Provider First Line Business Practice Location Address:
1025 S ANAHEIM BLVD
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
ANAHEIM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92805-5806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-563-2808
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2006