Provider First Line Business Practice Location Address:
2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY
Provider Second Line Business Practice Location Address:
NAOB SUITE 6001
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-2201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-222-2700
Provider Business Practice Location Address Fax Number:
310-533-1841
Provider Enumeration Date:
08/27/2007