CA Wall License 2370 Information
| Name | Kiyohide Tsubakiyama |
| License Number | 2370 |
| Individual or Organization | O |
| Address | 1227 Lincoln Blvd Ste 303
Santa Monica, CA 90401 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 2/11/2022 |
| License Expiration Date | 3/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |