Provider First Line Business Practice Location Address:
1300 N. VERMONT AVE, DOCTORS TOWEL #600
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:
90027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-913-4356
Provider Business Practice Location Address Fax Number:
323-913-4351
Provider Enumeration Date:
08/29/2006