Provider First Line Business Practice Location Address:
6957 N. FIGUERO ST
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:
90041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-423-4475
Provider Business Practice Location Address Fax Number:
562-423-7174
Provider Enumeration Date:
03/12/2007