Moden Medical Group
ExpiredCalifornia license 548932
License
- Licensed by
- Medical Board of California
- License number
- 548932
- Status
- Expired (Delinquent)
- First issued
- August 27, 2018
- Expired
- August 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
8605 Santa Monica Blvd
Pmb 93791
West Hollywood, CA 90069-4109
Pmb 93791
West Hollywood, CA 90069-4109
Los Angeles County