Patient Information


Patient Information


(310) 858-6500

2080 Century Park E, Ste 1405
Los Angeles, CA 90067

Book Your Appointment

Appointment

Please arrive 15 minutes early for patient registration. If you arrive late, your appointment may be rescheduled. Failure to cancel a scheduled office appointment within 24 hours will result in a $35.00 fee charged to your account. Remember that a no show appointment (or calling at the last minute to cancel or reschedule an appointment) takes an opportunity away from those who need to see their doctor or have a test done urgently. If you have any questions, or need to cancel or reschedule your appointment, please contact our office at 310-858-6500.

Please bring to your appointment:
  • Photo ID
  • Insurance card(s)
  • Completed patient forms
  • Your co-payment or co-insurance (we accept cash, check or credit card)
  • List of all of your medications
Forms To make your first visit run smoothly, take some time to print and fill out the following patient forms prior to your visit.
  • Patient Information
  • Medical History
  • Medication List
  • Financial Responsibility Agreement
  • We accept most insurance plans. For more information, call our office to speak to one of our staff members.
  • HIPPA privacy form
  • New patient medical history form
  • Patient registration form
  • Arbitration agreement
Insurance
  • We accept most insurance plans. For more information, call our office to speak to one of our staff members.

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