None |
Dabasinskas |
Catherine |
J |
Speech Therapist |
Speech Language Pathology |
9/24/2002 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
(858) 966-5838 |
None |
Dabel |
Kelly |
E |
EPSDT Supplemental Services Provider |
Dietitians |
11/13/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
1841662343 |
Dabresil |
Nayendra |
None |
Physical Therapist |
Physical Therapy |
12/13/2022 |
None |
Sacramento |
4848 Cottage Way |
None |
Carmichael |
CA |
95608 |
None |
1295933539 |
Dabrowski |
Eric |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/1/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
None |
None |
Dacumos |
Maricris |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/20/2017 |
None |
Santa Clara |
300 Pasteur Drive |
None |
Stanford |
CA |
94305 |
None |
None |
Daems |
Joan |
L |
Occupational Therapist |
Occupational Therapy |
2/1/1992 |
None |
Los Angeles |
15107 Van Owen Street |
None |
Van Nuys |
CA |
91405 |
None |
None |
Daftari |
Babak |
None |
Physician |
Pediatrics |
6/17/2010 |
None |
None |
14445 Olive View Drive |
Room 6B119-H |
Sylmar |
CA |
91342 |
None |
1932697067 |
Dagher |
Regina |
Katherine |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/4/2018 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Dagher |
Regina |
None |
Certified Nurse Practitioner |
Certified Nurse Practitioner |
5/8/2024 |
None |
Santa Clara |
725 Welch Road |
Palo Alto, Ca Santa Clara |
Palo Alto |
CA |
94304 |
None |
1568137297 |
Dagnino |
Stephanie |
None |
Physical Therapist |
Physical Therapy |
2/23/2025 |
None |
Los Angeles |
8110 Lubec Street |
Downey, Ca Los Angeles County |
Downey |
CA |
90240 |
None |
None |
D'agostino |
Carolyn |
B |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
1/21/2010 |
None |
Placer |
One Medical Plaza |
None |
Roseville |
CA |
95661 |
None |
1245712702 |
Dahms |
Madelynn |
None |
Physical Therapist |
Physical Therapy |
1/17/2023 |
None |
San Diego |
6991 Balboa Avenue |
None |
San Diego |
CA |
92111 |
None |
None |
Dahnke |
Kathleen |
A |
Physical Therapist |
Physical Therapy |
4/6/2011 |
None |
None |
18995 Ridge Road |
None |
Red Bluff |
CA |
96080 |
None |
1669873550 |
Dakin |
Lisa |
Michelle |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/19/2017 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Dalal |
Husena |
H |
Physical Therapist |
Physical Therapy |
2/6/2007 |
None |
None |
441 N Lakeview Avenue |
None |
Anaheim |
CA |
92807 |
None |
None |
Dale |
Grace |
None |
Certified Nurse Practitioner |
Certified Nurse Practitioner |
10/16/2024 |
None |
Los Angeles |
100 W. California Boulevard |
Nicu - High Risk Infant Follow-Up Clinic |
Pasadena |
CA |
91105 |
None |
1407380462 |
Dale |
Monae |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/26/2022 |
None |
Los Angeles |
2525 E 19th Street |
Unit 32 |
Signal Hill |
CA |
90755 |
None |
None |
Daley |
Beverly |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/1/1995 |
None |
Los Angeles |
7300 Medical Center Drive |
None |
West Hills |
CA |
91307 |
None |
None |
Daley |
Cynthia |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
1/8/2024 |
None |
San Bernardino |
9961 Sierra Avenue |
None |
Fontana |
CA |
92335 |
None |
None |
dallas |
barbara |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/6/2012 |
None |
Contra Costa |
1601 Ygnacio Valley Road |
None |
Walnut Creek |
CA |
94598 |
(925) 947-5353 |
1265855159 |
Dalmau |
Cecilia |
None |
EPSDT Supplemental Services Provider |
Dietitians |
3/30/2017 |
None |
Los Angeles |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
(305) 785-5732 |
1477736601 |
Daly-Creatore |
Suzanne |
None |
Occupational Therapist |
Occupational Therapy |
4/28/2022 |
None |
Monterey |
1900 Garden Road |
Suite 200C |
Monterey |
CA |
93940 |
None |
None |
dame |
sarah |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/24/2015 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
(650) 497-8303 |
None |
Dammen |
Jennifer |
L |
Audiologist |
Audiology |
4/15/2009 |
None |
None |
1600 Eureka Road |
None |
Roseville |
CA |
95661 |
None |
None |
Damo |
Elaine |
None |
Occupational Therapist |
Occupational Therapy |
12/6/2006 |
None |
None |
6600 Bruceville Road |
None |
Sacramento |
CA |
95823 |
None |
None |
Damon |
Marianne |
N |
Physical Therapist |
Physical Therapy |
2/1/2006 |
3/26/2019 |
None |
None |
None |
None |
None |
None |
None |
None |
Damp |
Jordan |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/22/2018 |
None |
Contra Costa |
1601 Ygnacio Valley Road |
None |
Walnut Creek |
CA |
94598 |
None |
None |
Dancel |
Alina |
None |
Physical Therapist |
Physical Therapy |
11/29/2019 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
None |
1902452824 |
Dancel |
Zoila |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/7/2023 |
None |
Los Angeles |
357 East 213th Street |
None |
Carson |
CA |
90745 |
None |
1598005779 |
Danch |
Stefani |
R |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/23/2013 |
None |
Sacramento |
5275 F Street |
Building D |
Sacramento |
CA |
95819 |
(916) 733-1757 |
None |
Dancy |
Michelle |
R |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/16/2004 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dane |
Giovanna |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/16/2021 |
None |
Los Angeles |
4650 Sunset Boulevard |
Children's Hospital Los Angeles Brachial Plexus Peripheral Nerve Clinic |
Los Angeles |
CA |
90027 |
None |
None |
Danek |
Glenda |
A |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/16/2000 |
None |
None |
None |
None |
None |
None |
None |
None |
1215584404 |
Dang |
Angelie |
Fe |
Speech Therapist |
Speech Language Pathology |
10/7/2022 |
None |
San Diego |
3020 Children's Way |
Mail Stop MC |
San Diego |
CA |
92123 |
None |
None |
Dang |
Joseph |
None |
Respiratory Care Practitioner |
Respiratory Care Practice |
10/23/2024 |
None |
San Francisco |
187 Capistrano Avenue |
San Francisco, Ca |
San Francisco |
CA |
94112 |
None |
None |
Dang |
Karen |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/3/2015 |
None |
Santa Clara |
751 S Bascom Avenue |
None |
San Jose |
CA |
95128 |
(408) 885-5523 |
1356908099 |
Dang |
Liza |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/7/2023 |
None |
Orange |
7832 10th Street |
Apartment A |
Westminster |
CA |
92683 |
None |
None |
Dang |
Myron |
T |
Occupational Therapist |
Occupational Therapy |
10/4/2011 |
10/4/2011 |
None |
None |
None |
None |
None |
None |
None |
None |
Dange |
Rajiv |
P |
Physician |
Pediatrics |
11/7/2007 |
None |
None |
1441 Constitution Boulevard |
Suite 101 |
Salinas |
CA |
93906 |
None |
None |
Dangelo |
Ernani |
J |
Physician |
Psychiatry and Neurology: Neurocritical Care |
12/12/2011 |
None |
None |
7601 Imperial Highway |
None |
Downey |
CA |
90242 |
None |
None |
Daniels |
Krystina |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/27/2023 |
None |
Los Angeles |
4650 Sunset Boulevard |
Unit 34 |
Los Angeles |
CA |
90027 |
None |
None |
Daniyan MD |
Samuel |
A |
Physician |
Pediatrics |
5/25/2010 |
1/8/2018 |
Butte |
6470 Pentz Road |
Suite E |
Paradise |
CA |
95969 |
None |
None |
Danlag |
Lauren |
None |
Physical Therapist |
Physical Therapy |
8/10/2022 |
None |
San Bernardino |
11234 Anderson Street |
None |
Loma Linda |
CA |
92354 |
None |
1053504316 |
Danlag |
Steve |
Allan |
Physical Therapist |
Physical Therapy |
4/27/2015 |
None |
San Bernardino |
12860 Banyan Street |
None |
Etiwanda |
CA |
91739 |
None |
None |
Danovsky |
Michael |
B |
Psychologist |
Psychology |
9/1/1997 |
None |
Madera |
9300 Valley Children's Place |
None |
Madera |
CA |
93636 |
None |
None |
Danovsky |
Michael |
B |
Psychologist |
Psychology |
9/1/1997 |
None |
None |
9300 Valley Childrens Place |
None |
Madera |
CA |
93638 |
None |
1790241974 |
danto |
sally |
ruth |
EPSDT Supplemental Services Provider |
Registered Nurse |
3/1/2019 |
None |
Los Angeles |
4650 Sunset Blvd |
Los Angeles |
Los Angeles |
CA |
90027 |
None |
None |
Dantoc |
Judy |
None |
EPSDT Supplemental Services Provider |
Dietitians |
7/4/2017 |
None |
San Bernardino |
13470 Windy Grove Drive |
None |
Rancho Cucamonga |
CA |
91739 |
(510) 325-1645 |
None |
Danzger |
Norma |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/1/1989 |
None |
San Francisco |
3700 California Street |
None |
San Francisco |
CA |
94118 |
None |
1164811568 |
Dao |
Jasmin |
None |
Physician |
Psychiatry and Neurology: Special Qualifications in Child Neurology |
11/8/2018 |
None |
Los Angeles |
2880 Atlantic Avenue |
Suite 260 |
Long Beach |
CA |
90806 |
None |
None |
Dao |
Leilanie |
A |
Occupational Therapist |
Occupational Therapy |
10/21/2008 |
None |
Orange |
1201 W La Veta Avenue |
None |
Orange |
CA |
92868 |
None |
None |
Dao |
Leilanie |
A |
Occupational Therapist |
Occupational Therapy |
10/21/2008 |
None |
Orange |
30322 Esparanza |
Suite A |
Rancho Santa Margarita |
CA |
92688 |
None |
None |
Dao |
Minh Tram |
N |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/8/2006 |
None |
None |
None |
None |
None |
None |
None |
None |
1740786862 |
Daon |
Lindsey |
None |
Physician |
Pediatrics |
7/7/2021 |
None |
Santa Clara |
751 S Bascom Avenue |
None |
San Jose |
CA |
95128 |
None |
None |
Darcey |
Anita |
M |
EPSDT Supplemental Services Provider |
Registered Nurse |
1/1/1995 |
None |
San Diego |
4076 Third Avenue |
Suite 301 |
San Diego |
CA |
92103 |
None |
None |
Dare |
Marilyn |
None |
Speech Therapist |
Speech Language Pathology |
6/15/1994 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
(619) 576-5838 |
None |
Darm |
Susan |
E |
Physical Therapist |
Physical Therapy |
1/28/2010 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Da Rosa Baptista |
Sophia |
Jessyca |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/2/2016 |
None |
Alameda |
747 52nd Street |
None |
Oakland |
CA |
94609 |
None |
None |
Dartt |
Matthew |
D |
Respiratory Care Practitioner |
Respiratory Care Practice |
5/16/2014 |
None |
Los Angeles |
1250 16th Street |
None |
Santa Monica |
CA |
90404 |
(424) 259-8902 |
None |
Dass |
Danielle |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/10/2022 |
None |
Sacramento |
Stockton Blvd |
None |
Sacramento |
CA |
95817 |
None |
1730386897 |
Dastoor |
Marguerite |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/2/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
(888) 505-0043 |
1225472764 |
Daugirdas |
Andrea |
None |
Physician |
Family Medicine |
11/2/2021 |
None |
San Diego |
150 Valpreda Road |
San Marcos, Ca - San Diego County |
San Marcos |
CA |
92069 |
None |
None |
Daum |
Carla |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
12/3/2024 |
None |
Orange |
1201 W La Veta Avenue |
Orange, Ca Orange |
Orange |
CA |
92868 |
None |
None |
Dautrich |
Lucy |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/3/2012 |
None |
Los Angeles |
511 Leda Lane |
None |
Arcadia |
CA |
91006 |
(626) 821-9600 |
None |
Davalos |
Eduardo |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/10/2010 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Davalos-Gonzalez |
Lorena |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/11/2014 |
None |
Sonoma |
1165 Montgomery Drive |
None |
Santa Rosa |
CA |
95405 |
(707) 547-5724 |
None |
Davenport |
Kelli |
L |
Audiologist |
Audiology |
5/16/2011 |
None |
None |
206 N Santa Fe Street |
None |
Visalia |
CA |
93292 |
None |
None |
david |
evonne |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/21/2016 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
(650) 497-8303 |
1437532058 |
David |
Kasey |
R |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/31/2019 |
None |
San Bernardino |
9961 Sierra Avenue |
None |
Fontana |
CA |
92335 |
None |
1013367622 |
Davids |
Evelyn |
Ho |
EPSDT Supplemental Services Provider |
Dietitians |
9/26/2016 |
None |
Alameda |
747 52nd Street |
None |
Oakland |
CA |
94609 |
(510) 428-3771 |
None |
Davids |
Jon |
R |
Physician |
Orthopaedic Surgery |
7/27/2011 |
None |
None |
2425 Stockton Boulevard |
None |
Sacramento |
CA |
95817 |
None |
None |
Davidson |
Jill |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/28/2012 |
None |
Los Angeles |
1526 Edgemont |
None |
Los Angeles |
CA |
90027 |
(323) 783-7953 |
None |
Davidson |
Stacy |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/28/2022 |
None |
Sacramento |
4900 Broadway |
Suite 2800 |
Sacramento |
CA |
95820 |
None |
None |
Davidson |
Velma |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/1/1986 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Davidson-Woods |
Deborah |
A |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/15/2004 |
None |
Sacramento |
5275 F Street |
None |
Sacramento |
CA |
95819 |
None |
None |
Davies |
Carey |
Jane |
EPSDT Supplemental Services Provider |
Dietitians |
8/3/2004 |
None |
Fresno |
3262 Everglade Avenue |
None |
Clovis |
CA |
93619 |
(559) 324-3703 |
None |
Davies |
Kimberly |
Ann |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/22/2020 |
None |
Santa Clara |
725 Welch Road |
Unit 160 |
Palo Alto |
CA |
94304 |
None |
None |
Davillier-Wellauer |
Lizette |
A |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/3/2006 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Davis |
Alicia |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/9/2021 |
None |
Madera |
9300 Valley Childrens' Place Place |
Madera, Ca |
Madera |
CA |
93636 |
None |
1932230562 |
Davis |
Bobby |
J |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/3/2020 |
None |
Los Angeles |
4733 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
None |
Davis |
Chelsey |
D |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
1/10/2014 |
None |
Riverside |
26520 Cactus Avenue |
None |
Moreno Valley |
CA |
92555 |
(951) 486-4350 |
None |
Davis |
Christine |
None |
Speech Therapist |
Speech Language Pathology |
4/1/1997 |
None |
Sacramento |
4860 Y Street |
None |
Sacramento |
CA |
95817 |
None |
None |
Davis |
Denise |
M |
Physical Therapist |
Physical Therapy |
3/30/2016 |
None |
Orange |
200 S Manchester Avenue |
Suite 100 |
Orange |
CA |
92868 |
(714) 456-5571 |
1720593064 |
Davis |
Emily |
None |
Occupational Therapist |
Occupational Therapy |
10/21/2021 |
None |
Santa Clara |
751 Enright |
None |
Santa Clara |
CA |
95050 |
None |
None |
Davis |
Howard |
E |
Prosthetist |
Prosthetics/Orthotics |
6/11/2008 |
None |
None |
2970 Hilltop Mall Road |
Suite 104 |
Richmond |
CA |
94806 |
None |
1326487968 |
Davis |
Kimberley |
Noelle |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/30/2019 |
None |
Yuba |
12144 North Avenue |
None |
Marysville |
CA |
95901 |
None |
1861616369 |
Davis |
Layla |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/1/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
None |
None |
Davis |
Megan |
Lynn |
EPSDT Supplemental Services Provider |
Registered Nurse |
2/24/2020 |
None |
Los Angeles |
4650 Sunset Boulevard |
#60 |
Los Angeles |
CA |
90027 |
None |
None |
Davis |
Pamela |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/9/2024 |
None |
Ventura |
5783 Tanner Ridge Avenue |
Westlake Village Ca |
Thousand Oaks |
CA |
91362 |
None |
None |
Davis |
Rosalyn |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
8/10/2021 |
None |
Los Angeles |
1543 East O Street |
Wilmington Ca |
Wilmington |
CA |
90744 |
None |
None |
Davis |
Rose Marie |
S |
Audiologist |
Audiology |
10/5/2006 |
None |
None |
30030 Town Center Drive |
None |
Laguna Niguel |
CA |
92677 |
None |
None |
Davis |
Sarah |
K |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/19/2018 |
None |
Los Angeles |
4650 Sunset Boulevard |
Department 82 |
Los Angeles |
CA |
90027 |
None |
None |
Davis |
Stepahnie |
None |
Speech Therapist |
Speech Language Pathology |
12/18/2018 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
None |
None |
Davis |
Stephanie |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
1/12/2017 |
None |
Los Angeles |
65 10th Street |
#3 |
Hermosa Beach |
CA |
90254 |
None |
1609356484 |
Davis |
Stevia |
None |
Certified Nurse Practitioner |
Certified Nurse Practitioner |
2/19/2024 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94305 |
None |
None |
Davis |
Taylor |
M |
Speech Therapist |
Speech Language Pathology |
1/31/2011 |
None |
Fresno |
2823 Fresno Street |
None |
Fresno |
CA |
93721 |
None |
None |
Davis |
Terryn |
D |
Occupational Therapist |
Occupational Therapy |
10/9/2007 |
7/8/2019 |
None |
4435 Diamond Street |
Apartment 4 |
Capitola |
CA |
95010 |
None |
None |
Davis |
Yomara |
L |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/28/2006 |
7/8/2019 |
None |
None |
None |
None |
None |
None |
None |
None |
Davis-Gaines |
Felecia |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/14/2010 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Davison |
Angela |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/21/2021 |
None |
Contra Costa |
1425 South Main Street |
None |
Walnut Creek |
CA |
94596 |
None |
None |
Davison |
Deborah |
L |
Speech Therapist |
Speech Language Pathology |
10/6/2008 |
None |
None |
1301 Redwood Way |
Suite 165 |
Petaluma |
CA |
94954 |
None |
None |
Davisson |
Antoinette |
H |
Occupational Therapist |
Occupational Therapy |
6/16/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Davy |
Merari |
R |
EPSDT Supplemental Services Provider |
Dietitians |
2/9/2009 |
None |
None |
None |
None |
None |
None |
None |
None |
1871628461 |
Dawes |
Elizabeth |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
10/30/2016 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Dawoud |
Adina |
P |
Occupational Therapist |
Occupational Therapy |
12/22/2003 |
None |
Los Angeles |
4650 Sunset Boulevard |
Box 56 |
Los Angeles |
CA |
90027 |
None |
None |
Dawson |
Diana |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/20/1995 |
None |
San Francisco |
550 16th Street |
5th Floor |
San Francisco |
CA |
94158 |
(415) 476-9280 |
None |
dawson |
meghan |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/2/2024 |
None |
Los Angeles |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
None |
Dawson II |
Gregory |
Quinn |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/21/2014 |
None |
Fresno |
2325 E Terrace Avenue |
None |
Fresno |
CA |
93703 |
(559) 903-7942 |
None |
Day |
Charis |
M |
Speech Therapist |
Speech Language Pathology |
1/29/2015 |
None |
San Diego |
3665 Kearny Villa |
Suite 300 |
San Diego |
CA |
92123 |
(858) 966-1700 |
None |
Day |
Lauraine |
L |
Physical Therapist |
Physical Therapy |
9/1/1987 |
3/27/2019 |
None |
None |
None |
None |
None |
None |
None |
None |
Day |
Smitha |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
1/30/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
1558975466 |
Dea |
Alisa |
None |
Non-Physician Medical Practitioner |
Certified Physician Assistant |
12/18/2024 |
None |
Santa Clara |
300 Pasteur Drive |
None |
Stanford |
CA |
94305 |
None |
None |
Dean |
Jeffery |
L |
Audiologist |
Audiology |
10/1/2000 |
None |
None |
6041 Cadillac Avenue |
None |
Los Angeles |
CA |
90034 |
None |
None |
Dearden |
Beverly |
L |
Occupational Therapist |
Occupational Therapy |
5/1/1992 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dearing |
Connor |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/19/2017 |
None |
San Francisco |
1975 4th Street |
None |
San Francisco |
CA |
94143 |
None |
None |
Deasy |
Catherine |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/21/2019 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
DeBarssi |
Tamara |
None |
Physical Therapist |
Physical Therapy |
12/12/2022 |
None |
Solano |
275 Beck Avenue |
None |
Fairfield |
CA |
94533 |
None |
None |
Debattista |
Anne |
M |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/26/2003 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Debay |
Marc |
None |
Physician |
Family Medicine |
10/21/2011 |
None |
None |
555 Techevah Drive |
Suite 2E107 |
Palm Springs |
CA |
92262 |
None |
1750944781 |
DeBerdt |
Jennifer |
Ann |
EPSDT Supplemental Services Provider |
Dietitians |
4/16/2019 |
None |
Placer |
1672 Baroness Way |
None |
Roseville |
CA |
95747 |
None |
1407336340 |
DeBorba |
Amy |
None |
Physical Therapist |
Physical Therapy |
1/28/2020 |
None |
Santa Barbara |
705 Calle De Los Amigos |
Unit B |
Santa Barbara |
CA |
93105 |
None |
1528585080 |
DeBuck |
Kathryn |
None |
Physical Therapist |
Physical Therapy |
9/26/2022 |
None |
San Diego |
3020 Children's Way |
Mail Stop 5068 |
San Diego |
CA |
92123 |
None |
1548521479 |
Decano |
Lorraine |
Mae |
EPSDT Supplemental Services Provider |
Dietitians |
9/3/2022 |
None |
Riverside |
11328 Meridian Way |
None |
Riverside |
CA |
92505 |
None |
None |
de Castro |
Darryl |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/2/2018 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
None |
1831393982 |
De Cordova |
Debra |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/9/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
(888) 505-0043 |
None |
Decristoforo |
Lora |
A |
Psychologist |
Psychology |
7/1/2003 |
None |
Sacramento |
4860 Y Street |
Suite 1100 |
Sacramento |
CA |
95817 |
None |
None |
De Dios |
Kindra |
Nicole |
Physical Therapist |
Physical Therapy |
5/9/2023 |
None |
Los Angeles |
19414 W. Sierra Estates Drive |
None |
Santa Clarita |
CA |
91321 |
None |
None |
DeDominic |
Leslie |
None |
Speech Therapist |
Speech Language Pathology |
2/24/2015 |
None |
San Bernardino |
2195 Club Center Drive |
Suite G |
San Bernardino |
CA |
92408 |
(909) 651-1951 |
None |
Deeff |
Tatiana |
E |
Physical Therapist |
Physical Therapy |
12/3/2013 |
None |
Tulare |
1131 Visalia Road |
None |
Exeter |
CA |
93221 |
(559) 592-7342 |
None |
Deeney |
Kerry |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/26/2004 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Deets |
Coleen |
None |
EPSDT Supplemental Services Provider |
Dietitians |
2/1/1995 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Defazio |
Karen |
E |
EPSDT Supplemental Services Provider |
Dietitians |
11/13/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
DeFranco |
Thomas |
Michael |
