Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shady Borna

Individual provider Physician Assistant · NPI 1497031710

Shady Borna is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

348 S Hauser Blvd Apt 102
Los Angeles, CA 90036-3293
Phone: (818) 640-9716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 19929 (CA)

Record details

NPI number1497031710
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2011
Last updated in NPPESNovember 1, 2011

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