Provider Demographics
NPI:1760467385
Name:LERMAN AND SON INC
Entity Type:Organization
Organization Name:LERMAN AND SON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:310-659-2290
Mailing Address - Street 1:654 AERICK ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1903
Mailing Address - Country:US
Mailing Address - Phone:310-677-6183
Mailing Address - Fax:310-677-7881
Practice Address - Street 1:654 AERICK ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1903
Practice Address - Country:US
Practice Address - Phone:310-677-6183
Practice Address - Fax:310-677-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGFA000020Medicaid
CA0258060001Medicare ID - Type Unspecified