Nivedita Sharad Wallace
ActiveCalifornia license A75615
License
- Licensed by
- Medical Board of California
- License number
- A75615
- Status
- Active (Current)
- First issued
- July 1, 2001
- Expires
- July 31, 2027
- License holder
- Nivedita Sharad Wallace
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Specialty Surgery Center
696 Hampshire Rd. Suite 100
Westlake Village, CA 91361
696 Hampshire Rd. Suite 100
Westlake Village, CA 91361
Ventura County