Pause Hq
ActiveCalifornia license 560647
License
- Licensed by
- Medical Board of California
- License number
- 560647
- Status
- Active (Current)
- First issued
- November 21, 2025
- Expires
- November 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
13353 W Washington Blvd
Los Angeles, CA 90066-5107
Los Angeles, CA 90066-5107
Los Angeles County