Provider First Line Business Practice Location Address:
300 S. HARVARD BLVD.
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:
90020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-383-9711
Provider Business Practice Location Address Fax Number:
213-383-0273
Provider Enumeration Date:
04/24/2007