Provider First Line Business Practice Location Address:
1001 N TUSTIN AVE
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
SANTA ANA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92705-3502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-990-0400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2006