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													INTEGRATIVE MEDICINE WAVE OF THE FUTURE
													
													As most family physicians begin their training, they are inspired by the belief 
													that they will have the privilege of caring for the whole patient and their 
													families. Many envision themselves becoming healers, teachers, counselors, and 
													ministers to their patients. It is an awesome responsibility and an exciting 
													challenge. Yet the reality of Family Practice in the 1990's, seems to be 
													dominated by the impersonality of managed care and high tech medicine. These 
													developments have made it difficult for many physicians to fulfill their dream 
													of being a healer. The mechanistic approach of modern medicine has caused the 
													majority of us to shift our attention almost entirely to the treatment of 
													disease and very little on the prevention of disease or the creation of optimal 
													health. The practice of integrative medicine, representing the purest essence 
													of Family Practice, addresses the whole person-body, mind and spirit. It 
													combines conventional and alternative therapies to prevent and treat disease 
													and create optimal health. The doctor/patient relationship becomes a 
													partnership as holistic Causes of their disease (disease). Far more than 
													merely the absence of illness, health (from the Anglo-Saxon healen, "to make 
													whole") means the restoration of balance and harmony to the whole person.
												 In 1996, 100 million Americans suffered with a chronic disease 
													spending $425 billion for treatment and medication. Yet, one third of the 
													population regularly seeks relief for their discomfort from practitioners of 
													alternative medicine. Consumers of health care increasingly want doctors to 
													provide best Value medical care and medical institutions are in grave 
													predicament both because the economics of health care systems are not working 
													and because the market is moving away from them. The managed care industry is 
													aggressively seeking physicians who practice more therapeutic and cost 
													effective methods for treating and preventing these conditions. The time has 
													come for family physicians to embrace our holistic roots and create a new 
													primary care model for both the patient and physician. It is anticipated that 
													integrative medicine will help which of the alternative medical approaches to 
													include in standard allopathic practice. At that time, the term alternative 
													will no longer be appropriate for these techniques and agents. Indeed, They 
													will have become mainstream therapy.
													
												 Dr. Sudhir Kumar Bagga belongs to family of Physicians. He is 
													the 54th member of his family to practice medicine, a tradition begun in the 
													1920s and continued by every member of the New Delhi family. He graduated from 
													the UCLA residency program in Family practice. He has had an international 
													training & education. Before coming to California, Dr.Bagga took his early 
													education in India, receiving his Doctor of Medicine degree from Delhi 
													University in 1974. He went to Great Britain for additional training, then 
													became an intern in 1977 at Missouri Baptist Hospital in St. Louis. The 
													following year he worked as a family practice resident physician at the 
													University of Cincinnati Medical Center then joined the UCLA Antelope Valley 
													program in July 1979. He opened his practice in Family Medicine in Lancaster 
													and became the Medical Director of Lancaster Health care Center in 1981. He is 
													following the footsteps of his grandfather who practiced Holistic-General 
													Practice- Medicine in India.
													
												 
													 
														
															|   | Dr. Sudhir Kumar Bagga specializes in treating 
																	illnesses, especially those relating to the health care of elderly. He is 
																	experienced and skilled in assessment and application of the therapeutic 
																	techniques and tools unique to the practice of integrative medicine. He guides 
																	patients towards optimal physical, mental and spiritual health. It is important 
																	to critically review mind- body therapies and utilize scientific basis of 
																	mind-body interactions. He employs techniques for motivating patients to change 
																	habits of eating. The therapeutic role of vitamins, minerals, and other 
																	nutritional supplements are utilized at the Center and several therapeutic 
																	modalities are also used for life-style treatments for complete psychosomatic 
																	equilibrium.
																 |  
													Dr. Sudhir Kumar Bagga specializes in treating illnesses, especially those 
													relating to the health care of elderly. He is experienced and skilled in 
													assessment and application of the therapeutic techniques and tools unique to 
													the practice of integrative medicine. He guides patients towards optimal 
													physical, mental and spiritual health. It is important to critically review 
													mind- body therapies and utilize scientific basis of mind-body interactions. He 
													employs techniques for motivating patients to change habits of eating. The 
													therapeutic role of vitamins, minerals, and other nutritional supplements are 
													utilized at the Center and several therapeutic modalities are also used for 
													life-style treatments for complete psychosomatic equilibrium.
