License Directory

Gautham Prakash

Active

California license A208654

License

Licensed by
Medical Board of California
License number
A208654
Status
Active (Current)
First issued
April 10, 2026
Expires
June 30, 2028
License holder
Gautham Prakash
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

9961 Sierra Ave
Medical Office Building 3
Fontana, CA 92335-6720
San Bernardino County