Call Us:
562-997-7100 or 562-981-9123
Home
Specialties
Orthopedic
Chiropractic
Physical Medicine & Rehab
Accupuncture
Doctors
Make an Appointment
Contact Us
Make an Appointment
Home
/
Make an Appointment
If you are human, leave this field blank.
Patient Information
Name
*
Phone
*
Specialities
Select Requested Specialty/Service
*
Orthopedic
Chiropratic
Accupuncture
First Available Medical Doctor
NCV/EMG Study
Select Requested Doctor (optional)
Kyle Landauer, M.D., QME (Orthopedic Surgeon)
Pablo Pazmino, M.D., QME (Orthopedic Surgeon)
Robert Reisch, M.D. (Orthopedic Surgeon)
Kathrina Vlachos, M.D. (Physical Medicine & Rehabilitation)
Ronna Parsa, D.O., QME (Orthopedic Surgeon)
Julian Tafreshi, D.C., QME (Doctor of Chiropractic)
Paul Rodriges, D.C. (Doctor of Chiropractic)
Nader Afshar, O.M.D., L.Ac. (Acupuncturist)
Type of Insurance
Select one:
PI
WC
Private Insurance
Other
Insurance Information
Attorney Information (if applicable)
Attorney Name
Attorney Phone
Referral Source
Name
Phone
Email
Your Message
We will immediately contact the patient to make an appointment. We also provide you with an appointment confirmation notice. Please feel free to call our office for further assistance.
Captcha
*
reCAPTCHA is required.
Submit
If you are human, leave this field blank.
Contact Us
Name
*
Phone
*
Email
*
Your Message
*
Captcha
*
reCAPTCHA is required.
Submit
36
A-
A+
Keyboard navigation
Readable Font
Underline links
Highlight Links
Reset
Images Greyscale
Large cursor
Monochrome
Sepia
Close
