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Blue Lotus Connection — NPI 1760997902, San Mateo, CA | NPI Central

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NPI 1760997902

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

Point of ServicePrimary305S00000X
Managed Care Organizations

Practice location

1700 S Amphlett Blvd, Ste 250b

San Mateo, CA 94402

Phone: (650) 619-9942

Approximate (ZIP-level) locationGet directions

More CA providers

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.