Provider First Line Business Practice Location Address:
9834 GENESEE AVE STE 200
Provider Second Line Business Practice Location Address:
EYECARE OF LA JOLLA
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92037-1225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-457-3050
Provider Business Practice Location Address Fax Number:
858-457-0851
Provider Enumeration Date:
05/18/2009