Provider First Line Business Practice Location Address:
3735 CLAIREMONT MESA BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92117-2606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-274-8200
Provider Business Practice Location Address Fax Number:
858-274-5794
Provider Enumeration Date:
01/17/2007