OrganizationIntegrative Lifecare Acupuncture, Inc.AcupuncturistOther Service ProvidersPractice Address12304 Santa Monica Blvd Ste 370, Los Angeles, CA 90025-1542(323) 609-3035(310) 779-2749PECOS EnrollmentBased on the most recent information from CMS, provider Integrative Lifecare Acupuncture, Inc. 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 ID1215448600Provider TypeOrganizationFull NameIntegrative Lifecare Acupuncture, Inc.SubpartNoEnumeration Date10/12/2017Last Updated10/12/2017Contact InformationPractice LocationPractice Address12304 Santa Monica Blvd Ste 370, Los Angeles, CA 90025-1542Phone(323) 609-3035Fax(323) 609-3035Mailing LocationMailing Address6200 Primrose Ave Unit A, Los Angeles, CA 90068-3312Phone(310) 779-2749FaxUnlisted FaxAuthorized OfficialNameFarovitch, Karly (Acupuncturist)Phone(323) 609-3035Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense17756California