California Spine and Pain Institute
ActiveCalifornia license 40639
License
- Licensed by
- Medical Board of California
- License number
- 40639
- Status
- Active (Current)
- First issued
- October 18, 2010
- Expires
- October 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
19228 Ventura Blvd Ste A
Tarzana, CA 91356-3101
Tarzana, CA 91356-3101
Los Angeles County