Provider First Line Business Practice Location Address:
DEPARTMENT OF VETERANS AFFAIRS HEALTH CARE
Provider Second Line Business Practice Location Address:
3350 LA JOLLA VILLAGE DRIVE
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92161-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-476-6042
Provider Business Practice Location Address Fax Number:
619-476-6077
Provider Enumeration Date:
10/12/2006