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General NPI Number Information
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NPI Number | 1912348301
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Entity Type | Organization
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Legal Business Name | LOTUS HEALTH CARE INC
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 1 HOAG DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 714-457-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1 LEAGUE #60173
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City | IRVINE
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State | CA
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Zip | 92602-7204
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Country | US
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Telephone | 714-457-0500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TUNG H NGO
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Credential | D.O.
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Telephone | 714-457-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A10316
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License Number State | CA
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