Provider First Line Business Practice Location Address:
4234 RIVERWALK PARKWAY SUITE 230
Provider Second Line Business Practice Location Address:
PACIFIC PULMONARY MEDICAL GROUP
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-781-3672
Provider Business Practice Location Address Fax Number:
951-781-0365
Provider Enumeration Date:
06/25/2007