Provider First Line Business Practice Location Address:
4301 N 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:
90065-3013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-223-1517
Provider Business Practice Location Address Fax Number:
323-223-1528
Provider Enumeration Date:
05/15/2010