Individual ProviderBethanna Maia MeneleyAcupuncturistOther Service ProvidersPractice Address10642 Santa Monica Blvd Ste 210, Los Angeles, CA 90025-4858(310) 775-3388PECOS EnrollmentBased on the most recent information from CMS, provider Bethanna Maia Meneley 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 ID1912030503Provider TypeIndividualFull NameMeneley, Bethanna MaiaTitleMs.CredentialL.AC.GenderFemaleSole ProprietorYesEnumeration Date3/13/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address10642 Santa Monica Blvd Ste 210, Los Angeles, CA 90025-4858Phone(310) 775-3388FaxUnlisted FaxMailing LocationMailing Address10642 Santa Monica Blvd Ste 210, Los Angeles, CA 90025-4858Phone(310) 775-3388FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseA10820California