Provider First Line Business Practice Location Address:
3333 S FIGUEROA ST UNIT 3
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:
90032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-742-6765
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2016