Provider First Line Business Practice Location Address:
3743, 3743 1/2, AND 3744 SOUTH BARRINGTON AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-320-8048
Provider Business Practice Location Address Fax Number:
310-919-3684
Provider Enumeration Date:
09/21/2015