Provider First Line Business Mailing Address:
LAC/USC MEDICAL CENTER, 1200 N STATE STREET
Provider Second Line Business Mailing Address:
IRD BUILDING, ROOM # 820
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-226-3406
Provider Business Mailing Address Fax Number: