Provider Demographics
NPI:1225225238
Name:RICHARD H. YOOK, M.D, INC.
Entity Type:Organization
Organization Name:RICHARD H. YOOK, M.D, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:YOOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-993-5410
Mailing Address - Street 1:8940 RESEDA BLVD
Mailing Address - Street 2:#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:#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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG24712207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG24712OtherMEDICARE ID
CA00G247120Medicaid
CAG24712Medicaid
CAG24712OtherMEDICARE ID
CAA42351Medicare UPIN
CA00G247120Medicaid