Provider First Line Business Practice Location Address:
5555 OVERLAND AVE
Provider Second Line Business Practice Location Address:
SAN DIEGO CO MEDICAL EXAMINERS, STE. 1411
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-1200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-694-2904
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/09/2009