Provider First Line Business Practice Location Address:
1300 N VERMONT AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90027-6005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-913-4860
Provider Business Practice Location Address Fax Number:
323-913-4922
Provider Enumeration Date:
09/16/2006