Individual ProviderSally GoluboffAcupuncturistOther Service ProvidersPractice Address2001 S Barrington Ave Ste 111, Los Angeles, CA 90025-5337(619) 957-2542PECOS EnrollmentBased on the most recent information from CMS, provider Sally Goluboff does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073914743Provider TypeIndividualFull NameGoluboff, SallyTitleMrs.CredentialLACGenderFemaleSole ProprietorYesEnumeration Date9/11/2014Last Updated9/11/2014Contact InformationPractice LocationPractice Address2001 S Barrington Ave Ste 111, Los Angeles, CA 90025-5337Phone(619) 957-2542FaxUnlisted FaxMailing LocationMailing Address12505 W Jefferson Blvd Apt 317, Los Angeles, CA 90066-7044Phone(619) 957-2542FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense15983California