												 INTRODUCTION
													
													Integrative Medicine seeks to combine the best ideas and practices of 
													Conventional-Traditional and Complementary Medicines. It neither rejects 
													Conventional Medicine nor embraces Alternative Medicine uncritically. It 
													operates from a new paradigm of learning. WHAT IS INTEGRATIVE MEDICINE? Integrative medicine integrates the practice of conventional and Alternative 
													Medicine. Integrative medicine seeks to combine the best scientific ideas and 
													practices of conventional and alternative medicine into cost-effective 
													treatments that will be in the best interest of the patients. The doctor 
													patient relationship becomes a partnership in an Integrative approach to the 
													management of patient's disease. WHAT IS DIFFERENT ABOUT LIFE SCIENCE MEDICAL CENTER? We practice Conventional- Traditional Medicine Complementary - Alternative Medicine Natural -Herbal Medicine Ayurvedic Medicine & Healing Preventive-Healing Oriented Medicine Acupuncture- Chinese Medicine Yoga HOW IS IT DIFFERENT FROM CONVENTIONAL MEDICINE? Integrative Medicine is best viewed as complementary rather than alternative to 
													standard Western Medicine. It utilizes the scientific basis for the practice of 
													Medicine with its applications for treating and preventing common diseases and 
													creates optimal health. WHAT IS HEALTH? Health does not mean absence of disease. It is a balance, equilibrium of mind, 
													body and spirit. Complete psychosomatic equilibrium is the key to Health. WHAT IS AYURVEDA( SCIENCE OF LIFE)? SCIENCE OF LIFE (Ayurveda) the Indian system of medicine, is composed of two 
													words Ayu means Life and Veda denotes to the Science. It has mainly three aims, 
													first to preserve the health, second to promote the health, and third to cure 
													disease. It is a healing-oriented medicine. OFFICE HOURS AND LOCATION LIFE SCIENCE MEDICAL CENTER Monday through Friday 8AM-5PM 4010 Sepulveda Blvd., Suite 6. Torrance CA 90505 Tel: 310-378-0244 Fax: 310-378-6099 NOTICE OF PRIVACY PRACTICES
												 Dear Patient, Attached to this letter you will find our Notice of Privacy Practices. We are 
													required by law to provide this notice to you and obtain your acknowledgement 
													of its receipt prior to providing any services to you. The following is a brief summary of the contents of the Notice. We encourage you 
													to read the entire Notice and ask any questions you may have concerning its 
													contents. Your Rights Regarding Your Health Information. This section describes the 
													following rights you have with respect to your health information and tells you 
													how you may exercise these rights. Right to inspect and copy Right to request amendment Right to an accounting of disclosures Right to request restrictions on certain uses and disclosures Right to request alternative means of communication Right to receive a paper copy of our Notice of Privacy Practices
												 How To File Complaints Concerning Our Privacy Practices. This section tells you 
													what you can do if you believe any of your rights have been violated. You will 
													not be penalized for filing any complaint.
												 How We May Use and Disclose Health Information About You Without Your Specific 
													Authorization. This section describes the different ways we may use or disclose 
													your health information without first obtaining from you a specific 
													authorization. These types of uses and disclosures are specifically permitted 
													by federal law because it is assumed you would want us to use or disclose your 
													information for these purposes, or because such use or disclosure is recognized 
													as critical to the proper functioning of our health care system.
												 You will be asked to acknowledge your receipt of this Notice, and your 
													acknowledgement will be maintained in your permanent record. You should keep 
													this copy of the Notice. Another copy of this Notice will not be provided 
													automatically at any later visit, but you may request a copy of the Notice at 
													any time. Also, the Notice is posted at our facility and on our website for 
													your review. If there is a material revision to the Notice at some later date, 
													you again will be provided with a copy of the Notice and asked to sign an 
													acknowledgement. Maintaining the privacy of your health information is very 
													important to us. Again, if you have any questions concerning the attached 
													Notice, please do not hesitate to ask. Sincerely,
												 Lawrence G Schull MD Sudhir Bagga MD 4010 Sepulveda Blvd., Suite 6 Torrance, CA 90505 
													NOTICE OF PRIVACY PRACTICES Lawrence G Schull MD Sudhir Bagga MD 4010 Sepulveda Blvd., Suite 6 Torrance, CA 90505 Effective Date: April 1, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND 
													DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
													
													PLEASE REVIEW IT CAREFULLY. If you have any questions about this notice, please contact Sudhir Bagga MD 4010 Sepulveda Blvd., Suite 6 Torrance, CA 90505 Telephone: (310) 378-0082 Fax: (310) 378-6099
													
												 OUR PLEDGE REGARDING YOUR HEALTH INFORMATION.
