Provider First Line Business Practice Location Address:
1668 1/2 W ADAMS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90007-1535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-733-5200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2006