MEDICARE: DR. TEIRIKI ERIC YOKOO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	G84923	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619070026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEIRIKI ERIC YOKOO MD

Provider Business Mailing Address
First Line	:	21143 HAWTHORNE BLVD
Second Line	:	253
City	:	TORRANCE
State	:	CA
Zip	:	90503-4615
Country	:	US
Telephone Number	:	310-318-6500
Fax Number	:	310-318-8055

Provider Business Practice Location Address
First Line	:	2621 ZOE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4131
Country	:	US
Telephone Number	:	310-318-6500
Fax Number	:	310-318-8055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	08/19/2019

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