Provider First Line Business Mailing Address:
2121 W. TEMPLE STREET, BUILDINGS A, B, AND C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90026-1831
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-385-5100
Provider Business Mailing Address Fax Number: