DENTAL HMO PLAN. California Participating Providers 390/490/590

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Randall Eaton
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1 DENTAL HMO PLAN 390/490/590 California Participating Providers

The 390/490/590 Group PacifiCare Dental HMO Plans Featuring low-cost preventive care and a great choice of dentists As a dental HMO plan member, you may ask to be assigned to any dentist on the

3 The 390/490/590 Group PacifiCare Dental HMO Plans Featuring low-cost preventive care and a great choice of dentists As a dental HMO plan member, you may ask to be assigned to any dentist on the following list, unless the office is closed to new membership (which will be indicated). PacifiCare Dental is proud to feature one of the largest HMO network of dentists in California. That means members are sure to find a dentist close to work or home. Quality standards you can count on All of our dentists are prescreened so they meet our quality standards, and each office has been inspected by our Provider Relations staff. Offices are audited by our Quality Assurance Team every two years. Additionally, we are one of a select few dental plans to reward dentists who excel in service to our members. How to select or change dentists Simply enter the facility number in the box provided on the Enrollment Application. To change offices, contact PacifiCare Dental Member Service prior to the 20th of the month and the change will take effect the first of the following month.

(Any current dental treatments should be completed before a change in offices is made.) Always remember to present your dental ID card to your dentist s office at the time of service.

You can check with Member Service for additional offices which may have been added to this listing since it was last published.

4 (Any current dental treatments should be completed before a change in offices is made.) Always remember to present your dental ID card to your dentist s office at the time of service. Should the office you select be unavailable, PacifiCare Dental will assign you to another office. You can check with Member Service for additional offices which may have been added to this listing since it was last published. Orthodontic/ specialist referrals Your assigned general dentist should complete a written orthodontic or specialist referral request and submit it to PacifiCare Dental. You will be referred to a contracted specialist in your area. Questions? Members with questions can contact PacifiCare Dental Member Service between the hours of 7 a.m. and 6 p.m., Monday through Friday at TEETH ( ). Visit PacifiCare Dental on the web at

5 Quick-Reference ALAMEDA COUNTY Dublin...1 Fremont...1 Hayward...1 Newark...1 Oakland...1 Union City...1 BUTTE COUNTY Chico...1 Oroville...1 CONTRA COSTA COUNTY Antioch...1 Concord...1 El Cerrito...1 Pleasant Hill...1 San Pablo...1 Walnut Creek...1 EL DORADO COUNTY Placerville...1 FRESNO COUNTY Clovis...1 Fresno...2 KERN COUNTY Arvin...2 Bakersfield...2 Delano...2 Lake Isabella...2 Lamont...2 Pine Mountain Club...2 Tehachapi...2 LOS ANGELES COUNTY Agoura Hills...2 Alhambra...2 Arcadia...2 Arleta...3 Artesia...3 Azusa...3 Baldwin Park...3 Bell...3 Bell Gardens...3 Bellflower...3 Beverly Hills...3 Burbank...4 Calabasas...4 Canoga Park...4 Canyon Country...4 Carson...4 Castaic...4 Cerritos...4 Chatsworth...4 Claremont...4 Compton...4 Covina...4 Culver City...5 Diamond Bar...5 Downey...5 Duarte...5 East Los Angeles...5 El Monte...5 Encino...5 Gardena...5 Glendale...5 Glendora...6 Granada Hills...6 Hacienda Heights...6 Harbor City...6 Hawaiian Gardens...6 Hawthorne...6 Hollywood...7 Huntington Park...7 Inglewood...7 Irwindale...7 La Cañada Flintridge...7 La Crescenta...7 La Mirada...7 La Puente...7 La Verne...8 Lakewood...8 Lancaster...8 Lawndale...8 Lomita...8 Long Beach...8 Los Angeles...9 Lynwood...10 Manhattan Beach...10 Marina Del Rey...11 Maywood...11 Monrovia...11 Montebello...11 Monterey Park...11 Newhall...11

6 North Hollywood...11 Northridge...11 Norwalk...11 Pacoima...12 Palmdale...12 Panorama City...12 Paramount...12 Pasadena...12 Pico Rivera...12 Pomona...12 Rancho Palos Verdes...13 Redondo Beach...13 Reseda...13 Rolling Hills Estate...13 Rosemead...13 Rowland Heights...13 San Fernando...13 San Gabriel...13 San Pedro...13 Santa Clarita...14 Santa Fe Springs...14 Santa Monica...14 Sherman Oaks...14 South El Monte...14 South Gate...14 South Pasadena...14 Sun Valley...14 Sunland...14 Sylmar...14 Tarzana...14 Temple City...15 Toluca Lake...15 Torrance...15 Valencia...15 Van Nuys...15 Venice...15 Walnut...16 West Covina...16 West Hollywood...16 West Los Angeles...16 Westchester...16 Westwood...16 Whittier...16 Wilmington...16 Winnetka...16 Woodland Hills...16 MADERA COUNTY Madera...16 MARIN COUNTY Corte Madera...16 San Rafael...16 MONTEREY COUNTY Monterey...17 Salinas...17 NAPA COUNTY Napa...17 ORANGE COUNTY Aliso Viejo...17 Anaheim...17 Anaheim Hills...17 Brea...18 Buena Park...18 Costa Mesa...18 Cypress...18 Dana Point...18 El Toro...18 Fountain Valley...18 Fullerton...18 Garden Grove...19 Huntington Beach...19 Irvine...19 La Habra...19 La Palma...20 Laguna Beach...20 Laguna Hills...20 Laguna Niguel...20 Laguna Woods...20 Lake Forest...20 Los Alamitos...20 Mission Viejo...20 Newport Beach...21 Orange...21 Placentia...21 Rancho Santa Margarita...21 San Clemente...21 San Juan Capistrano...21 Santa Ana...21 Seal Beach...22 Stanton...22 Tustin...22 Westminster...22 Yorba Linda...22 PLACER COUNTY Roseville...22

7 RIVERSIDE COUNTY Banning...22 Beaumont...23 Cathedral City...23 Corona...23 Hemet...23 Indian Wells...23 Indio...23 La Quinta...23 Lake Elsinore...23 Menifee...23 Moreno Valley...23 Murrieta...23 Norco...24 Palm Desert...24 Palm Springs...24 Perris...24 Riverside...24 San Jacinto...24 Temecula...24 Winchester...25 SACRAMENTO COUNTY Carmichael...25 Citrus Heights...25 Fair Oaks...25 Rancho Cordova...25 Sacramento...25 SAN BERNARDINO COUNTY Alta Loma...25 Apple Valley...25 Chino...25 Chino Hills...25 Colton...25 Fontana...25 Grand Terrace...26 Hesperia...26 Loma Linda...26 Montclair...26 Ontario...26 Rancho Cucamonga...26 Redlands...26 Rialto...27 San Bernardino Upland...27 Victorville...27 Yucaipa...27 SAN DIEGO COUNTY Bonita...27 Carlsbad...27 Chula Vista...28 Coronado...28 Del Mar...28 El Cajon...28 Encinitas...28 Escondido...28 Imperial Beach...28 La Jolla...28 La Mesa...29 Lakeside...29 Lemon Grove...29 National City...29 Oceanside...29 Poway...29 San Diego...29 San Marcos...30 San Ysidro...30 Santee...30 Solana Beach...30 Spring Valley...30 Vista...30 SAN FRANCISCO COUNTY San Francisco...30 SAN JOAQUIN COUNTY Stockton...31 SAN LUIS OBISPO COUNTY Grover Beach...31 Los Osos...31 Paso Robles...31 San Luis Obispo...31 SAN MATEO COUNTY Daly City...31 Palo Alto...31 San Mateo...31 SANTA BARBARA COUNTY Lompoc...31 Los Olivos...31 Santa Barbara...31 Santa Maria...31

