Provider Demographics
NPI:1114085883
Name:KARDENER, SHELDON HARVEY (MD)
Entity type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:HARVEY
Last Name:KARDENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3101 OCEAN PARK BLVD
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-3022
Mailing Address - Country:US
Mailing Address - Phone:310-399-8727
Mailing Address - Fax:310-399-8727
Practice Address - Street 1:3101 OCEAN PARK BLVD
Practice Address - Street 2:SUITE # 100
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-3022
Practice Address - Country:US
Practice Address - Phone:310-399-8727
Practice Address - Fax:310-399-8727
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC 264562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA111-408-5883OtherNATIONAL PROVIDER IDENTIFICATION