License Directory

Deepak A. Shivaram

Active

California license A62177

License

Licensed by
Medical Board of California
License number
A62177
Status
Active (Current)
First issued
April 25, 1997
Expires
April 30, 2027
License holder
Deepak A. Shivaram
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

44215 15th St West Ste 111
Lancaster, CA 93534
Los Angeles County