												 Each time you visit a hospital, physician, or other healthcare provider, a 
													record of your visit is made. Typically, this record contains your symptoms, 
													examination and test results, diagnoses, treatments, a plan for your future 
													care or treatment, and billing-related information. Such records are necessary 
													for the healthcare provider to provide you with quality care and to comply with 
													certain legal requirements. We are committed to protecting the confidentiality of our records containing 
													information about you. This notice applies to all records of your care created 
													or received by us. Other healthcare providers from whom you obtain care and 
													treatment may have different policies or notices regarding the use and 
													disclosure of your health information created or received by that provider. 
													Also, health plans in which you participate may have different policies or 
													notices concerning information they receive about you. This notice will tell you about the ways in which we may use and disclose health 
													information about you. We also describe your rights and certain obligations we 
													have regarding the use and disclosure of health information.
												 We are required by law to maintain the privacy of your health information; give 
													you this notice of our legal duties and privacy practices and make a good faith 
													effort to obtain your acknowledgement of receipt of this notice; and follow the 
													terms of the notice that is currently in effect.
												 YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION. Right To Inspect and Copy. You have the right to inspect and copy health 
													information that may be used to make decisions about your care. Usually, this 
													includes medical and billing records, but does not include psychotherapy notes. To inspect and copy your health information, you must complete a specific form 
													providing information we need to process your request. To obtain this form or 
													to obtain more information concerning this process, please contact the person 
													identified on the first page of this Notice. You will be asked to complete a 
													written authorization form. If you request a copy of the information, we may 
													charge a fee for the costs of copying, mailing, or other supplies and services 
													associated with your request. We may require that you pay such fee prior to 
													receiving the requested copies.
												 We may deny your request to inspect and copy in certain very limited 
													circumstances. If you are denied access to health information, you may request 
													that the denial be reviewed. Another licensed health care professional chosen 
													by Lawrence G Schull MD, Sudhir Bagga MD will review your request and the 
													denial. The person conducting the review will not be the person who denied your 
													request. We will comply with the outcome of the review.
												 Right To Request Amendment. If you believe that our records contain information 
													we have about you is incorrect or incomplete, you may ask us to amend the 
													information. You have the right to request an amendment for as long as the 
													information is kept by us.
												 To request an amendment, you must complete a specific form providing information 
													we need to process your request, including the reason that supports your 
													request. To obtain this form or to obtain more information concerning this 
													process, please contact the person identified on the first page of this Notice. We may deny your request for an amendment if you fail to complete the required 
													form in its entirely. In addition, we may deny your request if you ask us to 
													amend information that: * Was not created by us, unless the person or entity that created the 
													information is no longer available to make the amendment;
													* Is not part of the health information kept by us;
													* Is not part of the information that you would be permitted to inspect and 
													copy; or
													* Is accurate and complete. If your request is denied, you will be informed of the reason for the denial and 
													will have an opportunity to submit a statement of disagreement to be maintained 
													with your records. Right to an Accounting of Disclosures. You have the right to request an 
													"accounting of disclosures." This is a list of the disclosures we made of 
													health information about you, with certain exceptions specifically defined by 
													law. To request this list or accounting of disclosures, you must complete a specific 
													form providing information we need to process your request. To obtain this form 
													or to obtain more information concerning this process, please contact the 
													person identified on the first page of this Notice. Your request must state a time period which may not be longer than six years and 
													may not include dates before April 1, 2003. Your request should indicate in 
													what form you want the list (for example, on paper, electronically). The first 
													list you request within a 12-month period will be free. For additional lists, 
													we may charge you for the costs of providing the list. We will notify you of 
													the cost involved and you may choose to withdraw or modify your request at that 
													time before any costs are incurred.
