Provider First Line Business Practice Location Address:
3031 S. VERMONT AVENUE
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:
90007-3033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-766-2360
Provider Business Practice Location Address Fax Number:
323-373-2442
Provider Enumeration Date:
03/06/2007