Valerie Alida Mack | Los Angeles, CA • PECOS Search

Valerie Alida Mack

Acupuncturist

Other Service Providers

2001 S Barrington Ave, Suite 220, Los Angeles, CA 90025-5363

(310) 473-7474 (213) 924-1787

PECOS Enrollment

Based on the most recent information from CMS, provider Valerie Alida Mack does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1316290075
Provider Type
Individual
Full Name
Mack, Valerie Alida
Title
Mrs.
Credential
L.AC.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/18/2012
Last Updated
10/18/2012

Contact Information

Practice Location

2001 S Barrington Ave, Suite 220, Los Angeles, CA 90025-5363

Unlisted Fax

Mailing Location

1646 Franklin St Apt D, Santa Monica, CA 90404-4223

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License 15032 California