Prodigy Psychiatric Group
ActiveCalifornia license 550007
License
- Licensed by
- Medical Board of California
- License number
- 550007
- Status
- Active (Current)
- First issued
- June 7, 2019
- Expires
- June 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
322 Piercy Rd Ste A
San Jose, CA 95138-1401
San Jose, CA 95138-1401
Santa Clara County