California Retina
ActiveCalifornia license 550099
License
- Licensed by
- Medical Board of California
- License number
- 550099
- Status
- Active (Current)
- First issued
- June 26, 2019
- Expires
- June 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
West Covina, CA 91790-3938
Los Angeles County