# WELLPOINT INTEGRATIVE CARE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1689428476
- **Authorized official:** RADISLAV KATS LAC (OWNER)
- **Authorized official phone:** (917) 892-9224

## Contact information

- **Practice address:** 1850 S OCEAN DR APT 1709, HALLANDALE BEACH, FL 33009-7680
- **Practice address phone:** (917) 892-9224
- **Mailing address:** 1850 S OCEAN DR APT 1709, HALLANDALE BEACH, FL 33009-7680
- **Mailing address phone:** (917) 892-9224

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2024
- **Last updated:** 04/16/2024