Blue Shield Promise Cal MediConnect Plan (Medicare ...

H0148_20_141_LA_KO Accepted 10192020
Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association
Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan)
2021 : Los Angeles
H0148_20_141_LA_KO Accepted 10192020
, Blue Shield Promise Cal MediConnectPlan (855) 905-3825 (TTY:
711) . 8 8 . .
, www.blueshieldca.com/promise/calmediconnect .
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Blue Shield Promise Cal MediConnect Plan | 2021

Blue Shield Promise Cal MediConnect Plan
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B. .................................................................................................................................. 10
B3. (LTSS) ..................................................................................... 13
B4. Blue Shield Promise Cal MediConnect Plan
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B5. Blue Shield Promise Cal MediConnect Plan ........ 16
B6. .............................................................................................. 16
B7. ................................................................................................................. 16
C. Blue Shield Promise Cal MediConnect Plan ....................................... 19
C1. 1 , ......................................................................... 19
ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA ................................... 19
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................................................................................................................... 297
............................................................................................................................ 583
................................................................................................................... 636
, Blue Shield Promise Cal MediConnect Plan
(855) 905-3825 (TTY: 711) . 8 8 .
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(855) 905-3825 (TTY: 711) . 8 8 .
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C3. , , , , ................ 3409
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D. .............................................................................................................. 3507
D1. Blue Shield Promise Cal MediConnect Plan
(855) 905-3825 (TTY: 711) . 8 8 .
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E1. .................................................................................................... 3510
E2. ......................................................................................................... 3679
E3. ......................................................................................................... 3680
E4. ......................................................................................................... 3683
E5. / / (I/T/U) ............... 3691
F. ............................................................................................................. 3692
F1. ..................................................................................................................... 3692
F2. ......................................................................................................................... 3771
(855) 905-3825 (TTY: 711) . 8 8 .
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Blue Shield of California Promise Health Plan Medicare Medi-Cal
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Medicare Medi-Cal .
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90704 Los Angeles .
English: ATTENTION: If you speak English, language assistance services, free of
charge, are available to you. Call (855) 905-3825 (TTY: 711), 8:00 a.m. to 8:00
p.m., 7 days a week. The call is free.
Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios
gratis de asistencia lingüística. Llame al (855) 905-3825 (TTY: 711) de 8:00 a. m. a
8:00 p. m., los 7 días de la semana. La llamada es gratis.
(Chinese)
(855) 905-3825 (TTY: 711) 8 8

Ting Vit (Vietnamese): CHÚ Ý: Nu quý v nói ting Vit, chúng tôi có cung cp
các dch v h tr ngôn ng min phí cho quý v. Hãy gi (855) 905-3825 (TTY: 711),
8:00 n 20:00, 7 ngày trong tun. Cuc gi c min cc.
Tagalog (Tagalog – Filipino): ATENSYON: Kung ikaw ay nakapagsasalita ng
Tagalog, ang mga serbisyong pantulong sa wika ay magagamit mo nang
libre. Tawagan ang (855) 905-3825 (TTY: 711), 8:00 a.m. hanggang 8:00 p.m.,
pitong araw sa isang linggo. Ang tawag ay libre.
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(Korean): : ,
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(Armenian): . ,

