Provider First Line Business Practice Location Address:
HARBOR-UCLA MEDICAL CENTER 1000 W. CARSON STREET,
Provider Second Line Business Practice Location Address:
BOX #17
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-222-2345
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2023