Provider First Line Business Practice Location Address:
6505 WILSHIRE BLVD
Provider Second Line Business Practice Location Address:
JEWISH FAMILY SERVICE
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-273-5078
Provider Business Practice Location Address Fax Number:
310-273-7303
Provider Enumeration Date:
04/23/2007