Provider First Line Business Practice Location Address:
6200 S FIGUEROA ST
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90003-1024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-739-2030
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2009