Physical Therapist |
Physical Therapy |
8/25/2015 |
None |
Santa Clara |
1793 Wade Avenue |
None |
Santa Clara |
CA |
95051 |
(408) 248-9532 |
None |
DeGraaf |
Audrey |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/3/2017 |
None |
Placer |
1600 Eureka Road |
None |
Roseville |
CA |
95661 |
None |
1659728798 |
Degro Valladares |
Keishla |
None |
Physician |
Pediatrics |
3/4/2022 |
None |
Los Angeles |
2140 North Hollywood Way |
Box 6903 |
Burbank |
CA |
91510 |
None |
None |
De Guzman |
Cherlene |
None |
Occupational Therapist |
Occupational Therapy |
12/24/2024 |
None |
Santa Clara |
1443 Stanton |
None |
San Jose |
CA |
95131 |
None |
None |
De Guzman |
Donna |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/1/2018 |
None |
Los Angeles |
4650 W Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
None |
Deguzman |
Eleanor |
A |
Physical Therapist |
Physical Therapy |
11/22/2010 |
None |
None |
2767 E Imperial Highway |
None |
Brea |
CA |
92821 |
None |
1114470507 |
Deguzman |
Tina |
A |
Physical Therapist |
Physical Therapy |
8/15/2017 |
None |
San Diego |
3020 Children's Way |
Mc 5068 |
San Diego |
CA |
92123 |
(858) 966-5829 |
None |
De Guzman MD |
Aurora |
L |
Physician |
Pediatrics |
11/1/1979 |
None |
San Joaquin |
619 E Chapel Street |
None |
Santa Maria |
CA |
93454 |
None |
1225510563 |
Deja |
Heather |
None |
Physical Therapist |
Physical Therapy |
12/19/2019 |
None |
San Diego |
3020 Children's Way |
Box 5068 |
San Diego |
CA |
92123 |
None |
None |
De Jesus |
Shauna |
None |
Licensed Clinical Social Worker (Individual) |
Social Worker (Non-EPSDT) |
12/8/2023 |
None |
Riverside |
26600 Cactus Avenue |
None |
Moreno Valley |
CA |
92555 |
None |
None |
De Jesus |
Tiffany |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/29/2016 |
None |
Los Angeles |
552 N Wabash Avenue |
None |
Glendora |
CA |
91741 |
(909) 291-5779 |
None |
Delacruz |
Amy |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
7/20/2022 |
None |
Sacramento |
2824 Randolph Avenue |
None |
Carmichael |
CA |
95608 |
None |
None |
De La Cruz |
April |
Rose |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/11/2023 |
None |
Riverside |
36188 Leeds Street |
Winchester Ca |
Winchester |
CA |
92596 |
None |
None |
De La Cruz |
Brenda |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/26/2021 |
None |
Los Angeles |
1420 Central Avenue |
Glendale , Ca |
Glendale |
CA |
91204 |
None |
None |
dela Cruz |
Cora Lou |
Jane |
EPSDT Supplemental Services Provider |
Registered Nurse |
10/5/2021 |
None |
Santa Clara |
725 Welch Rd |
Palo Alto, Ca |
Palo Alto |
CA |
94304 |
None |
1073177903 |
dela Cruz |
Katrina Irene |
B |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/20/2019 |
None |
Los Angeles |
757 Westwood Plaza |
None |
Los Angeles |
CA |
90095 |
None |
None |
Dela Cruz |
Nina |
Lynn |
Physical Therapist |
Physical Therapy |
11/5/2015 |
None |
Santa Clara |
2425 Samaritan Drive |
None |
San Jose |
CA |
95124 |
(408) 559-2314 |
None |
De La Fuente |
Jennifer |
Yancey |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/7/2019 |
None |
San Diego |
1808 Wilstone Avenue |
None |
Encinitas |
CA |
92024 |
None |
None |
De La Loza |
Mary |
N |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/9/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Delaney |
Daniel |
Anthony |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/27/2015 |
None |
Los Angeles |
17600 Strathern Street |
None |
Los Angeles |
CA |
90035 |
(818) 902-3951 |
1770901977 |
dela Paz |
Mariel |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/17/2017 |
None |
San Francisco |
1975 4th Street |
None |
San Francisco |
CA |
94158 |
None |
1164666442 |
Delapedraja |
Kyra |
Marie |
EPSDT Supplemental Services Provider |
Registered Nurse |
10/2/2015 |
None |
Santa Clara |
710 Lawrnce Expressway |
#470 |
Santa Clara |
CA |
95051 |
(408) 851-4741 |
None |
De La Rosa |
Adrianna |
None |
Occupational Therapist |
Occupational Therapy |
4/1/2014 |
None |
Ventura |
863 Santafe Street |
None |
Fillmore |
CA |
93015 |
(805) 625-2666 |
1700857265 |
De La Rosa |
Carmen |
None |
Physician |
Pediatrics |
2/1/1983 |
None |
Fresno |
1221 Fulton Mall |
None |
Fresno |
CA |
93721 |
(559) 600-3300 |
None |
De la Rosa |
Margaret |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/19/2024 |
None |
San Bernardino |
14346 Westward Drive |
None |
Fontana |
CA |
92337 |
None |
None |
DeLasantos |
Chelsea |
None |
Physical Therapist |
Physical Therapy |
1/10/2023 |
None |
San Diego |
1609 E. Madison Ave |
None |
El Cajon |
CA |
92019 |
None |
None |
De La Torre |
Annabelle |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/2/2020 |
None |
Los Angeles |
3630 East Imperial Highway Highway |
Department 3134 |
Lynwood |
CA |
90262 |
None |
None |
De La Torre |
Ernesto |
None |
Physical Therapist |
Physical Therapy |
10/16/2012 |
None |
Contra Costa |
1601 Ygnacio Valley Road |
None |
Walnut Creek |
CA |
94598 |
(925) 947-5252 |
None |
De La Torre |
Marlen |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/18/2021 |
None |
Los Angeles |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
1740832336 |
Del Castillo |
Natalie |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/8/2022 |
None |
Los Angeles |
1505 N Edgemont St Street |
None |
Los Angeles |
CA |
90001 |
None |
1780057117 |
Delcourt |
Sarah |
E |
EPSDT Supplemental Services Provider |
Dietitians |
1/9/2020 |
None |
Riverside |
3951 Van Buren Boulevard |
None |
Riverside |
CA |
92503 |
None |
None |
De Leon |
Christopher |
None |
Orthotist |
Orthotics |
10/9/2024 |
None |
Orange |
1043 Elm Avenue |
Suite 202 |
Long Beach |
CA |
90813 |
None |
None |
De Leon |
Cynthia |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/12/2018 |
None |
Santa Clara |
700 Lawrence Expressway |
None |
Santa Clara |
CA |
95051 |
None |
1457759839 |
Deleon |
Elsa |
Garcia |
EPSDT Supplemental Services Provider |
Registered Nurse |
12/16/2014 |
None |
Sacramento |
2315 Stockton Boulevard |
None |
Sacramento |
CA |
95817 |
(916) 734-8730 |
None |
de Leon |
Krista |
None |
Physical Therapist |
Physical Therapy |
5/23/2023 |
None |
San Mateo |
667 Baden Avenue |
Apartment 2 |
South San Francisco |
CA |
94080 |
None |
1447985395 |
De Leon |
Kristofer |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/5/2023 |
None |
Los Angeles |
757 Westwood Plaza |
None |
UC Los Angeles |
CA |
90095 |
None |
1104336833 |
De Leon |
Lara Camille |
Siman |
EPSDT Supplemental Services Provider |
Registered Nurse |
10/1/2019 |
None |
Los Angeles |
200 Medical Plaza |
Suite 120 |
Los Angeles |
CA |
90024 |
None |
None |
de Leon |
Leizel |
F |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/10/2020 |
None |
Los Angeles |
9333 Imperial Highway |
Kaiser Permanente Medical Social Work Department Floor 6th |
Downey |
CA |
90242 |
None |
None |
De Leon |
Lorelie |
None |
EPSDT Supplemental Services Provider |
Dietitians |
2/17/2009 |
None |
None |
None |
None |
None |
None |
None |
None |
1629377247 |
De Leon |
Priscilla |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/2/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
(888) 505-0043 |
None |
Deleon |
Rosanna |
G |
Physical Therapist |
Physical Therapy |
1/28/2008 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90801 |
None |
None |
De Leon Reyes |
Nerisa-Ann |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
12/28/2022 |
None |
Los Angeles |
2701 Atlantic Avenue |
Long Beach, Ca |
Long Beach |
CA |
90806 |
None |
1265866677 |
Del Fierro |
Maria |
Victoria |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/30/2021 |
None |
Los Angeles |
1505 N. Edgemont Street |
1st Floor |
Los Angeles |
CA |
90027 |
None |
1891999033 |
Delgadillo |
Lisa |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/27/2015 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
None |
1497873236 |
Delgadillo |
Madalene |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/27/2013 |
None |
San Diego |
4647 Zion Avenue |
None |
San Diego |
CA |
92120 |
None |
1538363676 |
Delgadillo |
Victoria |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/31/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
(888) 505-0043 |
None |
Delgado |
Daisy |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/27/2021 |
None |
Los Angeles |
1509 Wilson Terrace |
None |
Glendale |
CA |
91206 |
None |
None |
Delgado |
Jacqueline |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/14/2022 |
None |
Contra Costa |
383 Patina Court |
Walnut Creek, Ca, Contra Costa |
Walnut Creek |
CA |
94597 |
None |
None |
Delgado |
Karah |
Elizabeth |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/11/2015 |
None |
Kern |
9500 Stockdale Highway |
#104 |
Bakersfield |
CA |
93311 |
(661) 664-1047 |
None |
Delgado |
Miriam |
C |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/14/2012 |
None |
Santa Clara |
700 Lawrence Expressway |
Department 312 |
Santa Clara |
CA |
95051 |
(408) 851-7080 |
None |
Delgado |
Robert |
L |
Physical Therapist |
Physical Therapy |
4/3/2007 |
None |
None |
6600 Bruceville Road |
None |
Sacramento |
CA |
95823 |
None |
None |
Delgado |
Rocio |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/1/2017 |
None |
Los Angeles |
14445 Olive View Drive |
Social Work Department 1A139 |
Sylmar |
CA |
91342 |
(747) 210-4913 |
None |
Del Homme |
Melissa |
A |
Psychologist |
Psychology |
8/27/2008 |
None |
None |
760 Westwood Plaza |
None |
Los Angeles |
CA |
90095 |
None |
1316496334 |
De Lima |
Kathy |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/22/2022 |
None |
Monterey |
355 Abbott Street |
Suite 200 |
Salinas |
CA |
93901 |
None |
None |
Dell |
Heidi |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/21/2004 |
None |
None |
2437 S Dilkon Road |
None |
Golden Valley |
AZ |
86413 |
None |
None |
Dellafosse |
Veronica |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/20/2018 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
DellOrto |
Terese |
Suzanne |
Speech Therapist |
Speech Language Pathology |
4/18/2019 |
None |
Calaveras |
467 South Main Street |
None |
Angels Camp |
CA |
95222 |
None |
None |
Delly |
Brandina |
L |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/14/2019 |
None |
San Diego |
1133 Elm Avenue |
None |
Imperial Beach |
CA |
91932 |
None |
None |
Deloso |
Krisitine |
Noelle |
Licensed Clinical Social Worker (Individual) |
Social Worker (Non-EPSDT) |
12/4/2024 |
None |
Santa Clara |
725 Welch Road |
Redwood City Ca San Mateo |
Palo Alto |
CA |
94304 |
None |
1740335223 |
de los Santos |
Jennifer |
None |
Physical Therapist |
Physical Therapy |
1/4/2023 |
None |
Napa |
7 Gadwall Court |
American Canyon, Ca 94503 Napa County |
American Canyon |
CA |
94503 |
None |
None |
Delote |
Dennis |
V |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/3/2011 |
None |
None |
None |
None |
None |
None |
None |
None |
1669831830 |
Del Rio |
Maritza |
M |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/6/2017 |
None |
Riverside |
4445 Magnolia Avenue |
None |
Riverside |
CA |
92501 |
(562) 447-0305 |
