Provider First Line Business Practice Location Address:
UCSD DIVISION OF DERMATOLOGY
Provider Second Line Business Practice Location Address:
8899 UNIVERSITY CENTER LANE, STE 350
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92093-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-822-3958
Provider Business Practice Location Address Fax Number:
858-822-6985
Provider Enumeration Date:
04/19/2012