Provider First Line Business Practice Location Address:
745 SOUTH ALVARADO STREET
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:
90057-4021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-252-2225
Provider Business Practice Location Address Fax Number:
213-252-2244
Provider Enumeration Date:
05/17/2006