Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Disability Determination Services Division (DDSD) – Los Angeles State Programs Branch (LA-SPB), Medi-Cal Eligibility Division, California Department of Health Care Services (DHCS). Before sending anything sensitive, confirm the number and receiving department directly with Disability Determination Services Division (DDSD) – Los Angeles State Programs Branch (LA-SPB), Medi-Cal Eligibility Division, California Department of Health Care Services (DHCS), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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Disability Determination Services Division (DDSD) – Los Angeles State Programs Branch (LA-SPB), Medi-Cal Eligibility Division, California Department of Health Care Services (DHCS) fax number

(310) 615-2713

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Disability Determination Services Division (DDSD) – Los Angeles State Programs Branch (LA-SPB)

Used for: Presumptive Disability (PD) requests

Fax destination details

Department
Disability Determination Services Division (DDSD) – Los Angeles State Programs Branch (LA-SPB)
Purpose
Presumptive Disability (PD) requests
Form
MC-221 LA (Disability Determination and Transmittal) / MC-221-LA — Disability Determination and Transmittal (MC 221 LA)
Address
P.O. Box 992, El Segundo, CA 90245-0992 (Los Angeles State Programs Branch, Disability Determination Services Division)
Voice phone
(310) 615-2800

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Submit disability determination packets to DDSD LA-SPB; Presumptive Disability (PD) requests are faxed to (310) 615-2713.

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