Provider First Line Business Practice Location Address:
901 E. ALOSTA AVE.
Provider Second Line Business Practice Location Address:
STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
AZUSA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-815-2100
Provider Business Practice Location Address Fax Number:
626-815-2102
Provider Enumeration Date:
10/21/2014