Provider First Line Business Practice Location Address:
2801 ATLANTIC AVE
Provider Second Line Business Practice Location Address:
TRAUMA SERVICES
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90806-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-933-1315
Provider Business Practice Location Address Fax Number:
562-933-1325
Provider Enumeration Date:
12/21/2006