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Active

California license 559241

License

Licensed by
Medical Board of California
License number
559241
Status
Active (Current)
First issued
April 23, 2025
Expires
April 30, 2027
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

4195 N Viking Way Ste G
Long Beach, CA 90808-1470
Los Angeles County