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1386907749
SHIELD MEDICAL MANAGEMENT SERVICES LLC
GARDEN GROVE, CA
NPI
1386907749
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Entity Type
Organization
Authorized Contact
MORTEZAS SOURAT
Administrator
714-554-2222
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2012-06-20
Last Update Date
2012-06-20
Business Address
SHIELD MEDICAL MANAGEMENT SERVICES LLC
13896 HARBOR BLVD SUITE 5C
GARDEN GROVE, CA 92843-4045
Phone number: 714-554-2222
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Mailing Address
SHIELD MEDICAL MANAGEMENT SERVICES LLC
13896 HARBOR BLVD SUITE 5C
GARDEN GROVE, CA 92843-4045
Phone number:
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