Provider First Line Business Practice Location Address:
CALIFORNIA CENTER FOR NEUROINTERVENTIONAL SURGERY
Provider Second Line Business Practice Location Address:
11999 SORRENTO VALLEY ROAD, SUITE 203
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-856-5472
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/29/2016