SHIELD CALIFORNIA HEALTH CARE CENTER INC NPI 1275647299

NPI Information

NPI: 1275647299
Provider Name: SHIELD CALIFORNIA HEALTH CARE CENTER INC
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
3290 E GUASTI RD
SUITE 130
ONTARIO, CA
ZIP 91761
Phone: (909) 512-9290
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SHIELD CALIFORNIA HEALTH CARE CENTER INC is a parenteral and enteral nutrition durable medical equipment medical supplies in Ontario, CA. SHIELD CALIFORNIA HEALTH CARE CENTER INC NPI is 1275647299. The provider is registered as an organization entity type.

The provider's business location address is:

3290 E GUASTI RD
SUITE 130
ONTARIO, CA
ZIP 91761-647
Phone: (909) 512-9290
Fax: (909) 512-9288

The provider's authorized official is Paul Collins .
The authorized official title is Chief Customer Experience Officer and has the following contact phone number (661) 294-4200.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 11/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		103749	CALIFORNIA	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	103749	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DME03402F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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