Michael Steven Provenghi
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1900 E 4th Street
Santa Ana, CA 92705
Santa Ana, CA 92705
Orange County