CA Wall License 2518 Information
| Name | Lei Song |
| License Number | 2518 |
| Individual or Organization | O |
| Address | 3007 Huntington Dr Ste 200
Pasadena, CA 91107 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 3/5/2022 |
| License Expiration Date | 4/30/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |