Southern California Gas Company (SoCalGas) fax number

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

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

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.