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Organization

WALKING SHIELD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN CASTILLO PH.D. (EXECUTIVE DIRECTOR)
(657) 900-2197
Entity
Organization

Contact information

Practice address
3100 AIRWAY AVE STE 118, COSTA MESA, CA 92626-4604
(657) 900-2197
(657) 900-2196
Mailing address
3100 AIRWAY AVE STE 118, COSTA MESA, CA 92626-4604
(657) 900-2197
(657) 900-2196

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
08/12/2024
Last updated
08/12/2024
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