Provider First Line Business Practice Location Address:
KAISER PERMANENTE SOUTH BAY MEDICAL CENTER OT DEPT
Provider Second Line Business Practice Location Address:
25975 S. NORMANDIE AVENUE
Provider Business Practice Location Address City Name:
HARBOR CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-517-6404
Provider Business Practice Location Address Fax Number:
310-517-6295
Provider Enumeration Date:
06/19/2007