Provider First Line Business Practice Location Address:
3601 DE SOTO AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PAIN MANAGMENT
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91365
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-719-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2008