Program: |
Name: |
Fee: |
Fax #: |
Anesthesia |
Lucelva Mendez |
$50 standard form $75 form filled out by program director
|
310-267-3766 |
Emergency Medicine |
Jennifer Cassidy |
$50 (payable by check only) |
310-794-0599 |
Family Medicine |
Christine Morguen |
$50 standard form and/or letter of verification $100 standard form including request for hospital seal $125 notarized
|
310-453-5106 |
FM-Sports Medicine |
Christine Morguen |
$50 standard form and/or letter of verification $100 standard form including request for hospital seal $125 notarized
|
310-453-5106 |
Internal Medicine |
Libby Shin |
$50 |
|
IM-Allergy/Immunology |
Jacquelyn Voet |
|
310-825-9832 |
IM-Cardiology |
Desiree Valeriano |
$75 |
310-206-9133 |
IM-Dermatology |
Hanna Lambertson |
|
310-825-3613 |
IM-Endocrinology |
Jayamalee De Silva |
|
310-312-0546 |
IM-Gastroenterology |
Trisha Navarro |
$50 standard form $100 custom verification letter
|
310-267-1861 |
IM-Geriatrics |
Belen Ycong |
|
310-794-2199 |
IM-Hematology/Oncology |
Ira Sarian |
$75 for outside agencies and institutions |
310-206-3289 |
IM-Hospice & Palliative |
Robin Catino |
|
310-268-4818 |
IM-Infectious Diseases |
Izumi Shitoma |
|
310-825-3632 |
IM-Nephrology |
Ruth Manley |
$100 for outside agencies and institutions |
310-825-6309 |
IM-Preventive Medicine |
Madeline Haley |
|
310-267-3840 |
IM-Pulmonary/Critical Care |
Heather Draper |
$50 standard form $75 form filled out by program director
|
310-206-8622 |
IM-Rheumatology |
Gabriel Valdivia |
|
310-206-8606 |
IM-Sleep Medicine |
Heather Draper |
$50 standard form $75 form filled out by program director
|
310-206-8622 |
Medicine-Pediatrics |
Libby Shin |
|
310-267-3840 |
Neurology (Residency) |
Rebecca Bernstein
|
$50 for outside agencies and institutions |
310-206-4733 |
Neurology (Fellowship) |
Jennifer Martinez |
|
|
OB/Gyn (Residency) |
Nicole Santos |
$50 standard form $75 form filled out by Program Director $100 notarized
|
310-206-7186 |
OB/Gyn (Fellowship) |
Yissel Rojas |
$50 standard form $75 form filled out by Program Director $100 notarized
|
310-206-7186 |
Ophthalmology |
Debbie Sato |
|
310-825-4617 |
Orthopaedic Surgery |
Connie Sams |
$50 |
310-825-1311 |
Pathology (Residency) |
Heidi Martinez |
$30 standard letter $40 filled out by the program director $50 notarized |
310-267-2058 |
Path - Bloodbanking/Transfusion Medicine
Path - Hematopathology
|
Xiajian (Jayne) Lu |
$30 standard letter $40 filled out by the program director $50 notarized |
|
Path - Cytopathology
Path - Dermatopathology
Path - Molecular Genetic Pathology
Path - Neuropathology
|
Heidi Merkin |
$30 standard letter $40 filled out by the program director $50 notarized |
|
Pediatrics (Residency) |
Jacquelyn Voet |
$50 |
310-267-3842 |
Pediatrics (Fellowships) |
Jacquelyn Voet |
$50 |
310-825-6394 |
Pediatric Neurology (Child Neurology, Peds Epilepsy, BrainSport)
|
Jacquelyn Voet |
|
310-825-5834 |
Psychiatry (Residency & Fellowships) |
Denise Aguinaldo |
|
310-825-0340 |
Radiation Oncology |
Kathy Rose |
|
310-794-1984 |
Radiology (Residency & Fellowships) |
Evelyn Velasco |
$50 standard letter $100 filled out by the program director $150 notarized |
310-267-2059 |
Surgery-General |
Chi Quach |
$75 |
310-267-0369 |
Surgery-Head & Neck |
Nicole Santos |
|
310-794-8492
|
Surgery-Neurosurgery |
Colleen Bruton |
$30 program coordinator signature $50 program director signature $50 hospital seal $60 custom letter |
310-267-2707 |
Neurology Critical Care (Fellowship) |
Myrna Gonzalez |
|
|
Surgery-Plastic |
Bryan Carrigan |
|
310-825-5582 |
|
|
|
|
Surgery-Thoracic |
Desiree Valeriano |
|
310-267-0369 |
Surgery-Vascular |
Maria Velasco |
$50 for outside agencies and institutions |
310-267-0189 |
Urology (Residency) |
Nicole Santos |
$50 standard form $75 form filled out by Program Director $100 notarized
|
310-206-7186 |
Urology (Fellowship) |
Yissel Rojas |
$50 standard form $75 form filled out by Program Director $100 notarized
|
310-206-7186 |