Elite Califorina Pain and Spine Institute
ExpiredCalifornia license 549826
License
- Licensed by
- Medical Board of California
- License number
- 549826
- Status
- Expired (Delinquent)
- First issued
- April 23, 2019
- Expired
- April 30, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
16130 Ventura Blvd Ste 420
Encino, CA 91436-2503
Encino, CA 91436-2503
Los Angeles County