Search › California › 291U00000X
Damien Sheppard
NPI 1134654981 · on the registry since 2017 · sole proprietor
Practice
- Address
- 45004 Altissimo Way
Lake Elsinore, CA 92532 - Phone
- (951) 768-6698
Registry record
- Primary taxonomy
- 291U00000X
291U00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California