Provider First Line Business Practice Location Address:
333 S ALAMEDA ST STE 213
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:
90013-1734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-631-2555
Provider Business Practice Location Address Fax Number:
213-631-2556
Provider Enumeration Date:
12/17/2009