Organization
SHIELD MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY ADAM SIKES (PRESIDENT)
(800) 901-8357
Entity
Organization
Contact information
Practice address
9286 OLD CASTLE RD, VALLEY CENTER, CA 92082-5506
(800) 901-8357
(800) 901-8357
Mailing address
PO BOX 211241, CHULA VISTA, CA 91921-1241
(800) 901-8357
(800) 901-8357
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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