Tarzana Endocrine and Medical Group
ExpiredCalifornia license 19359
License
- Licensed by
- Medical Board of California
- License number
- 19359
- Status
- Expired (Delinquent)
- First issued
- April 5, 1992
- Expired
- April 30, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
15821 Ventura Blvd Ste 520
Encino, CA 91436-2945
Encino, CA 91436-2945
Los Angeles County