Provider First Line Business Practice Location Address:
5893 COPLEY DR
Provider Second Line Business Practice Location Address:
4TH FLOOR GENERAL SURGERY DEPARTMENT
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92111-7906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-616-5011
Provider Business Practice Location Address Fax Number:
858-616-5040
Provider Enumeration Date:
02/20/2006