Individual ProviderAndrea TijmesAcupuncturistOther Service ProvidersPractice Address12304 Santa Monica Blvd Ste 370, Los Angeles, CA 90025-1542(512) 740-0254PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Tijmes 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 ID1174105233Provider TypeIndividualFull NameTijmes, AndreaCredentialL.ACGenderFemaleSole ProprietorYesEnumeration Date4/27/2021Last Updated4/27/2021Contact InformationPractice LocationPractice Address12304 Santa Monica Blvd Ste 370, Los Angeles, CA 90025-1542Phone(512) 740-0254FaxUnlisted FaxMailing LocationMailing Address1506 Idaho Ave, Santa Monica, CA 90403-3109Phone(512) 740-0254FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense19003California