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Healthcare Financial Assistance Policies and Application Forms for California Hospitals

Need help paying your hospital bill?

You may be eligible for financial assistance. Most hospitals offer discounts and sometimes free care to those who cannot afford to pay. Your eligibility usually depends on your household income and the number of people who live in your household. This is compared to the federal poverty level and is referred to as the "percent of federal poverty level" (% FPL).

To determine your % FPL, use the quick and easy calculator to the right.

To learn about your hospital's discount policy:

  • Find your hospital in the list below (shown alphabetically by county).
  • In the column POLICY, click on the icon to view, download, or print the hospital policy.
  • In the column APPLICATION, click on the icon to view, download, or print the application form you may need to complete.
  • Contact the hospital to find out what you need to do to qualify (contact information is usually in the DETAILS).

Federal Poverty Level (FPL) Calculator

Federal Poverty Level (FPL) Calculator
Family Size:  
Monthly Income: $
 
County Facility Policy Application Details
County
 
KAISER FND HOSP - REDWOOD CITY  
1100 VETERANS BLVD.
REDWOOD CITYCA   94063
Policy File Application File Facility Description
 
UCSF MEDICAL CENTER AT MISSION BAY  
1975 4TH STREET
SAN FRANCISCOCA   94158
Policy File Application File Facility Description
Alameda County
 
ALAMEDA CO MED CTR - FAIRMONT CAMPUS  
15400 FOOTHILL BOULEVARD
SAN LEANDROCA   94578
Policy File Application File Facility Description
 
ALAMEDA CO MED CTR - HIGHLAND CAMPUS  
1411 EAST 31ST STREET
OAKLANDCA   94602
Policy File Application File Facility Description
 
ALAMEDA HOSPITAL  
2070 CLINTON
ALAMEDACA   94501
Policy File Application File Facility Description
 
ALAMEDA HOSPITAL-SOUTH SHORE CONVALESCENT HOSPITAL  
625 WILLOW STREET
ALAMEDACA   94501
Policy File Application File Facility Description
 
ALTA BATES SUMMIT MED CTR-ALTA BATES CAMPUS  
2450 ASHBY STREET
BERKELEYCA   94705
Policy File Application File Facility Description
 
ALTA BATES SUMMIT MED CTR-HERRICK CAMPUS  
2001 DWIGHT WAY
BERKELEYCA   94704
Policy File Application File Facility Description
 
ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS-HAWTHORNE  
350 HAWTHORNE AVENUE
OAKLANDCA   94609
Policy File Application File Facility Description
 
ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS-SUMMIT  
3100 SUMMIT STREET
OAKLANDCA   94609
Policy File Application File Facility Description
 
CHILDRENS HOSPITAL AND RESEARCH CTR AT OAKLAND  
747 52ND STREET
OAKLANDCA   94609
Policy File Application File Facility Description
 
EDEN MEDICAL CENTER  
20103 LAKE CHABOT RD
CASTRO VALLEYCA   94546
Policy File Application File Facility Description
 
FREMONT HOSPITAL  
39001 SUNDALE DRIVE
FREMONTCA   94538
Policy File Application File Facility Description
 
KAISER FND HOSP - FREMONT  
39400 PASEO PADRE PARKWAY
FREMONTCA   94538
Policy File Application File Facility Description
 
KAISER FND HOSP - OAKLAND/RICHMOND  
275 W. MACARTHUR BLVD.
OAKLANDCA   94611
Policy File Application File Facility Description
 
KAISER FND HOSP - SAN LEANDRO  
2500 MERCED STREET
SAN LEANDROCA   94577
Policy File Application File Facility Description
 
KINDRED HOSPITAL - SAN FRANCISCO BAY AREA  
2800 BENEDICT DRIVE
SAN LEANDROCA   94577
Policy File Application File Facility Description
 
SAN LEANDRO HOSPITAL  
13855 EAST 14TH STREET
SAN LEANDROCA   94578
Policy File Application File Facility Description
 
ST. ROSE HOSPITAL  
27200 CALAROGA AVENUE
HAYWARDCA   94545
Policy File Application File Facility Description
 
VALLEY MEMORIAL HOSPITAL  
1111 E. STANLEY BOULEVARD
LIVERMORECA   94550
Policy File Application File Facility Description
 
VALLEYCARE MEDICAL CENTER  
5555 WEST LAS POSITAS BLVD.
PLEASANTONCA   94588
Policy File Application File Facility Description
 
WASHINGTON HOSPITAL - FREMONT  
2000 MOWRY AVENUE
FREMONTCA   94538
Policy File Application File Facility Description
Amador County
 
SUTTER AMADOR HOSPITAL  
200 MISSION BLVD
JACKSONCA   95642
Policy File Application File Facility Description
Butte County
 
BIGGS GRIDLEY MEMORIAL HOSPITAL  
240 SPRUCE STREET
GRIDLEYCA   95948
Policy File Application File Facility Description
 
