West La Medical Group
ActiveCalifornia license 555755
License
- Licensed by
- Medical Board of California
- License number
- 555755
- Status
- Active (Current)
- First issued
- May 5, 2023
- Expires
- May 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
17609 Ventura Blvd Ste LL08
Encino, CA 91316-5135
Encino, CA 91316-5135
Los Angeles County