Provider First Line Business Practice Location Address:
UC IRVINE SPORTS MEDICINE
Provider Second Line Business Practice Location Address:
209 CRAWFORD HALL
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92697-4500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-824-7633
Provider Business Practice Location Address Fax Number:
949-824-1091
Provider Enumeration Date:
08/02/2006