Report Date: 2/23/2023 Soma Medical Group Page: 201

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
PRESTON, RUDOLPH P 08/31/1947 6/4/2021 108093384 108093384 FRANCES BRAHAM
Active 1362 W 37TH ST M 12:00:00 AM PRESTON, PRESTON,
LOS ANGELES, CA 90007 RUDOLPH RUDOLPH
Medicare - Blue Shield of
California (South) California Promise
Health Plan
24798 QUACH, JANE T P 05/21/1979 3/23/2022 116586674
Active 2334 W 157TH ST F 12:00:00 AM QUACH, JANET
GARDENA, CA 90249 Optum Care
Network

25983 QUACH, JIMMY P 12/04/1974 4/20/2022 117320614

Active 2334 W 157TH ST M 12:00:00 AM QUACH, JIMMY
GARDENA, CA 90249 Regal Medical

25987 QUESADA, VINCENT P 08/15/1969 5/5/2022 117754223

Active 4569 WEST 173 RD G M 12:00:00 AM QUESADA,
LAWNDALE, CA 90260 VINCENT
Optum Care
Network
Quilino, Sharon Joy P 08/01/1976 7/27/2022 119609172
Active 6806 37th Road Apt 1 F 12:00:00 AM Quilino, Sharon
Woodside Queens, NY Joy
11377
917-244-1738
unica_sharonyoj81
@yahoo.com
25942 QUINTANA, ALFREDO P 04/20/1969 3/1/2022 115551161
Active 15715 GREVELLEA M 12:00:00 AM QUINTANA,
LAWNDALE, CA 90260 ALFREDO
Global Care IPA

27006 QUINTANA, CECILIA P 12/29/2000 9/26/2022 120953704

Active 15717 GREVILLEA AVE F 12:00:00 AM QUINTANA,
LAWNDALE, CA 90260 CECILIA
Global Care IPA

22579 QUINTANA, MARIA G P 02/28/1978 5/10/2021 107432345

Active 10517 BUFFORD AVE APT F 12:00:00 AM QUINTANA,
3 MARIAG
INGLEWOOD, CA 90304 Global Care IPA

23024 QUINTANA, MARTHA P 02/24/1971 11/8/2021 111899504

Active 15715 GREVILLEA AVE F 12:00:00 AM QUINTANA,
LAWNDALE, CA 90260 MARTHA
Global Care IPA
Report Date: 2/23/2023 Soma Medical Group Page: 202

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
23023 QUINTANA, VANESSA P 01/20/1992 10/18/2021 111371132 CALEB
Active 15715 GREVILLEA AVE F 12:00:00 AM QUINTANA,
LAWNDALE, CA 90260 VANESSA
Global Care IPA

27061 QUINTERO GRACIA, ANA T P 11/27/1961 1/5/2023 122997511

Active 19726 CHERRY AVE F 12:00:00 AM QUINTERO
CERRITOS, CA 90703 GRACIA, ANAT
424-448-7085 Centinela Valley
IPA
20882 QUIOCHO, AURORA P 05/04/1943 4/20/2021 106957522 SOHAIL
Active 222 W 233RD ST F 12:00:00 AM QUIOCHO, DAVOUDIAN, MD
CARSON, CA 90745 AURORA
Blue Cross

21018 QUIOCHO, FLORDELINO P 09/16/1943 4/20/2021 106954899 SOHAIL

Active 222 W 233RD ST M 12:00:00 AM QUIOCHO, DAVOUDIAN, MD
CARSON, CA 90745 FLORDELINO
Blue Cross

20883 QUIOCHO, KRISTEN P 12/17/1975 9/14/2021 110425086

Active 222 W 233RD STREET F 12:00:00 AM QUIOCHO,
CARSON, CA 90745 KRISTEN
Blue Cross

25829 QUIROZ, YVONE J P 12/22/1986 9/20/2021 110615288 SOHAIL

Active 14816 GREVILLEA AVE F 12:00:00 AM QUIROZ, YVONEJ DAVOUDIAN, MD
LAWNDALE, CA 90260 Centinela Valley
IPA

24352 QUISPE, ASHLEY P 05/20/1995 9/29/2021 110917286 MYRA SOHAIL

Active 4135 W 164TH ST F 12:00:00 AM QUISPE, ASHLEY DAVOUDIAN, MD
LAWNDALE, CA 90260 Blue Cross

24357 QUISPE, MAENER H P 08/02/1967 5/27/2021 107894140

Active 4135 W 164TH STREET M 12:00:00 AM QUISPE,
LAWNDALE, CA 90260 MAENERH
562-335-6443 Optum Care
Network
24488 QUISPE, MYRA P 05/20/1995 7/30/2021 109327492
Active F 12:00:00 AM QUISPE, MYRA
Report Date: 2/23/2023 Soma Medical Group Page: 203

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
16567 QUISPE, ZARA H P 02/01/1962 6/30/2021 108646076
Active 4135 W 164TH STREET F 12:00:00 AM QUISPE, ZARAH
LAWNDALE, CA 90260 Optum Care
Network

25164 QURAISHI, ABDUL P 05/02/1957 7/1/2021 108680449

Active 18901 FELBAR AVE M 12:00:00 AM QURAISHI,
TORRANCE, CA 90504 ABDUL
Torrance Hospital
IPA
00520 QURAISHI, GHOTAI P 05/04/1965 5/24/2021 107786843
Active 1891 FELBAR AVENUE F 12:00:00 AM QURAISHI,
TORRANCE, CA 90504 GHOTAI
Global Care IPA

25467 QURAISHI, JAWAD P 06/03/1989 4/5/2022 116967824

Active 18901 FELBAR AVE M 12:00:00 AM QURAISHI,
TORRANCE, CA 90504 JAWAD
LaCare Health
Plan
25709 QUREASHI, MOHAMMAD P 12/24/1959 4/14/2021 106823563 SOHAIL
Active 2222 GATES AVE B M 12:00:00 AM QUREASHI, DAVOUDIAN, MD
REDONDO BEACH, CA MOHAMMAD
90278 LaCare Health
909-489-6714 Plan

25711 QUREASHI, MOHAMMAD A P 02/18/1998 5/11/2021 107518222

Active 4721 W 172ND ST M 12:00:00 AM QUREASHI,
LAWNDALE, CA 90260 MOHAMMADA
310-796-6389 Global Care IPA

18576 QURESHI, FAKHARUNNISA P 08/09/1959 8/10/2021 109572502 SOHAIL

Active S F 12:00:00 AM QURESHI, DAVOUDIAN, MD
2015 MORGAN LN UNIT B FAKHARUNNISAS
REDONDO BEACH, CA Torrance Hospital
90278 IPA

Nisa@calpak-usa.com
12695 QURESHI, MOHAMMED P 06/18/1949 4/28/2021 107160989 107160989 SOHAIL
Active 2015 morgan unti b M 12:00:00 AM QURESHI, QURESHI, DAVOUDIAN, MD
REDONDO BEACH, CA MOHAMMED MOHAMMED
90278 Medicare - Blue Shield of
California (South) California

22564 QUWAIDER, MAHMOUD P 05/17/1958 4/29/2021 107216237 SOHAIL

Active 18328 MANSEL AVE M 12:00:00 AM QUWAIDER, DAVOUDIAN, MD
REDONDO BEACH, CA MAHMOUD
90278 Global Care IPA
310-890-6010
Report Date: 2/23/2023 Soma Medical Group Page: 204

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
25967 RABANAL, MAGDALENA P 05/14/1944 4/8/2022 117077636
Active 22703 ANCHOR AVE F 12:00:00 AM RABANAL,
CARSON, CA 90745 MAGDALENA

22153 RABII, AREAN P 12/17/1958 5/11/2021 107507638

Active 4415 PAC. COAST HWY. M 12:00:00 AM RABII, AREAN
F206 Global Care IPA
TORRANCE, CA 90505
310-378-5119

11802 RACHMAN, LEONID P 10/17/1963 6/16/2021 108338261

Active 30204 VIA VICTORIA M 12:00:00 AM RACHMAN,
RANCHO PALOS VERDES, LEONID
CA 90275 Torrance Hospital
310-245-1662 IPA
lrachman@gmail.com
19446 RAD, FARIDEH P 04/01/1946 7/1/2021 108681336
Active 5832 SCOTWOOD DRIVE M 12:00:00 AM RAD, FARIDEH
RANCHO PALOS VERDES, Optum Care
CA 90275 Network
310-377-1494

18368 RADNOVICH, GEORGE P 05/18/1933 5/11/2021 107514399

Active 2304 GRANT AVE M 12:00:00 AM RADNOVICH,
REDONDO BEACH, CA GEORGE
90278 Optum Care
310-372-6033 Network

21368 RADY, RIAD B P 04/03/1950 6/8/2021 108152378

Active 18129 PRAIRIE AVENUE M 12:00:00 AM RADY, RIADB
TORRANCE, CA 90504 Optum Care
Network

22650 RADY, SIHAM P 08/12/1951 4/14/2021 106827314 SOHAIL

Active 18129 S PRAIRE AVE F 12:00:00 AM RADY, SIHAM DAVOUDIAN, MD
TORRANCE, CA 90504 Optum Care
310-272-4338 Network

RAFEIAL, MARYAM P 12/22/1974 9/20/2022 120836528

Active 26252 VIA JUANITA F 12:00:00 AM RAFEIAL,
MISSION VIEJO, CA 92691 MARYAM
Blue Shield of
California
24358 RAGELS, MICHAEL P 03/06/1959 7/8/2021 108834682
Active 17832 HOBART S BLVD M 12:00:00 AM RAGELS,
GARDENA, CA 90248 MICHAEL
Global Care IPA
Report Date: 2/23/2023 Soma Medical Group Page: 205

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
931 RAGHEB, ABDUL P 07/06/1926 5/25/2021 107852005
Active 3601 W. 172ND ST. NO B M 12:00:00 AM RAGHEB, ABDUL
TORRANCE, CA 90504 Medicare -
310-715-2315 California (South)

17749 RAGHEB, KHOSRAW P 08/08/1968 5/28/2021 107930971

Active 3601 W. 172ND STREET #C M 12:00:00 AM RAGHEB,
KHOSRAW
TORRANCE, CA 90504 Torrance Hospital
310-480-2045 IPA
khosrawragheb@aol.com
00930 RAGHEB, SAYERA P 11/05/1945 5/25/2021 107852331 107852331
Active 3601 W 172ND STREET #B F 12:00:00 AM RAGHEB, RAGHEB,
TORRANCE, CA 90504 SAYERA SAYERA
Medicare - Health Net CA and
California (South) OR
3182 RAHBAR, BAHMAN P 03/29/1947 4/19/2021 106923679 106923679 SOHAIL
Active 3130 W 187TH ST M 12:00:00 AM RAHBAR, RAHBAR, DAVOUDIAN, MD
TORRANCE, CA 90504 BAHMAN BAHMAN
310-245-0074 Medicare - Health Net CA and
California (South) OR
10764 RAHBAR, SHAHRZAD A P 01/31/1949 5/25/2021 107852663
Active 3130 W.187TH STREET F 12:00:00 AM RAHBAR,
TORRANCE, CA 90504 SHAHRZADA
Global Care IPA

6707 RAHBAR, TERESA P 10/16/1949 4/19/2021 106922888 SOHAIL

Active 3130 W 187TH ST F 12:00:00 AM RAHBAR, DAVOUDIAN, MD
TORRANCE, CA 90504 TERESA
Torrance Hospital
IPA
25982 RAHIMIAN, SHANTIA P 11/13/1976 2/4/2022 114557139
Active 1300 MEMORIAL DR F 12:00:00 AM RAHIMIAN,
WARWICK, PA 18974 SHANTIA
949-375-1682 Aetna

19304 RAHMAN, ABDUL P 05/15/1940 6/2/2021 108009318

Active 4717 MACAFEE RD M 12:00:00 AM RAHMAN, ABDUL
TORRANCE, CA 90505 Torrance Hospital
IPA

18010 RAHMAN, KHANDAKER L P 01/01/1957 7/15/2021 108987575 108987575 malia SOHAIL

Active 150 E 234TH PL M 12:00:00 AM RAHMAN, RAHMAN, DAVOUDIAN, MD
CARSON, CA 90745 KHANDAKERL KHANDAKERL
310-880-6179 Medicare - LaCare Health
California (South) Plan
Report Date: 2/23/2023 Soma Medical Group Page: 206

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
19364 RAHMAN, MASUMA P 01/10/1950 6/2/2021 108009492
Active 4717 MACAFEE RD. F 12:00:00 AM RAHMAN,
TORRANCE, CA 90505 MASUMA
Torrance Hospital
IPA
RAHMAN, N P 1/31/2022 114370888
Active M 12:00:00 AM RAHMAN, N

09170 RAHNEMA, VAJIOLA P 03/04/1954 7/29/2021 109311464

Active 2735 ARLINGTON AVE. #30 M 12:00:00 AM RAHNEMA,
VAJIOLA
TORRANCE, CA 90501 CIGNA

18823 RAJO, ANA P 07/27/1960 5/24/2021 107803425

Active 3943 W. 108TH STREET #1 F 12:00:00 AM RAJO, ANA
INGLEWOOD, CA 90303 Global Care IPA

26020 RAJO, KARLA P 11/16/1995 6/13/2022 118631921

Active 15227 PRAIRIE AVE APT E F 12:00:00 AM RAJO, KARLA
LAWNDALE, CA 90260

23275 RAJPUT, MUHAMMAD P 12/08/1966 1/12/2022 113614547 ZUBAIR

Active 17915 S. DENKER ST M 12:00:00 AM RAJPUT,
GARDENA, CA 90248 MUHAMMAD
Global Care IPA

21898 RAMEZAN, MINOU P 10/02/1950 3/1/2022 115549683

Active 28121 RIDGE FERN CT F 12:00:00 AM RAMEZAN,
RANCHO PALOS VER, CA MINOU
90275

25573 RAMIREZ, GRACE P 09/17/1959 10/6/2021 111094915 SOHAIL

Active 3817 W 139TH ST F 12:00:00 AM RAMIREZ, GRACE DAVOUDIAN, MD
HAWTHORNE, CA 90250 CIGNA - PPO

25979 RAMIREZ, JUAN P 08/21/1994 4/20/2022 117323992

Active 10044 S WILTON PL M 12:00:00 AM RAMIREZ, JUAN
LOS ANGELES, CA 90047 Global Care IPA
Report Date: 2/23/2023 Soma Medical Group Page: 207

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
21761 RAMIREZ, MARGARITA P 04/05/1951 5/19/2021 107704496 107704496
Active 21425 S AVALON BLVD F 12:00:00 AM RAMIREZ, RAMIREZ,
SPC #23 MARGARITA MARGARITA
CARSON, CA 90245 Medicare - Global Care IPA
310-830-8804 California (South)

25695 RAMIREZ, PAUL P 09/23/1969 7/19/2021 109050793

Active 236 THE STRAND UNIT #C M 12:00:00 AM RAMIREZ, PAUL
HERMOSA BEACH, CA Global Care IPA
90254

vipfunk1@gmail.com
26075 RAMIREZ, RAFAEL P 08/14/1994 8/5/2022 119804857
Active 426 W BENNETT ST M 12:00:00 AM RAMIREZ,
COMPTON, CA 90220 RAFAEL
310-612-5556 Centinela Valley
IPA
23570 RAMLEY, JOY E P 07/28/1946 6/8/2021 108163881
Active 2821 W. 167TH ST. F 12:00:00 AM RAMLEY, JOYE
TORRANCE, CA 90504 Regal Medical
310-515-5709

17586 RAMOS, MANUEL A P 06/21/1962 6/24/2021 108528394

Active 2012 SPEYER LANE M 12:00:00 AM RAMOS,
REDONDO BEACH, CA MANUELA
90278 Global Care IPA

