South Bay Pediatric Otolaryngology
ExpiredCalifornia license 549933
License
- Licensed by
- Medical Board of California
- License number
- 549933
- Status
- Expired (Delinquent)
- First issued
- May 20, 2019
- Expired
- May 31, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2711 N Sepulveda Blvd Ste 520
Manhattan Beach, CA 90266-2725
Manhattan Beach, CA 90266-2725
Los Angeles County