Provider First Line Business Practice Location Address:
675 SOUTH CARONDELET STREET
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:
90057-3309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-388-4444
Provider Business Practice Location Address Fax Number:
213-739-2972
Provider Enumeration Date:
06/07/2007