Provider First Line Business Practice Location Address:
221 WESTWOOD PLAZA
Provider Second Line Business Practice Location Address:
ARTHUR ASHE STUDENT HEALTH & WELLNESS CENTER
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-825-4073
Provider Business Practice Location Address Fax Number:
310-267-1996
Provider Enumeration Date:
04/20/2012