(855) 905-3825 (TTY 711) , 8:00 - 20:00,

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(Japanese):
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(Arabic):
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Blue Shield Promise Cal MediConnect Plan (855) 905-3825 (TTY:711) '
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(Cambodian/Khmer):
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PTA: 0.5 Public Transportation Accessible(
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: CC: Cultural Competency( ), NR: Not Reported()
: P: Parking(), EB: Exterior Building( ), IB: Interior
Building( ), R: Restroom(), E: Exam Room(), T: Exam
Table/Scale( /), W: Wheelchair(), ME: Medical
Equipment( ), SR: Self-reported( ):
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Blue Shield Promise Cal MediConnect Plan :
PCP : 4396
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: 1165
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(855) 905-3825 (TTY: 711) . 8 8 .
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LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
LIST OF HOSPITALS
hospital affiliations, refer to
Alhambra, CA 91801
office to discuss their
accessibility needs when there
accessibility indicators are not
Alhambra, CA 91801
Alhambra, CA 91801
(855) 905-3825 (TTY: 711) . 8 8 .
.
should call the provider’s
Alhambra, CA 91801
Alhambra, CA 91801
Members should call the
their accessibility needs when
Alhambra, CA 91801
Alhambra, CA 91801
(855) 905-3825 (TTY: 711) . 8 8 .
.
License: A32546
Alhambra, CA 91803
Arcadia, CA 91007
Arcadia, CA 91007
Arcadia, CA 91007
(855) 905-3825 (TTY: 711) . 8 8 .
.
Other Language: Chinese,
Arcadia, CA 91007
Arcadia, CA 91007
Azusa, CA 91702
(626) 581-4298
(855) 905-3825 (TTY: 711) . 8 8 .
.
License: A75815
(626) 965-4628
(626) 964-3900
Covina, CA 91724
100
(855) 905-3825 (TTY: 711) . 8 8 .
.
Accepting New Members: No
Diamond Bar, CA 91765
El Monte, CA 91731
El Monte, CA 91732
(855) 905-3825 (TTY: 711) . 8 8 .
.
Accepting New Members: Yes
Glendale, CA 91206
Hacienda Heights, CA 91745
(855) 905-3825 (TTY: 711) . 8 8 .
.
(310) 530-9300
Huntington Park, CA 90255
Inglewood, CA 90301
Inglewood, CA 90301
(855) 905-3825 (TTY: 711) . 8 8 .
.
Provider ID: 281180
La Canada Flintridge, CA
(855) 905-3825 (TTY: 711) . 8 8 .
.
French, Spanish
La Puente, CA 91744
Lakewood, CA 90712
(855) 905-3825 (TTY: 711) . 8 8 .
.
Other Language: Gujarati,
Hindi, Khmer, Nepali,
Punjabi, Spanish, Urdu
Cultural Competency: NR
Los Angeles, CA 90012
(855) 905-3825 (TTY: 711) . 8 8 .
.
Accessibility: B; Members
(855) 905-3825 (TTY: 711) . 8 8 .
.
90023
(855) 905-3825 (TTY: 711) . 8 8 .
.
(323) 225-0024
(855) 905-3825 (TTY: 711) . 8 8 .
.
certification: No
(855) 905-3825 (TTY: 711) . 8 8 .
.
License: A33654
Monrovia, CA 91016
Monterey Park, CA 91754
(855) 905-3825 (TTY: 711) . 8 8 .
.
Hours: M-SA 9AM-5PM
(855) 905-3825 (TTY: 711) . 8 8 .
.
is limited access or when
(855) 905-3825 (TTY: 711) . 8 8 .
.
Pasadena, CA 91103
Pico Rivera, CA 90660
Pomona, CA 91766
(855) 905-3825 (TTY: 711) . 8 8 .
.
License: 20A9771
Rosemead, CA 91770
Rosemead, CA 91770
Rosemead, CA 91770
(855) 905-3825 (TTY: 711) . 8 8 .
.
Rowland Heights, CA 91748
Rowland Hgts, CA 91748
San Gabriel, CA 91776
(855) 905-3825 (TTY: 711) . 8 8 .
.
Credentials and/or board
W; Members should call the
provider’s office to discuss
(855) 905-3825 (TTY: 711) . 8 8 .
.
(626) 450-0777
(855) 905-3825 (TTY: 711) . 8 8 .
.
Special Expertise: Deafness or
Walnut, CA 91789
West Covina, CA 91790
(855) 905-3825 (TTY: 711) . 8 8 .
.
Whittier, CA 90601
(855) 905-3825 (TTY: 711) . 8 8 .
.
8522 Painter Ave
Whittier, CA 90602
Whittier, CA 90605
(855) 905-3825 (TTY: 711) . 8 8 .
.
Alhambra, CA 91801
Arcadia, CA 91007
Azusa, CA 91702
(855) 905-3825 (TTY: 711) . 8 8 .
