Shields, Clarence L

Shields, Clarence L is an individual health care provider with primary practice located at 6801 Park Ter , Los Angeles CA 90045-1543. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Shields, Clarence L can be contacted via phone (310) 665-7228.

Contact Information

Primary practice address
6801 Park Ter Los Angeles CA 90045-1543
Phone: (310) 665-7228
Fax: (310) 641-3978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C29184 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X C29184 California

Profile Details

NPI number 1245201938
LBN Legal business name Shields, Clarence L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers