MEDICARE: BLUE LOTUS ACUPUNCTURE INC

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1609621341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE LOTUS ACUPUNCTURE INC

Provider Business Mailing Address
First Line	:	74133 EL PASEO STE 9
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4122
Country	:	US
Telephone Number	:	442-334-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	74133 EL PASEO STE 9
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4122
Country	:	US
Telephone Number	:	442-334-7000
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	DR. CYNTHIA NOBRIGA
Credential	:	DAOM, LAC
Telephone Number	:	310-625-8632

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	04/17/2024

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Directions to “BLUE LOTUS ACUPUNCTURE INC ” Practice Location

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