Provider Demographics
NPI:1366653552
Name:SUZUKI, YOKO (MD)
Entity Type:Individual
Prefix:
First Name:YOKO
Middle Name:
Last Name:SUZUKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14642 NEWPORT AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-6057
Mailing Address - Country:US
Mailing Address - Phone:657-218-4022
Mailing Address - Fax:
Practice Address - Street 1:22 ODYSSEY STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3197
Practice Address - Country:US
Practice Address - Phone:949-333-2929
Practice Address - Fax:949-333-3267
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-27
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112753207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology