Lia S St. Junius

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0086788 Issued in TX

Practice address

505 W Willow St
Long Beach, CA 90806-2830

Phone

(562) 989-6306

Fax

(888) 432-1395

NPI assigned

Mar 21, 2007

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Prof. The Mobility Store Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lia St Junius

  dba Mobility Store

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, CA
  • NPI 1831143494
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1811013014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775450821",
            "telephone_number": "562-989-6306",
            "fax_number": "888-432-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062830",
            "telephone_number": "562-989-6306",
            "fax_number": "888-432-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JUNIUS",
        "first_name": "LIA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "0086788",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0086788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THE",
            "last_name": "STORE",
            "middle_name": "MOBILITY",
            "prefix": "PROF.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• St. Albert Medical Clinic Inc (Saint Albert Medical Clinic Inc)
• Alysia Ann St. Clair
• Terrie Thomas St. Germain, D.D.S.
• Michael Henry St. Jean
• Tina St. Julian
• St. Mary Health Ventures Inc (Atlantic Professional Pharmacy)
• St. Mary Health Ventures, Inc. (Medical Mall Pharmacy)
• St. Mary Medical Center
• St. Marys Radiation Oncology Medical Group
• St. Michael Surgery Center, LLC

• Durable Medical Equipment & Medical Supplies in Long Beach, CA
• Providers in Long Beach, 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 Apr 10, 2008; 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.