Provider First Line Business Practice Location Address:
420 E. 3RD STREET
Provider Second Line Business Practice Location Address:
SUITE 810
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90013-1644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-625-0717
Provider Business Practice Location Address Fax Number:
231-625-0770
Provider Enumeration Date:
05/14/2007