ENLOE MEDICAL CENTER - COHASSET  
560 COHASSET ROAD
CHICOCA   95926
Policy File Application File Facility Description
 
ENLOE MEDICAL CENTER- ESPLANADE  
1531 ESPLANADE
CHICOCA   95926
Policy File Application File Facility Description
 
ENLOE REHABILITATION CENTER  
340 WEST EAST AVENUE
CHICOCA   95926
Policy File Application File Facility Description
 
FEATHER RIVER HOSPITAL  
5974 PENTZ ROAD
PARADISECA   95969
Policy File Application File Facility Description
 
OROVILLE HOSPITAL  
2767 OLIVE HIGHWAY
OROVILLECA   95966
Policy File Application File Facility Description
Calaveras County
 
MARK TWAIN MEDICAL CENTER  
768 MOUNTAIN RANCH ROAD
SAN ANDREASCA   95249
Policy File Application File Facility Description
Colusa County
 
COLUSA REGIONAL MEDICAL CENTER  
199 EAST WEBSTER STREET
COLUSACA   95932
Policy File Application File Facility Description
Contra Costa County
 
CONTRA COSTA REGIONAL MEDICAL CENTER  
2500 ALHAMBRA AVENUE
MARTINEZCA   94553
Policy File Application File Facility Description
 
DOCTORS MEDICAL CENTER - SAN PABLO  
2000 VALE ROAD
SAN PABLOCA   94806
Policy File Application File Facility Description
 
JOHN MUIR BEHAVIORAL HEALTH CENTER  
2740 GRANT STREET
CONCORDCA   94520
Policy File Application File Facility Description
 
JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS  
2540 EAST STREET
CONCORDCA   94520
Policy File Application File Facility Description
 
JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS  
1601 YGNACIO VALLEY ROAD
WALNUT CREEKCA   94598
Policy File Application File Facility Description
 
KAISER FND HOSP - RICHMOND CAMPUS  
901 NEVIN AVE
RICHMONDCA   94801
Policy File Application File Facility Description
 
KAISER FND HOSP - WALNUT CREEK  
1425 SOUTH MAIN STREET
WALNUT CREEKCA   94596-5300
Policy File Application File Facility Description
 
KAISER FND HOSP-MARTINEZ/WALNUT CREEK  
200 MUIR ROAD
MARTINEZCA   94596
Policy File Application File Facility Description
 
KAISER FOUND HSP-ANTIOCH  
4501 SAND CREEK ROAD
ANTIOCHCA   94531
Policy File Application File Facility Description
 
SAN RAMON REGIONAL MEDICAL CENTER  
6001 NORRIS CANYON ROAD
SAN RAMONCA   94583
Policy File Application File Facility Description
 
SAN RAMON REGIONAL MEDICAL CENTER SOUTH BUILDING  
7777 NORRIS CANYON ROAD
SAN RAMONCA   94583
Policy File Application File Facility Description
 
SUTTER DELTA MEDICAL CENTER  
3901 LONE TREE WAY
ANTIOCHCA   94509
Policy File Application File Facility Description
Del Norte County
 
SUTTER COAST HOSPITAL  
800 EAST WASHINGTON BOULEVARD
CRESCENT CITYCA   95531
Policy File Application File Facility Description
El Dorado County
 
BARTON MEMORIAL HOSPITAL  
2170 SOUTH AVENUE
SOUTH LAKE TAHOECA   96150
Policy File Application File Facility Description
 
MARSHALL MEDICAL CENTER (1-RH)  
1100 MARSHALL WAY
PLACERVILLECA   95667
Policy File Application File Facility Description
Fresno County
 
ADVENTIST MEDICAL CENTER - REEDLEY  
372 WEST CYPRESS AVENUE
REEDLEYCA   93654
Policy File Application File Facility Description
 
ADVENTIST MEDICAL CENTER-SELMA  
1141 ROSE AVENUE
SELMACA   93662
Policy File Application File Facility Description
 
CLOVIS COMMUNITY MEDICAL CENTER  
2755 HERNDON AVENUE
CLOVISCA   93611
Policy File Application File Facility Description
 
COALINGA REGIONAL MEDICAL CENTER  
1191 PHELPS AVENUE
COALINGACA   93210
Policy File Application File Facility Description
 
COMMUNITY BEHAVIORAL HEALTH CENTER  
7171 NORTH CEDAR AVENUE
FRESNOCA   93720
Policy File Application File Facility Description
 
COMMUNITY REGIONAL MEDICAL CENTER-FRESNO  
2823 FRESNO STREET
FRESNOCA   93721
Policy File Application File Facility Description
 
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER  
3003 NORTH MARIPOSA STREET
FRESNOCA   93703
Policy File Application File Facility Description
 
FRESNO HEART AND SURGICAL HOSPITAL  
15 E. Audubon Drive
FRESNOCA   93720
Policy File Application File Facility Description
 
FRESNO SURGICAL HOSPITAL  
6125 NORTH FRESNO STREET
FRESNOCA   93710
Policy File Application File Facility Description
 
KAISER FND HOSP - FRESNO  
7300 NORTH FRESNO STREET
FRESNOCA   93720
Policy File Application File Facility Description
 
SAN JOAQUIN VALLEY REHABILITATION HOSPITAL  
7173 N. SHARON AVENUE
FRESNOCA   93720
Policy File Application File Facility Description
 
ST. AGNES MEDICAL CENTER  
1303 EAST HERNDON AVENUE
FRESNOCA   93720
Policy File Application File Facility Description
Glenn County
 
GLENN MEDICAL CENTER  
1133 WEST SYCAMORE STREET
WILLOWSCA   95988
Policy File Application File Facility Description
Humboldt County
 
GENERAL HOSPITAL, THE  
2200 HARRISON AVENUE
EUREKACA   95501
Policy File Application File Facility Description
 
JEROLD PHELPS COMMUNITY HOSPITAL  
733 CEDAR STREET
GARBERVILLECA   95542
Policy File Application File Facility Description
 
MAD RIVER COMMUNITY HOSPITAL  
3800 JANES ROAD
ARCATACA   95521
Policy File Application File Facility Description
 
REDWOOD MEMORIAL HOSPITAL  
3300 RENNER DRIVE
FORTUNACA   95540
Policy File Application File Facility Description
 
ST. JOSEPH HOSPITAL - EUREKA  
2700 DOLBEER STREET
EUREKACA   95501
Policy File Application File Facility Description
Imperial County
 
EL CENTRO REGIONAL MEDICAL CENTER  
1415 ROSS AVENUE
EL CENTROCA   92243
Policy File Application File Facility Description
 
PIONEERS MEMORIAL HEALTHCARE DISTRICT  
207 WEST LEGION ROAD
BRAWLEYCA   92227
Policy File Application File Facility Description
Inyo County
 
NORTHERN INYO HOSPITAL  
150 PIONEER LANE
BISHOPCA   93514
Policy File Application File Facility Description
 
SOUTHERN INYO HOSPITAL  
501 EAST LOCUST STREET
LONE PINECA   93545
Policy File Application File Facility Description
Kern County
 
BAKERSFIELD HEART HOSPITAL  
3001 SILLECT AVENUE
BAKERSFIELDCA   93308
Policy File Application File Facility Description
 
BAKERSFIELD MEMORIAL HOSPITAL  
420 34TH STREET
BAKERSFIELDCA   93301
Policy File Application File Facility Description
 
DELANO REGIONAL MEDICAL CENTER  
1401 GARCES HIGHWAY
DELANOCA   93215
Policy File Application File Facility Description
 
GOOD SAMARITAN HOSPITAL-BAKERSFIELD  
901 OLIVE DRIVE
BAKERSFIELDCA   93308
Policy File Application File Facility Description
 
HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL  
5001 COMMERCE DRIVE
BAKERSFIELDCA   93309
Policy File Application File Facility Description
 
KERN MEDICAL CENTER  
1700 MOUNT VERNON AVENUE
BAKERSFIELDCA   93306
Policy File Application File Facility Description
 
KERN VALLEY HEALTHCARE DISTRICT  
6412 LAUREL AVENUE
LAKE ISABELLACA   93240
Policy File Application File Facility Description
 
MERCY HOSPITAL - BAKERSFIELD  
2215 TRUXTUN AVENUE
BAKERSFIELDCA   93301
Policy File Application File Facility Description
 
MERCY SOUTHWEST HOSPITAL  
400 OLD RIVER RD
BAKERSFIELDCA   93311
Policy File Application File Facility Description
 
RIDGECREST REGIONAL HOSPITAL  
1081 NORTH CHINA LAKE BLVD.
RIDGECRESTCA   93555
Policy File Application File Facility Description
 
SAN JOAQUIN COMMUNITY HOSPITAL  
2615 CHESTER AVENUE
BAKERSFIELDCA   93301
Policy File Application File Facility Description
 
TEHACHAPI HOSPITAL  
115 WEST E STREET
TEHACHAPICA   93561
Policy File Application File Facility Description
Kings County
 
ADVENTIST MEDICAL CENTER  
115 MALL DRIVE
HANFORDCA   93230
Policy File Application File Facility Description
 
CENTRAL VALLEY GENERAL HOSPITAL  
1025 NORTH DOUTY STREET
HANFORDCA   93230
Policy File Application File Facility Description
Lake County
 
ST. HELENA HOSPITAL - CLEARLAKE  
15630 18TH AVE - HWY 53
CLEARLAKECA   95422
Policy File Application File Facility Description
 
SUTTER LAKESIDE HOSPITAL  
5176 HILL ROAD EAST
LAKEPORTCA   95453
Policy File Application File Facility Description
Lassen County
  BANNER LASSEN MEDICAL CENTER  
1800 SPRING RIDGE DRIVE
SUSANVILLECA   96130
Policy File Application File Facility Description
Los Angeles County
 
ALHAMBRA HOSPITAL MEDICAL CENTER  
100 SOUTH RAYMOND AVENUE
ALHAMBRACA   91801
Policy File Application File Facility Description
 
ANTELOPE VALLEY HOSPITAL  
1600 WEST AVENUE J
LANCASTERCA   93534
Policy File Application File Facility Description
 
AURORA CHARTER OAK  
1161 EAST COVINA BOULEVARD
COVINACA   91724
Policy File Application File Facility Description
 
AURORA LAS ENCINAS HOSPITAL  
2900 EAST DEL MAR BOULEVARD
PASADENACA   91107
Policy File Application File Facility Description
 
BARLOW RESPIRATORY HOSPITAL  
2000 STADIUM WAY
LOS ANGELESCA   90026
Policy File Application File Facility Description
 
BEVERLY HOSPITAL  
309 WEST BEVERLY BOULEVARD
MONTEBELLOCA   90640
Policy File Application File Facility Description
 
BHC ALHAMBRA HOSPITAL  
4619 ROSEMEAD BOULEVARD
ROSEMEADCA   91770
Policy File Application File Facility Description
 
CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES  
1401 SOUTH GRAND AVENUE
LOS ANGELESCA   90015
Policy File Application File Facility Description
 
CASA COLINA HOSPITAL FOR REHAB MEDICINE  
255 EAST BONITA AVENUE
POMONACA   91767
Policy File Application File Facility Description
 
CATALINA ISLAND MEDICAL CENTER  
100 FALLS CANYON ROAD
AVALONCA   90704
Policy File Application File Facility Description
 
CEDARS SINAI MEDICAL CENTER  
8700 BEVERLY BOULEVARD
LOS ANGELESCA   90048
Policy File Application File Facility Description
 
CENTINELA HOSPITAL MEDICAL CENTER  
555 EAST HARDY STREET
INGLEWOODCA   90301
Policy File Application File Facility Description
 
CHILDREN'S HOSPITAL OF LOS ANGELES  
4650 SUNSET BOULEVARD
LOS ANGELESCA   90027
Policy File Application File Facility Description
 
CITRUS VALLEY MEDICAL CENTER - IC CAMPUS  
210 W. SAN BERNARDINO ROAD
COVINACA   91723
Policy File Application File Facility Description
 
CITRUS VALLEY MEDICAL CENTER - QV CAMPUS  
1115 SOUTH SUNSET AVENUE
WEST COVINACA   91790
Policy File Application File Facility Description
 
CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL  
1500 EAST DUARTE ROAD
DUARTECA   91010
Policy File Application File Facility Description
 
COAST PLAZA HOSPITAL  
13100 SOUTH STUDEBAKER ROAD
NORWALKCA   90650
Policy File Application File Facility Description
 
COLLEGE HOSPITAL  
10802 COLLEGE PLACE
CERRITOSCA   90701
Policy File Application File Facility Description
 
COLLEGE MEDICAL CENTER  
2776 PACIFIC AVENUE
LONG BEACHCA   90806
Policy File Application File Facility Description
 
COLLEGE MEDICAL CENTER SOUTH CAMPUS D/P APH  
1725 PACIFIC AVENUE
LONG BEACHCA   90813
Policy File Application File Facility Description
 
COMMUNITY HOSPITAL LONG BEACH  
1720 TERMINO AVENUE
LONG BEACHCA   90804
Policy File Application File Facility Description
 
COMMUNITY HOSPITAL OF HUNTINGTON PARK  
2623 EAST SLAUSON AVENUE
HUNTINGTON PARKCA   90255
Policy File Application File Facility Description
 
DEL AMO HOSPITAL  
23700 CAMINO DEL SOL
TORRANCECA   90505
Policy File Application File Facility Description
 
DOCTORS HOSPITAL OF WEST COVINA, INC  
725 SOUTH ORANGE AVENUE
WEST COVINACA   91790
Policy File Application File Facility Description
 
EARL AND LORAINE MILLER CHILDRENS HOSPITAL  
2801 ATLANTIC AVENUE
LONG BEACHCA   90806
Policy File Application File Facility Description
 
EAST LOS ANGELES DOCTORS HOSPITAL  
4060 WHITTIER BOULEVARD
LOS ANGELESCA   90023
Policy File Application File Facility Description
 
ENCINO HOSPITAL MEDICAL CENTER  
16237 VENTURA BOULEVARD
ENCINOCA   91436
Policy File Application File Facility Description
 
FOOTHILL PRESBYTERIAN HOSPITAL-JOHNSTON MEMORIAL  
250 SOUTH GRAND AVENUE
GLENDORACA   91741
Policy File Application File Facility Description
 
GARDENS REGIONAL HOSPITAL AND MEDICAL CENTER  
21530 SOUTH PIONEER BOULEVARD
HAWAIIAN GARDENSCA   90716
Policy File Application File Facility Description
 
GARFIELD MEDICAL CENTER  
525 NORTH GARFIELD AVENUE
MONTEREY PARKCA   91754
Policy File Application File Facility Description
 
GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER  
1891 EFFIE STREET
LOS ANGELESCA   90026
Policy File Application File Facility Description
 
GLENDALE ADVENTIST MEDICAL CENTER  
1509 WILSON TERRACE
GLENDALECA   91206
Policy File Application File Facility Description
 
GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER  
1420 SOUTH CENTRAL AVENUE
GLENDALECA   91204
Policy File Application File Facility Description
 
GLENDORA COMMUNITY HOSPITAL  
150 WEST ROUTE 66
GLENDORACA   91740
Policy File Application File Facility Description
 
GOOD SAMARITAN HOSPITAL-LOS ANGELES  
1225 WILSHIRE BOULEVARD
LOS ANGELESCA   90017
Policy File Application File Facility Description
 
GREATER EL MONTE COMMUNITY HOSPITAL  
1701 SANTA ANITA AVENUE
SOUTH EL MONTECA   91733
Policy File Application File Facility Description
 
HENRY MAYO NEWHALL HOSPITAL  
23845 WEST MCBEAN PARKWAY
VALENCIACA   91355
Policy File Application File Facility Description
 
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER  
1300 NORTH VERMONT AVENUE
LOS ANGELESCA   90027
Policy File Application File Facility Description
 
HUNTINGTON MEMORIAL HOSPITAL  
100 W. CALIFORNIA BOULEVARD
PASADENACA   91105
Policy File Application File Facility Description
 
JOYCE EISENBERG KEEFER MEDICAL CENTER  
7150 TAMPA AVENUE
RESEDACA   91335
Policy File Application File Facility Description
 
KAISER FND HOSP - BALDWIN PARK  
1011 BALDWIN PARK BLVD.
BALDWIN PARKCA   91706
Policy File Application File Facility Description
 
KAISER FND HOSP - LOS ANGELES  
4867 SUNSET BOULEVARD
LOS ANGELESCA   90027
Policy File Application File Facility Description
 
KAISER FND HOSP - MENTAL HEALTH CENTER  
765 COLLEGE STREET
LOS ANGELESCA   90012
Policy File Application File Facility Description
 
KAISER FND HOSP - PANORAMA CITY  
13652 CANTARA STREET
PANORAMA CITYCA   91402
Policy File Application File Facility Description
 
KAISER FND HOSP - SOUTH BAY  
25825 SOUTH VERMONT AVENUE
HARBOR CITYCA   90710
Policy File Application File Facility Description
 
KAISER FND HOSP - WEST LA  
6041 CADILLAC AVENUE
LOS ANGELESCA   90034
Policy File Application File Facility Description
 
KAISER FND HOSP - WOODLAND HILLS  
5601 DE SOTO AVENUE
WOODLAND HILLSCA   91367
Policy File Application File Facility Description
 
KAISER FOUNDATION HOSPITAL - DOWNEY  
9333 IMPERIAL HIGHWAY
DOWNEYCA   90242
Policy File Application File Facility Description
 
KECK HOSPITAL OF USC  
1500 SAN PABLO STREET
LOS ANGELESCA   90033
Policy File Application File Facility Description
 
KEDREN COMMUNITY MENTAL HEALTH CENTER  
4211 SOUTH AVALON BOULEVARD
LOS ANGELESCA   90011
Policy File Application File Facility Description
 
KINDRED HOSPITAL - LA MIRADA  
14900 EAST IMPERIAL HIGHWAY
LA MIRADACA   90637-3780
Policy File Application File Facility Description
 
KINDRED HOSPITAL - LOS ANGELES  
5525 WEST SLAUSON AVENUE
LOS ANGELESCA   90056
Policy File Application File Facility Description
 
KINDRED HOSPITAL - SAN GABRIEL VALLEY  
845 NORTH LARK ELLEN AVENUE
WEST COVINACA   91791
Policy File Application File Facility Description
 
KINDRED HOSPITAL BALDWIN PARK  
14148 FRANCISQUITO AVENUE
BALDWIN PARKCA   91706
Policy File Application File Facility Description
 
KINDRED HOSPITAL SOUTH BAY  
1246 WEST 155TH STREET
GARDENACA   90247
Policy File Application File Facility Description
 
LAC+USC MEDICAL CENTER  
1200 NORTH STATE STREET
LOS ANGELESCA   90033
Policy File Application File Facility Description
 
LAC/HARBOR-UCLA MEDICAL CENTER  
1000 WEST CARSON STREET
TORRANCECA   90502
Policy File Application File Facility Description
 
LAC/RANCHO LOS AMIGOS NATIONAL REHAB CENTER  
7601 EAST IMPERIAL HIGHWAY
DOWNEYCA   90242
Policy File Application File Facility Description
 
LAKEWOOD REGIONAL MEDICAL CENTER  
3700 EAST SOUTH STREET
LAKEWOODCA   90712
Policy File Application File Facility Description
 
LONG BEACH MEMORIAL MEDICAL CENTER  
2801 ATLANTIC AVENUE
LONG BEACHCA   90806
Policy File Application File Facility Description
 
LOS ANGELES COMMUNITY HOSPITAL  
4081 EAST OLYMPIC BOULEVARD
LOS ANGELESCA   90023
Policy File Application File Facility Description
 
LOS ANGELES COUNTY OLIVE VIEW-UCLA MEDICAL CENTER  
14445 OLIVE VIEW DRIVE
SYLMARCA   91342
Policy File Application File Facility Description
 
MARINA DEL REY HOSPITAL  
4650 LINCOLN BOULEVARD
MARINA DEL REYCA   90292
Policy File Application File Facility Description
 
MEMORIAL HOSPITAL OF GARDENA  
1145 W. REDONDO BEACH BLVD.
GARDENACA   90247
Policy File Application File Facility Description
 
METHODIST HOSPITAL OF SOUTHERN CALIFORNIA  
300 WEST HUNTINGTON DRIVE
ARCADIACA   91007
Policy File Application File Facility Description
 
MIRACLE MILE MEDICAL CENTER  
6000 SAN VICENTE BOULEVARD
LOS ANGELESCA   90036
Policy File Application File Facility Description
 
MISSION COMMUNITY HOSPITAL - PANORAMA CAMPUS  
14850 ROSCOE BOULEVARD
PANORAMA CITYCA   91402
Policy File Application File Facility Description
 
MONROVIA MEMORIAL HOSPITAL  
323 SOUTH HELIOTROPE AVENUE
MONROVIACA   91016
Policy File Application File Facility Description
 
MONTEREY PARK HOSPITAL  
900 SOUTH ATLANTIC BOULEVARD
MONTEREY PARKCA   91754-4780
Policy File Application File Facility Description
 
MOTION PICTURE AND TELEVISION HOSPITAL  
23388 MULHOLLAND DRIVE
WOODLAND HILLSCA   91364
Policy File Application File Facility Description
 
NORTHRIDGE HOSPITAL MEDICAL CENTER  
18300 ROSCOE BOULEVARD
NORTHRIDGECA   91325
Policy File Application File Facility Description
 
NORWALK COMMUNITY HOSPITAL  
13222 BLOOMFIELD AVENUE
NORWALKCA   90650
Policy File Application File Facility Description
 
OLYMPIA MEDICAL CENTER  
5900 WEST OLYMPIC BLVD
LOS ANGELESCA   90036
Policy File Application File Facility Description
 
PACIFIC ALLIANCE MEDICAL CENTER  
531 WEST COLLEGE STREET
LOS ANGELESCA   90012
Policy File Application File Facility Description
 
PACIFICA HOSPITAL OF THE VALLEY  
9449 SAN FERNANDO ROAD
SUN VALLEYCA   91352
Policy File Application File Facility Description
 
PALMDALE REGIONAL MEDICAL CENTER  
38600 MEDICAL CENTER DRIVE
PALMDALECA   93551
Policy File Application File Facility Description
 
PIH HOSPITAL - DOWNEY  
11500 BROOKSHIRE AVENUE
DOWNEYCA   90241
Policy File Application File Facility Description
 
POMONA VALLEY HOSPITAL MEDICAL CENTER  
1798 NORTH GAREY AVENUE
POMONACA   91767
Policy File Application File Facility Description
 
PRESBYTERIAN INTERCOMMUNITY HOSPITAL  
12401 EAST WASHINGTON BLVD.
WHITTIERCA   90602
Policy File Application File Facility Description
 
PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS  
443 SOUTH SOTO STREET
LOS ANGELESCA   90033
Policy File Application File Facility Description
 
PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS  
16453 SOUTH COLORADO AVENUE
PARAMOUNTCA   90723
Policy File Application File Facility Description
 
PROVIDENCE HOLY CROSS MEDICAL CENTER  
15031 RINALDI STREET
MISSION HILLSCA   91345
Policy File Application File Facility Description
 
PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO  
1300 WEST SEVENTH STREET
SAN PEDROCA   90732
Policy File Application File Facility Description
 
PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE  
4101 TORRANCE BOULEVARD
TORRANCECA   90503
Policy File Application File Facility Description
 
PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER  
4320 MARICOPA STREET
TORRANCECA   90503
Policy File Application File Facility Description
 
PROVIDENCE SAINT JOSEPH MEDICAL CENTER  
501 SO. BUENA VISTA
BURBANKCA   91505-4866
Policy File Application File Facility Description
 
PROVIDENCE TARZANA MEDICAL CENTER  
18321 CLARK STREET
TARZANACA   91356
Policy File Application File Facility Description
 
RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA  
150 Medical Plaza
LOS ANGELESCA   90095
Policy File Application File Facility Description
 
RONALD REAGAN UCLA MEDICAL CENTER  
757 WESTWOOD PLAZA
LOS ANGELESCA   90095
Policy File Application File Facility Description
 
SAN DIMAS COMMUNITY HOSPITAL  
1350 WEST COVINA BOULEVARD
SAN DIMASCA   91773
Policy File Application File Facility Description
 
SAN GABRIEL VALLEY MEDICAL CENTER  
438 W. LAS TUNAS DRIVE
SAN GABRIELCA   91776
Policy File Application File Facility Description
 
SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL  
1250 16TH STREET
SANTA MONICACA   90404
Policy File Application File Facility Description
 
SHERMAN OAKS HOSPITAL  
4929 VAN NUYS BOULEVARD
SHERMAN OAKSCA   91403
Policy File Application File Facility Description
 
SHRINERS HOSPITAL FOR CHILDREN  
3160 GENEVA STREET
LOS ANGELESCA   90020-1199
Policy File Application File Facility Description
 
SILVER LAKE MEDICAL CENTER-DOWNTOWN CAMPUS  
1711 WEST TEMPLE STREET
LOS ANGELESCA   90026
Policy File Application File Facility Description
 
SILVER LAKE MEDICAL CENTER-INGLESIDE CAMPUS  
7500 HELLMAN AVENUE
ROSEMEADCA   91770
Policy File Application File Facility Description
 
SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY  
3828 DELMAS TERRACE
CULVER CITYCA   90231
Policy File Application File Facility Description
 
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD  
6245 DE LONGPRE AVENUE
HOLLYWOODCA   90028
Policy File Application File Facility Description
 
SOUTHERN CALIFORNIA HOSPITAL AT VAN NUYS D/P APH  
14433 EMELITA STREET
VAN NUYSCA   91401
Policy File Application File Facility Description
 
ST. FRANCIS MEDICAL CENTER  
3630 E. IMPERIAL HIGHWAY
LYNWOODCA   90262
Policy File Application File Facility Description
 
ST. JOHN'S HEALTH CENTER  
2121 Santa Monica Blvd
SANTA MONICACA   90404
Policy File Application File Facility Description
 
ST. MARY MEDICAL CENTER - LONG BEACH  
1050 LINDEN AVENUE
LONG BEACHCA   90813
Policy File Application File Facility Description
 
ST. VINCENT MEDICAL CENTER  
2131 WEST 3RD STREET
LOS ANGELESCA   90057
Policy File Application File Facility Description
 
TARZANA TREATMENT CENTER  
18646 OXNARD STREET
TARZANACA   91356
Policy File Application File Facility Description
 
TORRANCE MEMORIAL MEDICAL CENTER  
3330 WEST LOMITA BOULEVARD
TORRANCECA   90505-5073
Policy File Application File Facility Description
 
USC KENNETH NORRIS, JR. CANCER HOSPITAL  
1441 EASTLAKE AVENUE
LOS ANGELESCA   90033
Policy File Application File Facility Description
 
USC VERDUGO HILLS HOSPITAL  
1812 VERDUGO BOULEVARD
GLENDALECA   91208
Policy File Application File Facility Description
 
VALLEY PRESBYTERIAN HOSPITAL  
15107 VAN OWEN STREET
VAN NUYSCA   91405
Policy File Application File Facility Description
 
WEST HILLS HOSPITAL AND MEDICAL CENTER  
7300 MEDICAL CENTER DRIVE
CANOGA PARKCA   91307
Policy File Application File Facility Description
 
WHITE MEMORIAL MEDICAL CENTER  
1720 CESAR E. CHAVEZ AVENUE
LOS ANGELESCA   90033
Policy File Application File Facility Description
 
WHITTIER HOSPITAL MEDICAL CENTER  
9080 COLIMA ROAD
WHITTIERCA   90605
Policy File Application File Facility Description
Madera County
 
CHILDREN'S HOSPITAL CENTRAL CALIFORNIA  
9300 VALLEY CHILDRENS PLACE
MADERACA   93638
Policy File Application File Facility Description
 
MADERA COMMUNITY HOSPITAL  
1250 EAST ALMOND AVENUE
MADERACA   93637
Policy File Application File Facility Description
Marin County
 
KAISER FND HOSP - SAN RAFAEL  
99 MONTECILLO ROAD
SAN RAFAELCA   94903
Policy File Application File Facility Description
 
KENTFIELD REHABILITATION & SPECIALTY HOSPITAL  
1125 SIR FRANCIS DRAKE BLVD.
KENTFIELDCA   94904
Policy File Application File Facility Description
 
MARIN GENERAL HOSPITAL  
250 BON AIR ROAD
GREENBRAECA   94904
Policy File Application File Facility Description
 
NOVATO COMMUNITY HOSPITAL  
180 ROLAND WAY
NOVATOCA   94945
Policy File Application File Facility Description
Mariposa County
 
JOHN C FREMONT HEALTHCARE DISTRICT  
5189 HOSPITAL RD., PO BOX 216
MARIPOSACA   95338
Policy File Application File Facility Description
Mendocino County
 
FRANK R HOWARD MEMORIAL HOSPITAL  
1 MADRONE STREET
WILLITSCA   95490
Policy File Application File Facility Description
 
