Provider Demographics
NPI:1861497968
Name:KLAUSNER, SHELDON N (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:N
Last Name:KLAUSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2001 SANTA MONICA BLVD
Mailing Address - Street 2:STE 870-W
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2102
Mailing Address - Country:US
Mailing Address - Phone:310-829-1703
Mailing Address - Fax:310-494-9450
Practice Address - Street 1:2001 SANTA MONICA BLVD
Practice Address - Street 2:STE 870-W
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2102
Practice Address - Country:US
Practice Address - Phone:310-829-1703
Practice Address - Fax:310-494-9450
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG10015207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery