Modern Dermatology
ActiveCalifornia license 559294
License
- Licensed by
- Medical Board of California
- License number
- 559294
- Status
- Active (Current)
- First issued
- April 29, 2025
- Expires
- April 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2921 Palo Verde Ave Ste 102
Long Beach, CA 90815-1552
Long Beach, CA 90815-1552
Los Angeles County