License Directory

Orthopaedic Hospital Outpatient Phy

Active

California license 47104

License

Licensed by
California State Board of Pharmacy
License number
47104
Status
Active
First issued
June 28, 2005
Expires
June 1, 2027
Entity type
Organization

Classifications

More from the license record

License type code
PHY
Specialty
Community

Contact

403 West Adams Blvd
Los Angeles, CA 90007
Los Angeles County