.
present.
Baldwin Park, CA 91706
Burbank, CA 91501
(626) 286-8700
(855) 905-3825 (TTY: 711) . 8 8 .
.
200
(855) 905-3825 (TTY: 711) . 8 8 .
.
El Monte, CA 91731
El Monte, CA 91731
Glendora, CA 91740
Hawthorne, CA 90250
(855) 905-3825 (TTY: 711) . 8 8 .
.
Accessibility: B, P, EB, IB, E;
Hawthorne, CA 90250
(855) 905-3825 (TTY: 711) . 8 8 .
.
La Mirada, CA 90638
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
1663 Beverly Blvd Ste 201
(855) 905-3825 (TTY: 711) . 8 8 .
.
certification: No
109
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
certification: No
(855) 905-3825 (TTY: 711) . 8 8 .
.
Credentials and/or board
Paramount, CA 90723
Pasadena, CA 91103
(855) 905-3825 (TTY: 711) . 8 8 .
.
Pasadena, CA 91106
Pomona, CA 91767
(855) 905-3825 (TTY: 711) . 8 8 .
.
French, Spanish, Vietnamese
Pomona, CA 91767
Rosemead, CA 91770
(855) 905-3825 (TTY: 711) . 8 8 .
.
Lee, Philip DO
(855) 905-3825 (TTY: 711) . 8 8 .
.
Provider ID: 276179
Santa Monica, CA 90405
(855) 905-3825 (TTY: 711) . 8 8 .
.
PTA: Yes
Van Nuys, CA 91406
(855) 905-3825 (TTY: 711) . 8 8 .
.
Whittier, CA 90603
Alhambra, CA 91801
Alhambra, CA 91801
(855) 905-3825 (TTY: 711) . 8 8 .
.
certification: No
Alhambra, CA 91801
Alhambra, CA 91801
Alhambra, CA 91801
Alhambra, CA 91801
Alhambra, CA 91801
(855) 905-3825 (TTY: 711) . 8 8 .
.
present.
Alhambra, CA 91801
Alhambra, CA 91801
Alhambra, CA 91801
(855) 905-3825 (TTY: 711) . 8 8 .
.
Hours: M-SA 9AM-5PM
Alhambra, CA 91801
Alhambra, CA 91801
Alhambra, CA 91803
(855) 905-3825 (TTY: 711) . 8 8 .
.
Alhambra, CA 91803
Alhambra, CA 91803
Alhambra, CA 91803
Arcadia, CA 91006
Arcadia, CA 91006
(855) 905-3825 (TTY: 711) . 8 8 .
.
Arcadia, CA 91006
Arcadia, CA 91006
Arcadia, CA 91006
Arcadia, CA 91006
Arcadia, CA 91007
(855) 905-3825 (TTY: 711) . 8 8 .
.
Accessibility: B, P, IB, E;
Arcadia, CA 91007
Arcadia, CA 91007
Arcadia, CA 91007
Arcadia, CA 91007
Arcadia, CA 91007
(855) 905-3825 (TTY: 711) . 8 8 .
.
(626) 446-1599
Arcadia, CA 91007
Arcadia, CA 91007
Arcadia, CA 91007
Artesia, CA 90701
(855) 905-3825 (TTY: 711) . 8 8 .
.
Accepting New Members: No
(855) 905-3825 (TTY: 711) . 8 8 .
.
Bellflower, CA 90706
Bellflower, CA 90706
(626) 581-4990
(626) 810-7708
(855) 905-3825 (TTY: 711) . 8 8 .
.
Other Language: Spanish,
Covina, CA 91723
Covina, CA 91723
Covina, CA 91723
(855) 905-3825 (TTY: 711) . 8 8 .
.
118
Diamond Bar, CA 91765
118
2d
(855) 905-3825 (TTY: 711) . 8 8 .
.
PTA: Yes
Duarte, CA 91010
Duarte, CA 91010
El Monte, CA 91731
(855) 905-3825 (TTY: 711) . 8 8 .
.
El Monte, CA 91731
El Monte, CA 91732
(855) 905-3825 (TTY: 711) . 8 8 .
.
El Monte, CA 91733
El Monte, CA 91733
Glendora, CA 91741
(855) 905-3825 (TTY: 711) . 8 8 .
.
Fu-liu, Casey MD
(855) 905-3825 (TTY: 711) . 8 8 .
.
Mandarin, Taiwanese
La Mirada, CA 90638
La Mirada, CA 90638
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
certification: Yes
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
(323) 222-1134
Ste 100
(855) 905-3825 (TTY: 711) . 8 8 .
.
Ste 605
(855) 905-3825 (TTY: 711) . 8 8 .
.
Montebello, CA 90640
Montebello, CA 90640
(855) 905-3825 (TTY: 711) . 8 8 .
.
Yang, Bao MD
(855) 905-3825 (TTY: 711) . 8 8 .
.
License: G70571
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
License: A39498
Norwalk, CA 90650
Pasadena, CA 91105
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
Rosemead, CA 91770
Rosemead, CA 91770
Rosemead, CA 91770
(855) 905-3825 (TTY: 711) . 8 8 .
.
Nguyen, David DO
Rosemead, CA 91770
Rosemead, CA 91770
Rosemead, CA 91770
(855) 905-3825 (TTY: 711) . 8 8 .
.
Other Language: Burmese,
(855) 905-3825 (TTY: 711) . 8 8 .
.
(855) 905-3825 (TTY: 711) . 8 8 .
.
1726 New Ave
(855) 905-3825 (TTY: 711) . 8 8 .
.
201
(855) 905-3825 (TTY: 711) . 8 8 .
.
there is limited access or when

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