Provider First Line Business Practice Location Address:
LA COUNTY DEPARTMENT OF TRAUMA SURGERY 1200 N STATE 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:
90089-0135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-828-9783
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2019