Organization
SHIELD CALIFORNIA HEALTH CARE CENTER INC
Active
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
27911 FRANKLIN PKWY, VALENCIA, CA 91355-4110
(661) 294-4200
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
PHY 36848
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
PHY 36848
CA
333600000X
Pharmacy
PHY 36848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231764
—
OR
05
—
9049263
—
WA
05
—
PHA368480
—
CA
05
—
ZZZ82578Z
—
CA
Enumeration date
08/18/2006
Last updated
01/14/2025
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