Provider First Line Business Practice Location Address:
5601 DE SOTO AVENUE
Provider Second Line Business Practice Location Address:
FAMILY MEDICINE DEPARTMENT, 3RD FLOOR
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-719-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2018