Pivac Asc
ActiveCalifornia license 550318
License
- Licensed by
- Medical Board of California
- License number
- 550318
- Status
- Active (Current)
- First issued
- September 11, 2019
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
6076 Bristol Pkwy Ste 108
Culver City, CA 90230-6600
Culver City, CA 90230-6600
Los Angeles County