												 Right to Request Restrictions. You have the right to request a restriction or 
													limitation on the health information we use or disclose about you for 
													treatment, payment, or health care operations. You also have the right to 
													request a limit on the health information we disclose about you to someone who 
													is involved in your care or the payment for your care, like a family member or 
													friend. For example, you could ask that we not use or disclose information 
													about a surgery you had. We are not required to agree to your request. If we do agree, we will comply 
													with your request unless the information is needed to provide you emergency 
													treatment.
												 To request restrictions, you must complete a specific form providing information 
													we need to process your request. To obtain this form or to obtain more 
													information concerning this process, please contact the person identified on 
													the first page of this notice. Right to Request Alternative Methods of Communications. You have the right to 
													request that we communicate with you about medical matters in a certain way or 
													at a certain location. For example, you can ask that we only contact you at 
													work or by mail.
												 To request an alternative method of communications, you must complete a specific 
													form providing information we need to process your request. To obtain this form 
													or to obtain more information concerning this process, please contact the 
													person identified on the first page of this Notice. We will not ask you the 
													reason for your request. We will accommodate all reasonable requests. Your 
													request must specify how or where you wish to be contacted. Right to a Paper Copy of This Notice. You have the right to a paper copy of this 
													notice. You may ask us to give you a copy of this notice at any time. Even if 
													you have agreed to receive this notice electronically, you are still entitled 
													to a paper copy of this notice. You may obtain a copy of this notice at website: www.scienceoflife.com To obtain a paper copy of this notice, contact the person identified on the 
													first page of this Notice.
												 COMPLAINTS.
													
													
													If you believe your rights with respect to health information about you have 
													been violated by us, you may file a complaint with Lawrence G Schull MD, Sudhir 
													Bagga MD or with the Secretary of the Department of Health and Human Services. 
													To file a complaint with the us, contact the person identified on the first 
													page of this Notice. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
												 HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU WITHOUT YOUR SPECIFIC 
													AUTHORIZATION. The following categories describe different ways that we are permitted to use 
													and disclose health information without a specific authorization from you. If 
													you desire to restrict our use of your health information for any of these 
													purposes, you need to submit a request for restrictions in the manner described 
													above. For Treatment. We may use information about you to provide you with medical 
													treatment or services. We may disclose health information about you to nurses, 
													technicians, or other personnel who are involved in taking care of you. 
													Different departments of Lawrence G Schull MD, Sudhir Bagga MD also may share 
													health information about you in order to coordinate the different things you 
													need, such as prescriptions, lab work, and x-rays.
												 We also may disclose health information about you to people outside Lawrence G 
													Schull MD, Sudhir Bagga MD who may be involved in your medical care after you 
													leave us, such as family members, friends, or others we use to provide services 
													that are part of your care. We will give you an opportunity, however, to 
													restrict such communications.
												 We may disclose health information about you to other health care providers who 
													request such information for purposes of providing medical treatment to you. For Payment. We may use and disclose health information about you so that the 
													treatment and services you receive at our location may be billed to and payment 
													may be collected from you, an insurance company, or other third party. For 
													example, we may need to give your health plan information about treatment you 
													received so your health plan will pay us or reimburse you for the treatment. We 
													may also tell your health plan about a treatment you are going to receive to 
													obtain prior approval or to determine whether your plan will cover the 
													treatment.
												 We also may provide information about you to other health care providers to 
													assist them in obtaining payment for treatment and service provided to you by 
													that provider. We may also provide information to a health plan for purposes of 
													arranging payment for treatment and services provided to you. For Health Care Operations. We may use and disclose health information about you 
													for our internal operations. These uses and disclosures are necessary to run 
													our operations and make sure that all of our patients receive quality care. For 
													example, we may use health information to review our treatment and services and 
													to evaluate the performance of our staff in caring for you. We may also combine 
													health information about many patients to decide what additional services we 
													should offer, what services are not needed, and whether certain new treatments 
													are effective. We may also disclose information to doctors, nurses, 
													technicians, medical students, and other personnel for review and learning 
													purposes. We may also combine the health information we have with health 
													information from other health care providers to compare how we are doing and 
													see where we can make improvements in the care and services we offer. We may 
													remove information that identifies you from this set of health information so 
													others may use it to study health care and health care delivery without 
													learning who the specific patients are.
