Provider First Line Business Practice Location Address:
266 S. HARVARD BL.
Provider Second Line Business Practice Location Address:
120
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-384-6323
Provider Business Practice Location Address Fax Number:
213-384-6340
Provider Enumeration Date:
08/08/2006