CA Wall License 2970 Information
| Name | Mahboubeh Shamaeizadeh |
| License Number | 2970 |
| Individual or Organization | O |
| Address | 11145 Tampa Avenue #14a
Porter Ranch, CA 91326 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 3/2/2005 |
| License Expiration Date | 5/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |