Premium Sports & Orthopedics
ActiveCalifornia license 556288
License
- Licensed by
- Medical Board of California
- License number
- 556288
- Status
- Active (Current)
- First issued
- August 18, 2023
- Expires
- August 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2021 Herndon Ave Ste 201
Clovis, CA 93611-6317
Clovis, CA 93611-6317
Fresno County