# INTEGRATIVE PROFESSIONAL ACUPUNCTURE SERVICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Cycle Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043542384
- **Authorized official:** MS. ELLEN JANE RUDOLPH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (818) 988-7988

## Contact information

- **Practice address:** 5522 SEPULVEDA BLVD, SHERMAN OAKS, CA 91411-3437
- **Practice address phone:** (818) 988-7988
- **Practice address fax:** (818) 988-7588
- **Mailing address:** 5522 SEPULVEDA BLVD, SHERMAN OAKS, CA 91411-3437
- **Mailing address phone:** (818) 988-7988
- **Mailing address fax:** (818) 988-7588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 5430 | CA | Yes |

## Other

- **Enumeration date:** 02/11/2010
- **Last updated:** 02/11/2010