MENDOCINO COAST DISTRICT HOSPITAL  
700 RIVER DRIVE
FORT BRAGGCA   95437
Policy File Application File Facility Description
 
UKIAH VALLEY MEDICAL CENTER  
275 HOSPITAL DRIVE
UKIAHCA   95482
Policy File Application File Facility Description
Merced County
 
MEMORIAL HOSPITAL LOS BANOS  
520 WEST I STREET
LOS BANOSCA   93635
Policy File Application File Facility Description
 
MERCY MEDICAL CENTER - MERCED  
333 MERCY AVENUE
MERCEDCA   95340
Policy File Application File Facility Description
Modoc County
 
MODOC MEDICAL CENTER  
228 WEST MCDOWELL AVENUE
ALTURASCA   96101
Policy File Application File Facility Description
 
SURPRISE VALLEY COMMUNITY HOSPITAL  
741 N. MAIN STREET
CEDARVILLECA   96104
Policy File Application File Facility Description
Mono County
 
MAMMOTH HOSPITAL  
85 SIERRA PARK ROAD
MAMMOTH LAKESCA   93546
Policy File Application File Facility Description
Monterey County
 
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA  
23625 W. R. HOLMAN HIGHWAY
MONTEREYCA   93940
Policy File Application File Facility Description
 
GEORGE L MEE MEMORIAL HOSPITAL  
300 CANAL STREET
KING CITYCA   93930
Policy File Application File Facility Description
 
NATIVIDAD MEDICAL CENTER  
1441 CONSTITUTION BOULEVARD
SALINASCA   93906
Policy File Application File Facility Description
 
SALINAS VALLEY MEMORIAL HOSPITAL  
450 EAST ROMIE LANE
SALINASCA   93901
Policy File Application File Facility Description
Napa County
 
QUEEN OF THE VALLEY HOSPITAL - NAPA  
1000 TRANCAS STREET
NAPACA   94558
Policy File Application File Facility Description
 
ST. HELENA HOSPITAL  
10 WOODLAND RD.
ST. HELENACA   94574
Policy File Application File Facility Description
Nevada County
 
SIERRA NEVADA MEMORIAL HOSPITAL  
155 GLASSON WAY
GRASS VALLEYCA   95945
Policy File Application File Facility Description
 
TAHOE FOREST HOSPITAL  
10121 PINE AVE
TRUCKEECA   96161
Policy File Application File Facility Description
Orange County
 
AHMC ANAHEIM REGIONAL MEDICAL CENTER  
1111 WEST LA PALMA AVENUE
ANAHEIMCA   92801
Policy File Application File Facility Description
 
CHAPMAN MEDICAL CENTER  
2601 EAST CHAPMAN AVENUE
ORANGECA   92869
Policy File Application File Facility Description
 
CHILDREN'S HOSPITAL AT MISSION  
27700 MEDICAL CTR. RD., 5TH FL
MISSION VIEJOCA   92691
Policy File Application File Facility Description
 
CHILDREN'S HOSPITAL OF ORANGE COUNTY  
1201 West La Veta Avenue
ORANGECA   92868
Policy File Application File Facility Description
 
COASTAL COMMUNITIES HOSPITAL  
2701 S. BRISTOL STREET
SANTA ANACA   92704
Policy File Application File Facility Description
 
COLLEGE HOSPITAL COSTA MESA  
301 VICTORIA STREET
COSTA MESACA   92627
Policy File Application File Facility Description
 
FOUNTAIN VALLEY RGNL HOSP AND MED CTR - EUCLID  
17100 EUCLID STREET
FOUNTAIN VALLEYCA   92708
Policy File Application File Facility Description
 
FOUNTAIN VALLEY RGNL HOSP AND MED CTR - WARNER  
11250 WARNER AVENUE
FOUNTAIN VALLEYCA   92708
Policy File Application File Facility Description
 
GARDEN GROVE HOSPITAL AND MEDICAL CENTER  
12601 GARDEN GROVE BLVD.
GARDEN GROVECA   92843-1908
Policy File Application File Facility Description
 
HEALTHBRIDGE CHILDREN'S HOSPITAL-ORANGE  
393 S, TUSTIN STREET
ORANGECA   92866
Policy File Application File Facility Description
 
HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL  
14851 YORBA STREET
TUSTINCA   92680
Policy File Application File Facility Description
 
HOAG HOSPITAL IRVINE  
16200 SAND CANYON AVENUE
IRVINECA   92618
Policy File Application File Facility Description
 
HOAG MEMORIAL HOSPITAL PRESBYTERIAN  
1 HOAG DRIVE
NEWPORT BEACHCA   92663
Policy File Application File Facility Description
 
HOAG ORTHOPEDIC INSTITUTE  
16250 SAND CANYON AVENUE
IRVINECA   92618
Policy File Application File Facility Description
 
HUNTINGTON BEACH HOSPITAL  
17772 BEACH BOULEVARD
HUNTINGTON BEACHCA   92647
Policy File