=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760467385
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LERMAN AND SON INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/07/2005
-----------------------------------------------------
Last Update Date | 12/15/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 654 AERICK ST
-----------------------------------------------------
City | INGLEWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90301-1903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-677-6183
-----------------------------------------------------
Fax | 310-677-7881
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 654 AERICK ST
-----------------------------------------------------
City | INGLEWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90301-1903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-677-6183
-----------------------------------------------------
Fax | 310-677-7881
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | JACK SCHWARTZ
-----------------------------------------------------
Credential | C.O.
-----------------------------------------------------
Telephone | 310-659-2290
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------