Porter Ranch Pediatrics
ExpiredCalifornia license 551596
License
- Licensed by
- Medical Board of California
- License number
- 551596
- Status
- Expired (Delinquent)
- First issued
- September 20, 2020
- Expired
- September 30, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
107 N Maclay Ave
San Fernando, CA 91340-2906
San Fernando, CA 91340-2906
Los Angeles County