The Lotus Center Incorporated | |
9370 Studio Ct Ste 100e Elk Grove CA 95758-8047 | |
(916) 747-2346 | |
(916) 747-0902 |
Full Name | The Lotus Center Incorporated |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 9370 Studio Ct Ste 100e, Elk Grove, California |
Authorized Official Name and Position | Heather Marie Hall (OWNER) |
Authorized Official Contact | 6504555507 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Lotus Center Incorporated 9964 Winkle Cir Elk Grove CA 95757-6277 Ph: (650) 455-5507 | The Lotus Center Incorporated 9370 Studio Ct Ste 100e Elk Grove CA 95758-8047 Ph: (916) 747-2346 |
NPI Number | 1861909863 |
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Provider Enumeration Date | 12/29/2017 |
Last Update Date | 08/17/2022 |
Certification Date | 08/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861909863 | NPI | - | NPPES |
1407886989 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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