Provider First Line Business Practice Location Address:
UCLA MEDL CNTR ONCOLOGY CNTR BOWYER CLINIC
Provider Second Line Business Practice Location Address:
BOX 956956, STE 120, 200 MEDL PLZ
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-6956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-449-8761
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2010