NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1588335434 | AREVALO | BRIDGETTE |   |   | 245 S FETTERLY AVE | EAST LOS ANGELES | CA | 900221605 |
1063709962 | GUAN | HENRY |   |   | 245 S FETTERLY AVE | LOS ANGELES | CA | 900221605 |
1265199335 | LLAMAS | CELIA |   |   | 245 S FETTERLY AVE | EAST LOS ANGELES | CA | 900221605 |
1114313616 | SRIWONGTONG | MICHELLE |   |   | 245 S FETTERLY AVE | LOS ANGELES | CA | 900221605 |