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Active

California license 560170

License

Licensed by
Medical Board of California
License number
560170
Status
Active (Current)
First issued
August 28, 2025
Expires
August 31, 2027
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

5675 Saratoga Cir
Rocklin, CA 95765-5483
Placer County