CA Wall License 1416 Information
| Name | Maya Shamam |
| License Number | 1416 |
| Individual or Organization | O |
| Address | 962 S Plymouth Blvd
Los Angeles, CA 90019 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 4/17/2015 |
| License Expiration Date | 12/31/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |