Provider First Line Business Practice Location Address:
757 WESTWOOD PLZ
Provider Second Line Business Practice Location Address:
2ND FLOOR, PRE TREATMENT UNIT, POST ACUTE CARE UNIT
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-1730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-267-8644
Provider Business Practice Location Address Fax Number:
310-267-3581
Provider Enumeration Date:
03/21/2011