Provider First Line Business Practice Location Address:
5800 ROSEMEAD BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLE CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91780-1831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-236-3861
Provider Business Practice Location Address Fax Number:
626-291-2060
Provider Enumeration Date:
01/14/2025