Provider First Line Business Practice Location Address:
838 EST. 6TH TREET
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:
90021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-623-8446
Provider Business Practice Location Address Fax Number:
213-896-1880
Provider Enumeration Date:
01/11/2013