Provider First Line Business Practice Location Address:
100 W CALIFORNIA BLVD
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91105-3010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-585-9562
Provider Business Practice Location Address Fax Number:
818-706-1680
Provider Enumeration Date:
06/13/2006