License Directory

Matthew Blake Tash

Active

California license A121611

License

Licensed by
Medical Board of California
License number
A121611
Status
Active (Current)
First issued
June 1, 2012
Expires
June 30, 2028
License holder
Matthew Blake Tash
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

4514 Farmdale Ave
Studio City, CA 91602-2004
Los Angeles County