LA LY (NPI# 1437711702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437711702 |
| Entity Type | Organization |
| Organization Name | LA LY |
| Practice Address |
1452 W Shaw Ave Fresno CA 93711-3607 |
| Practice Telephone | 5599812787 |
| Mailing Telephone | 5599812787 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | LA LY (OWNER) |
| Authorized Official Telephone | 5599812787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Miracly Store | Doing Business As Name - Organization |
| Street Address |
1452 W SHAW AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894534 | Aim Medical Supply | Durable Medical Equipment & Medical Supplies | 617 E Olive Ave, Fresno, CA 93728-3224 | 2020-08-31 |
| 1841813615 | Jonathon Lee | Durable Medical Equipment & Medical Supplies | 4220 N Thorne Ave, Fresno, CA 93704-3520 | 2020-05-27 |
| 1861039000 | Guardian Sleep Clinic, LLC | Durable Medical Equipment & Medical Supplies | 1827 E Fir Ave Ste 102, Fresno, CA 93720-3860 | 2019-12-06 |
| 1871061895 | Silhouettepost Surgical & Custom Lingerie LLC | Durable Medical Equipment & Medical Supplies | 7055 N Maple Ave Ste 108, Fresno, CA 93720-8012 | 2018-11-07 |
| 1750860433 | Irene Canales | Durable Medical Equipment & Medical Supplies | 5153 N Blackstone Ave, Fresno, CA 93710-6701 | 2018-08-13 |
| 1851751564 | Tko Medical Corporation | Durable Medical Equipment & Medical Supplies | 2305 E Ashlan Ave, Fresno, CA 93726-3102 | 2016-02-24 |
| 1831558980 | Sh Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 4556 N 1st St, Fresno, CA 93726-2327 | 2016-02-17 |
| 1780049254 | Sg Homecare,inc. | Durable Medical Equipment & Medical Supplies | 4529 N Marty Ave Ste 104, Fresno, CA 93722-7834 | 2015-12-28 |
| 1740664812 | Neuropain Medical Center Inc | Durable Medical Equipment & Medical Supplies | 736 E Bullard Ave Ste 101, Fresno, CA 93710-5473 | 2015-07-17 |
| 1508252032 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 1221 E Spruce Ave Ste C, Fresno, CA 93720 | 2015-04-10 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.