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General NPI Number Information
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NPI Number | 1598090029
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Entity Type | Organization
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Legal Business Name | LOTUS CARE CENTER, INC.
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 6011 WEST BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90043-3801
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Country | US
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Telephone | 323-292-0749
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Fax | 323-292-2548
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Provider Business Mailing Address
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Address Line | 6011 WEST BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90043-3801
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Country | US
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Telephone | 323-292-0749
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Fax | 323-292-2548
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BHAGVATI BHATIA
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Credential |
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Telephone | 626-353-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | CA
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