Provider First Line Business Practice Location Address:
2232 S FIGUEROA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90007-2049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-746-5662
Provider Business Practice Location Address Fax Number:
213-746-5664
Provider Enumeration Date:
12/11/2006