CA Wall License 1363 Information
| Name | Majidreza Tabibzadeh |
| License Number | 1363 |
| Individual or Organization | O |
| Address | 8840 Warner Ave Suite 100
Fountain Valley, CA 92708 |
| County | Orange |
| License Status | Active |
| License Original Issue Date | 5/17/2018 |
| License Expiration Date | 8/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |