Provider First Line Business Practice Location Address:
VAHCS 3350 LA JOLLA VILLAGE DR
Provider Second Line Business Practice Location Address:
CARDIOLGY 111A
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-459-3546
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2006