Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like L*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

provider_number	npi_provider_number	owner_number	service_location_number	provider_business_legal_name	enrollment_status_effective_date	provider_type_code	provider_type_code_desc	provider_license_number	provider_specialty_code	provider_specialty_code_desc	out_of_state_ind	out_of_state_ind_desc	provider_address_county_code	provider_address_county_code_description	attention_line	provider_address_line1	provider_address_line2	provider_address_city	provider_address_state	provider_address_zip	provider_address_latitude	provider_address_longitude	mssa_id	tract_id
1013935915	1013935915	1	1	LOMA LINDA UNIVERSITY	26-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	HEALTH SERVICES	1454 E 2ND ST	None	SAN BERNARDINO	CA	92408	34.102722	-117.267878	151k	65
1033418785	1033418785	1	1	LAKE ELSINORE CLINICA MEDIC	16-Jul-11	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	33	Riverside	CORPORATION	141 NORTH MAIN STREET	None	LAKE ELSINORE	CA	92530	33.668746	-117.327369	131a	430.01
1033596911	1033596911	1	1	LAUREL VISTA	28-Nov-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	BLDG 400 SUITE 301	SALINAS	CA	93906	36.696823	-121.62962	109.2	106.08
1053526756	1053526756	1	1	LA MAESTRA COMMUNITY HEALTH	2-Oct-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	NATIONAL CITY	217 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	32.683182	-117.10069	161k	118.01
1063426898	1063426898	1	1	LONG BEACH COMPREHENSIVE	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LONG BEACH FAM PLANNING	1333 CHESTNUT AVE	None	LONG BEACH	CA	90813	33.783223	-118.196371	78.2jjj	5754.01
1063501880	1063501880	1	1	LANTRY, SELENA C MD	29-Jul-97	Physicians (026)	PHYSICIANS	G00055968	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1505 WILSON TER	STE 130	GLENDALE	CA	91206	34.14953	-118.231281	78.2ee	3010
1063525871	1063525871	1	1	LA CO MARTIN LUTHER KING	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	MLKING/DREW FAM PLANNING	12021 WILMINGTON AVE	None	LOS ANGELES	CA	90059	33.923344	-118.239183	78.2ooo	5407
1104920438	1104920438	1	2	LAKE ALMANOR CLINIC	19-Dec-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	32	Plumas	LAKE ALMANOR CLINIC	199 REYNOLDS RD	None	CHESTER	CA	96020	40.305653	-121.232544	125	5.01
1124106646	1124106646	1	1	LANARK FAMILY MED CLINIC	1-May-02	Physicians Group (022)	PHYSICIANS GROUP	FNP029033	1	General Practice	0	In state provider	19	Los Angeles	None	8040 VAN NUYS BLVD	None	PANORAMA CITY	CA	91402	34.217232	-118.448759	78.2zz	1203
1144336181	1144336181	1	1	LA CLINICA DE LA RAZA	21-Aug-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	3451 E 12TH ST	None	OAKLAND	CA	94601	37.775796	-122.223557	2d	4061
1154327138	1154327138	1	1	LIFELONG MEDICAL CARE-	11-Feb-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	EAST OAKLAND	10700 MACARTHUR BLVD	STE 14B	OAKLAND	CA	94605	37.742368	-122.151705	2d	4101
1184753790	1184753790	1	1	LINDA VISTA HLTH CARE	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	6973 LINDA VISTA RD	None	SAN DIEGO	CA	92111	32.786812	-117.170026	161a	88
1194709535	1194709535	1	1	LING, DAVID MD	25-Mar-97	Physicians (026)	PHYSICIANS	C00029051	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	None	2031 W ALAMEDA AVE	STE 214	BURBANK	CA	91506	34.159851	-118.32331	78.2ttt	3117
1205137452	1205137452	1	1	LALEZARI, BAHMAN MD INC	1-Sep-11	Physicians (026)	PHYSICIANS	A00051462	1	General Practice	0	In state provider	19	Los Angeles	None	4944 W PICO BLVD	None	LOS ANGELES	CA	90019	34.047892	-118.344541	78.2x	2172
1215327804	1215327804	1	1	LAKE COUNTY TRIBAL HEALTH PE	11-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	17	Lake	CONSORTIUM INC	359 LAKEPORT BLVD	None	LAKEPORT	CA	95453	39.034638	-122.917518	70.1	4
1225149222	1225149222	1	1	LAGUNA BEACH COMM CLINIC	1-Dec-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	362 3RD ST	None	LAGUNA BEACH	CA	92651	33.543763	-117.780912	115.2d	626.05
1255795258	1255795258	1	1	LOS ANGELES PIERCE COLLEGE	12-Jul-17	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	COLLEGE DISTRICT	6201 WINNETKA AVENUE	None	WOODLAND HILLS	CA	91371	34.182912	-118.570945	78.2ii	1393.01
1265539712	1265539712	1	1	LUDMIR, JAIME MD	30-Oct-97	Physicians (026)	PHYSICIANS	A00035195	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	2810 S BRISTOL ST	None	SANTA ANA	CA	92704	33.709712	-117.885429	116g	740.05
1295887024	1295887024	2	1	LA LIBERTAD MEDICAL	1-Oct-08	Physicians Group (022)	PHYSICIANS GROUP	FNP024664	1	General Practice	0	In state provider	19	Los Angeles	CLINIC INC	8225 LONG BEACH BLVD	STE C	SOUTH GATE	CA	90280	33.963767	-118.225108	78.2ccc	5355.01
1316075062	1316075062	1	1	LASALLE MEDICAL ASSOC	19-Jan-06	Physicians Group (022)	PHYSICIANS GROUP	FNP023625	1	General Practice	0	In state provider	36	San Bernardino	None	16455 MAIN ST	STE 1	HESPERIA	CA	92345	34.421826	-117.303329	145.1a	100.14
1326092800	1326092800	1	1	LOPEZ, JAIME MD INC	7-Jul-11	Physicians (026)	PHYSICIANS	G00050641	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	8135 S PAINTER AVE	STE 205	WHITTIER	CA	90602	33.965798	-118.032696	78.2uu	5018.04
1326127374	1326127374	1	1	LII, ANGELA D MD	19-May-99	Physicians (026)	PHYSICIANS	A00065035	41	Internal Medicine	0	In state provider	19	Los Angeles	None	531 W LAS TUNAS DR	STE D	SAN GABRIEL	CA	91776	34.102455	-118.107619	78.2dddd	4802.01
1336353721	1336353721	1	1	LA MAESTRA FAMILY CLINIC	9-Feb-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	4060 FAIRMOUNT AVE	None	SAN DIEGO	CA	92105	32.750726	-117.100866	161d	23.02
1366467375	1366467375	1	1	LONG VALLEY HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	PO BOX 870	50 BRANSCOMB RD	None	LAYTONVILLE	CA	95454	39.687775	-123.48485	90	102
1366570038	1366570038	1	1	LAUREL INTERNAL MEDICINE	1-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	36.696798	-121.62963	109.2	106.08
1376610923	1376610923	1	1	LOVATO, ESTEBAN D MD	1-Jul-06	Physicians (026)	PHYSICIANS	G00075190	41	Internal Medicine	0	In state provider	1	Alameda	None	3022 INTERNATIONAL BLVD	STE 210	OAKLAND	CA	94601	37.778594	-122.227871	2d	4061
1386025773	1386025773	1	1	L A STAR MEDICAL GROUP INC	17-Aug-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	4161 REDONDO BEACH BLVD	SUITE 100	LAWNDALE	CA	90260	33.876068	-118.347605	78.2iiii	6041
1386770477	1386770477	1	1	LARKIN STREET MEDICAL CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1044 LARKIN ST	None	SAN FRANCISCO	CA	94109	37.787601	-122.418434	162b	120