None |
Del Toro |
Julie |
M |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/4/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Demarchi |
Joanne |
None |
EPSDT Supplemental Services Provider |
Dietitians |
8/7/2007 |
None |
Orange |
1201 W Laveta Avenue |
None |
Orange |
CA |
92868 |
None |
None |
Demaree |
Michelle |
Lorraine |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/23/2012 |
None |
Santa Clara |
621 Wilson Ct |
None |
Santa Clara |
CA |
95051 |
(408) 226-2546 |
1952599078 |
Dembinski |
Karolina |
None |
Physician |
Pediatrics |
8/25/2015 |
None |
Humboldt |
670 9th Street |
Suite 203 |
Arcata |
CA |
95521 |
(707) 826-8633 |
None |
Denato |
Mary |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/1/1999 |
None |
Placer |
1600 Eureka Road |
None |
Roseville |
CA |
95661 |
None |
None |
Denicola Du |
Wenjing |
None |
EPSDT Supplemental Services Provider |
Dietitians |
11/28/2022 |
None |
Los Angeles |
4215 Glencoe Avenue |
Marina Del Rey, Ca Apartment 329 |
Marina Del Rey |
CA |
90292 |
None |
None |
Denis |
Dana |
C |
EPSDT Supplemental Services Provider |
Dietitians |
2/1/1995 |
None |
Los Angeles |
1000 W Carson Street |
None |
Torrance |
CA |
90509 |
None |
None |
Denis |
Dana |
C |
EPSDT Supplemental Services Provider |
Dietitians |
2/1/1995 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Deniston |
Maria |
None |
Occupational Therapist |
Occupational Therapy |
1/24/2017 |
None |
Santa Clara |
710 Lawrence Expressway |
None |
Santa Clara |
CA |
95051 |
(408) 851-1449 |
None |
Deniz |
Donna |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
1/12/2017 |
None |
Los Angeles |
22334 Harbor Ridge Lane |
Unit 4 |
Torrance |
CA |
90502 |
None |
None |
Deniz |
Jesus |
Cerda |
Physical Therapist |
Physical Therapy |
1/9/2020 |
None |
Kern |
1401 Garces Highway Way |
Delano |
Delano |
CA |
93215 |
None |
None |
Dennis |
Jordan |
Ashley |
EPSDT Supplemental Services Provider |
Dietitians |
8/1/2014 |
None |
Kern |
9508 Chatfield Court |
None |
Bakersfield |
CA |
93311 |
(661) 326-5505 |
None |
Dennis |
Katelin |
Marie |
EPSDT Supplemental Services Provider |
Dietitians |
11/13/2015 |
None |
Santa Clara |
725 Welch Road |
Mail Code 5891 |
Palo Alto |
CA |
94304 |
(650) 460-4366 |
1578640751 |
Dennis |
Sean |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/15/2021 |
None |
Los Angeles |
822 Victor Avenue |
None |
Inglewood |
CA |
90302 |
None |
1477031649 |
Denny |
Nicole |
None |
Audiologist |
Audiology |
7/15/2020 |
None |
Alameda |
747 52nd Street |
None |
Oakland |
CA |
94609 |
None |
None |
DeNolf |
Theresa |
None |
Speech Therapist |
Speech Language Pathology |
7/25/2016 |
None |
San Bernardino |
350 Terracina |
None |
Redlands |
CA |
92373 |
None |
None |
denton |
meredith |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/11/2019 |
None |
Santa Clara |
725 Welch St |
None |
Palo Alto |
CA |
94304 |
None |
1447686936 |
DeNucci |
Kristen |
M |
Speech Therapist |
Speech Language Pathology |
10/23/2017 |
None |
San Diego |
4683 Torrey Circle |
C303 |
San Diego |
CA |
92130 |
None |
None |
De Oliveira |
Carla |
V |
EPSDT Supplemental Services Provider |
Dietitians |
9/7/2010 |
None |
Los Angeles |
4700 Sunset Boulevard |
3rd Floor |
Los Angeles |
CA |
90027 |
(323) 783-5683 |
None |
DePalm |
Luhidis |
None |
Respiratory Care Practitioner |
Respiratory Care Practice |
1/27/2020 |
None |
San Bernardino |
26246 Cresthaven Court |
None |
Loma Linda |
CA |
92354 |
None |
None |
Depew |
Nicole |
M |
EPSDT Supplemental Services Provider |
Registered Nurse |
2/8/2011 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
DePoy |
Jennifer |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/26/2024 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
None |
None |
DePrizio |
Jill |
S |
Physical Therapist |
Physical Therapy |
1/15/2015 |
None |
San Diego |
5555 Grossmont Center Drive |
None |
La Mesa |
CA |
91942 |
(619) 740-3651 |
None |
De Ramos |
Melissa |
G |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/5/2014 |
None |
Los Angeles |
1100 State Street |
Room A6F |
Los Angeles |
CA |
90033 |
(323) 409-7547 |
None |
Dere |
Laura |
None |
Physical Therapist |
Physical Therapy |
8/15/2016 |
None |
Contra Costa |
1601 Ygnacio Valley Road |
None |
Walnut Creek |
CA |
94598 |
(925) 947-5252 |
None |
Dergevorkian |
Arppineh |
B |
EPSDT Supplemental Services Provider |
Dietitians |
8/29/2016 |
None |
Los Angeles |
13651 Willard Street |
None |
Panorama City |
CA |
91402 |
(818) 375-2000 |
None |
DeRosa |
Veronica |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
2/21/2024 |
None |
San Mateo |
2001 Forest Avenue |
Belmont, Ca |
Belmont |
CA |
94002 |
None |
None |
DeRose |
Brittany |
None |
Speech Therapist |
Speech Language Pathology |
4/19/2023 |
None |
Shasta |
925 State Street |
None |
Redding |
CA |
96001 |
None |
None |
Desai |
Hema |
None |
Speech Therapist |
Speech Language Pathology |
12/12/2006 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Desai |
Roshni |
S |
Physical Therapist |
Physical Therapy |
8/6/2007 |
None |
None |
751 Bascom Avenue |
None |
San Jose |
CA |
95128 |
None |
None |
Desantis |
Marisa |
None |
Occupational Therapist |
Occupational Therapy |
12/13/2022 |
None |
Contra Costa |
2520 Kennedy Way |
Antioch California Contra Costa County |
Antioch |
CA |
94509 |
None |
None |
De Santos |
Sheryl |
None |
EPSDT Supplemental Services Provider |
Dietitians |
7/24/2015 |
None |
Fresno |
722 W Barcelona Lane |
None |
Clovis |
CA |
93619 |
None |
None |
Deseo |
Arlene |
M |
EPSDT Supplemental Services Provider |
Registered Nurse |
1/8/2019 |
None |
Los Angeles |
4650 Sunset Boulevard |
M S 82 |
Los Angeles |
CA |
90027 |
(323) 361-5919 |
None |
Deshaies |
Lisa |
None |
Occupational Therapist |
Occupational Therapy |
5/15/2000 |
None |
None |
7601 Imperial Highway |
None |
Downey |
CA |
90242 |
None |
None |
De Sherlia |
Katherine |
R |
Physical Therapist |
Physical Therapy |
3/10/2015 |
None |
Los Angeles |
13636 Ventura Boulevard |
Suite 402 |
Sherman Oaks |
CA |
91423 |
(818) 430-9376 |
None |
DeShong |
Angel |
Monique |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/16/2016 |
None |
Fresno |
3267 E Los Altos Avenue |
None |
Fresno |
CA |
93710 |
(559) 776-3641 |
None |
Despabiladeras |
Shantelle |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/27/2017 |
None |
Alameda |
1205 Benton Street |
Apartment 3 |
Alameda |
CA |
94501 |
None |
1194855429 |
Desquitado-Prado |
Myra |
None |
Occupational Therapist |
Occupational Therapy |
1/24/2023 |
None |
San Diego |
510 E. Naples Street |
None |
Chula Vista |
CA |
91911 |
None |
1154752400 |
Desroches |
Sophie |
None |
EPSDT Supplemental Services Provider |
Dietitians |
6/30/2009 |
None |
Ventura |
147 N Brent Street |
None |
Ventura |
CA |
93003 |
(805) 652-5066 |
1134727282 |
Destruel |
Anne Marie |
N |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/3/2020 |
None |
San Francisco |
505 Parnassus Avenue |
None |
San Francisco |
CA |
94143 |
None |
None |
Dettman |
Karen |
A |
Audiologist |
Audiology |
4/15/2009 |
None |
None |
2120 Professional Drive |
Suite 220 |
Roseville |
CA |
95661 |
None |
None |
Deurloo |
Michelle |
Lyn |
Respiratory Care Practitioner |
Respiratory Care Practice |
5/11/2020 |
None |
Sacramento |
6030 Filbert Avenue |
None |
Orangevale |
CA |
95662 |
None |
None |
DeVarso |
Ashley |
None |
Occupational Therapist |
Occupational Therapy |
4/23/2023 |
None |
Shasta |
2175 Rosaline Avenue |
None |
Redding |
CA |
96001 |
None |
1245584457 |
Devencenzi |
Susan |
None |
Occupational Therapist |
Occupational Therapy |
1/25/2023 |
None |
San Diego |
321 Hoitt Street |
C/O Sd South MTU |
San Diego |
CA |
92102 |
None |
None |
De Vera |
Jay |
None |
Physical Therapist |
Physical Therapy |
3/2/2020 |
None |
San Bernardino |
11234 Anderson Street |
None |
Loma Linda |
CA |
92354 |
None |
None |
Devere |
Emily |
None |
Occupational Therapist |
Occupational Therapy |
6/1/1994 |
None |
Madera |
9300 Valley Children's Place |
None |
Madera |
CA |
93636 |
None |
1740790427 |
Devine |
Kelly |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/25/2022 |
None |
Sacramento |
2000 Stockton Boulevard |
Suite 2003 |
Sacramento |
CA |
95816 |
None |
None |
Devine |
Sandra |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/7/2021 |
None |
San Bernardino |
2195 Club Center Drive |
Suite G |
San Bernardino |
CA |
92408 |
None |
None |
Devito |
Candice |
N |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/26/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Devlin |
Donna |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/1/1995 |
None |
Madera |
9300 Valley Children's Place |
None |
Madera |
CA |
93636 |
None |
None |
Devlin |
Kathleen |
M |
Psychologist |
Psychology |
8/1/1995 |
None |
Orange |
455 S Main Street |
None |
Orange |
CA |
92868 |
None |
1699010801 |
Devlin |
Stephanie |
Elizabeth |
Speech Therapist |
Speech Language Pathology |
10/22/2015 |
None |
San Diego |
1399 9th Avenue |
Apartment 1220 |
San Diego |
CA |
92101 |
(845) 893-1350 |
1356755524 |
Devris |
Gina |
None |
Occupational Therapist |
Occupational Therapy |
3/20/2023 |
None |
Santa Barbara |
794 Cypress Walk |
Apartment A |
Goleta |
CA |
93117 |
None |
None |
Dewar |
Lisa |
D |
EPSDT Supplemental Services Provider |
Dietitians |
2/22/2017 |
None |
San Francisco |
2238 Geary Boulevard |
None |
San Francisco |
CA |
94115 |
(415) 833-2000 |
None |
Deware |
Joanna |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/30/2012 |
None |
Los Angeles |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
(323) 361-2485 |
None |
Dewey |
April |
L |
Physical Therapist |
Physical Therapy |
1/31/2008 |
None |
None |
2025 Morse Avenue |
None |
Sacramento |
CA |
95825 |
None |
None |
Dewey |
April |
L |
Physical Therapist |
Physical Therapy |
1/31/2008 |
None |
Sacramento |
2025 Morse Avenue |
None |
Sacramento |
CA |
95825 |
None |
1497851489 |
Dewgarde |
Lynn |
None |
Physician |
Pediatrics |
7/1/1997 |
None |
Los Angeles |
10300 Compton Avenue |
None |
Los Angeles |
CA |
90002 |
None |
None |
Dewhirst |
Melinda |
S |
EPSDT Supplemental Services Provider |
Dietitians |
11/13/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dewhirst |
Melinda |
Susan |
EPSDT Supplemental Services Provider |
Dietitians |
11/13/2008 |
None |
Fresno |
93 Powers Avenue |
None |
Clovis |
CA |
93619 |
(559) 281-7562 |
None |
De Young |
Alisa |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/7/2015 |
None |
San Diego |
4002 Vista Way |
None |
Oceanside |
CA |
92056 |
(760) 966-2229 |
None |
Dezan |
Caroline |
L |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/23/2017 |
None |
Fresno |
P.O. Box 105 |
None |
North Fork |
CA |
93643 |
(559) 760-5660 |
None |
Dhesi |
Aisha |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
8/26/2022 |
None |
Madera |
9300 Valley Childrens Place |
None |
Madera |
CA |
93636 |
None |
None |
Dhillon |
Amandeep |
Kaur |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/1/2016 |
None |
Fresno |
5046 W Celeste Avenue |
None |
Fresno |
CA |
93722 |
(559) 779-1101 |
None |
Dhillon |
Gursharn |
Kaur |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/30/2015 |
None |
Fresno |
3050 Magnolia Avenue |
None |
Clovis |
CA |
93611 |
(209) 482-5443 |
None |
Dhillon |
Harsharn |
None |
Occupational Therapist |
Occupational Therapy |
1/30/2023 |
None |
Fresno |
448 Brehler Avenue |
None |
Sanger |
CA |
93657 |
None |
None |
Dhillon |
Jaspreet |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
1/26/2022 |
None |
Sacramento |
4900 Broadway |
Suite 2800 |
Sacramento |
CA |
95820 |
None |
None |
Dhingra |
Chaula |
M |
EPSDT Supplemental Services Provider |
Registered Nurse |
2/6/2012 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Diablo Prosthetics and Or |
None |
None |
Prosthetist |
Prosthetics/Orthotics |
2/21/2012 |
None |
Contra Costa |
120 La Casa Via |
Suite 202 |
Walnut Creek |
CA |
94598 |
(925) 930-7700 |
1760590566 |
Dias |
Claire |
None |
EPSDT Supplemental Services Provider |
Dietitians |
1/29/2015 |
None |
Fresno |
875 McKelvy Avenue |
None |
Clovis |
CA |
93611 |
None |
None |
Dias |
Maria |
None |
Audiologist |
Audiology |
2/4/2005 |
None |
None |
710 Lawrence Expressway |
Unit 296 |
Santa Clara |
CA |
95051 |
None |
None |
Diaz |
Andrea |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/3/2023 |
None |
Los Angeles |
2801 Atlantic Avenue Avenue |
None |
Long Beach |
CA |
90806 |
None |
1194001958 |
Diaz |
Anna |
Maria |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/12/2018 |
None |
Stanislaus |
1540 Florida Avenue |
None |
Modesto |
CA |
95350 |
None |
1114308145 |
Diaz |
Arvonda |
None |
Occupational Therapist |
Occupational Therapy |
10/18/2017 |
None |
Orange |
363 S Tustin |
None |
Orange |
CA |
92866 |
(714) 289-2400 |
None |
Diaz |
Audra |
R |
EPSDT Supplemental Services Provider |
Dietitians |
10/25/2002 |
None |
Madera |
9300 Valley Children's Place |
None |
Madera |
CA |
93638 |
(559) 353-7151 |
1609326867 |
Diaz |
Beatris |
None |
Licensed Clinical Social Worker (Individual) |
Social Worker (Non-EPSDT) |
7/2/2024 |
None |
Los Angeles |
5731 Fostoria Street |
None |
Bell Gardens |
CA |
90201 |
None |
1306576053 |
Diaz |
Catalina |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/31/2023 |
None |
Los Angeles |
1000 W. Carson Street |
Torrance Ca Usa |
Torrance |
CA |
90509 |
None |
None |
Diaz |
Christian |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/25/2014 |
None |
Los Angeles |
100 W California Boulevard |
None |
Pasadena |
CA |
91105 |
(626) 397-5171 |
None |
Diaz |
Doreen |
Kimiyo |
EPSDT Supplemental Services Provider |
Dietitians |
6/26/2019 |
None |
Fresno |
862 Newcastle Lane |
None |
Fresno |
CA |
93720 |
None |
None |
Diaz |
Elizabeth |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/18/2021 |
None |
Los Angeles |
1720 Cesar Chavez Avenue |
None |
Los Angeles |
CA |
90033 |
None |
None |
Diaz |
Hector |
M |
EPSDT Supplemental Services Provider |
Dietitians |
5/18/2016 |
None |
Fresno |
2823 Fresno Street |
None |
Fresno |
CA |
93721 |
(661) 487-2766 |
None |
Diaz |
Ian |
B |
Physician |
Family Medicine |
8/18/2014 |
None |
San Diego |
150 Valpreda Road |
None |
San Marcos |
CA |
92069 |
(760) 736-6700 |
None |
Diaz |
Jeannee |
M |
EPSDT Supplemental Services Provider |
Dietitians |
7/1/2013 |
None |
Santa Barbara |
624 Mulberry |
Unit A |
Santa Barbara |
CA |
93101 |
(208) 409-4845 |
None |
Diaz |
Jesse |
Ricky |
Respiratory Care Practitioner |
Respiratory Care Practice |
9/23/2020 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Diaz |
Keith |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/1/2019 |
None |
San Diego |
2490 Birchwood Way Way |
None |
Oceanside |
CA |
92054 |
None |
None |
Diaz |
Michelle |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/12/2012 |
None |
Los Angeles |
1600 W Avenue |
J |
Lancaster |
CA |
93534 |
(661) 949-5025 |
1619094810 |
Diaz |
Reyna |
I |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/23/2019 |
None |
Los Angeles |
5105 Goldleaf Circle |
None |
Los Angeles |
CA |
90056 |
None |
1952567745 |
Diaz |
Robert |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/26/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
None |
1235336660 |
Diaz |
Sergio |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/6/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
(877) 608-0044 |
1104959279 |
Diaz |
Sofia |
None |
Psychologist |
Psychology |
10/14/2014 |
None |
Los Angeles |
2051 Marengo Street |
None |
Los Angeles |
CA |
90033 |
None |
1245773670 |
diaz-navarro |
Lupita |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
10/13/2017 |
None |
Los Angeles |
200 Med Plaza |
365, 420, 120 |
Los Angeles |
CA |
90024 |
None |
None |
Dibble |
Jane |
G |
Occupational Therapist |
Occupational Therapy |
3/23/2010 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dibello |
Kim |
M |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/7/2006 |
None |
Madera |
9300 Valley Children's Place |
None |
Madera |
CA |
93638 |
None |
1609596626 |
DiCarlo |
Gabriela |
None |
Occupational Therapist |
Occupational Therapy |
11/25/2024 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
None |
None |
Dickerson |
Ja'Nece |
Jeanne |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
1/20/2017 |
None |
San Bernardino |
11234 Anderson Street |
None |
Loma Linda |
CA |
92354 |
None |
None |
Dickerson |
Sonia |
D |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/3/2011 |
None |
None |
None |
None |
None |
None |
None |
None |
1265183818 |
Dickeson |
Amy |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
2/21/2022 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Dicks |
Gitta |
None |
Physical Therapist |
Physical Therapy |
4/5/2006 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dickson |
Terie |
None |
Occupational Therapist |
Occupational Therapy |
11/1/1989 |
1/31/2019 |
Los Angeles |
9333 E Imperial Highway |
None |
Downey |
CA |
90242 |
(562) 657-8882 |
None |
Diebel |
Eloise |
C |
EPSDT Supplemental Services Provider |
Dietitians |
10/13/2009 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dieda |
Robin |
L |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/1/1996 |
None |
Riverside |
39000 Bob Hope Drive |
None |
Rancho Mirage |
CA |
92270 |
None |
None |
Diep |
Mindy |
None |
Occupational Therapist |
Occupational Therapy |
4/27/2023 |
None |
San Mateo |
3679 Gilbert Court |
None |
South San Francisco |
CA |
94080 |
None |
None |
Dieste |
Desiree |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/21/2011 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
dieste |
desiree |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/21/2011 |
None |
San Francisco |
1975 4th Street |
None |
San Francisco |
CA |
94158 |
None |
None |
Dietz |
Adam |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/18/2018 |
None |
Alameda |
7887 Sunkist Drive |
None |
Oakland |
CA |
94605 |
None |
None |
Dieu |
Annie |
S |
Physical Therapist |
Physical Therapy |
8/12/2016 |
None |
Los Angeles |
19710 Strathern Street |
None |
Winnetka |
CA |
91306 |
(213) 742-5568 |
None |
Difuntorum |
May |
Anne |
EPSDT Supplemental Services Provider |
Registered Nurse |
3/18/2024 |
None |
Santa Clara |
730 Welch Road |
Palo Alto, California, Santa Clara Floor 1st |
Palo Alto |
CA |
94304 |
None |
None |
Di Geronimo |
Mary |
J |
Occupational Therapist |
Occupational Therapy |
3/29/2003 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Digeronimo |
Mary |
J |
Occupational Therapist |
Occupational Therapy |
3/29/2003 |
None |
Placer |
1600 Eureka Road |
None |
Roseville |
CA |
95661 |
None |
None |
Diggs |
Jovona |
L |
Audiologist |
Audiology |
8/22/2011 |
None |
None |
1800 Broadway Street |
Suite 5 |
Redwood City |
CA |
94063 |
None |
None |
Dildine |
Danielle |
A |
Psychologist |
Psychology |
3/16/2006 |
None |
None |
H100 Santa Margarita Road |
None |
Riverside |
CA |
92508 |
None |
None |
Dillard |
Damia |
J |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/4/2010 |
None |
Sacramento |
2360 Stockton Boulevard |
None |
Sacramento |
CA |
95817 |
(916) 734-3461 |
1447804695 |
Dillard |
Gabrielle |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/31/2019 |
None |
San Bernardino |
1301 California Street |
None |
Redlands |
CA |
92374 |
None |
None |
Dilliner |
Stephanie |
None |
Physical Therapist |
Physical Therapy |
6/9/2006 |
None |
None |
8192 Crotty Way |
None |
Valley Springs |
CA |
95252 |
None |
None |
Dillon |
Kristin |
Schloredt |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/12/2014 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
(562) 933-0157 |
None |
Dillon |
Maryanne |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
8/1/1992 |
None |
Los Angeles |
10833 Le Conte Avenue |
None |
Los Angeles |
CA |
90024 |
None |
None |
Dillon-stathacopulos |
Jessica |
L |
Speech Therapist |
Speech Language Pathology |
9/21/2010 |
None |
Madera |
9300 Valley Children's Place |
None |
Madera |
CA |
93638 |
None |
None |
Dimalanta |
Leah |
Ashley |
Occupational Therapist |
Occupational Therapy |
4/17/2024 |
None |
Los Angeles |
1349 E. Grand Avenue |
Building Unit B |
El Segundo |
CA |
90245 |
None |
None |
Dimino |
Joan |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
1/29/2014 |
None |
Madera |
9300 Valley Children's Place |
None |
Madera |
CA |
93636 |
(559) 353-5480 |
None |
Dimond |
Laura |
C |
Speech Therapist |
Speech Language Pathology |
1/8/2008 |
None |
None |
3020 Childrens Way |
Unit mc5020 |
San Diego |
CA |
92123 |
None |
None |
Din |
Alaud |
None |
Physician |
Family Medicine |
8/11/2009 |
None |
None |
3100 W Christoffersen Parkway |
None |
Turlock |
CA |
95382 |
None |
1922448240 |
DiNello |
Kari |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/25/2016 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Ding |
Jiansan |
None |
Occupational Therapist |
Occupational Therapy |
5/19/2004 |
None |
Los Angeles |
1798 N Garey Avenue |
None |
Pomona |
CA |
91767 |
(909) 865-9810 |
None |
Dingess |
HEather |
None |
Physical Therapist |
Physical Therapy |
11/18/2013 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
None |
None |
Dinglasan |
Lisa |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/2/2018 |
None |
Orange |
1201 W. |
None |
Orange |
CA |
92868 |
None |
None |
Dinglasan |
Sumaya |
A |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/31/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
1629276068 |
Dinovo-Danford |
Amy |
M |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/9/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
(888) 505-0043 |
None |
Dionisio |
Monik |
None |
Occupational Therapist |
Occupational Therapy |
2/9/2023 |
None |
Los Angeles |
10331 Lanett Ave |
None |
Whittier |
CA |
90605 |
None |
1417155789 |
Dionne |
Valerie |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/9/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
None |
None |
Di Pietro |
Lisa |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/22/2018 |
None |
Los Angeles |
8700 Beverly Boulevard |
None |
