Provider Services Network, Inc.
ExpiredCalifornia license 550551
License
- Licensed by
- Medical Board of California
- License number
- 550551
- Status
- Expired (Delinquent)
- First issued
- November 21, 2019
- Expired
- November 30, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
212 Bailey St Apt 204
Los Angeles, CA 90033-2460
Los Angeles, CA 90033-2460
Los Angeles County