Provider First Line Business Practice Location Address:
245 S. FETTERLY AVE
Provider Second Line Business Practice Location Address:
ROYBAL COMPREHENSIVE CHC
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90022-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-780-2216
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2007