Beverly Orthopedic Laboratory Inc

LBN: Beverly Orthopedic Laboratory Inc
Beverly Orthopedic Laboratory Inc is an health care organization with primary practice located at 801 N. Tustin Ave #203, Santa Ana CA 92705. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Beverly Orthopedic Laboratory Inc can be contacted via phone (657) 247-4301, or through Kawankar, Sanjay Suresh via phone (323) 727-2887.

Contact Information

Primary practice address
801 N. Tustin Ave #203 Santa Ana CA 92705
Phone: (657) 247-4301
Fax: (657) 247-4320
Website:
Map and Directions
Authorized official contact:
Name: Kawankar, Sanjay Suresh
Phone: (323) 727-2887

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1407449648
LBN Legal business name Beverly Orthopedic Laboratory Inc
DBA Doing business as
Authorized official Kawankar, Sanjay Suresh
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 18th, 2021
Last updated Feb 18th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407449648 NPPES
California MEDICAID XC0008150

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