Provider First Line Business Practice Location Address:
4301 S FIGUEROA ST STE F
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:
90037-2671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-231-7700
Provider Business Practice Location Address Fax Number:
323-231-0799
Provider Enumeration Date:
03/07/2007