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CANDICE SHAHANDEH-RAD
NPI 1871367292
Dentist - General Practice in Los Angeles, CA

Active since November 07, 2023
11764 WILMINGTON AVE, LOS ANGELES, CA 90059(310) 962-1116 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candice Shahandeh-rad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE SHAHANDEH-RAD (NPI 1871367292) is an individual general practice provider in Los Angeles, California, licensed in California (109596) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1871367292
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCANDICE SHAHANDEH-RAD
Location Address11764 WILMINGTON AVELos Angeles, CA 90059-2553
Mailing Address421 N Bonhill RdLos Angeles, CA 90049-2323 · (310) 962-1116
Phone(310) 962-1116
Sole ProprietorNo
Enumeration DateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1871367292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 109596
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11764 WILMINGTON AVE, Los Angeles, CA 90059
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FAHEEM QAZI DDS
Dentist (General Practice)
11764 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 484-9260
MR. SEAN EDWARD LEE DENTAL ASSISTANT
Dental Assistant
11764 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 484-9260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Shahandeh-rad's NPI number?

The NPI number for Candice Shahandeh-rad is 1871367292. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Candice Shahandeh-rad located?

Candice Shahandeh-rad practices at 11764 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 962-1116.

What is Candice Shahandeh-rad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Candice Shahandeh-rad accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Candice Shahandeh-rad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candice Shahandeh-rad was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.