Mike Michio Yagake, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Cerritos, CA. Individual provider (NPI-1).
NPI number1790085751
StatusActive
Last updated in NPPESOct 25, 2010
Details
- NPI
- 1790085751
- Entity type
- Individual (NPI-1)
- Name
- Mike Michio Yagake
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2010
- Last updated
- Oct 25, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 23403 | CA | Yes |
Practice location
12518 South StCerritos, CA 90703-7134
Phone 562-924-0205
Mailing address
12518 South StCerritos, CA 90703-7134
Phone 562-924-0205
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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Cerritos, CA
- Badii Lee Dental Corporation, INCNPI 1902179658
- Susan BaeNPI 1427543800
- David Lawrence Sparks, DDSNPI 1417087842
- Susan Bae, DDS, Ms, INC.NPI 1780179176
All 5 Orthodontics and Dentofacial Orthopedics Dentistry providers in Cerritos · All 2,293 providers in Cerritos
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