Independent Medical Providers of California, A Medical Corporation
ExpiredCalifornia license 547148
License
- Licensed by
- Medical Board of California
- License number
- 547148
- Status
- Expired (Delinquent)
- First issued
- April 21, 2017
- Expired
- April 30, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2175 N California Blvd
Ste 425
Walnut Creek, CA 94596-3579
Ste 425
Walnut Creek, CA 94596-3579
Contra Costa County