Mivm Ca, A California Corporation
ExpiredCalifornia license 554519
License
- Licensed by
- Medical Board of California
- License number
- 554519
- Status
- Expired (Delinquent)
- First issued
- August 19, 2022
- Expired
- August 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1050 Kettner Blvd Ste D1029
San Diego, CA 92101-3339
San Diego, CA 92101-3339
San Diego County