Provider First Line Business Practice Location Address:
1100 MURRAY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL CAJON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92020-5664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-644-8000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2026