Organization · Type 2 NPI

Beverly Orthopedic Laboratory Inc.

Prosthetic/Orthotic Supplier · Riverside, CA

NPI number 1487359832 Active

Practice location

4150 Latham Street Suite:g
Riverside, CA 92501-0001

Fax (951) 742-5184

Mailing address

2625 W Beverly Blvd
Montebello, CA 90640-0031

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center 261QP2000XNone listed
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

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.

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About NPI 1487359832

Beverly Orthopedic Laboratory Inc.'s National Provider Identifier is 1487359832, issued on Apr 4, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Riverside, CA. The record was last updated on Apr 4, 2023.