Los Angeles |
CA |
90048 |
None |
None |
DiPilla |
Denee |
Marie |
Physical Therapist |
Physical Therapy |
2/25/2013 |
None |
Orange |
20 Triad Lane |
None |
Ladera Ranch |
CA |
92694 |
(949) 280-0457 |
None |
Di Pinto |
Marcos |
None |
Psychologist |
Psychology |
4/21/2009 |
3/26/2019 |
None |
1201 W La Veta Avenue |
Suite 503 |
Orange |
CA |
92868 |
None |
None |
Dirr |
Jennifer |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/1/2019 |
None |
Los Angeles |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
1013373984 |
DiSipio |
Theresa |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/23/2016 |
None |
Los Angeles |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
1497006464 |
Diskin |
Rachel |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
1/21/2014 |
None |
Alameda |
747 52nd Street |
None |
Oakland |
CA |
94609 |
(571) 217-5361 |
None |
Distelberg |
Leann |
M |
Physical Therapist |
Physical Therapy |
3/5/2004 |
None |
None |
None |
None |
None |
None |
None |
None |
1912417122 |
Di Tota |
Maddalena |
None |
Non-Physician Medical Practitioner |
Certified Physician Assistant |
10/2/2024 |
None |
Los Angeles |
16th |
None |
Santa Monica |
CA |
90404 |
None |
None |
Dix |
Leslie |
Noel |
Speech Therapist |
Speech Language Pathology |
8/9/2019 |
None |
Fresno |
1547 Roberts Avenue |
None |
Clovis |
CA |
93611 |
None |
1427324318 |
Dixon |
Danielle |
None |
Physician |
Pediatrics |
2/4/2016 |
None |
Mendocino |
333 Laws Avenue |
None |
Ukiah |
CA |
95482 |
(707) 468-1010 |
None |
Dixon |
J |
F |
Psychologist |
Psychology |
4/1/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
1891701959 |
Dixon |
Joseph |
None |
Physician |
Radiology: Diagnostic |
8/1/2012 |
None |
Alameda |
1411 E 31st Street |
None |
Oakland |
CA |
94602 |
None |
None |
Dixon |
Kimberly |
D |
Physician |
Pediatrics |
8/24/2011 |
None |
Fresno |
2400 Wible Road |
Suite 14 |
Bakersfield |
CA |
93304 |
None |
1467751131 |
Dixon |
Sarah |
Kathleen |
Physician |
Pediatrics |
4/15/2016 |
None |
San Diego |
6973 Linda Vista Road |
None |
San Diego |
CA |
92111 |
(619) 279-0925 |
None |
Dixon-brown |
Marilyn |
M |
Audiologist |
Audiology |
3/13/2006 |
None |
Stanislaus |
4601 Date Road |
Hns |
Modesto |
CA |
95356 |
None |
None |
Dixon-Flowers |
Rose |
M |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/27/2011 |
None |
San Bernardino |
11234 Anderson Street |
None |
Loma Linda |
CA |
92354 |
None |
1417790320 |
Dizon |
Josef Noah Joshua |
Dizon |
Occupational Therapist |
Occupational Therapy |
9/12/2024 |
None |
Los Angeles |
130 Valley Street |
Unit 2017 |
Pasadena |
CA |
91105 |
None |
None |
Dizon |
Renn |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
10/10/2023 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Dizon |
Veronna |
Bonggat |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/10/2017 |
None |
San Diego |
918 Lafayette Place |
None |
Chula Vista |
CA |
91913 |
(619) 691-7431 |
None |
Dizon-Sinocruz |
Karen |
M |
Physical Therapist |
Physical Therapy |
7/31/2009 |
None |
None |
1401 S Grande Avenue |
None |
Los Angeles |
CA |
90015 |
None |
None |
Do |
Kassie |
None |
Licensed Clinical Social Worker (Individual) |
Social Worker (Non-EPSDT) |
10/24/2024 |
None |
Los Angeles |
2801 Atlantic Ave. |
None |
Long Beach |
CA |
90806 |
None |
None |
Do |
Loann |
K |
Occupational Therapist |
Occupational Therapy |
1/30/2007 |
None |
None |
579 Autocenter Boulevard |
None |
Watsonville |
CA |
95076 |
None |
1942589205 |
Do |
Minh |
None |
Physician |
Internal Medicine |
8/22/2012 |
None |
Alameda |
1411 E 31st Street |
None |
Oakland |
CA |
94602 |
(510) 437-4800 |
1922518711 |
Do |
Nicole |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/9/2017 |
None |
Los Angeles |
10142 Gladbeck Avenue |
None |
Northridge |
CA |
91324 |
None |
None |
Dobbin |
James |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/13/2015 |
None |
San Diego |
200 W Arbor Drive |
None |
San Diego |
CA |
92103 |
(619) 964-9556 |
None |
Dobbins |
Rose |
M |
Physical Therapist |
Physical Therapy |
11/16/2011 |
None |
Los Angeles |
615 W Avenue |
L |
Lancaster |
CA |
93534 |
None |
None |
Dobbs |
John |
B |
Audiologist |
Audiology |
3/21/2011 |
None |
None |
450 Sutter Street |
Suite 934 |
San Francisco |
CA |
94108 |
None |
None |
Dobel |
Hilary |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/25/2021 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Dobosiewicz |
Sarah |
None |
Occupational Therapist |
Occupational Therapy |
7/16/2014 |
None |
San Diego |
3020 Children's Way |
Mc 5068 |
San Diego |
CA |
92123 |
(858) 966-5829 |
None |
Dobrec |
Carly |
None |
EPSDT Supplemental Services Provider |
Dietitians |
11/6/2023 |
None |
Santa Barbara |
140 Loureyro Road |
Unit B |
Montecito |
CA |
93108 |
None |
1427766468 |
Dobson-Brazier |
Mercedes |
None |
Physical Therapist |
Physical Therapy |
2/15/2023 |
None |
Fresno |
W Wrenwood Ln Lane |
None |
Fresno |
CA |
93723 |
None |
None |
Dodd-Wilson |
Tina |
T |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/2/2012 |
None |
San Luis Obispo |
1010 Murray Avenue |
None |
San Luis Obispo |
CA |
93401 |
(805) 546-7814 |
None |
Dodson |
Barbara |
E |
EPSDT Supplemental Services Provider |
Dietitians |
2/1/1995 |
None |
Santa Clara |
700 Lawrence Expressway |
None |
Santa Clara |
CA |
95051 |
None |
None |
Dodson |
Nancy |
Lee |
EPSDT Supplemental Services Provider |
Registered Nurse |
10/10/2019 |
None |
Los Angeles |
5044 Bakman Avenue |
North Hollywood Ca Los Angeles Apartment 4B |
North Hollywood |
CA |
91601 |
None |
None |
Doggett |
Janine |
M |
EPSDT Supplemental Services Provider |
Dietitians |
2/19/2015 |
None |
San Diego |
200 W Arbor Drive |
None |
San Diego |
CA |
92103 |
(619) 543-3420 |
None |
Dohle |
Kimberly |
S |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/7/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
1134555014 |
Dolan |
Karrie |
L |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/18/2003 |
None |
Orange |
23037 Via Pimiento |
None |
Mission Viejo |
CA |
92691 |
None |
None |
Dolan |
Kerrie |
D |
Speech Therapist |
Speech Language Pathology |
8/29/2000 |
None |
Ventura |
3291 Loma Vista Road |
None |
Ventura |
CA |
93003 |
None |
None |
Dolan |
Whitney |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
10/19/2022 |
None |
Contra Costa |
3470 Halfmoon Court |
None |
Concord |
CA |
94518 |
None |
None |
Dolaway |
Jean |
None |
Physical Therapist |
Physical Therapy |
6/2/2003 |
None |
Los Angeles |
8700 Beverly Boulevard |
None |
Los Angeles |
CA |
90048 |
None |
None |
Dombish |
Heidi |
A |
Occupational Therapist |
Occupational Therapy |
12/3/2014 |
None |
Los Angeles |
7601 E Imperial Highway |
None |
Downey |
CA |
90242 |
(562) 401-6271 |
None |
Dombrova |
Lauren |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
8/26/2013 |
None |
Los Angeles |
5000 Sunset Boulevard |
4th Floor |
Los Angeles |
CA |
90027 |
(323) 361-3925 |
None |
Domingo |
Adrianne |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/1/2022 |
None |
San Diego |
200 W Arbor Drive |
None |
San Diego |
CA |
92103 |
None |
None |
Domingo |
Brenda |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
8/8/2022 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
None |
None |
Domingo |
Eileen |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/5/2016 |
None |
Los Angeles |
4700 Sunset Boulevard |
None |
Hollywood |
CA |
90027 |
(323) 783-6970 |
None |
Domingo |
Karen |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/4/2016 |
None |
Los Angeles |
1000 W Carson Street |
Box 413 |
Torrance |
CA |
90509 |
(310) 222-8137 |
None |
Dominguez |
Ada |
None |
Physical Therapist |
Physical Therapy |
9/1/1997 |
None |
Los Angeles |
1200 N State Street |
None |
Los Angeles |
CA |
90033 |
None |
None |
dominguez |
cindy |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/6/2012 |
None |
Contra Costa |
1601 Ygnacio Valley Road |
None |
Walnut Creek |
CA |
94598 |
(925) 941-4243 |
1184311979 |
Dominguez |
Esmerelda |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/26/2023 |
None |
Merced |
2705 Story Avenue |
None |
Merced |
CA |
95340 |
None |
None |
Dominguez |
Gilda |
J |
Speech Therapist |
Speech Language Pathology |
3/18/2009 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dominguez |
Nicole |
Leann |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/24/2017 |
None |
Santa Clara |
2425 Samaritan Drive |
None |
San Jose |
CA |
95124 |
(408) 559-2432 |
None |
Dominiak |
Lisa |
None |
Occupational Therapist |
Occupational Therapy |
5/30/2018 |
None |
Contra Costa |
3480 Buskirk Avenue |
Suite 150 |
Pleasant Hill |
CA |
94523 |
None |
None |
Donahue |
Jeanne |
H |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/1/1994 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Donati |
Vanessa |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
1/22/2018 |
None |
Santa Barbara |
400 W. Pueblo Street |
None |
Santa Barbara |
CA |
93110 |
None |
None |
Dones |
Juana |
Inez |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/5/2019 |
None |
San Diego |
Brown Galloway Lane |
None |
Fallbrook |
CA |
92028 |
None |
1568555894 |
Donkin |
Jennifer |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
3/26/2002 |
None |
Los Angeles |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
None |
Donnelly-Crocker |
Katherine |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/8/2016 |
None |
Los Angeles |
8700 Beverly Boulevard |
None |
Los Angeles |
CA |
90048 |
(310) 423-4446 |
None |
Donner |
Amy E |
S |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/2/2020 |
None |
Los Angeles |
1500 E. Duarte Road |
None |
Duarte |
CA |
91010 |
None |
None |
Donofrio |
Jennifer |
None |
Speech Therapist |
Speech Language Pathology |
1/7/2002 |
None |
San Diego |
325 9th Avenue |
Box 935735 |
Seattle |
WA |
98104 |
None |
None |
Donoviel |
Jonathan |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/26/2018 |
None |
Madera |
9300 Valley Children's Place |
None |
Madera |
CA |
93636 |
None |
1235624255 |
Don-Pedro |
Data |
None |
Physician |
Pediatrics |
8/14/2023 |
None |
Kern |
4900 California Avenue |
Suite 400B |
Bakersfield |
CA |
93309 |
None |
None |
Dooley |
Elizabeth |
C |
EPSDT Supplemental Services Provider |
Dietitians |
3/18/2004 |
None |
None |
None |
None |
None |
None |
None |
None |
1972950236 |
Dooley |
Rachel |
None |
Physical Therapist |
Physical Therapy |
5/18/2016 |
None |
San Diego |
13034 Signature Point |
None |
San Diego |
CA |
92130 |
None |
None |
Doolittle |
Danielle |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/4/2019 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
1831703537 |
Doolittle |
Shannon |
None |
Audiologist |
Audiology |
8/24/2021 |
None |
San Diego |
3665 Kearny Villa Road |
Suite 400 |
San Diego |
CA |
92123 |
None |
None |
Doomani |
Bianka |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/20/2006 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Doomani |
Bianka |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/20/2006 |
