CA Wall License 3152 Information
| Name | Koichi Miyashita |
| License Number | 3152 |
| Individual or Organization | O |
| Address | 981 Oak Grove Avenue, Suite F
Menlo Park, CA 94025 |
| County | San Mateo |
| License Status | Active |
| License Original Issue Date | 6/2/1986 |
| License Expiration Date | 5/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |