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BEVERLY ORTHOPEDIC LABORATORY INC
NPI 1871179085
Prosthetic/Orthotic Supplier in Los Angeles, CA

Active since March 19, 2021
3000 W OLYMPIC BLVD, #301, LOS ANGELES, CA 90006(213) 351-3556(213) 351-3558 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Orthopedic Laboratory Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY ORTHOPEDIC LABORATORY INC (NPI 1871179085) is a healthcare organization registered as a prosthetic/orthotic supplier in Los Angeles, California and active in the NPI registry since March 2021. The organization lists Sanjay Suresh Kawankar, Ceo, Cfo, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1871179085
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBEVERLY ORTHOPEDIC LABORATORY INC
Location Address3000 W OLYMPIC BLVD, #301Los Angeles, CA 90006
Mailing Address3625 W Beverly BlvdMontebello, CA 90640 · (323) 727-2887 · Fax (323) 727-2854
Phone(213) 351-3556
Fax(213) 351-3558
Organization SubpartYes
Authorized OfficialSanjay Suresh KawankarCeo, Cfo, Practice Manager · (323) 727-2887
Enumeration DateMarch 19, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1871179085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
3000 W OLYMPIC BLVD, Los Angeles, CA 90006
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Other Identifiers 1

MedicaidXC000815CA

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Beverly Orthopedic Laboratory Inc carries, from the Medicare DMEPOS supplier directory.

Beverly Orthopedic Laboratory Inc

DMEPOS supplier · Los Angeles, CA
⋮

Does not accept Medicare assignment

Beverly Orthopedic Laboratory Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)21610653
Medicare Participant SinceJanuary 1, 1998
Supplier Location3000 W Olympic BlvdLos Angeles, CA 90006
Phone(213) 351-3556
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOUNG SUN YI
Anesthesiology
3000 W OLYMPIC BLVD, STE 200
LOS ANGELES, CA 90006
Los Angeles County (213) 385-4545
MRS. MI HYE KIM DDS
Dentist (General Practice)
3000 W OLYMPIC BLVD, #300
LOS ANGELES, CA 90006
Los Angeles County (213) 386-4919
DR. SUNG JEEN HONG MD
Pediatrics
3000 W OLYMPIC BLVD, SUITE 304
LOS ANGELES, CA 90006
Los Angeles County (213) 380-1122
YONHUI KIM BC-HIS
Hearing Instrument Specialist
3000 W OLYMPIC BLVD, SUITE 307
LOS ANGELES, CA 90006
Los Angeles County (213) 365-8814
DAVIDS PHARMACY
Pharmacy (Community/Retail Pharmacy)
3000 W OLYMPIC BLVD, STE 201
LOS ANGELES, CA 90006
Los Angeles County (213) 388-0300
DR. JOSEPH KIM M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3000 W OLYMPIC BLVD, SUITE 202
LOS ANGELES, CA 90006
Los Angeles County (213) 380-1388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Orthopedic Laboratory Inc's NPI number?

The NPI number for Beverly Orthopedic Laboratory Inc is 1871179085. It was assigned to this organization in the NPPES registry on March 19, 2021.

Where is Beverly Orthopedic Laboratory Inc located?

Beverly Orthopedic Laboratory Inc is located at 3000 W Olympic Blvd #301, Los Angeles, CA 90006. The listed phone number is (213) 351-3556.

What is Beverly Orthopedic Laboratory Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Beverly Orthopedic Laboratory Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Beverly Orthopedic Laboratory Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Beverly Orthopedic Laboratory Inc was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.