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Organization

INTEGRATIVE LIFECARE ACUPUNCTURE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARLY FAROVITCH L.AC. (ACUPUNCTURIST)
(323) 609-3035
Entity
Organization

Contact information

Practice address
12304 SANTA MONICA BLVD STE 370, LOS ANGELES, CA 90025-1542
(323) 609-3035
(323) 609-3035
Mailing address
6200 PRIMROSE AVE UNIT A, LOS ANGELES, CA 90068-3312
(310) 779-2749

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17756
CA

Other

Enumeration date
10/12/2017
Last updated
10/12/2017
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