Organization
BKP MEDICAL AND ORTHOPEDIC GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISSA FISHMAN (ADMINISTRATOR)
(818) 808-2828
Entity
Organization
Contact information
Practice address
412 W AVENUE J STE D&F, LANCASTER, CA 93534-3685
(661) 723-3375
(661) 723-7635
Mailing address
16542 VENTURA BLVD STE 500, ENCINO, CA 91436-4510
(818) 808-2828
(818) 788-0386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/20/2018
Last updated
11/14/2025
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