Provider First Line Business Practice Location Address:
239 S BARRINGTON AVE # 6
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:
90049-3318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-612-6146
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2007