RAMOS BARRETO, MARIA P 03/13/1995 1/5/2023 122996946

Active CAMILA F 12:00:00 AM RAMOS
16719 YUKON AVE APT3 BARRETO, MARIA
TORRANCE, CA 90504 CAMILA
470-455-0152

25049 RANDALL, STEVEN P 11/17/1950 12/2/2021 112483844

Active 2210 APT #4 GRANT AVE M 12:00:00 AM RANDALL,
REDONDO BEACH, CA STEVEN
90278 Torrance Hospital
IPA

26171 RANGEL RAMIREZ, SILVIA P 08/05/1994 12/2/2022 122346763

Active 4502 186TH STREET F 12:00:00 AM RANGEL
REDONDO BEACH, CA RAMIREZ, SILVIA
90278 Torrance Hospital
424-278-0836 IPA
Report Date: 2/23/2023 Soma Medical Group Page: 208

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
20609 RAPP JR, RAY E P 07/11/1949 6/15/2021 108310887 108310887
Active 11874 CEDAR AVE M 12:00:00 AM RAPP JR, RAYE RAPP JR, RAYE
HAWTHORNE, CA 90250 Medicare - Global Care IPA
310-465-7751 California (South)

10162 RASMUSSEN, SUSAN P 06/08/1954 4/13/2021 106809682 SOHAIL

Active 15307 PRAIRIE AVE 3 F 12:00:00 AM RASMUSSEN, DAVOUDIAN, MD
LAWNDALE, CA 90260 SUSAN
424-224-2230 Optum Care
Network
25783 RASSOULPOUR, ETHAN N P 03/25/1980 7/14/2021 108941055 SOHAIL
Active 6257 DEL AMO BLVD M 12:00:00 AM RASSOULPOUR, DAVOUDIAN, MD
LAKEWOOD, CA 90713 ETHANN
Aetna

25774 RASSOULPOUR, P 01/25/1944 7/1/2021 108680528

Active MAHMOUD M 12:00:00 AM RASSOULPOUR,
6257 DEL AMO BLVD MAHMOUD
LAKEWOOD, CA 90713 Optum Care
562-712-8245 Network

19294 RAVANSHEED, ISMAEL P 11/10/1940 10/4/2022 121117370 121117370

Active 4514 186TH ST APT201 M 12:00:00 AM RAVANSHEED, RAVANSHEED,
REDONDO BEACH, CA ISMAEL ISMAEL
90278 Medicare - Health Net CA and
California (South) OR

22143 RAY, JENNIFER M P 10/01/1978 5/13/2021 107573430

Active 1115 2ND STREET F 12:00:00 AM RAY, JENNIFERM
HERMOSA BEACH, CA Global Care IPA
90254

Jenray310@gmail.com
RAYA, CHRISTIAN P 08/25/1983 1/25/2022 114148611
Active 182 W 234TH ST M 12:00:00 AM RAYA,
CARSON, CA 90745 CHRISTIAN
310-809-6597 Health Net CA and
OR
24307 REHMAN, SAMIUR P 01/23/1998 7/7/2021 108773471
Active 18311 Bailey DR Apt 34 M 12:00:00 AM REHMAN,
TORRANCE, CA 90504 SAMIUR
310-800-6711 Global Care IPA
samiurrehman24
@icloud.com
REIMANN, NATHAN T P 08/10/1972 7/29/2021 109301199 SOHAIL
Active 2023 GATES AVE M 12:00:00 AM REIMANN, DAVOUDIAN, MD
REDONDO BEACH, CA NATHANT
90278 Aetna
Report Date: 2/23/2023 Soma Medical Group Page: 209

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
25852 REINERSTEN, NICOLE A P 10/02/1991 10/12/2021 111248479
Active 600 VIA MONTE DORO F 12:00:00 AM REINERSTEN,
REDINDI BEACH, CA 90277 NICOLEA
310-634-6332 United HealthCare

18543 RELOVA, EMILIO P 07/31/1951 5/17/2021 107638101

Active 14783 DUBLIN AVENUE M 12:00:00 AM RELOVA, EMILIO
GARDENA, CA 90249 Optum Care
310-873-8906 Network

18536 RELOVA, LETICIA P 02/23/1958 5/17/2021 107637846

Active 14783 DUBLIN AVE F 12:00:00 AM RELOVA, LETICIA
GARDENA, CA 90249 Optum Care
310-800-0720 Network
leticia_relova@yahoo.com
25820 RENNEKE, ROMAN R P 08/03/1991 9/2/2021 110172110 SOHAIL
Active 2213 NELSON AVE APT #D M 12:00:00 AM RENNEKE, DAVOUDIAN, MD
REDONDO BEACH, CA ROMANR
90278 Global Care IPA

19292 REVELES, MARTHA P 02/10/1970 4/14/2022 117223409

Active 4341 W 164TH ST F 12:00:00 AM REVELES,
LAWNDALE, CA 90260 MARTHA
Global Care IPA

REYES, PRAISE P 08/11/1996 9/9/2022 120601101

Active 24402 DOBLE AVE F 12:00:00 AM REYES, PRAISE
HARBOR CITY, CA 90710

REYES, RAUL A P 06/22/1967 9/22/2021 110733462

Active 2022 248TH ST M 12:00:00 AM REYES, RAULA
LOMITA, CA 90717 Blue Cross
424-215-1614

24362 REYNOSO, ERNESTO P 02/26/1957 12/7/2021 112630875

Active 15134 ORANGE AVE M 12:00:00 AM REYNOSO,
PARAMOUNT, CA 90723 ERNESTO
Torrance Hospital
IPA
24363 REYNOSO, MARIA P 05/15/1958 12/7/2021 112630941
Active 15134 ORANGE AVE. F 12:00:00 AM REYNOSO,
PARAMOUNT, CA 90723 MARIA
Global Care IPA
Report Date: 2/23/2023 Soma Medical Group Page: 210

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
24590 REZAEI, SAFIEH P 07/12/1943 5/12/2021 107535688 AMIRLILI
Active 1 OAKTREE IN F 12:00:00 AM REZAEI, SAFIEH
ROLLING HILLS, CA 90274 Global Care IPA
818-640-7113 818-640-7113

24710 REZENDE, LAURA P 03/14/1965 5/11/2021 107518927

Active 16025 S WESTERN F 12:00:00 AM REZENDE,
AVENUE #4 LAURA
GARDENA, CA 90247 Global Care IPA
310-985-0713

22762 RIAZ, FOZIA P 10/12/1965 4/26/2021 107090014 SOHAIL

Active 18311 BAILEY DR 32 F 12:00:00 AM RIAZ, FOZIA DAVOUDIAN, MD
TORRANCE, CA 90504 Global Care IPA
310-404-7894

23102 RICHARD, ARMAND P 05/04/1961 5/3/2021 107269684 SOHAIL

Active 3854 MENTONE AVE APT M 12:00:00 AM RICHARD, DAVOUDIAN, MD
#16 ARMAND
CULVER CITY, CA 90232 Global Care IPA
310-803-0903
arpbric@icloud.com
22782 RICHARDSON, CRAIG P 12/02/1955 10/27/2022 121603385
Active 4304 W 169TH ST M 12:00:00 AM RICHARDSON,
LAWNDALE, CA 90260 CRAIG
Global Care IPA

08943 RILEY, CHRISTIAN P 03/31/1995 4/27/2021 107117824

Active 23820 ARLINGTON AVE M 12:00:00 AM RILEY,
TORRANCE, CA 90501 CHRISTIAN
Global Care IPA

RILEY, SHANE P 02/22/1977 8/9/2022 119882380

Active 1525 AVIATION M 12:00:00 AM RILEY, SHANE
BOULEVARD
REDONDO BEACH , CA
90278

25534 RINCON, MARLYNN P 11/24/1989 6/22/2021 108482037 ANACLETA RINCON

Active 11007 DALEROSE AVE F 12:00:00 AM RINCON,
LENNOX, CA 90304 MARLYNN
310-672-0894 Global Care IPA 310-672-0894

