Provider First Line Business Practice Location Address:
8316 FOOTHILL BLVD
Provider Second Line Business Practice Location Address:
SATELLITE MOBILE CLINIC 2
Provider Business Practice Location Address City Name:
SUNLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91040-2850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-630-6106
Provider Business Practice Location Address Fax Number:
818-844-5085
Provider Enumeration Date:
02/11/2026