Provider First Line Business Practice Location Address:
6801 COLDWATER CANYON AVE
Provider Second Line Business Practice Location Address:
VALLEY COMMUNITY CLINIC
Provider Business Practice Location Address City Name:
NORTH HOLLYWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-301-6320
Provider Business Practice Location Address Fax Number:
818-766-8352
Provider Enumeration Date:
10/23/2006