Provider First Line Business Practice Location Address:
2202 S FIGUEROA ST
Provider Second Line Business Practice Location Address:
# 6001
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90007-2049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-749-1249
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2008