Provider First Line Business Practice Location Address:
16200 SAND CANYON AVE
Provider Second Line Business Practice Location Address:
IRH DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92618-3714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-753-2365
Provider Business Practice Location Address Fax Number:
949-753-2368
Provider Enumeration Date:
06/26/2006