8 SANTA CLARA COUNTY Los Altos...32 Milpitas...32 Morgan Hill...32 Mountain View...32 San Jose...32 Santa Clara...32 Sunnyvale...32 SANTA CRUZ COUNTY Capitola...32 SHASTA COUNTY Redding...32 SOLANO COUNTY Fairfield...32 Vacaville...32 SONOMA COUNTY Santa Rosa...32 STANISLAUS COUNTY Modesto...32 Turlock...32 SUTTER COUNTY Yuba City...32 TULARE COUNTY Visalia...33 VENTURA COUNTY Camarillo...33 Newbury Park...33 Oxnard...33 Port Hueneme...33 Simi Valley...33 Thousand Oaks...33 Ventura...33 Westlake Village...33

9 ALAMEDA COUNTY Dublin Facility # 8528 Amerident* 6799 Dublin Blvd (925) Fremont Facility # 8782 Brookvale Family Dentistry* Argonaut Way (510) Facility # 7663 Jinjuwadia, Kamlesh R DDS* 3500 Mowry Ave Ste A (510) Facility # 7174 Lum Jr, Karl G DDS* Stevenson Pl Ste 223 (510) Facility # 6933 Odden, Harley DDS Inc Hillview Dental Group* Grimmer Blvd (510) Hayward Facility # 7377 Dental Solutions Shtulman, Isabella DDS* Hesperian Blvd Ste 101 (510) Facility # 2278 Serra Park Dental Group* Hesperian Blvd (510) Facility # Smile! Dental* 1041 McKeever Ave (510) Newark Facility # 2048 Rosemont Family Dental* Newark Blvd (510) Oakland Facility # Bullard, Ronald E DDS* 2844 Summit St Ste 205 (510) Facility # 2194 East Bay Family Dental Center* 3040 E 9th St Ste D (510) Facility # 8532 Han, Timothy H DDS* th St Ste 301 (510) Facility # 2164 Naismith Dental Group Burns Dental Corp* 235 W Mac Arthur Blvd Ste 700 (510) Facility # 2072 Waldman, Gene DDS 1624 Franklin St Ste 310 (510) Union City Facility # 2277 Union Square Family Dentistry* 1320 Decoto Rd Ste 100 (510) BUTTE COUNTY Chico Facility # 9531 Chico Dental Associates 236 W East Ave Ste H (530) Oroville Facility # 7139 Kearbey, Robert E DDS* 2690 Olive Hwy (530) CONTRA COSTA COUNTY Antioch Facility # 2179 Crossings Dental Care* 3379 Deer Valley Rd (925) Facility # 8290 Dental Care Of Antioch 3700 Sunset Ln Ste 7 (925) Concord Facility # 2308 Burke, Darryl D DDS PC* 3556 Concord Blvd Ste B (925) Facility # 8533 Dental Center At Sears* 1001 Willowpass Rd (925) Facility # 9590 Frontier Dental Care* 1855 Willow Pass Rd Ste A (925) El Cerrito Facility # 6841 Kim, Rodney DDS San Pablo Ave Ste 107 (510) Pleasant Hill Facility # 6798 Diablo Valley Dental Care* 30 Golf Club Rd Ste C (925) San Pablo Facility # 6318 Allied Dentistry 3380 San Pablo Dam Rd Ste A (510) Facility # 2166 McKethen, Robert L DDS* San Pablo Ave Ste 100 (510) Walnut Creek Facility # 2311 Berdichevsky, Mikhail DDS* 120 La Casa Via Ste 105 (925) Facility # 6869 Olympic Plaza Dental Center 1901 Olympic Blvd Ste 105 (925) EL DORADO COUNTY Placerville Facility # 8438 Preventive Dental Care Centers* 4355 Golden Center Dr Ste A (530) FRESNO COUNTY Clovis Facility # 8204 Pham, Hien N DDS* 145 Shaw Ave Ste B1 (559) * Spanish is spoken in these offices Se habla español en estas oficinas these offices not accepting new members at this time Page 1

10 Facility # 6731 Ward, Michael R DDS* 375 Bullard Ste 3 (559) Fresno Facility # 6877 Gallo Dental Corporation* 5690 N Fresno St Ste 101 (559) Facility # JK Dental Clinic* 2100 E Clinton Ave (559) Facility # 3014 Kings Family Dental* 407 S Clovis Ave Ste 107 (559) Facility # Kumar & Heer Dental Office* 8835 N Cedar Ave (559) Facility # 2250 Mak, Homero A & Woo, Frank J DDS* 4615 N First St (559) KERN COUNTY Arvin Facility # Gong, Sandra J DDS* 101 Comanche Dr (661) Bakersfield Facility # 7232 Columbus Family Dentistry* 505 W Columbus St (661) Facility # 6897 Crosstown Family Dentistry* 2415 G St (661) Facility # G Street Family Dentistry* 2611 G St (661) Facility # 8221 Herrera, Rene A DDS* 2200 Chester Ave (661) Facility # Home Care Dental* 5917 Niles Ste 3 (661) Facility # 2130 McCracken, Robert W DDS* 5000 Physicians Blvd Ste 200 (661) Facility # Midtown Family* 2427 H Street (661) Facility # 6663 Ming And H Family Dentistry* 1621 S H St (661) Facility # 2283 New Image Dentistry* th St (661) Facility # 2063 Northwest Dental Arts* 2701 Calloway Dr Ste 412 (661) Facility # 7348 Panama Wible Family Dentistry* 3150 Panama Ln Ste I (661) Facility # 7078 Town & Country Family Dentistry* 8200 Stockdale Hwy Ste M9 (661) Delano Facility # 2160 Delano Family Dentistry* 2232 Girard St (661) Facility # 8222 Tolentino, Leticia DDS* 1626 Main St Ste C (661) Lake Isabella Facility # 2161 Lake Isabella Family Dentistry 4516 Lake Isabella Blvd (760) Facility # 2064 Millikin, Neil* 3615 Wagon Wheel (760) Lamont Facility # 2115 Hollingsead Ii, Marshall C DDS* 8003 Alicante St (661) Pine Mountain Club Facility # 7314 Collins, Thomas A DDS A Prof Corp Pine Valley Ln Ste 203 (661) Tehachapi Facility # 6665 Valley Family Dentistry* Valley Blvd (661) LOS ANGELES COUNTY Agoura Hills Facility # 7251 Agoura Dental Hakimi, Sean DDS* Canwood St Ste 250 (818) Alhambra Facility # 6906 Alhambra Garfield Dental* 747 S Garfield Ave (626) Facility # 87 Bergara, Steven R DDS* 330 S Garfield Ave Ste 216 (626) Facility # 137 Lee & Yee DDS* 157 N Garfield Ave (818) Facility # 6732 Lin, William W DDS* 1028 S Garfield Ave (626) Facility # 523 Marengo Family Dentistry Huang, Lijiang DDS* 2140 W Valley Blvd (626) Arcadia Facility # 7730 Arcadia Dental Group Kelley, David L DDS 111 E Live Oak Ave (626) Page 2 390/490/590 Group Dental HMO