Rios, Juan P 05/23/1954 10/16/2022 122689327 Reyes Rios

Active 15317 Hawthorne Blvd. Apt. M 12:00:00 AM Rios, Juan 15317 Hawthorne Blvd.
3 Central Health Apt. 3
Lawndale, CA 90260 Plan MGG Lawndale, CA 90260
559-369-5262 424-391-5867
Report Date: 2/23/2023 Soma Medical Group Page: 211

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
24751 RIVERA, CLAUDIA P 05/01/1998 10/28/2021 111632530
Active 4434 w 145TH ST F 12:00:00 AM RIVERA, CLAUDIA
LAWNDALE, CA 90260 Global Care IPA

26070 RIVERA VELEZ, EDWIN P 08/20/2000 8/1/2022 119706298

Active 4312 W 180TH APT. 35 M 12:00:00 AM RIVERA VELEZ,
TORRANCE, CA 90504 EDWIN
Premier Physician
Network (PPN)
23643 ROAN, TERRENCE M P 10/27/1948 10/4/2021 111022869 SOHAIL
Active 4539 W 170TH ST M 12:00:00 AM ROAN, DAVOUDIAN, MD
LAWNDALE, CA 90260 TERRENCEM
Torrance Hospital
IPA
25717 ROBERTSON, CHRISTION P 06/05/1993 3/18/2022 116326037
Active 915 1/2 15th Street M 12:00:00 AM ROBERTSON,
Hermosa Beach, CA 90254 CHRISTION
Centinela Valley
IPA
ROBINSON, HELEN J P 05/22/1945 9/19/2022 120813432 120813432
Active 2731 W 94TH ST F 12:00:00 AM ROBINSON, ROBINSON,
INGLEWOOD, CA 90305 HELENJ HELENJ
323-712-9602 Medicare - LaCare Health
California (South) Plan
Robinson, Helen J P 05/22/1945 9/6/2022 121420295 121420295 Tendashe Robinson
Active 2731 W 94th St F 12:00:00 AM Robinson, HelenJ Robinson, HelenJ
Inglewood, CA 90305 Medicare - LaCare Health
323-712-9602 California (South) Plan 323-712-9602

25195 ROBINSON, NICOLE P 09/01/1965 9/23/2021 110754858

Active 819 3RD ST F 12:00:00 AM ROBINSON,
HERMOSA BEACH, CA NICOLE
90254 Global Care IPA

ROBINSON, NICOLE M P 09/01/1965 4/18/2022 117265634

Active 819 3RD ST F 12:00:00 AM ROBINSON,
HERMOSA BEACH, CA NICOLEM
90254 Global Care IPA

23988 ROBINSON, NIKIDA P 08/24/1988 11/2/2021 111746416

Active 1128 E. 12TH ST. F 12:00:00 AM ROBINSON,
LONG BEACH, CA 90813 NIKIDA
Global Care IPA
Report Date: 2/23/2023 Soma Medical Group Page: 212

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
25245 ROBINSON, WILLARD P 08/06/1960 5/12/2021 107543876
Active 4612 W 148TH STREET M 12:00:00 AM ROBINSON,
LAWNDALE, CA 90260 WILLARD
424-230-4648 Optum Care
Network
23542 ROBLES, EVA P 02/26/2000 11/12/2021 112024182
Active 1310 W. 177TH ST. APT. F 12:00:00 AM ROBLES, EVA
106 Global Care IPA
GARDENA, CA 90248

25595 ROCHA, BERTA P 04/18/1976 9/23/2021 110745410

Active 15729 halldale ave #C F 12:00:00 AM ROCHA, BERTA
Gardena, CA 90247 Global Care IPA

Rocha15729@att.net
25175 ROCK, STANLEY P 09/25/1955 5/12/2021 107544773
Active 17906 CORDARY AVENUE M 12:00:00 AM ROCK, STANLEY
TORRANCE, CA 90504 Optum Care
310-879-3667 Network

25864 RODDY, JOHN P 03/13/1963 11/9/2021 111933562 SOHAIL

Active 722 BAYVIEW DRIVE M 12:00:00 AM RODDY, JOHN DAVOUDIAN, MD
HERMOSA BEACH, CA Global Care IPA
90254

25970 RODE, JESSICA P 06/18/1991 4/11/2022 117109508

Active 2000 ERNEST AVE F 12:00:00 AM RODE, JESSICA
REDONDO BEACH, CA Global Care IPA
90278

25816 RODGERS, STARVIS P 10/30/1962 8/30/2021 110061953 SOHAIL

Active 14708 EASTWOOD AVE F 12:00:00 AM RODGERS, DAVOUDIAN, MD
LAWNDALE, CA 90260 STARVIS
Global Care IPA

21954 RODRIGUEZ, ALANA P 01/30/1996 6/16/2022 118733358

Active 4559 186TH ST F 12:00:00 AM RODRIGUEZ,
REDONDO BEACH, CA ALANA
90278 Global Care IPA

25204 RODRIGUEZ, DUGLAS P 06/08/1947 8/12/2021 109650392

Active 2520 GRAHAM AVE 2 M 12:00:00 AM RODRIGUEZ,
REDONDOBEACH, CA DUGLAS
90278 Centinela Valley
IPA
Report Date: 2/23/2023 Soma Medical Group Page: 213

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
25058 RODRIGUEZ, JUAN P 11/02/1990 1/24/2023 123435363
Active 2705 VOORHEES AVE M 12:00:00 AM RODRIGUEZ,
REDONDO BEACH, CA JUAN
90278 Aetna
424-271-1943

17540 RODRIGUEZ, MANUEL M P 01/24/1963 6/1/2021 107986197

Active 12140 LOWEMONT M 12:00:00 AM RODRIGUEZ,
STREET MANUELM
NORWALK, CA 90650 Optum Care
714-232-1237 Network

13764 RODRIGUEZ, MARGARITA P 04/12/1951 1/14/2022 113706814

Active F 12:00:00 AM RODRIGUEZ,
MARGARITA

25185 RODRIGUEZ, MICAELA P 09/29/1972 9/22/2021 110730528

Active 4560 W 160TH ST F 12:00:00 AM RODRIGUEZ,
LAWNDALE, CA 90260 MICAELA
Regal Medical

24920 RODRIGUEZ, NEOMI J P 04/26/1953 6/4/2021 108103229

Active 9219 BARING CRODS ST F 12:00:00 AM RODRIGUEZ,
LOS ANGELES, CA 90044 NEOMIJ
323-561-9897 Medicare -
California (South)
RODRIGUEZ, NEOMI P 04/26/1953 5/12/2022 117939194
Active 9219 BARING CRODS ST F 12:00:00 AM RODRIGUEZ,
LOS ANGELES, CA 90044 NEOMI
323-561-9897 Medicare -
California (South)
26181 RODRIGUEZ, RALPH P 04/22/1971 12/14/2022 122577759
Active 16601 PATRONELLA AVE M 12:00:00 AM RODRIGUEZ,
TORRANCE, CA 90504 RALPH
Global Care IPA

21239 RODRIGUEZ DE, MARIA P 05/30/1945 8/20/2021 109858364

Active 15129 AVIS AVENUE F 12:00:00 AM RODRIGUEZ DE,
LAWNDALE, CA 90260 MARIA
310-404-5872 Torrance Hospital
IPA
23510 RODRIGUEZ REYES, P 07/31/1964 8/10/2021 109566310
Active ANTONIO M 12:00:00 AM RODRIGUEZ
4560 WEST 160TH STREET REYES, ANTONIO
Global Care IPA
LAWNDALE, CA 90260
Report Date: 2/23/2023 Soma Medical Group Page: 214

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
Rogers, Dwight W P 10/17/1943 11/9/2022 122716605 122716605 Sharon Hicks
Active 4756 Towers St. M 12:00:00 AM Rogers, DwightW Rogers, DwightW
Torrance, CA 90503 Medicare - TriWest Healthcare
310-927-1933 California (South) Alliance PC3 310-927-1933

