Blue Lotus Connection

LBN: Blue Lotus Connection
Blue Lotus Connection is an health care organization with primary practice located at 1700 S Amphlett Blvd, Ste 250B , San Mateo CA 94402. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Blue Lotus Connection can be contacted via phone (650) 619-9942, or through Fortune, Patrice via phone (650) 619-9942.

Contact Information

Primary practice address
1700 S Amphlett Blvd, Ste 250B San Mateo CA 94402
Phone: (650) 619-9942
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fortune, Patrice MA, MS, LMFT, ATR
Phone: (650) 619-9942

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X California

Profile Details

NPI number 1760997902
LBN Legal business name Blue Lotus Connection
DBA Doing business as
Authorized official Fortune, Patrice MA, MS, LMFT, ATR
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2017
Last updated Dec 11th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760997902 NPPES
California MEDICAID 1235368135

Popular Providers