11 Facility # 6928 Dental Center Of Arcadia* 75 N Santa Anita Ave Ste 215 (626) Facility # 7046 Houston, William R DDS 25 N Santa Anita Ave Ste E (626) Facility # 6870 King, Scott E DDS* 1215 Huntington Dr (626) Arleta Facility # Azizian, S DDS Osborne Dental Office* Osborne Ste F (818) Facility # 7155 Boostanfar, Sima DMD* /2 Woodman Ave (818) Artesia Facility # 6824 A Dental Group Pioneer Blvd Ste 207 (562) Facility # 633 Agra, Antonio F DMD Inc* Pioneer Blvd (562) Facility # 411 Best Care Dental Egari, Gazal DDS* Pioneer Blvd Ste C (562) Facility # 6995 Ong, Hamlet H DDS* S Pioneer Blvd (562) Facility # 6996 Ong, Howard E DDS* S Pioneer Blvd (562) Facility # 95 Ong, Sioe H DDS* S Pioneer Blvd Ste 100 (562) Azusa Facility # 65 Ahn Family Dentistry* 315 E Gladstone St (626) Facility # 7391 Kattar, Jean M DDS* 1141 E Alosta Ave (626) Facility # 6694 Trivedi, Kiran DDS* 958 E Alosta Ave (626) Baldwin Park Facility # 6994 Gill, Harpreet DDS* Ramona Blvd Ste B (626) Facility # 6770 Kutner, David DDS* Ramona Blvd (626) Facility # 6888 Patel, Prakash P DDS* 4138 N Maine Ave Ste N3 (626) Bell Facility # 213 Bitar, Nicholas M DDS* 6334 Atlantic Blvd (323) Facility # Bright Now Dental Kumar, Sunil* 6633 Atlantic Blvd (323) Facility # 383 Hakim, Kamran DDS A Dental Corporation* 6815 Eastern Ave Ste A1 (323) Facility # 428 Simon Dental Center* 6343 S Atlantic Ave Ste C (323) Bell Gardens Facility # 6999 Chu, Jin Wei DDS 6526 Eastern Ave (323) Bellflower Facility # A Alondra Dental Group* Alondra Ste B (562) Facility # 6752 Bellflower Family Dental Services* Bellflower Blvd (562) Facility # Bright Now Dental Shafajoo, Henry DDS Lakewood Blvd (562) Facility # 7335 Dental Group Of Bellflower* Alondra Ste A (562) Facility # 6924 Gene Meyer Dental Corporation* 9725 E Flower (562) Facility # 8485 Lim, John S DMD* 9202 Alondra Blvd (562) Facility # 7404 Sandarg, Gerald W DDS* S Clark Ave Ste C (562) Facility # Universal Care Dental* Lakewood Blvd (562) Beverly Hills Facility # 83 American Dental Group Kashfian, Kambiz DDS Inc 50 N La Cienega Blvd Ste 206 (310) Facility # 7179 Beverly Hills Cosmetic Dental Group* 9400 Brighton Way Ste 309 (310) Facility # 637 Beverly Hills Dental Center Dr Shapiro 8920 Wilshire Blvd Ste 627 (310) Facility # 6904 Dental Group Of Beverly Hills* 250 N Robertson Blvd Ste 412 (310) Facility # 7005 Goldy, Steven DDS 416 N Bedford Dr Ste 409 (310) * Spanish is spoken in these offices Se habla español en estas oficinas these offices not accepting new members at this time Page 3

12 Facility # 6582 Pacific Dental Care Moftakhar, Frashad DDS* 9025 Wilshire Blvd Ste 315 (310) Burbank Facility # 48 Bonilla, Esteban D DDS* 905 S Lake St Ste 102 (818) Facility # 8606 Burbank Village Dental Plan/Leonov, Alexander DDS* 928 N San Fernando Blvd Ste 3 (818) Facility # 6723 Burbank/Glendale Dental Group* 500 E Olive Ave Ste 430 (818) Facility # 9580 Castle Dental Center Of Burbank* 140 N Victory Blvd Ste 101 (818) Facility # 8812 Ghotanian, Rene DDS* 500 E Olive Ave Ste 460 (818) Facility # 6957 Matheson, James E DDS* 2720 W Magnolia Blvd (818) Facility # 6879 Sedler, Michael DDS* 421 E Angeleno Ste 106 (818) Facility # 6710 Wang, Cheng Jer DDS* 500 E Olive Ave Ste 620 (818) Facility # 623 Yekikian, John DDS & Associates* 2601 W Alameda Ave Ste 406 (818) Calabasas Facility # 403 Calabasas Dental Group* W Agoura Rd Ste 114 (818) Canoga Park Facility # Odeimi, Nina K DDS* Sherman Way Ste 217 (818) Facility # 6975 Parmann, Donald DDS* Sherman Ste 19 & 20 (818) Facility # 992 Rubin, Greg R DDS* Victory Blvd (818) Facility # 7148 West Valley Dental* 6543 Topanga Cyn Blvd (818) Canyon Country Facility # 6890 Liberman, Daniel DDS* Soledad Canyon Rd (661) Carson Facility # 181 Alkov, Michael DDS* 550 E Carson St Ste C (310) Facility # Lum, Randolph DDS* S Avalon (310) Facility # 8590 SmileCare-Carson* 550 Del Amo Blvd (310) Facility # 292 Strong, George C DDS* 301 W Carson St (310) Facility # 8305 Tolentino, Letica DMD* 860 E Carson St Ste 106 (310) Castaic Facility # 7175 Castaic Dental Center* N Castaic Rd (661) Cerritos Facility # 8557 Bloomfield Dental Center Dr Guerguis* th St (562) Facility # 103 Cerritos Dental Center E 183rd St (562) Chatsworth Facility # 209 Devonshire Plaza Dental Group* Canoga Ave (818) Facility # 192 Dill, Douglas DDS* Canoga Ave (818) Claremont Facility # 6806 Newport Dental* 865 S Indian Hill Blvd (909) Compton Facility # 6682 Cobb, Rodney DDS* 818 W Alondra Blvd (310) Facility # 7008 Compton Family Dental Practice Qurishi, Azeem DDS* 1315 N Bullis Rd Ste 3 (310) Facility # 6713 Parikh, Shailesh S DDS* 2001 E Compton Blvd (310) Covina Facility # 8593 Chung, Wing Y DDS* 172 W College St (626) Facility # 7332 College Street Family Dental Center* 153 W College St (626) Facility # 386 Mack, John DDS* 558 W Badillo (626) Facility # 6895 Majeed, M A DDS Inc* 661 S Second Ave (626) Page 4 390/490/590 Group Dental HMO

13 Facility # 362 Oak Tree Dental* 626 S 2nd Ave Ste A (626) Culver City Facility # A Culver City Family Dentistry* 4909 S Sepulveda Blvd (310) Facility # 350 Culver City Family Dental Center* 5859 Uplander Way (310) Facility # 6966 Kaufman, Warren E DDS* Washington Blvd (310) Diamond Bar Facility # 636 Diamond Bar & Grand Family* 1200 S Diamond Bar Blvd (909) Facility # 6956 Grand Avenue Dentistry* 1111 S Grand Ave Ste F (909) Downey Facility # Abadi, Behzad DMD* Paramount Blvd Ste 1 (562) Facility # Azer, Soheir S DDS* Paramount Blvd Ste 307 (562) Facility # 7071 Downey Dental Center Lascoe, Neal DDS* 8515 Florence Ave Ste 200 (562) Facility # 6843 Family Dental Center* Lakewood Blvd Ste A (562) Facility # 344 Family Dentistry Shah, P G DDS* 8029 E Imperial Hwy (562) Facility # 422 Stucken, Charles R DDS* 8847 Imperial Hwy Ste C2 (562) Duarte Facility # 6783 Duarte Family Dentistry* 924 Buena Vista Ste 102 (626) Facility # 140 Huntington Dental Care* 1183 Huntington Dr (626) Facility # 508 Kholaki's Dental Office* 1230 Huntington Dr Ste 5 (626) East Los Angeles Facility # 6660 Gentle Care Dental Inc* 3500 E Whittier Blvd Ste 101 (323) Facility # 1744 Lotfy, Lilian DDS* 4738 Whittier Blvd (323) El Monte Facility # 6860 Durfee Dental Group Ahn, James C DDS* 1723 Durfee Rd (626) Facility # 1450 El Monte Dental Group* 3701 Santa Anita Ave (626) Facility # 6796 Georgescu, Ionel DDS 9060 Telstar Ave Ste 206 (626) Facility # 100 Heras, Elder DDS* E Garvey Ave (626) Facility # 8287 Lower Azusa Dental* Lower Azusa Rd (626) Facility # 6855 Merced Dental Center Dr Fayngor* 9939 E Garvey Ave Ste D (626) Facility # 1965 Mountain View Dental Group* 4639 N Peck Rd (626) Encino Facility # 7140 Corpus, Maryanne DDS Professional Dental Corp* Ventura Blvd Ste 301 (818) Facility # 6831 Ebrami, Iraj DDS Inc* Ventura Blvd Ste 640 (818) Facility # 6848 Ghotanian, Rene DDS* 5363 Balboa Blvd Ste 346 (818) Facility # 6745 Manuel, Dale P DDS A Dental Corporation Ventura Ste 300 (818) Facility # 6838 Schneider, H A DDS* Ventura Blvd Ste 322 (818) Gardena Facility # 372 City Dental Center Inc* 1300 W 155th St Ste 208 (310) Facility # 8335 Plaza Dental Rideau, Enrico J DDS* S Vermont Ave (310) Glendale Facility # 6750 Akop, William DDS 1010 N Glendale Ave Ste 207 (818) Facility # 8303 Arakelian, Melineh DDS* 411 N Central Ave Ste 120 (818) Facility # 8231 Arroyo Verdugo Family Dental Care Sahabi, Kamran DDS 3465 N Verdugo Rd (818) * Spanish is spoken in these offices Se habla español en estas oficinas these offices not accepting new members at this time Page 5

