Lifestyle Medicine Transformation
ActiveCalifornia license 550102
License
- Licensed by
- Medical Board of California
- License number
- 550102
- 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
38 Wavecrest Ave
Venice, CA 90291-3211
Venice, CA 90291-3211
Los Angeles County