Deepak A. Shivaram
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
44215 15th St West Ste 111
Lancaster, CA 93534
Lancaster, CA 93534
Los Angeles County