Lia St Junius

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0086788 Issued in TX

Legal business name

LIA ST JUNIUS

Doing business as

Mobility Store

Practice address

505 W Willow St
Long Beach, CA 90806-2830

Phone

(562) 989-6308

Fax

(562) 989-6306

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Lia St. JuniusNPI 1811013014

Title

Owner

Phone

(888) 432-1375

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MOBILITY STORE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lia S St. Junius

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, CA
  • NPI 1811013014
  NPD (past) Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1831143494",
    "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": "888-432-1375",
            "fax_number": "713-432-1395"
        },
        {
            "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": "562-989-6308",
            "fax_number": "562-989-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIA ST JUNIUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "ST. JUNIUS",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-432-1375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0086788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176699002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBILITY STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lok Yin Li
• Miaozhen Li, RN, MSN, FNP
• Michael Li, RBT
• Tracy Li
• Weilong Li
• Ej Liao, LMFT, ATR
• Allison Liaw
• Glenn Francis Libby
• Alan Libus, RADT
• Kimberly Ashley Licona

• 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 Jun 30, 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.