Provider First Line Business Practice Location Address:
101 THE CITY DRIVE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER
Provider Business Practice Location Address City Name:
ORANGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
187-782-4362
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2008