Provider First Line Business Practice Location Address:
9888 GENESEE AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIATION ONCOLOGY
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92037-1276
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-626-6864
Provider Business Practice Location Address Fax Number:
760-599-9549
Provider Enumeration Date:
09/06/2005