Provider First Line Business Practice Location Address:
6501 GARFIELD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELL GARDENS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90201-1805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-928-9600
Provider Business Practice Location Address Fax Number:
562-927-8603
Provider Enumeration Date:
06/25/2008