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
9520 NORWALK BLVD, SANTA FE SPRINGS, CA 90670-2930
(562) 908-9000
(562) 803-0755
Mailing address
27911 FRANKLIN PKWY, VALENCIA, CA 91355-4110
(661) 294-4200
(661) 294-1042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
100025
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
10025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00448F
—
CA
Enumeration date
08/18/2006
Last updated
01/14/2025
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