Provider Demographics
NPI:1619070026
Name:YOKOO, TEIRIKI ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:TEIRIKI
Middle Name:ERIC
Last Name:YOKOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21143 HAWTHORNE BLVD
Mailing Address - Street 2:253
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4615
Mailing Address - Country:US
Mailing Address - Phone:310-318-6500
Mailing Address - Fax:310-318-8055
Practice Address - Street 1:2621 ZOE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4131
Practice Address - Country:US
Practice Address - Phone:310-318-6500
Practice Address - Fax:310-318-8055
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84923208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G849231Medicaid
D15796Medicare UPIN
CAWG84923AMedicare PIN