Provider First Line Business Practice Location Address:
6040 CADILLAC AVE
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE WEST LA DEPARTMENT OF OPHTHALMOLOGY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90034-1731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-857-1163
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2006