Still have questions or can’t find the answer on the Provider Portal Hub Page ? We’ve got you covered! The request form below is available to all providers for inquiries, such as "Who is my Provider Portal Admin?" "How do I request training for my team?" and much more. Be sure to fill out all required fields to ensure a smooth and timely response. First Name Last Name Email Phone Number Provider Entity Name Title (Job Title) TAX ID License # (if no license available please put N/A) NPI Provider Entity Address Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Are you an L.A. Care Provider or Office Staff Yes No Select the option(s) below that best describe what your inquiry is about Who is my Provider Portal Admin? How can I get access to the Provider Portal? I need Provider Portal training Who is my L.A. Care Provider Network Account Manager? Other… Enter other… CAPTCHA Submit