Provider First Line Business Practice Location Address:
6041 CADILLAC AVE.
Provider Second Line Business Practice Location Address:
KAISER WLA OUTPATIENT 24HR PHARMACY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-857-4403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2019