Provider First Line Business Practice Location Address:
1700 WESTWOOD BLV
Provider Second Line Business Practice Location Address:
Y&Z SURGICAL PATHOLOGY LAB
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-435-1892
Provider Business Practice Location Address Fax Number:
310-858-3793
Provider Enumeration Date:
11/21/2006