Provider First Line Business Practice Location Address:
445 S NEW HAMPSHIRE AVE
Provider Second Line Business Practice Location Address:
310
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90020-1950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-382-8425
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2006