Provider First Line Business Practice Location Address:
ACE MEDICAL GROUP, 4477 W 118TH ST
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
HAWTHORNE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90250-2257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-675-4440
Provider Business Practice Location Address Fax Number:
310-675-2970
Provider Enumeration Date:
06/21/2005