Provider First Line Business Practice Location Address:
200 WEST ARBOR DRIVE MC 8201
Provider Second Line Business Practice Location Address:
UCSD MEDICAL CENTER
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92103-8201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-543-5428
Provider Business Practice Location Address Fax Number:
619-543-3183
Provider Enumeration Date:
07/14/2006