR. #106

PALM DESERT, CA 92260

(760) 346-5660YEEND GREGORY GREGORY D YEEND

ORS 2 W. FERN AVENUE

REDLANDS, CA 92373

(909) 793-3311YEGGE STEVEN BEAVER MEDICAL GROUP

DME 35325 DATE PALM DR. #131

CATHEDRAL CITY, CA 92234

(760) 321-1717YES I CAN D.M.E., INC. YES I CAN D.M.E., INC.

NP 5957 W. RAMSEY

BANNING, CA 92220

(951) 845-0313YETTER GLENDA BEAVER MEDICAL GROUP

GS 2 W. FERN AVE.

REDLANDS, CA 92373

(909) 793-3311YOH CHARLES BEAVER MEDICAL GROUP

ID 36923 COOK ST. STE 103

PALM DESERT, CA 92211

(760) 636-1336YOUNES BACHIR YOUNES MEDICAL CORPORATION

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SPEC PROVIDER ID/NAME VENDOR ID/NAME PRIMARY ADDRESS

4 YOUR CHOICE

PHONE

PTH 39800 BOB HOPE DRIVE, SUITE C

RANCHO MIRAGE, CA 92270

(760) 568-3613YOUNG DAVID DESERT HEMATOLOGY ONCOLOGY MEDICAL GROUP

VS 39000 BOB HOPE DR., #K-108

RANCHO MIRAGE, CA 92270

(760) 568-4330YU SON HA DESERT VEIN AND VASCULAR INSTITUTE

FP 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191YUN AUDREY BEAVER MEDICAL GROUP

AN 2 W FERN AVE

REDLANDS, CA 92373

(909) 793-3311YUNG HUNG-HEI BEAVER MEDICAL GROUP

PRS 43585 MONTEREY AVE STE 7

PALM DESERT, CA 92260

(760) 773-6616ZACHER JUDITH JUDITH ZACHER, MD

GE 1330 N INDIAN CANYON STE F

PALM SPRINGS, CA 92262

(760) 864-4163ZADEH HOMAN HOMAN A. ZADEH, MD, MPH, INC

FP 69175 RAMON RD. BLD. A.

CATHEDRAL CITY, CA 92234

(760) 321-6776ZADSHIR ASHRAF BORREGO COMMUNITY HEALTH

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4 YOUR CHOICE

PHONE

PT 1901 W. LUGONIA AVE. #120

REDLANDS, CA 92374

(909) 557-1600ZANE ALAN SAN BERNARDINO MED ORTHO GRP

D 7000 BOULDER AVE

HIGHLAND, CA 92346

(909) 862-1191ZDROJEWSKI JOHN BEAVER MEDICAL GROUP

GE 7000 BOULDER AVE.

HIGHLAND, CA 92346

(909) 862-1191ZHEN LIDA BEAVER MEDICAL GROUP

R P.O. BOX 2200

REDLANDS, CA 92373

ZHU ELISE BEAVER MEDICAL GROUP

REPORT NAME: M:\ACBCI\Provider Listing\Crystal Report by City_Spc_Nameby\4YourChoiceProvider List by Provider Last name- for Members.mw.rpt