Organization
BEVERLY ORTHOPEDIC LABORATORY INC.
Active
Parent organization
BEVERLY ORTHOPEDIC LABORATORY INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEVERLY ORTHOPEDIC LABORATORY INC.
Authorized official
MR. SANJAY S KAWANKAR CP, BOCPO (CEO/CFO)
(323) 727-2887
Entity
Organization
Contact information
Practice address
4150 LATHAM STREET SUITE:G, RIVERSIDE, CA 92501-0001
(951) 742-5127
(951) 742-5184
Mailing address
2625 W BEVERLY BLVD, MONTEBELLO, CA 90640-0031
(323) 727-2887
(323) 727-2854
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up