												 We may disclose health information about you to another health care provider or 
													health plan with which you also have had a relationship for purposes of that 
													provider’ s or plan's internal operations. Appointment Reminders. We may use and disclose health information to contact you 
													as a reminder that you have an appointment for treatment or medical care with 
													us. Unless you direct us to do otherwise, we may leave messages on your 
													E-mail/telephone answering machine identifying Lawrence G Schull MD, Sudhir 
													Bagga MD and asking for you to return our call/E-mail. Unless we are 
													specifically instructed by you otherwise in a particular circumstance, we will 
													not disclose any health information to any person other than you who answers 
													your phone except to leave a message for you to return the call. Surveys. We may use and disclose health information to contact you to assess 
													your satisfaction with our services. Treatment Alternatives. We may use and disclose health information to tell you 
													about or recommend possible treatment options or alternatives that may be of 
													interest to you.
												 Health-Related Benefits and Services. We may use and disclose health information 
													to tell you about health-related benefits or services that may be of interest 
													to you, or to provide you with promotional gifts of nominal value. Fundraising Activities. We may use health information about you to contact you 
													in an effort to raise money for the our operations. We may disclose health 
													information to a foundation related to Lawrence G Schull MD, Sudhir Bagga MD so 
													that the foundation may contact you in raising money for us. We only would 
													release contact information, such as your name, address and phone number and 
													the dates you received treatment or services. If you do not want Lawrence G 
													Schull MD, Sudhir Bagga MD to contact you for fundraising efforts, you must 
													notify the person identified on the first page of this Notice in writing. Business Associates. There are some services provided in our organization 
													through contracts or arrangements with business associates. For example, we may 
													contract with a copy service to make copies of your health record. When these 
													services are contracted, we may disclose your health information to our 
													business associate so they can perform the job we have asked them to do. To 
													protect your health information, however, we require our business associates to 
													appropriately safeguard your information.
												 Individuals Involved In Your Care or Payment For Your Care. We may release 
													health information about you to a friend or family member who is involved in 
													your medical care. We may also give information to someone who helps pay for 
													your care. In addition, we may disclose health information about you to an 
													organization assisting in a disaster relief effort so that your family can be 
													notified about your condition, status, and location. Research. Under certain circumstances, we may use and disclose health 
													information about you for research purposes. For example, a research project 
													may involve comparing the health and recovery of all patients who received one 
													medication to those who received another, for the same condition. All research 
													projects, however, are subject to a special approval process. This process 
													evaluates a proposed research project and its use of health information, trying 
													to balance the research needs with patients' need for privacy of their health 
													information. Before we use or disclose health information for research, the 
													project will have been approved through this research approval process, but we 
													may, however, disclose health information about you to people preparing to 
													conduct a research project, for example, to help them look for patients with 
													specific medical needs, so long as the health information they review does not 
													leave us. We will almost always ask for your specific permission if the 
													researcher will have access to your name, address, or other information that 
													reveals who you are, or will be involved in your care. As Required By Law. We will disclose health information about you when required 
													to do so by federal, state, or local law. To Avert a Serious Threat to Health or Safety. We may use and disclose health 
													information about you when necessary to prevent a serious threat to your health 
													and safety or the health and safety of the public or another person. Any 
													disclosure, however, would only be to someone able to help prevent the threat.
												 Organ and Tissue Donation. If you are an organ donor, we may use or disclose 
													health information to organizations that handle organ procurement or organ, eye 
													or tissue transplantation or to an organ donation bank, as necessary to 
													facilitate organ or tissue donation and transplantation. Military and Veterans. If you are a member of the armed forces, we may release 
													health information about you as required by military command authorities. We 
													may also release health information about foreign military personnel to the 
													appropriate foreign military authority. Employers. We may release health information about you to your employer if we 
													provide health care services to you at the request of your employer, and the 
													health care services are provided either to conduct an evaluation relating to 
													medical surveillance of the workplace or to evaluate whether you have a 
													work-related illness or injury. In such circumstances, we will give you written 
													notice of such release of information to your employer. Any other disclosures 
													to your employer will be made only if you execute a specific authorization for 
													the release of that information to your employer.
												 Workers' Compensation. We may release health information about you for workers' 
													compensation or similar programs. These programs provide benefits for 
													work-related injuries or illness.
													
													Public Health Risks. We may disclose health information about you for public 
													health activities. These activities generally include the following: * to prevent or control disease, injury or disability;
													* to report births and deaths;
													* to report child abuse or neglect;
													* to report reactions to medications or problems with products;
													* to notify people of recalls of products they may be using;
													* to notify a person who may have been exposed to a disease or may be at risk 
													for contracting or spreading a disease or condition;
													* to notify the appropriate government authority if we believe a patient has 
													been the victim of abuse, neglect or domestic violence. We will only make this 
													disclosure if you agree or when required or authorized by law. Health Oversight Activities. We may disclose health information to a health 
													oversight agency for activities authorized by law. These oversight activities 
													include, for example, audits, investigations, inspections, and licensure. These 
													activities are necessary for the government to monitor the health care system, 
													government programs, and compliance with civil rights laws. Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may 
													disclose health information about you in response to a court or administrative 
													order. We may also disclose health information about you in response to a 
													subpoena, discovery request, or other lawful process by someone else involved 
													in the dispute, but only if efforts have been made to tell you about the 
													request or to obtain an order protecting the information requested.
												 Law Enforcement. We may release health information if asked to do so by a law 
													enforcement official: * In response to a court order, subpoena, warrant, summons or similar process;
													* To identify or locate a suspect, fugitive, material witness, or missing 
													person;
													* About the victim of a crime if, under certain limited circumstances, we are 
													unable to obtain the person's agreement;
													* About a death we believe may be the result of criminal conduct;
													* About criminal conduct; and
													* In emergency circumstances to report a crime; the location of the crime or 
													victims; or the identity, description or location of the person who committed 
													the crime.
												 Coroners, Medical Examiners and Funeral Directors. We may release health 
													information to a coroner or medical examiner. This may be necessary, for 
													example, to identify a deceased person or determine the cause of death. We may 
													also release health information about patients of Lawrence G Schull MD, Sudhir 
													Bagga MD to funeral directors as necessary for them to carry out their duties.
												 National Security and Intelligence Activities. We may release health information 
													about you to authorized federal officials for intelligence, 
													counterintelligence, and other national security activities authorized by law.
												 Protective Services for the President and Others. We may disclose health 
													information about you to authorized federal officials so they may provide 
													protection to the President, other authorized persons, or foreign heads of 
													state, or to conduct special investigations.
												 Inmates/Persons In Custody. If you are an inmate of a correctional institution 
													or under the custody of a law enforcement official, we may release health 
													information about you to the correctional institution or law enforcement 
													official. This release would be necessary (1) for the institution to provide 
													you with health care; (2) to protect your health and safety or the health and 
													safety of others; or (3) for the safety and security of the correctional 
													institution. OTHER USES OF HEALTH INFORMATION.
												 Other uses and disclosures of health information not covered by this notice or 
													the laws that apply to us will be made only with your written authorization. If 
													you provide us authorization to use or disclose health information about you, 
													you may revoke that authorization, in writing, at any time. If you revoke your 
													authorization, we will no longer use or disclose health information about you 
													for the reasons covered by your written authorization. Of course, we are unable 
													to take back any disclosures we have already made with your permission, and 
													that we are required to retain our records of the care that we provided to you. CHANGES TO THIS NOTICE.
												 We reserve the right to change this notice. We reserve the right to make the 
													revised or changed notice effective for health information we already have 
													about you as well as any information we receive in the future. We will post a 
													copy of the current notice at our facility and on our website. The notice will 
													contain on the first page the effective date.
												 ACKNOWLEDGEMENT. You will be asked to provide a written acknowledgement of your receipt of this 
													Notice. We are required by law to make a good faith effort to provide you with 
													our Notice and obtain such acknowledgement from you. However, your receipt of 
													care and treatment from: Lawrence G Schull MD Sudhir Bagga MD 40101 Sepulveda Blvd., Suite 6 Torrance, CA 90505 Is not conditioned upon your providing the written acknowledgement |