Provider First Line Business Practice Location Address:
5873 FLORENCE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELL GARDENS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90201-4610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-562-6000
Provider Business Practice Location Address Fax Number:
323-562-6009
Provider Enumeration Date:
03/27/2007