Provider First Line Business Practice Location Address:
10350 BARNES CANYON RD STE 200
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:
92121-2709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-455-0200
Provider Business Practice Location Address Fax Number:
858-455-0044
Provider Enumeration Date:
10/26/2018