# SHIELD MEDICAL SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407330590
- **Authorized official:** MR. JEREMY ADAM SIKES (PRESIDENT)
- **Authorized official phone:** (800) 901-8357

## Contact information

- **Practice address:** 9286 OLD CASTLE RD, VALLEY CENTER, CA 92082-5506
- **Practice address phone:** (800) 901-8357
- **Practice address fax:** (800) 901-8357
- **Mailing address:** PO BOX 211241, CHULA VISTA, CA 91921-1241
- **Mailing address phone:** (800) 901-8357
- **Mailing address fax:** (800) 901-8357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 09/24/2018