Provider First Line Business Practice Location Address:
11401 BLOOMFIELD AVENUE
Provider Second Line Business Practice Location Address:
DSH-METROPOLITAN, OFFICE OF SERVICE CHIEFS
Provider Business Practice Location Address City Name:
NORWALK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-584-8149
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2013