14 Facility # 674 California Dental Group Sahabi, Kamran DDS* 609 S Glendale Ave (818) Facility # 8299 Finer, Gary S DDS* 607 N Central Ave Ste 310 (818) Facility # 6932 Fong, William A DDS 3532 Ocean View Blvd (818) Facility # 424 Glendale Dental Arts Gazarian, John DDS Inc* 230 N Maryland Ste 205 (818) Facility # 7040 Hi- Care Dental Center Inc* 819 N Pacific Ave (818) Facility # 6977 Ignacio, Ma Nyzza DMD* 1945 W Glenoaks Blvd (818) Facility # Javier, Ma Lourdes Andres DMD* 1140 E Chevy Chase Dr (818) Facility # 6666 Kolesar, Jerry W DDS* 1122 N Brand Blvd Ste 102 (818) Facility # Montrose Dental Group 3600 Ocean View Blvd Ste 6 (818) Facility # 6951 Shapiro Center For Cosmetic Dentistry* 330 N Central Ave (818) Facility # 221 Yekikian, John O DDS* 1128 N Brand Blvd Ste A (818) Glendora Facility # 6719 Family Dental Office Of Glendora & Covina Cho, Do DDS 413 E Arrow Hwy (626) Facility # 69 Glendora Dental Center Assaf, Jafar DDS* 130 W Alosta Ave Ste 316 (626) Granada Hills Facility # 7398 Alfonso, Catherine A DDS* Devonshire St (818) Facility # 352 Bosak Jr, John E DDS* White Oak Ave Ste 213 (818) Facility # Knollwood Dental /8 Balboa Blvd (818) Facility # 6551 Rafie, Kamran DDS* Balboa Blvd (818) Hacienda Heights Facility # 6882 Apple Dental Center Chou, Steven DDS* 2219 S Hacienda Blvd Ste 102 (626) Facility # Comfort Smile Family Dentistry* E Gale Ave (626) Facility # 7007 Hacienda Professional Plaza Dental Dr Iskarous* 2440 S Hacienda Blvd Ste 233 (626) Facility # 8201 Tam, Anita DDS* 3065 S Hacienda Blvd (626) Facility # 6696 Tsay, Matthew C DDS Inc* Colima Rd Ste C (626) Harbor City Facility # 6829 Bay Harbor Dental Office* 1537 W Lomita Blvd (310) Hawaiian Gardens Facility # 452 Kothari, Ramesh DDS Inc* E Carson St Ste E (562) Facility # 6809 Newport Dental* Pioneer Blvd (562) Facility # 7025 Yen, Hong Yuan DDS* S Norwalk Blvd (562) Hawthorne Facility # 6927 Castle Dental-Hawthorne* S Hawthorne Blvd (310) Facility # Choice Dental Group* Hawthorne Blvd Ste D (310) Facility # 423 Hawthorne Dental Care Kahn, Piccus, Toovy DDS 4477 W 118th St Ste 500 (310) Facility # Hawthorne Family & Cosmetic Dental Office* E Hawthorne Blvd (310) Facility # 8168 Legaspi, John M DDS* Hawthorne Blvd (310) Facility # 162 Litman, Richard DDS* Hawthorne Blvd (310) Facility # 193 Schnierow, Burton D DDS* S Hawthorne Blvd (310) Page 6 390/490/590 Group Dental HMO

15 Hollywood Facility # 8505 Hollywood Vine Dental Office* 5280 Hollywood Blvd (323) Facility # 6543 Newport Dental* 1155 N Vermont Ste 100 (323) Facility # 6810 Newport Dental* 1155 N Vermont Ste 100 (323) Facility # 8474 Nouhad, Sami Y DDS* 7080 Hollywood Blvd Ste 817 (323) Huntington Park Facility # Casa Dental* 2521 E Florence Ave Ste B (323) Facility # 7302 Gage Dental Center* 6416 Santa Fe Ave (323) Facility # 8313 Glosman's Dental Land* 7136 Pacific Blvd Ste 210 (323) Facility # 7310 Huntington Family Dental/Mojab, Payam DDS* 2542 E Florence Ave Ste A (323) Facility # 1426 Huntington Park Family Dental* 2711 E Slauson Ave (323) Facility # 7016 Janfaza, Edmond DDS* 2675 E Slauson Ave (323) Facility # 6108 Kids And Adults Dental Care* 2625 E Florence Ave (323) Facility # 6797 Seville Dental Center* 7705 Seville Ave Ste A (323) Inglewood Facility # 6929 Forum Dental Group* 400 E Regent St (310) Facility # 8535 Gladkov, Alexander DDS Inc* 6818 La Cienega Blvd Ste 102 (310) Facility # 8236 Hedayati, Shawn S DDS* 141 N Prairie Ave (310) Facility # Imperial Crenshaw Dental Center* 2798 W Imperial Hwy (323) Facility # 713 Imperial Dental Center Corp/Gonzalez, Francisco* S Crenshaw Blvd (323) Facility # 6949 Manapsal, Cesar DDS 513 E Manchester Blvd (310) Facility # 706 Uppal, Narinder P DDS* 301 N Prairie Ave Ste 320 (310) Facility # 196 Weiner & Kaufman DDS* 3516 W Imperial Hwy (310) Irwindale Facility # 6657 Irwan, Ibrahim DDS Ramona Blvd Ste A (626) La Cañada Flintridge Facility # 8460 Langell, Douglas DDS* 1370 Foothill Blvd Ste 101 (818) La Crescenta Facility # 6768 Crescenta Family Dental 2644 Foothill Blvd (818) La Mirada Facility # 6881 Gad, Magdy W DDS & Gad, Alina W DDS La Mirada Blvd (562) Facility # 8213 Imperial Dental Ocampo, Sergio DDS* E Imperial Hwy (562) Facility # 4675 La Mirada Family Dental* Imperial Hwy (562) Facility # 9576 New Age Dental* E Telegraph Rd (562) Facility # 6677 Patuwo, Mary H DDS* Beach Blvd (714) Facility # 7355 The Dental Group Of La Mirada* Imperial Hwy (562) Facility # 6851 Westermeyer, John R DDS* S La Mirada Blvd Ste 7 (562) La Puente Facility # 7038 La Puente Family Dental* Elliot Ave (626) Facility # La Puente Village Dentistry* 401 S Azusa Ave Ste A (626) Facility # 6961 Pharar, Vijay DDS* E Valley Blvd Ste B (626) Facility # 7207 Puente Family Dental Schneider-Utz, Mabel DDS* 864 N Hacienda Blvd (626) * Spanish is spoken in these offices Se habla español en estas oficinas these offices not accepting new members at this time Page 7

