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Active

California license 552088

License

Licensed by
Medical Board of California
License number
552088
Status
Active (Current)
First issued
February 1, 2021
Expires
February 28, 2027
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Orange County