Provider First Line Business Practice Location Address:
HARBOR UCLA DEPARTMENT OF FAMILY MEDICINE
Provider Second Line Business Practice Location Address:
1000 WEST CARSON STREET
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90502-2004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-534-6114
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2010