CA Wall License 159 Information
| Name | Chiraphorn Bangsriwong |
| License Number | 159 |
| Individual or Organization | O |
| Address | 5567 Reseda Blvd #219 Ca Tarzana, CA 91356 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 3/1/2021 |
| License Expiration Date | 4/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |