Provider First Line Business Practice Location Address:
5050 MURPHY CANYON RD STE 150
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:
92123-4399
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-330-5986
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2021