Provider First Line Business Practice Location Address:
10210 ORR AND DAY RD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA FE SPRINGS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90670-3581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-864-4000
Provider Business Practice Location Address Fax Number:
562-864-4001
Provider Enumeration Date:
07/27/2006