Provider First Line Business Practice Location Address:
1 FIRE AUTHORITY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92602-0125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-573-6073
Provider Business Practice Location Address Fax Number:
714-368-8833
Provider Enumeration Date:
03/30/2007