Provider First Line Business Mailing Address:
S. MARK TAPER FOUNDATION IMAGING CENTER
Provider Second Line Business Mailing Address:
8700 BEVERLY BLVD., SUITE M-335
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-423-8000
Provider Business Mailing Address Fax Number: