Individual ProviderKevin John De CominesAcupuncturistOther Service ProvidersPractice Address12401 Wilshire Blvd Ste 104, Los Angeles, CA 90025-1015(310) 826-2021(310) 739-9937PECOS EnrollmentBased on the most recent information from CMS, provider Kevin John De Comines 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 ID1962721233Provider TypeIndividualFull NameDe Comines, Kevin JohnCredentialL.AC.GenderMaleSole ProprietorYesEnumeration Date5/25/2010Last Updated6/20/2024Contact InformationPractice LocationPractice Address12401 Wilshire Blvd Ste 104, Los Angeles, CA 90025-1015Phone(310) 826-2021Fax(310) 442-0524Mailing LocationMailing Address20719 Collins St, Woodland Hills, CA 91367-6706Phone(310) 739-9937Fax(818) 912-6244Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense13536California