Provider First Line Business Practice Location Address:
131 JAPANESE VILLAGE PLAZA MALL
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:
90012-3908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-687-7497
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2006