License Directory

Performance Sports and Spine

Active

California license 554986

License

Licensed by
Medical Board of California
License number
554986
Status
Active (Current)
First issued
November 22, 2022
Expires
November 30, 2028
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

8821 Aviation Blvd Unit 88100
Los Angeles, CA 90009-3496
Los Angeles County