CA Wall License 3911 Information
| Name | Supiyanun Chongolnee |
| License Number | 3911 |
| Individual or Organization | O |
| Address | 1551 N La Brea Ave., Ste. 300,
Los Angeles, CA 90028 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 10/31/2022 |
| License Expiration Date | 10/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |