Vida Revival Medical Corporation
ActiveCalifornia license 560245
License
- Licensed by
- Medical Board of California
- License number
- 560245
- Status
- Active (Current)
- First issued
- September 16, 2025
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
3180 Willow Ln Ste 114
Thousand Oaks, CA 91361-4984
Thousand Oaks, CA 91361-4984
Ventura County