Mamata Sivagnanam
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
3020 Childrens Way Mc 5030
San Diego, CA 92123
San Diego, CA 92123
San Diego County