# LOTUS JOINT & SPINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194378471
- **Authorized official:** DR. RAMIN SHAMTOB MD (MEDICAL DIRECTOR/PRESIDENT)
- **Authorized official phone:** (818) 307-6508

## Contact information

- **Practice address:** 16550 VENTURA BLVD STE 400, ENCINO, CA 91436-2040
- **Practice address phone:** (818) 307-6508
- **Mailing address:** 16550 VENTURA BLVD STE 400, ENCINO, CA 91436-2040
- **Mailing address phone:** (818) 307-6508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2019
- **Last updated:** 07/16/2019