Provider First Line Business Practice Location Address:
2648 N FIGUEROA ST
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:
90065-1026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-225-2660
Provider Business Practice Location Address Fax Number:
323-225-0638
Provider Enumeration Date:
05/14/2008