Individual ProviderBita S YadidiAcupuncturistOther Service ProvidersPractice Address11704 Wilshire Blvd, Suite 293, Los Angeles, CA 90025-1507(310) 919-4213(310) 863-4495PECOS EnrollmentBased on the most recent information from CMS, provider Bita S Yadidi 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 ID1841622461Provider TypeIndividualFull NameYadidi, Bita SCredentialL.ACGenderFemaleSole ProprietorNoEnumeration Date8/6/2013Last Updated9/27/2013Contact InformationPractice LocationPractice Address11704 Wilshire Blvd, Suite 293, Los Angeles, CA 90025-1507Phone(310) 919-4213FaxUnlisted FaxMailing LocationMailing Address324 S Beverly Dr, Suite 225, Beverly Hills, CA 90212-4801Phone(310) 863-4495Fax(310) 275-3014Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense15460California