License Directory

Mamata Sivagnanam

Active

California license A86863

License

Licensed by
Medical Board of California
License number
A86863
Status
Active (Current)
First issued
April 23, 2004
Expires
February 29, 2028
License holder
Mamata Sivagnanam
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

3020 Childrens Way Mc 5030
San Diego, CA 92123
San Diego County