Healthcare Provider Details

I. General information

NPI: 1841101227
Provider Name (Legal Business Name): LOTUS RECOVERY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2878 CAMINO DEL RIO S STE 160
SAN DIEGO CA
92108-3844
US

IV. Provider business mailing address

290 CONEJO RIDGE AVE
THOUSAND OAKS CA
91361-4971
US

V. Phone/Fax

Practice location:
  • Phone: 818-519-8334
  • Fax:
Mailing address:
  • Phone: 818-519-8334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIK BRUCE SHIREY
Title or Position: OWNER/COO
Credential:
Phone: 805-371-6377