CA Wall License 1555 Information
| Name | Raisa Shahbazian |
| License Number | 1555 |
| Individual or Organization | O |
| Address | 16430 Ventura Blvd Suite #207 Encino, CA 91436 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 10/13/2021 |
| License Expiration Date | 4/30/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |