Provider First Line Business Practice Location Address:
UCI MEDICAL CENTER
Provider Second Line Business Practice Location Address:
101 THE CITY DRIVE, PAVILLION 1
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:
714-456-7011
Provider Business Practice Location Address Fax Number:
714-456-7857
Provider Enumeration Date:
01/19/2006