Kjp Med-Lega, Apc
ExpiredCalifornia license 548112
License
- Licensed by
- Medical Board of California
- License number
- 548112
- Status
- Expired (Delinquent)
- First issued
- January 19, 2018
- Expired
- January 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
16530 Ventura Blvd Bldg Ste 100
Encino, CA 91436-4554
Encino, CA 91436-4554
Los Angeles County