Shield Medical Management Services Llc

LBN: Shield Medical Management Services Llc
Shield Medical Management Services Llc is an health care organization with primary practice located at 13896 Harbor Blvd Suite 5C, Garden Grove CA 92843-4045. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Shield Medical Management Services Llc can be contacted via phone (714) 554-2222, or through Sourat, Mortezas via phone (714) 554-2222.

Contact Information

Primary practice address
13896 Harbor Blvd Suite 5C Garden Grove CA 92843-4045
Phone: (714) 554-2222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sourat, Mortezas
Phone: (714) 554-2222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1386907749
LBN Legal business name Shield Medical Management Services Llc
DBA Doing business as
Authorized official Sourat, Mortezas
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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