Ativa Medical
ActiveCalifornia license 555182
License
- Licensed by
- Medical Board of California
- License number
- 555182
- Status
- Active (Current)
- First issued
- January 3, 2023
- Expires
- January 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
3190 S Bascom Ave Ste 110
San Jose, CA 95124-2569
San Jose, CA 95124-2569
Santa Clara County