Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERICK TAKESHI TAGAWA, DDS
ActiveDR. DERICK TAKESHI TAGAWA, DDS is a Orthodontics healthcare provider located in BREA, California. NPI 1215049473 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BREA, CA
Registration Details
- NPI Number
- 1215049473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.916710798192 yrs)
- Last Updated
- Jul 8, 2007
- License
-
21683 (CA)
Practice Information
- Address
-
230 S ORANGE AVEBREA, CA, 92821Browse CA providers · Browse ZIP 92821
- Phone
- 7149905414
- Fax
- 7149909489
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in BREA, CA
| Name | Credential | NPI |
|---|---|---|
| RICHARD CURTIS | DDS | 1609919125 |
| DR. JASON TERRY BOCK | DDS MS | 1609063528 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.