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Southern California Gas Company (SoCalGas) fax number

(213) 244-4665

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Medical Baseline Allowance Program

Used for: Submit the Medical Baseline Allowance Program application (Part 1; Part 2 by your medical provider). Mail the completed form to SoCalGas Medical Baseline Allowance Program, M. L. GT19A1, P.O. Box 513249, Los Angeles, CA 90051-1249, or fax to 213-244-4665. You may also email to MedicalBaselineProgram@socalgas.com.

Fax destination details

Department
Medical Baseline Allowance Program
Purpose
Submit the Medical Baseline Allowance Program application (Part 1; Part 2 by your medical provider). Mail the completed form to SoCalGas Medical Baseline Allowance Program, M. L. GT19A1, P.O. Box 513249, Los Angeles, CA 90051-1249, or fax to 213-244-4665. You may also email to MedicalBaselineProgram@socalgas.com.
Form
Part 1 and Part 2 Medical Baseline Allowance Program application — Medical Baseline Allowance Program Application
Address
SoCalGas Medical Baseline Allowance Program, M. L. GT19A1, P.O. Box 513249, Los Angeles, CA 90051-1249
Voice phone
1-800-427-2200

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Part 1: fill out basic applicant information. Have your medical provider (MD/DO/NP/PA) complete Part 2. Submit by mail or fax; online submission also available.

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