16 La Verne Facility # 8302 Dental Care Of La Verne Liu, Paul DDS* 2323 Foothill Blvd (909) Facility # 6680 Hirayama, Shirley DDS 2117 E Foothill Blvd Ste C (909) Lakewood Facility # 7027 Goren, David DDS 5203 Lakewood Blvd (562) Facility # Lakewood Dental Arts Goodis & Weiner* 5555 Del Amo Blvd (562) Facility # Lakewood Family Dentistry* E Carson Ste E (562) Facility # 1748 Lakewood/Cerritos Dental Center* 5819 Adenmoor Ave (562) Facility # 6767 Metzger, Jesse DDS* 5220 N Clark Ste 435 (562) Lancaster Facility # Century Dental Group N Tenth St W (661) Facility # Fainberg, Daniel DDS* 919 W Ave J Ste C (661) Facility # 7344 Family Dental Care Of Lancaster* th St West (661) Facility # 7212 Goodley, Michael D DDS* 1351 W Ave J (661) Facility # 6763 Hi Desert Dental Center 1745 W Ave K Ste C (661) Facility # 8229 Massey, Ronald J DDS* N 17th St W Ste 201 (661) Facility # 6679 Oralplus Dental Center th St W Ste 1A (661) Facility # 7273 Saidara, K Ron DDS 2030 W Ave J (661) Lawndale Facility # Bay Dental Center S Hawthorne Blvd (310) Facility # 6856 Lum, Randolph DDS* Hawthorne Blvd (310) Lomita Facility # A Dentistry* 1816 Lomita Blvd (310) Facility # Dr Hanna's Family Dentistry* 2207 Pacific Coast Hwy (310) Facility # 618 General Dentistry Uppal, Narinder DDS* Narbonne Ave (310) Facility # 6992 Jones, Robert L DDS* Narbonne Ave Ste 202 (310) Long Beach Facility # 112 Baral, Bruce R DDS 6514 E Spring St (562) Facility # 6790 Batra, Jasbir DDS Inc 925 E San Antonio Dr Ste 10 (562) Facility # Bright Now Dental Xavier, Ronald DDS* 308 Orange Ave (562) Facility # 6792 Day, Ross DDS 6226 E Spring St Ste 200 (562) Facility # Family Dental Care* 1327 Long Beach Blvd (562) Facility # Family Dentistry 5399 Orange Ave (562) Facility # 6923 Grant, Alan DDS* 3620 Long Beach Blvd Ste B6 (562) Facility # 8489 Greater Long Beach Dental Group* 3714 Atlantic Ave (562) Facility # Greater Long Beach Dental Group* 141 E 9th St (562) Facility # 7342 James, Barbara A DDS* 6600 Atlantic Ave (562) Facility # 6673 Knolls Dental Group* 3703 Long Beach Blvd Ste E4 (562) Facility # 8227 Kom, Kosal DDS* 2338 E Anaheim St Ste 108 (562) Facility # 6698 Long Beach Dental Group* 659 Redondo Ave (562) Facility # 7738 Nessim, Maged Z DDS* 3821 Atlantic Ave Ste F (562) Page 8 390/490/590 Group Dental HMO

17 Facility # 6811 Newport Dental* 3383 Long Beach Blvd (562) Facility # 390 Ocampo, Garry DDS* 2355 Pacific Ste C (562) Facility # 6826 Serles, James DDS* 4301 Atlantic Ave Ste 4 (562) Facility # Universal Care Dental* 2360 Pacific Ave (562) Facility # Universal Care Dental* 2925 N Palo Verde Ave (562) Facility # 340 Village Dental Center* 4200 Lakewood Blvd (562) Facility # 8233 Vu, Hong T DDS* 2958 E Anaheim St (562) Los Angeles Facility # 8206 Aaa Dentistry Ravaei, Ramin DMD* 1835 S La Cienega Blvd Ste 200 (310) Facility # 7009 Agonias-Young, Thelma DDS* 3875 Wilshire Blvd Ste 901 (213) Facility # 7311 Airport Center Family Dental Dr Nussen And Assoc* 5304 W Century Blvd (310) Facility # 341 Aly, Said DDS* 1680 Vine St (323) Facility # 7316 Aquino, Nestor L DMD* 1233 N Vermont Ave Ste 2 (323) Facility # 6751 Auh, Kilpyung DDS* 3400 S La Brea Ave (323) Facility # 7001 Benyamini, Dan DDS Inc* 1826 W 7th St (213) Facility # 7085 Bingham, Cheryl D DDS* S Central Ave Ste 203 (323) Facility # 6898 Calif Dental Center Choi, Christine J DDS* 104 W 7th St (213) Facility # 346 Chang, Kenneth K DDS* 4026 W Olympic Blvd (323) Facility # 204 Chetty, R K DDS* 2525 Colorado Blvd Ste A (323) Facility # Cobb, Rodney L DDS* 600 W Manchester Ave Ste 1 (323) Facility # 6978 Crenshaw Professional Dental Center Dr Black* 3015 Crenshaw Blvd (323) Facility # 6892 Culver Del Rey Dental Dr Palmer* W Washington Blvd (310) Facility # 7111 Cypress Dental Clinic* 2135 Cypress Ave (323) Facility # 1927 Dental Center Of Highland Park* 5807 N Figueroa (323) Facility # 509 Dental Health Institute Soleimanian, Sid DDS* 1620 Westwood Blvd (310) Facility # 6736 Dentalogy Dental Group* Washington Blvd Ste B (310) Facility # Duran-Tang DDS Inc* 4065 Whittier Blvd Ste 201 (323) Facility # 7295 Elyson, Michael H DDS Assili, Ramin DDS Prof Corp* 745 S Kern St (323) Facility # Family Dentistry Makabi, Soleyman DDS* 1800 W 6th St Ste 2 (213) Facility # 6749 Faulkner, William DDS* 5870 Crenshaw Blvd Ste 513 (323) Facility # 616 Gentle Dental Center Abrams, Richard M DDS* 3311 Glendale Blvd (323) Facility # 7022 Hernandez, A V DDS Dental Clinic Inc* 166 S Alvarado St Ste 105 (213) Facility # 6707 Ibarra, Arturo DDS* 2407 N Broadway (323) Facility # 6701 Ibarra, Arturo DDS Inc* 3604 E 1st St (323) Facility # 7034 Imperial Family Dental Center* 1839 W Imperial Hwy (323) Facility # 59 Kargodorian, Vick DDS* 7080 Hollywood Blvd Ste 806 (323) Facility # 7318 Kashfian, Barry DMD* 2080 Century Park E Ste 1406 (310) * Spanish is spoken in these offices Se habla español en estas oficinas these offices not accepting new members at this time Page 9

