Individual ProviderNicole BurdockAcupuncturistOther Service ProvidersPractice Address1457 Armacost Ave, Unit 202, Los Angeles, CA 90025-2227(310) 755-4772(310) 453-8668PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Burdock 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 ID1649425398Provider TypeIndividualFull NameBurdock, NicoleTitleMs.CredentialL.AC.GenderFemaleSole ProprietorNoEnumeration Date11/21/2008Last Updated11/21/2008Contact InformationPractice LocationPractice Address1457 Armacost Ave, Unit 202, Los Angeles, CA 90025-2227Phone(310) 755-4772FaxUnlisted FaxMailing LocationMailing Address1807 Wilshire Blvd Ste 205, Santa Monica, CA 90403-5678Phone(310) 453-8668FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC12316California