Primary Care Md
ExpiredCalifornia license 554267
License
- Licensed by
- Medical Board of California
- License number
- 554267
- Status
- Expired (Delinquent)
- First issued
- June 23, 2022
- Expired
- June 30, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
500 N Central Ave Ste 740
Glendale, CA 91203-3953
Glendale, CA 91203-3953
Los Angeles County