Provider First Line Business Practice Location Address:
8019 S. COMPTON AVE.
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:
90001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-586-7333
Provider Business Practice Location Address Fax Number:
310-965-9791
Provider Enumeration Date:
05/09/2011