Provider First Line Business Practice Location Address:
244 S OXFORD AVE STE 9
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90004-5126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-382-1770
Provider Business Practice Location Address Fax Number:
213-382-1895
Provider Enumeration Date:
04/15/2008