Modesto Pain Diagnostic Treatment Center, Inc.
ActiveCalifornia license 548985
License
- Licensed by
- Medical Board of California
- License number
- 548985
- Status
- Active (Current)
- First issued
- September 5, 2018
- Expires
- September 30, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1524 McHenry Ave Ste 505
Modesto, CA 95350-4500
Modesto, CA 95350-4500
Stanislaus County