Provider First Line Business Practice Location Address:
4920 S. AVALON BLVD.
Provider Second Line Business Practice Location Address:
BAART CLINIC
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-235-5035
Provider Business Practice Location Address Fax Number:
323-235-2023
Provider Enumeration Date:
03/16/2007