Provider First Line Business Practice Location Address:
800 S FIGUEROA ST
Provider Second Line Business Practice Location Address:
# 670
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90017-2521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-327-1148
Provider Business Practice Location Address Fax Number:
213-327-1009
Provider Enumeration Date:
05/10/2011