Organization
LOTUS JOINT & SPINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN SHAMTOB MD (MEDICAL DIRECTOR/PRESIDENT)
(818) 307-6508
Entity
Organization
Contact information
Practice address
16550 VENTURA BLVD STE 400, ENCINO, CA 91436-2040
(818) 307-6508
Mailing address
16550 VENTURA BLVD STE 400, ENCINO, CA 91436-2040
(818) 307-6508
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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