Provider First Line Business Practice Location Address:
1111 W 6TH ST
Provider Second Line Business Practice Location Address:
SUITE 11
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90017-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-607-4400
Provider Business Practice Location Address Fax Number:
213-250-7245
Provider Enumeration Date:
07/07/2014