San Fernando Valley Gastroenterology Medical Group Inc
ExpiredCalifornia license 29902
License
- Licensed by
- Medical Board of California
- License number
- 29902
- Status
- Expired (Delinquent)
- First issued
- May 8, 2002
- Expired
- May 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
18762 Canasta St
Tarzana, CA 91356-4022
Tarzana, CA 91356-4022
Los Angeles County