Provider First Line Business Practice Location Address:
3400 S FIGUEROA ST
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:
90089-2300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-740-0891
Provider Business Practice Location Address Fax Number:
213-740-0889
Provider Enumeration Date:
11/11/2014