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If an LAUSD employee is injured on the job Call 911 if immediate emergency medical care is needed. In a non-emergency situation, refer the employee to one of the listed First Care facilities. Refer the employee to the full Medical Provider Network website at www.coventrywcs.com to locate a physician. (See Below) The Referral Panel included in this document represents only a small portion of the providers available in the Medical Provider Network (MPN). You may access additional providers through the website at http://www.coventrywcs.com. To search the MPN: Select Client Login & Tools Select FOCUS/Coventry login (GeoAccess Channeling Tools) Enter Client ID "sedgwickkaisercampn" Once in the website, you may search by the Physician Name, Address or Region. The search can be further narrowed by the Type of Provider and/or Provider Specialties. Should you require assistance in locating a Provider, you may contact the following offices: (866) 247-2287 LAUSD Workers' Compensation Department (213) 241-3138 Medical Provider Network (MPN) Coordinator (800) 625-6588 Rev. 3/2015 1 of 8

INDEX CITY PAGE CITY PAGE Alhambra 3 Lancaster 4 Bell 3 Long Beach 5 Beverly Hills 3 Los Angeles 5-7 Burbank 3 Lynwood 7 Carson 3 Mission Hills 7 Chatsworth 3 Marina Del Rey 7 City of Industry 3 Monterey Park 7 Commerce 3 North Hollywood 7 Compton 3 Panorama City 7 Culver City 3 Reseda 7 Downey 3 San Fernando 7 El Segundo 3 Torrance 8 Gardena 4 Van Nuys 8 Glendale 4 Vernon 8 Hawthorne 4 West Hollywood 8 Huntington Park 4 Winnetka 8 Inglewood 4 Whittier 8 Lakewood 4 Woodland Hills 8 Rev. 3/2015 2 of 8

ALHAMBRA CHATSWORTH Affiliated Systems Medical Group 100 S. Raymond Avenue 9700 De Soto Avenue Alhambra, CA 91801 Chatsworth, CA 91311 626-458-4764 818-882-8100 BELL CITY OF INDUSTRY Bell Community Medical Group Kaiser on the Job - Crossroads 4001 E. Florence Avenue 12801 Crossroads Parkway South Bell, CA 90201 City of Industry, CA 91746 323-562-0595 562-463-4357 BEVERLY HILLS COMMERCE Dr. David Barcohana, MD 8929 Wilshire Boulevard, Suite 225 3430 Garfield Avenue Beverly Hills, CA 90211 Commerce, CA 90040 310-276-6933 323-722-8481 BURBANK COMPTON Burbank Occupational Health Center Medical Group 3413 W. Pacific Avenue, Suite 102 2499 S. Wilmington Avenue Burbank, CA 91501 Compton, CA 90220 818-953-4414 310-638-11113 Empire Medical Center CULVER CITY Dr. Samir Nazo, MD Southern California Hospital at Culver City 2307 W. Empire Avenue Burbank, CA 91504 3828 Delmas Terrace 818-841-3420 Culver City, CA 90232 310-836-7000 Providence Saint Joseph Medical Center 501 S. Buena Vista Street DOWNEY Burbank, CA 91505 Kaiser on the Job - Garden Medical Offices 818-843-5111 9353 E. Imperial Hwy, 3rd Floor Downey, CA 90242 CARSON 562-657-2200 Optima Healthcare Dr. Brian K. Low, MD EL SEGUNDO 20401 S. Avalon Boulevard, Suite C Medical Group Carson, CA 90746 390 N. Sepulveda Boulevard, Suite 1000 310-632-5795 El Segundo, CA 90245 310-640-9911 Rev. 3/2015 3 of 8

GARDENA HAWTHORNE Kaiser on the Job - North Carson Bayside Medical Center 18600 S. Figueroa Street, 1st Floor 2301 W. El Segundo Boulevard Gardena, CA 90248 Hawthorne, CA 90250 310-527-5600 323-757-2118 Medical Group HUNTINGTON PARK 16630 S. Broadway All Care Medical Group Gardena, CA 90248 2675 E. Slauson Avenue 310-768-8155 Huntington Park, CA 90255 323-589-6681 Superior Care Medical Center 15401 S. Main Street INGLEWOOD Gardena, CA 90248 Kaiser on the Job - Inglewood Medical Offices 310-225-3640 110 N. La Brea Avenue, 3rd Floor Inglewood, CA 90301 GLENDALE 310-202-3030 Glendale Adventist Medical Center 1509 Wilson Terrace Airport Urgent Care and Industrial Medicine Glendale, CA 91206 1117 W. Manchester Boulevard, Suite K 818-409-8000 Inglewood, CA 90301 310-215-3555 Glendale Memorial Occupational Medical Center 222 W. Eulalia Avenue, Suite 101 LAKEWOOD Glendale, CA 91704 Immediate Medical Center 818-246-4800 5203 Lakewood Boulevard, Suite B Lakewood, CA 90712 Glendale Adventist Occupational Medicine 562-633-2273 600 S. Glendale Avenue Glendale, CA 91205 LANCASTER 818-502-2050 Proactive Work Health Medical Center 44451 16th Street - West, Suite 101 Glendale Memorial Hospital & Health Center Lancaster, CA 93534 1420 S. Central Avenue 661-945-5999 Glendale, CA 91204 818-502-1900 Kaiser on the Job 43112 N. 15th Street - West Lancaster, CA 93534 661-726-2262 Rev. 3/2015 4 of 8

LONG BEACH First Integrated Care Medical Group 1400 S. Grand Avenue, Suite 611 Dr. Rodolfo T. Tabila, MD Los Angeles, CA 90015 1339 W. Willow Street 213-745-6106 Long Beach, CA 90810 562-492-6698 California Hospital Medical Center St. Mary Medical Center 1401 S. Grand Avenue 1050 Linden Avenue Los Angeles, CA 90015 Long Beach, CA 90503 562-491-9000 Good Samaritan Hospital Healthpointe Medical Group Inc. 1225 Wilshire Boulevard 5584 N. Paramount Boulevard, Suite 100 Los Angeles, CA 90017 Long Beach, CA 90805 213-977-2121 562-920-8394 Medical Group 1313 W. 8th Street, Suite 100 100 Oceangate P245 Los Angeles, CA 90017 Long Beach, CA 90802 213-401-1970 877-678-4612 Alameda Industrial Medical Group LOS ANGELES 1907 E. Washington Boulevard Kennedy Occupational Center Los Angeles, CA 90021 5862 Avalon Boulevard 213-747-7667 Los Angeles, CA 90003 323-233-4343 Silver Lake Medical Center Dr. Luis Acosta, MD Southern California Medical Group 1711 W. Temple Street, 2nd Floor 3320 S. Hill Street Los Angeles, CA 90026 Los Angeles, CA 90007 213-989-6160 213-749-5386 Kaiser on the Job Temple Medical Center 1526 N. Edgemont Street, 1st Floor Dr. Parviz Taherpour, MD Los Angeles, CA 90027 124 North Vignes Street 323-783-6621 Los Angeles, CA 90012 Kaiser Hospital ProActive Work Health Medical Center 132 S. Beaudry Avenue 4867 Sunset Boulevard Los Angeles, CA 90012 Los Angeles, CA 90027 213-977-9300 Rev. 3/2015 5 of 8

LOS ANGELES (Continued) Concentra Medical Center Great Care Medical Group Dr. John C. Foster, MD 5255 W. Sunset Boulevard 6033 W. Century Boulevard, Suite 200 Los Angeles, CA 90027 Los Angeles, CA 90045 323-463-7262 Cedars-Sinai Medical Center Citizens Medical Group 1300 N. La Brea Avenue 8700 Beverly Boulevard Los Angeles, CA 90028 Los Angeles, CA 90048 323-464-1336 310-823-5000 White Memorial Occupational Medical Center Cedars-Sinai Medical Center 1720 E. Cesar Chavez Avenue 8700 Beverly Boulevard, Suite 1148 Los Angeles, CA 90033 Los Angeles, CA 90048 323-268-5000 310-423-5000 Kaiser Hospital Immediate Medical Care 434 S. San Vicente Boulevard 6041 Cadillac Avenue Los Angeles, CA 90048 Los Angeles, CA 90034 310-360-6780 323-783-6621 Brentview Medical Kaiser on the Job - West LA Medical Center 11611 San Vicente Boulevard 5971 Venice Boulevard, 4th Floor Los Angeles, CA 90049 Los Angeles, CA 90034 310-820-0013 323-857-3908 St. Vincent Medical Center Southern California Immediate Medical Center 2131 W. 3rd Street Dr. Thomas Roccapalumbo, DO Los Angeles, CA 90057 6538 Telegraph Road 213-484-7111 Los Angeles, CA 90040 323-726-3212 Central Occupational Medical Providers - Ontario 3688 S. Soto Street Expresscar Medical Clinic Los Angeles, CA 90058 8930 S. Sepulveda Boulevard, Suite 200 323-923-0011 Los Angeles, CA 90045 310-641-8111 Citizen's Medical Group 11560 W. Pico Boulevard Los Angeles, CA 90064 310-477-8285 Rev. 3/2015 6 of 8

LOS ANGELES (Continued) MISSION HILLS Kaiser on the Job - Culver Marina Medical Center Providence Holy Cross Medical Center 12001 W. Washington Boulevard Los Angeles, CA 90066 15301 Rinaldi Street 310-915-4400 Mission Hills, CA 91345 818-365-8051 Venice Culver Marina Medical Group 12212 W. Washington Boulevard MONTEREY PARK Los Angeles, CA 90066 Optimal Medical Health Center 310-391-5241 2095 S Atlantic Boulevard, 2nd Floor Monterey Park, CA 91754 Playa Vista Medical Center 323-318-2372 6020 Seabluff Drive, Suite 1 Los Angeles, CA 90094 NORTH HOLLYWOOD 310 862-0400 Noble Community Choice Provider Dr. Michael Koshak, MD Ronald Reagan UCLA Medical Center 11631 Victory Boulevard, Suite 101 757 Westwood Place North Hollywood, CA 91606 Los Angeles, CA 90095 818-764-8838 310-825-9111 PANORAMA CITY LYNWOOD Kaiser on the Job St. Francis Occupational Clinic 13652 Cantara Street 3628 E. Imperial Highway, Suite 103 Panorama City, CA 91402 Lynwood, CA 90262 818-375-2233 310-900-2790 RESEDA St. Francis Medical Center Dr. Michael Bazel, MD 3630 E. Imperial Highway 18905 Sherman Way, Suite 100B Lynwood, CA 90262 Reseda, CA 91335 310-900-8900 818-921-3604 MARINA DEL REY SAN FERNANDO Dr. Vincent R. Sghiati MD Valley Occupational Medical Center 4560 Admiralty Way, Suite 201 Dr. Gokuldas M. Pai, MD Marina Del Rey, CA 90292 1009 Glenoaks Boulevard 310-823-3443 San Fernando, CA 91340 818-361-3369 Rev. 3/2015 7 of 8

TORRANCE WEST HOLLYWOOD Providence Little Company of Mary Medical Center Bretvew Medical 4101 Torrance Boulevard 8264 Santa Monica Boulevard Torrance, CA 90503 West Hollywood, CA 90046 310-540-7676 323-522-2222 Torrance Memorial Medical Center WINNETKA 3330 Lomita Boulevard West Oaks Urgent Care Torrance, CA 90505 20181 Saticoy Street 310-325-9110 Winnetka, CA 91306 818-709-5700 Western Medical Group 21081 S. Western Avenue, Suite 150 WHITTIER Torrance, CA 90501 Presbyterian Intercommunity Hospital 310-782-3333 12401 Washington Boulevard VAN NUYS Whittier, CA 90602 Healthline Medical Group 562-698-0811 15211 Vanowen Street, Suite 105 Van Nuys, CA 91405 WOODLAND HILLS 818-997-7711 Kaiser on the Job 5601 De Soto Avenue Medical Group Woodland Hills, CA 91365 16300 Roscoe Boulevard 818-719-3006 Van Nuys, CA 91406 818-893-4426 Warner Medical Center 6325 Topanga Canyon Boulevard VERNON Woodland Hills, CA 91367 Stacy Medical Center Inc. 818-346-1440 4580 Pacific Boulevard Vernon, CA 90058 323-584-0779 3364 E. Slauson Avenue Vernon, CA 90058 323-584-7242 3851 S. Soto Street Vernon, CA 90058 323-585-7162 Rev. 3/2015 8 of 8