Provider First Line Business Practice Location Address:
10833 LE CONTE AVE. 72-227 CHS
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY, UCLA MEDICAL SCHOOL
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-206-9291
Provider Business Practice Location Address Fax Number:
310-267-0369
Provider Enumeration Date:
04/27/2009