License Directory

Pediatric and Adolescent Medicine

Active

California 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

More from the license record

License type code
8008

Contact

1190 Baker St
Suite 103
Costa Mesa, CA 92626-4108
Orange County