Provider First Line Business Practice Location Address:
200 W. ARBOR DRIVE - MC 8720
Provider Second Line Business Practice Location Address:
UCSD MEDICAL GROUP
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92103-8720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-453-7669
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2011