Provider First Line Business Practice Location Address:
HARBOR-UCLA MEDICAL CENTER OFFICE OF GME
Provider Second Line Business Practice Location Address:
1000 W. CARSON STREET, BOX 36
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-306-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2024