Individual
DR. CLARENCE L SHIELDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 PARK TER, LOS ANGELES, CA 90045-1543
(310) 665-7228
(310) 641-3978
Mailing address
6801 PARK TER, LOS ANGELES, CA 90045-1543
(310) 665-7228
(310) 641-3978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C29184
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
C29184
CA
Other
Enumeration date
01/30/2006
Last updated
08/27/2021
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