Provider First Line Business Practice Location Address:
UCSD MEDICAL CENTER
Provider Second Line Business Practice Location Address:
200 WEST ARBOR DRIVE M/C 8201
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92103-8201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-543-5719
Provider Business Practice Location Address Fax Number:
619-543-3183
Provider Enumeration Date:
10/24/2006