None |
Santa Clara |
900 Kiely Boulevard |
None |
Santa Clara |
CA |
95051 |
(408) 236-5010 |
None |
Doops-Quider |
Heather |
L |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/21/2016 |
None |
Los Angeles |
4650 Sunset Boulevard |
MS 147 |
Los Angeles |
CA |
90027 |
(323) 361-5454 |
None |
Dopps-Quider |
Heather |
L |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/21/2016 |
None |
Los Angeles |
4650 Sunset Boulevard |
MS 147 |
Los Angeles |
CA |
90027 |
(323) 361-5454 |
1336337476 |
Dorame |
Michele |
None |
Physical Therapist |
Physical Therapy |
2/8/2023 |
None |
Orange |
97 Stardance Drive |
None |
Mission Viejo |
CA |
92692 |
None |
None |
Dore |
Rachael |
Marie |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/14/2019 |
None |
San Diego |
Pala Road |
Oceanside, Ca |
Oceanside |
CA |
92057 |
None |
None |
Dorenfeld |
Susan |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/17/1994 |
None |
Placer |
1600 Eureka Road |
None |
Roseville |
CA |
95661 |
None |
None |
Dorfman |
Joan |
S |
Physician |
Pediatrics |
8/28/2008 |
None |
None |
575 Market Street |
Suite 300 |
San Francisco |
CA |
94105 |
None |
1497927644 |
Dorn |
Jill |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/1/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
None |
None |
Dorr-Uyemura |
Laura |
A |
EPSDT Supplemental Services Provider |
Dietitians |
1/18/2012 |
None |
Los Angeles |
1500 E Duarte Road |
None |
Duarte |
CA |
91010 |
(626) 227-4060 |
None |
Dorsey |
Allison |
C |
Physical Therapist |
Physical Therapy |
1/3/2022 |
None |
Contra Costa |
3480 Buskirk Avenue |
Suite 150 |
Pleasant Hill |
CA |
94523 |
(925) 947-3224 |
None |
Dorsey |
Catherine |
J |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/2/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dorsey |
Catherine |
Jean |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/2/2008 |
None |
Ventura |
863 Tupelo Wood Court |
None |
Newbury Park |
CA |
91320 |
(805) 341-9824 |
None |
Dorsey |
Charmaine |
E |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/20/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dosh |
Carly |
J |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/14/2015 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
None |
None |
Dougherty |
Christine |
A |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/30/2011 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dougherty |
Kathryn |
None |
Physical Therapist |
Physical Therapy |
6/21/2023 |
None |
Santa Clara |
780 Thornton Way |
San Jose, Ca |
San Jose |
CA |
95128 |
None |
None |
Douglas |
Donna |
L |
EPSDT Supplemental Services Provider |
Registered Nurse |
3/17/2011 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
None |
None |
Doung |
Bunrorth |
None |
EPSDT Supplemental Services Provider |
Dietitians |
8/22/2014 |
None |
Los Angeles |
9080 Colima Road |
None |
Whittier |
CA |
90605 |
(562) 907-1687 |
None |
Dowling |
Nicole |
J |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/21/2006 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Downey |
Lucinda |
R |
Physical Therapist |
Physical Therapy |
11/15/2012 |
None |
San Diego |
3605 Vista Way |
Suite 201 |
Oceanside |
CA |
92056 |
(760) 758-1620 |
1407200405 |
Downs |
Natalie |
None |
Physician |
Medical Genetics: Clinical Genetics (M.D.) |
4/30/2018 |
None |
San Francisco |
533 Parnassus Street |
Floor U253 |
UC San Francisco |
CA |
94143 |
None |
None |
Doyle |
Dariel |
None |
Psychologist |
Psychology |
9/23/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
(877) 605-0044 |
None |
Doyle |
Mary |
None |
Speech Therapist |
Speech Language Pathology |
12/1/1995 |
None |
Los Angeles |
7601 E Imperial Highway |
None |
Downey |
CA |
90242 |
None |
None |
Doyle |
Mei |
Laarnee |
Occupational Therapist |
Occupational Therapy |
7/22/2024 |
None |
Los Angeles |
W Dawson Ave |
None |
Glendora |
CA |
91740 |
None |
1275717902 |
Doyle |
Melissa |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
7/2/2014 |
None |
Los Angeles |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
None |
Doyle |
Molly |
E |
EPSDT Supplemental Services Provider |
Dietitians |
2/6/2012 |
None |
San Francisco |
505 Parnassus Avenue |
M-294 |
San Francisco |
CA |
94143 |
(415) 353-8244 |
None |
Doyle |
William |
A |
Physical Therapist |
Physical Therapy |
7/1/1998 |
None |
None |
1600 Eureka Road |
Floor 3 |
Roseville |
CA |
95661 |
None |
None |
Dracy |
Katherine |
E |
EPSDT Supplemental Services Provider |
Dietitians |
6/8/2009 |
None |
None |
280 W Macarthur Boulevard |
Asb 4501 Broadway |
Oakland |
CA |
94611 |
None |
1801802061 |
Dr Cramer |
Henry-Otolaryngology |
None |
Physician |
Otolaryngology |
2/1/1996 |
None |
None |
11480 Brookshire Avenue |
#204 |
Downey |
CA |
90241 |
None |
1316500242 |
Dresser Blacker |
Kaitlin |
V |
EPSDT Supplemental Services Provider |
Dietitians |
2/9/2024 |
None |
San Diego |
River Glen Row |
None |
San Diego |
CA |
92111 |
None |
1780941161 |
Drevno |
David |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/2/2012 |
None |
San Francisco |
700 Church Street |
#105 |
San Francisco |
CA |
94114 |
None |
None |
Dreyer |
Jennifer |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/27/2022 |
None |
Sacramento |
2279 45th Street |
None |
Sacramento |
CA |
95817 |
None |
None |
dreyfus |
madeleine |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/3/2016 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
(650) 497-8303 |
None |
Driscoll |
Alise |
L |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/10/2011 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Driscoll |
Heather |
L |
EPSDT Supplemental Services Provider |
Registered Nurse |
11/14/2011 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Driscoll |
Jessica |
A |
Orthotist |
Orthotics |
6/9/2008 |
12/27/2017 |
None |
None |
None |
None |
None |
None |
None |
None |
Driscoll |
Jessica |
None |
Prosthetist |
Prosthetics/Orthotics |
2/28/2024 |
None |
Sacramento |
2425 Stockton Blvd Boulevard |
None |
Sacramento |
CA |
95817 |
None |
None |
Driscoll |
Julie |
E |
Occupational Therapist |
Occupational Therapy |
6/28/2010 |
12/27/2017 |
None |
None |
None |
None |
None |
None |
None |
None |
Droguett |
Jacqueline |
None |
Physical Therapist |
Physical Therapy |
9/23/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Drottar |
Sonya |
E |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/30/2005 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Drummond |
Stephanie |
V |
Occupational Therapist |
Occupational Therapy |
8/3/2009 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
dryanski |
stephen |
None |
Audiologist |
Audiology |
4/2/2013 |
None |
Santa Clara |
1000 Welch Road |
Suite 10 |
Palo Alto |
CA |
94304 |
(650) 498-4327 |
None |
Dryden |
Nicole |
M |
Physical Therapist |
Physical Therapy |
5/21/2008 |
None |
None |
1200 El Camino Real |
None |
South San Francisco |
CA |
94080 |
None |
None |
D'Souza |
Vina |
None |
Occupational Therapist |
Occupational Therapy |
6/26/2007 |
None |
None |
3020 Childrens Way |
Unit M5068 |
San Diego |
CA |
92123 |
None |
1225291974 |
du |
quoc |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
8/24/2012 |
None |
Santa Clara |
700 Welch Road |
301 |
Palo Alto |
CA |
94304 |
(650) 723-8295 |
None |
Duarte |
Jeanette |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/22/2014 |
None |
Fresno |
5685 E Christine Avenue |
None |
Fresno |
CA |
93727 |
(559) 824-0357 |
None |
Duarte |
Mireya |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/7/2022 |
None |
Riverside |
26520 Cactus Avenue |
None |
Moreno Valley |
CA |
92555 |
None |
None |
Duben |
Ora |
G |
Occupational Therapist |
Occupational Therapy |
2/4/2008 |
None |
None |
4510 Viewridge Avenue |
None |
San Diego |
CA |
92123 |
None |
None |
Dubin |
Anya |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/8/2014 |
None |
Alameda |
2450 Ashby Avenue |
None |
Berkeley |
CA |
94705 |
(510) 204-4444 |
1194479188 |
DuBoff |
Erika |
None |
EPSDT Supplemental Services Provider |
Dietitians |
5/13/2024 |
None |
Santa Clara |
1681 Danromas Way |
None |
San Jose |
CA |
95129 |
None |
None |
Duboff |
Jill |
D |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
5/1/1980 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
DuBois |
Amy |
None |
Physical Therapist |
Physical Therapy |
3/29/2023 |
None |
San Bernardino |
3380 Avalon Avenue |
None |
Yucca Valley |
CA |
92284 |
None |
1063952786 |
Ducharme-Smith |
Kirstie |
None |
EPSDT Supplemental Services Provider |
Dietitians |
6/24/2022 |
None |
San Diego |
101 Park Plaza |
Apartment 344 |
San Diego |
CA |
92101 |
None |
None |
Duckhorn |
Gaurett |
B |
Physical Therapist |
Physical Therapy |
7/8/2008 |
None |
Placer |
1 Medical Palza |
None |
Roseville |
CA |
95661 |
None |
None |
Ducksworth |
Heather |
M |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/24/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Ducksworth |
Yolanda |
S |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/8/2006 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Duckworth |
Paige |
Elizabeth |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/19/2019 |
None |
Riverside |
26520 Cactus Avenue |
San Jacinto, Ca |
Moreno Valley |
CA |
92555 |
None |
None |
Duclos-Robinson |
Alisa |
None |
Psychologist |
Psychology |
9/11/2013 |
None |
Los Angeles |
393 E Walnut Street |
None |
Pasadena |
CA |
91188 |
(877) 608-0044 |
1578896536 |
Duenas |
Hugo |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/30/2023 |
None |
Los Angeles |
9400 E Rosecrans Avenue |
None |
Bellflower |
CA |
90706 |
None |
None |
Duff |
Susan |
None |
Occupational Therapist |
Occupational Therapy |
8/17/2022 |
None |
Los Angeles |
8700 Beverly Boulevard |
None |
Los Angeles |
CA |
90048 |
None |
None |
Duffin |
Raelene |
None |
EPSDT Supplemental Services Provider |
Dietitians |
4/3/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Duffin |
Susanne |
B |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
3/14/2011 |
7/12/2022 |
Sonoma |
30 Mark W Springs Road |
None |
Santa Rosa |
CA |
95404 |
None |
None |
Duffy |
Chiye |
O |
Physical Therapist |
Physical Therapy |
12/1/1996 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Duffy |
Mary |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/25/2023 |
None |
Los Angeles |
275 W Center Street |
Unit 3 |
Covina |
CA |
91723 |
None |
None |
Dufresne |
Kimberly |
M |
EPSDT Supplemental Services Provider |
Dietitians |
9/26/2014 |
None |
Ventura |
3291 Loma Vista Road |
None |
Ventura |
CA |
93003 |
(805) 652-6177 |
1275047995 |
Dugan |
Meagan |
K |
Occupational Therapist |
Occupational Therapy |
12/18/2018 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
None |
1417591066 |
Dugan |
Rebecca |
Marie |
Physical Therapist |
Physical Therapy |
10/12/2020 |
None |
Los Angeles |
524 N Francisca Avenue |
Apartment 9A |
Redondo Beach |
CA |
90277 |
None |
1871721100 |
Dugan |
Sean |
Patrick |
Physician |
Pediatrics |
4/10/2013 |
None |
Shasta |
1035 Placer Street |
None |
