Provider First Line Business Practice Location Address:
3880 MURPHY CANYON RD STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-4411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-491-1997
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2026