Baysport Preventive Medical Group
ActiveCalifornia license 25055
License
- Licensed by
- Medical Board of California
- License number
- 25055
- Status
- Active (Current)
- First issued
- December 11, 1996
- Expires
- December 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
14830 Los Gatos Bl Ste 101
Los Gatos, CA 95032
Los Gatos, CA 95032
Santa Clara County