Ph Medical
ExpiredCalifornia license 556878
License
- Licensed by
- Medical Board of California
- License number
- 556878
- Status
- Expired (Delinquent)
- First issued
- December 29, 2023
- Expired
- December 31, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
10321 Wescott Ave
Sunland, CA 91040-3027
Sunland, CA 91040-3027
Los Angeles County