Provider First Line Business Practice Location Address:
1225 WILSHIRE BLVD.
Provider Second Line Business Practice Location Address:
GOOD SAMARITAN HOSPTIAL, 8 NORTH, NICU,
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90017-2395
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-977-4123
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/08/2006