Provider First Line Business Practice Location Address:
3430 E LA PALMA AVENUE
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE
Provider Business Practice Location Address City Name:
ANAHEIM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-644-7941
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2008