Provider First Line Business Practice Location Address:
3500 W. 6TH ST.
Provider Second Line Business Practice Location Address:
STE 208
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-381-7770
Provider Business Practice Location Address Fax Number:
213-381-7447
Provider Enumeration Date:
07/03/2007