BEVERLY ORTHOPEDIC LABORATORY INC – NPI #1871186981
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

BEVERLY ORTHOPEDIC LABORATORY INC is a DME Supplier located in LYNWOOD, CA. NPPES has assigned the NPI number 1871186981 to BEVERLY ORTHOPEDIC LABORATORY INC on February 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEVERLY ORTHOPEDIC LABORATORY INC below.

NPI Profile for
BEVERLY ORTHOPEDIC LABORATORY INC

NPI Number
1871186981
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEVERLY ORTHOPEDIC LABORATORY INC
Primary location
3737 MARTIN LUTHER KING JR BLVD
#335
LYNWOOD, CA 90262
Phone: (310) 438-3645 Fax: (310) 438-3699
Mailing address
2625 W. BEVERLY BLVD
MONTEBELLO, CA 90640
Phone: (323) 727-2887 Fax: (323) 727-2854
Organization Subpart
Yes - BEVERLY ORTHOPEDIC LABORATORY INC is subpart of another organization.
Authorized Official
SANJAY KAWANKAR
CEO, CFO, PRACTICE MANAGER
Phone: (323) 727-2887
Updated
Certification Date
Feb 19, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BEVERLY ORTHOPEDIC LABORATORY INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAXC0008150
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
261QP2000X
- Clinic/Center / Physical Therapy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.