Provider First Line Business Practice Location Address:
510 S ALVARADO ST
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:
90057-2904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-483-3600
Provider Business Practice Location Address Fax Number:
213-483-4555
Provider Enumeration Date:
01/23/2015