Provider First Line Business Practice Location Address:
HARBOR-UCLA DMH
Provider Second Line Business Practice Location Address:
1000 W CARSON ST BOX #498
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-306-5737
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/18/2019