License Directory

Michael Steven Provenghi

Active

California license A86795

License

Licensed by
Medical Board of California
License number
A86795
Status
Active (Current)
First issued
April 16, 2004
Expires
January 31, 2028
License holder
Michael Steven Provenghi
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1900 E 4th Street
Santa Ana, CA 92705
Orange County