We do not accept Medi-cal and blue shield insurances.

We Offer The Best Care Possible


Dear Patient.

First, I would like to take a moment and show gratitude for your continued trust in my care and our office.  Your support and kind emails mean the world to me and help offset the fatigue of long days of work.

Second, I want to inform you that in 2023, I will continue to add more in-house testing for the evaluation of environmental allergies, the evaluation of pathogens, and viruses, as well as innovative tests to screen for various forms of cancers.  We have also added a very successful WEIGHT LOSS program to our practice.  If you have any questions about this- you can email me directly at doctoremrani@gmail.com

Third, as you know, my practice is committed to maintaining the highest level of medical care possible. I strive to hire the most competent and caring staff, and we treat every patient as a VIP. I have spent the past two decades building a practice that is a one-stop-shop to provide you with an “executive” treatment each time you come in.

The cost of running such a practice is becoming prohibitively expensive as we are forced to perform many administrative tasks without reimbursement. The pandemic made things even harder.

Each year, we are faced with more time-consuming and costly administrative problems: Calling in prescriptions to save patients extra visits to the pharmacy; prescription refills by phone, fax, or mail to save you time and visits; phone calls giving patients test results rather than a return visit to the office; hours of phone calls for test/ therapy pre-authorization; numerous general forms; re-billing to correct insurance company errors; general letters and notes; signatures and phone calls on hold to get tests and procedures done at the hospital, etc.

All of you who are routinely in contact with the office know of my exceptional accessibility via email and the incredible prompt and personal attention you receive from me and my staff. To offset this lower reimbursement and growing costs, I am looking for alternatives to charging you an enormous annual concierge retainer which, as many of you know, is now all too common.

This letter is my request to you to send in a $1200 annual administrative fee to offset the above costs. That is a low fee of $100 a month. Concierge practices charge many multiples of this amount.

You can send us a check today marked as “LA Heart Annual Administrative Fee” or pay via credit card by calling the office. Please do this ASAP.

This low fee will help us continue our practice of outstanding medical care, without you having to pay large sums to partake in a practice like mine which is already markedly better than most concierge practices!

Finally, I want to wish you a healthy, joyous, and meaningful year ahead.  I am looking forward to being of the highest level of service to you and your loved ones in the coming years.  Please make sure you call the office and set up your annual physical if you have not done so yet:  818-996-4100

If you have any questions, as always, feel free to email me at doctoremrani@gmail.com

Afshine Ash Emrani, MD, FACC Internal Medicine, Cardiology

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