Healthcare Provider Details

I. General information

NPI: 1073033007
Provider Name (Legal Business Name): SHEILA RAZDAN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 4TH ST FL 3
SAN FRANCISCO CA
94143-2351
US

IV. Provider business mailing address

4650 W SUNSET BLVD
LOS ANGELES CA
90027-6062
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1888
  • Fax:
Mailing address:
  • Phone: 888-631-2452
  • Fax: 323-361-3748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA173543
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2018035261
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2018035261
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: