CA Wall License 2825 Information
| Name | Nirada Phaphant |
| License Number | 2825 |
| Individual or Organization | O |
| Address | 1155 S. Beverly Drive
Los Angeles, CA 90035 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 4/25/2022 |
| License Expiration Date | 4/30/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |