Forward Urology Medical Group Apc
ExpiredCalifornia license 558075
License
- Licensed by
- Medical Board of California
- License number
- 558075
- Status
- Expired (Delinquent)
- First issued
- September 10, 2024
- Expired
- September 30, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1972 E Cesar E Chavez Ave
Los Angeles, CA 90033-1751
Los Angeles, CA 90033-1751
Los Angeles County