Provider First Line Business Practice Location Address:
STUDENT HEALTH CTR
Provider Second Line Business Practice Location Address:
501 STUDENT HEALTH
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92697-5200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-824-5812
Provider Business Practice Location Address Fax Number:
949-824-1378
Provider Enumeration Date:
03/21/2007