Provider First Line Business Practice Location Address:
2001 SOUTH BARRINGTON AVENUE LOS ANGELES, CA 90025
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:
90025-9002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-582-3553
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/31/2019