Revital Md
ActiveCalifornia license 552500
License
- Licensed by
- Medical Board of California
- License number
- 552500
- Status
- Active (Current)
- First issued
- April 28, 2021
- Expires
- April 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
812 Pollard Rd Ste 6
Los Gatos, CA 95032-1420
Los Gatos, CA 95032-1420
Santa Clara County