Provider First Line Business Practice Location Address:
UNITED STATES COAST GUARD MEDICAL CLINIC
Provider Second Line Business Practice Location Address:
1001 S. SEASIDE AVE., BLDG 23
Provider Business Practice Location Address City Name:
SAN PEDRO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-521-6060
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/05/2013