Encino Town Medical Group and Treatment Center Inc
ExpiredCalifornia license 30083
License
- Licensed by
- Medical Board of California
- License number
- 30083
- Status
- Expired (Delinquent)
- First issued
- July 2, 2002
- Expired
- July 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
17130 Ventura Blvd
Encino, CA 91316
Encino, CA 91316
Los Angeles County