Provider Demographics
NPI:1538265673
Name:CLAYTON, SHEILAH M (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILAH
Middle Name:M
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1060 E GREEN ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2431
Mailing Address - Country:US
Mailing Address - Phone:626-791-5559
Mailing Address - Fax:626-844-9014
Practice Address - Street 1:1060 E GREEN ST
Practice Address - Street 2:SUITE 108
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2431
Practice Address - Country:US
Practice Address - Phone:626-791-5559
Practice Address - Fax:626-844-9014
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2011-12-28
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Provider Licenses
StateLicense IDTaxonomies
CAA41360208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE47643Medicare UPIN