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

Shogo Takayama

Individual provider Physical Therapy Assistant · NPI 1538855580

Shogo Takayama is a Physical Therapy Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

6080 Center Dr 6th Fl Ste #639
Los Angeles, CA 90045
Phone: (323) 972-7068
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 11085 (CA)

Record details

NPI number1538855580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023

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