23632 ROGERS, NICOLE P 04/08/1992 5/3/2021 107266584 SOHAIL

Active 15410 GREVILLEA AVE F 12:00:00 AM ROGERS, NICOLE DAVOUDIAN, MD
LAWNDALE, CA 90260 Global Care IPA
310-213-2000

18414 ROGERS, SHIRLEY P 05/02/1980 8/5/2021 109474519

Active 9723 SAN ANTONIO AVE F 12:00:00 AM ROGERS,
#C SHIRLEY
SOUTH GATE, CA 90280 Global Care IPA

24895 ROHANISARVESANI, P 06/11/1972 6/1/2021 107985052 SEP

Active NOOSHIN F 12:00:00 AM ROHANISARVESA
23104 SAMUEL ST #210 NI, NOOSHIN
TORRANCE, CA 90505 Global Care IPA

ROMAN, MAYELA E P 12/28/1992 10/19/2022 123190131 MAYELA ROMAN

Active 28223 Gold Canyon Dr. F 12:00:00 AM ROMAN,
Santa Clarita, CA 91390 MAYELAE
310-213-1603 Blue Cross 310-766-0821

05787 ROMANA, ALVARO P 01/17/1962 9/12/2022 120638295

Active 4222 MANHATTAN BEACH M 12:00:00 AM ROMANA,
BLVD ALVARO
LAWNDALE, CA 90260 Regal Medical

05158 ROMANA, CARMEN P 01/03/1961 9/8/2022 120570502

Active 4222 MANHATTAN BEACH F 12:00:00 AM ROMANA,
BLVD CARMEN
LAWNDALE, CA 90260 Regal Medical

25326 ROMERO, ALLISON P 12/05/1992 7/15/2021 108976752 SOHAIL

Active 23200 WESTERN AVENUE F 12:00:00 AM ROMERO, DAVOUDIAN, MD
APT 245 ALLISON
HARBOR CITY, CA 90710 Global Care IPA

25994 ROMERO, CARMEN P 03/07/1949 5/6/2022 117790676

Active 13947 HUBBARD ST F 12:00:00 AM ROMERO,
SYLMAR, CA 91342 CARMEN
Blue Cross
Report Date: 2/23/2023 Soma Medical Group Page: 215

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
25764 ROMO, JOHNATHAN P 07/09/1993 6/9/2021 108188079
Active 3649 EMERALD ST APT M 12:00:00 AM ROMO,
118 JOHNATHAN
TORRANCE, CA 90503 Optum Care
Network

32918 RONNHOLM, THEODORE P 10/02/1935 6/2/2021 108029951 108029951

Active 1220 KEATS ST M 12:00:00 AM RONNHOLM, RONNHOLM,
MANHATTAN BEACH, CA THEODORE THEODORE
90266 Medicare - ILWU Local 21
California (South)

9496 ROOHI, FATEMEH B P 07/28/1938 6/30/2021 108647379

Active 3444 EMERALD STREET #4 F 12:00:00 AM ROOHI,
FATEMEHB
TORRANCE, CA 90503 Optum Care
Network

23112 ROSAK, MICHAEL F P 05/29/1970 7/14/2021 108957494

Active 617 1ST STREET M 12:00:00 AM ROSAK,
HERMOSA BEACH, CA MICHAELF
90254 Global Care IPA
424-206-1246

23063 ROSALES, IRENE P 11/26/1952 7/1/2021 108679234

Active 4532 1/2 WEST 18TH F 12:00:00 AM ROSALES, IRENE
STREET Torrance Hospital
LOS ANGELES, CA 90019 IPA

27035 ROSHAN RAVAN, P 01/30/1953 1/25/2023 123472044

Active FATEMEH F 12:00:00 AM ROSHAN RAVAN,
2559 PLAZA DEL AMO FATEMEH
TORRANCE, CA 90503 Global Care IPA
765-532-6580

13315 ROUNAQUE, DAVID M P 11/20/1953 11/19/2021 112216327 112216327

Active 4012 W. 133D ST APT. 1 M 12:00:00 AM ROUNAQUE, ROUNAQUE,
HAWTHORNE, CA 90250 DAVIDM DAVIDM
310-679-3527 Medicare - LaCare Health
California (South) Plan
13298 ROUNAQUE, NADIA P 12/20/1968 5/26/2021 107866862
Active 4012 W 133RD STREET F 12:00:00 AM ROUNAQUE,
APT #1 NADIA
HAWTHORNE, CA 90250 Global Care IPA
Report Date: 2/23/2023 Soma Medical Group Page: 216

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
20449 ROUPOLI, JOSEPH P 02/20/1962 7/1/2021 108679929
Active 2520 VANDERBILT LANE M 12:00:00 AM ROUPOLI,
REDONDO BEACH, CA JOSEPH
90278 Global Care IPA

26117 ROWE, STEPHANIE P 05/01/1973 9/14/2022 120690060

Active 12319 S SPRING ST F 12:00:00 AM ROWE,
LOS ANGELES, CA 90061 STEPHANIE
323-418-8577 Global Care IPA

19510 RUBALCAVA, EVA P 06/23/1943 5/25/2021 107846032

Active 4716 W 153RD PLACE #319 F 12:00:00 AM RUBALCAVA, EVA
Optum Care
LAWNDALE, CA 90260 Network
310-780-1191

RUBALCAVA, FILOMENA P 08/30/1944 6/30/2021 108648302

Active 10960 RUHT ST F 12:00:00 AM RUBALCAVA,
LYNWOOD, CA 90262 FILOMENA
562-291-9368 LaCare Health
Plan
23458 RUBIO, MANUELA P 12/21/1957 6/16/2021 108350953
Active 2313 GATES AVENUE F 12:00:00 AM RUBIO, MANUELA
REDONDO BEACH, CA Regal Medical
90278
310-921-9454

25918 RUIZ, JENNIFER P 09/28/1994 2/1/2022 114392007 ERNIE

Active 5200 S. BROADWAY #103 F 12:00:00 AM RUIZ, JENNIFER
LOS ANGELES, CA 90037 Global Care IPA

25739 RUIZ GONZALEZ, AMALIA P 10/25/1965 4/29/2021 107194652 SOHAIL

Active 2575 W 234TH ST F 12:00:00 AM RUIZ GONZALEZ, DAVOUDIAN, MD
TORRANCE, CA 90505 AMALIA
949-501-2268 Global Care IPA

8691 RUSSO CURELL, MARIE P 04/04/1957 6/28/2021 108584955

Active 8830 CEDAR ST F 12:00:00 AM RUSSO CURELL,
BELLFLOWER, CA 90706 MARIE
310-483-9254 UMR-Harrington
Mcurell@pvctech.com
RUTH, ANN A P 08/01/1964 6/22/2022 118874589 118874589
Active 5 OUTRIDER RD F 12:00:00 AM RUTH, ANNA RUTH, ANNA
ROLLING HILLS, CA 90274 Medicare - Blue Cross
310-377-8350 California (South)
Report Date: 2/23/2023 Soma Medical Group Page: 217

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
25570 SAAD, AMIRA P 11/24/1969 10/5/2021 111046181
Active 2005 MARSHALL FIELD LN F 12:00:00 AM SAAD, AMIRA
REDONDO BEACH, CA Blue Shield of
90278 California
310-921-8356

11774 SABERI, ROBABEH P 05/28/1933 4/28/2021 107157951 107157951 SOHAIL

Active 22307 KENT AVE #46 F 12:00:00 AM SABERI, SABERI, DAVOUDIAN, MD
TORRANCE, CA 90505 ROBABEH ROBABEH
310-791-8493 Medicare - Health Net CA and
California (South) OR
25900 SADEGHI, CHEYENNE P 05/13/1999 12/28/2021 113157055 SOHAIL
Active 1555 1ST STREET M 12:00:00 AM SADEGHI, DAVOUDIAN, MD
MANHATTAN BEACH, CA CHEYENNE
90266 Blue Shield of
California

