Provider First Line Business Practice Location Address:
6957 N 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:
90042-1245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-443-3152
Provider Business Practice Location Address Fax Number:
323-443-3162
Provider Enumeration Date:
03/05/2007