Provider First Line Business Practice Location Address:
200 S. BARRINGTON AVE.
Provider Second Line Business Practice Location Address:
1907
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-472-9000
Provider Business Practice Location Address Fax Number:
310-476-0503
Provider Enumeration Date:
09/28/2006