Provider First Line Business Practice Location Address:
CHARLES R DREW UNIVERSITY
Provider Second Line Business Practice Location Address:
1731 E 120TH ST
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-563-4800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2020