Hki
ActiveCalifornia license 554191
License
- Licensed by
- Medical Board of California
- License number
- 554191
- Status
- Active (Current)
- First issued
- June 9, 2022
- Expires
- June 30, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
4322 Lanai Rd
Encino, CA 91436-3617
Encino, CA 91436-3617
Los Angeles County