Provider First Line Business Practice Location Address:
12401 WASHINGTON BOULEVARD
Provider Second Line Business Practice Location Address:
INTERCOMMUNITY EMERGENCY MEDICINE GROUP (IEMG)
Provider Business Practice Location Address City Name:
WHITTIER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-698-0811
Provider Business Practice Location Address Fax Number:
310-782-1763
Provider Enumeration Date:
07/10/2008