Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shield Medical Management Services LLC

Organization Clinic/Center · NPI 1386907749

Shield Medical Management Services LLC is a Clinic/Center in Garden Grove, California. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13896 Harbor Blvd Ste 5C
Garden Grove, CA 92843-4045
Phone: (714) 554-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1386907749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mortezas Sourat — Administrator · (714) 554-2222
NPI enumeratedJune 20, 2012
Last updated in NPPESJune 20, 2012
Mailing address13896 Harbor Blvd, Suite 5c, Garden Grove, CA 92843-4045

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