Lakewood Health Plan, Inc. and Affiliates are Independent Physician Associations (IPAs) comprised of well-established physicians conveniently located throughout the Greater Long Beach and Orange County communities. We have provided services to members for over fifteen years and partner with over 440 Primary and Specialty Care Physicians. Our organizations are under the direction of physicians, therefore you can rest assured that we are dedicated to your good health and are committed to providing you with the best health care possible. Most of our physicians are Board Certified and are on staff at some of the finest hospitals in the region. Through Lakewood Health Plan, Inc. and Affiliates, our physicians are providers for most major insurance carriers that service HMOs, PPOs, Medicare, Healthy Families, and Access For Infants and Mothers. Please see below for more information about us:

Direct Referral Access Program (Direct Access to Specialists).

Comprehensive Specialty Network.

Transportation can be Arranged Through Certain Health Plans.

Providers Can Access Online Referrals, Eligibility, Lab Results, Forms, Policies
and Procedures, Member Education, etc.

For more information, contact our Member Service Department
at (562) 602-1563 ext. 225.

We look forward to servicing your medical needs.

 


 


Our goal is to help our members prevent illness and identify problems before they become serious. One way to achieve this goal is to provide our members with health related resources and information that will assist them in managing and monitoring their own health.

A wealth of information is available at your fingertips that address issues such as men's, women's, and children's health, diseases and weight management and other issues that you may be interested in. Explore the available information by clicking on the link below:

www.intelihealth.com


Another way to manage your own health is through following the "Preventative Health Guidelines" that have been developed by health experts. These procedures and tests, that are listed below, will help you to prevent illness and identify problems before they become serious. Help your doctor to manage your health by requesting and following these recommendations within the time frames that are listed.

Type of Screening
Interval
Height & Weight Periodically
Blood Pressure Periodically
Colorectal Cancer - Fecal Occult Blood Test  or Flexible Sigmoidoscopy Beginning at age 50 (interval & test to be determined by physician)
None-fasting, Total Blood Cholesterol Test Every five years (for man ages - 35 - 65) (for woman ages - 45 - 65)
Type of Immunization Interval
Tetanus-Diphtheria Booster (Td) Periodically (typically every 10 years after completion of primary series)
Influenza Vaccine Annually (adults 65+)
Pneumococcal Vaccine One time (A booster may be required)

Type of Screening
Interval
Clinical Breast Exam Annually (ages 50-69)
Mammogram Every 1-2 years (ages 50-69)
Pap Smear & Pelvic Examination Annually until 2 consecutive negative  screens, then every 1-3 years
Bone Density Measurement Screening For women at risk of osteoporosis (interval to be determined by physician)
Type of Immunization Interval
Rubella Serology or Vaccination For women of childbearing age  (interval to be determined by physician)

Type of Screening
Interval
Prostate Cancer Screening Beginning at age 50 as discussed  with physician


 


 


Members may contact the Utilization Coordinators with questions about the UM process or to discuss specific UM decisions. Our top priority is serving you. Our employees, who are listed below, are available by telephone, fax or e-mail. They are committed to responding to you effectively and timely. Members may contact the Utilization Coordinators toll-free (877) 602-1563 with questions about the UM process or to discuss specific UM decisions.

Decision making processes are based on appropriateness of care and does not provide incentives to encourage denial of care.

We look forward to hearing from you!


Lakewood Health Plan, Inc.
Alamitos IPA, A Medical Group, Inc.
4909 Lakewood Blvd., Suite 200
Lakewood, California 90712
(562) 602-1563
Toll Free (877) 602-1563


Monday – Friday
8:30a.m. – 5:00p.m.


Click on an E-mail Address below to send an email to a specific employee.
Title
 Employee  Name Ext.
Fax (562) E-mail Address
Chief Operating & Financial Officer Cynthia  Guzman,  CPA 233 531-0937 cynthia@lhpipa.com
Director, Contracting
& Reimbursement
Lili Tran, MHA
240
531-0937
lilit@lhpipa.com
Controller Caesar Abutin 232 531-0937 caesara@lhpipa.com
Finance Clerk Carolyn Edwards 262 531-0937 carolyne@lhpipa.com
Provider Relations Manager Ava Holmes 225 602-1516 ava@lhpipa.com
Member Services Sylvia Frerichs 269 602-1516 sylviaf@lhpipa.com
Member Services Filomena Do Nascimento 298 602-1563 filomenad@lhpipa.com
IPA Manager Bonnie Eng, MHA 263 531-0937 bonniee@lhpipa.com
Eligibility & Capitation Manager Victoria Castillo 234 663-1464 victoria@lhpipa.com
Eligibility & Capitation Coordinator Teresita Castro 223 663-1464 teresitac@lhpipa.com
Eligibility & Capitation Coordinator Marifaith Boquiren 280 663-1464 marifaith@lhpipa.com
Eligibility & Capitation Coordinator Matty Huertas 279 663-1464 matty@lhpipa.com
Eligibility & Capitation Coordinator Jessica Gallegos 279 663-1464 jessicag@lhpipa.com
Administrative Supervisor Kathryn Hogan 258 602-1170 kathryn@lhpipa.com
Administrative Assistant Maria Micko 241 602-1170 mariam@lhpipa.com
Senior Administrative Assistant Linda Cotugno 273 602-1170 linda@lhpipa.com
Office Assistant Marie Carman 276 602-1170
Receptionist Joseph Gibbons 221 529-8490
Receptionist Stacey Gardner 221 529-8490
Contract & Business Development Coordinator Diane Lopez 224 683-2159 dianel@lhpipa.com
Contract Coordinator Aziz Tejani 295 663-8845 azizt@lhpipa.com
Provider Reimbursement Specialist Vivien Le Tran, MPH 281 663-8845 vivient@lhpipa.com
Marketing Manager Bob Jensen 244 663-8845 bobj@lhpipa.com
Marketing Assistant John Lopez 277 663-8845 johnl@lhpipa.com
Information Systems Manager Jim Raymundo 251 529-8490 jimr@lhpipa.com
Information System Assistant Glenn Arellano 274 529-8490 glenna@lhpipa.com


Click on an E-mail Address below to send an email to a specific employee.
Title
 Employee  Name Ext.
Fax (562) E-mail Address
Director of Financial Operations Donna Eagar 249 529-8490 donna@lhpipa.com
Claims Supervisor Pam Dean 230 529-2807 pamd@lhpipa.com
Pioneer Claims Supervisor Daniella Vasquez 275 529-2807 daniellav@lhpipa.com
Senior Claims Examiner Mary Barres 229 529-2807 maryb@lhpipa.com
Senior Claims Examiner Michelle Hernandez 272 529-2807 michelleh@lhpipa.com
Claims Examiner Craig Holland 235 529-2807 craigh@lhpipa.com
Claims Examiner Louis Martinez 242 529-2807 louis@lhpipa.com
Claims Assistant Maria Torres 271 529-2807 mariat@lhpipa.com
Claims Assistant Lavonne Jarvis 250 529-2807 lavonne@lhpipa.com
Claims Assistant Ruth Anne Wisdom 270 529-2807 ruth@lhpipa.com
Revenue Recovery Assistant Penny Hickey 231 529-2807 penny@lhpipa.com


Click on an E-mail Address below to send an email to a specific employee.
Title
 Employee  Name Ext.
Fax (562) E-mail Address
Medical Director David Neer, M.D., J.D. 246 531-4254 neer@lhpipa.com
Medical Director William Weil, M.D. 248 531-4254 wweilmd@lhpipa.com
Pioneer Director of Utilization Management Jeff Miller, M.D. 282 531-4254 drjeffmiller46@aol.com
Director of Clinical Operations Susie Foley, RN, MSN 247 602-2772 susie@lhpipa.com
Quality Manager Gloria Calhoun-Davis,  LVN 226 602-2772 gloria@lhpipa.com
Pioneer Quality Specialist Margaret Ligon, LVN 266 602-2772 margaretl@lhpipa.com
Ambulatory/Transplant Case Manager Ning Amante, RN, CPUR 236 602-0248 ning@lhpipa.com
SNF/High Risk Case Manager Holly Phelps, RN 220 602-0248 holly@lhpipa.com
Medi-Cal Case Manager Michelle Cooper 297 602-0248 michellec@lhpipa.com
Pioneer UM Case Manager Sandy Dhanowa, RN 265 602-2772 sandy@lhpipa.com
Case Management Assistant Debra Snowden 261 531-4254 debra@lhpipa.com
Clinical Ops. Coordinator Dannie Jackson 259 602-2772 danniej@lhpipa.com
Quality Management Coordinator Maria Tavarez 222 602-2772 maria@lhpipa.com
Utilization Coordinator Cindy Balandran 227 531-4254 cindyb@lhpipa.com
Lead Utilization Coordinator Diane Rodriguez 245 531-4254 diane@lhpipa.com
Utilization Coordinator Susan Cruz 237 602-0248 susanc@lhpipa.com
Pioneer Utilization Coordinator Elizabeth Andreou 267 531-4254 elizabeth@lhpipa.com
Pioneer Utilization Coordinator Angelita Yalung 268 924-1790 angelitay@lhpipa.com