Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | G24712 | CA |
NPI | 1003838392 |
---|---|
Provider Name | Dr. Richard H Yook |
First Address | Northridge, CA 91324-3900 |
Second Address | Northridge, CA 91324-3900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 14/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G247120 | (05) | CA |
A42351 | (02) | CA |
G24712 | (05) | CA |