Provider First Line Business Practice Location Address:
3005 MINFORD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93536-8393
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-723-1617
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2026