Atalaya
ExpiredCalifornia license 556458
License
- Licensed by
- Medical Board of California
- License number
- 556458
- Status
- Expired (Delinquent)
- First issued
- September 26, 2023
- Expired
- September 30, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
3710 Lotus Dr
San Diego, CA 92106-1139
San Diego, CA 92106-1139
San Diego County