1396817193	1396817193	1	3	LOS ALAMITOS OB GYN MEDICAL	6-Nov-14	Physicians (026)	PHYSICIANS	20A6917	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	INC	3801 KATELLA AVE	SUITE 302	LOS ALAMITOS	CA	90720	33.803185	-118.066314	116e	1101.08
1396836094	1396836094	1	1	LOPEZ, ROBERT MD	28-Mar-00	Physicians (026)	PHYSICIANS	G00075281	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	12586 CENTRAL AVE	None	CHINO	CA	91710	34.024898	-117.689451	151a	6.04
1396880365	1396880365	1	1	LEE, RYAN K M D INC	17-Apr-12	Physicians (026)	PHYSICIANS	G00079984	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1420 SOUTH CENTRAL AVE	None	GLENDALE	CA	91204	34.128432	-118.2578	78.2ee	3024.01
1407973043	1407973043	2	1	LIFELONG BROOKSIDE COMMUNITY	7-Mar-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	None	1030 NEVIN AVE	None	RICHMOND	CA	94801	37.936828	-122.35971	18f	3770
1427110329	1427110329	1	1	LIVINGSTON COMMUNITY HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	1140 MAIN ST	None	LIVINGSTON	CA	95334	37.38035	-120.723388	95	3.04
1447388251	1447388251	1	1	LASALLE MEDICAL ASSOC	14-Feb-01	Physicians Group (022)	PHYSICIANS GROUP	FNP023625	8	Family Practice	0	In state provider	36	San Bernardino	None	565 N MOUNT VERNON AVE	None	SAN BERNARDINO	CA	92411	34.109573	-117.313834	151g	48
1457460503	1457460503	1	1	LOS ANGELES MEDICAL CTR	22-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP024603	1	General Practice	0	In state provider	19	Los Angeles	LOS ANGELES MEDICAL CTR	319 N SOTO ST	None	LOS ANGELES	CA	90033	34.04729	-118.207479	78.2h	2036
1457489122	1457489122	1	1	LAUREL FAM PRACTICE CLINIC	1-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	LAURAL FAMILY PRACTICE	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	36.696798	-121.62963	109.2	106.08
1457758724	1457758724	1	1	LIFELONG ASHBY HEALTH CTR	22-Apr-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	3075 ADELINE ST	SUITE 280	BERKELEY	CA	94703	37.852694	-122.269722	2a	4239.01
1457762072	1457762072	1	1	LK HEALTH	1-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002916	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	901 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	34.010407	-118.109748	78.2c	5321.01
1487696191	1487696191	2	1	LIFELONG BROOKSIDE COMM HLTH	7-Mar-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	SAN PABLO	2023 VALE ROAD	#107	SAN PABLO	CA	94806	37.95356	-122.338006	18f	3690.01
1497805790	1497805790	1	1	LOGAN HEALTH CENTER	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	CENTER INC	1800 H STREET	ROOM 80	UNION CITY	CA	94587	37.59161	-122.026468	2n	4403.08
1508187329	1508187329	1	1	LAS ISLAS FAMILY MEDICAL GR	20-Jun-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	325 W CHANNEL ISLAND BLV	None	OXNARD	CA	93033	34.173722	-119.180277	241b	38.02
1518998723	1518998723	1	1	LA FAMILIA & WOMENS MEDICAL	17-Mar-05	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	14359 PIONEER BLVD	STE A	NORWALK	CA	90650	33.901026	-118.082551	78.2jjjj	5528
1528078573	1528078573	1	1	LAC USC MEDICAL CENTER	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LAC+USC W+C OP RM 4P81	1200 N STATE ST	None	LOS ANGELES	CA	90033	34.059119	-118.209851	78.2ffff	2033
1538181482	1538181482	1	1	LA CLINICA MONUMENT	21-Aug-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	None	2000 SIERRA ROAD	None	CONCORD	CA	94518	37.952425	-122.037196	18c	3372
