Pediatric and Adolescent Medicine
ActiveCalifornia license 557772
License
- Licensed by
- Medical Board of California
- License number
- 557772
- Status
- Active (Current)
- First issued
- July 12, 2024
- Expires
- July 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1190 Baker St
Suite 103
Costa Mesa, CA 92626-4108
Suite 103
Costa Mesa, CA 92626-4108
Orange County