Pacific Coast Sports Medicine A Medical Group
ExpiredCalifornia license 17575
License
- Licensed by
- Medical Board of California
- License number
- 17575
- Status
- Expired (Delinquent)
- First issued
- September 24, 1990
- Expired
- September 30, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
11710 Wilshire Blvd
Los Angeles, CA 90025
Los Angeles, CA 90025
Los Angeles County