Provider First Line Business Practice Location Address:
2001 S BARRINGTON AVE STE 101
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:
90025-5337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
424-209-8490
Provider Business Practice Location Address Fax Number:
424-253-8208
Provider Enumeration Date:
10/02/2009