CA Wall License 1218 Information
| Name | Yan Mei Gong |
| License Number | 1218 |
| Individual or Organization | O |
| Address | 28990 Pacific Coast Hwy A205
Malibu, CA 90265 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 5/24/2019 |
| License Expiration Date | 5/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |