Provider First Line Business Practice Location Address:
1010 VETERAN AVENUE, WEST MEDICAL BUILDING
Provider Second Line Business Practice Location Address:
UCLA CLINICAL AND MOLECULAR CYTOGENETICS LABORATORY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-825-4965
Provider Business Practice Location Address Fax Number:
310-794-5099
Provider Enumeration Date:
01/09/2017