Independence Health
ActiveCalifornia license 549223
License
- Licensed by
- Medical Board of California
- License number
- 549223
- Status
- Active (Current)
- First issued
- November 9, 2018
- Expires
- November 30, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
22712 Cottonwood
Mission Viejo, CA 92692-4721
Mission Viejo, CA 92692-4721
Orange County