Provider First Line Business Practice Location Address:
5553 ROSEMEAD BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLE CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91780-1802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-286-0800
Provider Business Practice Location Address Fax Number:
626-286-5811
Provider Enumeration Date:
06/27/2007