Shardae Blandin
Physician Assistant in Los Angeles, CA. Individual provider (NPI-1).
NPI number1023946282
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1023946282
- Entity type
- Individual (NPI-1)
- Name
- Shardae Blandin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2026
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2026018985 | MO | Yes |
Practice location
1731 E 120th StLos Angeles, CA 90059-3051
Phone 323-563-4800
Mailing address
1731 E 120th StLos Angeles, CA 90059-3051
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