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Type of Practice	Select One Chiropractor Dental Medical Optometry Pediatrics Psychiatrist Psychologist
Specialty	Select One Allergy & Immunology Alternative Anesthesiology Audiology Cardiology Cardiothoracic Surgery Cardiovascular Surgery Chiropractic Colon & Rectal Surgery Dermatology Emergency Medicine Endocrinology ENT/Otorhinolaryngology Family Practice Gastroenterology General Practice Hand Surgery Hematology/Oncology Hypnotherapy Infectious Disease Internal Medicine Marriage / Family Therapy Maternal / Fetal Medicine Metabolic Diseases Neonatology Nephrology Neurology Nuclear Medicine Obstetrics & Gynecology Occupational Medicine Oncology Ophthalmology Oral & Maxillofacial Surgery Orthopedic Surgery Orthopedics Orthotics Osteopathy Otolaryngology Pain Management Pathology Pediatrics Perinatology Physical Medicine & Rehabilitation Physical Therapy Plastic Surgery Podiatry Preventative Medicine Proctology Pulmonary Radiation Oncology Radiation Therapy Radiology Reproductive Endocrinology Rheumatology Speech Pathology Sports Medicine Surgery Thoracic Surgery Urgicare Center Urology Vascular Surgery
Hospital Affiliation	Select One Alhambra Hospital Medical Center Alta Hollywod Community Hospital Barstow Community Hospital Bay Harbor Hospital Beverly Hospital Brotman Medical Center California Hospital Medical Center Cedars-Sinai Medical Center Centinela Hospital Medical Center Century City Hospital Childrens Hospital Los Angeles Community Hospital of Huntington Park Community Hospital of San Bernardino Corona Regional Medical Center - Rehabilitation Daniel Freeman Marina Hospital Daniel Freeman Memoral Hospital East Los Angeles Doctors Hospital Glendale Adventist Medical Center Glendale Memorial Hospital and Health Center Good Samaritan Hospital Hollywood Community Hospital Lincoln Hospital Medical Center Long Beach Community Hospital Long Beach Memorial Medical Center Los Alamitos Medical Center Los Angeles Community Hospital Los Angeles Metropolitan Medical Center Memorial Hospital of Gardena Midway Hospital Medical Center Parkview Community Hospital Medical Center Pomona Valey Hospital Providence Saint Joseph Medical Center Riverside Community Hospital Robert F. Kennedy Medical Center San Vicente Hospital Shriners Hospital for Children St Francis Medical Center St. Bernardine Medical Center St. Mary Regional Medical Center Temple Community Hospital UCLA Medical Center Verdugo Hills Hospital Victor Valley Community Hospital
City	Select One Alameda Arcadia Artesia Barstow Beverly Hills Bishkek bjWYMgwEJFNYrT Boston budgeting information Burbank Castro Valley Chamblee Compton Corona Covina ctOrORsPUk Culver City Gardena GJfmWpVZswMx Glendale Hawaiian Gardens Hemet Highland Inglewood IWrmaXNoIPc jJhpPREJzAAxyvV Lake Elsinore Lancaster learn to prepare taxes Long Beach Los Ange Los Angeles Los Angeles, C.A. Lynwood Manhattan Beach Marina Del Ray Montebello Moreno Valley New York Newport Beach Northridge Ontario Palm Springs Paramount Pasadena Qarshi Rancho Cucamonga Riverside San Bernardino Santa Monica Sherman Oaks SVGIaQhCizH t579t tEmpnOQXVIXzCokJe Texas Torrance Upland Victorville VqsdaXUNtFMlUhGq West Hills West Hollywood Westchester Westwood Wildomar
Zip	Select One 02108 12545 30341 383921883 675360445 700011 700022 90002 90003 90006 90008 90015 90016 90019 90020 90025 90025` 90026 90027 90032 90033 90035 90036 90037 90043 90043-5110 90044 90045 90048 90057-1932 90059 90062 90064 90066 90069 90095 901301 90210 90211 90220 90221 90232 90247 90262 90266 90292 90301 90302 90303 90305 90403 90404 90405 90503 90505 90640 90701 90716 90723 90806 90807 90813 90814 91006 91101 91103 91105 91106 91204 91304 91307 91324 91326 91505 91719 91730 91762 91786 92057 92262 92311 92346 92392 92404 92501 92505 92506 92507 92543 92555 92595 92660 93534 94546 BAcAfRNFDk CA gDFQsGiOk GobdFiWuZBqFMpZW orfm9hndhslg RlJNEOdwfmwnFKtbZ rnlnSLFCVwQQmchi skHPuyBdthe t579t ubemeysDpLYb ZjkBwFZJdBLihTvjpb
Health Plan Affiliation	Select One Aetna American Specialty Health Plan Blue Cross of California Blue Shield of California Cal Farm Care 1st Health Plan Cigna Community Health Plan Denticare Guardian Health Net Humana PPO Inland Empire Health Plans Inter Valley Health Kaiser Permanente Managed Health Network Maxicare Medi-Cal Medicare National Health Plans One Health Plan of CA Pacificare SCAN/Smart Care Health Plans Secure Horizons Tower Health UHP Healthcare Unicare United Healthcare Universal Care US Healthcare/Prudential Ventura County Healthcare Western Dental

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