Provider First Line Business Practice Location Address:
UNIV CALIF IRVINE CARDIOLOGY BLDG 53, RT 81, RM 100
Provider Second Line Business Practice Location Address:
101 THE CITY DRIVE
Provider Business Practice Location Address City Name:
ORANGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92868-4080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-456-5742
Provider Business Practice Location Address Fax Number:
714-456-8895
Provider Enumeration Date:
06/13/2005