Provider First Line Business Practice Location Address:
3145 LEBEC OAKS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBEC
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93243-4054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-821-7372
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2026