18673 SADEGHI, FATOLLAH P 11/23/1929 11/9/2021 111921009

Active M 12:00:00 AM SADEGHI,
FATOLLAH

SADEGI, CAMELLIA P 04/21/1999 10/21/2021 111477108

Active F 12:00:00 AM SADEGI,
CAMELLIA

8132 SADEK, ADEL A P 07/05/1950 5/26/2021 107881432 MERVAT

Active 20610 BUDLONG AVENUE M 12:00:00 AM SADEK, ADELA
TORRANCE, CA 90502 Torrance Hospital
310-424-9245 IPA 310-424-9245

8267 SADEK, KAREM A P 03/16/1992 7/29/2021 109306105

Active 4553 W. 159TH STREET #7 M 12:00:00 AM SADEK, KAREMA
LAWNDALE, CA 90260 Torrance Hospital
310-793-7156 IPA

8389 SADEK, MERVAT M P 02/17/1959 5/26/2021 107872921

Active 20610 BUDLONG AVENUE F 12:00:00 AM SADEK,
#A MERVATM
TORRANCE, CA 90502 Global Care IPA
310-424-9245

10857 SAENZ, GISELA P P 09/24/1977 7/8/2021 108826353

Active 23820 ARLINGTON AVE F 12:00:00 AM SAENZ, GISELAP
#13 Global Care IPA
TORRANCE, CA 90501
424-646-0115
Report Date: 2/23/2023 Soma Medical Group Page: 218

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
21929 SAENZ, STEPHANIE P 08/15/1992 6/4/2021 108096741
Active 2622 Mathews Ave F 12:00:00 AM SAENZ,
Redondo beach , CA 90278 STEPHANIE
310-213-0592 Global Care IPA
Lady_eker@yahoo.com
25081 SAFAVIAN, AZAM P 07/17/1946 10/12/2021 111246795 111246795
Active 4421 PAC CST HWY E11 F 12:00:00 AM SAFAVIAN, AZAM SAFAVIAN, AZAM
TORRANCE, CA 90505 Medicare - Health Net CA and
California (South) OR

16911 SAGHEZ, MOJGAN S P 09/15/1963 6/16/2021 108338921

Active PO BOX 3754 F 12:00:00 AM SAGHEZ,
RANCHO PALOS VERDES, MOJGANS
CA 90275 Torrance Hospital
310-798-8800 IPA

SAHARAN, ALKA P 09/29/1963 6/16/2022 118723649 YVETTE MONZON

Active 4801 CLAIR DEL AVE APT 9 F 12:00:00 AM SAHARAN, ALKA
Health Net CA and
LONG BEACH, CA 90807 OR
323-316-5805

25908 SAHEBI, LENY P 04/24/1945 1/7/2022 113451512

Active 2201 MARSHAL FIELD LN F 12:00:00 AM SAHEBI, LENY
REDONDO BEACH, CA Optum Care
90278 Network
310-650-7759

20219 SAJADI, OLIVIA P 01/08/1947 6/4/2021 108096228 108096228

Active 21 PINEWOOD AVENUE F 12:00:00 AM SAJADI, OLIVIA SAJADI, OLIVIA
OAK PARK, CA 91377 Medicare - Global Care IPA
818-974-0717 California (South)

23858 SALAMAT, SEDIGHEH P 04/20/1930 5/12/2021 107547457

Active 1717 CLARK LANE UNIT A F 12:00:00 AM SALAMAT,
REDONDO BEACH, CA SEDIGHEH
90278 Global Care IPA

24621 SALAS, THOMAS J P 08/23/1956 6/30/2021 108634310

Active 1716 W 84TH ST M 12:00:00 AM SALAS, THOMASJ
LOS ANGELES, CA 90047 Global Care IPA
909-953-5408

18196 SALCEDO, KARIN P 11/10/1973 10/26/2021 111572754

Active 23340 WESTERN AVE UNIT F 12:00:00 AM SALCEDO, KARIN
C Blue Shield -
HARBOR CITY, CA 90710 California / Blue
Shield (FEP)
Report Date: 2/23/2023 Soma Medical Group Page: 219

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
13285 SALCEDO MONTOYA, P 10/19/1973 4/19/2021 106935588 SOHAIL
Active ADOLFO M 12:00:00 AM SALCEDO DAVOUDIAN, MD
23340 S WESTERN AVE C MONTOYA,
HARBOR CITY, CA 90710 ADOLFO
310-626-7651 Blue Shield -
California / Blue
Shield (FEP)
25276 SALDARRIAGA, JENNIFER P 07/19/1999 6/21/2021 108454286
Active 2051 S MARGIE LANE F 12:00:00 AM SALDARRIAGA,
ANAHEIM, CA 92802 JENNIFER
714-718-9671 Centinela Valley
IPA
24400 SALEHIAN MAGD, P 12/18/1950 6/30/2021 108652059 108652059
Active FARIDEH F 12:00:00 AM SALEHIAN MAGD, SALEHIAN MAGD, 115 S FRANCISCA
115 S FRANCISCA AVE FARIDEH FARIDEH AVE #107
APT 107 Medicare - LaCare Health REDONDO BEACH,
REDONDO BEACH, CA California (South) Plan CA 90277
90277

Salgado, Cindy P 10/15/1994 12/1/2022 122317239

Active 14125 Doty Avenue F 12:00:00 AM Salgado, Cindy
Hawthorne, CA 90250

SALIH, AMEER P 11/28/1991 2/1/2023 123663360

Active 14034 YUKON AVE APT 24 M 12:00:00 AM SALIH, AMEER
HAWTHORNE, CA 90250

25567 SALLOUM, TAMAM P 01/02/1952 7/26/2021 109211361 109211361

Active 4163 W 182ND ST F 12:00:00 AM SALLOUM, SALLOUM,
TORRANCE, CA 90504 TAMAM TAMAM
310-972-9210 Medicare - Global Care IPA
California (South)
25775 SALOMON, PARKER P 05/25/2000 7/1/2021 108682097
Active 1408 15TH ST M 12:00:00 AM SALOMON,
MANHATTAN BCH, CA PARKER
90266
310-749-6737

26147 SAMAAN, RAMY P 07/01/1983 11/1/2022 121691778

Active 15202 AVIS AVE M 12:00:00 AM SAMAAN, RAMY
LAWNDALE, CA 90260 LaCare Health
Plan 310-738-4337
Report Date: 2/23/2023 Soma Medical Group Page: 220

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
27005 SAMAD, AREFA P 06/04/1952 1/4/2023 122972247
Active 20829 ANZA AVE APT 331 F 12:00:00 AM SAMAD, AREFA
TORRANCE, CA 90503 Regal Medical

22891 SAMADI, PARVIN P 11/09/1958 7/21/2021 109115997 SOHAIL

Active 3845 W 226TH ST APT 12 F 12:00:00 AM SAMADI, PARVIN DAVOUDIAN, MD
TORRANCE, CA 90504 Global Care IPA

22655 SAMANA, MARCIANO P 10/12/1974 8/11/2021 109595434

Active 22325 S VERMONT AVE #3 F 12:00:00 AM SAMANA,
TORRANCE, CA 90502 MARCIANO
Global Care IPA

12371 SAMANI, ALEX P 12/02/1963 6/9/2021 108188513

Active 28929 CRESTRIDGE RD M 12:00:00 AM SAMANI, ALEX
RANCHO PALOS VERDES, Torrance Hospital
CA 90275 IPA
310-544-0886
alexsamani@gmail.com
12372 SAMANI, MARJAN P 09/19/1965 7/1/2021 108681296
Active 28929 CRESTRIDGE RD F 12:00:00 AM SAMANI, MARJAN
RANCHO PALOS VERDES, Optum Care
CA 90275 Network
310-344-6699

15573 SAMANI, ROD K P 03/23/1934 6/9/2021 108193064 108193064

Active 28929 CRESTRIDGE ROAD M 12:00:00 AM SAMANI, RODK SAMANI, RODK
Medicare - Health Net CA and
RANCHO PALOS VERDES, California (South) OR
CA 90275

