Provider First Line Business Mailing Address:
4650 SUNSET BOULEVARD MAIL STOP, #125
Provider Second Line Business Mailing Address:
CHILDRENS HOSPITAL LOS ANGELES
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90027-0980
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-361-2533
Provider Business Mailing Address Fax Number:
323-361-8095