Provider First Line Business Practice Location Address:
DEPARTMENT OF DERMATOLOGY ADMINISTRATIVE OFFICE
Provider Second Line Business Practice Location Address:
118 MEDICAL SURGE I
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92697-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-824-5515
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2013