Provider First Line Business Practice Location Address:
101 CITY DRIVE SOUTH
Provider Second Line Business Practice Location Address:
UCI MEDICAL CENTER-DEPT OF ANESTHESIA
Provider Business Practice Location Address City Name:
ORANGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-456-5501
Provider Business Practice Location Address Fax Number:
714-456-7553
Provider Enumeration Date:
08/14/2007