Provider First Line Business Practice Location Address:
UCLA BRAIN RESEARCH INSTITUTE
Provider Second Line Business Practice Location Address:
695 CHARLES YOUNG DRIVE SOUTH BOX 951761
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-267-2621
Provider Business Practice Location Address Fax Number:
310-825-9385
Provider Enumeration Date:
05/07/2008