Provider First Line Business Practice Location Address:
757 WESTWOOD PLAZA, 1ST FLOOR
Provider Second Line Business Practice Location Address:
RONALD REAGAN UCLA MEDICAL CENTER DEPT OF RADIOLOGY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90025-7437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-825-7532
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2008