Provider First Line Business Practice Location Address:
UCLA DEPARTMENT OF OB/GYN 10833 LE CONTE AVE 27-139 CHS
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:
90095-1804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-423-7417
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2016