Provider First Line Business Practice Location Address:
2231 SOUTH WESTERN 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:
90018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-730-7300
Provider Business Practice Location Address Fax Number:
949-732-4671
Provider Enumeration Date:
07/15/2006