25825 SAMANI, RYAN P 06/20/2003 9/9/2021 110333615 SOHAIL

Active 28929 CRESTRIDGE RD M 12:00:00 AM SAMANI, RYAN DAVOUDIAN, MD
RANCHO PLS VRD, CA Torrance Hospital
90275 IPA

25824 SAMANI, TARA P 09/15/2007 9/9/2021 110333759 SOHAIL

Active 28929 CRESTRIDGE ROAD F 12:00:00 AM SAMANI, TARA DAVOUDIAN, MD
Torrance Hospital
RANCHO PALOS VERDES, IPA
CA 90275
Report Date: 2/23/2023 Soma Medical Group Page: 221

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
20855 SAMANIEGO, JESSE P 07/01/1950 8/5/2021 109475500 109475500
Active 2517 OAK AVE M 12:00:00 AM SAMANIEGO, SAMANIEGO,
MANHATTAN, CA 90266 JESSE JESSE
Medicare - Blue Shield of
California (South) California Promise
Health Plan
25601 SAMANIEGO, PEDRO P 04/25/1960 10/8/2021 111146187
Active 16730 CRENSHAW BLVD M 12:00:00 AM SAMANIEGO,
TORRANCE, CA 90504 PEDRO
Global Care IPA

9894 SAMIMI, SOUDABEH P 12/09/1934 7/21/2021 109119656 109119656

Active 4518 186TH STREET APT F 12:00:00 AM SAMIMI, SAMIMI,
106 SOUDABEH SOUDABEH
REDONDO BEACH, CA Medicare - Health Net CA and
90278 California (South) OR
310-793-9371

26010 SAMPSON, KELSIE P 07/03/1992 6/2/2022 118419974 BRENDA SAMPSON

Active 302 N CATALINA AVE APT F 12:00:00 AM SAMPSON,
2 KELSIE
REDONDO BEACH, CA Global Care IPA
90277

20874 SAMPSONIS, ALIKI P 02/23/1955 6/1/2021 107967374 107967374

Active 29459 BAY BERRY ST F 12:00:00 AM SAMPSONIS, SAMPSONIS,
MENIFEE, CA 92584 ALIKI ALIKI
Medicare - Health Net CA and
California (South) OR
21412 SANABRIA, LEDA P 03/27/1962 4/27/2021 107126581 SOHAIL
Active 1811 ARMOUR LAND #25 F 12:00:00 AM SANABRIA, LEDA DAVOUDIAN, MD
REDONDO BEACH, CA Medicare -
90278 California (South)

lpajaro@aol.com
25434 SANCHEZ, AMPARO P 02/25/1966 4/21/2021 106999164 SOHAIL
Active 4573 W 161ST ST F 12:00:00 AM SANCHEZ, DAVOUDIAN, MD
LAWNDALE, CA 90260 AMPARO
310-806-3093 Global Care IPA

20141 SANCHEZ, ARTURO P 09/28/1962 3/29/2022 116781742

Active 4573 W. 161ST ST. M 12:00:00 AM SANCHEZ,
LAWNDALE, CA 90260- ARTURO
2526 Global Care IPA
Report Date: 2/23/2023 Soma Medical Group Page: 222

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
05904 SANCHEZ, CARLA P 11/17/1995 5/23/2022 118158329
Active 4734 W 166TH ST F 12:00:00 AM SANCHEZ,
LAWNDALE, CA 90260 CARLA
LaCare Health
Plan
22898 SANCHEZ, CRISTINA P 06/13/1994 7/26/2021 109214080 SOHAIL
Active 4531 W 167TH ST F 12:00:00 AM SANCHEZ, DAVOUDIAN, MD
LAWNDALE, CA 90260 CRISTINA
THE BOON
GROUP
25971 SANCHEZ, HUMBERTO P 11/25/1956 4/11/2022 117108437 117108437
Active 7250 CASE AVE M 12:00:00 AM SANCHEZ, SANCHEZ,
SUN VALLEY, CA 91352 HUMBERTO HUMBERTO
Medicare - Regal Medical
California (South)
24475 SANCHEZ, JOSE L P 08/27/1978 6/16/2021 108341781
Active 2601 HARRIMAN LN. #2 M 12:00:00 AM SANCHEZ, JOSEL
REDONDO BEACH, CA Global Care IPA
90278

23500 SANCHEZ, ROBERT R P 10/31/1954 11/7/2022 121798600

Active 1233 W L ST M 12:00:00 AM SANCHEZ,
WILMINGTON, CA 90744 ROBERTR LaCare Health
Medicare - Plan
California (South)
Sanchez, Robert C P 08/31/1950 9/27/2022 121254628 121254628 Hung Doung
Active 4549 W 173rd St M 12:00:00 AM Sanchez, RobertC Sanchez, RobertC
Lawndale, CA 90260 Medicare - LaCare Health
310-847-9465 California (South) Plan 310-542-6382

26111 SANCHEZ, SAUL P 05/01/1998 9/12/2022 120627885

Active 212 south pannes ave M 12:00:00 AM SANCHEZ, SAUL
compton, CA 90221 Optum Care
Network

SANDER, JAMES P 10/13/1970 2/23/2023 124235502

Active 3004 BLAISDELL AVE M 12:00:00 AM SANDER, JAMES
REDONDO BEACH, CA
1970

25404 SANDERS, RONALD G P 03/15/1951 6/28/2021 108591467

Active 21044 SHERMAN WAY M 12:00:00 AM SANDERS,
CANOGA PARK, CA 91303 RONALDG
213-877-2408 Optum Care
Network
Report Date: 2/23/2023 Soma Medical Group Page: 223

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
25952 SANGES, MAURIZIO P 11/18/1956 3/16/2022 116146153 116146153
Active 2007 RUHLAND AVE M 12:00:00 AM SANGES, SANGES,
REDONDO BEACH, CA MAURIZIO MAURIZIO
90278 Torrance Hospital Medicare -
IPA California (South)

25924 SANKEY, GAIL P 08/05/1954 2/7/2022 114628219

Active 2427 ARTESIA BLVD F 12:00:00 AM SANKEY, GAIL
TORRANCE, CA 90504 Global Care IPA

SANTIAGO, AMPARO G P 08/28/1953 3/31/2022 116850435 116850435

Active 360 W 3RD ST APT 28 F 12:00:00 AM SANTIAGO, SANTIAGO,
SAN PEDRO, CA 90731 AMPAROG AMPAROG
310-617-2583 Medicare - LaCare Health
California (South) Plan
33090 SANTOS, VICTOR P 04/25/1945 6/9/2021 108180721 108180721
Active 16108 VAN NESS AVE M 12:00:00 AM SANTOS, VICTOR SANTOS, VICTOR
TORRANCE, CA 90504 Medicare - Health Net CA and
310-704-7996 California (South) OR

21638 SAPULETE, JOHANNES P 03/06/1939 4/28/2021 107164308 SOHAIL

Active 20449 OSAGE AVE #D M 12:00:00 AM SAPULETE, DAVOUDIAN, MD
TORRANCE, CA 90503 JOHANNES
Global Care IPA

20485 SAQEBI, RHAIMA P 04/01/1947 8/2/2021 109361601 109361601

Active 3922 EMERALD ST. #132 F 12:00:00 AM SAQEBI, RHAIMA SAQEBI, RHAIMA
TORRANCE, CA 90503 Medicare - LaCare Health
310-793-7197 California (South) Plan

4903 SARABAKHSH, P 05/12/1942 5/13/2021 107560578 107560578

Active MEHRANGIZ F 12:00:00 AM SARABAKHSH, SARABAKHSH,
19421 BECKWORTH MEHRANGIZ MEHRANGIZ
TORRANCE, CA 90503 Medicare - LaCare Health
California (South) Plan

23592 SARABI, TAHEREH P P 07/16/1960 5/17/2021 107627588

Active 4475 PAC CST HWY J101 F 12:00:00 AM SARABI,
TORRANCE, CA 90505 TAHEREHP
Global Care IPA

