Provider First Line Business Practice Location Address:
3101 S FIGUEROA 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:
90007-3737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-675-5518
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2021