Md Diet
ActiveCalifornia license 545435
License
- Licensed by
- Medical Board of California
- License number
- 545435
- Status
- Active (Current)
- First issued
- December 1, 2015
- Expires
- December 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
4028 Grand Ave Ste A
Chino, CA 91710
Chino, CA 91710
San Bernardino County