Provider First Line Business Practice Location Address:
420 E 3RD STREET
Provider Second Line Business Practice Location Address:
SUITE 1005
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90013-1648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-935-8795
Provider Business Practice Location Address Fax Number:
213-895-8786
Provider Enumeration Date:
01/04/2006