Organization
PINK LOTUS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTI FUNK (PRESIDENT)
(310) 273-8002
Entity
Organization
Contact information
Practice address
8900 WILSHIRE BLVD STE 300, BEVERLY HILLS, CA 90211-1959
(310) 273-8002
(310) 273-8608
Mailing address
8900 WILSHIRE BLVD STE 300, BEVERLY HILLS, CA 90211-1959
(310) 273-8002
(310) 273-8608
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
11/26/2017
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