Provider First Line Business Practice Location Address:
1450 S BARRINGTON AVE PH 4
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:
90025-7210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-402-8542
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2025