1538183389	1538183389	1	1	LIU, LONG-DEI MD	1-Mar-97	Physicians (026)	PHYSICIANS	A00036134	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	12555 GARDEN GROVE BLVD	STE 402	GARDEN GROVE	CA	92843	33.774488	-117.914305	116r	885.02
1538240908	1538240908	1	1	LAS PALMAS MEDICAL CLINI	15-Sep-09	Physicians (026)	PHYSICIANS	G57022	1	General Practice	0	In state provider	36	San Bernardino	None	527 N PALM AVE	SUITE 106	ONTARIO	CA	91762	34.068542	-117.653605	151c	14
1558527572	1558527572	1	1	LEW, PO LONG DO	24-Dec-99	Physicians (026)	PHYSICIANS	20A5380	8	Family Practice	0	In state provider	19	Los Angeles	A MEDICAL CORPORATION	9308 VALLEY BLVD	None	ROSEMEAD	CA	91770	34.081055	-118.066612	78.2qqq	4329.01
1568598829	1568598829	1	1	LIFELONG MEDICAL CARE	11-Feb-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	DOWNTOWN OAKLAND CLINIC	616 16TH ST	None	OAKLAND	CA	94612	37.807251	-122.274341	2c	4028
1578834164	1578834164	1	1	LA CLINICA OAKLEY	29-Oct-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	None	2021 MAIN ST	None	OAKLEY	CA	94561	38.002703	-121.732358	18e	3020.05
1588843155	1588843155	1	1	LIDY, CYNTHIA Y MD	21-Sep-05	Group Cert. Pediatric/Family NP (010)	GROUP CERTIFIED NURSE PRACTITIONER	RN426211	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	3737 MARTIN LUTHER KING	# 605B	LYNWOOD	CA	90262	33.928529	-118.200486	78.2sss	5402.03
1619145307	1619145307	1	1	LMC-HOWARD DANIEL CLINIC	1-Apr-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	9933 MACARTHUR BLVD	None	OAKLAND	CA	94605	37.746523	-122.156651	2d	4101
1669513222	1669513222	1	1	LA SIERRA MEDICAL CLINIC	1-Mar-06	Physicians Group (022)	PHYSICIANS GROUP	FNP032530	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	4712B LA SIERRA AVE	None	RIVERSIDE	CA	92505	33.916593	-117.486873	135d	409.01
1679024467	1679024467	1	1	LA CLINIQUITA DE PICO RIVERA	22-May-17	Physicians (026)	PHYSICIANS	A123276	1	General Practice	0	In state provider	19	Los Angeles	None	6505 ROSEMEAD BLVD	STE 106	PICO RIVERA	CA	90660	33.986991	-118.094339	78.2ww	5007
1689687345	1689687345	1	1	LA PUENTE SUBCENTER	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LA PUENTE FAM PLANNING	15930 CENTRAL AVE	None	LA PUENTE	CA	91744	34.019862	-117.951064	78.2yyy	4077.02
1700811791	1700811791	3	1	LAM, JACINTO MD	27-Jan-03	Physicians (026)	PHYSICIANS	A39722	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3500 WHITTIER BLVD	STE 107	LOS ANGELES	CA	90023	34.026687	-118.198514	78.2h	2049.1
1710077961	1710077961	2	1	LA PAZ MEDICAL GROUP	2-Dec-97	Physicians (026)	PHYSICIANS	A00046128	1	General Practice	0	In state provider	19	Los Angeles	None	1107 S ALVARADO ST	None	LOS ANGELES	CA	90006	34.050166	-118.280829	78.2b	2098.1
1720234701	1720234701	1	1	LEE, CHANG L MD INC	3-Feb-09	Physicians (026)	PHYSICIANS	A00099010	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	399 E HIGHLAND AVE	SUITE 223	SAN BERNARDINO	CA	92404	34.135924	-117.2773	151k	63.01
1720243454	1720243454	1	1	LA CLINICA NORTH VALLEJO	10-Feb-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	None	220 HOSPITAL DRIVE	None	VALLEJO	CA	94589	38.131074	-122.239758	204	2519.01
1730282286	1730282286	1	1	LOS ANGELES MEDICAL CTR	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP024603	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	LOS ANGELES MEDICAL CTR	2010 WILSHIRE BLVD	FL 2	LOS ANGELES	CA	90057	34.057437	-118.274815	78.2ffff	2089.03
