Provider First Line Business Practice Location Address:
8022 CLAIREMONT MESA BLVD
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:
92111-1615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-560-1616
Provider Business Practice Location Address Fax Number:
858-560-1518
Provider Enumeration Date:
03/05/2024