CA Wall License 2311 Information
| Name | Farbod Mirhossein |
| License Number | 2311 |
| Individual or Organization | O |
| Address | 30270 Rancho Viejo Road, Ste G
San Juan Capistrano, CA 92675 |
| County | Orange |
| License Status | Active |
| License Original Issue Date | 1/20/2022 |
| License Expiration Date | 9/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |