Provider First Line Business Practice Location Address:
5701 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:
90037-4039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-971-9000
Provider Business Practice Location Address Fax Number:
323-971-9474
Provider Enumeration Date:
12/05/2007