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General NPI Number Information
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NPI Number | 1356225866
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Entity Type | Organization
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Legal Business Name | SHIELD CALIFORNIA HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 9444 FARNHAM ST STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92123-1300
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Country | US
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Telephone | 800-458-7718
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Fax | 858-277-4682
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Provider Business Mailing Address
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Address Line | 27911 FRANKLIN PKWY
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City | VALENCIA
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State | CA
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Zip | 91355-4110
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Country | US
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Telephone | 661-294-4217
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Fax |
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Authorized Official
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Title or Position | VP AND GENERAL MANAGER
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Name | MICHAEL SUOR
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Credential |
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Telephone | 661-294-4217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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