Provider First Line Business Practice Location Address:
234 SOUTH FIGUEROA STREET
Provider Second Line Business Practice Location Address:
SUITE 1941
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90012-2873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-680-3007
Provider Business Practice Location Address Fax Number:
213-680-1030
Provider Enumeration Date:
01/24/2006