Provider First Line Business Practice Location Address:
2801 ATLANTIC AVENUE
Provider Second Line Business Practice Location Address:
ATTN: RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-933-1550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2006