Provider First Line Business Practice Location Address:
4901 E. CARSON ST. #A1010
Provider Second Line Business Practice Location Address:
LONG BEACH CITY COLLEGE STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90808-1602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-938-4210
Provider Business Practice Location Address Fax Number:
562-938-4994
Provider Enumeration Date:
07/20/2007