Provider First Line Business Practice Location Address:
3412 1/2 E. 7TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-693-3100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2025