Volunteer Physician Registry - Registration

Thank you for your interest in becoming a volunteer physician. Please enter your information below to create your Volunteer Physician Account. If you already have an account, log in.
Create a New User Account
License Details
License Type  
 
License Number  
Last 4 of SSN  
 
Date of Birth
Account Setup
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Email Address  
Password
 
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Security Question  
 
Security Answer  
For technical assistance, contact the Medical Board of California's Help Desk at (916) 263-2205 during regular business hours: Monday - Friday from 7:00am - 5:00pm PST (excluding holidays).