Provider First Line Business Practice Location Address:
1581 E TEMPLE WAY
Provider Second Line Business Practice Location Address:
#201
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90024-5807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-924-2950
Provider Business Practice Location Address Fax Number:
310-474-1839
Provider Enumeration Date:
07/04/2007