Organization · Type 2 NPI

Shield California Health Care Center, Inc.

Parenteral & Enteral Nutrition Supplies (DME) · Tukwila, WA

NPI number 1063656320 Active

Practice location

615 Strander Blvd
Tukwila, WA 98188-2922

Fax (206) 575-6765

Mailing address

27911 Franklin Pkwy
Valencia, CA 91355-4110

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000X09-1717 (WA)
Parenteral & Enteral Nutrition Supplies (DME) Primary 332BP3500XNone listed

Parenteral & Enteral Nutrition Supplies (DME): Definition to come...

About NPI 1063656320

Shield California Health Care Center, Inc.'s National Provider Identifier is 1063656320, issued on Apr 29, 2009. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Tukwila, WA. The record was last updated on Jan 14, 2025.