Provider First Line Business Practice Location Address:
281 SOUTH COLUMBIA AVE
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:
90026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-483-3020
Provider Business Practice Location Address Fax Number:
210-483-3079
Provider Enumeration Date:
11/06/2007