Provider First Line Business Practice Location Address:
19208 JAMBOREE RD, UCI IRVINE
Provider Second Line Business Practice Location Address:
NORTH CAMPUS CENTER FOR ADVANCED CARE
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
657-579-3650
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2024