Provider Demographics
NPI:1689723520
Name:YAGASAKI, ANGELI PERFECTO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELI
Middle Name:PERFECTO
Last Name:YAGASAKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23601 CRENSHAW BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5204
Mailing Address - Country:US
Mailing Address - Phone:310-257-8043
Mailing Address - Fax:310-257-1155
Practice Address - Street 1:23601 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5204
Practice Address - Country:US
Practice Address - Phone:310-257-8043
Practice Address - Fax:310-257-1155
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA482031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice