Life Style Modification Inc
ActiveCalifornia license 43214
License
- Licensed by
- Medical Board of California
- License number
- 43214
- Status
- Active (Current)
- First issued
- August 27, 2012
- Expires
- August 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2393 Townsgate Road Suite 102
Thousand Oaks, CA 91361
Thousand Oaks, CA 91361
Ventura County