MEDICARE: LOTENA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1306703152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTENA LLC

Provider Business Mailing Address
First Line	:	3240 E OLIVE AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93702-1033
Country	:	US
Telephone Number	:	510-899-1377
Fax Number	:

Provider Business Practice Location Address
First Line	:	3240 E OLIVE AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93702-1033
Country	:	US
Telephone Number	:	510-899-1377
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	LEO LUONG
Credential	:
Telephone Number	:	510-899-1377

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “LOTENA LLC ” Practice Location

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