Individual provider · Type 1 NPI

Candice Rebecca Shadgoo, DPT

Physical Therapist · Los Angeles, CA

NPI number 1366366338 Active

Practice location

11611 San Vicente Blvd Ste L1
Los Angeles, CA 90049-6534

Mailing address

11907 Chaparal St
Los Angeles, CA 90049-2909

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT296925 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1366366338

Candice Rebecca Shadgoo, DPT's National Provider Identifier is 1366366338, issued on Aug 4, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 4, 2026.