Provider First Line Business Practice Location Address:
HARBOR-UCLA MEDICAL CENTER, 1000 WEST CARSON ST
Provider Second Line Business Practice Location Address:
BOX 410
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-222-2339
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2007