Organization
INTEGRATIVE LIFECARE
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, LOS ANGELES, CA 90025-2551
(323) 609-3035
(888) 979-8761
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
09/01/2017
Last updated
09/01/2017
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