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Active

California license 42599

License

Licensed by
Medical Board of California
License number
42599
Status
Active (Current)
First issued
March 13, 2012
Expires
March 31, 2028
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

20911 Earl St Ste 340
Torrance, CA 90503-4355
Los Angeles County