Provider First Line Business Practice Location Address:
711 S NEW HAMPSHIRE AVE
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:
90005-1831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-385-5100
Provider Business Practice Location Address Fax Number:
213-807-1977
Provider Enumeration Date:
03/23/2007