Provider First Line Business Practice Location Address:
1001 NORTH TUSTIN AVE
Provider Second Line Business Practice Location Address:
WESTERN MEDICAL CENTER
Provider Business Practice Location Address City Name:
SANTA ANA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-953-3605
Provider Business Practice Location Address Fax Number:
714-953-3442
Provider Enumeration Date:
07/02/2007