Organization
SHIELD CALIFORNIA HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SUOR (VP GENERAL MANAGER)
(661) 294-4200
Entity
Organization
Contact information
Practice address
615 STRANDER BLVD, TUKWILA, WA 98188-2922
(206) 575-7837
(206) 575-6765
Mailing address
27911 FRANKLIN PKWY, VALENCIA, CA 91355-4110
(661) 294-4200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
09-1717
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9049404
—
WA
Enumeration date
04/29/2009
Last updated
01/14/2025
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