Provider First Line Business Practice Location Address:
1810 OLYMPIC BOULEVARD
Provider Second Line Business Practice Location Address:
UNITED OPTICAL
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-381-1681
Provider Business Practice Location Address Fax Number:
213-381-2828
Provider Enumeration Date:
07/14/2006