Provider First Line Business Practice Location Address:
8205 SOMERSET BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARAMOUNT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90723-3518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-677-1000
Provider Business Practice Location Address Fax Number:
562-677-1077
Provider Enumeration Date:
02/04/2009