Provider First Line Business Practice Location Address:
810 S. INDIANA 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:
90023-1820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-268-1700
Provider Business Practice Location Address Fax Number:
323-268-6400
Provider Enumeration Date:
05/18/2007