E-Legacy, Apc
ActiveCalifornia license 558338
License
- Licensed by
- Medical Board of California
- License number
- 558338
- Status
- Active (Current)
- First issued
- October 17, 2024
- Expired
- October 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2900 Bristol St Ste 201 Bldg B
Costa Mesa, CA 92626-5981
Costa Mesa, CA 92626-5981
Orange County