Provider First Line Business Practice Location Address:
1 MEDICAL PLAZA DRIVE
Provider Second Line Business Practice Location Address:
UC IRVINE DEPARTMENT OF NEUROLOGY, GOTTSCHALK MEDICAL P
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92697
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-824-1264
Provider Business Practice Location Address Fax Number:
949-824-6202
Provider Enumeration Date:
02/09/2015