Healthcare Provider Details

I. General information

NPI: 1598090029
Provider Name (Legal Business Name): LOTUS CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2009
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6011 WEST BLVD
LOS ANGELES CA
90043-3801
US

IV. Provider business mailing address

6011 WEST BLVD
LOS ANGELES CA
90043-3801
US

V. Phone/Fax

Practice location:
  • Phone: 323-292-0749
  • Fax: 323-292-2548
Mailing address:
  • Phone: 323-292-0749
  • Fax: 323-292-2548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. BHAGVATI BHATIA
Title or Position: PRESIDENT
Credential:
Phone: 626-353-8030