Blue Lotus Connection
Blue Lotus Connection is a Point of Service in San Mateo, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
1700 S Amphlett Blvd Ste 250BSan Mateo, CA 94402
Phone: (650) 619-9942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X (CA) |
|---|
Record details
| NPI number | 1760997902 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrice Fortune — Founder/Owner · (650) 619-9942 |
| NPI enumerated | December 11, 2017 |
| Last updated in NPPES | December 11, 2017 |
| Mailing address | 63 Bovet Road #221, San Mateo, CA 94402 |
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