Santa Monica Pediatrics and Adult Medicine
ExpiredCalifornia license 42139
License
- Licensed by
- Medical Board of California
- License number
- 42139
- Status
- Expired (Delinquent)
- First issued
- November 7, 2011
- Expired
- November 30, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2222 Santa Monica Blvd Suite 301
Santa Monica, CA 90404
Santa Monica, CA 90404
Los Angeles County