La Ly

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LA LY

Doing business as

Miracly Store

Practice address

1452 W Shaw Ave
Fresno, CA 93711-3607

Phone

(559) 981-2787

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

La Ly

Title

Owner

Phone

(559) 981-2787

Specialties & licenses 1

Addresses

Other names 1

• Miracly Store Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1437711702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113607",
            "telephone_number": "559-981-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113607",
            "telephone_number": "559-981-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "LA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-981-2787"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracly Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• L.B. Consulting
• L&L Behavioral and Psychiatric Services (FantAutistic Skills Training)
• L&S Adult Day Care Center
• La Familia Therapy Services Inc.
• La Laser Center PC, a Professional Medical Corporation (Fresno Dermatology & Skin Center)
• Terry Jean La Notte, M.F.T.
• Angela K La Rocque, LVN
• Talyn D La Tour
• Lauren La Violette, NP
• Tuyet B La

• Durable Medical Equipment & Medical Supplies in Fresno, CA
• Providers in Fresno, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.