Provider First Line Business Practice Location Address:
4700 SUNSET BLVD
Provider Second Line Business Practice Location Address:
3C PEDIATRICS
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90027-6070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-783-1063
Provider Business Practice Location Address Fax Number:
323-783-5912
Provider Enumeration Date:
06/27/2007