Provider First Line Business Mailing Address:
P.O. BOX 27980, CHILDRENS HOSPITAL LOS ANGELES
Provider Second Line Business Mailing Address:
MS 125
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90027-0980
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-361-4206
Provider Business Mailing Address Fax Number:
323-361-8095