Provider First Line Business Practice Location Address:
115 THRU 119 E WASHINGTON BLVD
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:
90015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-746-9991
Provider Business Practice Location Address Fax Number:
213-746-4900
Provider Enumeration Date:
05/18/2006