5343 SARANTOPOULOS, P 02/04/1955 6/1/2021 107983265 107983265

Active KATHRYN F 12:00:00 AM SARANTOPOULO SARANTOPOULO
10879 CEDAR STREET S, KATHRYN S, KATHRYN
OAK HILL, CA 92344 Medicare - Blue Cross
California (South)
Report Date: 2/23/2023 Soma Medical Group Page: 224

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
SARFRAZ, LAIBA P 10/03/2001 12/14/2022 122584984
Active 18311 BAILEY DR APT34 F 12:00:00 AM SARFRAZ, LAIBA
TORRANCE, CA 90504 Global Care IPA

23016 SARFRAZ, TAHIRA P 06/01/1964 7/26/2021 109216124 SOHAIL

Active 18311 BAILEY DRIVE APT F 12:00:00 AM SARFRAZ, DAVOUDIAN, MD
34 TAHIRA
TORRANCE, CA 90504 Global Care IPA

16386 SARHANGIAN, PORAN P 01/30/1951 6/9/2021 108191755 108191755

Active 332 PASEO DELA PALAYA F 12:00:00 AM SARHANGIAN, SARHANGIAN,
REDONDO BEACH, CA PORAN PORAN
90277 Medicare - Blue Cross
310-379-8550 California (South)

02563 SARKISSIAN, ARMEN P 03/05/1947 6/2/2021 108010561 108010561

Active 7220 BERRY HILL DRIVE M 12:00:00 AM SARKISSIAN, SARKISSIAN,
RANCHO PALOS VERDES, ARMEN ARMEN
CA 90275 Medicare - AARP -
310-544-8384 California (South) UnitedHealthcare
Insurance Co
Sarmiento, Brigida P 09/08/1937 7/31/2022 119681085
Active 4189 Trebt Way F 12:00:00 AM Sarmiento, Brigida
Los Angeles, CA 90065
818-265-5088

22551 Sarzynski, John P 05/05/1951 11/18/2022 122080424

Active 540 S Helberta Ave M 12:00:00 AM Sarzynski, John
Redondo Beach, CA 90277 Optum Care
Network

24192 SAUCEDO, ALMA P 08/13/1956 5/26/2021 107882488

Active 15429 1/2 FREEMAN F 12:00:00 AM SAUCEDO, ALMA
AVENUE Optum Care
LAWNDALE, CA 90260 Network

25916 SAUNDERS, CRISTINA P 10/17/1993 1/21/2022 114037166

Active 1017 AVE A F 12:00:00 AM SAUNDERS,
Redondo Beach, CA 90277 CRISTINA
Regal Medical

27058 SAWYERS, GARY P 11/20/1951 6/29/2022 119026929

Active 15507 ERMANITA AVE M 12:00:00 AM SAWYERS, GARY
GARDENA, CA 90249
Report Date: 2/23/2023 Soma Medical Group Page: 225

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
SAWYERS, GARY G P 11/20/1951 6/22/2022 118874267 118874267
Active 15507 ERMANITA AVE M 12:00:00 AM SAWYERS, SAWYERS,
GARDENA, CA 90249 GARYG GARYG
Medicare - Health Net CA and
California (South) OR
23019 SCHAEFER, JON D P 05/22/1963 6/16/2021 108348830
Active 1460 11TH STREET M 12:00:00 AM SCHAEFER,
MANHATTAN BEACH, CA JOND
90266 Global Care IPA
424-228-0695

12721 SCHANEN, CARRIE ANN P 11/16/1972 10/28/2021 111648149

Active 1615 1/2 W 207TH ST F 12:00:00 AM SCHANEN,
TORRANCE, CA 90501 CARRIE ANN
Regal Medical

17049 SCHERER, DOROTHY J P 08/21/1939 6/24/2021 108528848

Active 4578 W. 162ND STREET F 12:00:00 AM SCHERER,
LAWNDALE, CA 90260 DOROTHYJ
310-793-6706 Optum Care
Djoscherer@hotmail.com Network
25692 SCHIFF, ALEJANDRO P 01/22/1994 6/20/2022 118784503
Active 3407 BELL AVE M 12:00:00 AM SCHIFF,
REDONDO BEACH, CA ALEJANDRO
90278 Torrance Hospital
310-569-3083 IPA

23052 SCHIFF, CARLA P 09/14/1964 4/27/2021 107123588 SOHAIL

Active 4534 W 231ST ST F 12:00:00 AM SCHIFF, CARLA DAVOUDIAN, MD
TORRANCE, CA 90505 Blue Cross
310-508-8202

25653 SCHIFF, DAN P 11/17/1963 1/26/2022 114207767

Active 3407 VAIL AVE. APT A M 12:00:00 AM SCHIFF, DAN
REDONDO BEACH, CA Blue Cross
90278

25469 SCHIFF, ERIK F P 09/01/1998 5/25/2021 107841453

Active 3407 VAIL AVE A M 12:00:00 AM SCHIFF, ERIKF
REDONDO BEACH, CA Global Care IPA
90278
310-508-8202

26066 SCHOENFELD, ANJA K P 10/12/1939 7/25/2022 119529402

Active 4532 W 173RD APT 7 F 12:00:00 AM SCHOENFELD,
LAWNDALE, CA 90260 ANJAK
Regal Medical
Report Date: 2/23/2023 Soma Medical Group Page: 226

Patient List - Status='Active' - Last Name=AA..ZZ

Patient ID Name (Last, First MI) Acct. DOB Start Date Guarantor ID Insured ID 2nd Insured ID Employer Name Emergency Contact Primary Provider
Status Patient Address Type Sex Name Name Name Address Address
Insurance Co. Insurance Co.
25867 SCHULDT, KURT P 09/01/1956 11/5/2021 111840156
Active 14 VIA DE LA VALLE M 12:00:00 AM SCHULDT, KURT
LAKE ELSINOR, CA 92532 Medicare -
California (South)

19961 SCOTT, CHARLES P 03/12/1967 7/1/2021 108682551

Active 1691 261 ST APT 1 M 12:00:00 AM SCOTT,
HARBOR CITY, CA 90710 CHARLES
424-326-4010

23905 SCOTT, ROBIN P 05/14/1956 6/24/2021 108525918

Active 13111 S SAN PEDRO #38 M 12:00:00 AM SCOTT, ROBIN
LOS ANGELES, CA 90061 Optum Care
213-909-6418 Network

26092 SCOTT, SMITH P 09/04/1977 8/24/2022 120259016

Active 2205 RUHLAN AVE A M 12:00:00 AM SCOTT, SMITH
Redondo beach, CA 90278 Blue Cross

SCOTT, STEVEN P P 04/22/1943 2/7/2022 114672515 114672515

Active 16926 KORNBLUM AVE M 12:00:00 AM SCOTT, STEVENP SCOTT, STEVENP
TORRANCE, CA 90504 Medicare - TriCare for Life
310-503-6304 California (South)

25822 SCULLY, TIMOTHY C P 02/02/1967 9/8/2021 110294539 SOHAIL

Active 2209 GRAM AVENUE M 12:00:00 AM SCULLY, DAVOUDIAN, MD
REDONDO BEACH, CA TIMOTHYC
90278 Global Care IPA

timscully22@gmail.com
25943 SE, JANE P 08/08/1980 3/2/2022 115573541
Active 6140 CABERNET PLACE F 12:00:00 AM SE, JANE
RCH CUCAMONGA, CA
91737

SEAMAN, DAVID P 09/03/1950 8/10/2022 119915802 119915802

Active 1637 E 3RD ST APT 1 M 12:00:00 AM SEAMAN, DAVID SEAMAN, DAVID
LONG BEACH, CA 90802 Medicare - AARP -
562-435-9434 California (South) UnitedHealthcare
Insurance Co
25688 SEDEHI ESFEHANI, P 05/26/1993 5/10/2021 107491363
Active YASAMAN F 12:00:00 AM SEDEHI
27714 ELDENA DR ESFEHANI,
RANCHO PALOS VERDES, YASAMAN
CA 90275 Global Care IPA