Provider First Line Business Practice Location Address: 
2675 E SLAUSON AVE
    Provider Second Line Business Practice Location Address: 
ALL CARE MEDICAL GROUP INC
    Provider Business Practice Location Address City Name: 
HUNTINGTON PARK
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
90255
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
323-589-6681
    Provider Business Practice Location Address Fax Number: 
823-584-2505
    Provider Enumeration Date: 
03/02/2006