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

Shardae Blandin

Individual provider Physician Assistant · NPI 1023946282

Shardae Blandin is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

1731 E 120th St
Los Angeles, CA 90059-3051
Phone: (323) 563-4800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2026018985 (MO)

Record details

NPI number1023946282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2026
Last updated in NPPESMay 9, 2026
Certification dateMay 9, 2026

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