Provider First Line Business Practice Location Address:
1600 S HILL ST STE B
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:
90015-3558
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-746-3777
Provider Business Practice Location Address Fax Number:
213-746-6564
Provider Enumeration Date:
09/26/2005