Provider Demographics
NPI:1356460158
Name:RIZKOU, YOGINA DAOUD (DC)
Entity Type:Individual
Prefix:DR
First Name:YOGINA
Middle Name:DAOUD
Last Name:RIZKOU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 WESTWOOD BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2047
Mailing Address - Country:US
Mailing Address - Phone:310-234-1160
Mailing Address - Fax:
Practice Address - Street 1:2265 WESTWOOD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-2047
Practice Address - Country:US
Practice Address - Phone:310-234-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC24206Medicare ID - Type Unspecified