Provider First Line Business Practice Location Address:
200 WEST ARBOR DR.
Provider Second Line Business Practice Location Address:
MC 8756, UC SAN DIEGO HEALTH, DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92103-8756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-543-3534
Provider Business Practice Location Address Fax Number:
619-543-7898
Provider Enumeration Date:
03/28/2019