Provider First Line Business Practice Location Address:
2536 W TEMPLE ST.
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:
90026-4848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-385-7888
Provider Business Practice Location Address Fax Number:
213-385-7887
Provider Enumeration Date:
11/02/2007