Provider First Line Business Practice Location Address:
4020 MURPHY CANYON RD
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:
92123-4407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-874-4500
Provider Business Practice Location Address Fax Number:
858-292-4690
Provider Enumeration Date:
02/15/2006