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Shady Borna
NPI 1497031710 · on the registry since 2011 · sole proprietor
Practice
- Address
- 348 S. Hauser Blvd Apt 102
Los Angeles, CA 90036 - Phone
- (818) 640-9716
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California