Provider First Line Business Practice Location Address:
USC HEALTH CARE CENTER 2, 1520 SAN PABLO
Provider Second Line Business Practice Location Address:
SUITE 3000, DEPARTMENT OF NEUROLOGY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-442-5975
Provider Business Practice Location Address Fax Number:
732-632-1584
Provider Enumeration Date:
06/26/2017