18 Facility # 6781 Kniter Dental Corp Hollywood Smile Dntl Ctr* 8182 Sunset Blvd Ste 202 (323) Facility # L A Dental Group* 3130 S Sepulveda Blvd Ste D (310) Facility # 7162 Laddaran, Leslie DDS* 2105 Beverly Blvd Ste 101 (213) Facility # 7315 Ladera Dental Group* 5814 Rodeo Rd (310) Facility # 336 Laska, Mark S DDS* 3460 Wilshire Blvd Ste 104 (213) Facility # 6691 Lee, Emily DDS* 3756 Santa Rosalia Dr Ste 200 (323) Facility # 6782 Makhani, Mehrdad DDS* 6200 Wilshire Blvd Ste 1606 (323) Facility # 9032 Mercado-Ulit, Marilou DMD 5300 Santa Monica Blvd Ste 401 (323) Facility # 6807 Newport Dental* 3635 E First St (323) Facility # Newport Dental* Washington Blvd (310) Facility # Personal Dental Office* 6222 Wilshire Blvd Ste 103 (323) Facility # 8811 Pico Dental Group* 1561 W Pico Blvd (213) Facility # 6909 Pico La Cienega Dental Khalili, Emil DDS* 8530 W Pico Blvd (310) Facility # Quingco, Adelaida T DDS* 1127 Wilshire Blvd Ste 1103 (213) Facility # Ramzi, Nader DDS 1125 S Beverly Dr Ste 400 (310) Facility # 126 Saad, Victor Y DDS W Washington Blvd (310) Facility # 6743 Saidara, K Ron DDS 6200 Wilshire Blvd Ste 1609 (323) Facility # 8232 Sartor, Luther H DDS* 3701 Stocker St Ste 305 (323) Facility # 8336 Schneider, Michael A DMD & Associates* Wilshire Blvd Ste 809 (310) Facility # 6943 Shaw & Adams Dental Group* S Avalon Blvd Ste 201 (323) Facility # Shaw & Adams Dental Group* 5220 W Washington Blvd Ste 103 (323) Facility # 6937 Sung, Balin DDS 4520 Wilshire Blvd Ste 101 (323) Facility # Tay, George DDS K-M Family Dentistry* 4607 N Huntington Dr Ste 4607 (323) Facility # Universal Care Dental* 1111 W 6th St Ste 120 (213) Facility # 6733 Walker Iii, Nelson E DDS* 3756 Santa Rosalia Dr Ste 317 (323) Facility # 6774 Walker, Bruce DDS* 8540 Sepulveda Blvd Ste 1212 (310) Facility # 6868 West Coast Dental Group* 2604 S Vermont Ave Ste F (323) Facility # Whittier Dental Group* 2901 E Whittier Blvd Ste D (323) Facility # 6803 Wilshire Center Dental Group* 3932 Wilshire Blvd Ste 100 (213) Facility # 206 Wilshire Dental Care* 6200 Wilshire Blvd Ste 1508 (323) Facility # 6972 Wirtschafter, Gary DDS* Venice Blvd Ste 209 (310) Lynwood Facility # 7353 Deirmenjian, B DDS A Dental Office* Long Beach Blvd (310) Facility # 163 Kachgal, Satya N DDS* 3625 E Martin Luther King (310) Facility # Universal Care Dental* 3680 E Imperial Hwy Ste 100 (310) Manhattan Beach Facility # Beach Cities Dentistry* 400 S Sepulveda Blvd Ste 280 (310) Facility # 6742 Manhattan Beach Dentistry* 500 S Sepulveda Ste 210 (310) Page /490/590 Group Dental HMO

19 Facility # 716 Manhattan Village Dental Group* 1200 Rosecrans Blvd Ste 210 (310) Marina Del Rey Facility # 197 Marina Dental Center* Mindanao Way (310) Facility # 8441 Marina Dental Stolnitz, Scott A DDS* 4292 Lincoln Blvd (310) Facility # 68 Maxella Dental Group Partovy, Ray D DDS* Maxella Ste 220 (310) Facility # 8503 Sam, Douglas B DDS* 4519 Admiralty Way Ste 120 (310) Maywood Facility # 6828 Garoian, Daniel A DDS* 4201 E Slauson Ave (323) Facility # 200 Southeast Dental Center* 4332 E Slauson Ave (323) Monrovia Facility # Dental Care 2000 Plus* 148 W Foothill Blvd (626) Facility # 430 Foothill Dental Center Letran, Emily DDS* 121 S Myrtle (626) Montebello Facility # 7039 Dr David's Family Dentistry 2100 W Beverly Blvd (323) Facility # 134 Farkas, Daniel A DDS* 3301 W Beverly Blvd (323) Facility # 6912 Glosman, Leonid M DDS* 833 W Whittier Blvd (323) Facility # 246 Robins, Gregory DDS Family Dentistry* 1400 W Whittier Blvd (323) Monterey Park Facility # 8551 Chen, Isaac DDS* 2071 S Atlantic Blvd Ste F & G (323) Facility # 6758 Grant & Leeling DDS A Dental Corp* 616 N Garfield Ave Ste 404 (626) Facility # 6914 Lai Lai Dental Group Wang, Daniel DDS 116 E Emerson Ave (626) Newhall Facility # 7265 Kanarki, Andre DDS* Lyons Ave Ste 203 (661) North Hollywood Facility # 6934 Boudaie, Daniel DDS* Victory Blvd (818) Facility # 6827 Brody, Alan R DDS* Magnolia Blvd Ste 202 (818) Facility # 7657 Canyon Family Dentistry Hanasab, Hershel DDS Inc* Sherman Way (818) Facility # 7340 Laurel Canyon Dental Care* 6700 Laurel Canyon Blvd Ste 3 (818) Facility # Laurel Chandler Dental Group* 5451 Laurel Canyon Ste 100 (818) Facility # Pacific Dental Group* 6801 Lankershim Blvd Ste 101 (818) Facility # Victory Medical* Victory Blvd (818) Northridge Facility # At-Ease Dentistry Tampa Ave (818) Facility # 6754 Desai, Bharati DDS* 8954 Reseda Blvd Ste 100 (818) Facility # 50 Hamlin Dental Group Dr Shahmohammadi DDS 8349 Reseda Blvd Ste F (818) Facility # 51 Kargodorian, Vram J DDS* Roscoe Blvd Ste 355 (818) Facility # 6981 Levine, Lawrence G DDS 8363 Reseda Blvd Ste 202 (818) Facility # 6935 Lolli, William DDS Devonshire (818) Facility # 93 Riggio, Rojas, Rothstein DDS* 9145 Reseda Blvd (818) Facility # 9333 West Side Dental Corp* 9241 Reseda Blvd Ste 104 (818) Norwalk Facility # Bright Now Dental Han Steven* E Imperial Hwy Ste 101 (562) Facility # 7233 Dr Lee Family Dentistry Firestone Blvd (562) * Spanish is spoken in these offices Se habla español en estas oficinas these offices not accepting new members at this time Page 11

20 Facility # 6812 Newport Dental* Rosecrans Ave (562) Facility # 6962 Nicassio, Ralph DDS* E Imperial Hwy Ste C (562) Facility # 8506 Norwalk Dental Associates* Pioneer Blvd (562) Facility # Norwalk Family Dental Lay, Gilbert DDS* E Imperial Hwy (562) Facility # 7366 Paddison Dental Group* S Norwalk Blvd (562) Facility # Pioneer Dental Inc Binafard, Daniel DDS* S Pioneer Blvd (562) Pacoima Facility # Gedang, Wilfrido DDS* Van Nuys Blvd (818) Facility # 1743 Patel, Ashok R DDS* Glenoaks Blvd (818) Palmdale Facility # Antelope Valley Dental Care* th St East Ste A (661) Facility # 425 Buado, Thelma B* 3025 E Ave S Ste A14 (661) Facility # 7023 Hi Desert Dental Center* 2205 E Palmdale Blvd (661) Facility # Kanarki, Andre DDS* 1543 E Palmdale Blvd Ste B (661) Facility # Palmdale Premier Dental Care* 3005 E Palmdale Blvd Ste 22 (661) Facility # 92 Riggio, Rojas, Rothstein DDS* 1154 E Palmdale (661) Panorama City Facility # To 7 Family Dental Rosen, Dan DDS* 8424 Van Nuys Blvd (818) Facility # 7363 Cho, Grace H DDS* 8215 Van Nuys Blvd Ste 220 (818) Facility # 6955 Dental Care Of Van Nuys* 8121 Van Nuys Blvd Ste 310 (818) Facility # 6793 Karsh, Gary DDS* 8614 Van Nuys Blvd (818) Facility # 6983 Van Nuys Panorama Dental Center* 8227 Van Nuys Blvd (818) Paramount Facility # 7037 Patel, Jayanti DDS* 8131 E Rosecrans Ste 101 (562) Facility # 135 Sejpal, Mahesh A DDS Paramount Family Dentistry* 8040 Alondra Blvd Ste E (562) Facility # 7278 West Coast Dental* Lakewood Blvd Ste A (562) Pasadena Facility # 7234 Green Street Dental Radley, Roby L DDS* 1175 E Green St (626) Facility # 210 Kates, William DDS* 903 E Del Mar Blvd (626) Facility # 6814 Newport Dental* 925 E Walnut Ave (626) Facility # 128 Pasadena Dental Associates* 1302 N Altadena Dr (626) Facility # Pasadena Dental Care* 1092 E Green St (626) Facility # 6969 Pasadena Dental Group* 35 S Raymond Ave Ste 201 (626) Facility # 7365 Pasadena Family Dental Center* 950 E Colorado Blvd Ste 201 (626) Facility # 6833 Roisman, Leon D DDS* 310 S Lake Ave Lower Level (626) Facility # 8486 Washington Dental Group* 2554 E Washington Blvd (626) Pico Rivera Facility # 7014 Mehta, Ashok S DDS Inc* 9514 Whittier Blvd (562) Facility # 6849 Muditajaya, Danny DDS* 8308 Rosemead Blvd (562) Facility # 1735 Rangnath, Ad DDS* 4400 Rosemead Blvd Ste 2 (562) Pomona Facility # 6786 Choi, Ki Sun DDS* 956 N Garey Ave (909) Page /490/590 Group Dental HMO

21 Facility # 7030 Dental Associates Of Pomona Suprono, Mavern DDS* 180 E Mission Blvd (909) Facility # Gill, Harpreet DDS* 722 E Arrow Hwy (909) Facility # 74 Grove Family Dental* 3167 N Garey Ave (909) Facility # Hodson, Donald DDS* 1956 Indian Hill Blvd (909) Facility # Manchandia, Bella Dental Office* 551 E Holt Blvd (909) Facility # 6960 Pomona Family Dental Office* 175 W La Verne Ave Ste A (909) Facility # 53 Tooth Towne Dental Office* 2127 N Towne Ave (909) Rancho Palos Verdes Facility # Hedrick, Duane M DDS* Palos Verdes Dr W (310) Redondo Beach Facility # 6837 Kashfian Dental Group 1917 S Catalina Ave Ste B (310) Facility # Rite Smile Dental Care* 1959 Kingsdale Ave (310) Reseda Facility # 9588 Canby Dental* Sherman Way (818) Facility # 201 Dlugatch, Harvey E DDS* Sherman Way (818) Facility # 6859 Freeman, Robert DDS Victory Blvd Ste 216 (818) Facility # 94 Kapgan, Linda S DDS* Saticoy St Ste D (818) Facility # 8456 Kids Dentistry Plus Foroutan, John DDS* Sherman Way Ste 1 (818) Facility # 6772 Tjiong, Hwiebeng DDS* 7407 Reseda Blvd (818) Rolling Hills Estate Facility # 6715 Peninsula Dental Arts 927 Deep Valley Dr Ste 125 (310) Rosemead Facility # 6771 Glenrose Dental Group Zak, Boris DDS* 8951 Glendon Way (626) Rowland Heights Facility # 8174 Chan, Michael C DMD* 1725 S Nogales Ave Ste 107 (626) Facility # 169 Plaza Dental Group* E Colima Rd (626) Facility # 7308 Puente Hills Dental Center* Colima Rd (626) San Fernando Facility # 8311 California Dental Assoc Mazdeysnan, Afshin DDS* 2040 Glenoaks Blvd Ste F (818) Facility # 635 San Fernando Dental Care Dr A Baker DDS 1315 San Fernando Rd (818) Facility # 6988 San Fernando Dental Center* 125 S Brand Blvd (818) Facility # Tooth Fairy Dental* 556 S Brand Blvd (818) San Gabriel Facility # 1439 Del Mar Dental Tayab, Gamal DDS* 702 S Del Mar Ave (626) Facility # 6976 Galvan, Romarico DDS* 633 S San Gabriel Blvd Ste 110 (626) Facility # 7309 Las Tunas Family Dental Group* 1107 E Las Tunas Dr (626) Facility # 8207 San Gabriel Family Dental Li, Cassy DDS* 531 W Las Tunas Dr Ste B (626) Facility # 198 San Gabriel Valley Dental Center* 7215 N Rosemead Blvd (626) Facility # 6985 Sun Dental Corp* 1720 S San Gabriel Ste 101 (626) Facility # 7430 Toprani, Bhanu DDS* 5204 Rosemead Blvd (626) Facility # 138 Wilson, Ronald R DDS* 206 E Las Tunas Dr Ste 7 (626) Facility # Wu, Thomas DDS* 1103 S San Gabriel Blvd Ste A (626) San Pedro Facility # Bright Now Dental Anunciacion, Elaine DDS* 697 S Gaffey St (310) * Spanish is spoken in these offices Se habla español en estas oficinas these offices not accepting new members at this time Page 13

22 Facility # 6970 Cohen, Hamid DDS* 400 S Gaffey (310) Facility # Kaiser, Arthur DDS Western Ave Dental Center 946 N Western Ave (310) Facility # 7051 San Pedro Dental Group* 520 W 7th St (310) Santa Clarita Facility # 207 Golden Triangle Dental* W Golden Triangle (805) Santa Fe Springs Facility # 4576 Santa Fe Dental* Orr And Day Rd (562) Santa Monica Facility # 622 Aaronson, Steven E DDS Santa Monica Dental* 2901 Wilshire Blvd Ste 221 (310) Facility # 250 Behroozan, Ehteram B DDS* 2221 Lincoln Blvd Ste 200 (310) Facility # 7145 Feder, Thomas R DDS* th St Ste 200 (310) Facility # 185 Oswell, Douglas R DDS* 3231 Pico Blvd (310) Facility # 1438 Rubenstein, Alan DDS th St Ste 703 (310) Facility # 8803 Santa Monica Dental* th St Ste 101 (310) Facility # 6968 Super Dental Care* 3200 Santa Monica Blvd Ste 101 (310) Facility # 6991 Yale Dental Office* 2825 Santa Monica Ste 101 (310) Sherman Oaks Facility # 6744 Chin, Heidi DDS Ventura Blvd (818) Facility # 6762 Huerta, Gus DDS* 4910 Van Nuys Blvd Ste 204 (818) South El Monte Facility # 7658 Atlas Dental Care* 3131 Santa Anita Ste 201 (626) Facility # Bright Smile Dental Care Pham Robert* Garvey Ave Ste 105 (626) South Gate Facility # 349 Adult & Children's Dental Group* 4444 Tweedy Blvd (323) Facility # 6800 Castle Dental South Gate* 4433 Tweedy Blvd (323) Facility # 7256 Imperial Dental Center* 5720 E Imperial Hwy Ste G (562) Facility # 6688 Pakravan, Farid DDS/West Coast Dental Group* 4149 Tweedy Blvd Ste G (323) Facility # Prasad, N K M DDS* 5814 Imperial Hwy (562) Facility # 7031 Rami, Girishi H DDS* 2639 Santa Ana St (323) Facility # 7656 Saad, Rokaya DDS* Garfield Ave (562) Facility # 7002 Salwan, Ranjeev DDS* 8536 Long Beach Blvd Ste B (323) South Pasadena Facility # Leung, Susan DDS 1506 Huntington (626) Sun Valley Facility # 1738 Sun Valley Dental Center Farkas, David D DDS* Ratner St (818) Facility # Universal Care Dental* 9375 San Fernando Rd Ste 602 (818) Sunland Facility # 6685 Sunland Dental Care* 7902 Foothill Blvd (818) Facility # 6779 Sunland Family Dentistry Fuks, Aleksey DDS* 8522 Foothill Blvd (818) Sylmar Facility # 7206 Melamed, Ramin Francois DDS* Foothill Blvd (818) Tarzana Facility # 459 Dr Mardig's Kinder Gentler Dental Office Stepanian, M DDS 5620 Wilbur Ave Ste 309 (818) Page /490/590 Group Dental HMO

