Provider First Line Business Practice Location Address:
1145 BROADWAY AVENUE
Provider Second Line Business Practice Location Address:
DOWNTOWN FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92102-5611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-515-2525
Provider Business Practice Location Address Fax Number:
619-233-3067
Provider Enumeration Date:
05/21/2007