Impala Medical Group Inc.
ExpiredCalifornia license 555296
License
- Licensed by
- Medical Board of California
- License number
- 555296
- Status
- Expired (Delinquent)
- First issued
- February 1, 2023
- Expired
- February 28, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2872 N Glassell St
Orange, CA 92865-1002
Orange, CA 92865-1002
Orange County