CA Wall License 1500 Information
| Name | David Shirazi |
| License Number | 1500 |
| Individual or Organization | O |
| Address | 555 Marin Street, Suite 108
Thousand Oaks, CA 91360 |
| County | Ventura |
| License Status | Active |
| License Original Issue Date | 10/7/2021 |
| License Expiration Date | 10/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |