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SHIELD MEDICAL MANAGEMENT SERVICES LLC
NPI 1386907749
Clinic/Center in Garden Grove, CA

Active since June 20, 2012
13896 HARBOR BLVD, SUITE 5C, GARDEN GROVE, CA 92843(714) 554-2222 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shield Medical Management Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIELD MEDICAL MANAGEMENT SERVICES LLC (NPI 1386907749) is a healthcare organization registered as a clinic/center in Garden Grove, California and active in the NPI registry since June 2012. The organization lists Mortezas Sourat, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386907749
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHIELD MEDICAL MANAGEMENT SERVICES LLC
Location Address13896 HARBOR BLVD, SUITE 5CGarden Grove, CA 92843-4045
Mailing Address13896 Harbor Blvd, Suite 5cGarden Grove, CA 92843-4045
Phone(714) 554-2222
Organization SubpartNo
Authorized OfficialMortezas SouratAdministrator · (714) 554-2222
Enumeration DateJune 20, 2012
✔ NPI 1386907749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
13896 HARBOR BLVD, Garden Grove, CA 92843
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANKLIN MEDICAL TESTING
Clinical Medical Laboratory
13896 HARBOR BLVD, UNIT 5C
GARDEN GROVE, CA 92843
Orange County (714) 554-2222
DINEURO DIAGNOSTIC
Physiological Laboratory
13896 HARBOR BLVD, SUITE 5C
GARDEN GROVE, CA 92843
Orange County (714) 554-2222
MICRO MEDICAL MANAGEMENT
Durable Medical Equipment & Medical Supplies
13896 HARBOR BLVD, SUITE 5-C
GARDEN GROVE, CA 92843
Orange County (714) 554-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shield Medical Management Services LLC's NPI number?

The NPI number for Shield Medical Management Services LLC is 1386907749. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Shield Medical Management Services LLC located?

Shield Medical Management Services LLC is located at 13896 Harbor Blvd Suite 5C, Garden Grove, CA 92843. The listed phone number is (714) 554-2222.

What is Shield Medical Management Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Shield Medical Management Services LLC was last updated on June 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.