Supriya Bavisetty
ActiveCalifornia license A122963
License
- Licensed by
- Medical Board of California
- License number
- A122963
- Status
- Active (Current)
- First issued
- September 21, 2012
- Expires
- September 30, 2028
- License holder
- Supriya Bavisetty
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
14445 Olive View Dr
Cottage S
Sylmar, CA 91342-1437
Cottage S
Sylmar, CA 91342-1437
Los Angeles County