Provider First Line Business Practice Location Address:
235 NORTH HOOVER ST
Provider Second Line Business Practice Location Address:
TEMPLE COMMUNITY HOSPITAL
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-382-7252
Provider Business Practice Location Address Fax Number:
213-388-8114
Provider Enumeration Date:
09/20/2006