Provider First Line Business Practice Location Address:
415 N STATE COLLEGE BLVD
Provider Second Line Business Practice Location Address:
ADP MEDICAL GROUP
Provider Business Practice Location Address City Name:
ANAHEIM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-758-1175
Provider Business Practice Location Address Fax Number:
714-758-9201
Provider Enumeration Date:
02/13/2007