Provider First Line Business Practice Location Address:
179 S. BARRINGTON PLACE
Provider Second Line Business Practice Location Address:
OFFICE A
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-316-6325
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/20/2019