Address of Record
California law requires each licensee to report every change of address within 30 days. The request must be in writing and include the following information: name, old and new address, license/registration number to ensure correct identification, signature and date. The information may be mailed to the address listed below or faxed to (916) 263-2944.
Medical Board of California
Licensing Program-Licensing Operations Section
2005 Evergreen Street, Suite 1200
Sacramento, CA 95815
If the new address being reported is a post office box, the licensee is required by law to provide the Board with a separate street address which will be kept confidential. The street address of a private mail box service may not be used as a confidential street address. Even if a licensee gives a street address, he or she may provide a second street address that will remain confidential.
NOTE: California law requires the Board to provide upon written or verbal request, the address of record of any licensed practitioner. The address of record will be released to any individual or entity who inquires and is also available to the public on the Board's Web site. Each licensee should carefully consider the address of record provided to the Board, and may wish to use an office, employer's address, or a post office box as the address of record.
The Board also will use the address of record to mail all licenses, renewal notices and ALL other official correspondence.
Business and Professions Code 2021




