CA Wall License 823 Information
| Name | Vinjamury Sivarama Prasad |
| License Number | 823 |
| Individual or Organization | O |
| Address | 16200 Amber Valley Dr
E Whittier, CA 90604 |
| 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 |