Provider First Line Business Practice Location Address:
403 W ADAMS BLVD
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:
90007-2664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-742-1450
Provider Business Practice Location Address Fax Number:
213-742-1453
Provider Enumeration Date:
01/05/2009