CA Wall License 3470 Information
| Name | Tara Diaz |
| License Number | 3470 |
| Individual or Organization | O |
| Address | 519 Main Street
El Segundo, CA 90245 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 8/22/2022 |
| License Expiration Date | 9/30/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |