Provider First Line Business Practice Location Address:
120 N ALVARADO ST
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:
90026-5303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-353-0200
Provider Business Practice Location Address Fax Number:
213-353-0266
Provider Enumeration Date:
10/13/2009