Provider First Line Business Practice Location Address:
1300 RANCHO DEL ORO ROAD
Provider Second Line Business Practice Location Address:
OCEANSIDE VA CLINIC
Provider Business Practice Location Address City Name:
OCEANSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-643-4472
Provider Business Practice Location Address Fax Number:
760-643-2096
Provider Enumeration Date:
02/27/2006