Provider First Line Business Practice Location Address:
625 S BARRINGTON AVE
Provider Second Line Business Practice Location Address:
#21
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90049-4431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-235-6673
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/17/2011