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Expired

California license 548016

License

Licensed by
Medical Board of California
License number
548016
Status
Expired (Delinquent)
First issued
December 26, 2017
Expired
December 31, 2025
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

9730 Summers Ridge Rd
San Diego, CA 92121-3101
San Diego County