Provider First Line Business Practice Location Address:
2001 S BARRINGTON AVE
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90025-5379
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-271-7796
Provider Business Practice Location Address Fax Number:
310-807-8353
Provider Enumeration Date:
10/01/2006