Provider First Line Business Practice Location Address:
14445 OLIVE VIEW DR
Provider Second Line Business Practice Location Address:
DEPT SURGERY OLIVE VIEW- UCLA MEDICAL CTR 6D
Provider Business Practice Location Address City Name:
SYLMAR
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-364-3194
Provider Business Practice Location Address Fax Number:
818-364-3514
Provider Enumeration Date:
07/24/2006