California Pain Docs
ActiveCalifornia license 558034
License
- Licensed by
- Medical Board of California
- License number
- 558034
- Status
- Active (Current)
- First issued
- September 4, 2024
- Expires
- September 30, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
17609 Ventura Blvd Ste LL02
Encino, CA 91316-5150
Encino, CA 91316-5150
Los Angeles County