Provider Demographics
NPI:1003838392
Name:YOOK, RICHARD H (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:H
Last Name:YOOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8940 RESEDA BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3900
Mailing Address - Country:US
Mailing Address - Phone:818-993-5410
Mailing Address - Fax:818-993-8300
Practice Address - Street 1:8940 RESEDA BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3900
Practice Address - Country:US
Practice Address - Phone:818-993-5410
Practice Address - Fax:818-993-8300
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG24712207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG24712Medicaid
CA00G247120Medicaid
CAG24712Medicare ID - Type Unspecified
CAW21306Medicare PIN
CAA42351Medicare UPIN
CAG24712Medicaid