Provider First Line Business Practice Location Address:
1150 BAKER STREET
Provider Second Line Business Practice Location Address:
MINUTE CLINIC
Provider Business Practice Location Address City Name:
COSTA MESA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-662-7517
Provider Business Practice Location Address Fax Number:
949-722-1750
Provider Enumeration Date:
12/17/2009