Provider First Line Business Practice Location Address:
373 CORTA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OJAI
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93023-3828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-415-3520
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/22/2026