CA Wall License 497 Information
| Name | Jae Park |
| License Number | 497 |
| Individual or Organization | O |
| Address | 17547 Chatsworth St Ste 1/2 Granada Hills, CA 91344 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 5/6/2021 |
| License Expiration Date | 1/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |