| Lotus Medical | |
|
18384 Brookhurst St Fountain Valley CA 92708-6704 | |
| (714) 861-9209 | |
| Not Available |
| Full Name | Lotus Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 18384 Brookhurst St, Fountain Valley, California |
| Authorized Official Name and Position | Lynda Tran Ngo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7143785223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Medical 18384 Brookhurst St Fountain Valley CA 92708-6704 Ph: (714) 861-9209 | Lotus Medical 18384 Brookhurst St Fountain Valley CA 92708-6704 Ph: (714) 861-9209 |
| NPI Number | 1972192888 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 05/18/2021 |
| Medicare PECOS PAC ID | 6507273075 |
|---|---|
| Medicare Enrollment ID | O20210329002613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972192888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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