Shahla Modarresi
ActiveCalifornia license 549580
License
- Licensed by
- Medical Board of California
- License number
- 549580
- Status
- Active (Current)
- First issued
- February 7, 2019
- Expires
- February 28, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
326 Georgina Ave
Santa Monica, CA 90402-1618
Santa Monica, CA 90402-1618
Los Angeles County