Provider First Line Business Practice Location Address:
550 SOUTH VERMONT AVE.
Provider Second Line Business Practice Location Address:
10TH FLOOR
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-738-4431
Provider Business Practice Location Address Fax Number:
213-351-2490
Provider Enumeration Date:
01/18/2011