Provider First Line Business Practice Location Address:
16700 SCHOENBORN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91343-6122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-920-9393
Provider Business Practice Location Address Fax Number:
818-920-9393
Provider Enumeration Date:
01/28/2026