Boulevard Pediatrics Medical Group Inc
ActiveCalifornia license 31159
License
- Licensed by
- Medical Board of California
- License number
- 31159
- Status
- Active (Current)
- First issued
- July 31, 2003
- Expires
- July 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
16550 Ventura Blvd Ste 414
Encino, CA 91436
Encino, CA 91436
Los Angeles County