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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up