MEDICARE: ELANA L SHELDON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A67217	CA

General Provider Information

NPI Number	:	1790708915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELANA L SHELDON MD

Provider Business Mailing Address
First Line	:	50 BELLEFONTAINE ST
Second Line	:	STE 403
City	:	PASADENA
State	:	CA
Zip	:	91105-3132
Country	:	US
Telephone Number	:	626-792-1912
Fax Number	:	626-792-1960

Provider Business Practice Location Address
First Line	:	301 S FAIR OAKS AVE STE 405
Second Line	:	PASADENA
City	:	PASADENA
State	:	CA
Zip	:	91105-2562
Country	:	US
Telephone Number	:	626-792-1912
Fax Number	:	626-792-1960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	02/27/2020

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