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Active

California license 556056

License

Licensed by
Medical Board of California
License number
556056
Status
Active (Current)
First issued
July 18, 2023
Expires
July 31, 2027
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

3687 Las Posas Rd # H187
Camarillo, CA 93010-1482
Ventura County