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Shield California Health Care Center, Inc. — NPI 1063656320, Tukwila, WA | NPI Central

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NPI 1063656320

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Shield California Health Care Center, Inc.

NPI 1063656320 · Parenteral & Enteral Nutrition Supplies (DME) · Tukwila, WA

Provider details

NPI number: 1063656320
Entity type: Organization
Primary specialty: Parenteral & Enteral Nutrition Supplies (DME)Suppliers
Organization subpart: No
Authorized official: Mike Suor, Vp General Manager(661) 294-4200
License: 09-1717 (WA)

Specialties & taxonomies

Parenteral & Enteral Nutrition Supplies (DME)Primary332BP3500X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000XLicense 09-1717 (WA)
Suppliers

Practice location

615 Strander Blvd

Tukwila, WA 98188-2922

Phone: (206) 575-7837

Fax: (206) 575-6765

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

27911 Franklin Pkwy

Valencia, CA 91355-4110

Registry dates

Enumerated: 2009-04-29
Last updated: 2025-01-14
Certified: 2025-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.