Provider First Line Business Practice Location Address:
1625 E 4TH ST
Provider Second Line Business Practice Location Address:
LOS ANGELES CHRISTIAN HEALTH CENTERS
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-268-8391
Provider Business Practice Location Address Fax Number:
858-633-4702
Provider Enumeration Date:
11/29/2006