OrganizationActive
Blue Lotus Connection
NPI 1760997902 · Point of Service · San Mateo, CA
Provider details
- NPI number
- 1760997902
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Patrice Fortune, Founder/Owner(650) 619-9942
Specialties & taxonomies
Managed Care Organizations
Practice location
1700 S Amphlett Blvd, Ste 250b
San Mateo, CA 94402
Phone: (650) 619-9942
Approximate (ZIP-level) locationGet directions
Mailing address
63 Bovet Road #221
San Mateo, CA 94402
Registry dates
- Enumerated
- 2017-12-11
- Last updated
- 2017-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.