Modena Allergy & Asthma, Inc.
ActiveCalifornia license 554336
License
- Licensed by
- Medical Board of California
- License number
- 554336
- Status
- Active (Current)
- First issued
- July 8, 2022
- Expires
- July 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218
La Jolla, CA 92037-1218
San Diego County