Provider First Line Business Practice Location Address:
5811 1/2 TEMPLE CITY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLE CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-287-6102
Provider Business Practice Location Address Fax Number:
626-287-2016
Provider Enumeration Date:
11/02/2006