Provider First Line Business Practice Location Address:
2045 MEYER PL
Provider Second Line Business Practice Location Address:
NMUSD HOPE CLINIC
Provider Business Practice Location Address City Name:
COSTA MESA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-515-6725
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2007