Provider First Line Business Practice Location Address:
732 N BROADWAY
Provider Second Line Business Practice Location Address:
2ND FLOOR PRIMARY CARE
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92025-1870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-839-7100
Provider Business Practice Location Address Fax Number:
760-839-7052
Provider Enumeration Date:
05/05/2009