MEDICARE: LOTUSMIND CARE 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1952262362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTUSMIND CARE LLC

Provider Business Mailing Address
First Line	:	1603 AVONLEA ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-4929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1603 AVONLEA ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-4929
Country	:	US
Telephone Number	:	818-688-7799
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JIN LI
Credential	:
Telephone Number	:	818-688-7799

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	06/02/2026

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Directions to “LOTUSMIND CARE LLC ” Practice Location

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