Provider First Line Business Practice Location Address:
500 W. TEMPLE ST.
Provider Second Line Business Practice Location Address:
1ST FLOOR, ROOM 100
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-212-2710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/21/2025