Provider First Line Business Practice Location Address:
1522 S GARFIELD AVE STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALHAMBRA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91801-5017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-576-8500
Provider Business Practice Location Address Fax Number:
626-576-8050
Provider Enumeration Date:
07/23/2009