CA Wall License 116 Information
| Name | Himeno Vigo |
| License Number | 116 |
| Individual or Organization | O |
| Address | 6033 W Century Blvd Ste. 200
Los Angeles, CA 90045 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 2/18/2021 |
| License Expiration Date | 2/28/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |