OrganizationActive
Mk Lotus Medical Group LLC
NPI 1215875513 · Nurse Practitioner · Barrigada, GU
Provider details
- NPI number
- 1215875513
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristine Pasco, Owner(323) 904-2408
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Mailing address
182 Flores Rosa Loop
Barrigada, GU 96913-1247
Registry dates
- Enumerated
- 2026-03-25
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.