License Directory

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Active

California license 549294

License

Licensed by
Medical Board of California
License number
549294
Status
Active (Current)
First issued
November 28, 2018
Expires
November 30, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

1 Jenner Ste 210
Irvine, CA 92618-3844
Orange County