Trivalley Neonatal Medical Group Inc
ExpiredCalifornia license 30917
License
- Licensed by
- Medical Board of California
- License number
- 30917
- Status
- Expired (Delinquent)
- First issued
- May 8, 2003
- Expired
- May 31, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
15107 Vanowen St
Van Nuys, CA 91405
Van Nuys, CA 91405
Los Angeles County