Shield California Health Care Center Inc

LBN: Shield California Health Care Center Inc
Shield California Health Care Center Inc is an health care organization with primary practice located at 3290 E Guasti Rd Suite 130, Ontario CA 91761-8647. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty. Shield California Health Care Center Inc can be contacted via phone (909) 512-9290, or through Collins, Paul via phone (661) 294-4200.

Contact Information

Primary practice address
3290 E Guasti Rd Suite 130 Ontario CA 91761-8647
Phone: (909) 512-9290
Fax: (909) 512-9288
Website:
Map and Directions
Authorized official contact:
Name: Collins, Paul
Phone: (661) 294-4200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 103749 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 103749 California

Profile Details

NPI number 1275647299
LBN Legal business name Shield California Health Care Center Inc
DBA Doing business as
Authorized official Collins, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 20th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275647299 NPPES
California MEDICAID DME03402F

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