Provider First Line Business Practice Location Address:
39400 PASEO PADRE PKWY
Provider Second Line Business Practice Location Address:
KAISER GSAA MEDICAL CENTER, DEPT OF RADIOLOGY
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94538-2310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-248-7127
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/23/2007