CA Wall License 883 Information
| Name | Mark Fishman |
| License Number | 883 |
| Individual or Organization | O |
| Address | 249 Entrada Drive 249 Entrada Drive Santa Monica, CA 90402 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 1/20/2000 |
| License Expiration Date | 3/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |