Provider First Line Business Practice Location Address:
1600 CAMPUS RD
Provider Second Line Business Practice Location Address:
EMMONS HEALTH CENTER
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90041-3314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-259-2657
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/16/2008