Provider First Line Business Practice Location Address:
700 LAWRENCE EXPRESSWAY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EMERGENCY MEDICINE, KAISER PERMANENTE MED
Provider Business Practice Location Address City Name:
SANTA CLARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-647-8283
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/03/2007