Tahoe Pulmonary and Critical Care Medicine
ActiveCalifornia license 556445
License
- Licensed by
- Medical Board of California
- License number
- 556445
- Status
- Active (Current)
- First issued
- September 22, 2023
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2170 South Ave
South Lake Tahoe, CA 96150-7026
South Lake Tahoe, CA 96150-7026
El Dorado County