Provider First Line Business Mailing Address:
1 MEDICAL PLAZA DRIVE, RM. 1618
Provider Second Line Business Mailing Address:
GOTTSCHALK MEDICAL PLAZA
Provider Business Mailing Address City Name:
IRVINE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92697
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-824-8334
Provider Business Mailing Address Fax Number: