Phone: 800-660-1014
 
 
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Authorization for Release of Health - HIPAA
Updated On: Apr 08, 2026
Authorization for Release of Health Information Form (HIPAA)
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Contact Info
Local 1014 Medical Plan
3460 Fletcher Avenue
El Monte, CA 91731
  Click Here to Email
  800-660-1014
  Claims Fax: 626-401-3406
  Prior/Retro Auth Fax: 626-401-2407
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