Provider First Line Business Practice Location Address:
9500 GILMAN DR
Provider Second Line Business Practice Location Address:
STEIN CLINICAL RESEARCH BLDG # 304. MAILCODE 0711
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92093-5004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-552-8585
Provider Business Practice Location Address Fax Number:
858-822-5362
Provider Enumeration Date:
10/17/2007