Child & Adult Neurology
ActiveCalifornia license 552574
License
- Licensed by
- Medical Board of California
- License number
- 552574
- Status
- Active (Current)
- First issued
- May 21, 2021
- Expires
- May 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1211 W La Palma Ave Ste 710
Anaheim, CA 92801-2814
Anaheim, CA 92801-2814
Orange County