Provider First Line Business Practice Location Address:
3320 S HILL 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:
90007-4119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-749-5386
Provider Business Practice Location Address Fax Number:
213-749-8592
Provider Enumeration Date:
11/01/2006