Provider First Line Business Practice Location Address:
5525 GROSSMONT CENTER DRIVE SUITE 200
Provider Second Line Business Practice Location Address:
GROSSMONT FAMILY MEDICAL GROUP
Provider Business Practice Location Address City Name:
LA MESA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-644-6500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2006