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California license 559512

License

Licensed by
Medical Board of California
License number
559512
Status
Active (Current)
First issued
June 10, 2025
Expires
June 30, 2027
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

28078 Baxter Rd Ste 420
Murrieta, CA 92563-1404
Riverside County