La Providencia Medical Clinic Inc
ActiveCalifornia license 26968
License
- Licensed by
- Medical Board of California
- License number
- 26968
- Status
- Active (Current)
- First issued
- October 20, 1999
- Expires
- October 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
3412 Whittier Blvd
Los Angeles, CA 90023-1708
Los Angeles, CA 90023-1708
Los Angeles County