Provider First Line Business Practice Location Address:
2495 TRUXTUN RD STE 200
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:
92106-6159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-755-5200
Provider Business Practice Location Address Fax Number:
619-223-2307
Provider Enumeration Date:
05/13/2022