Provider First Line Business Practice Location Address:
269 S SAN PEDRO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90012-3808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-947-3600
Provider Business Practice Location Address Fax Number:
213-947-3622
Provider Enumeration Date:
12/09/2015