Provider First Line Business Practice Location Address:
MOORES UCSD CANCER CTR
Provider Second Line Business Practice Location Address:
3855 HEALTH SCIENCES DRIVE
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92093-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-822-6100
Provider Business Practice Location Address Fax Number:
866-773-2703
Provider Enumeration Date:
12/13/2005