Provider First Line Business Mailing Address:
MATTEL CHILDREN'S HOSPITAL UCLA
Provider Second Line Business Mailing Address:
10833 LECONTE AVENUE, 12-494 MDCC
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90095-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-825-6752
Provider Business Mailing Address Fax Number: