Provider First Line Business Practice Location Address:
3033 W ORANGE AVE
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPT.
Provider Business Practice Location Address City Name:
ANAHEIM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92804-3156
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-229-5753
Provider Business Practice Location Address Fax Number:
310-698-7054
Provider Enumeration Date:
06/22/2006