Provider First Line Business Practice Location Address:
2137 E CESAR E CHAVEZ AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90033-1843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-262-7450
Provider Business Practice Location Address Fax Number:
323-262-2337
Provider Enumeration Date:
07/10/2010