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Active

California license 557233

License

Licensed by
Medical Board of California
License number
557233
Status
Active (Current)
First issued
March 20, 2024
Expires
March 31, 2028
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

21130 Lariat Ct
Walnut, CA 91789-1227
Los Angeles County