SHIELD MEDICAL MANAGEMENT SERVICES LLC

GARDEN GROVE, CA
NPI1386907749
Entity TypeOrganization
Authorized ContactMORTEZAS SOURAT
Administrator
714-554-2222
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2012-06-20
Last Update Date2012-06-20
Business Address
SHIELD MEDICAL MANAGEMENT SERVICES LLC
13896 HARBOR BLVD SUITE 5C
GARDEN GROVE, CA 92843-4045
Phone number: 714-554-2222
Mailing Address
SHIELD MEDICAL MANAGEMENT SERVICES LLC
13896 HARBOR BLVD SUITE 5C
GARDEN GROVE, CA 92843-4045
Phone number: