Provider First Line Business Practice Location Address:
7116 SOPHIA AVENUE
Provider Second Line Business Practice Location Address:
VALLEY TRAUMA CENTER
Provider Business Practice Location Address City Name:
VAN NUYS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-756-5330
Provider Business Practice Location Address Fax Number:
818-756-5443
Provider Enumeration Date:
11/19/2009