Provider First Line Business Practice Location Address:
9353 IMPERIAL HWY
Provider Second Line Business Practice Location Address:
PHYSICAL MEDICINE, GARDEN MEDICAL BUILDING 3RD FLOOR
Provider Business Practice Location Address City Name:
DOWNEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90242-2812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-657-4803
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2007