1780899484	1780899484	1	1	LA MAESTRA FAMILY CLINIC	1-Oct-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	165 S 1ST ST	None	EL CAJON	CA	92019	32.794038	-116.944599	161h	157.03
1821155433	1821155433	1	1	LLAMAS CLINICA MEDICA FAMILI	18-Nov-09	Physicians (026)	PHYSICIANS	A00044548	8	Family Practice	0	In state provider	36	San Bernardino	None	9653 ALDER AVE	None	FONTANA	CA	92335	34.078519	-117.41827	151f	32
1851625396	1851625396	1	1	LAKE ELSINORE FAM MED CLINIC	28-Jan-10	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	33	Riverside	FAMILIAR	31739 RIVERSIDE DR	STE A1	LAKE ELSINORE	CA	92530	33.676989	-117.373381	131a	430.01
1861882946	1861882946	1	1	LA LIBERTAD MEDICAL CLINIC	6-Jun-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC	7900 PACIFIC BLVD	SUITE C AND D	WALNUT PARK	CA	90255	33.966707	-118.225207	78.2fff	5348.03
1871653816	1871653816	1	1	LIEN, THOI H MD	14-Feb-05	Physicians (026)	PHYSICIANS	A00075628	8	Family Practice	0	In state provider	19	Los Angeles	None	1004 E GARVEY AVE	None	MONTEREY PARK	CA	91755	34.062538	-118.10931	78.2nn	4822.02
1881697381	1881697381	1	1	LAKE COUNTY TRIBAL HLTH	20-Jul-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	17	Lake	PO BOX 1950	925 BEVINS CT	None	LAKEPORT	CA	95453	39.037772	-122.922507	70.1	4
1881871721	1881871721	1	1	LA MISSION COLLEGE STUDENT	17-Aug-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	MISSION COLLEGE	13356 ELDRIDGE AVE	None	SYLMAR	CA	91342	34.314627	-118.420426	78.2gg	1061.11
1891808481	1891808481	1	1	LEE, JEFFREY MD	3-Oct-97	Physicians (026)	PHYSICIANS	A00035939	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	130 W ROUTE 66	SUITE 320	GLENDORA	CA	91740	34.128692	-117.86456	78.2qq	4011.02
1891929691	1891929691	1	1	LEMON GROVE FAMILY HLTH CTR	18-Dec-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	7592 BROADWAY	None	LEMON GROVE	CA	91945	32.742714	-117.034388	161g	144
1922020585	1922020585	1	1	LITTLE LAKE CLINIC	25-Nov-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	LITTLE LAKE CLINIC	45 HAZEL ST	None	WILLITS	CA	95490	39.399795	-123.352139	91	107
1952542896	1952542896	1	1	LAS ISLAS FAMILY MEDICAL GRO	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	2400 S C ST	None	OXNARD	CA	93030	34.216891	-119.180889	241b	33
1962709857	1962709857	1	1	LAS BRISAS OB/GYN	1-Apr-11	Physicians (026)	PHYSICIANS	A00102206	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	24910 LAS BRISAS RD	#111	MURRIETA	CA	92562	33.57648	-117.183054	131a	504
1972525822	1972525822	1	1	LA CLINICA PITTSBURG-MED	10-Jul-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	LA CLINICA PITTBURG-MED	2240 GLADSTONE DR	None	PITTSBURG	CA	94565	38.006542	-121.866438	18d	3131.02
1982846366	1982846366	1	1	LAS POSAS FAMILY MEDICAL GRO	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	3801 LAS POSAS RD	SUITE 214	CAMARILLO	CA	93010	34.241839	-119.017193	239	52.02
1992811392	1992811392	1	1	LA CLINICA DE LA RAZA	28-May-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	None	243 GEORGIA ST	None	VALLEJO	CA	94590	38.101152	-122.25928	204	2509
1992863096	1992863096	1	1	LA CLINICA VALLEJO	21-Aug-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	GREAT BEGINNINGS	210 HOSPITAL DR	None	VALLEJO	CA	94589	38.131072	-122.239836	204	2519.01