Please complete the form below to be added to our WAIT LIST for an urgent appointment. We often have SAME DAY availability if you are willing to travel to ANY office or see a different provider. You must enter your cellphone number to be added to the wait list and you will receive a text message once we have an opening.

*First Name:
*Last Name:
*Date of Birth:
*Cellphone Number:
*Reason for an Urgent or sooner Appointment:

Which Office are you willing to travel to? (click all that apply)

RiversideSan BernardinoCoronaMenifeeHemetTemecula

Which Provider are you willing to see? (click all that apply)

Dr.C.MehtaDr.A.MehtaDr.TrivediDr.RamaswamyDr.ColburnDr.AhmadDr.ChavezLisa Garcia FNPAngel Bustamante PA-C







Hemet Office: (951)652-5000
Menifee Office:(951)672-1866
Corona Office: (951) 256-1779
Temecula Office: (951)303-1500
Riverside Office: (951)924-6500
San Bernardino Office: (909)567-2917

Fax Numbers:

(855)306-0133 - Pharmacy
(855)306-0134 - Labs, Radiology
(855)306-0135 - Authorizations