Provider First Line Business Practice Location Address:
838 N HILL ST STE A
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:
90012-2321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-617-3667
Provider Business Practice Location Address Fax Number:
213-617-9236
Provider Enumeration Date:
12/19/2008