Individual ProviderJ Miranda BrockiAcupuncturistOther Service ProvidersPractice Address11669 Santa Monica Blvd, Suite 206, Los Angeles, CA 90025-2992(310) 312-9996PECOS EnrollmentBased on the most recent information from CMS, provider J Miranda Brocki 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 ID1306050844Provider TypeIndividualFull NameBrocki, J MirandaCredentialL.AC.GenderFemaleSole ProprietorYesEnumeration Date5/10/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address11669 Santa Monica Blvd, Suite 206, Los Angeles, CA 90025-2992Phone(310) 312-9996FaxUnlisted FaxMailing LocationMailing Address11669 Santa Monica Blvd, Suite 206, Los Angeles, CA 90025-2992Phone(310) 312-9996FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC 6426California