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Expired

California license 556901

License

Licensed by
Medical Board of California
License number
556901
Status
Expired (Delinquent)
First issued
January 4, 2024
Expired
January 31, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

17411 Chatsworth St # 101A
Granada Hills, CA 91344-7608
Los Angeles County