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

Damien Sheppard I

Individual provider Clinical Medical Laboratory · NPI 1134654981

Damien Sheppard I is a Clinical Medical Laboratory in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

45004 Altissimo Way
Lake Elsinore, CA 92532-1523
Phone: (951) 768-6698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 00056962 (CA)

Record details

NPI number1134654981
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 28, 2017
Last updated in NPPESApril 28, 2017