Provider First Line Business Mailing Address:
650 CHARLES YOUNG DRIVE, BOX 951738
Provider Second Line Business Mailing Address:
DEPARTMENT OF UROLOGY, DAVID GEFFEN SCHOOL OF MEDICINE
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90095-1738
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-825-5088
Provider Business Mailing Address Fax Number:
310-206-5343