Provider First Line Business Practice Location Address:
1000 W. CARSON ST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY, BOX 12
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-306-6435
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2025