Provider First Line Business Practice Location Address:
3800 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:
90037-1206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-233-0425
Provider Business Practice Location Address Fax Number:
323-232-2366
Provider Enumeration Date:
10/12/2017