Provider First Line Business Practice Location Address:
VA SAN DIEGO HEALTHCARE SYSTEM 3350 LA JOLLA VLG DR
Provider Second Line Business Practice Location Address:
PSYCHIATRY SERVICE (116A)
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92161-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-552-8585
Provider Business Practice Location Address Fax Number:
858-642-6442
Provider Enumeration Date:
07/24/2006