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California license 551028

License

Licensed by
Medical Board of California
License number
551028
Status
Active (Current)
First issued
March 18, 2020
Expires
March 31, 2028
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

11500 W Olympic Blvd Ste 525
Los Angeles, CA 90064-1525
Los Angeles County