Provider First Line Business Practice Location Address:
601 W 19TH ST
Provider Second Line Business Practice Location Address:
PLANNED PARENTHOOD OF ORANGE AND SAN BERNADINO COUNTIES
Provider Business Practice Location Address City Name:
COSTA MESA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-548-8830
Provider Business Practice Location Address Fax Number:
949-548-9051
Provider Enumeration Date:
10/27/2006