Provider First Line Business Practice Location Address:
1415 ROSS AVENUE
Provider Second Line Business Practice Location Address:
EL CENTRO REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
EL CENTRO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-339-7100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2008