Provider Demographics
NPI:1497845036
Name:MIYASAKI, YOKO (MD)
Entity Type:Individual
Prefix:DR
First Name:YOKO
Middle Name:
Last Name:MIYASAKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 572770
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91357-2770
Mailing Address - Country:US
Mailing Address - Phone:818-506-3384
Mailing Address - Fax:818-699-1278
Practice Address - Street 1:18370 BURBANK BLVD
Practice Address - Street 2:STE 414
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2804
Practice Address - Country:US
Practice Address - Phone:818-506-3384
Practice Address - Fax:818-699-1278
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA89072207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease