Provider First Line Business Practice Location Address:
5901 E. 7TH ST.
Provider Second Line Business Practice Location Address:
VA LONG BEACH HEALTHCARE SYSTEM
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-294-9123
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2007