Provider First Line Business Practice Location Address:
4647 ZION AVE
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE DEPARTMENT OF PULMONARY-CRITICAL CARE
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92120-2507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-528-5865
Provider Business Practice Location Address Fax Number:
619-528-3189
Provider Enumeration Date:
01/23/2007