Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beverly Orthopedic Laboratory Inc

Organization Physical Therapy Clinic/Center · NPI 1487359832

Beverly Orthopedic Laboratory Inc is a Physical Therapy Clinic/Center in Riverside, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4150 Latham Street Suite:g
Riverside, CA 92501-0001
Phone: (951) 742-5127
Fax: (951) 742-5184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1487359832
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBeverly Orthopedic Laboratory Inc
Authorized official Sanjay Kawankar — Ceo/Cfo · (323) 727-2887
NPI enumeratedApril 4, 2023
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023
Mailing address2625 W Beverly Blvd, Montebello, CA 90640-0031

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