Provider First Line Business Practice Location Address:
4531 ALAMO ST
Provider Second Line Business Practice Location Address:
SIERRA VISTA FAMILY MEDICAL CLINIC
Provider Business Practice Location Address City Name:
SIMI VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-520-3248
Provider Business Practice Location Address Fax Number:
805-579-6082
Provider Enumeration Date:
08/29/2005