Redding |
CA |
96001 |
(530) 246-5710 |
None |
Dugas |
Margaret |
P |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/4/2014 |
None |
San Diego |
7920 Frost Street |
Suite 200 |
San Diego |
CA |
92123 |
(858) 966-1700 |
None |
Duggan |
Brittany |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/28/2024 |
None |
San Bernardino |
16761 Verde Street |
Victorville Ca |
Victorville |
CA |
92395 |
None |
None |
Dugoni |
Karen |
None |
Physical Therapist |
Physical Therapy |
1/30/2023 |
None |
Placer |
8951 Valley View Drive |
Newcastle, Ca Placer County |
Newcastle |
CA |
95658 |
None |
None |
Dulansky |
Tamara |
L |
Occupational Therapist |
Occupational Therapy |
5/29/2002 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
None |
None |
Dulansky |
Tamara |
None |
Occupational Therapist |
Occupational Therapy |
5/29/2002 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dulay |
Cheyrol Anne |
Tamayo |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/24/2017 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
None |
None |
Dulay |
Christopher |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/5/2019 |
None |
Los Angeles |
Atlantic Avenue |
Building 2801 |
Long Beach |
CA |
90804 |
None |
None |
Dulay |
Marlene |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/19/2022 |
None |
Los Angeles |
Greenbrier Avenue |
None |
Bellflower |
CA |
90706 |
None |
1831719277 |
Duly |
Lara |
Kristen |
EPSDT Supplemental Services Provider |
Dietitians |
10/19/2020 |
None |
Orange |
38 Abrigo |
None |
Rancho Santa Margarita |
CA |
92688 |
None |
1508953100 |
Dumain |
Kathleen |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/12/2019 |
None |
Orange |
24502 Pacific Park Drive |
None |
Aliso Viejo |
CA |
92656 |
None |
1093278228 |
Duman |
Mandy |
None |
Physical Therapist |
Physical Therapy |
6/18/2019 |
None |
San Diego |
3020 Children's Way |
Unit MC5068 |
San Diego |
CA |
92123 |
None |
None |
Dumesnil |
Cheryl |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
1/29/2024 |
None |
Contra Costa |
2815 Eccleston Avenue |
Walnut Creek, Ca Contra Costa County |
Walnut Creek |
CA |
94597 |
None |
None |
Dumpit |
Melina |
I |
Occupational Therapist |
Occupational Therapy |
10/20/2008 |
None |
None |
None |
None |
None |
None |
None |
None |
1104455146 |
Dunagan |
Amanda |
None |
Speech Therapist |
Speech Language Pathology |
5/5/2021 |
None |
San Bernardino |
14858 Clubhouse Dr #686 Drive |
Helendale, California Unit D |
Silver Lakes |
CA |
92342 |
None |
None |
Dunbar |
Fiona |
None |
Occupational Therapist |
Occupational Therapy |
6/23/2023 |
None |
Contra Costa |
445 35th Street |
None |
Richmond |
CA |
94805 |
None |
1417417296 |
Duncan |
Iesha |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/20/2024 |
None |
Los Angeles |
UCLA Medical Plaza |
None |
UC Los Angeles |
CA |
90095 |
None |
None |
Duncan |
John-Lee |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
8/21/2020 |
None |
Sacramento |
2025 Morse Avenue |
None |
Sacramento |
CA |
95825 |
None |
None |
Duncan |
Nicole |
Frances |
Speech Therapist |
Speech Language Pathology |
4/27/2015 |
None |
Fresno |
2637 Purvis Avenue |
None |
Clovis |
CA |
93611 |
None |
None |
Duncan |
Sandra |
Jean |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/1/1993 |
None |
Fresno |
7676 N Carnegie Avenue |
None |
Fresno |
CA |
93722 |
(559) 304-0552 |
1114487816 |
Dungca |
Camilla |
None |
Licensed Clinical Social Worker (Individual) |
Social Worker (Non-EPSDT) |
9/24/2024 |
None |
Los Angeles |
9333 Imperial Highway |
None |
Downey |
CA |
90242 |
None |
None |
Dunham |
Heidi |
A |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/1/1994 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dunham |
Mary |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
7/1/1994 |
10/31/2016 |
Los Angeles |
1505 Edgemont Street |
None |
Los Angeles |
CA |
90027 |
(323) 783-4371 |
None |
Dunkel |
Greg |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/28/2009 |
None |
Los Angeles |
10833 Le Conte Avenue |
None |
Los Angeles |
CA |
90095 |
(310) 794-3424 |
None |
Dunkley |
Claire |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
2/8/2019 |
None |
San Diego |
7723 Eads Avenue |
None |
La Jolla |
CA |
92037 |
None |
1134523897 |
Dunn |
Brittany |
Anne |
Occupational Therapist |
Occupational Therapy |
5/1/2017 |
None |
Santa Barbara |
1400 E Church Street |
None |
Santa Maria |
CA |
93454 |
(714) 504-5022 |
None |
Dunn |
Jeanett |
M |
Speech Therapist |
Speech Language Pathology |
7/6/2007 |
None |
None |
None |
None |
None |
None |
None |
None |
1245574797 |
Dunn |
Kathryn |
None |
Physical Therapist |
Physical Therapy |
12/21/2017 |
None |
San Diego |
823 Gateway Center Way |
None |
San Diego |
CA |
92102 |
None |
None |
Dunn |
Lauren |
J |
Physical Therapist |
Physical Therapy |
9/9/2011 |
None |
Los Angeles |
4650 W Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
None |
Dunn |
Virginia |
D |
Physical Therapist |
Physical Therapy |
5/17/1979 |
None |
San Bernardino |
29101 Hospital Road |
P.O. Box 70 |
Lake Arrowhead |
CA |
92352 |
None |
None |
Dunne |
Ray |
B |
Physical Therapist |
Physical Therapy |
9/5/2007 |
None |
None |
285 Mercey Springs Road |
Suite A |
Los Banos |
CA |
93635 |
None |
None |
Dunphy |
Amy |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/16/2019 |
None |
Contra Costa |
1425 South Main Street |
Building 1425 |
Walnut Creek |
CA |
94596 |
None |
None |
Duong |
Leanne |
Kim |
EPSDT Supplemental Services Provider |
Registered Nurse |
6/30/2017 |
None |
San Francisco |
3333 California Street |
Suite 1-10 |
San Francisco |
CA |
94118 |
(415) 514-2700 |
None |
Duong |
Thanh |
Thanh |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/27/2019 |
None |
Los Angeles |
2801 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
None |
1457758765 |
DuPont |
Lindsey |
M |
Physical Therapist |
Physical Therapy |
1/8/2015 |
None |
San Diego |
3020 Children's Way |
None |
San Diego |
CA |
92123 |
(858) 966-5829 |
1376859405 |
Dupont |
Patricia |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/14/2015 |
None |
Los Angeles |
393 Walnut Street |
None |
Pasadena |
CA |
91188 |
None |
1093947376 |
Dupree |
Angelus |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
12/9/2017 |
None |
Sacramento |
8976 Neponset Drive |
None |
Elk Grove |
CA |
95624 |
None |
1245798164 |
DuPuis |
Melissa |
Yuen-Ting |
EPSDT Supplemental Services Provider |
Dietitians |
3/14/2019 |
None |
Placer |
2621 Firebrand Lane |
None |
Rocklin |
CA |
95765 |
None |
None |
Duque Sierra |
Karina |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
9/8/2021 |
None |
Riverside |
26520 Cactus Avenue |
None |
Moreno Valley |
CA |
92555 |
None |
None |
Duran |
Belinda |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
8/7/2019 |
None |
Los Angeles |
31920 Diamond View Lane |
None |
Agua Dulce |
CA |
91390 |
(661) 212-4555 |
None |
Duran |
Bernardo |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
7/8/2024 |
None |
Los Angeles |
6041 Cadillac Avenue |
None |
Los Angeles |
CA |
90034 |
None |
None |
Duran |
Daniel |
S |
Audiologist |
Audiology |
1/21/2015 |
None |
Madera |
9300 Children's Place |
None |
Madera |
CA |
93636 |
(559) 353-3000 |
None |
Duran |
Diane |
L |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/11/2009 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Duran |
Joana |
R |
EPSDT Supplemental Services Provider |
Registered Nurse |
5/11/2011 |
None |
Los Angeles |
1000 W Carson Street |
Building N25,Box 468 |
Torrance |
CA |
90502 |
(310) 222-4154 |
None |
Duran |
Trisha |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/16/2018 |
None |
Orange |
101 E. Valencia Mesa Drive |
None |
Fullerton |
CA |
92835 |
None |
1801568035 |
Duran Covarrubias |
Zuleyma |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
10/7/2021 |
None |
Tulare |
8467 Ave 406 Avenue |
Dinuba, Ca |
Dinuba |
CA |
93618 |
None |
1912038126 |
Durand |
Lori |
Campanella |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
11/28/2017 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
None |
None |
Durand |
Manuel |
None |
Physician |
Pediatrics: Neonatal-Perinatal Medicine |
10/1/1983 |
None |
None |
4650 Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
None |
Durand |
Manuel |
None |
Physician |
Pediatrics |
10/1/1983 |
None |
Los Angeles |
1200 N State Street |
None |
Los Angeles |
CA |
90033 |
None |
None |
Durand |
Manuel |
None |
Physician |
Pediatrics: Neonatal-Perinatal Medicine |
10/1/1983 |
None |
Los Angeles |
1200 N State Street |
None |
Los Angeles |
CA |
90033 |
None |
None |
Durazo |
Maribeth |
Ann |
Physical Therapist |
Physical Therapy |
1/24/2019 |
None |
Santa Barbara |
835 McCloud Street |
None |
Santa Maria |
CA |
93455 |
None |
None |
Durbin |
Christine |
M |
Speech Therapist |
Speech Language Pathology |
5/1/1992 |
None |
None |
100 Rowland Way |
Suite 205 |
Novato |
CA |
94945 |
None |
None |
Durfee |
Andrea |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
1/20/2011 |
None |
San Diego |
4077 5th Avenue |
None |
San Diego |
CA |
92103 |
(619) 260-7075 |
1265193130 |
Durfee |
Elizabeth |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
1/11/2022 |
None |
San Francisco |
1825 Fourth Street |
None |
San Francisco |
CA |
94143 |
None |
1790962108 |
Durham |
Eileen |
Simone |
EPSDT Supplemental Services Provider |
Registered Nurse |
9/27/2002 |
None |
San Mateo |
730 Welch Road |
None |
Palo Alto |
CA |
94301 |
(650) 723-6053 |
None |
Durnall |
Natalie |
None |
Physical Therapist |
Physical Therapy |
1/25/2023 |
None |
Tuolumne |
17880 Delores Lane |
Sonora, Ca, Tuolumne |
Sonora |
CA |
95370 |
None |
None |
Durrenberger |
Dianne |
S |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/24/2009 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dutko |
Helen |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
4/21/2020 |
None |
Los Angeles |
4650 W Sunset Boulevard |
None |
Los Angeles |
CA |
90027 |
None |
None |
Duzon |
Monalisa |
None |
EPSDT Supplemental Services Provider |
Registered Nurse |
2/13/2025 |
None |
Los Angeles |
2701 Atlantic Avenue |
None |
Long Beach |
CA |
90806 |
None |
1881898237 |
Dworkin |
Daniel |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
4/4/2022 |
None |
Los Angeles |
1505 Edgemont Boulevard |
1st Floor |
Los Angeles |
CA |
90027 |
(323) 783-4371 |
None |
Dybdahl |
Allison |
H |
Speech Therapist |
Speech Language Pathology |
7/31/2006 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Dye |
Melanie |
L |
Orthotist |
Orthotics |
8/7/2012 |
None |
Riverside |
7254 Magnolia Avenue |
None |
Riverside |
CA |
92504 |
(951) 785-4411 |
None |
Dyen |
Sarah |
None |
EPSDT Supplemental Services Provider |
Social Worker (EPSDT Only) |
6/4/2013 |
None |
Santa Clara |
725 Welch Road |
None |
Palo Alto |
CA |
94304 |
(650) 497-8303 |
None |
Dyer |
Shelly |
Ann |
EPSDT Supplemental Services Provider |
Registered Nurse |
3/7/2014 |
None |
Los Angeles |
1730 Rogers Place |
Apartment 39 |
Burbank |
CA |
91504 |
(323) 361-2739 |