Provider First Line Business Practice Location Address:
393 EAST WALNUT STREET, PASADENA, CA 91188
Provider Second Line Business Practice Location Address:
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-405-3224
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2010