Portola Wellness
ActiveCalifornia license 41036
License
- Licensed by
- Medical Board of California
- License number
- 41036
- Status
- Active (Current)
- First issued
- January 24, 2011
- Expires
- January 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
881 Fremont Ave Ste A5
Los Altos, CA 94024-5637
Los Altos, CA 94024-5637
Santa Clara County