CA Wall License 822 Information
| Name | Vinjamury Sivarama Prasad |
| License Number | 822 |
| Individual or Organization | O |
| Address | 14758 Beach Blvd
La Mirada, CA 90638 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 7/10/2021 |
| License Expiration Date | 7/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |