Provider First Line Business Practice Location Address:
1801 E. MARENGO ST., L-902
Provider Second Line Business Practice Location Address:
LOS ANGELES COUNTY USC DIVISION OF ALLERGY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90033-1083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-226-3823
Provider Business Practice Location Address Fax Number:
323-226-3732
Provider Enumeration Date:
02/24/2010