23 Facility # 178 Salehi, Farzaneh DDS* Ventura Blvd Ste 105 (818) Facility # 627 Tarzana Dental Group* Ventura Blvd Ste 209 (818) Temple City Facility # Vysotsky, Vladimir DDS* 9925 Las Tunas Dr (626) Toluca Lake Facility # Ghotanian, Tina DDS PC* Riverside Dr (818) Torrance Facility # 6671 All Care Dental Kavanaugh, Jack DDS* Hawthorne Blvd Ste 100B (310) Facility # 8181 Barlow, Frederick L DDS* Madison St Ste 180 (310) Facility # 7277 Cravatt, Benjamin F DDS Sutherland, Steven DDS* Hawthorne Blvd Ste 190 (310) Facility # Dental Associates Of Torrance Hawthorne Blvd (310) Facility # 6726 Downtown Family Dental* 2055 Torrance Blvd (310) Facility # 6722 Hashimoto, Lawrence J DDS* Madison St Ste 100 (310) Facility # 6791 Ocean West Dental Group* 3903 Pacific Coast Hwy Ste D (310) Facility # 332 Tom, Ronald J DDS 265 Del Amo Fashion Center (310) Facility # 7169 Torrance Dental Associates* Crenshaw Blvd (310) Facility # 102 Torrance Dental Center* 5320 Torrance Blvd (310) Facility # 6979 Turner, Randall G DDS* Hawthorne Blvd Ste 400 (310) Facility # Universal Care Dental* S Normandie Ste 400 (310) Facility # 60 Village Family Dental Office* 1235 W Sepulveda Blvd (310) Valencia Facility # 7747 Dr Zak Dental Care* Bouquet Canyon Rd (661) Facility # 7367 Goodley, Michael D DDS* W Valencia Blvd Ste 305 (661) Facility # 8396 Valencia Dental Care Dr Wyndhamsmith* Valencia Blvd Ste 301 (661) Facility # 6668 Vista Village Dental* Tournament Rd Ste F (661) Van Nuys Facility # 82 Chanturiya, Dina DDS* 6819 Sepulveda Blvd Ste 104 (818) Facility # 8178 Fields, Robert S DDS* 6301 Van Nuys Blvd (818) Facility # 7338 Hamlin Dental Group* Hamlin St Ste D (818) Facility # 6741 Kratochvil, Richard DDS* 7136 Haskell Ave Ste 217 (818) Facility # 8185 Lourdes, Alejandro C DDS* Victory Blvd (818) Facility # 6816 Newport Dental* Sherman Way (818) Facility # 8230 Nicolae, Mihai DDS* 7335 Van Nuys Blvd Ste 104 (818) Facility # Sherman Way Dental Group* 7120 Hayvenhurst Ste 205 (818) Facility # 7879 The Dental Care Center Couch, Dr & Cr DDS* 7068 Sepulveda Blvd (818) Facility # Universal Care Dental Sherman Way Ste 100 (818) Facility # 6724 Valley Dental Center* Vanowen St (818) Facility # 7147 Vanowen Dental Center Hong, A & Sutanto, Y DDS* Vanowen St Ste A (818) Venice Facility # 7012 Castle Dental-Lincoln* 1440 Lincoln Blvd (310) * Spanish is spoken in these offices Se habla español en estas oficinas these offices not accepting new members at this time Page 15

24 Walnut Facility # 6930 Walnut Dental Office* E Valley Blvd (909) Facility # 7045 Wang, Tien Chun D DMD Inc* Amar Rd Ste B16 (626) Facility # 6939 Wu, Arthur J DDS* Valley Blvd (909) West Covina Facility # 6681 American Dental Group/Prescott, Serge DDS* 436 N Sunset Ave (626) Facility # 522 Escutin, Peter O DMD 817 S Glendora Ave (626) Facility # 7017 Liu, Joseph H DDS S California Dental Service* 1014 S Glendora Ave (626) Facility # 6817 Newport Dental* 151 N Azusa (626) Facility # 6692 Phan, Luong DMD 837 W Christopher St Ste A (626) Facility # 6728 Queens Dental Group Suchak, A J DDS* 910 S Sunset Ste 4 (626) Facility # 89 Singh, Maninder DDS* 1312 W Francisquito Ave Ste D4 (626) West Hollywood Facility # 6948 Hollywood Family Dentistry* 8205 Santa Monica Blvd Ste 12 (323) West Los Angeles Facility # 6725 California Dental Care Feiz, F DDS & Rafie, C DDS* Santa Monica Ste 101 (310) Facility # 7317 Daneshrad, Davis DDS Dental Corporation* Wilshire Blvd Ste 101 (310) Westchester Facility # Crest Family Dental* 8740 S Sepulveda Blvd (310) Facility # 7736 Westchester Dental Care Moghaddas, David R* 8930 S Sepulveda Blvd Ste 117 (310) Westwood Facility # 7161 James, David F DDS Dental Center Of W Los Angeles* 1964 Westwood Blvd Ste 145 (310) Whittier Facility # Burquez, Rodolfo R DDS* Whittier Blvd (562) Facility # 327 Dagdigian, Darrel R DDS* E Whittier Blvd (562) Facility # 164 Friendly Hills Family Dentistry* E Whittier Blvd (562) Facility # 187 Prasad, K S DDS Inc* Slauson Ave (562) Facility # 252 Reddy, Krishna M DDS* 7910 Norwalk Blvd (562) Facility # 7032 Southern California Family Dentistry* Whittier Blvd (562) Facility # 6834 Uptown Dental Group* 6716 Greenleaf Ave (562) Facility # 6926 Village Dental Center* 6742 Greenleaf Ave Ste 300 (562) Facility # 1740 Whittier Dental Group* E Whittier Blvd (562) Wilmington Facility # Bright Now Dental Grant, Leon DDS* 1610 N Avalon Blvd (310) Winnetka Facility # 8519 Winnetka Plaza Dental* 7616 Winnetka Ave Ste 1 (818) Woodland Hills Facility # Rosen, Edward L DDS Ventura Blvd Ste 200 (818) Facility # 8828 Topanga Dental Care* Ventura Blvd (818) MADERA COUNTY Madera Facility # 6880 Lowe, Lester K DDS* 312 W Olive Ave (559) MARIN COUNTY Corte Madera Facility # 6686 Fowler, Robert K DDS* 240 Tamal Vista Ste 280 (415) San Rafael Facility # 9337 Old Town Dental Group* th Ave (415) Page /490/590 Group Dental HMO

DENTAL HMO PLAN. California Participating Providers 511/512

DENTAL HMO PLAN. California Participating Providers 511/512 DENTAL HMO PLAN 511/512 California Participating Providers The 511/512 Individual PacifiCare Dental HMO Plan Featuring low-cost preventive care and a great choice of dentists As a dental HMO plan member,