Provider First Line Business Practice Location Address:
2390 S GARFIELD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTEREY PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-728-7271
Provider Business Practice Location Address Fax Number:
323-728-0108
Provider Enumeration Date:
01/03/2007