Provider First Line Business Practice Location Address:
851 1/2 N ALFRED ST
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:
90069-4747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-595-4234
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2023