Provider First Line Business Practice Location Address:
UCI MEDICAL CENTER, DEPT OF NEUROLOGICAL SURGERY
Provider Second Line Business Practice Location Address:
200 S MANCHESTER, SUITE 210 - 2ND FLOOR
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:
714-456-7495
Provider Business Practice Location Address Fax Number:
714-456-8212
Provider Enumeration Date:
05/19/2015