Provider First Line Business Practice Location Address:
2750 E SPRING ST
Provider Second Line Business Practice Location Address:
STE. 100
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90806-2249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-427-1000
Provider Business Practice Location Address Fax Number:
562-427-2027
Provider Enumeration Date:
11/04/2008