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Active

California license 552910

License

Licensed by
Medical Board of California
License number
552910
Status
Active (Current)
First issued
July 26, 2021
Expires
July 31, 2027
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403-2271
Los Angeles County