OrganizationIntegrative LifecareAcupuncturistOther Service ProvidersPractice Address12304 Santa Monica Blvd, Los Angeles, CA 90025-2551(323) 609-3035(310) 779-2749PECOS EnrollmentBased on the most recent information from CMS, provider Integrative Lifecare 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 ID1417475179Provider TypeOrganizationFull NameIntegrative LifecareSubpartNoEnumeration Date9/1/2017Last Updated9/1/2017Contact InformationPractice LocationPractice Address12304 Santa Monica Blvd, Los Angeles, CA 90025-2551Phone(323) 609-3035Fax(888) 979-8761Mailing 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