Provider First Line Business Practice Location Address:
404 S FIGUEROA ST STE 207
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:
90071-1795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-486-0006
Provider Business Practice Location Address Fax Number:
213-486-0054
Provider Enumeration Date:
11/24/2009