# INTEGRATIVE LIFECARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417475179
- **Authorized official:** KARLY FAROVITCH L.AC. (ACUPUNCTURIST)
- **Authorized official phone:** (323) 609-3035

## Contact information

- **Practice address:** 12304 SANTA MONICA BLVD, LOS ANGELES, CA 90025-2551
- **Practice address phone:** (323) 609-3035
- **Practice address fax:** (888) 979-8761
- **Mailing address:** 6200 PRIMROSE AVE UNIT A, LOS ANGELES, CA 90068-3312
- **Mailing address phone:** (310) 779-2749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 17756 | CA | Yes |

## Other

- **Enumeration date:** 09/01/2017
- **Last updated:** 09/01/2017